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Home My WebLink About911 W 5th St - BuildingPREPARED 7/26/11 8 39 18 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/26/11 ADDRESS 911 W 5TH ST TENANT NBR CLARICE H ARAKAWA TTE CONTRACTOR BURDICK CONSTRUCTION OWNER CLARICE H ARAKAWA TTE PARCEL 06 30 00 0 1 0645 0000 APPL NUMBER 11 00000565 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/22/11 JLL BLDG FOUNDATION FOOTING TIME 09 00 6/22/11 AP June 22 2011 8 16 28 AM 1pangrle DAN 461 0657 FOOTING MORNING June 22 2011 4 05 50 PM jlierly BL99 01 7/12/11 PB BLDG FINAL TIME 09 00 7/12/11 DA July 12 2011 8 49 52 AM permits DAN 461 0657 BUILDING FINAL ADDED A 123 SF BALCONY 84 SF CURD PRCH RE ROOFED HE REQUESTED A MORNING INSPECTION July 12 2011 4 27 56 PM pbarthol No deck tension ties installed BL99 02 7/26/11 f BLDG FINAL TIME 01 00 July 26 2011 8 36 03 AM 1pangrle DAN 461 0657 BUILDING FINAL AFTERNOON SPECIFICALLY REQUESTED JIM SUBDIV COMMENTS AND NOTES PHONE (360) 457 1549 PHONE (360) 460 4741 PREPARED 7/12/11 8 56 10 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/12/11 ADDRESS 911 W 5TH ST SUBDIV TENANT NBR CLARICE H ARAKAWA TTE CONTRACTOR BURDICK CONSTRUCTION PHONE (360) 457 1549 OWNER CLARICE H ARAKAWA TTE PHONE (360) 460 4741 PARCEL 06 30 00 0 1 0645 0000 APPL NUMBER 11 00000565 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 .01 6/22/11 JLL BLDG 'FOUNDATION FOOTING TIME 09 00 6/22/11 AP June 22 2011 8 16 28 AM 1pangrle DAN 461 0657 FOOTING MORNING June 22 2011 4 05 50 PM jlierly BL99 01 7/12/11 JLL BLDG FINAL TIME 09 00 July 12 2011 8 49 52 AM permits OW DAN 461 0657 BUILDING FINAL ADDED A 123 SF BALCONY 84 SF CVRD PRCH RE ROOFED HE REQUESTED A MORNING INSPECTION COMMENTS AND NOTES �QO 6:'niV rw i( /L (EN /O, T Z7" h alL PREPARED 6/22/11 8 18 42 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/22/11 ADDRESS 911 W 5TH ST SUBDIV TENANT NBR CLARICE H ARAKAWA TTE CONTRACTOR BURDICK CONSTRUCTION PHONE (360) 457 1549 OWNER CLARICE H ARAKAWA TTE PHONE (360) 460 -4741 PARCEL 06 30 00 0 1 0645 0000 APPL NUMBER 11 00000565 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESU RESULTS /COMMENTS BL1 01 6/22/11 BLDG FOUNDATION FOOTING TIME 09 00 June 22 2011 8 16 28 AM 1pangrle DAN 461 0657 FOOTING MORNING COMMENTS AND NOTES A Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc ADD 123 SF BALCONY 84 SF CVRD PRCH RE ROOF Owner CLARICE H ARAKAWA TTE BURDICK CONSTRUCTION PO BOX 1024 915 E 10TH ST PORT ANGELES WA 983626165 PORT ANGELES WA 98362 (360) 460 4741 (360) 457 1549 Structure Information 000 000 ADD 123 SF BALCONY 84 SF CVRD PRCH Other struct info HARD SURFACE AREA Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per BASE FEE 8 00 14 0000 THOU BL 2001 25K (14 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments June 8 2011 3 03 49 PM sroberds The proposal will result in remodel of a balcony/ re roof and a covered porch for a total of 21% and 27% site coverage June 8 2011 10 01 07 AM Brian 417 4708 Must maintain 5 feet horizontal clearance from electrical conductor to new balcony The existing building sewer may be located at the same location of the proposed construction Any modification or damage to the existing building sewer will require other permits and inspections Othei Fees Fee summary Permit Fee Total T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Contractor RS7 RESDNTL SINGLE FAMILY 9834 Charged 11 00000565 125555 911 W 5TH ST 06 30 00 0 1 0645 0000 CLARICE H ARAKAWA TTE RES ADDITION BUILDING PERMIT RESIDENTIAL RE ROOF /ADD PORCH BALCONY 187104 207 75 6/15/11 Valuation 12/12/11 STATE SURCHARGE 207 75 207 75 Plan Check Fee Paid Credited Due Date 6/15/11 4 50 00 00 135 04 9834 Extension 95 75 112 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) e Separate Permits are required forelectrical work, SEPA, Shoreline ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period -of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. I� D to Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) PLANNING DEPT Separate Permit #s Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By I Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING. Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T.Forms /Building Division /Building Permit FINAL Date Accepted by 'FINAL Date Accepted by SEPA. ESA. SHORELINE. Date Accepted By 1 Application Number Application pin number Plan Check Total Other Fee Total Grand Total T.Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 135 04 4 50 347 29 11 00000565 125555 135 04 4 50 347 29 00 00 00 Page 2 Date 6/15/11 00 00 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 Inspection Type Date Accepted By Comments FOUNDATION Footings I 7(2 11I [L[■ Stemwall Foundation Drainage Downspouts I I Piers I I I Post Holes (Pole Bldgs.) I I I PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water I FINAL Date Accepted by AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. T Forms /Building Division /Building Permit FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 I 7— 2 I k it L.-- Applicant 0 _0 Property Owner Property Owner's Address BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Floor Areas Existing (sa. fL) Basement 1 Floor 2 Floor 3 Floor Garage 57 Carport Covered Porch Deck gakOp111 y Shed Other 4411!7. "4: r u f% i ql Contractor Contractor's Address q/s a License t302.7/ *--Mi PROJECT ADDRESS q k 0:12 so- Parcel Number COii 30 00 O /O494 project Type Brief Description: Residential Multi- family Check all that apply New Construction jQ Addition )d Remodel Repair Demolition )(Re-roof Heat System Other Potacti `tX 6 r 34 5 F _o z- ;b` x Ts" 12-3 Sf P' r1O�o be Vex"' Max. height of proposed structures ZO ft. Will a lawn sprinkler system be installed? Ki p Will a fire sprinkler system be installed? /vo Expires posed (sa. ft.) Occupancy group Occupant load Construction type For City Use Only I Date Received —111 I Permit #.1— S VI Date Approved Pht t 440 4f Phone 4744 WA qe" Phone 457- /54-e, 1 jL' 2 .E-mail -f3 13 Lot /Mb Zoning Commercial Industrial grJl- ah Ro V?mo tDe -K (P)&1 c-Otiti K.@o f) X House garage other )(tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other No. PI`trr"bi t l' hal per sq. ft. Total footprint of structures sq. ft. T Lot size M sq. ft. Lot coverage 2! .4 Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage')_ I I have read and completed this application and know it to be true and correct. lam authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date i C Print Name k n/Qf t^� �1 �>Q�}� i f(�i Signature l Xl�}z CL T:Form Bui ing Division /Bldg Permit.doc f 12. 06 _if .DOB 1.23 t z on _4 1 -C Ra -rrof _,35n TOTAL VALUATION 9 3 3y 'IQ 3 of bedrooms 2 of full baths of half baths i 2L4 -e AA, ADDRESS CITY, STATE, ZIP Diamond Roofing Ent inZe Cliff Duffy Fors 1295 Black Diamond Rom, Port Angeles, WA 98363 360-452-9518 CUSTOMER'S ORDER NO. DEPARTMENT DATE NAME pm C A r LI) SOLD BY GASH C.O.D. CHARGE ON ACCT. MDSE RETD PAID OUT 1 2, 3 4 5 QUANTITY I DESCRIPTION 6 9 1 ;1;7. 10 11 12 13 14 15 16 i7L 17 18 19 20 RECEIVED BY atatiansr 5805 it T3-:sc.._ 1^ ."1 "7 1 i\f" •C I I I IL t t ‘A. 11 A-47 r eve-, 1nl A CO rah," r I A rt. r‘r N\ KEEP THIS SLIP FOR REFERENCE PRICE I AMOUNT 990233 Clallam County Assessor Treasurer Property Details 56543 CLARICE H ARAKA. Page 1 of 2 Clallam County Assessor Treasurer Property Search Results 56543 CLARICE H ARAKAWA TTE for Year 2011 2012 Property Account Property ID 56543 Legal Description. E2 LT 17 EXC W10' &LOT18 BL106 Geographic ID 0630000106450000 Agent Code. Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space N DFL N Historic Property N Remodel Property N Multi Family Redevelopment: N Township: Section: Range: Location Address: 911 W FIFTH ST Mapsco. PORT ANGELES WA Neighborhood: Cycle 5 Res Map ID Neighborhood CD 10955130 Owner Name: CLARICE H ARAKAWA TTE Owner ID Mailing Address. P 0 BOX 1024 Ownership. PORT ANGELES, WA 98362 -6165 Taxes and Assessment Details Property Tax Information as of 06/07/2011 Amount Due if Paid on. E. Exemptions. \t° 3 VV 11529 100.0000000000% NOTE. If you plan to submit payment on a future date make sure you enter the date and click RECALCULATE to obtain the correct total amount due I First Second Half Half Base Base 'Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest Base Paid Amount Due i 2011 151284 ST SCH STATE SCHOOL $161.84 $161.83 $0.00 $0 00 $161.84 $161.83 2011 151284 CC -GEN COUNTY CLALLAM $89.36 $89.33 $0 00 $0 00 $89.36 $89.33 2011 151284 SD #121 SCHOOL DISTRICT #121 $211.55 $211.54 $0.00 $0 00 $211.55 $211 541 2011 151284 CITY PORT ANG CITY OF PORT ANGELES_ $206.26 $206.24 $0 00 $0.00 $206.26 $206.24 2011 151284 PORT PORT OF PORT ANGELES $12.58 $12.57 $0 00 $0.00 $12.58 $12.57 2011 151284 NTH OLY LIB NORTH OLYMPIC LIBRARY $37 47 $37 47 $0 00 $0.00 $37 47 $37 47 2011 151284 HOSP #2 HOSPITAL #2 $36.68 $36.67 $0 00 $0 00 $36.68 $36.67 2011 151284 WSMET PK DIST WILLIAM SHORE MET PARK DIST $11 15 $11 14 $0.00 $0 00 $11 15 $11 141 2011 151284 CITY_STORMWATER CITY STORMWATER $36.00 $36.00 $0.00 $0 00 $36.00 $36.001 2011 151284 WEED_CONTROL WEED CONTROL $0.82 $0 81 $0.00 $0 00 $0.82 $0 81 2011 151284 T0TAL. $803.71 $803.60 $0.00 $0.00 $803.71 $803.60 2010 39582 ST SCH STATE SCHOOL $160.22 $160.21 $0.00 $0 00 $320.43 $0 00 2010 39582 CC -GEN COUNTY CLALLAM $85.27 $85.26 $0 00 $0.00 $170.53 $0 00 2010 395_82 SD #121 SCHOOL DISTRICT #121 $207 52 $207.53 $0 00 $0 00 $415 05 $0.00 2010 39582 CITY PORT ANG CITY OF PORT ANGELES $197 41 $197 41 $0 00 $0 00 $394 82 $0 00 1 2010 39582 PORT PORT OF PORT ANGELES $11.98 $11.99 $0.00 $0.00 $23.97 $0 00 .2010 39582 NTH OLY LIB NORTH OLYMPIC LIBRARY $24 78 $24 77 $0.00 $0 00 $49.55 $0 00 2010 39582 HOSP #2 HOSPITAL #2 $34 98 $34 97 $0.00 $0 00 $69.95 $0 00 2010 39582 WSMET PK DIST WILLIAM SHORE MET PARK DIST $11 13 $11 13 $0 00 $0 00 $22.26 $0.00 2010 39582 CITY_STORMWATER CITY STORMWATER $36.00 $36 00 $0 00 $0.00 $72.00 $0 00 2010 39582 WEED_CONTROL WEED CONTROL $0.82 $0.81 $0.00 $0.00 $1.63 $0 00 http. /websrv8 clallam.net/propertyaccess /Property aspx ?cid =0 &year =2011 &prop_id =56543 6/7/2011 by Weyerha TJ- Beam 6.36 Serial Number. User. 2 6/6/2011 6:32:44 AM Page 1 Engine Version: 6.35.0 Member Slope: OM2 Roof Slope0M2 All dimensions are horizontal. LOADS: Analysis is for a Header (Flush Beam) Member Tributary Load Width: 3' Primary Load Group Snow (psf): 25.0 Live at 115 duration, 15.0 Dead SUPPORTS: 1 Stud wall 2 Stud wall 3 Stud wall Input Bearing Width Length 3.50' 1.50' 3.50' 1.63' 3.50' 1.50' DESIGN CONTROLS: Maximum Shear (lbs) 521 Moment (Ft -Lbs) 712 Live Load Defl (in) Total Load Defl (in) PROJECT INFORMATION: Arakawa 911 W 5th Street Port Angeles, WA 98363 Porch Beam 1 1/2" x 5 1/2" 1 7E Solid Sawn Douglas Fir #1 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED a 7' Vertical Reactions (Ibs) Detail Live /Dead /Uplift/Total 221/128/0/349 641/401/0/1042 221/128/0/349 Design Control 447 1139 712 942 0.058 0.228 0.085 0.313 By Others By Others By Others Result Passed (39 Passed (76 Passed (1./999+) Passed (1f965) Copyright B 2009 by iLevel Federal Way, WA. C \Documents and Settings\ Annie \Desktop \Drafting Solutions\Arakawa \Roof Beam. sms Other None None None 7' Overall Dimension: 14' Product Diagram is Conceptual. Location Lt. end Span 2 under Snow loading Bearing 2 under Snow loading MID Span 1 under Snow ALTERNATE span loading MID Span 2 under Snow ALTERNATE span loading Deflection Criteria: STANDARD(LL:U360,TL:U240). Additional checks follow TL:0.313' Bracing(Lu): All compression edges (top and bottom) must be braced at 14' o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability The allowable shear stress (Fv) has not been increased due to the potential of splits, checks and shakes. See NDS for applicability of increase. Analysis based on vertical loads only and assumes structural supports as noted in the input. Axial loads are not considered in this analysis. Analysis assumes continuous member Lap joints, splices and finger joints significantly reduce member performance and have not been considered. The load conditions considered in this design analysis include alternate member pattern loading. ADDITIONAL NOTES: IMPORTANT! The analysis presented is output from software developed by iLevel®. iLevel® warrants the sizing of its products by this software will be accomplished in accordance with iLevel® product design criteria and code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user This output has not been reviewed by an iLevel® Associate. -Not all products are readily available. Check with your supplier or iLevel® technical representative for product availability THIS ANALYSIS FOR iLevel® PRODUCTS ONLY! PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. Solid sawn lumber analysis is in accordance with 2001 NDS methodology Allowable Stress Design methodology was used for Building Code IBC analyzing the solid sawn lumber material listed above. OPERATOR INFORMATION: Annie O'Rourke Prudential Drafting Solutions PO Box 1246 Port Angeles, WA 98362 -9836 Phone (360)417 -5615 draftingsolutions @olypen.com by Weyerha TJ -Beam® 6.36 Serial Number User: 2 6/6/2011 6:32:17 AM Page 1 Engine Version: 6.35.0 LOADS: Analysis is for a Header (Flush Beam) Member Tributary Load Width: 3' Primary Load Group Residential Living Areas (psf): 40.0 Live at 100 duration, 10.0 Dead SUPPORTS: Input Bearing Width Length 1 Stud wall 3.50' 1.50' 2 Stud wall 3.50' 1.50' DESIGN CONTROLS. Maximum 1235 4837 Shear (Ibs) Moment (Ft -Lbs) Live Load Defl (in) Total Load Defl (in) PROJECT INFORMATION: Arakawa 911 W 5th Street Port Angeles, WA 98363 Deck Beam 3 1/2" x 9" Glulam (24F 1.8E Framing DF) THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Vertical Reactions (Ibs) Live /Dead/Uplift/Total 960/301 /0 /1261 960 301 0 1261 Design 1097 4837 0 425 0.558 Copyright 2009 by iLevel Federal Way WA. TJ -Beam® a registered trademark of iLevel® Control 4095 9450 0.500 0.783 Result Passed (27 Passed (51%) Passed (L/442) Passed (0337) 16' Product Diagram is Conceptual. Detail Other By Others None By Others None Deflection Criteria: STANDARD(LL:0.500' TL:U240). Bracing(Lu): All compression edges (top and bottom) must be braced at 16' o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability ADDITIONAL NOTES: IMPORTANT! The analysis presented is output from software developed by iLevel®. iLevel® warrants the sizing of its products by this software will be accomplished in accordance with current code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user This output has not been reviewed by an iLevel® Associate. -Not all products are readily available. Check with your supplier or iLevel® technical representative for product availability PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. Allowable Stress Design methodology was used for Building Code IBC analyzing the iLevel® Custom product listed above. The analysis presented is appropriate for Glulam beams. C \Documents and Settings \Annie \Desktop \Drafting Solutions \Arakawa \Deck Support Bm.sms Location Rt. end Span 1 under Floor loading MID Span 1 under Floor loading MID Span 1 under Floor loading MID Span 1 under Floor loading OPERATOR INFORMATION: Annie O'Rourke Prudential Drafting Solutions PO Box 1246 Port Angeles, WA 98362 -9836 Phone (360)417 5615 draftingsolutions@olypen.com "'t- o '- '" '" '- <I' r.lr.l '-9b <(<( 0.0 '" '" M M , '" Lfl <I' 0 '" >< M ..:1 I>: r.l H :> ..:1 Hr.lr.l b OZZ r.lCfl ~OO "'''' "'''' U:>: Cflo.o. H<( b'J Z 01>: HO b bb H UU :>: r.lr.l I>: 0.0. '" CflCfl 0. ~~ ..:1 0. 0. <( , 0..:1 "'0<( oU r.lOH 8~~ 1>:<1'''' <("'u 0 ..:10r.l .... U , :>: b .... 0 Cfl r.l , Lfl <I' bo<l' '" b , M '" b:>: 00 Cfl LIlO::;4;oo '" <(;;:: , 0 -..:1 ~~~~~ t-r.l 0'-9 """'<( , , :O~ ......;::.0::\0('-- O'\W-=t:oo '" '-b <1'1>: I>: 0 .1>: .r.l 0. 0 P1 0 b .~ r.l'" CflU 1>:0 Cfl<( ..:1Z <( r.l1>:1>:r.l 0.>< I>:br.lU..:1 r.lb OZZl>:o. I>:H ~O;;::<(o. o.U UOo.<( Cfl b Z r.l :>: Z:>: 00 HU b'- o.Cfl Hb 1>:..:1 U::O CflCfl r.lr.l Eo< 0 I>: ~ 0. r.l ..:1 I>: b'-9 ~n ..:10. r.l..:1 0. '- r.l:<: :>0. o b CflLfl b l1'l.-l . U) Q .. '<;J' P-l 0:: Qr-Ir---Cf)H OO'Q'Z~ ;;:: 'H o ..:1 ...:If'''-\041H ,.;(O'<:t':>,q: UO au HNWf-I ~:;;-~U)~ "''''1>:0<( U'-<(Or.l Wo::t'HO....::! ::E:oU;3:~ bfl= 0...:1 :3~~ . DH4! H ~O:: i "''''''' t- :Ef-If-I 0 Cfl'" '- OW....:! \.0 O:J11l N 0:>: '- r.l0 <I' I>:U ~ Eo< ~ 0. .... o o Cfl '- 0. >< b <I' r.l :>: Cfl r.l Eo< o Z o ~ Cfl Eo< Z r.l :>: :>: o U ~?ORT~ ,,~O~~<;. Ur\laW L~ ~ "tii1C w:itP CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 ~ -.::J ( Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000345 Date 127675 911 W 5TH ST 06-30-00-0-1-0645-0000- MECHANICAL APPL. PERMIT 4/03/07 ~ ~ V\ RS7 RESDNTL SINGLE FAMILY 4200 Owner Contractor ARAKAWA TTE CLARICE H 1445 PREFUMO CANYON RD#ll SAN LUIS OBISPO CA 934056165 EVERWARM 257151 HWY101 PORT ANGELES (360) 452-3366 WA 98362 Permit MECHANICAL PERMIT Additional desc FREE STAND WOOD STOVE Permit pin number 98806 Permit Fee 50.00 Plan Check Fee Issue Date 4/03/07 Valuation Expiration Date 9/30/07 .00 o Qty Unit Charge Per BASE FEE Extension 50.00 Fee summary Charged Paid credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 ~ ........... ............. .~ Qq/ 5:' /~ ~ ~ O~ .t Crt :1 \J) 'i- 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 al)andoned 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 p,eUflit dQes n9t presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ~ t(O_k~/ P/(jJh~wfJ- ~?/O/ SIgnature of Contractoror Authorized Agent I Date Signature of Owner (if owner is builder) Date T:\PoliciesIlI02_15 building pennit inspection record05.wpd [1/4/2005] '\ BUILDING PERMIT INS.PECTlON RECORD CALL 417-48] 5 FOR BUILDING INSPECTIONS CALL 4] 7-4735 FOR ELECTRICAL INSPECTJONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A JvlfNIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK EEFORE l/VSPECTEDANDACCEPTEIJ. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AI-:m APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDA TlON: FOOTINGS SHEAR WALLS 1 WALLS FOUNDA T10N DRAn"AGE 1 DOWN SI'OUTS PIERS I POST HOLES (POLE BLDGS.) PLUMllING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LlNE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB 1'1' ALL 1 FLOOR 1 CEILING MECHANICAL ROUGH-IN HEAT PUMY I FURNACE 1 DUCTS G AS LINE ~~2-b-07 DATE .\fLL ACCEPTED BY: WOOD STOVE 1 PELLET 1 CHIMNEY MANUFACTURED HOMES FOOTING 1 SLAB BLOCYJNG & HOLD DOWNS SK.IRTING PLANNING DEPT. SEPARATE PERMJT#'s SEP A: I' ARKING/LI GHTING ESA: LANDSCAPING SHORELINE: FINAL INSl'ECTJONS REQUIRED PRJOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTR.ICAL - LlGI-lT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW./PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4]7-4750 PLANNING DEPT. BUTLDING 4 J 7-4815 BUILDING T:\Policies\l ]02 ]5 building pennit inspection recordOS.wpd [1/4/2005] fr.>ORT-tt, S'O~~~~ "na~ ~-- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000984 Date 10/20/05 804304 911 W 5TH ST 06-30-00-0-1-0645-0000- RES DETACHED GARAGE Owner Contractor ANAL~ 4/tl /0';' ~ ~ RS7 RESDNTL SINGLE FAMILY 28731 ARAKAWA TTE CLARICE H 1445 PREFUMO CANYON RD#ll SAN LUIS OBISPO CA 934056165 Structure Information 000 Other struct info . . BURDICK CONSTRUCTION 25293 HWY 112 CLALLAM BAY (360) 963-2438 000 DETACHED GARAGE TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98326 ~ .-- 19.50 1. 00 1200.00 9100.00 576.00 1776.00 1. 00 63081 455.15 10/20/05 4/18/06 Plan Check Fee Valuation 182.06 28731 ~ ~/ r;:' l~ ~ t Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL Qty Unit Charge Per Extension 414.75 40.40 BASE FEE 4.00 10.1000 THOU BL-25,001-50K (10.10 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments The Fire Department has reviewed the project application and has no comments 10/20/2005 08:29 AM SROBERDS -- Proposal will result in new detached garage and demo of existing structure in the RS-7 for total lot coverage of 20%. 10' rear and 3' side yard setbacks are required. MAINTAIN CLEARANCES FROM SERVICE WIRES 10/10/2005 03:01 PM JHEBNER ---------------------------- Electrical permits are required. 10/10/2005 03:01 PM JHEBNER ---------------------------- $0 Connect Fee. 10/10/2005 03:01 PM JHEBNER ---------------------------- Any modifications to the electrical facilities will be at the customer's expense. 10/10/2005 03:02 PM JHEBNER ---------------------------- Public Works Utility Engineering has no requirements for this plan review. Fe Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due 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) T \Pohcles\1102_15 bUlldmgpenmt mspectlOn record05 wpd [1/4/2005] ,. CITY OF.PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000984 Application pin number 804304 Page 2 Date 10/20/05 Permit Fee Total Plan Check Total Other Fee Total Grand Total 455.15 182.06 4.50 641.71 455.15 .00 182.06 .00 4.50 .00 641. 71 .00 .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 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 \PohCles\1102_15 bUlldmgpenmt mspectlOn 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 /() /,}"? / Dr JU.- WALLS 11/- '7 -tJ5 6\ J,..)... FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALUHOLD DOWNS WALLS 1 ROOF 1 CEILING \ /1\ 10 f;, jLv DRYWALL (INTERlOR BRACED PANEL ONLY) I T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I ~ I 'Y1 I ()( I 0(,0 MECHANICAL HEAT PUNWI FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEP A- P ARKlNGILIGHTING ESA LANDSCAPING SHORELINE' FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTIONR WI 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 \Pohcles\1102 IS bUlldmgpenmt mspechon record05 wpd [1/412005] , Of,.q,ORT~ ~~~~ ~ha. "- -=.>r ~ ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000984 Date 11/15/05 804304 911 W 5TH ST 06-30-00-0-1-0645-0000- RES DETACHED GARAGE RS7 RESDNTL SINGLE FAMILY 28731 Owner Contractor ARAKAWA TTE CLARICE H 1445 PREFUMO CANYON RD#ll SAN LUIS OBISPO CA 934056165 BURDICK CONSTRUCTION 25293 HWY 112 CLALLAM BAY (360) 963-2438 000 DETACHED GARAGE TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98326 Structure Information 000 Other struct info . . 19.50 1. 00 1200.00 9100.00 576.00 1776.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 65391 54.25 Plan Check Fee 11/15/05 Valuation 5/14/06 .00 o Qty Unit Charge Per Extension 47.00 7.25 BASE FEE 1.00 7.2500 ECH ME-VENT FAN Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 65383 68.00 11/15/05 5/14/06 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 47.00 21. 00 BASE FEE 3.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP Special Notes and Comments The Fire Department has reviewed the project application and has no comments The Fire Department has reviewed the project application and has no comments 10/20/2005 08:29 AM SROBERDS -- proposal will result in new detached garage and demo of existing structure in the RS-7 for total lot coverage of 20%. 10' rear and 3' side yard setbacks are required. MAINTAIN CLEARANCES FROM SERVICE WIRES 10/10/2005 03:01 PM JHEBNER ---------------------------- Electrical permits are required. Separate Permits are required for electncal work, SEPA, Shoreline, ESA, utilities, pnvate 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. ~ PO'11{~;a~ Signature of Contractor or Authonzed Agent (1//5/12S I / Date Signature of Owner (if owner is builder) Date T-\Pohcles\1102_15 bUIlding penmt mspectJon record05.wpd [1/4/2005] .. ~-.oRT ~ $.J.O~~~ ha __ -=.or ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000984 Application pin number 804304 Page 2 Date 11/15/05 Special Notes and Comments 10/10/2005 03:01 PM JHEBNER ---------------------------- $0 Connect Fee. 10/10/2005 03:01 PM JHEBNER ---------------------------- Any modifications to the electrical facilities will be at the customer's expense. 10/10/2005 03:02 PM JHEBNER ---------------------------- Public Works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 122.25 122.25 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 126.75 126.75 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provIsions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Pohcles\1102_15 bUlldmg permIt mspection record05.wpd [114/2005] BUILDING PERMIT INSPECTION RECORD cf)6 - 9rf1 CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE -.... I 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 11-1 ~ - /I') " ~ \1... \.... ROUGH-IN \711 /O(p .1 (( ./ WATER LINE (METER TO BLDG) \ FINAL ?/'lPl (0(, DATEVW GAS LINE ACCEPTED BY' , BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE FINAL '?!I.-O((Of, DATE I WOOD STOVE 1 PELLET 1 CHIMNEY \J'VG./ ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEP A- P ARKING/LlGHTING 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 J / I PLANNING DEPT BUILDING 417-4815 '-f. / (( / 0 C::. V~ BUILDING T'\Pohcles\1102_15 bUlldmg penmt mspectlOn recordOS wpd [1/4/2005] ., . _ iF t... PREPARED 4/11/06, 12 47 19 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER: INSPECTION TICKET INSPECTOR. JAMES L LIERLY 911 W 5TH ST BURDICK CONSTRUCTION ARAKAWA TTE CLARICE H 06-30-00-0-1-0645-0000- 05-00000984 RES DETACHED GARAGE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 10/27/05 JLL 10/27/05 AP BI2 01 11/07/05 JLL 11/08/05 AP BL9 01 12/23/05 JLL 12/23/05 DA BL3 01 1/11/06 JLL 1/11/06 AP BLI 01 1/27/06 JLL 1/27/06 AP BL99 01 3/29/06 JLL 3/29/06 DA BL99 02 ~.!y& BUILDING FOUNDATION FOOTING 10/27/2005 08:03 AM PBARTHOL --------------------------- DARREN 460-6325 10/27/2005 04:42 PM JLIERLY ---------------------------- BUILDING FOUNDATION WALL 11/04/2005 04:47 PM PBARTHOL --------------------------- DARREN 460-6325 11/08/2005 08:35 AM BUILDING SHEARWALL 12/23/2005 08:11 AM DAN 461-0657 12/23/2005 03:44 PM JLIERLY ---------------------------- bUlldlng locked no lnspectlon/Jll BUILDING FRAMING 01/11/2006 07.54 AM DAN 461-0657 FRAMING 01/11/2006 04 26 PM BUILDING INSULATION 01/27/2006 07 54 AM dan 461-0657 01/27/2006 05 BUILDING FINAL 03/24/2006 11 57 clarlce 460-4741 03/28/2006 01 38 PM 03/29/2006 03.49 PM NEEDS ELECTRICAL FINAL BUILDING FINAL 04/11/2006 08.22 AM CLARISE 460-4741 07 PM TIME AM PAGE DATE 3 4/11/06 SuaDIV PHONE PHONE (360) 963-2438 JLIERLY ---------------------------- PBARTHOL --------------------------- DYASUMUR --------------------------- JLIERLY ---------------------------- TIME: 13 00 DYASUMUR --------------------------- JLIERLY ---------------------------- 13 00 DYASUMUR --------------------------- JLIERLY ---------------------------- PBARTHOL --------------------------- SIGNED OFF -------------------------------------- COMMENTS AND NOTES -------------------------------------- PBARTHOL --------------------------- BUILDING DIVISION CITY OF PORT ANGELES * * Job Located at Correction Notice o crt / w Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: ~b~ 11~U !J-q?J-ItJ-F,J- ~U~O~0k !J ~ 0" ~-Yb'8--l 'E>el 1)0 ~f)JA.Li. 1S~ ~ 1I H ,)~M b)\.~ A-w~,v 1/ ~ 8[ nfe --.:t-- it ~/I/l ~, I - it I LC/ S ope , lW I D l_ D I- ' ~\2A10l.O P tJl. Q. These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call 4/7 - 'f t' / J- for inspection.; Date 1/' (I ~ P fie Inspector for Building Division DO NOT REMOVE THIS TAG ~ ~,.. PREPARED 3/29/06, 12.30.28 CITY OF PORT ANGELES I ~.,..,.. INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER 911 W 5TH ST BURDICK CONSTRUCTION ARAKAWA TTE CLARICE H 06-30-00-0-1-0645-0000- 05-00000984 RES DETACHED GARAGE PAGE DATE 14 3/29/06 SUBDIV: PHONE (360) 963-2438 PHONE . PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BUILDING FOUNDATION FOOTING 10/27/2005 08:03 AM PBARTHOL -------------------------__ DARREN 460-6325 10/27/2005 04.42 PM JLIERLY ---------------------------- BUILDING FOUNDATION WALL 11/04/2005 04 47 PM PBARTHOL ---------------------______ DARREN 460-6325 11/08/2005 08.35 AM BUILDING SHEARWALL 12/23/2005 08:11 AM DAN 461-0657 12/23/2005 03.44 PM JLIERLY ---------------------------- bUl1dlng locked no lnspectlon/]ll BUILDING FRAMING 01/11/2006 07 54 AM DAN 461-0657 FRAMING 01/11/2006 04:26 PM BUILDING INSULATION 01/27/2006 07:54 AM dan 461-0657 01/27/2006 05 07 PM BL99 01 ffr-/2 /06 ~ BUILDING FINAL TIME 03/24/2006 11 57 AM clarlce 460-4741 03/28/2006 01:38 PM JLIERLY ---------------------------- ------------ ----------------------------------------------------------------------------------- BL1 10/27/05 10/27/05 JLL AP 01 BI2 11/07/05 11/08/05 JLL AP 01 BL9 12/23/05 12/23/05 JLL DA 01 BL3 1/11/06 1/11/06 JLL AP 01 BLI 1/27/06 1/27/06 JLL AP 01 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS JLIERLY ---------------------------- PBARTHOL --------------------------- DYASUMUR --------------------------- JLIERLY ---------------------------- TIME 13 00 DYASUMUR --------------------------- JLIERLY ---------------------------- 13 00 DYASUMUR --------------------------- ME99 01 ~29/06 JLL MECHANICAL FINAL p- 03/24/2006 11 59 CLARICE 460-4741 03/28/2006 04.58 PM JLIERLY ---------------------------_ -------- -------------------------------------------------------------------------------------- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS TIME 13 00 AM DYASUMUR --------------------------- PL1 11/15/05 11/15/05 JLL AP ------------------------------------------------------------------------------------------------ PLUMBING UNDER SLAB TIME 17.00 * OVERRIDE TAKEN BY PBARTHOL DATE: 11/15/05 TIME 08 48 22 11/15/2005 08 47 AM PBARTHOL ----------------------_____ MARK 460-2678 11/15/2005 05:05 PLUMBING ROUGH-IN 01/10/2006 01 10 mark 460-2678 01/11/2006 04 35 PM PL99 011?f29/06 If#-L PLUMBING FINAL TIME 03/24/2006 12.00 PM CLARICE 460-4741 --------- ------------------------- CONTINUED ONTO NEXT PAGE --------------------_______________ 01 PL2 1/11/06 1/11/06 JLL AP 01 PM PBARTHOL TIME: 17:00 PM PBARTHOL JLIERLY ---------------------------_ 13 00 DYASUMUR --------------------------- ~ ;Jrrvz- .// C.. . fuc. /AtSr. ~1'IN~~ "-~'~':""""--'" -..,--...._-...,~"'-~'?<'~~~~7'"~~ .::~---:._,- ---..,;:-- L~~_"'r~~~~.._~~....,~_ "-,.f' 'L ~._..;:i:-,,""" {..L._l:~~="'-~ BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice "- ~A..- Job 'Located at {) II Vr / -3 ,-- '~, Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: c71:;;J~ -- /' ~. tL-t: Cj/2/ ~PlL -r:-/ A//1-L- , /I/o /- ~<V<-IL/J (') ,,/ - /Z~eL- ~ h#h fl/P-,,'r<- / ~~t:.. 7A/~b or/ , I " I ~ . 1,- These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call ~/7- ,~gl (- for inspection. Date dil:-/f _/ ~ y Inspector for Building DIVision DO NOT REMOVE THIS TAG PREPARED 1/27/06, 13.47:38 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 9 1/27/06 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER: 911 W 5TH ST BURDICK CONSTRUCTION ARAKAWA TTE CLARICE H 06-30-00-0-1-0645-0000- 05-00000984 RES DETACHED GARAGE SUBDIV PHONE PHONE : (360) 963-2438 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 10/27/05 JLL BUILDING FOUNDATION FOOTING 10/27/05 AP 10/27/2005 08 03 AM PBARTHOL --------------------------- DARREN 460-6325 10/27/2005 04 42 PM JLIERLY ---------------------------- BI2 01 11/07/05 JLL BUILDING FOUNDATION WALL 11/08/05 AP 11/04/2005 04.47 PM PBARTHOL --------------------------- DARREN 460-6325 11/08/2005 08:35 AM JLIERLY ---------------------------- BL9 01 12/23/05 JLL BUILDING SHEARWALL 12/23/05 DA 12/23/2005 08.11 AM PBARTHOL --------------------------- DAN 461-0657 12/23/2005 03 44 PM JLIERLY ---------------------------- bUl1dlng locked no lnspectlon/) 11 BL3 01 1/11/06 JLL BUILDING FRAMING 1/11/06 AP 01/11/2006 07 54 AM DYASUMUR --------------------------- DAN 461-0657 FRAMING 01/11/2006 04 26 PM JLIERLY ---------------------------- BLI 01 ~ ~ BUILDING INSULATION TIME: 13:00 01/27/2006 07 54 AM DYASUMUR --------------------------- dan 461-0657 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 1/11/06, 13 29 03 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 7 1/11/06 911 W 5TH ST BURDICK CONSTRUCTION ARAKAWA TTE CLARICE H 06-30-00-0-1-0645-0000- 05-00000984 RES DETACHED GARAGE (360) 963-2438 SUBDIV PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLl 01 10/27/05 JLL 10/27/05 AP BI2 01 11/07/05 JLL 11/08/05 AP BL9 01 12/23/05 JLL 12/23/05 DA BL3 01 ~ !if- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT PL1 11/15/05 JLL 11/15/05 AP 01 PL2 ~$f- 01 BUILDING FOUNDATION FOOTING 10/27/2005 08 03 AM PBARTHOL --------------------------- DARREN 460-6325 10/27/2005 04 42 PM JLIERLY ---------------------------- BUILDING FOUNDATION WALL 11/04/2005 04 47 PM PBARTHOL --------------------------- DARREN 460-6325 11/08/2005 08-35 AM JLIERLY ---------------------------- BUILDING SHEARWALL 12/23/2005 08:11 AM PBARTHOL --------------------------- DAN 461-0657 12/23/2005 03 44 PM JLIERLY ---------------------------- bUlldlng locked no lnspectlon/]ll BUILDING FRAMING 01/11/2006 07 54 AM DYASUMUR --------------------------- DAN 461-0657 FRAMING DESCRIPTION RESULTS/COMMENTS PLUMBING UNDER SLAB TIME- 17 00 * OVERRIDE TAKEN BY PBARTHOL DATE: 11/15/05 TIME 08:48:22 11/15/2005 08 47 AM PBARTHOL --------------------------- MARK 460-2678 11/15/2005 05 05 PLUMBING ROUGH-IN 01/10/2006 01 10 mark 460-2678 PM PBARTHOL TIME 17:00 PM PBARTHOL -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 12/23/05, 12 39:26 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR. JAMES L LIERLY PAGE DATE 6 12/23/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER: 911 W 5TH ST BURDICK CONSTRUCTION ARAKAWA TTE CLARICE H 06-30-00-0-1-0645-0000- 05-00000984 RES DETACHED GARAGE (360) 963-2438 SUBDIV: PHONE PHONE . PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 10/27/05 JLL 10/27/05 AP BI2 01 11/07/05 JLL 11/08/05 AP BL9 01 ~~ BUILDING FOUNDATION FOOTING 10/27/2005 08 03 AM PBARTHOL --------------------------- DARREN 460-6325 10/27/2005 04 42 PM JLIERLY ---------------------------- BUILDING FOUNDATION WALL 11/04/2005 04 47 PM PBARTHOL --------------------------- DARREN 460-6325 11/08/2005 08.35 AM JLIERLY ---------------------------- BUILDING SHEARWALL 12/23/2005 08 11 AM PBARTHOL --------------------------- DAN 461-0657 -------------------------------------- COMMENTS AND NOTES -------------------------------------- Lov~ ~ PREPARED 11/15/05. 12:25 38 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 17 11/15/05 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 911 W 5TH ST BURDICK CONSTRUCTION ARAKAWA TTE CLARICE H 06-30-00-0-1-0645-0000- 05-00000984 RES DETACHED GARAGE SUBDIV. PHONE (360) 963-2438 PHONE -------------~----------------------------------------------------~----------------------------- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL1 01 ~q- PLUMBING UNDER SLAB TIME 17 00 * OVERRIDE TAKEN BY PBARTHOL DATE 11/15/05 TIME 08 48 22 11/15/2005 08 47 AM PBARTHOL --------------------------- MARK 460-2678 COMMENTS AND NOTES ---------------------------------_____ PREPARED 11/07/05, 10 59 51 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 11 11/07/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 911 W 5TH ST BURDICK CONSTRUCTION ARAKAWA TTE CLARICE H 06-30-00-0-1-0645-0000- 05-00000984 RES DETACHED GARAGE SUBDIV PHONE (360) 963-2438 PHONE . PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLl 01 10/27/05 JLL 10/27/05 AP BUILDING FOUNDATION FOOTING 10/27/2005 08 03 AM PBARTHOL --------------------------- DARREN 460-6325 10/27/2005 04 42 PM JLIERLY ---------------------------- BUILDING FOUNDATION WALL 11/04/2005 04 47 PM PBARTHOL --------------------------- DARREN 460-6325 BI2 ~-9- -------------------------------------- COMMENTS AND NOTES -------------------------------------- 01 PREPARED 10/27/05, 12:46:03 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 13 10/27/05 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER. 911 W 5TH ST BURDICK CONSTRUCTION ARAKAWA TTE CLARICE H 06-30-00-0-1-0645-0000- 05-00000984 RES DETACHED GARAGE SUBDIV PHONE PHONE . (360) 963-2438 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 10/27/0~ JLL I~~ -JfL BUILDING FOUNDATION FOOTING 10/27/2005 08 03 AM PBARTHOL --------------------------- DARREN 460-6325 -------------------------------------- COMMENTS AND NOTES -------------------------------------- Y ApplIcant OJ Agent V-A 'f.', Cf::. A ~A KA-uJ II- Owner: C-iA~/eE. A~Amu;A Address: q 1/ WI 5h1 ~ CIty- Parr- ANjeJes ~o-167-0 Phone' ::3(Po-zfbo-'f7~/ ~ Phone. ~,<p1le flS ,q t!Jt771-6 Zip' q~'3b 2,; c (Ii rORT'I,\ _....~,., .:y.~~\" ~ ~ -- BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your applicatIOn and site plan MUST - E C01\1PLETE to be accepted for revlliw. IfYOll have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Arcmtect/E11gmeer Contractor DJHJ T3ofli)~CfG Address: q /~ e.. IO-ht. 9/1 Phone: PROJECT ADDr.ESS: State bcense #. Exp: C1ty. "Fbrf A-vv1e1e6 t,J S~ $-}- Phone: g/p()-4tol-B1p 7 ZIp: Q8"o0L ZONING: LEGAL DESCRIPTION: Lot Block Subd1VISlOn: CLALLAM COUNTY PARCEL NUMBER: tJ& / '30 / trtJ / ~ /; / t:J ~ ~--I oat::' rJ I , I , / I Credit Card Hol~Name: Billing Address:5. {}. i3cx ;021.f- Credit Card Type 'iIlSA Me _ # TirpE OF WORK: XResIdential 0 New Constr. 0 Re-roof o MultI-family <<AddItion 0 Move o CommercIal 0 Remodel , DemohtIon o Reparr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT: !Jcu~/<<f(J.~,j)Ji'I""Mti€..o I ~~-~-' ,/ COMMERCIALIRESIDENTIAL: ~j2PJancy Group: No. of Stones: _ Lo(SlZe: ~.s i..14-D EXlstIng Sq. Ft. Total lot coverage ,"',5 % g I 00 City: :ft:rt- ANI(e/es Exp. Date: ~'7.RpUATION: o Stove 2.,.lelL SD SF. @$ ISF. = $ o Garage 'F SF. @ $ ISF. = $ o Deck SF. @$ ISF.=$ o Other *,TOTAL VALUATION $ GJ.P3 73 ( PUnov'An- d tp €;>61 { rpvo/ t...~A~ ;?!oa ~ ' : ,} ~; - (, ;- " " ~ - . I - ", __~ .' ~__ " .......~w Occupant Load; ConstructIon Type: & Proposed Sq Ft ~7~ _ = TOTAL Sq. Ft. . '.C~, , 'IQ I';;) CO ( /77& 1 .APl'ROV ALS: PLAN: BLDG: Dl'WU : FIRE: OTHER: PLANNING USE ONLY: ESAfWetland(s) 0 Yes 0 No SEPA Checldistrequrred? 0 Yes 0 No Other: 'iT ALUATION OF CONSTRUCTION In all cases, a valnation amount must be entered by the applicant. This figure will be revIewed and may be revised by the BuildmE D1V1sion to comply WIth current fee schedules. Contact the P emt Coordinator at 417-4815 for assistance. PLAN CHECR FEE' IF a plan check fee is due it must-he submItted at the tIme the building permit applicatIon and construction plans are submitted All other peIIDlt fees are due at the tIme of permit Issuance. EXI'IRATION OF PLAN REVIEW: lfno penmt IS Issued Wlthm 180 days of the date of application, the application will expire. The Buildmg Official can extend the time for actIon by the apphcant up to 180 days upon written request by the apphcant (see Section Rl 05.3.2 of the InternatlDnal Building/ResIdentlal Code, 2003). No application can be e,:tended more than once. I hereby certify that I have read and exammed this appUcation and know the same to be true and correct I am authorized to apply for this permit and understand that it is my responsib1/Jty to determine what permits are reqUired ,not the City's) and that I must obtain such permits prior to work. T.\PohcJes\BL-ll0U3 wpd 'Jv,..pplicant.{! i! &.~~LV ~~4" .fl..Date: / C/ / B/ OS .. / / / / ~ " ~{l..:,. " l Feel Area Map ThIS map IS not tntended /0 be used as a legal descnpllon ThIS map/drawing IS produced bv the CIty of Port Angeles for Its own use and pm poses Any other use of this map/drawing shall not be the responslbtllll' a/the Otv ;'~.,\ (~ i~ '(I ""r""'-" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Appl~cat~on type description Subd~v~sion Name Property Use Property Zoning . Appl~cation valuation 05-00000984 Date 804304 911 W 5TH ST 06-30-00-0-1-0645-0000- RES DETACHED GARAGE 1/10/06 RS7 RESDNTL SINGLE FAMILY 28731 Owner Contractor Structure Information 000 Other struct ~nfo BURDICK CONSTRUCTION 25293 HWY 112 CLALLAM BAY (360) 963-2438 000 DETACHED GARAGE TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98326 ARAKAWA TTE CLARICE H 1445 PREFUMO CANYON RD#ll SAN LUIS OBISPO CA 934056165 19 50 1 00 1200 00 9100 00 576 00 1776 00 1 00 ~ -.... Permit Add~tional desc . Permit pin number Sub Contractor Permit Fee Issue Date Exp~ration Date ELECTRICAL NEW RESIDENTIAL NELSON/ DETACHED GARAGE 200A S 68429 JEFF NELSON 78 70 1/10/06 7/09/06 ELECTRIC Plan Check Fee Valuation t .00 o \.1'\ ~ Qty Unit Charge ?er 1 00 78 7000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 78.70 Spec~al Notes and Comments The F~re Department has reviewed the project application and has no comments The Fire Department has rev~ewed the project application and has no comments 10/20/2005 08 29 AM SROBERDS -- Proposal will result ~n new detached garage and demo of ex~st~ng structure in the RS-7 for total lot coverage of 20% 10' rear and 3' s~de yard setbacks are required MAINTAIN CLEARANCES FROM SERVICE WIRES 10/10/2005 03 01 PM JHEBNER ---------------------------- Electrical permits are requ~red 10/10/2005 03 01 PM JHEBNER ---------------------------- $0 Connect Fee 10/10/2005 03 01 PM JHEBNER ---------------------------- Any mod~fications to the electrical facilities w~ll be at the customer's expense 10/10/2005 03 02 PM JHEBNER ---------------------------- Publ~c Works Ut~lity Engineering has no requirements for th~s plan review ~ Other Fees STATE SURCHARGE 4.50 Fee summary Charged Pa~d Cred~ted Due COMMENTS! ACTION NEEDED ... '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,21 EAST 5TH STREET. PORT ANGELES. WA 91B62 . .. Application Number Applicatlon pln number Permit Fee Total Plan Check Total Other Fee Total Grand Total 78 70 00 4 50 83 20 COMMENTS/ACTION NEEDED 05-00000984 804304 78 70 00 4 50 83 20 Page 2 Date 1/10/06 00 .00 00 .00 00 00 00 00 ELECfRICAL PERMIT I NSPECf ION RECORD CAJ"L 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, ~ INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO I) 1 "1"( :H IHlllfTH_IN7l,JV-hK ~~K V ICE J_//)_AL AzA. ) 1J-11J_f)b I-Ati J GENERAL COMMENTS: PW-II02.J5(4I96) CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 16272 . ./ - /?,- - ~ /' Port Angeles, Washlngton............................................................... 19........ In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment In. on, or about any building or other structure In the City of Port Angeles. per- mission Is hereby granted to d6 electrical work as listed below. ('l! I' ~/ Address .../-..../......?:.:..-!.~..~.?t:r............................................ Occupancy...,..d".1C.::!2......................... ~:::~~:~~~~~.~.g?;.;:;:~~~e.~:;~;::~~~~;r4;:~~~;::..:::::::::::~~~.~::::::::::=::::::::::::::::::::::::::::::::::::::: '/ ''''0/''':' Light Outlets_.......__....................__.._..... Service, volts ../~:::.-..>.......-::~-:!.--:'..~. T~'pe of Wiring: Receptacle Outletsm.___..................___... No. wires _.......;;f:...................:::.... Armored Cable .............................. . (/-. ,- Size wires.....0~t.'.1.~_~__.. / / a..:f.7c;') A Main fuse ......~::........._...:m__.m__... ,y Enclosure .....\...._......_____ Dryer, KW......._...u..._...____._..._____________ Range, KW ____hn____h_..______________________... Water Heater: KW........... .................................. Heat KW....J!...../.J./f.................... Type of wiring: Entrance Cable m_mm.._____.m_....... Motors: size, volts and phase: Rigid Conduit ..........................___.. Metalllc Tubing ...................__._.._. Current transformers: No. & Size......................_................ Ser. No..__........__._...._..._____...._..______..__. Ser. No...._........................_............_... Ser. No. ..........._................................. Non-Metallic ........__...._................_. Knob & Tube......_............_..._._._..._.. RIgid CQndult ............................... Metallic Tubing ........................... Raceway __...____.._..................._......_ Circuits. Light................_....._................ Utility ......................._.................... Heat .._,_...__........................n..._...... Range __..______......................_.._..______. Water Heater ............................... Motor ..................._............._........... Drycr.........__....;..........._.._..___..______..__ Furnace ..--_.._...._.._..........w_........._....... . Total Load.._._.__________.._____..... Ser. No.....__............._......................... Total ........._____...._.__................_ Remarks: ............~'i!.J!...".."!:':::::,'~.4,,..9.~.....,.,.h.~<-:.r...........h........................................................ .;~:;~.;~~.............................;~~~~...~~~~;~~......mm..h.h........h......./ilj;y.;!;.:....7..:.....2.. $:..................................... No............................. By ....,5:S:~.'t?~~..!......!d'!l...{~.f.!:"...,e.:;'!"::pv /V NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con. cealed due noUce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? '~ 16272 Address..................._._...........................___....._....................................................._......................_Date__._____.______..__._...__.__..___...._.__.__......_._.. Owner .....................__u........._n...._.._..............__.___............_.-................._......................_ Tenant..___....._.__..__..__.___.......__..__..._.___......._...__._.n'_, Wiring Contractor........................._.........__...._.._._..__._...__............................___.............__..............._. By ........_____..__...___.............................._..__._.. NOTICE---Current must not, be turned on until Certtflcate of Inspection has been issued. If work Is to be 'con. cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. FROM FAX NO. : 6814254 Ian. IJ5 2006 09: 18HM Pl "llllIl .., b-1fo ..... ---' ~... , . .-. .. ~ ~ ELEC'I'lUCALWORKPER.Ml.T .o\Pl'LIcxnON J"G'tlemltaIC08tractor Claw_ W o RequesUnSDectiuu IJ ADDual Permit CJ ~ a C....ivol 0 C......rciaI 0 IIaldeadol 0 R..lcleadol M...~ 0 SlpI Q Tbena..... 0 t_ . . , Job ../rid by ~etrical Contractor a Owner Inslallatlon dcscripcion EI"-uical coutrac1<)r nama t~ numbar _J<<.H~ {;./~ J€FFNt.r ~4JtP ~'.tn~IiDl:8ddlcst ?2r "" tMt.s/.'''i''"'''' ?9'-IDr Ciry State ZIP S~I.I/"'l HJIf- qy;-g-L FAX""""'" I 4'1' 4l.!;'f r...mls" 01lt'Dn', !lIme A~iJ4K... Addr.., 01 'OlJpedlOIl "7H" -dill! /J. s- City ~ .L1 rlJJLT '711~-S \ b.~~ J hCfd)y certifY lhat: t am the owner of tile above nQlrn:ld ~ or a ~ cJettrical cun~ (or Ibe firm's ~ ab"tlbt).IIn(i lUlllnakioa 1he ~ insnIUatioa or al!eraUon in compliance with the elecUicallaw. Charter 19.28 RCW. o Credit Card Card # o Cash 0 Choc~ # \\sa Mastercard Discover x . - - ---------------- $icpanne 01 o.....Clr". c:lc:cUlul eont...cto txpiroDon Date of card lDtlpccliolli C s 78 70 WALlS Irl$\Ilalion Only D~ .........., COVOl" ... _...., CF.IUNG mlGlanon Only .... -., Covet ..., -By THF.RM0SIAr r SEaVICE l..-ILlO I 0 "- .... ~D,. Dlol~ -., / DITaI FDIlER . I I)"~ .... "'~Bl' ~ lo.d Additions and Dr' &utltraellorLo:: . 0 NO l.OAD CHANGES o BasabOard _ KW o Furnace KW 0..... Pump _ Ton _.. LAR o Fan-WI1II ~KW rOverheod _ o Tomp_ o "-'11- SeMce Servtce Information V_ 2.'10 ......., 1;1 3 _S;Z.:~ Feeder sw.: _ In$p~iOA 0.", AI:'tIrG, nuilding or r::quiprno:nf Impcctod Act~n Taken Bleetrica1 JiJo!o(O {,.~ft.., r7J .. - I-JD~" 'I-IV - b F-~N ~ tfi ;~ j