HomeMy WebLinkAbout611 Del Guzzi Dr - Buildingcn 0,419.1?Pr
ea4114 iSin
AddreaS
PARCEL ‘NUMHER
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t'yp deScription
kin- _Name
oert
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EAGLANIC
Awft
SMTP,Fr4
ANGELE WA
GEITtg!
Aff$U
&fia,iriiiiio'n:L.-,s
S.pe
,TpAlaTte RAM ber,s;,. s)*11 be plainly y4 the street
4 4 41d-r'e bli 1 l. be a minirrgrirt SiAtiitithes high and be
P.A"ing color frdm, the background
'1 homes)
in -.poi s ubdivisions that .'areXibuts)]. e of the Fire
Thr
4"r"''''AV-
Department 'minute response area' with
5w:Ireskielenta'al,-f<ire Sprinkler systems tnatlepyngly with the
y
rinapipragl...Fire Code and NatOh:al Fire Protection
,?4"'",■'4W.',:,
,;'ASsoemat OT.L PA)
prOpeSai will result j,e: 4,
ne
,a; 41 PM SROBERDS T
in- the, RS.: 9 zone for tOtS31.11et covetage of
Die o p land use issues anticip
saewdlfko,ai.e required along 4P:OtAgOpf Del Guzzi
ps$
tle 'load caleulatiOns, and eactri permits are
_Ariti4.1baity
sewer cOnnection inapeetion, as retfilattl by
StiVti,c_Plof pri6r back fill of ditch :iA, hour advance
if 4:x174Ao
40,4,qp j4 required
'ftonSaApt,, driveway and Sidewalks to ,c-4::vS4andards
VANIetTrete With exposed aggregate altlkiket •tin'...4p City
6.S.Ialglit ,df' Way" An inspection by :P1.051,i,e-- Works
ldinee:t is required prior to protirnillebrierete
1-.'" _454K 4'
the SEWER IS4STEWEELV "'CHARGE '870, 0.0
S TAT E 50
1: .S.14Z
Itz.:0 toil
1,, pw. W SYS7M.DSE FTR,
,V
Ike
Charged Paid
A
T et hall arid: void if work, ailtiOrike d ,is not cerntilqn9d..di -within 180 days wci e
4 im''r*r-,., PI t 'h
"41J,,V.PF-9
180 days afer the 'Workt• asl,cminienced, ortrecplfect :hIspections•: ay.letipp% .e. en
f8ird'%AfrolIA-Th.p. 14#111 hereby ee4ifigltiatif '.10e read,and eIddta4lbt$ ,appfitatiori 3 O041enck
--_:PAV.Vir.::1=''
trti,:attdmo,rlCCt: All provisions of recognized and codji.tanco„governIngt4ist
i e.., „,,,,A-
not Th grartirtgisiltA,sperrn it, -pc§3,Vresktie, to give antrikyr.
i
.fO0worap any tat or- local law rego a .ifie.a.in the. pe
4W.
.degc;
nAnumber-
Acq.
Contractor
l'O.1.411"WTOT13ES.TGN HOMES LLC
'13A LN
,'i
(3'6.0 -457i
TOTAL L6T
NLTMHER OF STeRIES:f
LOT St2E,
PROPOSEP -LOT.q."cAERAGE
TOTAL •-0.*
kt1i30. 7 0110g'
FIRE SPRINKLER RESIP
SPRINKLER SYSTEM' 4
86365
00 1:7"rr.Check Fee
31:0/07 `f
9)01/0
WA 98362
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 Eal•5t ,§treet, Poet Arigoos, WA 932
06 06:60 i
06 Jot u 0000
miict •ribAotAisib
RES ,NEW SFR:
UNKNOWN
2 -8 000
Date, 3/05/07
WA 98362
24 00
1 60
115-5-3-
273 '60
278.3 045,
S1'gliYait4tif-dflgoirtraCtor oi mthorla Agp.' e
,tte. ,ents
ver
46.
0--
q4J,
•?f
Call 3604114655 for fire inspections. Please provide a minimum 24-hour notice It is unlawful to cover, insulate
or con'e,eafany work before inspected and accepted. Post permit in a conspicuous location.
t-
:Inspection Type
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
;1.f.A.WIT2,4
UndeliggiliX14pping hydrostatically tested
Uridergeound
InteriOr4f1ri.gliydrostatically tested
Intel inspection
DryO'Steraf-aft tested at 40 psi (24 hours)
Spririklet.Rnal
RodglAmiftspection
1.,P4
UndeigkOitrid inspection/pressure test
Above grOpricit piping inspection/pressure test
Tank (container) inspection
ApplianceAnspection
GENERAL COMMENTS
LT,
FIRE PERMIT INSPECTION RECORD
Date Passed
LP gas:final
I UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Re1:129,1 liquids
Tarili abandoned
0,455 ent final
uwa.r21,tot
1:4:1ER (specify)
perint
Test 141
Piping,pressure1est
Time. initiated
Test #2'
Piping pressure test
Time initiated.
Comments
Completed by Coittract6r-
2/154.99i7,
x■11•1111/
h.VS JIJ
:.407tIoriied
10,0
trnd
WO:" Whet
"Aht prq,vAgY6
90'
00
2974 50
2074 59
'CITY QJ :PORT ANG
FIRE popmamENT pE1v187
tAngs, WA 9$62
;1:
t
05 90901151
00
50
U74 50
4'
,D,4.tze, 3 /9
d
00
00
00
0 0
5,*rtir. .1F e-
qiiSfdtis p4ch am gpmetn.
beemiesthceli anci void if vgiqatith'06zecl' is not,..Coiii,rialrieedy,Vithih
4
dav 4)-
afer tite utivett'..iyifspe4tioiglatg, la®
w 'ed
afave reaa4 'martian A: itHattoil am
"iittienotion. herehpeeft
RO,t 41,44, tiak- ;4 Wit @ill
0444e6in-='Or 1101.. The, apoittl
ig thAs.r.permitd o ta 1
oes
o
sgtiaRy$:taie 0.13 local lam! reg keg 4,--061;k7 Speelfleci .t a
4.
z
44-
4 45
ir 9
4.4jr-1, i x t 't
-4 .51:' 455 I, 1 4-
ex.-- V 4
R 1
peolltigt,of o r .Authpt,i2'eci Agent Qa
'z'-•154 s 'Z'4" ''x ,„=:14
14;
4,
45-
45-
Ca111.‘4,655 for fire inspections. Please provide a minimum 24-hour notice is unlawful to coVel insulate
or Cdficaa Wi/vorlic before Inspected :and accepted. Post permit in a conspicuous location.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
Inspection Ty0e, Date Passed
Cdittments
D 0
FT 1 R
UntiagitiSi'pitig'hydrostatically tested
I.Jiile
hydrostatica tested
Inteiletik inspection
thysixo, email" tested at 40 psi (24 'hours)
7
Sprlatatfilial
417,1
t :tMt-
AlartntEmalf
LP
+3;
UndeNtrigi!,Tiping inspection/pressure test
A116.46 inspectiOniptessure
Tankilontamenpnspectibil
AppAaneAmspection
LP
UNUND STOBAGE (UST) ABANDONMENT
Reffiti4W ratritnableioombastible liquids
Ta41Wproptik(61, abandoned I
I i'. final
Pili
AER (specify)
pert:M*11A,
FIRE PERMIT INSPECTION RECORD
Test #1
Piping pressure test,
Time initiated'
Test #2',
Pipmepressure test
Time initiated
Completed by Contractor
A
GENMMENTS
PORT ANGELES FIRE DEPARTMENT
102 East Fifth Street, Port Angeles, Washington 98362
(360) 417 -4650 FAX (360) 417 -4659
Fire Sprmkler System Plan Review
Project Name Private Residence Address 611 Del Guzzi Drive
Installer• Innovated Fire Sprinkler Installer Telephone. 452 -7583
Type. of System. Open
Additional Comments.
Contractor
Building Department
Fire Department
13
Date 3.2.2007 PAFD Permit 07 -10
We have checked this plan and find that it conforms to the requirements of the code.
All systems, including underground mains, shall be installed by a state licensed and certified
company Systems shall be installed per the applicable NFPA Standard.
All electrical components shall be compatible with the fire alarm system.
All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire
Department PRIOR to being covered. A witnessed flush of the underground piping is required.
A design sprinkler flow test and alarm test are required for all 13D systems.
Before final acceptance of the system, an inspection will be conducted to ensure that the
installation complies with the applicable NFPA Standard. This 13D system will require a
measured flow test.
Reviewed by
Date 3 z 07
13 R 13 D
rill out C'OMPLETELS and in INK. X our application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417 -4711
Applicant or Arent. 1!x C.-Q.v-N.
Owner_ 'L W e_.0 T
13! L
Address:
Architect/Engineer.
COMMERCIAL/RESIDENTIAL. Occupancy Group.
No. of Stones: Lot Size: Existing Sq. Ft.
Total lot coverage
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
SZ.Ji Phone: 45 2 7S
G vvvi S L CPhone.
City Q o $r 41-,. .Q, LQ,�
Phone:
Contractor _i/i1/460 47 aa FJ) i State License 4 //V/VCVeci O WO& p J
Address: 8 /11-@.ta) Pate L City PO v 7 1-- 41- (12.,,1
PROJECT ADDRESS 1 �1. 1 Ci L„.s.5 i 0 V' if
Block. LEGAL DESCRIPTION Lot. ck. Subdivision.
M
CLALLA COUNTY PARCEL NUMBER.
FM OFFICIAL USE ONLI
Date Rec. t Qr�
Permit t• Q( -t 16 L
Date Approved:
Date Issued:
Zip c ZuJ�2
2t J, Phone: S"2 -7S
Zip 2 (o
ZONLNG
TYPE OF WORK. STZE/VALUATION
X Residential New Constr Re -roof Stove SF /SF
Multi- family Addition Move❑ Garage SF /SF
Commercial Remodel Demolition Deck SF /SF
Repair Sign Other OTAL VALUATION 2 7 ...7eii a
BRIEF DESCRIPTION OF THE PROJECT /4,A -J If f d'.e 5g7v-i /c/ ,ee- L., sy 4-c
Occupant Load. Construction Type:
Proposed Sq Ft TOTAL Sq Ft
APPROVALS.
PLAN
BLDG
DPWU
FIRE.
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 applicant up to 180 days upon wntten 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 responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to wo -k.
T•\FORMS\BIdgPcrrnitform.wpd Applicant: A/VY Date: a /I& Q
cJ~ORT "'-'\Ie
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
06-00001161 Date 11/02/06
591645
611 DEL GUZZI DR
06-30-12-6-8-0130-0000-
MIKE HOAGLAND
RES NEW SFR
UNKNOWN
280000
Owner
Contractor
MIKE HEAGLAND
131 PRISTINE LANE
PORT ANGELES, WA
PORT ANGELES
(360) 457
Other struct info
NORTHWESTDESIGN
131 PRISTINE LN
PORT ANGELES'
(360) 457-5052
WA 98362
HOMES LLC
WA 98362
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
24.00
1. 00
11553.00
2783.00
2783.00
1. 00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
89417
2028.25
11/02/06
5/01/07
Plan Check Fee
Valuation
811.30
280000
Qty Unit Charge Per
Extension
1020.25
1008.00
BASE FEE
180.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 89797
Permit Fee 104.35 Plan Check Fee
Issue Date 11/02/06 Valuation
Expiration Date 5/01/07
Qty Unit Charge Per
BASE FEE
1. 00 14.7000 ECH ME- INSTALL 100- FAU
4.00 7.2500 ECH ME-VENT FAN
1. 00 10.6500 ECH ME-VENT SYSTEM OTHER
.00
o
Extension
50.00
14.70
29.00
10.65
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
89805
156.00
11/02/06
5/01/07
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
Extension
50.00
77.00
BASE FEE
11.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes \J~
null and void if work or construction authorized is not commenced within 180 days, if construction orwork 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 reg latlng c nstruction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
T:\Policies\1102_15 building penni! inspection record05.wpd [1/4/2005]
L__
"
B~DING PERMIT INSPECTION RECORD
'"
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSI'ECT/ON TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS I WALLS
FOUNDATION DRAINAGE I DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMIlING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO SLDG)
SHOWER I'AN FINAL DATE ACCEPTED BY:
MEDICAL GAS LINE
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIR.DERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (rNTERIOR BRACED PANEL ONLY)
T-BAR'- ,
'(r.'
[NSULAi10~ ., .,
. ..
SLAB .
W ALL I FLOOR / CEILING. I
MECHANICAL
HEAT PUMP I FURNACE / DUCTS
GAS LINE
WOOD STOVE / PELLET I CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT. .
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102_I5 building pennit inspection record05.wpd [1/4120051
.P. .ORT ~
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CITY OF PORT i>J~GELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
06-00001161
591645
Page 2
Date 11/02/06
Qty
1. 00
1. 00
1. 00
Unit Charge
7.0000
15.0000
7.0000
Per
ECH
ECH
ECH
PL- EA. INSTALL WATER PIPE
PL- EA. BLDG SEWER
PL- EA. WATER HEATER
Extension
7.00
15.00
7.00
.
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
10/25/2006 12:41 PM SROBERDS ---The proposal will result
in a new sfr in the RS-9 zone for total lot coverage of
24%. Sidewalks are required along frontage of Del Guzzi
Drive. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4.50
1200.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 2288.60 2288.60 .00 .00
Plan Check Total 811.30 811.30 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 5174.40 5174.40 .00 .00
0'
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 orwork is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PoliciesI1 102_15 building pennil inspection record05.wpd [1/4/2005]
BUll.,DING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS IIlL /.^ /"t:. \ l.L-
:01 S/WALLS 1,1'1 7i. ~//1" P6
FOUNDA TION DRAINAGE /lj6WI J :IF el~S I j . /~I /"" ~ ,_I )...1- ~/B' ..~ Sn,. +"" I__u_n'/
PIERS ( (
POST HOLES (POLE BLOGS.)
PLUMBING br~ W<2 tI IO"Z,Cj ~D7
UNDER FLOOR / SLAB
ROUGH-IN 4/11/", J"L.L
WATER LINE (METER TO BLOG) '3 i 1\;;', (II -:') Ll-
SHOWER PAN I ill!&H--so-67 DATE :rLL
ACCEPTED BY:
MEDICAL GAS LINE
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALUHOLO DOWl'lS <<1./lI/n, ~L-L
WALLS / ROOF / CEILING I
DRYW ALL (fNTERIOR BRACED PANEL ONL Y) 17111 107 ')LL..--
f
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING ~"II{y( -:rI.L
MECHANICAL
HEAT PUMP / FURNACE / DUCTS
GAS LINE 4/1I/01 -0 -'
WOOD STOVE / PELLET / CHIMNEY FINAdl-3~ ..07 DATE TLL ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED nOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING OEPT. SEPARATE PERMIT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./ PW/ CONSTRUCTION. R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT. .
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417.4815 1\ -1,0 -(){ "'1" u- BUILDING
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T:IPolicieslI102_15 building penmt inspection record05.wpd [1/4/2005]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 51HSTREET, PORT ANGELES, WA 98362
06-00001161 Date 11/02/06
591645
611 DEL GUZZI DR
06-30-12-6-8~0130-0000-
MIKE HOAGLAND
RES NEW SFR.
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
MIKE HEAGLAND
131 PRISTINE LANE
PORT ANGELES, WA
PORT ANGELES
(360) 457
Other struct info
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
UNKNOWN
280000
Contractor
WA 98362
NORTHWESTDESIGN.HOMES LLC
131 PRISTINE LN
PORT ANGELES WA 98362
(360) 457-5052
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
24.00
1. 00
11553.00
2783.00
2783.00
1. 00
PUBLIC WORKS RES WATER SERV
89839
750.00
11/02/06
5/01/07
Plan Check Fee
Valuation
.00
280000
Qty Unit Charge Per
1.00 750.0000 EA PW W/M 1" SERV 3/4" METER
Extension
.750.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
89821
50.00
11/02/06
5/01/07
Plan Check Fee
Valuation
.00
280000
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Extension
50.00
STREET ALLEY RESTORATION
89847
670.00
11/02/06
5/01/07
Plan Check Fee
Valuation
.90
280000
Qty
1. 00
1.00
Unit Charge Per
270.0000 ECH STREET ALLEY RESTORATION
400.0000 ECH STREET CUT OTHER
Extension
270.00
400.00
Permit . . . . .
Additional desc .
Permit pin number
SANITARY SEWER HOOK UP
89813
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 constructio.n or the performance of
construction. .
Date
Signature of Contractor or Authorized Agent
T:\Policies\1102.ISR [II0SJ
Date
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY 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 I ACCEPTED COMMENTS
I YES I NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL I
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH I
BACK-FLOW DEVICE I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W./ PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1105]
~
VII
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Permit Fee
Issue Date
Expiration Date
Page
06-00001161 Date
591645
110.00 Plan Check Fee
11/02/06 Valuation
5/01/07
2
11/02/06
.00
280000
Qty Unit Charge 'per
1.00 110.0000 EA SAN SEWER HOOKUP
Extension
110.00
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background. .
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
10/25/2006 12:41 PM SROBERDS ---The proposal will result
in a new sfr in the RS-9 zone for total lot coverage of
24%. Sidewalks are required along frontage of Del Guzzi
Drive. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance'
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4.50
1200.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1580.00 1580.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total . 3654.50 3654.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work Is suspended or abandoned
for a period of 180 days after the work as commenced, or if required Inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)' .
Date
T:\Policies\1102.15R [1105]
PERMIT INSPECTION RECORD
....
CALL 417-4807 FOR UTILITY 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
PW UTILITIES {Engineering Division}
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE I I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W./ PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1105]
'~
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
l21 EAST 5TH STREET. PORT ANGELES. WA 911162
~
..
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00001161 Date
591645
611 DEL GUZZI DR
06-30-12-6-8-0130-0000-
MIKE HOAGLAND
RES NEW SFR
5/14/07
UNKNOWN
280000
Owner
Contractor
MIKE HEAGLAND
131 PRISTINE LANE
PORT ANGELES, WA
PORT ANGELES
(360) 457
Other struct info
NORTHWESTDESIGN
131 PRISTINE LN
PORT ANGELES
WA 98362 (360) 457-5052
HOMES LLC
WA 98362
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
24.00
1. 00
11553.00
2783.00
2783.00
1. 00
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
OLY. EL./ 2725 SQ FT SFR
99457
OLYMPIC ELECTRIC
135.00
5/14/07
11/10/07
cs-.
Plan Check Fee
Valuation
.00
o
Qty
1. 00
3.00
Unit Charge Per
69.0000 ECH
22.0000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
69.00
66.00
v
.~
~
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
10/25/2006 12:41 PM SROBERDS ---The proposal will result
in a new sfr in the RS-9 zone for total lot coverage of
24%. Sidewalks.are required along frontage of Del Guzzi
Drive. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
GJ
c
~
- ~
o.
:""\
COMMENTS/ACTION NEEDED
~
ELECI'RICAL PERMIT INSPECI'IONRECORD
~ALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
I INSPECTION TYPE DATE ACCEPTED COMMENTS
. I YES I NO
lJITCH
lUll TGH-IN / CUYbK
~HlnJT('H
FIN AT , ").J let lo~ ~
GENERAL COMMENTS:
PW.II02.1' (~ .
'~
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 98362
~
'"
Application Number . . . . . 06-00001161
Application pin number 591645
Page 2
Date 5/14/07
Other Fees
RES UNDERGRND SERVICE FEE
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
713.00
870.00
4.50
1200.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 135.00 135.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2787.50 2787.50 .00 ".00
Grand Total 2922.50 2922.50 .00 .00
COMMENTS! ACTION NEEDED
I
../
ELECfRICAL PERMIT I NSPECf ION RECORD
'CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE 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 ACCItPTED COMMENTS
YES NO
.
I JI I:H
~I IIIITI-I_IN I COVER
~hK V lCh
F.IN AT I ~-z.11'1/6"" 1"'fIK I
GENERAL COMMENTS:
PW.lI02.U (4'96]
't;J
V!6
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:\21 EAST 5TH STREET. PORT ANGELES. WA 98362
".
Application Number
Application pin number -
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
subdivision Name
Property Use
Property Zoning . . .
Application valuation
4/26/07
06-00001161 Date
591645
611 DEL GUZZI DR
06-30-12-6-8-0130-0000-
MIKE HOAGLAND
RES NEW SFR
UNKNOWN
280000
Owner
Contractor
MIKE HEAGLAND
131 PRISTINE LANE
PORT ANGELES, WA
PORT ANGELES
(360) 457
Other struct info
NORTHWESTDESIGN
131 PRISTINE LN
PORT ANGELES
WA 98362 (360) 457-5052
WA 98362
HOMES LLC
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
24.00
1. 00
11553.00
2783.00
2783.00
1. 00
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
LV STAT- PEN HEAT
98939
PENINSULA HEAT
35.00
4/06/07
10/17/07
plan Check Fee
Valuation
.00
o
Qty
1. 00
Unit Charge Per
35.0000 EC EL-LOW VOLTAGE
Extension
35.00
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International ~ire Code (IFC) and National Fire Protection
Association (NFPA).
10/25/2006 12:41 PM SROBERDS ---The proposal will result
in a new sfr in the RS-9 zone for total lot coverage of
24%. Sidewalks are required along frontage of Del Guzzi
Drive. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
RES UNDERGRND SERVICE FEE
713.00
COMMENTS/ACTION NEEDED
~'-
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~
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I
ELECfRICAL PERMIT INSPECfION.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 ACCEPTltD COMMENTS
YES NO
III .I'H
1l11l1(y~_IN I COV~K
:ShK V lCh
F.IN AT I r.z.. T I" IH1 I
GENERAL COMMENTS:
PW-II02.15(4.'96J
'~
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
..21 EAST 5TH STREET. PORT ANGELES. WA 91l~62
."
Application Number . . . . . 06-00001161
Application pin number 591645
Page 2
Date 4/26/07
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4.50
1200.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35.00 35.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2787.50 2787.50 .00 .00
Grand Total 2822.50 2822.50 .00 .00
COMMENTS/ ACTION NEEDED
I
ELECTRICAL PERMIT INSPECTION .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 I ACCEPTED COMMENTS
YES I NO
I1IT( 'H
iH 1IIl...I-I_IN I CUYhK
~hK V ICh
VTlI.T AT 117../ "i/iJ J I~ I
..
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GENERAL COMMENTS:
PW-II02." (4196)
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PERMITS (360) 417-4815 FA.X(360)417-4711
Applicant or Agent: rn \ \Q ~ ~ rc\ Phone: Lf c:; I ~ 50 S-z.
Owner: LfY\ 1 KR- \~ \o...r0) ... ~---- Phone: Y.S I - $O'S ~
Address: \~l ~lIS-\lf\JL. \QI'U- City: .p(')f+ A~..e...lL..<; Zip: g~2:>~L-
Architect/Engineer: ~A K A SSo <. Phone: Lj 5 1- 3D t t-]
Contractor No~we.s ~V) hO~License #: Exp: Phone: LiS 1- 565'-
Address: l ~ \ .p r l'~ +, f\J- tc... Y\L. City: ~ r+ A fl~VL S Q'"8 3b L
PROJECT ADDRESS: &/1 D~L tA\,At:Z-/ {:M-.
LEGAL DESCRIPTION: Lot: \ "S
Zip:
ZONING:
Block: Subdivision: LUd w cJ<., 11
Db ~ 0 135'" zoLt 00 ~r"\Yll-=:' (,fefL,K
CLALLAM COUNTY PARCEL NUMBER:
S\J '0 d \ \J .
TYPE OF WORK:
D Residential )( New Constr. D Re-roof D Stove
D Multi-family D Addition D MoveD Garage
D Commercial D Remodel D Demolition D Deck
D Repair D Sign D Other
BRIEF DESCRIPTION OF THE PROJECT:
SIZEN ALUATION:
SF. @$ /SF. = $
SF. @ $ /SF. = $
SF.@$ /SF.=$
TOTAL VALUATION $
Z '80 )000
Ne..vJ ~ rrvz...
Cro ~fvc-+'o Y'..
-
COMMERCIAL/RESIDENTIAL: Occupancy Group:
~~
No. of Stories: l Lot Size: \ \,55 3 ~+ Existing Sq. Ft.
Total lot coverage~ % .
~
,
Occupant Load: Construction Type:
& Proposed Sq. Ft. 'Z7?J ~ = TOTAL Sq. Pt. 'Z1t:f7
PLANNING USE ONLY:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In aU 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
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 responsibility to determine what permits are required ,not the City's, and that I
must obtain such penn;ts prior to worl<. '1 LI P /} .
HFORMSIB~gPomi~~.wpd Applioant: ~ ~ ' Date, / D. -liS ^ G6.
'(;
Vi!
CITY OF PORT ANGELES
PUBLIC WORKS" .., ELECTRICAL DIVISION
UI EAST-'STHSIREET'.:PORT ANGELES. WA 98362
@
-/)7
Appllcation Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER'
Appllcation type description
Subdlvision Name
Property Use
Property Zoning . . .
Application valuation
06-00001207
006594
611 DEL GUZZI DR
06-30-12-6-8-0130-0000-
ELECTRICAL ONLY
Date
11/27/06
UNKNOWN
_~ ~~'. R O'-^,~~ ~ ~ ~:;;:,~f~,;; ,~~ ~
,<:, " ~
Owner
Contractor
HOAGLAND, MIKE
131 PRISTINE LANE
PORT ANGELES, WA
PORT ANGELES
(360) 457
OWNER
WA 98362
Permit
Additional desc
Permlt pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL TEMPORARY SERVICE
OLYMPIC EL/ 100A TEMP SVC.
90274 " . " .
OLYMPIC ELECTRIC
48.10 Plan Check Fee
11/27/06 Valuation
5/26/07
.00
o
~
---
-
Qty Unit Charge Per
1.00 48 1000 ECH EL-TEMP SRV - 0-100 SRV FDR
Extension
48.10
\:)
~
,
6"-
F-
J"I
N
Fee summary Charged Paid Credited Due
Permit Fee Total
Plan Check Total
Grand Total
48.10
.00
48.10
48.10 ~.;~ 0,0.," .00
., II ['8!,. OOz:n":'t511t"' '; 00': ,y:,. .00
~ r; '(148 '7 fO~" . 00-- .--_. : 00 _.
\';LY
D
~
"r - f]Q,? r:;:'
~~.._"~~
I..- ~ ,..", ~ ~f'~ ~ '
----1r.......... '. ' ~': ,"'.. ~ij"'~ ......
Pc: ..."It
- , . '1 --I", --'f ;:.Jf+?-i..
{ .
I . ll:!' IG~ -- ,
.1 , - 4-<1-"," .
J'i "'''':
. .
. '
COMMENTSI ACTION NEEDED
",.~J ~~,'
'! "'" ,""
1 r-f J 't'\:,: '#; ~ -v >;, ... .-
,li~. . ' " ' ~
"
.,::" 4..
ELECTRICAL PERMIT INSPECfION 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
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
UITCH
RnTTnl-l_IN I \;UV~K
SERVICE
FIN AT I 11,.'1. dt, I
GENERAL COMMENTS:
PW.II02." (4196)
~.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date L-&:' -01
Time
fA,,^,
Received by De."'.... ,.; E.. (phone, person)
Location of Work to be inspected b II 'De I 6" '- L;i) , .
Name of person requesting inspection De~ '^:"> r:- .
Address of person requesting inspection G~yP Yo..rJ. 17'1-& Phone No. +'7-~94.9
Type of Inspection (circle appropriate one): Permit I)llr.- ~
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Othe~ LD"'-.+-e......- "
INSPECTION NOTES:
Inspected: Date Z - 10 - 0 "1
Remarks: {;.otJd g" D.L.. ,
I' .
rue CoV\.6u;-r 'To +l~
i-~ ro",J o V\. 1 'I .
1
Time
e)(+~y,.Jut "
f~-t e...r ><..+--
By
t:>-E.-ruG,~ -HLV''''5k CL Z"
a..+- f)'-ol>e...rT~/. LO....Ju''l (S 110\..
, r (
RESTORATION REQUIRED . . . . .. YES X NO
NJ
~
, \::I'l]
~
I." 2.
CO<<d'
ViI'
SURFACE RESTORATION: Z')( 3S~
SURFACE TYPE: 0 Unimproved OGravel ~Asphalt OPCC OOther
o Repaired by City Work Order # 3Cl34.~-Z.9'"
o Repaired by Permittee ~ COMPLETE '?-. \ /' &vJ t/)A/ 3/~ 7
o No Damage Found 0 INCOMPLETE ( , / \ ')
/ (' / ! J '\ ') 0'~ \,~ VO\ :~. \
//0 J7veef :3/1 j07-rF y 7\ ~
(Continue on reverse side if necessary) STREET SUPERINTENDENT IDA TEl
04/10/2007 08:25 3504523498
......
1 UOLT /2'3'1 .
OLYMPIC ELECTRIC
PAGE 01, "
,.
ELECI'RlCAL WORK PERMIT APPLICATION
JDb wtretl by a Electrical Coalnctar 0 O"aor
E~IC(1ri Ic:onl:nlc10r n.mCl~ 1.1c.ensc number paltl ~lrel
~0l:~~: ~t.J//J;?/3~./'~t?/
Pure . aillnl .d_
. /;It
Ci~ St&te ZiP
/t?rr/fq,rrh-r t,/,~ <7"f/h''f
Telephone nu.mbcr FAX number
~
In"allatioD dCS1:ription
o Commen:W ""sldeatlal
o Now
a AlleredlAddltloo
2~2..Z; J:r -/-/ 4k~/
At&- f~
'.'
"remlles owner'l ume / /
)1,//". (k~r/J~
Add.... 01 1..ptOI~ n
(ft?// ,0// ~/./?.z/ /./.c
-
CI17 ,..., J: ~ /
. /?Y-7 ,///./ .
PbODe D~rDbcr to ,e: cdult la.pectJolIl r 7. - at::J----.P
Owlle, as df/Jrstd by RCw'/P.28.16J;(I) QwflU wlU oceupy ,IT, lIt'\lel"~ /IJ,. IWO
ymn qlUr lJaU _'ecJrlQO/ pcnn/I u flMllld. (2) Owt," Is MllllmI ,,, 1IJn G,IJ efcc;trical
COUGCIO' U .,""'" _jll pffJIWfJ II 101 .l/de, fenJ or I<<ue.
A&r rcadlfta tht above ltalemmt., J hereby ceniry thl\ I am the OWTler gr the above
umed property or a li<<naed elDClmcal coftU'actof. 11m making the electrical inatal-
lllioa or 111erllion i1t oomplianee with the el~trical la....'. N.R.C.. RCW. Cbtptor
19.28. WAC. Chap'e, 296-40. Th. City or Port MI.le. Munlcip.1 Code. and
U~UtY S~cin..Ii..s.
SI&DItDre. o[ ownr, eleetrlClI c.ootrael:or or electrical .dlldnlslrlllDr
. ;I"'/.../\. Date:
[] Cash [] O1cck#
~redit Card YIS8 Mastercard Discover
Card# ____.____'____'____
Bxpi1)ltion Date
of card
o NO ~OAO CHANGES
C Bueboonl _ICW
a Fumace _ICW
o Heal Pump _ Ton _ LAR
o Fan,WaII _ICW
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT
a o.ernead SeMoe
a Temp Servl..
~"d.rgroUnd Servlc8
VoItago 2 W)
PhaMIil"10 3
SeMce Size: ~
Feeder SlZa:
SERVICE
....
_s,
DII.
APfll'Ol/1d a,.
D.,
,,",",uCllty
FlNAL
1'2/1167 ~
. ~
FEEDER
DaI'
e,
InlpeedoD
Dne
Area. Building of Equlplllentlnspecl<d
Aclion Two
EtectriC:ll
InspectOr
-'2?'~7
Cl,,J,Jn;.T PE:F 1 '715 .00
,..,.."
.t.z.
.
./
i
I
"
,
l
j
I -
- . ,- .
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D.. . . . . . .. . . . . ... .. . . . FINAL.. . . . .. . . . . .. . . . . .. . 0
CORRECTIONS NEEDED:
&f<:...\ 'Y~\r;c.."T t"l~s.\\)V: b~l
'5\~p.,~ F"L..E."- ~ H~ 1JA~_ ~~14 k',
~rc.\ 1'i":tfl":'f:c..=r D~L'E.I ~~)!> /-ir-,....1'~
\
1,~9'F'D ~t(''f:'~s. ~IM> DV€lZ..~V"~1
GPu l'RoTEL"'r' l-1M...L ~-A-,t\
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
04/02/0i 14:36 FAX 3606812086
Peninsula Heat
I4i 02' .
s
... -=--@
~_..~.
ELECTRICAL WORK PERMIT APPLICA1l0~
Job wired by
I:IOwller
Ins,allation descriPliOft_ ~.
o Comrl1ercla) p.<<esldeDdal
o New
Q AlteredJ Additioa
L~w 0/ f-t!?1I 5/af
" lrleulClAJ5T/lUCf7r11V'1
O...me,. a.( d(ifi,.~d by RCfJl.J9.18.:!6J:(J) Ow"er will "ccupy ,he Sfrl..(~n"efor t"IO
Yf:urs ujit:r this deetrical permit ir ftlali=ed. (].) Okl"er is r~qlljn:cll() hire: an €'lcctrical
COrtrracfo,.. if above said prvpetTy is for sale, rem ()r lea.re.
Aflea- reaLling lhe above statement, I hereby certify mal I am the Dwner of the above
named property or II licensed electrical contractor, 1 am ll\:'l'khlg: rue declricaJ instal-
lallon or alteration in compliance ....ilh the electrical law.~. N.E.C.. RCW. Chapter
19.28, WAC. Ch<lpler 296-46B, The Ci Pon Angeles Municipal Code, and
Utility Spec' -cati os.
Sil;[n:alu
x
1:1 Cash a Check #
~dil Card ~ Mastercard
Card# _-'2~ FILl-
Discover
Expirdtion Date
of card
Inspection f'c:~ t!J
$ .
Service InfDrmstion
La d Addition
Q NO LOAD CHANGES
o Baseboard KW
o Fumaco t()N
!:J Heal Pump Ton
Q Fan.Wall _ KW
SAME DAY INSPECTION
ROUGII-IN
?
LAR
~
lJ Overhead ServIce
[J Temp Service
D Underground Service
Vollage
PhaseO,OJ
Service SIze: _
Feeder Size;
_L BEJ,-ORE 7:00 AM 360-417-4735
THERMOSTAT
SERVlCE
D~l..
^fl"""W~ (I.,
nm~
Approved By
D.le
....""",,,nj 8y
I
FINAL
DITCH
FEEDER
0..,<:
ApflrM'co' [1,,.
n..,c:
^l'l'nWN B)'
One.
^PPnlV~.ay
II1SpcClion
Date
Area, Building or Equipmall lnspccted
Action Tl'ken
Elecuical
Inspcclor
7-"L7-o>l
API'
J;L
.-
11/05/2005 14:55
3504523498
OLYMPIC ELECTRIC
PAGE 01
G-'c1
e
ELECTRICAL WORK PERMIT APPLICATION
Job wired by
;0 Electrical Contractor 0 Owner
InStallation description /
CI Commercial lil""Residential
Elec.mcBl COnU3CU\r name
OLYMPIC ELECTRIC CO..
purchaser's m3iling addrC'.$s
4230 TUMWATER
City State ZIP
PORT ANGELES, WA 98363
License num\'lcr
D:\tc Expires
DNew
D AUered/Addltlon
INC.
OLYMPEC2850
Ia?
T?/77/J j'~/'?r~v
/
\
Telephone number
(360) 457-5303
FAX number
452-3498
rremht~ owneT'~ nlmX g'
.J!Ji.1f~ ~~ ://1
Addrc'S or In;pcc:ti M
~// !7~/ /Tb'7~/_ -:-
Clt~rf" A: J<
1f1' r
Phone namber to scbedlllc inspection:
Owner as defined hJ' RCW.J9.28.26/:(1) OwnC'P" will occupy rhe .~truct!tr(!.fn,.lWo
y~tlrS oftc,' tM.' rdr::ddcol permrl is firlOleed. (2) OW1IC" if requirM ", hire an c'ecuJcaf
crmrJ"tJClor if abovt! said proptny j,t fnT .taJc. !"Cnt nr tease.
^fl:cr reading the ;L\'l(lVC statement, 1 herch)" certify tnDl 1 dm lhc owner or 'he abovc
named propeny or a Iicensc(l electrical conlT8ctor. I am making lhe clectrical instal~
IDtion or altcration in compliance with d'lc electric""l laws. N.E,C.. ftCW, Chnpter
19,2S. WAC, Chll.ptCT 296.46'8. Thc City of Port Angeles Municipal Code. and
Utility Speeincations.
Sl~nnture ot owner. eh:l:triul cfJntnclor or eltctricAl ndminhtrl'llOT
CI Cash
o Check #
~ Credit Card
Card #
Visa
Mastercard
Discover
----------------
Date:
Expiration Date
of card
x
~ 8 Lo dll 0 s and or sub.tta.~
D NO LOAD CHANGES
D BaseDoard _ KW
C Furnace KW
D Heal Pump _ Ton _ LAR
D Fan.Wall KW
o Overhead Service
o Temp ServIce
Cl Underground Servlca
Service Inlonu;ltion
Voll.ge 2'1 t1
Phas..er 1 Cl 3
Service Size: ~
Feeder Slze:
SAME DAY INSPECTION CALL BEFORE 7.00 AM 360-417-4735
, . -
ROUGH-IN /' mERMOSTAT '\ /' SERVICE
D.a.I~ J\pImlV('llFly DMC ^m"rn\l~l'I ~y "- nf\tc: ^M'",Yl;'oI fly
" /" /"
FINAL DITCH FEEDER
//-1- ".I'~ ~ " "
"-- DDtD ^Jlprtl\l~(1 Ry DRIC ^tl!lf(lVCd By Cf\IC Appm...e" ay
Jm_pccrion Area, Building or Equlpment Inspected Action r;tkcn Elccttical
Datc In~cctor
//-7- 0 (.. $7/$, " Clo,.;"'~ /$77' $'I'A\/l'f:, 21..-/ L-
/F7J ///~ .!-,/-,
, -/