HomeMy WebLinkAbout805 Church Ave - Building
dPOill:f~_
ofi~~
D!I
"'~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
l21 EAST 5TH STREET. PORT ANOELES. WA 91\162
ELECTRICAL PERMIT
ISSUED: 7/15/2002
PERMIT NO 7740
PROPERTY LOCATION
805 CHURCH AVE
. Lot: A
Block: 0 Long Legal
Subdivision:. SHP 02-04
Parcel No: 063015521350000
OWNER/APPLICANT
JIM & NANCY VANNAUSDLE
1527 W 12TH ST
Port Angeles, W A 98363
360/457-3119
T: S:
CONTRACTOR
BOB'S ELECTRIC INC.
2293 DEER PARK
PORT ANGELES, WA 98362-0000
360/457-6887
PROJECT INFO
Project Type:
Occupancy Type:
Occupancy Group:
Electrical Heat:
o Baseboard
IZI Furnace
IZI Heat Pump
o Fan Wall
ARCHITECT
N/A
, 98360-0000
360/000-0000
RES.NEW
RESIDENTIAL
Project Value:
Construction Type'
Zoning Use:
o Riser IZI
o Overhead Service
o Temp Service
o KW
10 KW
2 KW
o KW
$0.00
Underground Service
Voltage: 120,240
Phase: IZI 1 0 3
Service Size: 200
Feeder Size: 0
PROJECT NOTES
NEW SFR WITH 10 KW FURNACE & 2 TON HEAT PUMP
RECEIPT#9305
FEES ASSESSMENT
Service:
Additional Feeders:
Circuit Wiring:
Temp Service:
$91.00
$0.00
$000
$0.00
$0.00
$91.00
$91.00
$0.00
Misc Fee:
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE
COMMENTS/ACTION NEEDED
cJJ
[j,
o
J
c
5-
ELECfRICAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW-II02 IS [4196\
'(i
~.......,..
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
'21 EAST 5TH STREET. PORT ANGELES. WA 9RJ62
ELECTRICAL PERMIT
ISSUED: 9/12/2002
PERMIT NO 7819
OWNER/APPLICANT
JIM & NANCY VANNAUSDLE
1527 W 12TH ST
Port Angeles, W A 98363
360/457-3119
T: S:
CONTRACTOR
AIR FLO HEATING
221 W CEDAR
SEQUIM, WA 98382-0000
360/683-3901
PROJECT INFO
Project Type:
Occupancy Type:
Occupancy Group:
Electrical Heat:
D Baseboard
[Z] Furnace
[Z] Heat Pump
D Fan Wall
RES. MISC.
PROPERTY LOCATION
805 CHURCH AVE
Lot: A
Block:
Subdivision:
Parcel No:
,"-
ARCHITECT
N/A
, 98360-0000
360/000-0000
D Long Legal
SHP 02-04
063015521350000
Project Value: $0.00
Construction Type: H. P./ FURNACE
Zoning Use:
o KW
10 KW
15 KW
o KW
D Riser D
D Overhead Service
D Temp Service
Underground Service
Voltage: 0
Phase: D 1 D 3
Service Size: 0
Feeder Size: 0
PROJECT NOTES
REC #9653
FEES ASSESSMENT
Service:
Additional Feeders:
CirCUit Wiring:
Temp Service:
Misc Fee: T-STAT
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE
COMMENTS/ACTION NEEDED
$0.00
$0.00
$0.00
$0.00
$35.30
$35.30
$35.30
$0.00
cD
o
lJ1
9
G
9-
ELEcrRlCAL 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
COMMENTS
NO
GENERAL COMMENTS:
PW-II02 U [4196]
of ;'ORT ~
l~~
,.
"- -=..r
---
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Property Zoning . . .
Application valuation
03-00000496
805 CHURCH AVE
0630155213500000
RES DETACHED GARAGE
Date 5/22/03
19000
Owner
Contractor
VANNAUSDLE JAMES R RAYMOND CONSTRUCTION
1527 W 12TH ST PO BOX 921
PORT ANGELES WA 983635517 PORT ANGELES WA 98362
(360) 457-3119
Structure Information NEW 891 SF DETACHED GARAGE
Construction Type TYPE V NON-RATED
Occupancy Type . . . .. SINGLE FAM & CONGREGATES
Other struct info. . .. NUMBER OF UNITS 2.00
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
330.75
5/22/03
11/18/03
Plan Check Fee
Valuation
132.30
19000
Other Fees
STATE SURCHARGE
4.50
~
~
Cr,
Qty Unit Charge Per
Extension
92.75
238.00
BASE FEE
17.00 14.0000 THOU BL-2001-25K (14 PER K)
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 330.75 330.75 .00 .00
Plan Check Total 132.30 132.30 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 467.55 467.55 .00 .00
o
S-
c.;
g,
~
~
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct All provisions of
laws and ordinances governing thiS type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authOrity to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or AuthOrized Agent Date
T IPLANNlNGIFORMSll102 15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS _::; -IJ-~-f')~ J1-
WALLS k:-.a. -0 ~ \ J...
FOUNDATION DRAINAGE II:. ~2 -O~ ,,)LL
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I I I
FRAMING
JOISTS / GIRDERS
SHEAR WALL .
WALLS / ROOF / CEILING 11/n/O~ .JlL
DRYWALL of f
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIvISIon) SEPARATE PERMIT #'S'
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
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 J I PLANNING DEPT
BUILDING 417-4815 IIIIIIO~ j L L BUILDING
,
T \PLANNING\FORMS\1I02 15 [4/2002]
PREPARED 11/17/03, 12 46.41
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
11/17/03
------------------------------------------------------------------------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
805 CHURCH AVE
RAYMOND CONSTRUCTION
VANNAUSDLE JAMES R
06-30-15-5-2-1350-0000-
03-00000496 RES DETACHED GARAGE
SUBDIV
PHONE
PHONE
(360) 457-3119
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL1 01 5/23/03 JL BUILDING FOUNDATION FOOTING TIME 17 00
5/23/03 AP
BI2 01 6/02/03 JLL BUILDING FOUNDATION WALL TIME: 17 00
6/02/03 AP Garage
BL3 01 11/17/03 ~ BUILDING FRAMING TIME. 17 00
Fram~ng garage
J~m452-8869
-------------------------------------- COMMENTS AND NOTES -------------------___________________
VL~ \ ()
1 ~~~ r
~
O'{V~\
(
(j}~0b . 0
0\ my.
oytJ
~.
BUILDING PERMIT - APPLICATION
'ib 7 ,.$Sf FOR OFFIClAL USE ONLY
Date Rec 19S-/n../o"}
PermIt # ' I
Date Approved
Date Issued
"tSLIC ~.p
The BUIldmg Permit applzcatlOn must be filled out completely.
Please type or print in ink. If you have any questions, please call 417-4815
Applicant or Agent: -.-iflh !/~.u./J.LI~;LJ/e..
Owner: SAnJe.
Address: ~ OS ChuRL./; Atlf>
Architect/Engineer: A.J..J.I!/e-
Contractor C!w//.JgL
Phone:
Phone:
1/5:2 - ~g'6q
City: fhprlf#liPkc.
IA~
Zip: 9f'36;;z.
Phone:
License #:
Exp:
Phone:
Address: City: Zip:
PROJECT ADDRESS: <Zo.5 ChLlEbA /f-i/e.. I?#-. ZONING: I?S - ~
LEGAL DESCRIPTION: Lot: A Block: SubdivIsIOn: SI.'6h'-P//H' IA:JL:SO Go- /S"
CLALLAM COUNTY PARCEL NUMBER:a;gO/5''i":An50oo() Credit Card Holder Name:
Billing Address: City:
Credit Card #: Exp. Date: VISA MC
TYPE OF WORK:
o ResidentIal 0 New Constr.
o Multi-farmly 0 AdditIon
o Commercial 0 Remodel
o Repair
SIZEN ALUATION:
gtj / SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF.@$ /SF.=$
TOTAL VALUATION $
ORe-roof
o Move
o DemolItion
o Sign
o Wood-stove
lIY'Garage
o Deck
o
I CJ .fH'ro
,
BRIEF DESCRIPTION OF THE PROJECT:
f)~/I9C1fa:7 aA'~ae 5/)017 LJ/fi'/,,(Jd/LO-'
/sq. ft. = TOTAL LOT COVERAGE: ~/Yt;t /sq. ft.
APPROVALS: PLAN
BLDG.
DPW
FIRE
ESAlWetland(s): 0 Yes 0 No SEPA Checklist reqUIred? 0 Yes 0 No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must befilled out completely to be acceptedfor
review. The Building DiVision can provide you With more detailed information on the application and plan submittal requIrements. Your
completed applIcation, site plan (for additions) and building construction plans are to be subrmtted to the Building DIvIsion.
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load:
No. of Stones:. / Lot SIZe: /-:2.., ~C{~ % Lot Coverage:, :2"
EXisting Lot Coverage: '2::;..ll3 /sq. ft. + Proposed Lot Coverage: 'j(?1
PLANNING USE ONLY:
Notes:
Construction Type:
%
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 Buildmg Division to comply with current fee schedules. Contact the Perrmt Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: Your plan check fee IS due at the tIme the bmldmg permit applIcatIon and constructIOn plans are subrmtted. All other
permit fees are due at the time of perrmt Issuance
EXPIRATION OF PLAN REVIEW: Ifno perrmt IS issued Within 180 days of the date of applIcation, tlusapplication will expire. The
Bmldmg Official can extend the time for action by the applIcant up to 180 days upon wntten request by the applIcant (see SectIon 107.4 of
the Uruform Building Code, current edition). No applicatIon can be extended more than once.
I hereby certify that I have read and exammed thIS applzcatlOn and know the same to be true and correct, and I am authOr/zed to apply for
thIS permIt. J understand It IS not the City's legal responsiblhty to determme what permIts are required; It remains the applicant's
respons,bibty to detennme what perm'" a" requ"ed and to ubtam ,ueh /J I
APPlIcant~6 O~}(/c Date: sjxA;:?
T \FORMS\APPS\Bulldmgpermlt O~ / I
AIJ~'p
~I.'o
f)/1Uw.
-
is
...
/!).-+3
;0(1
bL 6
I
fbf0S2f}
G/JRJJ6(l
SlAB Ie," .46/Jdt
-f)//e'l (/~e
~
..
1
~ -a31
5"'1
~
-MU
~
EXlsf,tu6 JI..i:Jt~e
~
COWCUTE
OI.N'i:NA'f
. !
, I
I~
. . ~~laC
.1 eL-t3
"I
IOf2.~SLJ
t oS- cAulJ::.IJ ./Jue
....
Lt'C;/lI'.LJt!S~, . La-r/f SfoffP/Ar f/v/30 ~ /5.
t'JIAJ v~L
J. 'Jl.? t?tAOt.l/U/~.f)/~
"
~
City of Port Angeles
Applicant Project Review Sheet
Applicant: _hIM ~A/,ljI9USLJ/r-
Owner: :JJ-II-me
Property Address: }So$"' C kulCch k~
Proposed Use: GN'~e ~S~L
Zoning: I?~-D
Is the proposed use hsted as a "permItted use" or an "accessory use" In thIs zone?
Is thIs the only use (business, resIdence, etc ) on thIs sIte?
Has there ever been a subdiVIsIon, shortplat, or PRD approved for thIs sIte, or has one
been submItted and IS pending approval?
Does the proposed use requIre a new buislness hcense?
Does the project extend Into any reqUIred setbacks or cross any lot hnes (lntenor or
extenor)?
Does the project exceed the permitted height allowance or cause the property to exceed
the allowed lot coverage In thIS zone?
Does the project reqUIre any addItIOnal parking or specIal deslgn/landscape Improvements
In thIS zone?
Does the project ehmlnate any eXIsting parking spaces?
Is the project located WIthin 200' of the shoreline?
Are there any enVIronmentally SenSITIVe areas on or WIthin 200' of the property, including:
. wetlands or areas of standing water (year round or seasonal);
. streams (year round or seasonal);
. areas WIth a slope of 40% or greater; or
. areas that have eVIdence of past ground movement or erosIOn?
Have all the reqUIred submIttals been prOVIded by the apphcant?
llt'Slte Plan ~ConstructlOn DraWings
D ParkinglDralnage Plan D CIVIl Drawings
D Energy Calc D Supporting Engr. Calc
D Landscape/Llghtlng Plan D Other
lB"yes: ok o no: requIres PD
reVIew
lB' yes: ok o no: requIres PD
reVIew
o yes: reqUIres PD ~o:ok
reVIew
o yes: requIres CC IB no: ok
reVIew
o yes: reqUIres PD Gt-no: ok
reVIew
o yes: requires PD 0' no: ok
revIew
o yes: reqUIres PD Gr;;o: ok
revIew
o yes: requIres PD I3""no: ok
reVIew
o yes: reqUIres PD I!rno: ok
reVIew
o yes: reqUIres PD [!3" no: ok
review
lB"yes: ok
o no: mark
reqUIred
Item(s)
If Plannmg Department review IS requzred, the processmg time may be extended If it IS determmed a separate Planmng Department permit(s)
is needed, the Planning Department permzt(s) must be approved pnor to the issuance of any other permit
The informatIOn provided above is true to the best of my knowledge, I understand that in the event that any of this informatIOn is determined
by the City to be incorrect, this project Will be st~ 'R d until such time the City determines the correct information is provided and any
subsequ tly required 1; i and approvals a pleted and granted.
:5;/ -s. /0 J
/ /
Date
PermIt Category #
Route to: D BD
Staff Imtlals
(see reverse Side)
D CC D FD D LD
Master Tracking #
D Other
BUIlding PermIt #
D PD D PW D FIle
Date
CompletIOn of thiS form IS reqUired for all category 1 b, 2 & 3 permits CompletIOn IS not reqUired
for category 1 a permlls unless they result In a potential change of use or occupancy.
RESIDENTIAL ZONING REGULATIONS SUMMARY
FOR RESIDENTIAL ZONES
The intent of the table below is to provide a Quick reference for some of the zoning requirements of residential zones in the City of Port Angeles.
For specific detailed requirements the Port Angeles Municipal Code Title 17 must be consulted.
ZONE/ MINIMUM MINIMUM MAXIMUM MAXIMUM YARD REQUIREMENTS (SETBACKS)
DENSITY LOT LOT LOT BUILDING
AREA WIDTH COVERAGE HEIGHT FRONT REAR SIDE
[SQ. FT.] [SQ. FT.] [%] [FT.]
RS-7 7000 50 ft. 30% 30 ft. 20 ft. 20 ft., except 10ft. for 7 ft.(*),except 3 ft for
sq. ft. detached accessory building detached accessory bUilding
Density: 8 29 on rear 1/3 of lot.
units/acre 1 dwelling unit/each
5,250 sq.ft. area * Corner lots'
13 ft. abutting a street
10ft. abutting an alley
RS-9 9000 75 ft. 30% 30 ft. 25 ft. 25 ft., except 10ft for 8 ft (*), except 3 ft. for
sq. ft. detached accessory building detached accessory building
Density: 6.22 on rear 1/3 of lot.
units/acre 1 dwelling unit/each
7,000 sq.ft. area * Corner lots:
18 ft. abutting a street
RMO 7,000 --- 30% , 35 ft. 25 ft. 25 ft., except 10 ft. for 7 ft. (*), except 3 ft. for
sq. ft. detached accessory bUilding detached accessory bUilding
on rear 1/3 of lot.
Density: 2 units for 1 st
16.44 * Corner lots:
units/acre 7,000 sq.ft., 1 for 13 ft. abutting a street
each 3,500 sq.ft.
thereafter
RHO 7000 - 30% 35 ft. 25 ft. 25 ft., except 10 ft. for 7 ft. (*), except 3 ft. for
sq. ft. detached accessory building detached accessory building
on rear 1/3 of lot.
Density: 2 units for 1 st 7,000 .
38.56 * Corner lots:
units/acre sq.ft , 1 for each 13 ft. abutting a street
1,000 sq.ft.
thereafter
"
CITY OF PORT ANGELES - Constr\ICIfon PIe..
The Issuance of this permit based upon these plans. spedfI.
cations and other data shall not prevent the buildina eflldaI
from thereafter requiring the correctillA at tI11l'S In said
plans, speCifications and other data, . from preventlna
bUilding operations being carried 01\ tbefeunder wilen III
violatIOn of all codes and ordinances 01 tills padsdictioO.
(SECTION 303(c) . Uniform Building Code.)
Approval Date 5"- 2 I-()~ By _ B V
- ,I" - -;;.; - ~"- - 6'-1~ - -1-1
I
BR
I
I
I
I
I
I
I
I
I
I
J 0
- ,
I ~
I
I
I
I
I
I
I
I
I
I
I ki?t> 8'-3" i5f?,
1_ L ,-r- 6'-0" A-' 8'-3" ,-r- 3'-0" ,-r- 7'-6"
f<- ___________ ]ilJ I
-FLOt;:P~~ - - - - - - - - - - - J- J
,_ ~ _ _ _ _ _ _ _ _ _ _ _ _ _ 33'-0"
: I ~'ip'/ 10'.0" /1" 7'.0"
Ih'P
I
I
I
I
I
I
I
I
I
I
o I
r:. -
N I
I
I
I
I
I
I
I
I
I
I
Jl>P
10080
OHD
GARAGE
32'.0" x 26'.1"
6030 XO
6030 XO
----
3068
9
i'-
C'l
/1
t3'.O" ~.I~ _ _ _10'.3'~ _ _ _---!- _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
~ t t II :
10' x8' OHD \
I 12 X 6 CONCRETE FOOTING I I
I WITH (2) #4 BAR CONT. I I
I 6 X 24 CONCRETE STEMWALL I I
I WITH #4 BAR @ 48" O.C. VERT. & I
(1) HOR. TOP BAR & 1/2" X 10" - oJ.
I A.B. WITH 2 X 2 X 3/16 WASHER I I
I @32"O.C. I I
I I I
I I I
I I I
I I I
I 4" CONCRETE SLAB OVER COMPACTED FILL I I
I I I
I I I
I I I
I I I
I I I
I I I
I I
I 3' Man Door I I
I I I I
I I I
l_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ _ _ _ _ _ _ _ J I
L 3'-2,,-=I~ - -7'-6" - - =:r'
---I
r/
33'.0"
l
33'.0"
FOUNDATION PLAN
b
,
i'-
C'l
-h-
'-
ic.;: '-r
:h-
~ J,-L.--
;'- ;'-;'-;'- ;'- ;'- ;'- ;'-;'- ;'-;'-;'- ~~
~ '- y~ '- Y i ....,':r: '-~: c.,':r, '-;:r: '-~: ,-:r: c,':r ,-!::r ,-':r <-?- q: ,-5-: q, ,-:r ,-':r- q q ,-::r- c5- '-
L.-- L.-- ~ ..:::r ~
'-r ,-::i- '- : '-?--; '-?--: '-~: c,':r: '-?--i '-~: '-~i .....;:r, ,-::r: L?-' '- T: '-?--' '- 5-' ,-:r ....,':r ,-:r' '- 5- q' ,-:r ,-:r c.,':r ....;::r '- T. c.,':r ...;:
L.-- L.-
L.- L.-
L.-
L.-
:.::;T-:,-y:,-y LY
D
DODD
DDDD
-
CJ] CJ] DHD
DDDD
L______ __________ _______ ___________________ ________________ ___
LbRrJl
I
~
~
~:<:~ ~:<:~:-C~ ~ ~~ L-' ~ -r::;...., L-' L..J ..J ~
~
r-'
r-' r-' ~~r-' ~ ~,~~:<:~:<:~~:<:~~ ~r~
'-
~~ ~:<:~ :-. ~:-c-' L-' :;..... Y ..J':;"" Y L..J ..J'~ ~,~ ~:-r~ ~~ ~:<:~ ~~:-r:-. ~ -':<:~ ~:<::-'~..J ~:<:..J:<::-' ~t-' ~
L." ,C; '- ,L. L,- L." ,L."
r "
-,..J-
D
I ,
[Q]fQ1
[][]
[][]f
I
5;Qu-l-h..
I
~\
\ \
\ \
\ \
\
\
'\\
,
\\
\ \
\ \
\
\
,
, \
\ ,
, \
\
\
\
, \
\ \
\ \
,
\
\
, \\
\
I )
I I
I /
I
I
I
/
I
I
I
I /
/ /
I I
I I
I
/
/
I
/
/
I
/
I
I
I
/
I
I
/
I
I
/
I I
/ /
/
I
I
I
/
I
I
I
/ I
I /
I I
!J
~
~
\
\
,
\ '\
\
,
\
,
, '
\ \
\
\ \
'\
\
\)\
\
'> \
/ /
I
/
I I
I
I /
/ /
/ /
I /
I
/
/
I
/
I
I
I
/
I
I
I
I
I
/
I
/
I I
I /
I
I
I
I I
I I
I I
I I
I /
I
I
/
I
I
I
/
/ /
Lvi
~\
\ \
\ \
\ \
\
\ \
n --" \
r [\ \
, \
, \
, ,
\ \
\
\ ,
, \
\
,
\
I \
I
I -
I
I
~ -
I- -
- -
- -
r--
I--
-
-
-
r-
,-
-
r--
-
-
-
-
-
-
-
r--
-
r-- .v
-
t- I
- =-j
r- I
U I I
I I
CONTINUOUS RIDGEVENT - ~~/"-"
/' /........ "-,
COMPOSITION SHINGLE / /' '-" -"-
ROOFING. 15# FELT 7/16" O.S.B. //>/ "<:::-,-"
SHEATHING PRE-MAN. TRUSSES ---~...// // ''-'-~
/ / ' -
@24"0.C. / ' '-..
/ //
// "'''' ROOF PITCH 5:12
///
/,/
/~~~ X 4 BIRDBLOCKING
5/4 X 6 WHITE WOOD FASCIA &
BARGE "K" STYLE CONT. METAL ~
GUTTERS
//
/" //
" //
,//'
2' OVERHAND WITH CLOSED
HARDISOFFIT
-_..:..;?'
--
-----
2 X 4 STUDS @ 16" O.C.
WITH 7/16 HARDIPANEL
T-1-11 SIDING
2 X 4 P.T. MUDSILL W/1.2 X 10
A.B. W/2 X 2 X 3/16 SQUARE
WASHER @ 4' O.C. & WITHIN 12" '",-
OF EACH END OF EACH PIECE '",-
OF MUDSILL '",-
"'-
'"",-
~~
--
--
--
--
--
GRA~~
,
''-",- TRUSSIWALL CONNECTION: {3}
""'-16D NAILS & {1} H5 HURRICANE
TIE PER TRUSS
'-
--
L{)
I
0>
6 X 22 CONCRETE STEMWALL W/
/#4 BAR@ 48" O.C. VERT. & {1}
/ HOR. TOP BAR
//.
j::- 3 1/2 CONCRETE SLAB
o
/
CQMPACTED FILL
12 X 6 CONCRETE FOOTING W/
<: {2} #4 BAR CO NT.
CROSS SECTION
~ CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date ~--21-.-o3
/
Time
Received by
r<V
(phone, person)
865: C-hk-rCk.
'R..Q'lL
,
A\Jp
Phone No. 7'6'~ 73/7
Permit No. '19~
Final Sewer Excav. Other
~
By -5L
t*/
--
RESTORATION REQUIRED . . . . .. YES NO
9-/(JOA~
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)
~TRI=I=T ~IIPI=RINTI=NnI=NT
1n4TI=\
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date 6 - 2 - ciS
/
Time
Received by
Rv
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
<d()5
Cku.-vCtt AtJ~
Phone No.
Permit No. '-/ '7 b
Sewer oundation Framing Chimney
Cl is .9GV~~
INSPECTION NOTES: ~
Inspected: Date G, . _
Remarks:
Plumbing Final Sewer Excav. Other
Time-f1l1
By
,rL
O\u
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
[] Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
~TREET ~lJPFRINTFNnFNT
{DATEI
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000496 Date 10/06/03
805 CHURCH AVE
06-30-15-5-2-1350-0000-
RES DETACHED GARAGE
19000
Owner
Contractor
VA!lNAUSDLE JAMES R RAYMOND CONSTRUCTION
1527 W 12TH ST PO BOX 921
PORT ANGELES WA 983635517 PORT ANGELES WA 98362
(360) 457-3119
Structure Information NEW 891 SF DETACHED GARAGE
Construction Type TYPE V NON-RATED
Occupancy Type . . . .. SINGLE FAM & CONGREGATES
Other struct info. . .. NUMBER OF UNITS 2.00
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
GARAGE
BOB'S ELECTRIC INC
46.70 Plan Check Fee
10/06/03 Valuation
4/04/04
.00
o
~
()
~U\
if
~~
)~
-...:.
~
Qty Unit Charge Per
1.00 46.7000 ECH EL~R-OUTBD/DTCH GAR SEP
Extension
46.70
Other Fees STATE SURCHARGE 4.50
Fee swnmary Charged . Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.70 46.70 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 51. 20 51. 20 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit b~comesi---
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or al5andoned
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 \PLANNING\FORMS\1102.15 [4120021
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO -
FOUNDATION: -
FOOTINGS
WALLS
FOUNDA TION DRAINAGE
-
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I -
PLUMBING
-
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL -
WALLS 1 ROOF 1 CEILING
DRYWALL
T-BAR
INSULATION -
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL ..
HEA T PUMP
WOOD STOVE 1 PELLET 1 CHIMNEY
110001 DUCTS
PW UTILITIES 1 SITE WORK (Engmeermg DIVISIon) SEPARATE PERMIT #'s
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LlGHTlNG ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 ifJIf~lo~ tfev ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W 1 PWI I I CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT 417-4750 PLANNING DEPT
-
BUILDING 417-4815 BUILDING
T.\PLANNING\FORMS\II02 15 [4/2002]
'~" CITY OF PORT ANGELES
d~ PUBLIC WORKS ELECTRICAL DIVISION
321 F, AST 5TIt STREET, PORT ANGELES. WA 98362
ELECTRICAL PERMIT iSSUED: 6/03/2002 PERMIT NO 7690
OWNER/APPLICANT PROPERTY LOCATION
JIM & NANCY VANNAUSDLE 805 CHURCH AVE
1527 W 12TH ST Lot: A
Block: [] Long Legal
Port Angeles, WA 98363
360/457-3119 Subdivision: SHP02-04
T: S: Parcel No: 063015521350000
CONTRACTOR ARCHITECT
BOB'S ELECTRIC lNG. N/A
2293 DEER PARK
PORT ANGELES, WA 98362-0000 , 98360-0000
360/457-6887 360/000-0000
PROJECT INFO
Project Type: TEMPORARY SVC. Project Value: $0.00
Occupancy Type: RESIDENTIAL Construction Type:
Occupancy Group: Zoning Use:
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service
[] Furnace 0 KW [] Overhead Service Voltage: 120,240 rJ
[] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3
[] Fan Wall 0 KW Service Size: 0 (",
Feeder Size: 0
PROJECT NOTES
TEMP. SERVICE "~
RECEIPT#9153
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $45.50
Mist Fee: $0.00
TOTAL FEE: $45.50
AMOUNT PAID: $45.50
BALANCE DUE $0.00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417.-4735 FOR ELECTRICAL INSPECTIONS, PLEASE PROVIDE A MIIfflMUM 24 HOUR NOTICE. ITIS UNLA IVFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DITCH
P. ouo~I-IS / cow~
SERVICE a;t/~t/o t-- ,2,~
FrNA~ I ~,/~/~ :-I ~2,d-- I
GENERAL COMMENTS:
.... CITY OF PORT ANGELES
°"~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 610312002 PERMIT NO: 13437
OWNER/APPLICANT PROPERTY LOCATION
805 CHURCH AVE
JIM & NANCY VANNAUSDLE
1527W 12TH ST Lot: A
Port Angeles, WA 98363 Block: [] Long Legal
360/457-3119 Subdivision: SHP 02-04
T: S: Parcel No: 063015521350000
CONTRACTOR ARCHITECT
RAYMOND CONSTRUCTION N/A
519 SO. PEABODY
Port Angeles, WA 98362 , 98360-0000
360/457-3119 360/000-0000
PROJECT INFO
Project Value: $120,000.00 SFD Units: 1 Commercial: 0
Project Type: SFR NEW SFD SQ FT: 1,667 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 626
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use:
PROJECT NOTES
CONSTRUCT NEW 1667 SQ. FT. SFR WITH ATTACHED 626 SQ. FT. GARAGE
HEAT PUMP AND LOW VOLTAGE THERMOSTAT
RECEIPTg9176 PLANS B-8
FEES ASSESSMENT
Building Permit: $1,105.75 Misc Fee 1: THERMOSTAT $34.40
Plan Check: $442.30 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $1,781.70
Plumbing: $124.00 AMOUNT PAID:
Mechanical: $70,75
Radon: $0.00 BALANCE DUE:
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of f 80 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
constr~n. _~_.Sig~t/u~e J~ or Authorized Agent ~/D~2t~e~/
~'f ~ct~r Signature of Owner (if owner is builder) Date
T:\PLANNING~FORJvIS\1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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
FOUNDATION:
FOOTINGS ~'~t~ .-'~--~ ~[
WALLS ~/S-V Z-- L* ,y
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
WATER LINE
BACK FLOW / WATER
AIR SEAL
WALLS [~_ ~c~O~
CEILING
PLA~G DEPT. 417-4750 PLA~G DEPT.
BUILO~G 417-481~ /P--~ '0~ ~ BUILDING
~ of Pon Angeles
Applicant Project Review Sheet
~ eOR"r~4, FOR OFFICIAL USE ONLY:
BUILDING PERMIT - APPLICATION Pe~it#: />w.~ I
Date Approved: ~-/
The Building Permit ~pplication must be filled out completely.
Please type or print in inL If you have any questions, please call 417-4815
Applic~t or Agent: ff~D~ ~On~'~ Phone: ~7-~/1~
Owner: ~ ~ ~ ~~1~ Phone: ~
Address: /g~Y ~ /~ City:~ Zip:~~
~chitect~ngineer: ~~ ~,'~0~ ~'~ Phone:
Contractor ~ ~¢~ License~~p:~Phone: ~-X~
Address: ~D, ~ ~j City: ~ ~ ~ Zip:
LEGAL BESCmPTIO"N: Lot:~ Block: ~ Subdivision: ~' ~i~; ~- ~ ~ ~q.
CL~L~ COUNTY P~CE~B~R: - ~ Credit Card Holder Name:~-- (~2 -~ '~
Billing Address: ~v~ City:.
Credit Card g: Exp. Date: ~SA MC
T~E OF WO~: SI~N~UATION:
~Residential ~ew Corm ~ Re-roof ~ Wood-stove 1~7 SF. ~ $ /SF. =~
5 Multi-fa~ly 5 Addition ~ Move D Garage ~ SF.~$ /SF.=$
D Co~ercial ~ Remodel 5 Demolition ~ Deck SF. ~ $ /SF. = ~
~ Repair ~ Sign ~ TOTAL VALUATION $ / EO} O~)
B~EF DESC~PTION OF THE PROJECT: ~~ ~ ~ ]~7 $~
COMMERCI~SIDENTI~: Occupancy Group: Occupant Load: ~ Cons~cfionT~e:
No. of Stories: ~ Lot Size: % Lot Coverage: %
Existing Lot Coverage: /sq. ff. + Proposed Lot Coverage: /sq. ff. = TOTAL LOT COVE~GE: /sq. ff.
PLANING USE ONLY: ~PROV~S: PL~
"Notes: BLDG.
DPW
FI~
ES~etland(s): U Yes O No SEPA Chec~ist required'?. D Yes ~ No Other: OTHER
BUILDING PE~IT ~PLICATION SUBMITT~: Your application and site plan must be filled out completely to be accepted for
review. ~e Building Division can provide you ~ more detailed ~fomtion on ~e application and plan sub~Ral requirements. Your
completed application, site plan (for additions) and building cons~cfion plans are to be subdued to the Building Division.
V~UATION OF CONSTRUCTION: In all eases, a valuation amount must be entered by the applicant. ~is fig~e ~11 be reviewed
and my be revised by ~e Building Division to comply wi~ cu~ent fee schedules. Contact &e Pemt Coord~ator at 417-4815 for assistance.
PL~ CHECK FEE: Yo~ plan check fee is due at ~e time ~e building pe~t application and cons~ction plans are subdued. All o~er
'pemt fees are due at ~e ~e ofpe~t issuance.
EXPIATION OF PL~ ~VIEW: If no pe~t is issued wi~ 180 days of~e date &application, ~is application will expire.
Build~g Official can extend ~e t~e for action by ~e applicant up to 180 days upon ~iaen request by ~e applicant (see Sec~on I07.4 of
· e Unifo~ Building Code, c~ent edition). No application can be extended more ~an once.
I hereby cert~ that I have read and examined this application and know the same to be t~e and correct, and I am authorized to apply for
this permit. I understand it is not the Ci~'s legal responsibili~ to determine what permits are required; it remains the applicant's
responsibili¢ to determine what permits are required and to obtain such.
T:~O~ S.PPS,auilain~c~it Applicant: ~l~' Date:
Appendix E: Sample Checklists & Worksheets
Attachment C
Plans Examiner and Inspector Checklist
Permit No. Address
I~IAI Exlmhler: Check, w~'ite in N/A. ~ fill in value o~ shaded boxes.
Inapector: Ch~ off boxes at left as items are found to comply.
Comp41lnce a pproac~: (ct~ck o~e) I'-I Systems analysis [:] Component pedormance [~esc~iptive path
Note: Some specifics o~ this form may not a~x~y if
A) compliar~ce approach is systems anaJys~s or component perfom~ance;
B) compliar~ce to minimum venfilati<~ c~iteria is dern~..~aled through engineering csJcutatio~s o~ performance te~ng.
[~ Slab: ~- i Exterior 0own to t~ostiine/slab t3ott~m; or Imerlo~' 24' horizontal or ver~ca4; or. If radte~L under or,if re s)ab
[] el~ow glide ®xt®Hor will Inlulltlon: I~ I (If Irlterior -- see Ir~sulaflon Phase)
[] Radon mitigation: i if loc311y requtre~, or c~awkspace venting <lft/3OOft2 of ~raw~, or ve~ts tnclud® an operable damper
~r~e ap~clflc exhault fana: SIZe requlre~rmm -- ba~l. lauf~d~ (5Oofm); Idto~.ert (lOOctm)
[] Wholahouleexhm~ltfln [ ~E~1~1tem~tIft~.Itay~tamh~sma~ua~&aut~c~tr~4s;~d~or~ra~up~yre<:~forhab~t~b~erms~
[] ~ Waif Irradiation (above grade)
[] L--J Wall Insular. (below grade): li-~te~ ~ In~daifo~
[] ~ V~uftod ~411ng
Mle~mnlcal vef~let~n duct~ kn~ul~ted to R.-4: exhm~t (luc~ In t~o<~:fltio~d 4m'eas,/~ duc~ In corx~kx~d
[] Ptpe Insulation: R-3 kx hot end c~,d wator I;q:~ng In unc~xdttoned ~'ea.1 (If ~4rVlc,~ or reelrculaling, m Table 5-12)
[] {~l~l~l cover':. 6 mil black po~yethy~ene/a,~-~,~cl equal lipped 12" a~ ~3~ds ar~d ext~ m ~ ~
E-52
~per~lx E: Samp~ Checkl~ts & Worksheets
Plans E~-- ~1 ~ ~ g~ ~m ~ ~ a ~ ~ to Ih= ~. I~ -- ~ ~ m-
t~bon ~ fi~ i~. I~ S~g~, gl~s ~ ~d all ot~r gl~ on ~is to~. U~ r~ ~
~ea t~ ~-
S~e ~ntl~ IAm~ U-Value~an~actur~ JVedf~
Total glazing
Total ~m:lltloned ama:
Peroentage gl-',~ng: Ve~
T~/Q~ntl~ U-Value.anCeStor
Signature of Building Official:
Date of Final Inepecl~n: ~
E-53
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~'- ~ ~-- Time Received by ,~[ (phone, person)
Location of Work to be inspected ~-- ~_.i~ .~ - ~
Name of person requesting inspection ~,.~c-,[~ t~
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION
Inspected: Date ~ Time By ,~
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel I-~Asphalt I--~PCC [~Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ,/~/~'/__~ ~/-- Time Received by :/ (phone, person)
Location of Work to be inspected ~:~<~--~
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. /3 ~/~ ~-~
Sewer Foundation Framing Chimney Plumbing ~-~SewerExcav. Other
INSPECTION NOTES:
Inspected: Date /~)~;:3~ (~) ~.. Time By
Remarks: ~
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt ~-~PCC []Other
[] Repaired by City Work Order #
[--] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: ./
Date Time Received by J' (phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date ~=/ Time By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [-]Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
,,4 ..... * · '~" ' (pho person)
Date.. ~'' ....... Time : Received by ~ , ne,
Location of Work to be inspected ..i
Name of person requesting inspection ~'~
Address of person requesting inspection Phone No. '
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing 'Chimney Plumbing Final Sewer Excav. Other , ·
INSPECTION NOTES:
Inspected: Date ~-?~(~-- Time By
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [--]Gravel [-]Asphalt ~-]PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
/ * ? ~ ~ ~ ~ (phone, person)
Date :.~ ~- ~-. * - Time Received by
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Ins~p~e~[L.~o~circle appropriate one): Permit No. /
Sewer'~'F~oundatiofl Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date ,./ ' Time By ·
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other
[]Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS ~/
........... INSPECTION REPORT ...........
REQUEST: -~_~?
Date..;~ , *~ Time Received by '~ (phone, person)
Location of Work to be inspected ~') : J
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection(circle appropriate one): Permit No.
Sewer ~'Foundatiod Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES: -~-
Inspected: Date ,'~* ~'' * ~- Time By ~
Remarks: ~
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~]Gravel []Asphalt ~PCC [~Other
[] Repaired by City Work Order #
[] Repaired by Permittee b~ COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
,'- I
09/11/02 WED 08:54 FAX
683 3971
AIR FLOW HEATING
@002
i=.,:,~,T .l.h' :~ELE;
" ': ,..~ 4- I :- 4 -:'" I I
"
ELECTRICAL PERMIT APPLICATION
FORomaAl tlSEQHLY
[b'i-IR<<;
V_il.:
~Appv'O'Cd:
The Electrical Permit Applic:atlon must b. filled out cOfno'etetv.
Please type or reprint in Ink. If you have any questions. please call (36Q) ..17:
4735
Fa. numbef: (360) .17-4711
-p: 76/1
Billing Address' 2.2-1 jAj.
Credit Card NLimber:"
()~
REQUEST INSPECTION jijI
Phon.' i../~. (}/tfll FaX: '
ElIp:
Phone:_4s:;) '- P>~ b'1_
Zip: q ({3t~~
Phone.t:R:33WJ I
Zip: q~:::S9:?_
ZiP:'1&~~2.
VISA- ~C:-
PROJECT AODREss~tt;
C)tlA) v~ Ave.
TYPE OF WORK:
Cheek al{ that apply: J!Q New
o Alteration/Addition
1i:l Residential 0 Multi-family
o Commercial 0 Mob~e Hame
Sq. Ft
Remote Meier 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
Jll Low Voltage 0 Telecom. 0 S
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT:
o Baseboard
,Kr F umace
Jlil'Heal Pump
o Fan-Wall
_KW
.J.1? KW
-6- TON fFf LRA
-KW
PERMITFEE:~
Ifk #' 9b5"3
Service Information
Electrical Heat Load Additions
o Overhead Service
o Temp S'ervice . ,
o Underground Service
Voltage:
Pha6e: 0 1 0 3
Service Size:
Feeder Size:
, hereby certify that' have read and examined this application and know that same to be true and correct, and' a
authorized to apply for this permit. 'understand it is not the City's legiiil responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and fa obtain such.
c.....c."'"_,'. "......~'~
Owner or Elec. Cont. Signature:,
C:/ELECTRICALPERMITAPPlICATION . , "
:2< C~__ ,'; ,
'1 - / ;z. . P'L
Date:
r \'
FROM BOB'S'Electric
I
-~
\Ii
FAX NO. : 1 360 452 9943
i / }() I U :..-'
ELECTRICAL PERMIT APPUCAT1CN ~ LflJ
J~l. 10 2002 09:40AM P1
r.,g. ~~ri~I,P~~ .\"~~;~ti~ _l'''''.~ f;rl!j..l -,-of ;::;m~t~
I >:O~QFnCVI.Ln!...01~;'Y-_c.:2..1
I ~~- .:::l-. f"'.___1
'.,....~
[_._ I '~"I
PiOUilliyp. or ,-print In (ftle. IrYDU tuwe any QWlitlone, pleNe ~illl C30rJ) 4~7A
413.S
Fax number: (360) 417....711
REQUEST INSPECTION K
Bnl\'c. ~l~....(,)rr i"u;. dc::."7 I P'tT7 ",-.... c.e_/;'\
o.""o'el""c..,"<""Ae"""~;'~ -: ....... /J~.' ";;--:r;-- Fax;~;:):-' ~y-?
1', .",Own"" 11,;;,,"" /A .,~. >;'."' r - _p_-~ '(,'--6 ,-~. ) 7-311'
J~ f({J~ _":'d;"..L 0", /4I-r~ t?"-;-: /,~ Zip:
I<,.......,c..,...-, /.1~~ J:::, ~AJ'L;;,; . il",,. , ~,~ET ~~ 'ff'"'7 Dho.. K7-hX'K"7
_0: ::J~.Ci,i!{ LP.UA AzAL City. t1,.,J- ~/A:1 Zio; ~~5...6L...
INSTAllATlON'MRfO 8Y; 0 OWNER C! I!L!.CTRlCAl CONTRACT'OP.
Credit C8n/ Holder Name" {'! A 1'0 /.... (Tt. ~() R G..... t:> (",.. ~ L
SJJ/JngAdMes$" ~'d...'t:<' 1)e.EJe FP.Pd City: ~f'+-AI\~~ I..,. S
Cn:dit Card Numbu'
(g'05J
PROJot:Y_-.9Js ;.()L" ../.... _~
1.0 "-- ZIp: '1 g ~0 z...
VISAL Me:.........
T'tPE OF WORK'
Cheek all thai appl~: :J N....
C AItf"'JatinnJAddition
2\Resldenli1ll 0 Mulll.famUy 0 Commercial 0 Mobile Home Sq. Fl
Remole Me1l::r 0 DetaCt1ed garage 0 Hot Tub 0 SWim Pool :::; Septic PufT'p ,-, Low Voltage C1 Telecom. c: Sign
Numbat' of Cfrcvits added or al~: ____.
DESCRIPTION 0' TIlE ELECTMICAL PROJECT; '-4J<, J .(1../1 I .../,4Ur ,
h'(/Zf:I~"'; ,:2.. 77)j.J
I{) K:..w
~19drfcal Htpat I ,,1M AddltIGn..
c;'/ 0 ()
PERMIT FEE: '7..'
Service Information
OIl8._
Jlt.Fumac;e
i;l_1 PU1I1>
a Fan-wan
_KW
J:Q.KW
.1fl.. TClN...5:2. LRA
-KW
C Ovemead Service
:;10$ 1'MI?d!. C TeMp Setvlee
,iiQJndergroUnd SelVice
VOI:age, a40 V
Phese: il'C' [' 3
Sef\.1cg SJ~e: ~(lj n
Feed... Slz.e:--#-f.o
I hef9by certify that I have read and examined this application and know that same to be ITIJ& and CO/T9t;!, and I am
Buthorized ID apply for this permit. I undfif$land /1 is not tha City's legal f$sponsibility 10 determine whal permils
ara requIred; il remains the applicants responsibility to determine what permits afe required and to obtain such.
o_~~....._.,~~~ _ '/'/0>-
Owner or ifec:. Cont. Slgnatu...
PERMfrAPPLICA TlON _ !
, . ;?i"z....
O~ ~ IS 2tF 9309 t
( .{' !icY{: '> Lo...-s.e5
L-M+ 6'>vve.c.:t7~" n -/-1 v~ t:...
(.v,'(( ~ rz: P? ~ ,IA'L . 1<.
;Ye;--J d....sk r:-"~ vu (oltD --t'~'<- Cy::('7+ XAtA. fL.
t'rf( f/'-Jl'rfLe 6+ ~rcS Fd. f?y ~vrk.Ni'.,L
Af
NJ'It- ~ ItG
w* l(P~.
"If! '1 rtty)<.
1l~ M-e
t-I-o::Uf'l : tlU.l::S'~ t::lectric
~HX NU. : 1 ~b~ 4~d ~~4~
Uct. Idl ~~l:.1,;\ \:1~: ~bj-ll'l 1-'1
,
'I ro.p;nJ.'.'ICI"'L':SF(l~l.\' "
r'l.,..-1I..... .___ ,.,._
j ,,-' -:7""'-=-'- I
I"."^'""'.".'-'~'I
m.ltl,~; ,
~ #-~'1b
..I~QQT~Q.
..L.. ~~
~~ r)of()
"'~..~S'. ~
ELECTRICAL PERM! r APPliCATiON
T~. Eleetl'lc<.\l Permit ADplfCation must be Wted out comDletelv.
Flcill"""" tr~.;;or l'.;p:-Ir:t In !nK. If yo!.! M\o'!:' :'In)" que~!ionS, ple'$f! taU (360. 417-4735
Fa. number: (360) 417-471'
jlAJtH.t7~ ~ a ",..(/"~ f
Owner Of Elec. ContfS..:tor Agent ,-,..-rn:::;'" -~ - . --. r '/ /
ProP""YOwnor: (hA"AA/~ tJ//AJA/"A,AA..-v"II/_.'1 ~,
AC.""" Jg,~. ': j,<'''~fiP'~. C;ty t;-Jt-~i~_
EleetriCal Contractor: A~4.2t ~L ~ J.A!rr J.;.J,/C- License fJ: ' E........
. ".w. .tl.,~ ,a... 11",...1'('" Cily' j)",J- 14,v9" f.. c Wa
""-lU'~' T___._ - -. I.
INSTALLATION WIRED BY: lJ OWNER ~LECTRICAL CONTI1ACTOR
/1 ,
Credit Card Holder Name: V AfJl./ ~~ / f
/J.lT,/1 .. ,.
Billing Addrel1s; tlt2.fl_ ~ ~eR ~1It-< City: .,r-;,II!i I4tV 947 {,; '\
pt>on.i/hJ-%7~W7Fax: G{,o -4!;:I~9(jSl'3
Phone:
~ ""-
Zip: '1 \(,00) fn:7 _
PhI-tt\". 4<"7 ~ r....f)I;!i
.-._--_. --,
Zip: '7 f~"L
/,"\, C;rzzl
Zip: 1:1 JrJ. I n._...."'"
Credit Card Number: ~
"'"
1I1~ A.. J( u;,.
",,~,..,~I"""'.-
PROJECT ADDRESS:
gos
{J .J .t..Utd-
TYPE OF WORK:
keSioenlal
Check "II that apply: ~ew
o Alleration/Addition
~
o Mulll.famill'
o Remote Meter 0;( Detached gara.ge
o Commercial
o Mobile Home
Sq. Ft.
o Hot Tub 0 Swim Pooi
CJ Septic Pump
o Low Voltage 0 Telecom. 0 Sigr
t.,lumbe-i' or Circuits added or altered:
/ t1/} /U_.r:7 ~.-'.-./;".A"" .
(""..f-n f - /
-r<t~1X-t
Cu~. uj~
~/Ji'<{/)
..(& ~
DESCRIPTION OF THE ELECTRICAL PROJECT:
I
!
i
r
I
i
,
Electrical Heat Lead Addiilons
Service Information
o Overhead $8:rvict!
o Temp Service
~Undergrovnd Service
Voltage:
Phase: 0 1 0.3
Service Size:
Feede.r Si~e:
o easeboard
o Furnace
o Heat Pump
o Fan-Wall
_KW
_KW
_Ym
_Ym
PAMe 14.05.060(6): For industrial, \:ommeicial. & residential proj~c:s larger than a duplex, a ons .. line drawing of the Elec
ad calculations, and the type 8. of~eonductors and/or rac40lway is required and shall accompany the
Electrical Permit application,
,
",.J
( ,":ereby cettify t,":st I have rear) and examined this application and know that same 10 be Irue and correct, and J an
. authorized to apply for this permit. I understand it is not the City's legal responsibility to determine whal permirs
are relUired; it remains the applicants responsibility to determine what per mils are required and to obtain such.
/"'/~/o> .
Credit Card Holder's Signature: O~,.'" Ll ~1d f j! ..
Owner or Elec. Cont. Signature: 6.;, ".,t. "I c:;:pt~.r I b.z.
~~~-HJ wi d~+-o~I.~ ~~
~ - A.7 (5 -
;/J"! -
Date: /0-1- 03
09te:l&7-./12
()JL c 0--
/oJr/o'$
~t~
'"
I
FROM BOB' Electric
FAX NO. : 1 360 452 9943
Jun. 03 2002" 11:56AM Pi
1>>
~o..oo f"nC1~t'st..OoooD"-o....2
o"",~ 1.0 -...So"."..,...,.
,....,..... ......~_-,.'-l.
1),0.. ..hI't-I'II _. ~___
ELECTRICAL PERMIT APPltCi',T!ON
ft'la Elciactrical Pennif A~o'leatfl)"'l ftlKJct h.lifl4.A out eeomll!ofofe'"
PIe.. typo or 'OJlf;~ in Inh:. If you heve IN"IY ClIIO.do"a, plua. !:all (3150) 4-: T.
4735
F,x numbt,: (360) .114711
REQUeST INSPECTION~
==.:~if;I7iJk/JJ -;;; :::~:-;;:~~
E_"""-'~':i!1J::L -BI~~ l.i_"~ _62-2..-,/7...."" ~~ff?
""'*-: .-1lf1.r? _ __!_ _ _ _ CIty: /J~ ~: Li)et.- 1 f~
INSTAllATION wt~eo 8Y: C O\M'.IER ~e:CTRO\I,. CONTRACTOR
CtvdIt Card HoItN Neme' (l A {'A '- en ~() i3, G-..... t> (;. ~ L-"
BlIJkJg AtJdtess. ~ 'l- 4 ~ "DEEJe (1,,~ K City: ~ f'+- ,q 1\ ~ ~ (.., 5
Credit Cant Numb~'
w"-.
Zfp: '1~~z.....
V1$A~ MC~
PRO.lECT__.
J. '~S~C;I~ .....
o R9Sldllntlal w Mut!l.famfly
o Commercial
OAIletl!llien/Addilion X ~_
o Mobile Home Sq. Fl
TYPE OF WOAK'
CIlec:k ill thai apply: Cl New
Remote Mete, 0 Detac:ned garege 0 Not Tub 0 Swim Poof G SftpliC PUfT'p ,-, Low Voll21ge ('j Telecom. ~ Sign
Nun\bQr ofCtt'Cuib added or altered: __~
.Jry~ B-1) "k "1: I
DESCIVP'IlOH OF THlI!L!CTRICAL PROJECT:
EtAetrteal HlUlt Lt'lIAd Addition.
PERIIIITFEE: ~o::; ~
S.,....icQ Information
'"0
o Il8seboanl
o Furn_
O Heat ~
o Fon-w.n
_KW
_KW
_ TON_LRA
_KW
c; Ove""'8<I SeMe.
o T""" Sell/lee
i: Underground Service
VOI:age:
Phaae: ell C 3
Sef\'IC9 Slzo:
Feeder Size:. ___. .
I hereby cetfify //latl have read and axemined this applicstion end Iulow tllst $Bma to be Vue and coneot, and I am
auihorlZlKf 10 apply for &$ permit. '1JTId9,.,,.tand It is nol u.. City's ~I ffI$pOnsibility to d9~rmina wtJat permif$
aTll raquinld; it remains the applicants responsibilily to determine what permits flfS fflQulred and to obtain such.
Credit CaRl Hold..,.. Signature:
Owfter M E/e... Cont. Slgnatu,.:
C:1ELECTRlCAlPERMITAPPlICA TlON
9J..".~/
Dat..:~
D8t.:~"'