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Home My WebLink About1612 Delores Pl - BuildingPREPARED 4/07/08 8 56 12 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/07/08 ADDRESS 1612 DELORES PL SUBDIV TENANT NBR RALPH SCHMITT CONTRACTOR PHONE OWNER SCHMITT RALPH /COLEEN PHONE (360) 457 1063 PARCEL 06 30 00 4 9 0200 0000 APPL NUMBER 06 00000736 RES MANUFACTURED HOME PERMIT BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PW4 01 BLMH 01 BL1 01 PW99 01 8/22/07 8/22/07 BL99 01 4/07/08 17 l BLM 01 8/01/06 JLL BLDG MFG HOME MONO SLAB TIME 13 00 8/01/06 IAP RALPH 457 1063 07/31/2006 02 42 PM DYASUMUR 08/01/2006 04 52 PM PBARTHOL 8/30/06 'DWM PUBLIC WORKS STORM R/3_0/06 AP 08/_30/2006 04 34 PM RVESS Down spout drains to Strom drain along west property line 9/01/06 JLL BLDG MFG HOME TIE DOWN 9/01/06 SAP 09/01/2006 08 25 AM PBARTHOL 09/01/2006 04 34 PM PBARTHOL 9/14/06 JLL BLDG FOUNDATION FOOTING 9/14/06 AP 09/14/2006 05 05 PM PBARTHOL 11/03/2006 03 46 PM JLIERLY RV PUBLIC WORKS FINAL AP BLDG FINAL TIME 01 00 April 4 2008 9 16 42 AM 1pangrle RALPH 457 1063 (I CALLED HIM TO FINAL THIS OLD PERMIT BLDG FINAL AFTERNOON ROGER DID HIS PW FINAL ON 08 22 07 AL DID HIS EL FINAL ON 09 01 06 COMMENTS AND NOTES PREPARED 9/01/06 16 33 30 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/01/06 ADDRESS 1612 DELORES PL SUBDIV TENANT NBR RALPH SCHMITT CONTRACTOR PHONE OWNER SCHMITT RALPH /COLEEN PHONE (360) 457 1063 PARCEL 06 30 00 4 9 0200 0000 APPL NUMBER 06 00000736 RES MANUFACTURED HOME PERMIT BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 8/01/06 JLL BUILDING FOUNDATION MONO SLAB TIME 13 00 8/01/06 AP RALPH 457 1063 07/31/2006 02 42 PM DYASUMUR 08/01/2006 04 52 PM PBARTHOL PW4 01 8/30/06 DWM PUBLIC WORKS STORM 813 0-05 AN 08-/- 30 /-2 -0-06 -04- -34—PM— RVESS Down spout drains to Strom drain along west property line BLMH 01 9 01 '6 J L BUILDING MANUFACTURED HOLDDOWN 09/01/2006 08 25 AM PBARTHOL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL6 01 8/30/06 JLL PLUMBING WATER SUPPLY TIME 13 00 8/30/06 DA RALPH 457 1063 08/29/2006 11 07 AM DYASUMUR 08/30/2006 03 16 PM JLIERLY line was not attached to meter depth is ok for bury leave ends open for connection inspectionj /jll PL6 02 9/01/06 JJ1L PLUMBING WATER SUPPLY 09/01/2006 04 33 PM PBARTHOL COMMENTS AND NOTES PREPARED 8/30/06 8 31 56 INSPECTION TICKET PAGE 46 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/30/06 ADDRESS 1612 DELORES PL SUBDIV TENANT NBR RALPH SCHMITT CONTRACTOR PHONE OWNER SCHMITT RALPH /COLEEN PHONE (360) 457 1063 PARCEL 06 30 00 4 9 0200 0000 APPL NUMBER 06 00000736 RES MANUFACTURED HOME PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL6 01 8/30/06 z'ac PLUMBING WATER SUPPLY TIME 13 00 RALPH 457 1063 08/29/2006 11 07 AM DYASUMUR COMMENTS AND NOTES Go y c ,p' ro t ie--d 1 0-11 0 a� (1-6(-°-1(j/ PREPARED 8/01/06 11 51 15 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/01/06 ADDRESS 1612 DELORES PL SUBDIV TENANT NBR RALPH SCHMITT CONTRACTOR PHONE OWNER SCHMITT RALPH /COLEEN PHONE (360) 457 1063 PARCEL 06 30 00 4 9 0200 0000 APPL NUMBER 06 00000736 RES MANUFACTURED HOME PERMIT BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 8/01/06 JLL i :U ILDING FOUNDATION MONO SLAB TIME 13 00 07/31/2006 02 42 PM DYASUMUR o r ?ALPH 457 1063 BLM 01 COMMENTS AND NOTES REQUEST Date 7 3 -g-00 G INSPECTION NOTES Inspected Date Remarks CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT T me 3° Location of Work to be inspected Name of person requesting inspection Address of person requestiig inspection Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney /ctb SURFACE RESTORATION SURFACE TYPE Unimproved Gravel Repaired by City Y Y Repaired by Permittee EI No Damage Found 9. Pe_ I o s' Phone No 146'7- /063 Permit No 4& 736 Plumbing Final Sewer Excav Other h-e od- //4-5 /0.-e c-4/ 0 O (-V ces-v7 19-e_ o ccc. 1 4 4 Time RESTORATION REQUIRED YES NO Asphalt PCC Work Order COMPLETE n INCOMPLETE Received by re.,Vt._ (31 person) ff Other Sry Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type Subdivision Name Property Use Property Zoning Application valuation Owner SCHMITT RALPH /COLEEN 334 W COLUMBUS AVE PORT ANGELES (360) 457 1063 Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T•\Policier \1102.15R (1/05) Qty Unit Charge Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date description Qty Unit Charge Per WA 983639482 PLUMBING PERMIT 821 P CITYOF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000736 157728 1612 DELORES PL 06 30 00 4 9 -0200 0000 RALPH SCHMITT RES MANUFACTURED HOME RS9 RESDNTL SINGLE FAMILY 86600 Contractor OWNER TOTAL LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE DRIVEWAY INSTALLATION 83147 170 00 Plan Check Fee 7/31/06 Valuation 1/27/07 BASE FEE 56 72 00 Plan Check Fee 7/31/06 Valuation 1/27/07 BASE FEE 1 00 7 0000 E H PL- EA INSTALL WATER PIPE 1 00 15 0000 ECH PL- EA BLDG SEWER Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 83154 Permit Fee 110 00 Plan Check Fee Issue Date 7/31/06 Valuation Expiration Date 1/27/07 Qty Unit Charge Per 1 00 110 0000 EA SAN SEWER HOOKUP 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 Date 7/31/06 13 50 1 00 11321 00 1539 00 1539 00 00 0 Extension 170 00 0 0 0 Extension 50 00 7 00 15 00 00 86600 Extension 110 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 I is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required Inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature ofContractor or Authorizes Agent Date Signature of Owner (if owner is builder) Date 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. PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION RW PW/ 417 -4807 ENGINEERING FIRE 417 -4653 1 PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 T•1Policies11102.15R 1/05) RESIDENTIAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO 1 1 1 I I I 1 1 I I I I I 1 1 I I 1 1 I I 1 I I 1 I I 1 I I I I 1 1 1 I I I 1 1 I 1 1 I I I I 1 1 I 1 I 1 1 1 I I 1 I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I 1 1 I I CONSTRUCTION RW PW ENGINEERING FIRE DEPT 1 PLANNING DEPT BUILDING COMMENTS I I I I I I I I I 1 Page 2 Application Number 06 00000736 Date 7/31/06 Application pin number 157728 Special Notes and Comments A residential fire sprinkler system installed per NFPA 13D will be required I 2nd option is to install an outside alarm bell that is inter connected to thelresidence s smoke detectors The alarm bell will be painted red in color and identified as Fire alarm 07/31/2006 11 10 AM SROBERDS The proposal is to install a mfg home in the RS 9 No land use issues noted Electrical load calculations and elctrical permits are required Connection fee of $713;00 required 07/17/2006 02 30 PM GMCLAIN Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and ISidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An i by Public Works Engineering is required prior to prouring concrete Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Separate Permits are required for electrical work, SEPA, Shoreline,.ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent T•\Policies \1102.158 [1 /OS] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH'STREET PORT ANGELES, WA 98362 SEWER SYSTEM DELV CHARGE 870 00 Charg Paid Credited Due I 3 00 352 00 00 00 00 00 00 00 870 00 870 00 00 00 1222 00 1222 00 00 00 Date Signature of Owner (if owner is builder) Date CALL 417 -4807 FOR UTILITY INSPECT][ONS. 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. PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T•\Policies \I 102.15R 1 /05] RESIDENTIAL CONSTRUCTION RW PW/ 417 -4807 ENGINEERING FIRE 417.4653 1 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO 1 I 1 1 1 1 I I I I I 1 I 1 1 I I I I I 1 1 I I I I I I I I 1 I I I I 1 I I 1 1 I I I I I I I I I I 1 I I I I .1 I I I 1 I I I I I COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I 1 .I I I I I CONSTRUCTION RW PW ENGINEERING 1 FIRE DEPT 1 1 PLANNING DEPT 1 BUILDING I I I I .1 I I 1 c Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type descrirtion Subdivision Name Property Use Property Zoning Application valuation Owner SCHMITT RALPH /COLEEN 334 W COLUMBUS AVE PORT ANGELES (360) 457 1063 Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per Other Fees Fee summary BL MANUFACTURED HOME CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WAI983639482 82164 230 00 ,7/31/06 1/27/07 Charged T\Policies \1102_15 building permit inspection r wpd [1/4/2005] 06 00000736 157728 1612 DELORES PL 06 30 00 4 9 0200 0000 RALPH SCHMITT RES MANUFACTURED HOME RS9 RESDNTL SINGLE FAMILY 86600 Contractor OWNER TOTAL a LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE BASE FEE Plan Check Fee Valuation 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 A residential fire sprinkler system installed per NFPA 13D will be required 2nd option is to install an outside alarm bell that is inter connected to the residence s smoke detectors The alarm bell will be painted red in color and identified as Fire alarm 07/31/2006 11 10 AM SROBERDS The proposal is to install a mfg home in the RS 9 No land use issues noted Electrical load calculations and elctrical permits are required Connection fee of $713.00 required 07/17/2006 02 30 PM 1GMCLAIN 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 Paid Credited Due Date 7/31/06 13 50 1 00 11321 00 1539 00 1539 00 00 86600 Extension 230 00 SEWER SYSTEM DELV CHARGE 870 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. T?" Signature of Contractor or Authoriz i d Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS I I FOUNDATION DRAINAGE DOWN SPOUTS I I PIERS I I POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB I I ROUGH -IN I I WATER LINE (METER TO BLDG) I I GAS LINE I I FINAL DATE ACCEPTED BY. BACK FLOW WATER AIR SEAL WALLS I I CEILING FRAMING JOISTS GIRDERS I I SHEAR WALL/HOLD DOWNS I I WALLS ROOF CEILING I I DRYWALL (INTERIOR BRACED PANEL ONLY) I I T -BAR I INSULATION SLAB I I WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS I GAS LINE I I WOOD STOVE PELLET CHIMNEY I I FINAL DATE ACCEPTED BY. COMMERCIAL HOOD DUCTS I I MANUFACTURED HOMES FOOTING SLAB I I BLOCKING HOLD DOWNS I I I SKIRTING I I I I I I PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING I I I ESA. LANDSCAPING I I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I I I PLANNING DEPT BUILDING 417 -4815 I I I BUILDING T• Policies \l 102 15 building permit inspection record05 wpd, [1/4/2005] I I I I I I I I Application Number Application pin number 06 00000736 157728 Permit Fee Total 230 00 230 00 00 00 Plan Check Total I 00 00 00 00 Other Fee Total 870 00 870 00 00 00 Grand Total 1100 00 1100 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I- hereby certify that-I- have-read-and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent T\Policies \1102_15 building permit inspection record05 wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Date Page 2 Date 7/31/06 Signature of Owner (if owner is builder) Date 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 I FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB 7 BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO 1!;3 -I -Db I I I I I I I I I I FINAL FINAL SEPA. ESA. SHORELINE. ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION RW ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I 1 I I FIRE DEPT PLANNING DEPT 417 -4750 `I I I I PLANNING DEPT BUILDING 417 -4815 1 14 -1 b) I Si, t" I I BUILDING f• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I I I Applicant or Agent: Owner 9C i Z7 Address 3.29 kiksr Lem -City PC 7 AU-54- W.ad,Zip 9 9- 2 Arclutect/Engineer•71/ /7,E J -r ((lick ,8L14.4) f Phone 3C2 ro, 77 7 Contractor 7 6/ ,4 47 c State License 14 Win I/SO 23?/ Exp 7/-3 ze.ra Phone .1 F 7/ Address (p 5'O P ,'7s TOAD City V �i k Zip 4Sr� 9. 2 PROJECT ADDRESS /LJ2 aD4=L O,QL;.r P P'tT /f'�cr .6 /!as'Lea(ZONING 9 2 Ie L LEGAL DESCRIPTION Lot: 1 710 Block. Subdivision. 14 ,L•r 4,477 AYA sT• ®y,p; CLALLAM COUNTY PARCE NUMBER. 6630(502e SG 2_00 TYPE OF WORK. !Et' Residential Multi- family Commercial New Constr Addition Remodel Repair Re -roof 9 Move 9 Demolition Sign BRIEF DESCRIPTION OF THE PROJECT /(/L iu 0 X. !Jy-C 47 L !J': ji 2 COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type: No of Stories. Lot Size: Existing Sq Ft. Proposed Sq Ft. /3 TOTAL Sq Ft. 534, Total lot coverage�3 PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMI and in INK. Your application and site plan MTJST COIVLYLEiTE to be accepted fur revievr If you have ari questions, call PERMITS (360) 417-4815 FAX(360)417 -4711 )✓SAJWetland(s) Yes No SEPA Checklist required? Yes No Other VALUATION OF CONSTRUCT' )N 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 as 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 REVTFW 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 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. 1 hereby certify that I have read and e; amined 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 ermits e equired ,not the City's, and that I must obtain such permits prior to work. T•\Policies\BL 1102 13.wpd Apphcan Date: 7.1/. Phone FOR OFFICIAL USE ONLY to Rec. Permit t-• 73,6 D- to Approved. ate Issued 7 Phone '?CU 4/3 i "e 3 SIZE/VALUATION Stove SF /SF »C, (,'(JC/ Oa Garage SF /SF Deck SF /SF Other TOTAL VALUATION tt COs/, C� MAN /q pA G71.01 u(rn) '71 APPROVALS PLAN BLDG DPWU FIRE OTHER The City of Port Angeles Building Division. Upon reviewing 3 our application and plans submitted for a Manufactured Home, the following are some of the items that will need to be taken in to consideration. Property Property boundary ;.ins are to be identified and marked at footing inspection to verify minimum set back requirements. Manufactured he mes. "Wains" installer tal,s must be on unit and appropriate box checked for each item completed. Manufactured home foundation design shall be included with the application. Foundations are required to be pit set with 12" maximum and 6" minimum reveal on foundation. Blocking and tie down inspection is required Wood framed skirting, framing shall be 2 "x 6" treated wood with 'A" anchor bolts w/ 3 "x 3 "x 1/4" washer at 6' -0" OC and within 12" of P T sill ends. Stud pacing shall be 16" OC. 15/32" min thickness structural grade treated plywood 30 PCF equivalent -fluid weight soil pressure horizontal (max unbalanced back fill at 18" in height). Face grain across studs. Skirting, foundation crawl space and ventilation are required per WAC 296 -150M -0610 (1) (d) section 1 through 3. 1 Skirting must be made of approved material by the building division. Metal fasteners must be of hot dip zinc -galv stainless steel or other corrosive resistant materials. Ferrous metal members in contact with earth, except those made of galvanized or stainless steel, must be coated with asphaltic emulsion. Skirting must not trap water between the skirting and siding or trim. All skirting must be recessed behind the siding or trim. 2. The ventilation required is one (1) sf. Per 150 sf. of crawl space. 3. Access to under floor area to be a min. 18 "x 24" and positioned so that all areas under manufactured home are available for inspection. Access opening must be covered and that cover must ie made of metal, pressure treated wood or vinyl. Foundation protecti in requires finish grade to be a minimum of 6" slope in 10' -0" away from the foundation. Footing downspout drains (if required) to be directed to a drywell or other approved locations. An inspection of the water, sewer, electrical, footing and down spout drains is required before backfill is allowed. If outside of (4) minute response area a sprinkler system or an exterior bell tied into the smoke detector, approved by the Fire department may be required. A final inspection is required to be approved before occupancy can occur OWE Garages. A continuous footing is required around the perimeter of the load bearing walls, although some manufactured homes are designed to accommodate a garage. The garage must be designed as though it is independent from the manufactured home. Sill and bottom plate anchor requirements for seismic zone D2. As per the 2003 IRC. Garages detached and attached to a manufactured homes, require standard wall bracing methods to be met, If they cannot be met, then refer to "Alternate Braced wall panel" Section of the 2003 IRC. If any of the aforementioned methods cannot be met, engineering design will be required for the "SHEAR WALL, ALTERNATE BRACED WALL PANEL" design under 2' -8" in width. This letter is not intended to cover all items required by the City of Port Angeles, but is to serve as a guide to help you un lerstand frequently asked questions, "ALL WORK IS SUBJECT TO FIELD APPROVAL" 1/05 I x 4 I L 0 b RI 4 1 3 �[r ■>•>•1l1OMM rr J trJ 0 k 0 C k p co F. is A+ S 1 t) c N I 44 r a y b r t CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- catioa¢s and other data shall not prevent the building official fronthereafter requiring the correction of errors in said plat specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. 1 z.6 Da .c- Approval Date a ae By s. i 1,0c4..,11.... ssopylc„ 4.4:0 pvptotovh-/ r l� REC4 ATIO 12 00 Witco Road Phone: 5p P 37 69.6333 hone: Fax: 503.769.6022 vto PROCED i 61 NNDry -0 Pugluc lit Fourvo, t F'-t KAKSTJAd Ca+4 rni•ly <nct i Jr rftKl CCUNTUS cr. Y PL 5 LIS I N DV S1h TI �u�N Sy5rXN Dm-co 1/30191 C BY rh1h10 t61C, I- c Y7 O■nQ lo dY 10(-,orC G Ov+Jp /1ri, rtot— N- z s }t /0 0 c r T 4 1715 'So 3(,I' M I A 3c, zo 7 7 35 u .s H, 7Z ?to A it v.9(204" -'0)(I 33)ci I of I.L L r '18 roonN<, 4 0 5 cwvr 4- Scu., L 3 st o /ooa,, t 1100° 14 ?rr%,r 4_ w/ /t b In I$ ACC y "5 Air L3 cf L 2 -0' MAX 1 Li 2' -0 16 "t A 1" MIN. I, TTP MANUAL SECTION NTS 2 /4 C 11140010 W //4 COE 1 BARS 5 11E 00404 H00K (SEE SECTION A/1 OPTION IF HOOKS ARE TO BE TURNED OPPOSITE DIRECTION) LONGITUDINAL 11EDOWM A5 RE0'D PER INSTALLATION O� V 3 /5 CONTINUOUS 1 5 TO DOWN HOOK 3 4 /5 CONTINUOUS CONC 1 HOOK TO BE CONTINUOUS OR A PROVIDE /5 X 42 TED TO HOOK AND EXTENDING UNDER LONGITIOINAL REINFORCING AS SHOWN 4" CONC. SLAB OR PIT RUN a SLAB -9- VARIES 15 EACH SIDE OF HOOK c 4" CONC. SLAB OR PIT RUN 10' -0 MAX. /4 0 6" EACH SIDE 0 CENTER OF FRAME O 2 4 NTINUOUS \\�c li\ //4 CO BARS A:0 9 MATING UNE e d e __d .s I ((O 'P /4 CONTINUOUS. 0 CENTR V d G 3 /5 CONTINUOUS /5 110 DOWN HOOK SPACED AS NOTED ABOVE /4 0 6" EACH SIDE OF CENTER OF FRAME d INSTALL 05 CORNER BARS (TIP.) T4" /5 TIE DOWN HOOK S' MAX./ #5 /5 CONTINUOUS trawfmazurzotarim NOTE: USE THIS OPTION IF HOOKS ARE TO BE TURNED OPPOSITE DIRECTION. SECTION OPTION A NTS 15 TIC DOWN HOOK 0 EA. CORNER EXPIRES. 8 /12/06 LONGITUDINAL TIEDOWN PER SHEET 0 -21 OF SETUP MANUAL, ONE AT EACH END OF EACH SECTION v� EKAL NU11 S ENGINEERING DESIGN LOADS ROOF UVE LOAD: 20 PSF (SNOW) WIND LOADING BASED ON: WAND ZONE 1 SEISMIC 20N0. D3 PER I.R.C. SOIL BEARING CAPACITY: 1500 PSF, 1000 PSF SEE NOTE BELOW MANUFACTURED HOME REQUIREMENTS 28' DOUBLE MME 99 1/2" FR4M0 SPACING STRAP ANGLE: 40' MAX. 24" MAX. PIER HT. SIDEWALL FRAMING HT. =8' MAX. 2. CONSTRUCTION SHALL CONFORM TO THESE PLANS, ALL APPUCABLE CODES AND ORDINANCES INCLUDING THE 1997 EDITION OF THE UNIFORM BUILDING CODE AND THE MANUFACTURED HOME INSTALLATION MANUAL CONCRETE NOTES 1. CONCRETE SHALL BE A COMMERCIALLY AVAILABLE TRANSIT- MIX PROPERLY PROPORTIONED AND DEUVERED TO THE SITE IN READY -MIX TRUCKS. AGGREGATE SIZE SHALL BE A MAXIMUM OF 1 -1/2" IN FOUNDATIONS AND 3/4" AT ALL OTHER LOCATIONS. SLUMP SHOULD NOT EXCEED 4 CURING COMPOUND SHALL BE SPRAYED ON ALL EXPOSED SURFACES IMMEDIATELY AFTER FINAL TROWELUNG. 2. ALL CEMENT SHALL CONFORM TO ASIM STANDARD C -150. ALL AGGREGATES SHALL CONFORM TO ASTM STANDARD C -33. ALL REINFORCING BARS SHALL CONFORM TO AS11A STANDARD A -615 AS FOLLOWS: l3 /5 BARS AND WWM GRADE 40 3. CONCRETE USED FOR FOUNDATIONS AND SLABS ON GRADE SHALL HAVE A MINIMUM 28- _DAY- COMP.RESSIVE_STRENGTH -OF 3000 -PSI.- PER CHAMPION HOME BUILDERS CO. MANUFACNRED HOME INSTALLATION MANUAL, AND SHALL NOT CONTAIN LESS THAN 5 SACKS OF CEMENT PER CUBIC YARD. 4. SPLICES IN CONTINUOUS REINFORCEMENT SHALL LAP AS NOTED ON THE PLANS OR AS FOLLOWS: GRADE 40 REINFORCING BARS: MINIMUM OF 32 BAR DIAMETERS 5. UNLESS SHOWN OTHERWISE. THE MINIMUM CONCRETE COVER FOR REINFORCING SHALL BE 2" EXCEPT WHEN CONCRETE IS TO BE PLACED DIRECTLY AGAINST EARTH WHERE IT SHALL BE 3" NOTES. 1. MAX. PIER LOADS: 4000 LB W/ 1000 PSF ALLOWABLE SOIL BEARING, 5800 LB W/ 1500 PSF ALLOWABLE SOIL BEARING W/ 128 SQ. IN. PIER BASE AREA. 2. THIS DESIGN DOES NOT APPLY TO OVER- THE -ROOF STRAPS. 3. SLAB TO BE SUED 1/16" PER FOOT (FROM CENTER TO OUTER EDGE) TO PREVENT STANDING WATER. 4. REFER TO KARSTEN HOMES INSTALLATION MANUAL FOR PERIMETER BLOCKING SUPPORT REQUIREMENTS. IF NECESSARY. /5 EACH SIDE OF HOOK 1' MIN. 1YP I-.II II .1 (1 11..11. I(0411= 1 =11 =11 Il= .11clf. a f1= 1f411��? =11 mm-E: MANUF HOME FOUN0A770N PLAN FOR BUY -RITE HOMES CLALLAA' COUNTY, WA CMCNT BUY -RITE HOMES 259403 HWY 101 SEOUIM, WA 98382 Z ENOVICB ASSOCIATES INCORPORATED 24 "t NTS 1/ /5 TE DOWN HOOK 3 /5 CONTINUOUS 4 -0" SECTION (B� FOUNDATION DETALB AND n 810 PEALCO0 510 22 PORT ANGUL5 08182 PNOND (300) -0501 FAX- (380) 41 4 DRAWING. ./94.34 Buy Nr/0)3 MuN VON MO N0. I SHEET 04316 ATE SEPTEMBER 2004 I S NTS IOF 1 CALL ‘7 i ce►., n i .e4— Manager Office of M ,nufactured Housing STATE OF WASHINGTON The person named hereon has met the requirements and is certified, as provided by law as a DEPART \ANT OF COMMUNITY TRADE AND ECONOMIC DEVELOPMENT OFFICE OF MANUFACTURED HOUSING 7 H CONSTRUCTION 640 PARRISH ROAD SEQUIM, WA 98382 TELEPHONE. 360 681 -0871 w•. Z: ape, ao6o ^eoii� et: 1. 65.00 T -A. I 0-J kki I c) 6 it) 5 7= M 35 85,00 120 00 CD CD CD o 7 4,4,. 1 CD toe LLJ I I c) (38/ I 7 0 g ui 2 ry) Lr) o" 15 120 00 SIXTEENTH (/6, /9 .ep7/4-e) 120 00 0 7197 t,r7 82.50 N5649'00'1"/ 575.00 Pv c- T 46J 872 E /3 E0 7 4-- 11 0., I T-zi-.) N 7i57 I 63 (10 I 120.00 4 500.00 91.42 *-4 r15 5 i 0 I trio op.7 L,f,5 18 9 I s 9,167 SQ FT 9,000 -SQ FT q 17 N. I CD CD U) laD 6:1_,T6111 11 0 10 ,(kg 0 .4 101 1.1.J U 30 dr 3 2 21 6 «5 STREET t. 9,060 iz,,q FT Ii CD 2 -46 82,50 65 00 ,JA 42V III J 4.76s) _st._ 100.00 i t.- 13,079 SQ FT U' *Pit _J tono 9000 SQ FT CD cD CD CD I 15 15 CD IqCD ui 22 If P‘ 2! s D, Y 850 4 82.50 82.50 hakt i-iii 41 82.50 k _85 00 t( 160.00 4 1 —1 I 100 00 N j 10 10 120.00 IQ 11,321 SQ. FT i c! Id 3 2 100 00 I• 30 100 00 4 A- 100,00 I 7 CD U) -k 40 ID CD In 2 IL flea r I ter B 10' 0" 46x58Y e 46z58V Fop C .erg i!■■ ■■u i Om IIN .1:11 ■0 P' T E rtl anikv aster B edroom 21 4" fardrob .11 1 bb IZ IaMta NMI IIR non si s_u NMI ■■M Bedroom 2 11 0' Den 1 0" i J (Dir srxrrcrt Si b-E T o I I 57'— Model KB -52103 1528 Sq Ft 2 Bedroom, 2 Bath OUST SCHMITT S rDF FLIP 1g 1 Living doom 25'j 1 1 I J 48 srAarcf! CA) This is a block and tie down spec for a Double Wide. Triple Wides are set the same per Karsten Homes. See attached letter 11 N —PIERS DD DD REAR 11EDONH 11EDOAN ITAC $G 11IDOwil SPACSNG REDOWN SPACFIG TOWN SPACING I1EDOWN SPACING ;MONT TIORRY1 r-NT MAX 1 PER OtART I PER CHART L PER CHART 1 PER CHART 1 PER aWiT I td ANN( TYPICAL SIDE ELEVATION SHOWING TIEDOWN SPACINGS OVER- TINE -N•oc; STRAPS Cstel RFAUIPET) ir n4=ssm WIND' ZONE f (15 PSF LATERAL) I 1 1 RDOR SYSTEM N CYPICfiZE=3 SEL:AIONS _SHOWING T1EDOWNS •REVISED Nov 211 1997 e k s.imalat FIGURE 5.10 a E`,wlstlRcun A' m8 Safety 8t+ dW t' ROILS: T. FRAME TIE -DOWN SHOULD BE INSTALLED TO PROPERLY SECURE ME HOME. 2. OVER -me-ROOF TIES ARE HOT REOU RED WITH PROPERLY SPACED MD INSTALLED FRAME 'HEDONICS. HOWEVER, ff OVER- THE-ROOF TIEDOYYNS REQUIRED BY THE LOCAL ■URISDICflON, THEY WAY BE INSTALLED. 3; OVER -THE -ROOF TIES ORA N IIEQuu m) MAY BE SECURED TO THE SAME GROUND MODIORS AS THE MANE TIEDOWIIS. 4. FRM.E ISf1+r1W1t5. AND. ANCHORS ARE NOT SUPPLIED S OVER- THE -ROOF S TRAPS (110 -101 REQUIRED) ARE SUPPLIED A .ANCHORS MO END TREATMENTS ARE TD BE SUPPLIED BY OTHERS, 0. GROUND ANCHORS AND FRAME TIES SHALL BE CAPABLE OF REStSTIHO A TENSILE LOAD OF 4725 POUNDS AND ARE TO BE INSTALLED PER THE WNUFAG711RER'S INSTALLATION INSTRUCTIONS. BUT -ME NOT-TO EXTEND BEYOND =DOLL L OF THE HOVE. 7. 5150. AIClHDRWC EQUIPMENT EXPOSED ID THE WEATHER SHALL BE PROTECTED WITH AT LEAST O30 'OZ OF ZINC PER SQUARE FOOT OF 5150.. O PLACEMENT Of AMAUE IIEDOWN STRAPS AND ANCHORS NAY BE OFFSET UP TO FOUR FEET TO ALLOW ALIGNMENT WITH OVER- THE-ROOF STRAPS PROVIDE]) NO DECREASE IN THE TOTAL. NUMBER- OF MALE TIEDOWNS RESULTS 9. DESIGN RASED OH 90 1/2 I-BEAU SPACING AND A MAIQW/Y SiDEWUL.HOCNT OF 7 •-C 10. ANCHORS SHOULD BE CERTIFIED FOR THESE CONDITIONS BY A PROFESSIONAL ENGINEER. ARCHITECT OR A NATIONALLY RECOGNIZE) TESTING LABORATORY AS TO THEIR RESISTANCE. BASED ON, THE INSTALLED MOLE OF DIACONAL. TIE AND /OR VERTICAL TIE LOADING AHD ANGLE OF ANCHOR INSINUATION, MD TYPE-OF SOIL IN WHICH THE ANCHOR tS TO BE ON.STA.LED: 11_ GROUND ANCHORS SHOULD BE EMBEDDED BELOW THE FROST LINE AND BE AT LEAST 12 ABOVE THE WATER TABLE ANND 12. GROUND ANCHORS SHOULD BE INSTALLED TO T E:R FULL. DEPTH, AND STABILIZER PLATES SHOULD BE INSTALLED TO PROVIDE ADDED RESISTANCE TO OVERTURNING OR S1iDRNG FORGES 13.. ANCHORING EQUIPMENT SHOULD BE CERTIFIED BY •A REGISTERED PROFESSIONAL ENGINEER OR ARCNATECT-TO RESIST THESE SPECIFIED FORCES W ACCORDANCE WITH TESTING PROCEDURES IN ASTH STANDARD SPECIFCATION D3593 -01. STANDARD SPECIFICATION FOR STRAPPING, FLAT STEEL AND SEALS 14. STRAPPING TO BY TYPE 1. FINISH B. GRADE I STEEL STRAPPING. 1 -1/4' WIDE AND .035 INCHES IN THICKNESS. CERTIFIED BY A REGISTERED PROFESSIONAL ENGINEER OR ARCHITECT AS CONFORMING WITH ASSN STANDARD SPECIFICA TION 1519C 'STANDARD SPEE7FlGtTION FOR STRAPPING, FLAT STEEL AND SEALS' ICON POINT alCwocs Mill Or 1 -IO• FRAME T1EDOWN SPACING CHART FLOOR CAVE TIEDOWN MALE WIDTH OVERHANG SPACING PIER HEIGHT SINGLE 2' AJAX 10•—Or 47' 15•-4' SNCLE MAX t0'-O' 5{ 15' -1r SAN MAX 1O'-0' 60 2C —C 1C MAX 10'-<f 4Z 31'—O DOU 1 Ni MAX 10' SZ' V TERCONNECTTON BEIWW ROW.' TO FE PER INSTALLATION INSTRUCTIONS WNW.. USE SAVE DESIGN AS FOR DOUBLE WOE INTERCONNECTION WIND ZONE I (15 PSF LATERAL) Ref. Cale. if BETYIEEN "4314S ENDWALLS T O BE PER 1NSTAW1TWN INSTRUCTIONS MANUAL USE SAME DESIGN AS FOR DOUBLE MOE INTERCONNECTION LONGITUDINAL TIEOOWN T1EDOWl4S TO BE NNSFALLED AS SPECIFIED. FOR DOUBLE WIDE `CROSSNEMBER LONGITUDINAL TIffOWN 1NSTALLATIQN >f� (4) TOTAL LONGITUDINAL TIEDOWtiS EACH ENO. (I) EACH END ON OUTSIDE UNITS AND (2) EACH END 1 -BEAM. w FI R SUA -73 RECOMMENDED TIEDO D SITE CONNECTIONS SYSTEM CONTINUOUS PIT LE WIDE (13' -4" FLOOR WIDTHS) This is a recommended spec not a requirement for Longitudinal tie downs for a Triple Wide Karsten Manufactured Home. LONG7TUDINAL, TIEDOWN ON CENTER SECTION I 1 b/ bb/ 117bb 1 b b2 18E68887145 HO/1l' E Date: 10 -4 -05 To Whom It May Concern. I am writing on behalf of Karsten Homes with regards to set -up requirements for triple wides. It has been common practice to use doublewide blocking and pier information for the design of triple wide foundations. To clear up any confusion we have went hack and had ,separate addendum pages designed specifically for triple wides. As you can see the addendurns were approved on 10/1/05 Furthermore there has been an addendum page av since October 6, 2000 regarding the connection of the roofs using the same design as a double wide. On this page you will see the note, which refers to all designs being the same as a double wide. I hope these pages will help clear up any past of future confusion Engineering Department Brian Woodcock TM KARSTEN P O BOX 537. 1200 WILCO RD STAYTON, OR 97383 PHONE 800 -823-0150 FAX (503) 769 -6022 WWW KARSTENHOMES COM PAGE 02 s ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description subdivision Name Property Use property zoning . . . Application valuation 06-00000975 Date 344925 1612 DELORES PL 06-30-00-4-9-0200-0000- SCHMITT RES. RES DETACHED GARAGE 9/21/06 RS9 RESDNTL SINGLE FAMILY 9193 . Owner Contractor SCHMITT RALPH/COLLEEN 334 W. COLUMBUS AVE. PORT ANGELES WA 983639482 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE NUMBER OF UNITS 17.40 1. 00 1536.00 11321.00 430.00 1.00 Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit pin number 86348 Permit Fee 207.75 Plan Check Fee 83.10 Issue Date 9/21/06 Valuation 9193 Expiration Date 3/20/07 Qty Unit Charge Per Extension BASE FEE 95.75 8.00 14 . 0000 THOU BL-2001-25K (14 PER K) 112.00 -rr - z.. J,:> ~ Special Notes and Comments Electrical load calculations and elctrical permits are required. The Fire Department has reviewed the project application and has no comments 09/20/2006 11:34 AM SROBERDS -- The proposal will allow a detached garage in the RS-9 zone. Established easements have been observed on the site plan. No land use issues are anticipated. Electrical load calculations and elctrical permits are required. Construct driveway 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. ~ -... o ~ -- C> -tl Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 207.75 207.75 .00 .00 Plan Check Total 83.10 83.10 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 295.35 295.35 .00 .00 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.certifythat-lhavereadand 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 przzeu. 10 give aulhon 10 violate or cancel the provisions of any slale or local law regulating construction or the performance of con Ion. ~ ~ y/I'( Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Date T:\Policies\lI02_15 building permit inspection record05.wpd [1/412005] ~- BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES NO FOUNDATION: I I FOOTINGS il'Wjtk> ~ SHEAR WALLS / WALLS I I I. L FOUNDATION DRAINAGE / DOWN SPOUTS v/V/LAV I V fA.-- I . PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING J J I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS / ROOF / CEILING /. 1..J~t' '1 ./ J-J- DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR 1 CEILING I I,,? lo-? ILL I MECHANICAL I I HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGILIGHTING 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./ PWI CONSTRUCTION - R W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. 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If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: 'Phone: '?5-bll-Iff;'7- (tJ G 3- owner:idj' ph ~ (~f~{7n s:)(/~ W\ l'\T Phone: 3t-o-'167-le b~ Address: t/ t., " "J- DpJb('~' (J/tue City:~r( ~~ e (eS C{ ~L Zip: Cj?v 0:,6 ArchitectlEngineer: Phone: Contractor State License #: Exp: Phone: Address: City: Zip: PROJECT ADDRESS: J012 f)€-(l"re~ (J~ rlrt~~k~ cz~t~G:RS~ LEGAL DESCRIPTION: Lot: ~O (..;tf~ock: ~vision: ~(eS Lu.. r- CLALLAM COUNTY PARCEL NUMBER: 0(.,- _'3~-"(!J.-'f.... '1'- C0d.fjO -C9(j<o<!J TYPE OF WORK: o Residential ~ New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition 0 Movef. Garage 4'1D o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: C~a. V'~~ f".... SIZEN ALUATION: SF. @$ /SF. = $ SF. @$ '2/, ~~ /SF. = $ q; /C(;! SF. @ $ /SF. = $ TOTAL VALUATION $ Vfr fC(:?> COMMERCIAL/RESIDENTlAL: Occupancy Group: No. of Stories: L LQt Sf i \, 3J./L Existing Sq. Ft. Tota110t coverage t 1, % Occupant Load: Construction Type: ':::5ti d ~~~ e-I .1 c; 3'" & Proposed Sq. Ft. Lj?-/) = TOTAL Sq. Ft. l if ~ ~ , PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: ESAlWetland(s): 0 Yes ~No SEPA Checklist required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the 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 cerlify 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 th t it is my resp nsibility to dete/mine what permits are required ,not the City's, and that I must obtain such permits prior to wo. . ~I~-;z;{ {Date: q / O&./ C7G ( . I T:\FORMS\BldgPermitform.wpd Applicant: ti) Y6 CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 98362 ~ ~ Application Number Appllcatlon pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type descriptlon Subdivlsion Name Property Use Property Zoning Application valuatlon 06-00000736 Date 157728 1612 DELORES PL 06-30-00-4-9-0200-0000- RALPH SCHMITT RES MANUFACTURED HOME 9/13/06 RS9 RESDNTL SINGLE FAMILY 86600 Owner Contractor SCHMITT RALPH/COLEEN 334 W COLUMBUS AVE PORT ANGELES (360) 457-1063 Other struct lnfo OWNER WA 983639482 TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE 13.50 1 00 11321 00 1539 00 1539 00 Permit Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL OLYMPIC/ MOBILE+FEEDER 86447 OLYMPIC ELECTRIC 78 70 9/13/06 3/12/07 Plan Check Fee Valuation 00 o ~ ~. Qty 1 00 Unit Charge Per 78 7000 ECH EL-MANF HOME SERVICE & FEEDER Extension 78 70 ~ ~ 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. A residential fire sprinkler system, installed per NFPA 13D, wll1 be required. 2nd option is to install an outside alarm bell that is lnter-connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as I1Flre alarmtl ~ 07/31/2006 11.10 AM SROBERDS - The proposal is to lnstall a mfg home in the RS-9 No land use issues noted Electrical load calculations and elctrical permits are requlred. Connection fee of $713 00 required 07/17/2006 02'30 PM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by PubllC Works prior to back fill of ditch 24 hour advance notice is requlred Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed ln the City road right of.way An lnspectlon by Public Works Engineering lS required prlor to prouring concrete Other Fees RES UNDERGRND SERVICE FEE 713 00 COMMENTS/ACT10N NEEDED 'lii ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 911362 -. ... Application Number Application pin numbeL 06-00000736 157728 Page 2 Date 9/13/06 Other Fees SEWER SYSTEM DELV CHARGE 870 00 Fee summary Charged PaJ.d Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 78.70 78 70 00 00 Plan Check Total .00 .00 00 .00 Other Fee Total 1583 00 1583 00 00 00 Grand Total 1661.70 1661 70 .00 00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD , CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MIN1MUM 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 INSPJtC110N TYPE DATE COMMENTS NO GENERAL COMMENTS: PW.II02.J514'96J ,~ '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 983()2 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subd~v~s~on Name Property Use Property Zoning . Application valuation 06-00000975 Date 344925 1612 DELORES PL 06-30-00-4-9-0200-0000- SCHMITT RES RES DETACHED GARAGE 1/16/07 RS9 RESDNTL SINGLE FAMILY 9193 Owner Contractor SCHMITT RALPH/COLLEEN 334 W COLUMBUS AVE PORT ANGELES WA 983639482 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE NUMBER OF UNITS 17.40 1 00 1536.00 11321 00 430 00 1 00 Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL OWNER/ GARAGE 92676 48.10 Plan Check Fee. 1/16/07 Valuation 7/15/07 .00 o ~ " ~ Qty 1 00 Unit Charge Per 48 1000 ECH EL-R-OUTBD/DTCH GAR SEP Extension 48 10 ~ ~ ~ ~ Special Notes and Comments Electrical load calculations and elctrical permits are required The Fire Department has reviewed the project application and has no comments 09/20/2006 11:34 AM SROBERDS -- The proposal will allow a detached garage in the RS-9 zone. Established easements have been observed on the site plan. No land use issues are ant~cipated Electrical load calculations and elctrical permits are required. Construct driveway to City Standards No concrete with exposed aggregate allowed in the City road right of way. An ~nspection by Public Works Engineering is required prior to prouring concrete ~ Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Tot.al 48.10 48 10 .00 .00 Plan Check Total .00 00 00 00 Other Fee Total 4.50 4 50 .00 .00 Grand Total 52.60 52 60 .00 00 COMMENTS! ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PlANS AT JOB SITE INSPECI'ION TYPE DATE ACCEPTED COMMENTS I YES 1 NO UnCli Ilflll(~I-I_IN / CUVbK SERVICE PIN AT I I ~ ~ _ D" ,I JI. v "'" I , GENERAL COMMENTS: PW-II02.I' (4'961 . ti r~ ~~ CITY OF PORT Ai\jGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST51H STREET, PORT ANGELES, W A 98362 Du-73~ 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 SCHMITT RALPH/COLEEN 334 W COLUMBUS AVE PORT ANGELES (360) 457-1063 Other struct info Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 06-00000736 Date 7/31/06 157728 1612 DELORES PL 06-30-00-4-9-0200-0000- RALPH SCHMITT RES MANUFACTURED HOME /(fl( o Move<; -P/CG R59 RESDNTL SINGLE FAMILY 86600 ~~h VY11i+ Contractor OWNER WA 983639482 TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE 13.50 1. 00 11321.00 1539.00 1539.00 DRIVEWAY INSTALLATION 83147 170.00 7/31/06 1/27/07 Plan Check Fee Valuation .00 o Qty Unit Charge Per Permit . . . . . Additional desc Permit pin number Permit Fee Issue Date Expiration Date BASE FEE Extension 170.00 ~~~1 . ~)1J PLUMBING PERMIT 82156 72.00 7/31/06 1/27/07 plan Check Fee valuation .00 o Qty Unit Charge Per 1. 00 1. 00 7.0000 ECH 15.0000 ECH BASE FEE PL- EA. INSTALL WATER PIPE PL- EA. BLDG SEWER Extension 50.00 7.00 15.00 Permit Additional desc . Permit pin number permi t Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 83154 110.00 7/31/06 1/27/07 plan Check Fee Valuation .00 86600 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. 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. 0 . a4-{ fY 4J2~" 74'&~ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102.15R (1105] .'. 9 .~ ~..... CITY -OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST"5THSTREET, PORT ANGELES, WA 98362 Application Number Application pin number 06-00000736 157728 Page Date 2 7/31/06 Special Notes and Comments A residential fire sprinkler system, installed per NFPA 13D, will be required. . 2nd option is to install an outside alarm bell that is inter-connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as "Fire alarm" 07/31/2006 11:10 AM SROBERDS - The proposal is to install a mfg home in the RS-9. No land use issues noted. Electrical load calculations and elctrical permits are required. Connection fee of $713.00 required. 07/17/2006 02:30 PM GMCLAIN ---------------------------- 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 870.00 Fee summary Charged Paid Credited Due -------------~-~~ ~~~~~-~~~~ ~~~~~~~~~~ ---------- ---------- Permit Fee Total 352.00 352.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 870.00 870.00 .00 .00 Grand Total 1222.00 1222.00 .00 .00. Separate Permits are required forelectricaJ 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 <:onstruction or the performance of construction. . Signature of Contractor or Authorized Agent Date Date Signature of Owner (if owner is builder) T:\Polic:ies\II02.1SR {lIOS] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT. . . . . . REQUEST: Date B. d 7 - 0 (., Received by T F Time Location of Work to be inspected I Co I:;;l.. fJ -e ( 01' "" S PI"" e. ~ Name of person requesting inspection i2.. A- \ f h s "- L. "'" I +-.J- Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final (phone, person) Phone No. '-/57 - 10r...3 Permit No. 0 to -i3f, Sewer Excav. ~ Do'-<.>-v spo~ I- ~~ ~~ By~L Remarks: C0V'--+v",,"ck~ yV\...J~" '-I" p.,<- T", () 0-::> +l< B" I've.. ~+c-"""'- W\c..,'" C:vf- to ' So'-<.-f"'- 0-1- +t..~ s.fv..NC j,-,~<.+Iv", IoG'>- \o_",k de cd- \--k.., N/w Go"~~ DE- +--1....... P,f'eop-.P1'4.J TN sfo<>-/!-eo / Id-O' 01- L('PI/c... t.udr.... c..o. 'c..l-- +(-<<- -e"ti. [J0uJ"-' spc<-<-h T':; Lo",,,,~,--J "'--~ &0' <d- I/O' e>4-s! 0-1- iMC<,'tV, P",<f..c; d,,,-r..; I",<",{'-<. '6 C; , F-A...+ o-L ""'-"<- t~. INSPECTION NOTES: Inspected: Date 8- 30- 0 Co Time / 0 l'\~ RESTORATION REQUiRED...... YES t.... NO ;( /00' ---';l> . I -...91 , . ,-\+l\.<- l\.+'-I (; L\+'\..... '-I" I've / ~ / 1\ L ~ , "'/,e.,. \ _c.O-/;1O 'Os'",> (/0'." P"'-l-!O D ~ '- Dre...'v O'-'<..l.....:Jsf...... j f"-' ....- t"" r- ~ ~ - - '-- 00--0 sfo,.ct- [ (~ Id- O-e\e;ves: (->L<A<'-,-<- SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE ~ (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 2bbc" 1l-"':3 2 't CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . INSPECTION REPORT. .... REQUEST: Date '0~ 22 ~6( Time Received by izv (phone, person/ Location of Work to be inspected I b I? /)8 lo,e, "" -l>L Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one/: Permit No, Oc:... - 7:?:{... Sewer Foundation Framing Chimney PIUmbing8 Sewer Excav, Other INSPECTION NOTES: Inspected: Date A-'2.2-0/' Time Remarks: j;;.lveA..,..ja..y ;:-26-Q6 _ i t.X> ..- _ - .5'0- Ob Jbw4~.ds:-kSl6t"1U. ffio-O~ By RESTORATION REQUIRED . . . . .. YES NO X .. SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . INSPECTION REPORT. . . . . . . . . . Location of Work to be inspected I ro I :l D -e 10 Y'-c ~ PL.", ~ '""'- Name of person requesting inspection J~ A J ph ScJ, "'" I +\- Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing REQUEST: Date <3 ~ d q ~ 0 b Time \ 1- (phone, person) Received by Phone No. Permit No. '-IS 1- I o&:, 5 Final ~er Ex~ Other 0(" - -"{ 3b N€-k.J INSPECTION NOTES: __________ /? Inspected: Date B - 30- 0"" Time /0 14~ By ~ Remarks:c..oo'\+"'A,,4~ YY\AJ-<- (.," S-e'<.'~r\~f' iD. (-:sto'l w~"l-o-J-+-k.~ VY\-\.l",<-~I~J a>6 -\1-.",- to ~ COr N--<r- "..L. r+-. - is:> ( e e ,~'^ \ "" [ I... cl to (. pve. ! ( -1-0 IC:::<c-lul ,,-k 4(' PUt:.. rQJ:'Y +0 c':..(). " NO ;( .r-- 3(,.'----11'; ~('~ S _.../_r-,) ~--, "::-, ~ --..--..1 ~"A-t:- ;---0':'1__ ~.i/.'Q ~I<"P RESTORATION REQUiRED...... YES w C.,D. \1'1, + FLCo..U~ % l~ PllC- '7",,'" c.J.I --------- ~. ~ j tJ:: {("I::I. o e..\CJ~~""- PL"",,-,,- SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT .(DATE) < CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT. . . . . . REQUEST: Date /0- r Cf- of:. Time Received by 'K'V (phone, person) Location of Work to be inspected / 0 r z 'Dejar€.$, :PI Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Phone No. Sewer Foundation Framing Chimney Plumbing Final Permit No. 00.-736 Sewer Excav. Other J)...;'v"G wo.y INSPECTION NOTES: Inspected: Date to - 20 - 6 b Remarks: Time 4{-!-e.. lA-Oi")<-( By !<v [)r~ RESTORATION REQUiRED...... YES NO X_ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC 0 Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) '. '~ ...: ~~..:. '. f -,'<f .""',, ",;. i -' :1',. It '~" l " ;.,,- ,;;'~ ~; \~..."'~'~' ~ f'" !.~\ , . !-',,"'" . ~,' ~)\' '. " ;t ..,-;: ,;~ ()' vv I "-C: I Oty 1f' (\) _J IQ\'- l\I ~ V') ~ - , t7 ~ ( 11 l. >, .,., .~ ..~J ;t 09/06/2006 13:13 3604523498 OLYMPIC ELECTRIC PAGE 01 ,,; ffl-'J)"1 ,,- ... _. '1 ~"'oiiii.....7' ELECTRICAL WORK PERMIT APPLICATION . Job wired by 1Hii.<trICllI Contractor 0 Owner Installa.tion dcscriptiCln . ./ o Commercial lat"'Residential EI,cuic.1 con""etcr n,,,-:,,r L;ccnsc numbc' D." Exp;"" //;;~~/, ~r:-/r;c- OLY/?r'I7/-XJO/ PUTch~'S l'alliog :!I.ddT(:S~ tp]c; _7# ~ u,4 6'5/? C;S'7 ~ Su" ZIP rd:>~ '/Ir/'-?' 1,/,:1. f%.Jk..? Telephone numbe - FAX number if 'f. l'r~sei'l owner'. nnmt ..iJ. H..;;/nh -5r~n7rZ!-- ^ddres~r inspe~n I 01 L4ttffl.. //r//7/~S r /- C"Ibr t 4-rr/r rhctnl: number t;'::::JUle h19pedion: '1.7/- ';J Owner Q$ defined hy RCW.19.28,;U;j :(1) Owner wlll occupy Ihf.' slrucfurC for two yeors after (1l/.e electrical permit j.,; jiMlt:ed. (2) Own/!r is required tn hire 011 elecfrical contraC'Qr if abC>l'c .,;aid properly i~( In,. safct, rent or [eo.'u:. After Tt:edi"s.: the aoove fiL.1tcmcnt. I hereby ce:mf'y lb3t 1 IIl'n rho owner of the above named property ('1' a Iicc:l'lscd ~lectricsl eontTsctor. l am making the c1ectric3.1 inslal- lntion (It' altef~tioT'l in' COmpHnflce with the electricoJ ,.,W!;, N,c.C., RCW, Che.lnc1' 19.28. WAC. ChaptoT 296-46B. The City of Port Angelc$ Municipal Code. and Util;ty Specifications. SiJ!natul'"c or owner, electrical conll'"actor nr rlcctl"kal admtnisrrfltnr ON"" o Altered! Addition ;k;9,.,;?,-r711~b,lc ~/77r-: 5/"/7/rr~t':' f- rr'r'A-/ . o Cash 0 Check # I;I-6rcdit Card Visa Card # Mastercard Discover ---------------- Date: 'J;r::/b~ c Ll!.~ttion5 !!Jll!..Qu~~ o NO LOAD CHANGeS o Baseboard KW o Furnace KW o Heat Pump _ Ton __ LAR o Fan-Wan KW Expitati on Date of card Cl Overhead Service o iemp ServIce l!:f'Unde~round Service Servl~rmatloo Vonage ;t..'ft? Phase a', 0 3 Service Si2e: ~ Feeder S;ze: ~..a.. S!\ME DAY INSPECTION CALL BEFORE 7:00 AM 360-417-4735 - - - ,,- ROUGH-IN " THERMOSTAT ~L J ~ERVJc:JD_ \. O"lc ^'PPIOVCl1 Ry "- DAte Arr1'llveil ~y V [}file ^,rrnvo:6D)I " JI! FINAL '1 Jt? DITOl / FEEDER \ ?, '//rL Jcj) ! ~}pb ~ \(,\Ie ' ACll'ruvc:d By ./ DD.le ^P1'~~d.D)' Inspection Area1 BUilding or Equipment lnspe:ctcd Acli"n '~aken Electrical Date Inspector . - 'i-1-~ (InN), ) fE:(' Tr riJ ) p~ :tP ;1( '8 t:.;-'-J A- pO () Y/ a-f ~ - v , I . 9/7~ 'L '/ / /ltfI? b 'U'l"'j.-/h- o Electrical Contractor !li( Owner ELECTRICAL WORK PERMIT APPLICATION . Job wired by Installation description ~ o Commercial Ia Residential Electrical contractor name License number Date Expires lJ'New o Altered! Addition Purchaser's mailing address City Stale ZIP .. Telephone number FAX number Pr~es owner'~ name d/1LP// /- ~r",I-/ /"/77/ Address of inspection J (., I 2- DI-7 0'" 1-,. J7:>~/J<L'-- Cit{. . - pOl/'r ~t- L-L-5 Lu.lu:::.// ~76' '"$ Phone number to .s-;hedut'fe inspection: :1<:; S''? /c:> r,; ~ Owner as defined by RCWJ9.28.261:(I) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrica! contractor if above said properly is for sale. rent or lease. After reading the above statement, [ 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 296-4613, The City of Port Angeles Municipal Code, and Utility Specifications. Sign/-:jf o>>,ner, e~~"r/? c:ntraetor Jlr eieclrical administrator X Uj;.-, ~ . Date: / 2/ieJ/ O~ o Cash )If Check # o Credit Card Visa Card # /iz5' Mastercard Discover Expiration Date of card Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o HeatPump Ton o Fan-Wall KW Service Information o o o SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 LAR Overhead Service Temp Service Underground Service Voltage PhaseD 103 Service Size: /t~u /.J..M;"'> Feeder Size: /U..' ./,u,,1J /' ROUGH-IN THERMOSTAT SER"lCE " "- Date Approved By D~te Approved By Dale Approved By " FINAL DITCH FEEDER --.:. /-3'-07 Ar.A'-0 D~le Date Approved By/ Date ApprovedBy / Approved By/ Inspection Area, Building Or Equipment Inspected Electrical . Date Action Taken Inspector -, -."';- ELEeTRICAL INSPECTION WIRING REPORT 417-4735 'kD ADDRESS i' / ft:'/2.... ~l-pf<..eS APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 ~ . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . .. . . .. SERVICE.. . . .. . . . . . . . . .. . . . 0 D. . . . . . . . .. . . .. . . . . . . . FINAL. . . . .. . . .. . . . . .. . . ..0 @ CORRECTIONS NEEDED: C t.~ -I- 77 b H11{Jy {"t,cA7A.A- (~..llUND Q.j- mtA-O r?..tILl[~ d# . '-r~7 - / (J? 3 ;f?A-t../JI NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - 'OLYMPIC PRINTERS, INC. (360) 452-1381