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Home My WebLink About917 W 13th St - BuildingPREPARED 4/06/09 9 22 59 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/06/09 ADDRESS 917 W 13TH ST SUBDIV TENANT NBR RUSSELL WING CONTRACTOR PHONE OWNER RUSSELL WING PHONE (360) 683 4683 PARCEL 06 30 00 0 3 7175 0000 APPL NUMBER 08 00001124 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 10/06/08 PB BLDG FRAMING 10/06/08 AP October 3 2008 4 21 16 PM 1pangrle RUSS 683 4683 OR 808 2677 FRAMING October 6 2008 4 49 51 PM pbarthol BAIR 01 10/23/08 JLL BLDG AIR SEAL 10/23/08 AP October 23 2008 8 47 07 AM 1pangrle RICK 808 2677 AIRSEAL October 23 2008 4 01 13 PM jlierly BL3 02 10/23/08 JLL BLDG FRAMING 10/23/08 AP October 23 2008 8 47 38 AM 1pangrle RICK 808 2677 FRAMING October 23 2008 4 01 13 PM jlierly BL99 01 4/06/09 BLDG FINAL TIME 01 00 April 1 2009 3 46 29 PM 1pangrle RICK 808 2677 BLDG FINAL AFTERNOON PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME1 01 10/23/08 JLL MECHANICAL ROUGH IN 10/23/08 AP October 23 2008 8 48 05 AM 1pangrle RICK 808 2677 MECHANICAL ROUGH IN October 23 2008 4 01 13 PM jlierly ME99 01 4/06/09 L MECHANICAL FINAL TIME 01 00 April 1 2009 3 47 01 PM 1pangrle RICK 808 2677 MECHANICAL FINAL AFTERNOON PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 9/29/08 PB PLUMBING ROUGH IN TIME 01 00 9/29/08 AP September 26 2008 3 46 35 PM 1pangrle JAKE 670 3427 ROUGH IN PLUMBING AFTERNOON September 29 2008 4 26 16 PM pbarthol PL99 01 4/06/09 ,b\L PLUMBING FINAL TIME 01 00 April 1 2009 3 47 22 PM 1pangrle RICK 808 2677 PLUMBING FINAL CONTINUED ONTO NEXT PAGE DATE a OWNER /C&JTRACTOR Pl Pr 1 ADDRESS APPROVED 0 CORRECTIONS NEEDED G r K t l -f'� J Gap' i2 EC t_c j2 A/4 cA9A) Mt 7L ray k -i.i -L b OLYMPIC PRINTERS, INC. (360) 452 -1381 ELECTRICAL INSPECTION WIRING REPORT PERMIT 417 -4735 lL.11EGC DZ I L DITCH ROUGH IN /COVER SERVICE FINAL 6.7rG 1 r /za •N.- INSPECTOR /Nip far1 F PR& 1-'- j.LD'" NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE NOT APPROVED 0 0 0 1 14 trip PREPARED 10/23/08 9 09 59 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 917 W 13TH ST SUBDIV TENANT NBR RUSSELL WING CONTRACTOR PHONE OWNER RUSSELL WING PHONE (360) 683 4683 PARCEL 06 30 00 0 3 7175 0000 APPL NUMBER 08 00001124 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 10/06/08 PB 10/06/08 AP BAIR 01 10/23/08 1 BL3 02 10/23/08 PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTION TICKET BLDG FRAMING October 3 2008 4 21 16 PM 1pangrle RUSS 683 4683 OR 808 2677 FRAMING October 6 2008 4 49 51 PM pbarthol BLDG AIR SEAL October 23 2008 8 47 07 AM 1pangrle RICK 808 2677 AIRSEAL BLDG FRAMING October 23 2008 8 47 8 AM 1pangrle RICK 808 2677 FRAMING ME1 01 10/23/08 LL MECHANICAL ROUGH IN October 23 2008 8 48 05 AM 1pangrle J\ RICK 808 2677 MECHANICAL ROUGH IN COMMENTS AND NOTES PAGE 3 DATE 10/23/08 PREPARED 10/06/08 10 23 39 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/06/08 ADDRESS 917 W 13TH ST SUBDIV TENANT NBR RUSSELL WING CONTRACTOR PHONE OWNER RUSSELL WING PHONE (360) 683 4683 PARCEL 06 30 00 0 3 7175 0000 APPL NUMBER 08 00001124 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 10/06/08 j° JLL BLDG FRAMING October 3 2008 4 21 16 PM 1pangrle RUSS 683 4683 OR 808 2677 FRAMING COMMENTS AND NOTES Application Number 08 00001262 Application pin number 066460 Property Address 917 W 13TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 7175 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 200 amp service and circuits Owner Contractor Surrat Rick 917 west 13 street PORT ANGELES Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 135756 Permit Fee 75 00 Plan Check Fee 00 Issue Date 10/03/08 Valuation 0 Expiration Date 4/01/09 Qty Unit Charge Per 1 00 75 0000 ECH EL RM 0 200 1ST SRV FEEDER Fee summary Permit Fee Total Plan Check Total Grand Total WA 98362 SHAMP ELECTRICAL CONTRACTING PO BOX 383 PORT ANGELES WA 98362 (360) 452 1689 Charged Paid Credited Due 75 00 75 00 00 00 00 00 75 00 75 00 00 Date 10/03/08 Extension 75 00 00 00 00 INSPECTION TYPE DATE DITCH SERVICE ROUGH IN FINAL COMMENTS: qbk /qof li(o? TigP ELECTRICAL RESULTS INSPECTOR 10/01/2008 07 35 FAX Job oared by IicI•ortrafi ct e FuMer Pr t+ses wne name t T ins cetlon W l� B Phone number to schedule Inspection. 'zr,2 7 X inspection Dare 1a�o b3 UJI pi y FINAL 1, I. App Lice OCT 0 2 2008 ELECTRICAL WORK PERMITAPPLICA7 ION p 1111 O Electrical Contractor Tc cphone number V FAX number 9)7 CIty11., n `I t.q)k c rM3 gigIrical Load Additions and or subtraction O NO LOAD CHANGES O Baseboard KW CJ Furnace KW Heal Pump Ton LAR O Fan•WaII KW SAME DAV INSPECTION. CALL BEFORE RUUCII -IN FIECeIVED 417-14 1 LIGHT nEE 0 Owner Sla IP 1 Q c� (hvnrr (IX lcf/hred by RCW /9 R,26/ (ll Owner will or( um. lhr .ru Jur 1 i'u years after :his electrical permit is finalized. (2) Q van;r A •aquiml 10 lure un electrical contractor if above .ruin property is for sale, rent or lease. After rending the above statement, I hereby certify that 1 am the owner of the above named pmpcny or a licensed electrical contractor I 'ern making the electrical instal- lation or alteration in conq)liance with the electrical laws, N.F. C RCW Chapter 19,28 WA( Chapter 29( -4(,I1 The ily of Pura Angeles Municipal and Utility Specifications. /Signature of owner, electrical cootraclur or ciccrrical ednllnietrator Date Apt) ,I IIY U Overhead Service O Temp Service U Underground Service 7.00 AM 360- 417 -4735 THERMOSTAT Dam Aren,13uilding or Equipment inspected (Installation description Commercial 2esidential t‘l \kftlusQ_.) DITCI I App J 13 V i O Cash v O Check O Credit Card Visa Mastercard Card 11 Expiation Dale of card 0 Altered /Addition Inspection fe S 7, Service Information Voltage Phase 0 1 0 3 Servico Size. Feeder Size: SERVICE Arm% d by FEEDER Action "taken Appao+ca Ily a 001/001 Discover Electrical Inspector PREPARED 9/29/08 9 30 52 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES ADDRESS 917 W 13TH ST SUBDIV TENANT NBR RUSSELL WING CONTRACTOR PHONE OWNER RUSSELL WING PHONE (360) 683 4683 PARCEL 06 30 00 0 3 7175 0000 APPL NUMBER 08 00001124 RES ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 9/jL9/08 JLL PLUMBING ROUGH IN TIME 01 00 September 26 2008 3 46 35 PM 1pangrle JAKE 670 3427 ROUGH IN PLUMBING AFTERNOON INSPECTOR JAMES LIERLY DATE 9/29/08 COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00001124 335668 917 W 13TH ST 06 30 00 0 3 7175 0000 RUSSELL WING RES ADDITION RS7 RESDNTL SINGLE FAMILY 8800 Application desc 400 SF COVERED DECK FRAME IN TWO NEW BATHROOMS Contractor Date 9/16/08 RUSSELL WING OWNER 222 W MAPLE ST SEQUIM WA 98382 (360) 683 4683 Structure Information 000 000 400 SF COVERED PORCH ADD 2 BATHROOMS Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc 400 SF DECK 2 BATHROOMS Permit pin number 133934 Permit Fee 193 75 Plan Check Fee 77 50 Issue Date 9/16/08 Valuation 8800 Expiration Date 3/15/09 Qty Unit Charge Per Extension BASE FEE 95 75 7 00 14 0000 THOU BL -2001 25K (14 PER K) 98 00 Permit MECHANICAL PERMIT Additional desc Permit pin number 133942 Permit Fee 104 75 Plan Check Fee 00 Issue Date 9/16/08 Valuation 0 Expiration Date 3/15/09 Qty Unit Charge Per Extension BASE FEE 50 00 2 00 7 2500 ECH ME VENT FAN 14 50 1 00 10 6500 ECH ME OTHER APPL N/R 10 65 2 00 14 8000 ECH ME INSTALL FLOOR /WALL FURNACE 29 60 Permit PLUMBING PERMIT Additional desc Permit pin number 133959 Permit Fee 135 00 Plan Check Fee 00 Issue Date 9/16/08 Valuation 0 Expiration Date 3/15/09 Qty Unit Charge Per Extension 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 provis s of any st to or local law regulating construction or the performance of construction cLC;Per Date Print Name Signature of Contrttor or Authorized Agent Signature of Owner (if owner is builder) T Forms /Building Division /Building Permit (05 /13 /08).wpd CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS 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 MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 I PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 BUILDING PERMIT INSPECTION RECORD YES NO 1 FINAL DATE ACCEPTED BY. 1 FINAL PLANNING DEPT SEPARATE PERMIT fi's SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT I I I I I I I 1 CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUIL DING DATE ACCEPTED BY. DATE I ACCEPTED 1 YES 1 NO Application Number Application pin number Qty Unit Charge Per BASE FEE 8 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 1 00 15 0000 ECH PL- EA BLDG SEWER 1 00 7 0000 ECH PL- EA WATER HEATER Special Notes and Comments The Fire Department has reviewed the project application and has no comments September 16 2008 12 51 45 PM sroberds The proposal will result in exterior porch const and two additional bathrooms within exist structure for total lot coverage of 17W No land use issues anticipated September 10 2008 2 58 55 PM GANDERS Brian Anders 417 4708 New service strike to be on the north side of house at the northeast corner per Brian /Trent meeting on site Strike to be a minimum of 14 feet above ground Public Works Utility Engineering has no requirements for this plan review Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T forms /Building Division /Building Permit (05 /13 /08).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00001124 335668 STATE SURCHARGE 4 50 Charged Paid Credited Page 2 Date 9/16/08 Due 433 50 433 50 00 00 77 50 77 50 00 00 4 50 4 50 00 00 515 50 515 50 00 00 Extension 50 00 56 00 7 00 15 00 7 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 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) CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS 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 I FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT It s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 BUILDING PERMIT INSPECTION RECORD (3-2q- o I3LL -23 -OS LL o Z3 -O$' z LL YES 1 NO SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE I I 1 I I DATE YES NO COMMERCIAL FINAL 66 1 DATE cl ACCEPTED BY. !V` o 8 31-c_ Fra�4h5 iO z. 3 1 FINAL 9-6- 1 6- 0? DATE v ACCEPTED BY. 1 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT 1 PLANNING DEPT 1 BUILDING DATE o 3' 3LrL 0 00 -c ACCEPTED YES 1 NO 4 I 5 I I r Applicant or Agent 0 6i1 A/ i- I< Property Owner k.Ct' 1.:f 1,L r A(6; Property Owner's Address_ F.� l Contractor /Enginee,, oC aa.. c.z} )71,14-p 4... i Contractor /Engineer's Address %,ej i r 4.c /1—k License PROJECT ADDRESS 67/ Parcel Number (7) .72 CO r 2 '7 1 `7 Project Type Brief Description. Che k all that apply LE ew Construction Addition c1e model Repair Re -roof Demolition Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint f structures 5r57 /ArCI 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 Existinglsa. ft.) 1,200 T Forms /BLilding Division /Bldg Permit Appl. 2006 Code doc Proposed (sq. ft.) Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Signature 1I PhL 4 Pho/ie Phone Expires Po Lot 4 Zoning t f 7 kdesidential Commercial Multi- family Industrial 7 `y f'C 1 of C I ,e ,,1 iei' /-)i4 e 1 j vL'- is,rru 1 Heat pump wood burning stove gas fireplace pellet stove other For City Use Only /Date Received _Oq ^0 g 0 2 Permit O05 I 2. to Approved cei 1 0 0 sq ft. T Lot size 7 vex, sq ft. Lot coverage J 7', TOTAL VALUATION per sq ft. of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. 1 am 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 9 1 Print Name r� z' it t L__ L —J_ L cott..,t-tze42 p I 4S 6 I 1 LS I I 15 i i I i I I I I 1 L 1 L L ,4.1 f it I i I I I 1 I j CiTYOF, PORT Al'OEIES ConstruF■ion Plan The-Issuance. of this.permit kiased upon.. hese plans,Ispecif.r. cations and other dataIshall not prevent the building official from thereafter I requiring-the- coqection of errors 1iri -said •pla^ specifications Ond other data, Or from preIventing rfiliil operations beinrcarrieeorr thereunder in 1 i 1 violation of ail bodes! and Ordinances of this juriidictioO. 41 Crate 9 By JAC 1 1 -T. 1 I _1 43624- Ne e gut) qov<sc-- iffe(,),.,k, 5,'")-- LooKi'm gt1-1, avss (Ivo) 912)4) FA0114- cin tit) Sal Co4V It C eutid —€1 1 t c p 1 c TO 2d7S riff ig3e1 3/CIYA7/5 12 z. ri L J:2 C 4, 4 1 A JL \jL 3ir cf1 .J *t r -fnitoc gcki 1 ,LI t9 1 1 1 i i _A i i I L. 1 1 I i 1 it) 3 6-47 I te, 9 1 _L i lUCtu YeslA 1 1 7 r t- Ek N I 1_ Lj Owner Qty Unit Charge Per Other Fees Fee summary "r.Porms /Bmlding Division/Building Permit (05/13 /08).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 08 00001025 Application pin number 313525 Property Address 917 W 13TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 7175 0000 Tenant nbr name RUSSELL WING Application type description DEMOLITION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 500 Application desc DEMO THE OLD PART OF THE HOME (288 SQ FT BASE FEE Contractor Special Notes and Comments The Fire Department has reviewed the project application and has no comments Charged Paid Credited Date 8/27/08 RUSSELL WING OWNER 222 W MAPLE ST SEQUIM WA 98382 (360) 683 4683 Structure Information 000 000 DEMO OLD PART OF HOUSE (288 SQ FT Permit DEMOLITION Additional desc DEMO OLD PART OF HOUSE Permit pin number 132555 Permit Fee 50 00 Plan Check Fee 00 Issue Date 8/27/08 Valuation 0 Expiration Date 2/23/09 Due Extension 50 00 STATE SURCHARGE 4 50 Permit Fee Total 50 00 50 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 54 50 54 50 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection 1 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 regulat g construction or the performance of construction Of( /0 S S 6 /4 a Dbte 'Print Name Signature of Contractor or Authorized Agent 2 o ce,4, occ) G7if Signature of Owner (if er) CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /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) I T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT 6 s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 BUILDING PERMIT INSPECTION RECORD I DATE ACCEPTED I YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL In I n I I I. I1! s! 11111 1 COMMENTS 1 FINAL DATE ACCEPTED BY. FINAL SEPA. ESA. SHORELINE. ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE ACCEPTED YES I NO 1 1 I Applicant or Agent Property Owner Property Owner's Address Contractor /Engineer Contractor /Engineer's Address License Parcel Number Project Type Brief Des Check all that apply New Construction Addition Remodel Repair Re -roof Demolition Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? BUILDING PERMI T CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 APPLICATION Print in In )olzk" 1Z L7 r 'i. /`3 o PSi� SS 6(j//y6' Phone G X63 L4 3 (..4) xtPA e=„ S(',9.vi►n (AAPy GUt 3 3 Z Pho'he Expires PROJECT ADDRESS 4 3 f R U'x-:/\ Lot Zoning cription. Residential Commercial Multi family Industrial lJ I_ 11/1 4, 5 .C)A1f ,1 4(5 /7Lc /7 0 Gv/9 S7' 0 /s lam S.S�L, L J, L ^12 Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) per sq ft. TOTAL VALUATION .6 sq ft. Lot size 7 G G v sq ft. Lot coverage ft. Occupancy group Occupant load Construction type For City Use On y Date Received b Permit (5 102h ate Approved g 2f (rSc of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. 1 am 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 6 /&/oprint Name l W �d(i Signature T Forms /Buil Dvision /Bldg Permit Appl. 2006 Code.doc Th ap at ntended to be ed legal de tpti Tht maptdr ng prods ed by the City of Port Angele fo us nd purpo Any oth of tht map /drasv g shall of be the spo 'bath, of the City. Map Legend Vern a! Datum NAVD 8f Ho ntal Datu NAD 83 60 Feet I RUSSELL WING 222 W MAPLE ST SEQUIM WA 98382 August 18 2008 Order No 7086999LAM Lisa Mahoney Escrow Officer Fidelity National Title 11201 88TH AVE E STE 220 PUYALLUP WA, 98373 (253) 435 -8787 Fax: (253) 435 -5797 The closing of the sale of the property involved in the above escrow has been completed with the recording of the appropriate documents We enclose the following Final Closing Statement *Please keep this document for tax purposes. Any recorded document and /or policy of title insurance to which you may be entitled will be forwarded to you in the near future We appreciate having this opportunity to be of service to you and hope that you will again choose Fidelity National Title Company as your Escrow Agent and Title Insurer for any future sales or purchases Sincerely FIDELITY NATIONAL TITLE INSURANCE COMPANY Buyer Settlement Statement Folder Number 7086999 Settlement Date 08/18/08 Disbursement Date 08/18/08 Final Name and Address of Buyer(s) RUSSELL WING 222 W MAPLE ST SEQUIM WA 98382 Name Address of Seller(s) WELLS FARGO BANK, N.A. AS TRUSTEE FOR OPTION ONE MORTGAGE Li 6501 IRVINE CENTER DR IRVINE, CA 92618 Property Location(s) 917 13TH ST FINAL PORT ANGELES WA 98363 Settlement Agent: RUSSELL WING FIDELITY NATIONAL TITLE INSURANCE COMPANY 11201 88TH AVE E #220 PUYALLUP WA 98373 Contact: LISA MAHONEY at (253)435 -8787 Description (POC) Buver Debit Buver Credit Contract Sales Price. Earnest Money Deposit. BUYER FUNDS TO CLOSE. NEW LOAN(S) ALL CASH PRORATION(S) /OFFSET(S) County Tax Proration 07/01/08 to 08/14/08 (44 days) 4.528685/day TITLE CHARGES Residential Resale Sales Tax $38.50 to FIDELITY NATIONAL TITLE INSURANCE COMPANY Title Insurance Delivery Fee. to FIDELITY NATIONAL TITLE INSURANCE COMPANY GOVERNMENT RECORDING AND TRANSFER CHARGES Recording Fee Deed Due From Buyer Total Paid By /For Buyer Net To Buyer 78 652.35 78.729.80 77.45 78 100 00 476 00 34 35 42.00 Due From Buyer 78 652.35 1 000 00 77 530.54 199.26 Total Paid By /For Buyer 78 729 80 August 21 2008 Russell Wing 222 W Maple Street Sequim, WA 98382 Dear Mr Wing Sincerely Encl. WDA 08 -27 Copy Claudia Stromski N-\PW KS \ENGINEER \W DAPPLIC 08 -27 File: Landfill Solid Waste Disposal Applications Stephen Sperr P.E. City Engineer Please call if you have questions W A S H I N G T O N U S A Public Works Utilities Department RE. Port Angeles Landfill Transfer Waste Disposal Application, WDA 08 -27 Interior building demolition 917 West 13 Street, Port Angeles Phone 360- 417 -4805 Fax 360- 417 -4542 Website• www cityofpa.us Email publicworks @cityofpa.us 321 East Fifth Street P 0 Box 1150 Port Angeles WA 98362 -0217 404 F IPA 1,0170t_ os =Li "7 Ul3 III We have received your application for disposal of building demolition debris from the referenced site The building materials proposed to be removed from the interior /exterior of the site it appears the debris is acceptable for disposal at the PA landfill transfer station. A copy of your approved application is attached. This approved application must be shown to the transfer station scale attendant at the time of disposal Please be advised that this disposal application is only for the materials and quantities listed in the application. Materials not listed or in excess of the quantities noted may require separate applications and approval. of pORTA4, altql "Win A1 404C‘ To City of Port Angeles, City Engineer 321 E. Fifth Street P O Box 1150 Port Angeles, Washington 98362 NOTE. All questions must be answered for waste to be approved. 1 Generator information. PORT ANGELES LANDFILL WASTE DISPOSAL APPLICATION Phone. (360) 417 -4803 FAX. (360) 417 -4709 W DA- 0B Z7 Company Name. 61 5 A' Mailing Address. Aga P CAr{ <7 .Et ter. C Contact: ,d 4 G Phone. 4 46 Project Name 4' d t l l I 1 Project Location 97 7 t 2 �a /z-r-4' x x eft S 2. Other Contacts (if applicable) Consulting Firm. Contact: 7 Phone. Contractor Name Contact: Phone Laboratory 1 Contact: Phone City of Port Angeles Landfill Waste Disposal Application Page 1 of 5 Source of Waste Check the appropriate box below and briefly describe the project, process, and /or cleanup that will or has produced the waste requiring disposal Include the gasoline service station number (if applicable) CERCLA/MTCA Rernediation Agency Contact: Independent Remedial Action UST Removal Unused Chemical Product Spill Other Source 4 Waste Material Composition. (check all that apply and include percent of total) Soil Foundry Slag Concrete /Asphalt Dredge Sediments Preserved Wood V Debris .56% Coal Ash J Other (list) Wood Ash 6) S NOTE Total must equal 100% 5 Waste Material Contaminants (check all that apply) Gasoline Metals Solvents Heating Oil Unused Motor Oil Used Motor Oil /Waste Oil Other Other Petroleum Product Unknown NOTE Supply any MSDS information with application if available. Diesel PCBs City of Port Angeles Landfill Waste Disposal Application Page 2 of 5 6 Estimated Quantity of Waste for Disposal Other NOTE. Estimated quantity for disposal must be within 20% of the quantity actually disposed (10% for projects over 7 500 tons or 5 000 cubic yards.) 7 Frequency of Disposal One time 8 Waste Sampling Proper characterization of the waste for disposal requires the collection of representative samples The methods and equipment necessary for obtaining representative samples of a waste and the frequency of sampling will vary with the type and form of the waste Check the appropriate box and briefly describe how and where the waste was sampled Include site maps with sampling locations if possible. Number of COMPOSITE samples number of discrete samples per composite Number of DISCRETE samples NOTE 1 NOTE 2 Cubic yards Drums Monthly la /Vo a! /'a/.1 ,'t' P6 1 /�c 3 t v‘/''F de'K U/..Y C_ a IS Pe ions (estimate both) Tons (estimate both) Annual Other Unless prior approval has been granted by Port Angeles the following sampling frequency will be used 0 -25 25 100 101 500 501 1000 1001 2000 >2000 cubic yards cubic yards cubic yards cubic yards cubic yards cubic yards One composite sample shall samples 1 composite sample 3 composite samples 5 composite samples 7 composite samples 10 composite samples 10 plus one sample for each additional 500 cubic yards contain a minimum of three /maximum of five discrete City of Port Angeles Landfill Waste Disposal Application Page 3 of 5 9 Waste Analysis. The 'Dangerous Waste Regulations (WAC 173 -303) shall be utilized to determine the appropriate analytical requirements for waste characterization. Ecology Publication #91 -30 (Revised April 1994) 'Guidance for Remediation of Petroleum Contaminated Soils" shall also be used to characterize petroleum contaminated soils from UST releases Submit all laboratory analytical results, QA/QC data, and Chain of Custody sheets along with this application (NOTE The laboratory must be accredited by the Washington State Department of Ecology a) List all anal jcal test methods used b) Provide a narrative as to why the above analytical methods were selected NOTE. Additional sheets attached YES NO 10 Soil Classification *FOR PETROLEUM CONTAMINATED SOILS ONLY Based on the analytical data and Ecology Publication #91 -30 the soil classification is (check one) Class 1 Class 2 Calculated Hazard Index 11 Dangerous Waste Affidavit: Class 3 Class 4 Based on a review of the analytical test results site history and the applicable regulations this waste is classified as. (check one) Neither Dangerous Waste (DW) nor Extremely Hazardous Waste (EHW) Dangerous Waste (DW) and Waste Code Extremely Hazardous Waste (EHW) and Waste Code City of Port Angeles Landfill Waste Disposal Application Page 4 of 5 12. Special Notes for Asbestos Disposal 1 Certification All asbestos containing materials (with the exception of roofing material in good condition that is not peeling cracking or crumbling with petroleum based binder that still exhibits plasticity to prevent the release of asbestos fibers) must: be tightly wrapped or bagged in 6 mil plastic with no excess air in the packaging not exceed 50 pounds per bundle be labeled as asbestos with required information regarding its origin be transported with a manifest in the vehicle arrive at the transfer station only by appointment with Brian Tate of Waste Connections so that the material can be deposited in a lock box (his cell number is 360- 912 7080). We THE UNDERSIGNED certify that this application is true to the best of our knowledge All information provided is correct and the enclosed analytical results represent the proposed waste material to the best of our abilities og6 e.)/A/4' Waste Generator gete5G/6/1-, frig Printed Name l (21-- Company Date Date /1- 0I-P0 Approval Expiration Date N:IPWKS\ENGINEER\Waste Disposal Applicationslwaste disposal application- 2008 version.wpd City of Port Angeles Approval A City Engineer City of Port Angeles Landfill Waste Disposal Application Page 5 of 5 f f Figure C.3 Problem Waste JMsp.osal Acce tance- Process Generator contacts City of Port Angeles or CCEHD* requesting to dispose of problem wastes at the PALF* City sends an approval letter to the generator. Yes Upon receipt of the waste at the landfill, the gate attendant verifies that the quantity received is within 20% of the quantity reported in the WDA (within 106 for >7500 tons or 5000 cy Yes CCEHD or City -of Port Angeles forwards the generator a copy of the PALF WDA* (Attachment A to Waste Acceptance Policy) *CCEHD Clallam Counth Environmental Health Division .Generator completes and submits to City the WDA including 1 laboratory analytical results and quality control information. City of Port Engineer, or designated representative Signs WDA and forwards a copy to CCEHD for their review and authorization. No S City of Port Angeles, City .rte. Engineer or designated representative reviews WDA for completeness and accuracy .4 Yes PALE. Pott Angeles Landfill WDA_ Waste Disposal Application City notifies generator in writing of reason for disapproval and forwards copy to CCEHD. Generator may resubmit WDA after addressing City and or CCEHD concerns. Applicant or Agent Property Owner Property Owner's Addrkss Contractor /Engineer Contractor /Engrneer's Address License Project Type Brief De Check all that apply New Construction Addition Remodel Repair Re -roof Demolition Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler sysir m be in fled? T Ponr i. Tiding I. 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 tr2i/ OS' &1 I Phone G X3 .3 G.(J 777/J2/ /E 3P Q c ►v (AAA ci a 3 3 Z Phone PROJECT ADDRESS q(7/ 3 1-6 Parcel Number scriotion. Residential Commercial Multi family Industrial Hc 77CL [s( 4_ GcJ 0 7:2-)/56 /s Heat pump wood burning stove gas fireplace pellet stove other 7rJ Existing (sq. ft.) Proposed (sq. ft.) sq ft. Lot size 7 G G ft. Occupancy group Occupant load Cnnstructi n type Print i lame �nl n /r31dg mil App 2006 floc Expires Lot Zoning per sq ft. For City Use Only Date Received 9-2,0-- Permit Date Approved TOTAL VALUATION J sq ft. Lot coverage of bedrooms of full baths of half l the I have read and completed this application and kir ).tip it to be true and correct I am authorized to apply for this permit and under 1 nd th_,i ,t is my r eponsibility to r'etem�rnr 'hat pr mils are required, and k btain p mits prior to wr :king 1.•rojects ,1 c`tt r 0 c. irnet! re Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation ALM SAM 194 BREEZY LANE PORT ANGELES 36) 457 4656 Other struct info Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total WA 98362 COMMENTS/ACTION NEEDED. CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000288 797536 917 W 13TH ST 06 30 00 0 3 7175 0000 RES ADDITION RS7 RESDNTL SINGLE FAMILY 9000 Owner Contractor OWNER TOTAL LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER/ 1100SQFT ADDITIION Permit pin number 52506 Permit Fee 73 00 Plan Check Fee 00 Issue Date 6/23/05 Valuation 0 Expiration Date 12/20/05 Qty Unit Charge Per 1 00 73 0000 ECH EL R SQFT FIRST 1300 Special Notes and Comments When roof gutters are installed drains will located in dry wells or piped to approved storm drain locations 05/12/2005 04 33 PM SROBERDS The proposal will result in a new foundation only NO land use issues noted MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required STATE SURCHARGE 4 50 Charged Paid Credited Due 73 00 73 00 00 00 00 00 4 50 4 50 00 77 50 77 50 00 EXPIRED Sit Date 6/23/05 18 20 V N 1 00 720 00 7000 00 560 00 1280 00 1 00 Extension 73 00 00 00 00 00 sIpg CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH -IN COVER SERVICE FINAL INSPECTION TYPE GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE ACCEPTED YES I NO COMMENTS EXPIRED PW -I 102.15 (4961 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pln number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivlslon Name Property Use Property Zonlng . . . Application valuation 05-00000288 Date 797536 917 W 13TH ST 06-30-00-0-3-7175-0000- RES ADDITION 5/13/05 RS7 RESDNTL SINGLE FAMILY 9000 EXPIRED r~/?010~ Owner Contractor ALM, SAM 194 BREEZY LANE PORT ANGELES ( 36) 457-4656 Other struct info OWNER WA 98362 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 18.20 V-N 1. 00 720.00 7000.00 560.00 1280.00 1. 00 Permit . . . . . Additional desc . Permlt pln number permi t Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL FOUND REPAIR & 560SF ADDNT 49031 190.75 Plan Check Fee 5/13/05 Valuation 11/09/05 76.30 9000 ~ t' ~ ~ ~ - ~ \ '-" t .... ~ .-- vl ~ ~ ";i Qty Unit Charge Per Extension 92.75 98.00 BASE FEE 7.00 14.0000 THOU BL-2001-25K (14 PER K) Special Notes and Comments When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. 05/12/2005 04:33 PM SROBERDS --------------------------- The proposal wll1 result in a new foundation only. NO land use issues noted. MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permlts are required. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Pald Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 190.75 190.75 .00 .00 Plan Check Total 76.30 76.30 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 271.55 271.55 .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. ~;L . ..... s=- )) -o~ Signature of Contractor or AuthOrized Agent Date Signature of Owner (If owner IS builder) Date' T \PohCles\1102_15 bulldmg pemllt 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 UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS , . fl... ... YES NO ~ . . FOUNDATION '. FOOTINGS * .. .. .... " .. .1)- ) r7J-o~ JJ.J-. WALLS 5""- I~-O S ..JL.L 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 (,/1xJ / p~ 1"~ CEILING f FRAMING . JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I WALL / FLOOR / CEILING '1jpVOt7 (iLA/ MECHANICAL f HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKlRTING PLANNING DEPT SEP ARA TE PERMIT #' s SEPA PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T IPol1cleslll02_15 buIldmg permIt mspectlOn record05 wpd [1/4/2005] BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY DateRec if,-2b-05 penmt#.{9...') - (};-~>? Date Approved 51"'D~ Date Issued. Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Architect/Engineer: Contractor 4l-.-vt q/7 (,.j .)~ tfLr7\ / frL(\'\ ~rJ~ Phone: 4r7~l.j~~6 . A-~ Phone: 46./ - 06.5')... or l-;S7,L-C-tt. ~~ IJ 51 r City: fo{--t- f4-tvS---l.J>..;r- Zip: CfdSU f)riJ.A-fN .J.- OeJ" I-t./IJ Phone: '1S' Z-.3I,fa Ol.JN""'State License #: ~d<1 J(,.J- q 7~{ 1-1( -0)- Phone: ''-;:5 7-c-/6SO J-J ~ CIty: /t-" iJ fJvv~~7J Zip: Q6../O oS lJ, /) ~ .-/ Applicant or Agent: ~ Address: t:tf, Owner: Address: PROJECT ADDRESS: ZONING: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: ot ,.- 30 - (YO -() - 3 - 7/7)'-0000 Credit Card Holder Name: ~ (tL-1 Billing Address: 'LobS I\J.-W. .s w.4rv'l4.l\fl) &-- ' City: f'O.....t.s(J<;, , wt:>. _ <1'0.3. ?" Credit Card Type VISA V MC # Exp. Date: TYPE OF WORK: SIZENALUATION: C ~ ResidentIal 0 New Constr. 0 Re-roof 0 Stove ,')bd SF. @ $ 10(:0 /SF. = $ 90tYJ 0 o Multi-family'? AdditIon 0 Move 0 Garage SF. @ $ /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @$ /SF. = $ o Reparr 0 SIgn 0 Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: J y y 4(0, IUJO, fJ~ _ 2.../;1 Y /'-{ l'f ~~'lf1-- (~,4t.l-ow",ol AJ.ri!.1AJ t=6u."\..dp...--\."~\A l). ude.1I EJtI~ 'h iLL", .J../ct~S ~ ( -J COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No.ofStories:~ Lot Size: ~~ ExistingSq.Ft. 72Q j4...t'Proposed Sq. Ft._..5 6C)' =TOTALSq.Ft.M~9_ Total lot coverage i ~. '2- % I ESAlWetland(s): 0 Yes 0 No SEPA Checkhst requIred? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: - PLANNING USE ONLY: VALUATION OF CONSTRUCTION, In all ,""OS, a valualloo amouut must be entered by the appU,aut. TIlli figure will be reviewL and may be revised by the Budding Division to comply with current fee schedules. Contact the Penmt Coordinator at 417 -4815 for assistande. PLAN CHECK FEE: IF a plan check fee IS due it must be submltted at the time the buildmg permit application and constructIon plans dre submltted. All other permit fees are due at the time of permit Issuance. i EXPIRATION OF PLAN REVIEW: Ifno permit 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 wntten request by the apphcant (see Section Rl 05.3.2 of the International Building/ResidentIal Code, 2003). No apphcatIon can be extended more than once. I J hereby certify that J have read and examined this application and know the same to be true and correct. J am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that J must obtain such permits prior to work. I T:\RVESS\BLDG-forms-brochures\2004-BUlldmgpenmt wpd Applicant: A- - - Date: (.1 - 2...6 - oJ I I ~) Prescriptive Approach - Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 Address Lot j' 7 ~({ . u- (] P,J(+ /"r~Sc~ / State l..J p.- L Contact 5"~ C::ite Infor......"'ti? _.~ 1III ............ .,-1. , W' f) -1/1'rf"CM. F D6~.JtP -()lJ -0 j -7/).f- , Building Dep~rtment Use Only I -I I Permit #. r'>- Notes City Phone 4)"]-'-1650 3'1(( ZIP- 19stJ ~ / ,4t..v'l- LOI\JCfl-ie- ( - or '-/6/- 06s2.. O{ ,-, -,''!; ~ ','" Phone 2. 6YJ ::, - -= 1~: '.: ',-;:: Fax' . '''' '.. " q", - ,::. ". ~ < t ' ";/= > ~, ~ , ,;: *' , - _ ~h I': ~ _' I " '- }= ,1_ _.': ,j I: ,.' '--::~I'-~ "'~~" ;:-.., ~,;:,_,l~:,";o ,_.~..._:;t ~;:',- _=: -:-:.' ;:':;:=-' ~~>--'<l~~:::>' ->-, ,~_ n llTIlte azmg tlOn ny Glazmg Glazing U-Factor Door9 Wall Wall Wall Slab4 Optlon AreaJO U- Ceiling2 Vaulted Above Int4 Exi4 Floors On % of Floor V erti cal Overhead] ] factor Ceihng3 Grade Below Below Grade Grade Grade ill Unlllmted Group R-3 040 0.58 0.20 R-38 R-30 R-2l - - R-2l R-lO R-30 R-lO Occupancy Only Table 6-1 PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (U r d Gl O' 0 1 ) See the code text for footnote references This project complies with the following: ../ The project is a single family residence or duplex. ../ The project is wood frame OR all of the insulation IS interior or exterior of the framing ../ All bUilding components meet the requirements listed in Table 6-1, Option III. ../ The project will meet all other proVIsions of the WSEC and VIAQ The project will take advantage of the following exceptions to the prescriptive option: '{O 602.6 Exception 1 One door, that is 24 ft 2 or less, that does not meet the standards IS allowed Location of the door taking thiS exception .(2..~ N -r- d' ~ o 6026 Exception 2 Doors With a U-factor of 0040 allowed Without calculatIOns, Option III only Location of the door(s) taking thiS exception COPYright 2002, WSUCEEP02-056 Copied by permission from the Washington State University ExtensIOn Energy Program Prescriptive - Simple Form - Climate Zone 1 7/26/2004 i I I 1.1-. ~~. ., . t4-.J:.'1 '. l:XI&TINGH GARAGE: I' ~.'~;: ,.;11. " ~"jt;<l;~,. I.:' Ie SIZl' r" "! N!:W ADDITION ~ ll! Ie SIZl' in '" EB ;"=20',,0" SIT E PLAN ct 13TH &TRE:l:T :~: I I o NORTH IZl IIZl 21Z1 U1.n-J &cALl:, 1'.21Z1'-IZl' :~: I I RESCRIPTION CITY LOT AT 911 W.13TH PORT ANG!:Ll:&, WA QQUARE FOOT AGES LOT 1""~ l:XI5TING 1-4OU&l: Lf80 ADDITION s-w \;)I.'$~" Jo.....o..5~ "240 . I '~I .- ._..._u_~~~__ ...~_-\f~*".:-,;'_~~ +. rl --- I hili ~..IjJ Ij .. I z o ~ r - J Q Qoc1. '<{~r 3 1 wr z, I '<{ ~ I ~ I I C r PREPARED 7/01/05, 12.18:37 CITY OF PORT ANGELES 1 7/01/05 ALM, SAM 06-30-00-0-3-7175-0000- 05-00000288 RES ADDITION ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 917 W 13TH ST INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE SUBDIV PHONE PHONE ( 36) 457-4656 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING FOUNDATION FOOTING TIME 17 00 05/17/2005 09 09 AM JLIERLY SAM ALM 461-0652 FOOTING SET-UP FOR 2-STORY NOT I-STORY AS PLANNED, REVISIONS ARE ENROUTE TO CITY BUILDING DIVISION OFFICE 05/17/2005 03 49 PM JLIERLY ---------------------------- foot1ng 1S ok for a two story 20 ground rod 1n foot1ng J11 BUILDING FOUNDATION WALL 05/19/2005 12 21 PM JLIERLY SAM ALM 461-0652 OS/20/2005 12 07 PM JLIERLY ---------------------------- BUILDING AIR SEAL 06/30/2005 08 49 AM DYASUMUR SAM ALM 461-0652 07/01/2005 12 17 PM JLIERLY ---------------------------- BUILDING FRAMING 07/01/2005 12 15 PM JLIERLY ---------------------------- 07/01/2005 12 18 PM JLIERLY ---------------------------- B~:__::__~~~-____::~:~~~::::::::~:::P:OT::I~~~~-~~~~~~~~~~~~~~~~~~~~~~~~~~~~_____ BL1 5/17/05 5/17/05 JLL AP 01 BI2 5/19/05 5/19/05 JLL AP 01 BAIR 01 6/30/05 7/01/05 JLL AP BL3 6/30/05 7/01/05 JLL AP 01 PREPARED 6/30/05, 13 12 42 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR. JAMES L LIERLY PAGE DATE 7 6/30/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER' 917 W 13TH ST SUBDIV PHONE PHONE ( 36) 457-4656 ALM, SAM 06-30-00-0-3-7175-0000- 05-00000288 RES ADDITION PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 5/17/05 5/17/05 JLL AP BUILDING FOUNDATION FOOTING TIME' 17 00 05/17/2005 09.09 AM JLIERLY SAM ALM 461-0652 FOOTING SET-UP FOR 2-STORY NOT 1-STORY AS PLANNED, REVISIONS ARE ENROUTE TO CITY BUILDING DIVISION OFFICE 05/17/2005 03 49 PM JLIERLY ---------------------------- foot1ng 1S ok for a two story 20 ground rod 1n foot1ng )11 BUILDING FOUNDATION WALL 05/19/2005 12 21 PM JLIERLY SAM ALM 461-0652 OS/20/2005 12 07 PM JLIERLY ---------------------------- BAIR 01 ~30/05 JLL BUILDING AIR SEAL 1f 06/30/2005 08 49 AM DYASUMUR SAM ALM 461-0652 ------------------------- ----------- COMMENTS AND NOTES -------------------------------------- 01 5/19/05 5/19/05 JLL AP BI2 \. C~6 ~ \o\..,~"s~ \. ..-(, . ,\ .b'IQJJ j, yvC?V\ 1\ \ \ \)< PREPARED 5/19/05, 12,59 37 CITY OF PORT ANGELES 4 5/19/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 917 W 13TH ST INSPECTION TICKET INSPECTOR, JAMES L LIERLY PAGE DATE ALM, SAM 06-30-00-0-3-7175-0000- 05-00000288 RES ADDITION SUBDIV. PHONE PHONE, ( 36) 457-4656 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 5/17/05 JLL 5/17/05 AP 01 BI2 ~$p- 01 BUILDING FOUNDATION FOOTING TIME. 17 00 05/17/2005 09 09 AM JLIERLY SAM ALM 461-0652 FOOTING SET-UP FOR 2-STORY NOT 1-STORY AS PLANNED, REVISIONS ARE ENROUTE TO CITY BUILDING DIVISION OFFICE 05/17/2005 03 49 PM JLIERLY ---------------------------- foot1ng 1S ok for a two story 20 ground rod 1n foot1ng J11 BUILDING FOUNDATION WALL 05/19/2005 12 21 PM JLIERLY SAM ALM 461-0652 -------------------------------------- COMMENTS AND NOTES -------------------------------------- ALM, SAM 06-30-00-0-3-7175-0000- 05-00000288 RES ADDITION PREPARED 5/17/05, 13 39 51 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 917 W 13TH ST INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE SUBDIV PHONE PHONE ( 36) 457-4656 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 ~+ 01 BUILDING FOUNDATION FOOTING TIME 17 00 05/17/2005 09 09 AM JLIERLY SAM ALM 461-0652 FOOTING SET-UP FOR 2-STORY NOT I-STORY AS PLANNED, REVISIONS ARE ENROUTE TO CITY BUILDING DIVISION OFFICE 3 5/17/05 -------------------------------------- COMMENTS AND NOTES -------------------------------------- ~ 90RT ~ "~O~",:,,, "~~ 'L ~ ~ ~.,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation . 03 - 6'6-00 113 7 y"" 917 W 13TH ST~ 06-30-00-0-3-7175-0000- RES FOUNDATION REPAIR Date 11/25/03 ~ RS7 RESDNTL SINGLE FAMILY 700 ~~~~----~------ ALM, SAM 194 BREEZY LANE PORT ANGELES WA 98362 (360) 457-4656 Contractor ROCKHARD CONCRETE 194 BREEZY LANE PORT ANGELES (360) 457-4656 WA 98362 Permit BUILDING PERMIT -RESIDENTIAL Additional desc FOUNDATION ONLY Permit Fee 53.10 Plan Check Fee 21. 24 Issue Date 11/25/03 Valuation 700 Expiration Date 5/24/04 Qty Unit Charge Per Extension BASE FEE 47.00 2.00 3.0500 HND BL-501-2K (3.05 PER C) 6.10 ..SJ - ~ Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 53.10 53.10 .00 .00 Plan Check Total 21. 24 21. 24 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 78.84 78.84 .00 .00 cc - vJ +- ) Separate Permits are reqUired for electrical 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 authonty to Violate or cancel the provisions of any state or local law regulating construction or the performance of construction. i.A-- "- - c I }-21-0 - Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T \PLANNING\FORMS\1102 15 [11/1412003] BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT' # ROUGH-IN 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 MECHANICAL HEA T PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIvIsIOn) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARA TE PERMIT #'s SEPA PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 4 I 7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT. 417-4750 ~~O I re.el PLANNING DEPT BUILDING 417-4815 }'-'1-6 -as- t;{ \) BUILDING T \PLANNING\FORMS\l ]02 15 [11/14/2003] BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY Date Rec 11-1 Cj -03 PermIt # /13 '7 Date Approved Date Issued Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 ApplIcant or Agent: SAM Address: /Cffr/ 61'~e 7..1 Owner: S 14 vV) 11 L VV\ ALN\ LN., CIty. P G> .r Phone: 3 &0 .... 4 J 7 - L{ 65 r:. Phone: 360 - Lf6/ - ObS Z- f\--N5-cLe;- ZIP:" 8 3 6 2. ArchItect/Engmeer: Contractor /<oc..kJI-A-rf) CoI'IUef c::-- Address: rq 4 6,fee Z '( L~ PROJECT ADDRESS: 4/7 w. LEGAL DESCRIPTION: Lot: ( b Phone: State LIcense #:1(()<?K.HQ->i.972~: q~H~aS- CIty: f>o-r+- ,1.\Jv)-eu.-r 1.3 t!2 5+ _ Block: 3 / I ~ Phone: ~57.... ZIp: Qg36'? ZONING: SubdIVision: tfl,f}:;q. -J- P 14 CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: jL ReSIdential 0 New Constr. 0 Re-roof o Multi-family 0 AddItion 0 Move o Commercial 0 Remodel 0 DemolitIOn ~RepaIr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: SIZEN ALUATION: o Stove '-'1gb SF. @ $ /SF. = $ o Garage SF. @ $ /SF. = $ o Deck SF. @ $ /SF = $ .arother &''''''04r'; 91"... TOTAL VALUATION $ 7cO. f-soL- f'v e.. w c.c, 'v (-I e -I ~ ~JVil'" 1 ~ l) .V COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load. Construction Type No. of Stones' Lot SIze: EXIstmg Sq. Ft. & Proposed Sq Ft. Existmg lot coverage _ % & Proposed lot verage _% = Total lot coverage PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESNWetland(s): 0 Yes 0 No SEPA ChecklIst reqUIred? 0 Yes 0 No Other BUILDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DIVIsion can proVIde you WIth mformatIon on the applIcatIOn and plan subrmttal 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 Bmldmg DIVISIOn to comply WIth current fee schedules Contact the Perrmt Coordmator at 417 -4815 for aSSIstance. PLAN CHECK FEE: IF a plan check fee IS due it must be subrmtted at the time the buIlding permit applIcation and construction plans are subrmtted. All other perrmt fees are due at the time of perrmt Issuance. EXPIRATION OF PLAN REVIEW: lfno perrmt IS Issued wIthm 180 days of the date of applIcatIOn, the application will expire. The Buildmg Official can extend the time for actIOn by the applIcant up to 180 days upon wntten request by the applIcant (see SectIOn 107.4 of the Uniform Budding Code, current edItion). No applIcatIOn can be extended more than once. I hereby certify that I have read and examined thIS appltcatian and know the same to be true and correct. I am authonzed to apply for this permIt and undemand thet ff IS my responsiblldy to detennine what pennffs are reqX the City's, en.d thet I must obtain such pennds pnor to worl<. ( II .- I~ -0 ~ T \FORMS\APPS\BuIldmgpermlt wpd ApplIcant '- ~ Date: -I-.J Qf ~,~~ CITY OF PORT ANGELES PUBLIC WORKS -- BUrLDING DIV. 321 East 5th Street Port Angeles, WA 98362 REVISED FOUNDATION DETAILS 6'" I-STORY 8- 2-STORY I/Z" ANCHOR SOL TS @ 770 C I-STORY _ \2" FRc-,"l eACH ",",ILL E @48'O.C. Z.STOny LU/Z" ~u ~12.S" W f>..J3tf Eg~ PRESsuRE TREATED Sll.i. Pl.A IT I- ~z :;)w ~~ -0 z....- -m :E~ J...w . #4 RCBAR (SEE REBAA SCHEoUlL) FlNlSHED GRADE C1a., ... ... - HElGHT VERllCAL HD~NTAL. IN FEET RElNFORca.larr A:EI:NFDRCEM ENl , 2' #4 @ 48" D.C. (1)#4 TOP BAR 2' TO 4' #4 @ 24" D.C. #4 @ 24~ O.C ll'TO 6" #4@ Iii D.C. #4@ la" O.C ; 6'TOa' #4@16"DC. 1,t4@ 10- 0 C -" >0 ENG[NEERs ANALYSIS AND STAMPCD I ANDSlGtlED PlAN REQUIRED. RElNFOOca.lerr SCHEDULE QU.Wl.SPACe . .-". . 12" ONe STORY 15" TWo STORY nil . ~ .. REBAR-' PIECES WffiNUOUS : CONCRETE FOUNDATION WALL. AND FOOTING DETAIL' . 'NO ScAu: 1/2"_~C/jOR.B..oLTS (SP\ME. A'S P.80V~) PRESSURE TREATED SiLl PLATE #4 REBAR II~ RE8AR 2 PIECES CONTINUOUS .MONQ,L1THIC CONCRETE FOUNDATION DETAIL NO SCALE Job wired by o Electrical Contractor 'qIIOwncr Electrical contractor name 51-'1-") p..L.... License number (AL,--., Co NO-C re- Date Expires Purchaser's mailing address 111w. ;.2,-0.- s-+. City .porT' (I...J~Ler State" ZIP !.Jr<. ViS3t..) Te1e:Etone number FAX number ,%)-1..(57-<-(6>6 c' L./t,-()6sz.. premis:SA~'SA~ Address of inspection -p- 417 W.. l:s City ~r;- jl\N e.l<.~" Phone numher to schedule i'Vpeclion: ffi.-?€..- '-is'I- '-115" 0 Owner as defined hy RCW./9.28.261:(!) Owner wif/ occupy fhe structure for two years after this electrical permit is finalized. (2) Owner is required /0 hjre 011 electrical contractnr if above said property is for sale. rent 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. C-t'c <.. I..{II - 0,=>52.. Signature of owner, electrical contractor or electrical administrator X A.-- l Date:6--2.-'2-0S- Electrical Load Additions and or subtractions D NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR D Fan.Wall KW ELECTRICAL WORK PERMIT APPLICATION Installation description o Commercial 0 Residential o New ~ltered/Addition . , / / IJ7) "r ~;TJM) , ') /,1 Cash 0 Check # o Credit Card Card # Visa Mastercard Discover Expiration Date of card Service Information Voltage PhaseD 1 D 3 Service Size: Feeder Size: o Overhead Service o Temp Service o Underground Service THERMOSTAT SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 SERVICE D. ROUGH-IN Ar..o Approved By Date FINAL DITCH Date Approved By Dale Inspection Date Area, Building or Equipment Inspected AI H -/IV /1 Ii Approved By Dale Approved By FEEDER Approved By Dale Approved By Action Taken ElectJical Inspecf~r . IEllEC'"":f1RIICAIL ~1NJ~IP!EClrU)1NI ~O'IA!NG IRlIEiP>OIRnr 417-4735 0.-<1 hL.-L PERMIT' t-J 3 -/:!- APPROVED ~ NOT APPROVED o ................... DITCH . ...... .......... 0 0,,, ...... ... ... ROUGH INICO ....... ......)81' o :................. SERVICE .................. 0 o ....................FIN ....................0 CORRECTIONS NEEDED: ~ !e:s , TIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - .-? OLYMPIC PRINTE!lS,JNC. (360) ~.1381 '. ' ,/ . '-"