HomeMy WebLinkAbout1629 W 11th St - BuildingPREPARED 10/26/06 10 46 55 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/26/06
ADDRESS 1629 W 11TH ST SUBDIV
TENANT NBR MILAN POHL
CONTRACTOR TIMBER IRON ERECTORS PHONE (360) 670 6227
OWNER pohl milan amelia PHONE 36) 681 7948
PARCEL 06 30 00 0 3 1255 0000
APPL NUMBER 06 00000992 RES ACCESSORY BUILDING
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL6 01 9/29/06 JLL BUILDING POST /COLUMN FTG TIME 09 00
9/29/06 AP 09/28/2006 03 51 PM NWEST
MILON POLL 460 7370
NEED MORNING INSPECTION
09/29/2006 01 28 PM JLIERLY
BL99 01 10/2 /06 JL L BUILDING FINAL TIME 13 00
1I 200 7310
10/2525 /2006 10 17 AM DYASUMUR
COMMENTS AND NOTES
,07;
PREPARED 9/29/06 8 17 48 INSPECTION TICKET PAGE 16
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/29/06
ADDRESS 1629 W 11TH ST SUBDIV
TENANT NBR MILAN POHL
CONTRACTOR TIMBER IRON ERECTORS PHONE (360) 670 6227
OWNER pohl milan amelia PHONE 36) 681 7948
PARCEL 06 30 00 0 3 1255 0000
APPL NUMBER 06 00000992 RES ACCESSORY BUILDING
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL6 01 9/29/06 BUILDING POST/COLUMN FTG TIME 09 00
.1
09/28/2006 6 0 03 51 PM NWEST
v- MILON POLL 460 7370
NEED MORNING INSPECTION
COMMENTS AND NOTES
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 06 00000992 Date 9/26/06
Application pin number 371360
Property Address 1629 W 11TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 1255 0000
Tenant nbr name MILAN POHL
Application type description RES ACCESSORY BUILDING
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 10000
Owner Contractor
pohl milan amelia TIMBER IRON ERECTORS
po box 1015 P 0 BOX 516
PORT ANGELES WA 98362 CARLSBORG WA
36) 681 7948 CARLSBORG WA 98324
(360) 670 6227
Other struct info TOTAL LOT COVERAGE 30 00
NUMBER OF STORIES 1 00
EXISTING LOT COVERAGE 1680 00
LOT SIZE 7000 00
PROPOSED LOT COVERAGE 420 00
NUMBER OF UNITS 1 00
Permit BUILDING PERMIT RESIDENTIAL
Additional desc
Permit pin number 86702
Permit Fee 207 75 Plan Check Fee 83 10
Issue Date 9/26/06 Valuation 10000
Expiration Date 3/25/07
Qty Unit Charge Per Extension
BASE FEE 95 75
8 00 14 0000 THOU BL -2001 25K (14 PER K) 112 00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
09/20/2006 12 14 PM SROBERDS The proposal will result
in 420 sf detached shop in the RS 7 zone for total lot
coverage of 30% No land use issues noted
Electrical load calculations and elctrical permits are
required
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 207 75 207 75 00 00
Plan Check Total 83 10 83 10 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 295 35 295 35 00 00
T•\Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder)
0
Date
cf
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 provisi s of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit doe not
presume to give authority to violate or cancel the provisions of any state or local law regulating constructr or the performanc of
construction.
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
SHEAR WALLS 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
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB.
WALL FLOOR CEILING
ME&HANICAL
}IEp� PUMP FURNACE DUCTS
GAS LINE
WOOb STOVE PELLET CHIMNEY
COKMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FQOTING SLAB
BLOCKING HOLD DOWNS
SKIRtING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
CONSTRUCTION RW PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T \Policies \I 102_15 building permit inspection record05.wpd [I 4/2005]
BUILDING PERMIT INSPECTION RECORD
I
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FINAL
FINAL
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
DATE ACCEPTED BY.
DATE ACCEPTED BY.
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Applicant or Agent: M L' H POP L.
Owner S AME A5 Abet/
Address. /627 Ut) ///-11 S/ P,I City' 1
Zip
Architect/Engineer 1 4 one W /,770
Contractor 7�je/f.4e'11S State L 1 8��� Exp u 6
Address: 4 e/ l c$Ily City A;ei �Y
PROJECT ADDRESS /6 Z q (A7 14 1.
LEGAL DESCRIPTION Lot:
CLALLAM COUNTY PARCEL NUMBER. 06300003/2550000
TYPE OF WORK.
Residential New Constr
Multi family Addition
Commercial Remodel Demolition Deck
Repair Sign Other
BRIEF DESCRIPTION OF TAT PROJECT
COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type.
No of Stories: Lot Size: fi ?RS Existing Sq F'f /4"bo Proposed Sq Ft! jg TOTAL Sq Ft.
Total lot coverage /o
PLANNING USE ONLY
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit 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 apphcant up to 180 days upon written request by the applicant (see Section
R105.3.2 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 responsibilit7 tc dt "termine what permits are required not the City's, and that
must obtain such permits prior to work.
TAFORMS\B1dgPermitform.wpd Applicant:
BUILDING PERMIT APPLICATION
Fill out COMPLETELX and in
LNh. Your application and site plan MUST BE
COMPLETE to be accepted for review Ryon have any questions, call
PERMITS (360) 417 -4815 FA.(360)417 -4711
Re -roof Stove
Move Garage
S Mop
Phone
Block. Subdivision.
u, Approved
Issue
Phone: 4 /52=.3O3 1 /60 1370
STZE/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION A. I G7e
R OFFICIAL
Rec. e l
99'365
SE ONLY
Phone:_(,RO '7
Zip 9IbS°V
ZONING
Date: �pb
APPROVALS
PLAN
BLDG
DPWU
FIRE
OTHER
ft
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g3191
Area gap
This map is not intendea to be used as a legal description.
This nutpldroving is producer! by the City of Part Angeles for its own use arse
Any other use of this taaptdrawing shalt not be the responsibility of the
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PREPARED 1/20/05, 12:43:52 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/20/05
ADDRESS 1629 W 11TH ST
CONTRACTOR NU TREND ENTERPRISES
OWNER TUCKER, DONALD /PILAR
PARCEL 06 1255 -0000-
APPL NUMBER: 04- 00000870 RES MANUFACTURED HOME
PERMIT: BLM 00 BL MANUFACTURED HOME
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 10/21/04 JLL
10/22/04 AP
BLBT 01
PL6 01
X1/2 /0
COMMENTS AND NOTES
SUBDIV:
PHONE (360) 683 -6080
PHONE (360) 681 -7948
BUILDING FOUNDATION FOOTING TIME: 17:00
Jim 460 -1792
front of slab is 27 feet from property line/j11
BUILDING BLOCK AND TIEDOWNS TIME: 17:00
JIM BISHOP 460 -1792
PLUMBING WATER SUPPLY TIME: 17:00
JIM BISHOP 460 -1792
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FOR OFFICIAL USE ONLY:
BUILDING PERMIT - APPLICATION DateRec,r:(-').7-0~
tL Permit #: 0 .-
Fill out COMPLETELY and in INK. Your application and site plan MUST B".", / Date Approved: D
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711 ,ate Issued:
Applicant or Agent: [bf-J -===rucH~J,(, Phone: &.:J9/- '7 q 4?
Owner ~ :~ Phone
Address:' -:,C (#1' ~~~ity: ~-e.- zip:9'E:12
Architect/Engineer: Phone: ~ ____
Contractor kJ", ~ 4.A..r- State License #:J..Xi"T/fU ~'JJ1~: I-LS-eS- Phon~l-t c; <f 11
Address: 1>0/3 J 7f'o . City: ~~~<~.,- ~ Zip:9/'J <- ~
PROJECT ADDRESS: J bt1 W W t4 5r ZONING: '7"
LEGAL DESCRIPTION: Lot: l-f . J3 Block::R l ::; , '2, Subdivision:
CLALLAM COUNTY PARCEL NUMBER: ~ ~60~ :Sf 2 ..55l)C)c:'j(~
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
!liiC"Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
/SF. = $
/SF.=$3~~~
/SF. = $
ION $
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: L Lot Size: ~/ ~b/Q Existing Sq. Ft.. , & Proposed Sq. Ft.) ~ = TOTAL Sq. Ft.lfJ~
. Total lot coverage /'1, '2.- %
,
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BillLDING 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 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 R1 05.3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this p'ermit and
understand that it is my responsibility to determine what permits are required ,not the .City's, and t s btain such permits prior to worQ, _ord
T,\RVESS\BLDG-f~-b=h"=\2003-B"i1di"gp=iI.wpd Apphea Dare 9
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TTT~rx..E~SES IHC ~ 13604199963
12:54
. -.-.........
SAC INDUSTRIES
TIE DOWNS
EllGDfBJCIlBP 'I'IB POfIJ( 8ft'TBM
9E~ 1roTII:S
m:~JGN LOADS:
'" fllND ______------- 17.4 pSI'
... WIND ________------ 25.6PSf
. WltfD ...____---------3'.15~
* SElSMlC: ZONE ---------'- 4
. SOIL BBARll'4G _____----- 1000 pst ~ ilWCll.t\IM SOIL PRESSURE'.
IS '000 ,sf W1tHOU: A SO!\. REPORT.
* SAmH AUGERS --------- 475a, WIN. TOTAL lO~t> CAPAC1'N
3~ 50, WORKlNC \.040 CAPACITY
* STA8IL-X DRIVE ANC80BS-- 41SO' WIN. TOTAL I.QlO CAP"CI1Y.
3150' WORKlNG LOAD CAP_CITY
* CONdtETE S1.AB ANCBORS-- A750' MIH. TOTAl. LOAO CAPACITY
3t SUI WOAKIHCl LOAC CA~"CITl'
. TIE 00'" STRAPS - ------ 41501 WIN. tOTAL l.QAO CAPACITY
51501 WOAl(~ UlAD ~PACiTY
ilE DOWN STRAPS MEttS FtOtAAL SPt:.CIf!'=A1lON Q(:-S -7SHI roR TYPE 1. C'l.A$$' it.
Gfl.t.OE 1 SlRA~I~O A~O 8E AT LtASt 1 '/4- X .035 ZINC PlATED.
1. THE CHARTS SHOW Tfl~ RUMREC N\J1Il8tR Qr -r;t DOWNS 01'4 THE SIDES AND
E~DS Of' THE lo4A.Nur.cruRt;) HOlllt.
1. COMBINATIO"lS Of THE OIFfERENT TYPLS Of' nE DOWNS CAfoi Bt USED.
3. .F':)R AL.1.. Tit OOWN INSTA\.l.ATlOHS. THE IolA"VF'ACTlJllED HOMe CIolA5SlS UEM.RS
ARE $HOWM ...s"f' 'EAlIIS. (rOR /IJ.{)STR-'TIOl'l PURPOSE ONLY) CHASSIS BEAMS
CA" "'USO BE -Co sw~EO OR "uc- SMAPl:D.
.. SlOE TIE DOWNS AR( RtQUlREO Al.CPfG l"'t OUTSIDE CI1A~SIS Bt.t.MS. tNO Tit
UOWHS ARE FlEQUIRtD ~T EACH EM'; ~ tACH 'fl'ANSPQRTA&LL SEcnOK Of T\.lt
WANUrA.CTUREO HOM(.
S. EtlO l1t DOWNS ~N BE lOCAt!tl 'MTKlIf HI'" Of ElntER .. or CWoSSlS ilEA..
AXIS. AtlO BOlT-olI TOI' tAd It A.TtACHl'O WlJ'Itif 'f" TO 8[1" f'troW Dm Of' CHASSIS 8tAM
6. THE SIZES.' TYPES. ltHGTHS. tCT. OF ......,tRW-$ SHOWtl HtRiOH ~[ ..INtNUIil.
U\RG[R. LONGEtt. HtAVltA IoC"'TERlAl.S SWlPUED gy SAC 1NOUSTRlES. INC. MAY
at: USED AT mE SAIofE SPACING A"'C tOCATI:JNS SHOWN.
7. Au.. P"RTS ARE COATED WI1H RUST RESISTANT INOUSTRIAL SHOP PRIMER.
a. THl$ n$: OOWN SySTEM MttTS THE REOOIREMElIIlS or stCTION 1336_3 SUB-
SECTION (0).
(7Q ..PH OPOSURC "C")
(U IlfP'H EXPOSUQE"t")
(100 "'JlH EXPOSURt 1:-)
Stat!! of Caftfomia
CIeNr1mcr:t of NOli sing :~.1 Commooll'j Davefopmertt
~~ AI'4D STANDARDS
~~ ~ /;~~~
~NO :. ,e'T-.s.- /.~-
1lU Plan ApprrNaI ~ires ,.::z. -.11 /- ~-?'
'Aelft: CIlfC5lJl.I1MC Eitel"""
IttK' -.&. Io~. SUITE ,~
.sAC""'ICTC. OA- M8:$8
ltM! (t 1 6) S'4-C02lI
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37Y.?F
",;
f'.O. 70.2 (}OO t
o
SAC IND, CONCHETE TIE DOWN ANCHORS
,4002 PIER
!lOLl-ON TOP
#7000
IFJ01
117002
#6005
9
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. ..
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114002
CO NCRE.IE.-TIE- DOWN
I
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fill 3,5 (,
#6003 #6C04
INSTALLATION INSTRUCTIOI\S
EXISTING CONCRETE - if6003
1. CONCRETE MUST BE A MINIMJM 3 1/2" TH;CK AND I~. GOOJ C:JNl)1TI0~.
2. MINIMUM SLAB AREA OF EACH ANCliOR IS 28 SQUARE 'EET.
3. DRILL PROPER SIZE HOLE IN SLAB, :>. \A1N!MLM OF 12" FROM ANY SIDE.
4. EXPANSION [lOLT IS 5/B" )( 3 1/Z' WilY '.!INIMU"'~ 2 3/'-" EV,AFDMENT AND
G.: Be POJND PULL OUT, 7,1 eo POUND SHEAR.
. NEW CONCRETE - 1J6QQ4
1. PLACE CONCRETE ANCHOR IHie WF.T CONCRETE. AND ALLOW TC "ROPERL Y CUR~.
2. ALTERNATE CONNECT,ON REQuIRES ti5 REBAR PROFERL.Y EM8EDDED iN CONC~ETE.
CHASSIS CONNECTION
I. ATiACH STRAPS TO CHASS1S SEAM IN MA'lNCR S-10WN,
2. IF AI~GL~ OF SlOt. STRAP IS GREATER THAN 53'. STP.A" CONNE.CTlON CAN !J(
MACE FROM A.NCHO':( TO OOPOSlI'E CHASSIS a:::AM.
3 INSERT STRAP THROUGH SP _:T 130'_T. CLiT OFr EXCESS S,Rf,P ANI) TIGHTEN
FlOLT 1";1\ Tll STRAP IS SNUG.
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./" S!DE VIEW
/"C" BEAM CHASSIS
",FE 'r' BEAfIl CHASSIS NOTE Ii 3
SrlEU #1 FOR lIF ilOWN IMO.
)Rlll Q/16" HOLE AT MID HEIGHT
OF BEAM ..."10 INSTALL _ ..
1/2"A30780Li .-"'~
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SEE "7" SEAM CHASSIS NOTe/: .5
SHEET f, -, rOR ">'IE DOWN :NfO.
SiDE VI[W
END HE DOWN
PID VIEW
0;:= :; :. .: -= = ~
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CONTRACTOHS CERTIFICATION -'
I CERTIFY THAT l HAVE INSTALLED THE SAC IND., INC. ANC:fOHING SYSTEM AS
PEn THE INSTALLA1~ON D1S'j,'l:WC1IO:--;S. I HAVE MADE NO MODIFICATION~ TO THE
,'\NCHORING SYSTEM OR TO THE BUlLDINr. STRlJC'T'URE.
COMP ANY NAME: _. CONTRACTORS UC #
Patio Sl'b Anchor
Thi:; anchor II c1.sl(JIIOd to be 1l1Stt1,tJ through . 3/4. IIfJl/J
drlBad or (orme4 ;110 m lli~tJ/1D concrele Sllb.
I (;OllOlell mUSt bl 4 2_ 1'51 mlnlmum
"= with ... III!n1mUftlINCknu. Ud '/8 It
10ft 0 wlr. mIll'! Dr filler mt'sh illstulled.
e
c::>
c&J
~
I
· Colla.!. "ab must IIJ:ow 4'21 Ib$ of
YlIt/e.1 ttntlan on I"<<:hor w,thuut 'ffinQ.
'lb/a Illumes rltJr th.f OGl'1crett WIfQhs
'sa 1&. ",r cu. ft.
· ~lrHfllum d'if~nee 'ram lb'lnctfor .It&t,
Co on~ edg. 0' Itre ",b Is 4 in. 'iorn ona
fduu Ind 2 ft. ',om '"yother .dOb.
· Afttr rlVvwJng rt'rrlGrltJftl 'ttacf I, _ "'flf. .,. a
iI"n " 3 In. ItO/It " I" .116 ...,..,. 'N lIIelttt "1Id I:
fO tat looiII.d.
.. "'tG, .." llXPlIn,'Oft ~I.ev. OllGr bill .ntI IICICllIIt(i)
Jht 1Ir'1tO Dolt,
· PIle. "" ~f/)., onto Dlt 'JPanlian bot
· TIv.:ld /lilt O/llt ''''Ulon boll IIJ4 ....Ift! IM.II
maxlmu!l'l 'IPfp$loo 01 .1.., .~..." 111M Itu bean
iiCtillYld.
· fterrlWd lIul "'l&J Wcl.' L" iII1d ,.~eCl 61Ithof n'Dd ovar
8i1,...a bG/:.
· PIa;t """"I ,nd nil' Gnln &al b alflch ilnther ~lfad,
"1fI:'lIl11l
Concrete Anchor
T~e UIJ2 b doat~ntt11cl be in"ailfld :nto a Concrell fllb at
"" rnt! 1ft, etJnCltf. l3 o.lna POur'/l
. COIler.1t mUll bo I 2SOO PSI
mlnlm",m sla~ With 4" minimum
th~.. ~I\d EI5 JC 10"'" 0 wfra M~sh or
tltJ!r mosh 1Its'.1Ued.
- Goncnre SlIb Must ~OW 4125 :bs cl
lI.f't1cl1 rll" ietl fill Bncnor wifhcLf
IlttIng. Tills IUOMfC mil till concr,te
WI~$ 150 Ibr P" CII, It.
· Mlrlrrum distant' flOm th. ,raot
!..~ to OAt edge of fhl s;ab it 4 in, ,
'tam one tI10e atUf 2 ft. from Illy or!lar
'~e.
· It In5QJe, In <l .f. stab It rnlllifllUl!'
dbfiV1lZl fNll1 .. an ed4irOt\1l ~Yff
Dr 818 tiT 10ilO "".esh r5 rrr.omn~I~,
· SlAb In\lst be 8 II\. mlNl\1Um thick".aa allOftlUor IolIdfl
" COIle,.!. mutl be . 2...COD PSI lt1/l1imum ~bh ~11l ""
""1111 ",,'kilt.. ..,d "., It 'lVf 0 wire nhull 0' tk:cr I
_It ~''''''1.
· CMorIIt .11 nc5ll1_w <4Y:f the Ollitlrtl<<lll.nllllA
oa IfIthOl rJiUlOcl '"11lc. Thi$ d.ftt:ll~li ,Ilat IIIIt
'O~rt" ~.lfJas 180 'b!., CU. ft.
· _mum fittance 1\'om the lIn::ll!)( eNtllo III' ~o
0' It, 'laD is . :n. I1<Jm on, 'd,. Gftd ~ ft. torr ~.
ot" .dO',
· fllftllilltci ;1 I I.. ilab .( mlnlntum CfktM''('' '1C1Il
'dges. ." ood"ilDJiI! '.l'cr of aia or 10110 "'ft mes" Or
f,,,, ""'III' ra=O"''''.rded.
..,,,,,.,t-',,.,, ,--- .._~- 4 - . ,.
existing patio door or addition of
patio door
.----~----~----~-l--.-----.----~---T~
)1,
Frame support Main beam Front (hitch) I ;7'
I ",
---- ----~----~- --.-----.----~---~~
" Exterior door of home
,
" Exterior waD-
line of home
Required perimeter
support (see note 4) ----
Figure 4-2 - Typical blocking diagram for single-section home when manufacturer's
instJUctlons are not available
Note (applies to both figures 4--2 and 4-3) -
1. See table 4.1 for required pier capacity and spacing.
2.. See table 4.3 and section 4.2 for footing requirements.
3. Piers shall be located at a maximum of 2 feet from both ends.
4. Place piers on both sides of entry doors and at eny other openings
greater than 4 feet in width. such as patio or atrium doors; under
porch posts, fireplaces, and wood stoves; and under those pIaeeS
where heavy pieces of furniture such as pianos, organs, waterbeds,
etc., may be placed.
Required perimeter
support (see note 4) "-.
'"
',,- Patio door
\.
,- Pierslsupports shall be sized
\ according to table 42 or calcu-
j lated by a design professional and
: located under the bearing points of
; clear-span openings in center
mating walls
I
t - - I - ~ - -,- - ,- - -. - - ,- - I - -lip - - -+ - -t - - I - -IjI- - -f' :..,
I I I I I I I I I ! I I I I 1....
I I I I' I I I I I ~ I I I I I'"
__ _ _~ _ -*-_ J _ _._ _ J _ _._ _1_ --* - -1- __ - -~ - -- - -~~.
.~.
.
.7
Required perimeter
support (see note 4)
Exterior waH-
line of home
J
I
ot
Figure 4~3 -- Typical blocking diagram for multisection home when manufacturer's installation
InstrucUons are not available
Single-section
Multisection
~;
DO: Crown and grade the site to slope away from the home and cover it with
6-mil-thick polyethylene sheeting or the equivalent.
II
il
'!!
:1
f:
DON'T: Grade the site so that water collects beneath the home.
t,
Figure 3-2 - Elimination of water beneath the home
"""'.""",','-""'~
"',',~ii~"~i"<..''''''_."" '.. ' '''j':':~i'~.w8.i'''''',.".
""~~..."i:~i",f"',''''",.<_,
~"'L:._,
Table 4-1 - Minimum Pier Capacity
Frame Plus Perimeter Blocking
(Both Frame and Perimeter Blocking Required)
~ii
Roof Minimum Pier Capacity (pounds)
Section Live Pier
Width Load Location
(feet) (pounds
per
square
foot)
Maximum Pier Spacing (feet)
" 6 8 10
8 20 Frame 900 1300 1800 2200
Perimeter 600 800 1100 1400
30 Frame 900 1300 1800 2200
Perimeter 700 1100 1400 1800
40 Frame 900 1300 1800 2200
Perimeter 900 1300 1800 2200
10 20 Frame 1100 1700 2200 2800
Perimeter 700 1100 1400 1800
30 Frame 1100 1700 2200 2800
Perimeter 900 1400 1800 2300
40 Frame 1100 1700 2200 2800
Perimeter 1100 1700 2200 2800
12 20 Frame 1300 1900 2600 3200
Perimeter 800 1200 1600 2000
30 Frame 1300 1900 2600 3200
Perimeter 1100 1600 2100 2600
40 Frame 1300 1900 2600 3200
Perimeter 1300 1900 2600 3200
14 20 Frame 1500 2200 3000 3700
Perimeter 900 1400 1900 2400
30 Frame 1500 2200 3000 3700
Perimeter 1200 1800 2400 3000
40 Frame 1500 2200 3000 3700
Perimeter 1500 2200 3000 3700
16 20 Frame 1700 2600 3400 4300
Perimeter 1100 1600 2200 2700
30 Frame 1700 2600 3400 4300
Perimeter 1400 2100 2800 3500
40 Frame 1700 2600 3400 4300
Perimeter 1700 2600 3400 4300
18 20 Frame 1900 2900 3900 4800
Perimeter 1200 1800 2500 3100
30 Frame 1900 2900 3900 4800
Perimeter 1600 2400 3200 3900
40 Frame 1900 2900 3900 4800
Perimeter 1900 2900 3900 4800
i '
l
n,/i,l1~fjiWR!;r;;,-t~i~iI;ft'U .111 -' ._'1
''1'('.'', [[IILU]],,"':" ..' .,.,..., ' .WlIl.IL.lL
1"
,<'!"-'f",""
Table 4-2 - Minimum Pier Capacity
Multisection Center-Beam Blocking
14
!
; Roof
Live
, Load
I Pier Load and Minimum Pier Capacity (pounds)
I (pounds
I per
I square
! foot)
Mating Wall Opening (feet)
-r 5 10 15 20 25 30 35
20 600 1200 1800 2400 3000 3600 4200
30 800 1600 2400 3200 4000 4800 5600
40 1000 2000 3000 4000 5000 5000 7000
l
" -, 20 800 1500 2300 3000 3800 4500 5300
30 1000 2000 3000 4000 5000 6000 7000
I 40 1300 2500 3800 5000 6300 7500 8800
I
-.J 20 900 1800 2600 3500 4400 5300 6100
30 1200 2300 3500 4700. 5800 7000 8200
I 40 1500 2900 4400 5800 7300 8800 10200
I 20 1000 2000 3000 4100 5100 6100 7100
i
I 30 1400 2700 4100 5400 6800 8100 9500
I 40 1700 3400 5100 6800 8400 10100 11800
-t- 20 1200 2300 3500 4700 5800 7000 8100
I
I 30 1600 3100 4700 6200 7800 9300 10900
I 40 1900 3800 5800 7500 9700 11600 13600
I
.".
14-foot section width
3O-pounds-per-square-foot roof live load
l8-foot-wide mating-wall opening
low dew:] the -Section Width- column to "14 feet.- Follow across to "30 pounds per square foot"
f) in the Roof Live Load- column. Since the mating wall opening is 18 feet wide, follow across to
colulT n headed "20.- (For any opening width that is not shown, use the next highest number on
chart. I The required pier capacity is 5,400 pounds.
Single Strap
Double Strap
4725 Ibs.
4725 Ibs.1
11' - O.
11' - 0.2
6' - O.
6' - 0.2
4' - 6.
4' _ 6.2
Note -
1 Unless listecl/labeled for a higher capacity by the anchor manufacturer
2 Unless a greater spacing is specified by the anchor manufacturer
3 All homes located in Wind Zones II and III shall have a vertical tie
2-foot
maximum
see chart
2-foot
J---+__ -J- __;aximu:
I I'
, I'
, I
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I
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i
1
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i,
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---- /
------------------------------------------
-----------------------J-~~~~-
----------------
,
I 1 ()
()
C;__.__ r ...
"'.._L.__ __... ._
NCSBCSfANSI A225.1
are not availab/e_
4.1.5.3 Perimeter blocking
Place piers on both sides of side wall exterior
doors and any other side wall openings greater
than 4 feet (such as entry and sliding glass
doors); under porch posts, fireplaces, and wood
stoves; and under the locations where heavy
pieces of furniture, such as pianos, organs,
waterbeds, etc., are expected to be placed.
4.2 Footings
Footings shall be placed a minimum of 4 inches
below grade in undisturbed soil. Support every
pier with a properly designed footing (see
4.2.1_1 ).
4.2.1 Acceptable types of footings
4.2.1.1 Concrete
Footings may consist of precast or
poured-in-p/ace concrete, pads, slabs, or
ribbons at least 3 1/2-inches thick, with a 28-day
compressive strength of at least 3,000 pounds
per square inch.
4.2.1.2 Pressure-treated permanent wood
Two layers of nominal 2-inch thick
pressure-treated wood having 0.60 retention in
accordance with AWPA C22 Standard, with the
long dimensions of the second layer placed
perpendicular to that of the first, may also be
used.
4.2.1.3 Other materials
Other materials approved for footings may be
used when approved by local authorities if they
provide equal load-bearing capacity and
resistance to decay. Examples include:
- 1/2 inch maximum crushed stone;
- 318 inch or 314 inch graduated gravel;
- coarse sand, with grains no smaller than
1/16 inch, placed so it provides a soil-bearing
capacity of at least 3,000 pounds per square
foot.
8
.:;;.;t
~
I
"'~
i
.~
In areas subject to ground frost heave, place ,,~
footings below the frost line. Consult local ,J~
authorities to determine the depth of the frost i
line. In the absence of a local code, use the J
frost penetration map provided in figure 4-4 as '.
a guide'i
~
fl
-~
~i
j
I
I
:.1
4.2.2 Placement in freezing climates
4.2.2.1 Conventional footings
4.2.2.2 Floating slab systems
When properly designed by a registered
profeSSional engineer, a nfloating slab system"
may be used above the frost line. The design
shall accommodate the anchorage
requirements identified in 5.
4.2.2.3 Insulated foundations
Footings may also be placed above the frost
line when the home is provided with a perimeter '.
foundation or skirting having insulation
properties sufficient to prevent freezing of the
soil under or adjacent to every load-bearing
component of the foundation and acceptable
for this purpose to the authority having
jurisdiction. Useful design guidelines may be
found in the references found in Annex F.
Insulation systems should be compatible with
the requirement to cross-ventilate the entire
space under the home.
4.2.3 Proper sizing of footings
Proper sizing of footings depends upon the
load~rrying capacity of both the piers and the
soil. See table 4-3 for recommended footing
sizes.
4.3 Permanent foundations
Check local building codes and regulations and
consult a registered engineer when the home is
to be sited on a permanent foundation (such as
a full basement, crawl space, or load-bearing
perimeter foundation). To obtain a permanent
foundation design that meets most local codes.
write to the manufacturer of the home. Useful
ideas and design guidelines can also be found
in reference publications, such as those listed in
Annex F.
"~.,' j
',-
Table 3-1 - General Description of Soils
Soil Type
Based on the unified classification
system
Allowable Pressure
(pounds per square foot)
No allowances made for overburden
pressure, embedment depth, water table
hei ht or settlement robIems
4 000 and u
2000
1,500
1,000 .
uired
uired
NOTE -
1. To be used only when none of the following is available: soils investigation and analysis of the site;
compliance with the local building code; and evaluation by a registered professional engineer. architect, or
building official.
2. Hereafter, the words .. engineer" or "architect" shall refer to a registered professional engineer or architect.
S
'\ot..;"...
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
."l21 EAST 5TH STREET. PORT ANGELES. WA 9R."l62
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000870 Date
.383480
1629 W 11TH ST
06-30-00-0-3-1255-0000-
RES MANUFACTURED HOME
12/13/04
RS7 RESDNTL SINGLE FAMILY
35000
Owner
Contractor
TUCKER, DONALD/PILAR
339 HAVEN HEIGHTS DR
SEQUIM
(360) 681-7948
WA 98382
NU TREND ENTERPRISES
PO BOX 1780
SEQUIM, WA
SEQUIM
(360) 683-6080
1996 FLEE~WOOD 1848SF
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98382
Structure Information
Construction Type
Occupancy Type
Other struct info
14.20
1. 00
11250.00
1848.00
1848.00
1. 00
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
200A MOBILE
KEYTES ELECTRIC
78.70
12/13/04
6/12/05
Plan Check Fee
Valuation
.00
o
~
~
"'\j
Qty
1. 00
Unit Charge Per
78.7000 ECH EL-MANF HOME SERVICE & FEEDER
Extension
78.70
'"
t
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. lOrd. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Manufactured home must be pit set so that no more than 12"
of skirting is visable above grade.
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 alarmll
Proposal will result in a mfg home on an RS-7 property.
Setbacks and lot coverage are good. No land use issues are
noted.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
Construct driveway to City Standards.
No concrete with exposed aggregate is allowed in the City
road right of way.
"-
~.
~.
~t
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECT.ION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO CO liEn,
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
1]1 I:H
~&&
'ROUGH-IN / COVER
~bK V lCb
l<'TN AT I I
.....
GENERAL COMMENTS:
PW-1102.U (4196)
'(I
'\ot..;"...
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
."l21 EAST 5TH STREET. PORT ANGELES. WA 98J62
Application Number . . . . . 04-00000870
pin number . . .383480
Page 2
Date 12/13/04
Other Fees
CITY DRA %
DRA FEES PLUS INTEREST
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
54.87
1724.34
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 78.70 78.70 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 3553.71 3553.71 .00 .00
Grand Total 3632.41 3632.41 .00 .00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPEC(ION 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
...4
GENERAL COMMENTS:
PW-\I02.1S (41961
BUILDING PERMIT INSPECTION RECORD
o Ji- ri'?O
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: OLodL/n~ f~ ()WN /- "LO-OC 0LL
FOOTINGS /0- ;)/- () ~ v-L/
WALLS , , ~,.., I /It.i' --="" /
FOUNDATION DRAlNAGE/DOWN SPOUTS ,J. 3. -0 r ,TU
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG) f. ~O-or vLC
,
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I 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 #'5:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 11,l-~q-o '" I-k:o ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 /0-/1- 06" J 1--1- BUILDING
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET', PORT ANGELES. WA 983()2
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type descr~ption
Subdivision Name
Property Use
Property Zoning
Appl~cation valuation
06-00001179 Date
165343
1629 W 11TH ST
06-30-00-0-3-1255-0000-
ELECTRICAL ONLY
10/31/06
RS7 RESDNTL SINGLE FAMILY
o
.. . ... of ~ .
Owner
Contractor
POHL, MILAN
1629 W 11TH ST
PORT ANGELES
OWNER
WA 98362
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc OWNER/ GARAGE
Permit pin number 89888
Perm~t Fee 48 10 Plan Check Fee
Issue Date 10/31/06 Valuation
Expiration Date 4/29/07
00
o
I~
I~
~
:~
Qty Unit Charge Per
1 00 48 1000 ECH EL-R-OUTBD/DTCH GAR SEP
Extension
48 10
Fee summary Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Grand Total
48.10
.00
48.10
48 10
00
48.10
.. ~.l..1 h
.00
.00
.00
.00
00
00
It
, "
..' ~ ~
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'-
,
t~
~
"\
,
.~. -~ _ ~ _~ ,,,,,~~4---._.,.~~.- -
, u.-tl
I . _ _._
1--", I d . -- ~~eli:~~--.-
Hlie-- ....
COMMENTS/ACTION NEEDED
\'I"~ .
---W-- -~............... '",~'1~
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECnON TYPE DATE ACCEPTED COMMENTS
I YES I NO
I)l'n :H
lUll J(TH~ I COVER
'''''_K VII 'J:<
1/;l-5-ob I~ / I
GENERAL COMMENTS:
PW-II02.1514I96J
'~Electrical Contractor 0 Owner
o Annual Permit 0 Alarm 0 Carnival 0 Commercial
. ELECTRICAL WORK PERMIT APPLICATION ,
~ Request Inspection
~
. r
~Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom.
Job wired by
1.1 Electrical Contractor 0 Owner
Installation description
City
License number
~ "- ,~.....\~ \:.. {\<... _ \, "-,~ "-3" -t ~ ~ "\ \"....
Purchaser's mailing address .., ,
~Z\~ ~"i.~\.\\'-\ ~~
State ZIP
~.. ~~~~
F).X nurn er
~~ ~~~ ~"L~:'I\(.';:,
tto.~ \:"1 <:. \;'\ CH~ '-
Electrical contractor name
".Y"'I
Telephone number
.. . ~C
Premises owner's ~ame
\~ 0 K"
Address of inspection
. '\. '\., ~ "\ ',,\-
,
t:::.'\
City
<..j
o Cash ql.Check # .,,,...... ~
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or the finn's authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
o Credit Card
Card #
Visa
Mastercard
Discover
x
Expiration Date
of card
WALLS
Insulation Only
CEIUNG
Insulation Only
THERMOSTAT
Date
Approved By
SERVICE
',/ ~
7 Approvei:lBy
Dale
Approved By
Dale
Approved By
DITCH
FEEDER
Cover
Cover
Dale
Approved By
Dale
Approved By
I'P~
Jl::pproved By
Date
Approved By
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace i..S KW
o Heat Pump Ton LAR
o Fan-Wall KW
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseD 1 03
Service Size:
Feeder Size:
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
/~
+
-.
...-----
~~<>,.
~~~#
(r~).
Fd \~/'
"'"'1)Elcctrical Contractor 0 OWIll~r ~....~
o Annual Permit 0 Alarm 0 Carnival 0 Commercial
ELECTRICAL WORK PERMIT APPLlGATIO!\-
~ Request Inspection
Job wired by ~ Electrical Contractor 0 Owner
~Residential 0 Residcntiall\laint. 0 Signs 0 Thermostat 0 Telecom.
Installation description
Electrical contractor name License number
~~ lO.'y.~ ~<;:~>'i~""
tt-..,\., :'l <.. \-"\ (l r<;.\"-
Purchaser's mailing address
~<~~ y,,,,-\,h\. \
City .
","-J
Telephone number
',~ ", Or.')
Premises owner's }lame
\"- 0. ~"-~.\
Address of inspection
'\. '\, dO, ''.1),
,
~~
Stale ZIP
\...1 \\ "~~~~
. FAX num cr
Cit)'
t09
t.0
td
<..3
o Cash 4l<Check # ',"'...... ~
1 hereby certify that I am the owner of the above named property or a licensed
electrical comractor (or the firm's authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
o Credit Card
Card #
Visa
Mastercard
Discover
Signature or.rwner, electrical yntractor or electrical administrator
X I fj,
/1
Expiration Date
of card
,
,
Inspection fee
$1 ~, :\()
WALLS
Insulation Only
CEILING
Insulation Only
lHERMOSTAT
SERVICE
Dale
Approved By
Dat~
Approv~d By
Date
Approved By
Dale
Approved By
DrrOl
FEEDER
Cover
Cover
Dale
Approv~d By
Dale
Approved By
Date
Approved By
Dale
Approved By
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace l.:S KW
o Heat Pump Ton LAA
o Fan-Wall KW
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseD 1 03
Service Size:
Feeder Size:
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrica]
Inspector
";T ":7(I'l"'~
<I''''''~~
~~--~~<;.
'","--
.'-
,,-. m::---l,,,
~:=--:;-~
-~.
)
ELECTRICAL WORKPERl\fiT APPLICATION
,
Job wired by
o Electrical Contractor d!'()wner
Installation description
o Commercial W'"Residential
Electrical contractor name
License number
Dale Expires
o New
o Alteredl Addition
Purchaser's mailing address
-r;\ .t" .:.--1 II\. ~I)l.\ . !.J {' }r
{~I c;"J\..- t t~~ :i-i:-
City
State ZIP
"
i..
r !
':}jfiU~
, I
f/' ('! I'~?
.I......'. '.
/
'-~/'" ' /'
j 1 V l.- .
I
,
,
.
Telephone number
FAX number
premlPi fZ/I;~rnp(JH L
Addr~ss of inspection .
! (, 2/1 ucl fI HI
City..-, 'Il I '
i/ .~ ".11,.. .,.
. Ir.'" I l\l, ILi/....- u.:S
Phone number to schc(IJule inspection:
U<c', J ()~; L. ,,1 . '11)
'7./ ~ .!./tC-]Y <-
Owner as defined by ROV19.28.261:(1) Owner will occupy the structure for ova
years after this electrical permit is finalized. (2) OWlJer is required to hire an electrical
contractor if above said property is for sale, renl or lease.
After reading the above statement, I hereby certify that I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
Signature of owner, electr;oafdntr;:;etofM electrical administrator
"X f ~~Jb-, .~ lJ (,\),J Date: le-3o-o(
o Cash .Check #
Ilrtredit C~rd @)
Mastercard
Discover
Card #
Expiration Date
of card
GnsPL/? ,fi ()
Service Information
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
o Overhead Service
o Temp Service
o Underground Service
Voltage
Phase0103
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT SERVICE
Dale Approved By ./ Date Approved By Dme Approved By
FINAL DITCH FEEDER
I,. - 5.- "'- ~Q Date ApprovedBy / "- Dale Approved By
Dale
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
/IdJ /t) /~ IA/;d