HomeMy WebLinkAbout308 Viewcrest Ave - BuildingPREPARED 9/30/10 10 06 59 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/30/10
ADDRESS 308 VIEWCREST AVE
TENANT NBR JAMES R JUDY 0 KEITHLEY
CONTRACTOR SUNSHINE PROPANE
OWNER JAMES R JUDY 0 KEITHLEY
PARCEL 06 30 15 5 1 2835 0000
APPL NUMBER 10 00000991 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
SUBDIV
PHONE (360) 683 4010
PHONE (360) 797 1900
ME6 01 9/09/10 JLL MECHANICAL GAS LINE TIME 01 00
9/09/10 AP September 8 2010 4 28 12 PM 1pangrle
JAMES 797 1900
GAS LINE
AFTERNOON
September 9 2010 4 32 15 PM jlierly
ME99 01 9/31110 SeptAmIerL 0INAL 1IME 01
September 30 2010 10 06 09 AM
1pangrle
JAMES 797 1900
MECHANICAL FINAL GAS FIREPLACE TANK SET
COMMENTS AND NOTES
PREPARED 9/09/10 8 04 26 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/09/10
ADDRESS 308 VIEWCREST AVE
TENANT NBR JAMES R JUDY 0 KEITHLEY
CONTRACTOR SUNSHINE PROPANE
OWNER JAMES R JUDY 0 KEITHLEY
PARCEL 06 30 15 5 1 2835 0000
APPL NUMBER 10 00000991 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 9/09/10
SUBDIV
MECHANICAL GAS LINE TIME 01 00
September 8 2010 4 28 12 PM 1pangrle
JAMES 797 1900
GAS LINE
AFTERNOON
COMMENTS AND NOTES
PHONE (360) 683 4010
PHONE (360) 797 1900
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC 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 RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Application desc
TANK SET
Owner
JAMES R JUDY 0 KEITHLEY
308 VIEWCREST AVE
PORT ANGELES
(360) 797 1900
WA 98362
Permit MECHANICAL
Additional desc TANK SET
Permit pin number 173054
Permit Fee 50 00
Issue Date 9/08/10
Expiration Date 3/07/11
Qty Unit Charge Per
Fee summary Charged
Permit Fee Total 50 00
Plan Check Total 00
Grand Total 50 00
T:FormslBuilding Division /Building Permit
10 00000991 Date 9/08/10
259565
308 VIEWCREST AVE
06 30 15 5 1 2835 0000
JAMES R JUDY 0 KEITHLEY
MECHANICAL APPL PERMIT
PERMIT
Contractor
SUNSHINE PROPANE
10853 RHODY DR
PORT HADLOCK
(360) 683 4010
Plan Check Fee 00
Valuation 0
Extension
BASE FEE 50 00
Paid Credited Due
50 00 00
00 00
50 00 00
WA 98339
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
01/4,
01- 30 z
Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
9 g /o T hiMk s TgLE
Date Print Name Signature of Contractor or Authorized Age r Signature of Owner (if ow er is builder)
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date
FOUNDATION.
Footings
Stemwall
Foundation Drainage Downspouts
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 Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
`1 -9 -tn
Inspection Type
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
T:Forms /Building Division /Building Permit
Accepted By Comments
FINAL Date Accepted by
FINAL Date
1;30,10
Acccepted by
Date Accepted By
0
Applicant JA E.5 f 1 E/ Th/.2 F'c/
Property Owner S 4A4 E
Property Owner's Address 3o SP. l/ /EeC 'E
Contractor _cQ H,A/e P" RA,E
0
Contractor's Address /0gs. 1711.9/)4/ D .P. Poe? M, bet'
License 5 0771p Expires
r
PROJECT ADDRESS .36 V/g 's T AVE PART A,v1F .gs /4)14 98U
Parcel Number
Project Tvoe Brief Des
Check all that apply
New Construction
Addition
Remodel
Repair
Demolition
Re -roof
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures
Site Coverage the amount of impervious
and other impervious surfaces (see PAM
T.Forms /Building Division /Building permit application
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
criation.
ft Residential Multi- family Commercial Industrial
Lys TX Li /20 a i Pp/ E ribvA' 1/6.9,e up
See- Pe_ren't 4r 06 Z21 `}or O. Y QuJ heme
qQ,s u o,s t v, c I u d RA e n t-Irt of P ert�'t i
House garage other tear off re -roof lay over one layer
Heat pump wood- burning stove Xgas fireplace pellet stove other
Existing (sq. ft.)
V
1
Posed (sq. ft)
sq. T Lot size
e on a parcel including structure
7 94 135 for exemptions)
Max. height of proposed structures Occupancy group
Will a lawn sprinkler system be install Occupant load
Will a fire sprinkler system be install Construction t •e
a
o
Phone
Phone
PR '9SIG
Phone
E -mail
per sq ft.
For City Use Only
Date Received r1 10
Permit# 1(') -q41
Date Approved
Lot Zoning
OTAL VALUATION.
797 -/900
797 /900
683 -Y0 /0
of bedrooms
of full baths
of half baths
-.e
ed driveways sidewalks patios
Site coverage
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits p to working on projects.
Date 9- g---/o Print Name J/944,E S x /7.1 4/ Signature
Clallam County Assessor Treasurer Property Details 67966 JAMES R AND JUDY Page 1 of 7
Clallam County Assessor Treasurer
Property Search Results 67966 JAMES R AND JUDY 0 KEITHLEY for Year 2010 2011
Property
Account
Property ID
Location
Geographic ID 0630155128350000
Type Real
Multi Family Redevelopment: N
Township
Range
C Taxes and Assessment Due
Property Tax Information as of 09/08/2010
Amount Due if Paid on.
67966 Legal Description LT 18 BL 28 GRANT'S
ADDITION SUR V65 P78
Agent Code
Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11
Open Space. N DFL N
Historic Property N Remodel Property N
Section:
Address: 308 VIEWCREST AVE Mapsco
PORT ANGELES WA 98362
Neighborhood. Cycle 5 Res Map ID 2
Neighborhood CD 10955130
Owner
Name JAMES R AND JUDY 0 KEITHLEY Owner ID
Mailing Address. 308 VIEWCREST AVE Ownership
PORT ANGELES WA 98362
Exemptions.
1 First Half !Second Half
Year Statement ID Taxing Jurisdiction Base Due Base Due
2010 49714 ST SCH STATE SCHOOL $214 58 $214 $0 00 $0 00 $42
2010 49714 CC -GEN COUNTY $114.20 $114 19 $0 00 $0 00 $22
2010 49714 PORT PORT $16 05 $16 05 $0 00 $0 00
12010 49714 PORT ANG PORT ANGELES $264 40 $264 39 $0 00 $0 00 $52
2010 49714 SD #121 SCHOOL DISTRICT #121
$277 95 $277 94 $0 00 $0_00 $5°
12010 49714 NTH OLY LIB NORTH OLYMPIC LIBRARY $33 18 $33 18 $0 00 $0 00 $E
2010 49714 HOSP #2 HOSPITAL #2 $46 84 $46 85 $0 00 $0 00 $5
2010 49714 WSMET PK DIST WILLIAM SHORE MET PARK DIST $14 90 $14 91 $0 00 $0 00 $2
1 2010 49714 CITY STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $7
2010 49714 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 9
2010 49714 TOTAL. $1018.92 $1018.91 $0.00 $0.00 $202
2009 679662008 ST SCH STATE SCHOOL $245 90 $245 90 $0 00 $0 00 $4.
j 2009 679662008 CC -GEN COUNTY $124 46 $124 44 $0 00 $0 00 $24
1 2009 679662008 PORT PORT $17 63 $17 63 $0 00 $0 00 $C
2009 679662008 PORT ANG PORT AN_ GELES $272.97 $272.96 $0 00 $0 00 $54
2009 679662008 SD #121 SCHOOL DISTRICT #121 $304 10 $304 09 $0 00 $0 00 $6C
2009 679662008 NTH OLY LIB NORTH OLYMPIC LIBRARY $36 16 $36 16 $0 00 $0 00 $7
2009 679662008 HOSP #2 HOSPITAL #2 $51 04 $51 04 $0 00 $0 00 $1 C
118469
100 0000000000%
Penalty Interest Base
http. /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =67966 9/8/2010
~ CITY OF PORT ANGELES G
PUBLIC WORKS - UTILlllliS DNISION (j'
~Cj/ 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ,
~~ .-c
Application Number 06-00000906 Date 10/16/07 0
Application pin number 110566 0'
Property Address >
308 VIEWCREST AVE
ASSESSOR PARCEL NUMBER: 06-30-15-5-1-2835-0000-
Application type description PUBLIC WORKS UTILITES
Subdivision Name
Property Use
Property Zoning . RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
------------------------ ------------------------
GRANT'S VIEW, LLC. OWNER
2432 267TH COURT SE
SAMMAMISH WA 98075
--------------------------------------------'--------------------------------
Permit RIGHT OF WAY
Additional desc . RUP 06-18 & 06-19
Permit pin number 84988
Permit Fee 70.00 Plan Check Fee .00
Issue Date 10/16/07 Valuation 0
Expiration Date . 4/13/08
Qty Uni t Charge Per Extension
BASE FEE 70.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due' ()J
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 70.00 70.00 .00 .00 0
Plan Check Total .00 .00 .00 .00 rJ)
Grand Total 70.00 70.00 .00 .00
~
--'
E
~
4.
f
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private arid 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 nof 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:\Policies\1102.15R [1I05J
..--------------
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE I ACCEPTED COMMENTS
I YES I NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM I
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
I CURB & GUTTER
DRIVEWAY APPROACH I I I
BACK-FLOW DEVICE
I I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE I ACCEPTED
I YES NO
CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
I FIRE 417-4653 FIRE DEPT.
I PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
I I
T:\Policies\1102.15R [1I05J .
- --.---
BUILDING ~DIV'ISION
CITY OF PORT ANGELES
* *
Correction Notice
?;Og-
Job Located at ,~/ ~ /1/ bV CtUi>1-
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
.-L~ Ph:-i- fPMk v! L OA-/
.fJ-(\[)f)-J-;;:-CC, '-:rr-c, /
S} (~F- -/ b: / . fllLoJuO HUJ--I/;IJ /btc
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V 2or-_ tL ~ H J<..J I t; ~ /V1Cx) J':> @fr/!JCM
(~\}\\. 571f:7
Y1/ \1~v
~
These corrections must be made and are not to be
covered until reinspection is m?~41...)Yhen corr~ons
have been made, please call LfJ ~ / Cf,j-/ (
. .
for inSpe~O? iZ
Date ~/ 0/ [/1 . u1."o, 10' .""d'o. 0""'00
DO NOT REMOVE THIS TAG
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liif-4. c:lzzzet:::o..- I 0..- en 0., N N N '.0 ffi .
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G'
"',
ELECfRICAL WORK PE&'\o'IIT APPLICATbN
,I'
Job wired by
.. E~ectrical Contractor 0 Owner
rnstallation descriplion
a Commercial ~ ResideD.tial
ElectricaJ contractot' name
;0;.0'"'' r;X~ IJ""t,,-: {
Purchaser's i1ing" dress
17n. ?'".'i-. 35's \
City .
S=-"(lt.~, "''''''- .
Telephone number l
3<':;; -o:;,S -
License number
I"" :pi<'c,/)f'P')'-i LID
,
Date Expires
:-{HdL
~N.w
Q Altered/Addition'
,,^,'r._ ,
Stale ZIP
q S ;y;:; l~
5.)'
;52-
0::;'1- -I:-k
7 no l\~
c'e I""V 1C.l", -\,,,,,,)\:
Ic.tO\c
\^;c\-+~
11" lAc \'l'Jw1("
l.
, ,
r "10' o((~ I'i;')
,J \
.
FAX number
Premises owner's Dame
c... A .1df>('''n~'\.
Address of inspeC:=lion
.I~ wer.
~')A 1--\ V\{\9 \pc:,
Phone umber to sc'1lcdule IOspedlon:
,=?, -0 '1 " - --J . OC
Owner as definr!d by RCJJ': (9.28.161 :(1) Oi,'ner will OCCUP)' the siruC!ure for 0\.'0
years after :Ilis electrical pennit is jina/~ed. (2) {N-mer is required to hire an eJectn"ca!
contractor' If above said properry is jor 5ale, rent or lease.
After rcadin1; the: above st:a1ement. I hereb)' certify that 1 am the owm:r of the above
named property or a licensed electrical con1raclor, I am nuking the electrical instal-
lation or alterahon in- compliance wilh the electrical Laws, N.E.C., RC\\'. Chaptcr
19,2S, WAC, Chapter 296.46B. Th~ City of Porl Angeles Municipal Code, and
Utility Specifications,
-w 'i)~5'
D"
/1r~S
'{oD
/6 t;/j- rp
o Cash 0 Check ~
.:J Credit Card
Card #
Visa
Mastercard
Discover
----------------
Date:! - -Z D--:5 '.
Eleclrical Load ddillons andorsublr lions
o NO LOAD CHANGES
o Baseboard KW
Q F;urnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
Expiration Date
of card
"
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseD1D3
Service Size: ~
Feeder SiZ&:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
THERJ'\oIOSTAT
7r;z.?tH.. AD
Dale Aprllo\lcd By"
,Ad)
Appr","dBy
DITOI
iU)
tc: AJItlro\lcd By
SERVICE
~D~' ~gB'
FEEDER
ROUGH-IN
1rJ-~-d..
D.ue
~Jd)
A:)pro~e" B)
O~I" ApfI'D..ed By
inspection
Date
Area, Building or Equipment'Inspected
Action Taken
Eleccrical
Inspector
7- 25"-0(."
1/7/3,0. Cc",",J~r ~ WI.~ B$ 5E/WsD Ffb>- )IF#OiZ.
To Dtr INS 'N\LLE"t:, ON NS 1000 I,
A'lw~
;U~
i :11-
,~ 'J"f
,
.
CS ~L-~8g-098
UOSIJJ8H ^Y10W1l
8c~LO 90 ~(<,~
cJ.-~ Co V
....
ELECTRICAL WORK PERMIT APPLICA110N
.
. ,
Job wired by
o Electrical Contractor 0 Owner
Installation description
o Commercial )I Residential
Electrical contractor name License number
lScO\/Hj ~f.kdl'1c..r..(., hiS( D$F'l<.II.\h
Purchaser's iling aodress
1'.0. ~O)l.. ~..;., I
City
S~",-..... .
Telephone number
~(,D_ (m- i
Date Expires
Ll~
DNew
o Altered/Addition
State ZIP
---
125 AM~
.
~""'\.'I(~
,\
yJ",. q'b~<l2
FAX number
. (,0 - (p~ \ - 1
"
;.
Premises owner's name
C. ArlJ"''('<'1)\A ~ln'^"i:S J {'l1n'~ A..J.......,,"oA
Address of inspection '
3~ \jleWvr"V:"-+ A\JI'~
C.,
'''of+ A (l;' k,
Phone number to schedule inspection:
(PO -. fvo-
Owner as defined by RCW/9.28.26/:(I) Owner will occupy the structurefj two
years after this electrical permit is finalized. (2) Owner is required to hire an e ctrical
contractor if above said property is for sale, rent or lease,
After reading the above statement, I hereby certify that I am the owner 0
namcd property or a licensed electrical contractor. I am making the el
lation or altcration in compliance with the elcctrical laws, N.E.C. C
19.28, WAC. Chapter 296-46B, The City of Port Angeles Mun c'~
Utility Specifications.
Signature of strator
o Cash 0 Chec~ #
o credi~rd \.Jsa Mastercard Discover
Card # - - -
- --------------
-
7 0
Expiration Date
of card
o
Service Information
Electrical Load A ilions and or subtracr
o NO LOAD CHANGES
o Baseboard KW
D Furnace KW
D Heat Pump Ton
D Fan.Wall
o .~ea rvice
o 'iemp Service
dt..~nderground Service
7 '00 AM 360-417-4735
THERMOSTAT
Voltage
PhaseD1D3
Service Size:
Feeder Size:
SAME DAY
SERVICE
Dale
Dale
Approved By
Dale
Approved By
DITaI
FEEDER
Dale
Approved By
Dale
Approved By
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
&-/3-0&
..,w'"'-r rer
~?o/tiJ
;Z.4~
JUL-27-2ee6 02:36 PM
ALL WEATHER H/C Inc
3613 452 5177
P.02
Electrical Gonlractor name License n\lrnbln
AU \J.I^..M,~, U.-tW't ....r .......~~"d Al.UtJ'-\.\r \~"L\l
Purchaser', mallini a41St
. lIo~ "'P^"?~'
City
?er.... ~~tr\....
Telephone number
Date bpire8
cd. lot.
.
Inltallalion dDscdptloR
C COdlmerclal PI. Retld..t1al
. e New e A1laradlAddlUoo
~
\S"\
\
"N
~
.
ELECTRICAL WORK PERMIT APPLICATION
Job wired by
o EI.otrlcoJ COdtractor 0 Ow.er
-...
UJ 'l.5.M
Slate ZiP
to'\Q. ~~_"'1-
FAX number
C\g~~'l
s~ 770-1 71
Own..r cu J,,/I,..d by RCw'J9.28.16t:(I) ()wn,r will ot-cup)' the IIfl1ctwreJDr two
yet'" 4/i., IlIls ,"~rlCdt pmfl/t 1$ /lfl(Jtu~. (1) Ow,.". is rffulreJ 'd Itln illI ,'eelrical
CDnll'actru If abow 'aid prop"" It ftr sa/., rt.nt Dr' 'eflle.
After reldlna the sbove .tatoment, J hereby e.rtlfy Ihlt I am &be owner or Ihe above
named p.raperty Qf I UClnnd ,Iec:mw. conft'aelOt. I 1m maklna'tho c:lecU'IDII inn.l-
tation or elteraUon In C(lmpUaneo with Ihe olcclflelllawa. N,H.C.. 'RCW. Chapter
19.28, WAC. Cblplef 196-"6B, The City or pori An,ele. MlZnlclpal Code. and
Utility SpcclOcltion.,
Sllutur. of owaer, Ilectrlul CODt"tor Or .llClrl~.) IllmlDI.tralor
X ' PllfI'J Date:. 2-7 (J1.f
Pr.mhel rftlr'l n.ml&
. PlC\Ou-~"
Addrou or Inlpactlo.
3{)~ Vi..J1.....r'['p~~
Cl.,?
~r..... Pi~~\"", I ,)A
phon. number to nhe ulll In.peetlonl
o Cub ';<< Chad #
o Credit Card VLSa MutercOld Dlsco.e.
COld# ____-____-----"----
I!xpiratlon Dale
ofoOld
napootlon 00
$
SeMc. In'ormatlon
o N LOAD CW<NGE9
[J Ba..board _ KW
e Furno.. _ ~
e H.at Pump _ Ton _ \.AR
o Fon.Wall _I<W
SAME DAY INSPECTION CALL BEFORE 7'00 AM 360-417-4735
C OVlrheld Service
e Tamp SoNIc.
o Underground Slrvlcl
Volt.go
PhnoaO,03
s."".. 9Iz.: _
F..der Slza:
,
ROUGH-lN ~ THERMOSTAT SERVICE
/1/ .4iJ-
'C PCI~ ...,,..,.'dll,. . e, D.. ^,pl'OndB"
r h;~' I.~AL~:; DITCH ( FEEDER ,
Pill_ ~ glle .....a
In.peedon Area. BDlldin, Dr Ilqulpm,nllnspoet<d Ac\\on Takeu Electrical
olle Inspectcr
SEP-07-2006 09:59 AM
ALL WEATHER H/C Inc
360 452 5177
P.02
u
COpy
.
)
ELECTRICAL WORK PERMIT APPUCATIO~I .
,
.,.'
..
License number
Installlltion description
CI Commercial ~ Residential
Job wired by
C$.Electrlcal Contractor [;1 Owner
o New
o Alteredl Addition
urchaser's mailing a dress
1;p 1- /(emfJ sr
City Stale ZIP
ltv I- f/flqM.1f/1t q /'?XI Z-
Telephone number FAX number
? "/5Z--Sf11
Fremin. owner', Dame
(J. I4rttu~
Addr.:u or Inspection ~ j. ~
:>~ 8 IIt1l4KYl.# l.b I
City
=Pcvf ~(~ wn. ljPJfI),
Phone number 0 .ehedule Inlpect\on:
Lv
r., )'ftty
,.
~
\}
/:~
// \\
lhmer as defined by RCw'J9.28.261:(l) Owner will occupy ",e .ftru((uhl!or two
yeors after thl.f eleClrical permit is flfI(JlI:ed. (2) Owner is required (0 hire In(elecrrJctd \)
cA.cnntradOd'.lf a.~c\lf!bsaid property IS,!Oh"Ob'e, r~tforb'eaJle'.L ~f~'b;\\b a Cash elich.eclk #
er rea Ing u,e i ove Pillatc:ment, ere y certt y t at am me owner 0 e II ove
ntlmed property or a licensed electrlclIl contractor. I am making the elccldcal')ri!llal. t:I Credit Card j' VISll
lation or altennion in compliance wilh the electrical laws, N,E.C.. RCW. ChaRter
19,28. WAC. Cha.pter 296-46B, The City of Port Anielcs\~'hlnicipal Code" and Card# ____~____ _ ---.----
Utility Specifications. -- ~ \ \ \ \ if
Slguture of oWnl~eltetrl~1!.1 eo~trac~r or electrlcll\ad,mtnldrator \ \"' ExpirationDate
X ~ 7h, ,\ t.\ 5~ Date: \'J (PI \ ofc.r~/ /
," "."., ~ ~
~ ~~.~~1~ CHAN~;;> )~A '\\1 \~. .
o Furn4~~ -i<w 'L.. /Jj' O"Overhe.d Service
o He.ll~mp _ Ton _liAR \ o'remp Service .
o F.n.'t~'\ _ KW / / 'i, 0 Underground Service
SAME DAY INSPECTION. CA~L BEFORE 7:00 AM 360-417.4735
1
Mastercard
Discover
(snspec:tlon ree
Senile. Information
Voltage
Ph..eO,03
Servloe SIze: _
Feeder Size:
\\(\ //~OUGH~ \\ ' .
, lllERMOSTAT SERVICE
~' ~DQt~ ^,pl'Ove~ By. '- [l~le ^pptO~e<I By '- Dalt ^flPT~"lI!d 9y
'\\ FINAL \j , DITCH FEEDER "
"- \DRl~ ApJlTlIve1lB)' Datil! Appravel<l8.1' -/ "- DUel AllPl'Ovcd By
InspectiOl'i \\ Area, Building or Equipment Inspected Action Taken Electrical
Date (nspeotor
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Jal FAXED -;#: c!J G'" P-'J-)
:ifia-! D& .. JJ CO P'tECTRICAL WORK PERMIT APPLICATION ~
~
~~ ~
........- ,
DOwner Installation description ~
Job wired by D Electrical Contractor a Commercial ~ Residential
Electrical contractor name License nUplber Date Expires . ~
A II \..J{cdtv ( U r'cW"Ws ~ (' ,.".~~" /j PI L1-~J~"tySD y \ \ Cr/, ID(" aNew o Altered/Addition .......
r I
Purchaser's' mailing addr
,10~ '" '2i'^ ~ .S~. L\I "\ - ~(\:~
City State ZIP
? n-A,. (\"l':.o\o, ( ,'lA c., <f<.~;;1.-
Telephone numberO . FAX number
4f)~-q~I'2. 4!:)~- fi 17'7
Premises rner.s name
. A C\da.r ....;>0'""
Address of Inspection
:,()o \J i ~r'n:>_":-."" ~
City? q f{3(", '1
Phone n7~: t~c~fl~~I:spect~::?f-\
'-t 25 -770-1471
\)0
Owner as defined by RCW./9.28.261:(I) Owner will occupy the structure for lwo
years after this electrical pemlit is finalized. (2) Owller is required to hire an electrical
contractor if above said property is for sale. rent or lease. D Cash Jii{ Check #
After reading the above statement, I hereby certify that I am the owner of the above
named pr~perty or a licensed electrical contractor. I am making' the electrical instal- D Credit Card VISa Mastercard Discover ~
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Card # - - -
Utility Specifications, -------~--------
~
~gnature of o:n::;;,.rl:;;l;r or el;:::: a~/~~7 (ftf ($nspection fee C
E'.~d Add",.~[d.' SI'P''".'_ .
Service Information ~
o N LOAD CHANGES
o Baseboard _KW Voltage
o Furnace _KW o Overhead Service Phase 0 1 0 3
o Heat Pump _ Ton_LAR a Temp Service Service Size:
o Fan-Wall _KW o Underground Service Feeder Size: \}\
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ~
( ROOGH-m ) ~ mERMOSfAT ~ ( SERTICE )
1~~~~N> t!2 _J /-;:?/::-a d!fJ- Dale Approved By t
FINAL ( DITCH J ( .=u~ J
J/-;;/~d>
Dale Approved By Dale Approved By Dale Approved By
Inspection Area, Building or Equipment Inspected I Action Taken I Electrical
Date Inspector
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@r l..u i OF PORT ANGELES
PUBLIC WORKS - UTll..l J W~ DIVISION
.~~ 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . 06-00000221 Date 4/07/06
Application pin number 776552
Property Address 308 VIEWCREST AVE
ASSESSOR PARCEL NUMBER: 06-30-15-5-1-~835-0000-
Tenant nbr, name CHRIS ANDERSON
Application type description RES NEW SFR
Subdivision Name
Property Use
property Zoning . RS7 RESDNTL SINGLE FAMILY
Application valuation 126244
Owner Contractor
------------------------ ------------------------
GRANT'S VIEW, LLC. C. ANDERSON HOMES & DEV. INC.
2432 267TH COURT SE 8215 184TH DR. SE
SAMMAMISH WA 98075 SNOHOMISH, WA. 98290
SEBRING FL
(425) 770-1477
Other struct info . TOTAL % LOT COVERAGE 27.20
NUMBER OF STORIES 1.00
LOT SIZE 7000.00
TOTAL LOT COVERAGE 1906.00
NUMBER OF UNITS 1. 00
----------------------------------------------------------------------------
Permit DRIVEWAY INSTALLATION
Additional desc .
Permit pin number 72447
Permit Fee 170.00 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date 10/04/06
Qty Unit Charge Per Extension
BASE FEE '170.00
----------------------------------------------------------------------------
Permit PUBLIC WORKS RES WATER SERV
Additional desc .
Permit pin number 72454
Permit Fee 715.00 Plan Check Fee .00
Issue Date Valuation 126244
Expiration Date 10/04/06
Qty Unit Charge Per Extension
1.00 715.0000 EA PW W/M 1" SERV 5/8" METER 715.00
----------------------------------------------------------------------------
Permit RIGHT OF WAY
Additional desc .
Permit pin number 72421
Permit Fee 50.00 Plan Check Fee .00
Issue Date Valuation 126244
Expiration Date 10/04/06
Qty Unit Charge Per Extension
1. 00 50.0000 ECH RIGHT OF WAY PERMIT" 50.00
----------------------------------------------------------------------------
Permit SANITARY SEWER HOOK UP
Additional desc .
Permit pin number 72439
Permit Fee 110.00 Plan Check Fee .00
Issue Date Valuation 126244
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 ordinanc s governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to iv t rity to violate or cancel the provisions of any state or local law regulating constructio'n or the performance of
constructi
[(-1,00
Signatur uthorized Agent Date Signature of {)wner (if owner is builder) , Date
T:\Policies\J 1 02.15R {1I05]
.
I - -
PERMIT INSPE\.. .lION RECORD .
., . .
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. .
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE I AC,-I!oc . I!oLl COMMENTS
YES 1 NO
PW UTILITIES (En".:-.--.:ng Division)
WATERLINE I~. r.A
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GtJ. . "...
DRlVEW A Y APPROACH I ~ I
BACK-FLOW DEVICE
I I I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING -
".'-'.------.
T:\Policics\1102.15R (1105)
s ~u i OF PORT ANGELES
.ur~ PUBLIC WORKS - UTILI! wS DMSION
. ~;;iI" 321 EAST 51HS1REET, PORT ANGELES, WA 98362
Page 2
Application Number 06-00000221 Date 4/07/06
Application pin number 776552
Expiration Date . 10/04/06
Qty Unit Charge Per Extension
1. 00 110.0000 EA SAN SEWER HOOKUP 110.00
, .
----------------------------------------------------------------------------
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches hi~h and be
of contrasting color from the background.
03/09/2006 04:33 PM SROBERDS -- The proposal will result
in a s.f. res in the RS-7 zone for total lot coverage of
27%. Corners MUST be staked to determine property setbacks.
Electrical load calculations and elctrical permits are
required.
There is no power to these lots. Cost estimate sent to
owners. Waiting for payment & easements for line extension.
03/06/2006 03:42 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 at alley and 6" wide Sidewalks along
Viewcrest 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. A survey will be required to establish
property line along Viewcrest.
----------------------------------------------------------------------------
Other Fees SEWER SYSTEM DELV CHARGE 870.00
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 1200:00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1045.00 1045.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 3119.50 3119.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work orconstru..r.". authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required Inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Oate Signature of -Owner (if owner is builder)' Date
T:\Policies\1102.15R (1I0S]
PERMIT INSPECTION RECORD ,
.... .
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. ,
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE I ACCEPTED COMMENTS
YES \ NO
PW UTILITIES (Engineering Division)
WATERLINE I METER
SEWER CONNE'-IIV1~
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUITER
DRIVEWAY APPROACH I I I
BACK-FLOW DEVICE
I I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL I' DATE ACCEPTED
YES NO
CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING -
T:\Policies\1102.15R (1/05J
J~ORT~ I
CITY OF PORT ANGELES
~ - DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
. -=::;..., 321 EAST 5TH STREET, PORT ANGELES, W A 98362
~
Application Number 06-00000221 Date 4/07/06
Application pin number 776552
Property Address 308 VIEWCREST AVE
ASSESSOR PARCEL NUMBER: 06-30-15-5-1-2835-0000-
Tenant nbr, name CHRIS ANDERSON
Application type description RES NEW SFR
Subdivision Name
Property Use
Property Zoning . RS7 RESDNTL SINGLE FAMILY
Application valuation 126244
Owner Contractor
------------------------ ------------------------
GRANT'S VIEW, LLC. C. ANDERSON HOMES & DEV. INC.
2432 267TH COURT SE 8215 184TH DR. SE
SAMMAMISH WA 98075 SNOHOMISH, WA. 98290
SEBRING FL
(425) 770-1477
Other struct info . TOTAL % LOT COVERAGE 27.20
NUMBER OF STORIES 1. 00 ~
LOT SIZE 7000.00
TOTAL LOT COVERAGE 1906.00
NUMBER OF UNITS 1. 00
------------------------
---------------------------------------------------
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc .
Permit pin number 72652
Permit Fee 1171.45 Plan Check Fee 468.58
Issue Date Valuation 126244
Expiration Date 10/04/06
Qty Unit Charge Per Extension
BASE FEE 1020.25
27.00 5.6000 THOU BL-100,OOl-500K (5.60 PER K) 151.20
----------------------------------------------------------------------------
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc .
Permit pin number 72678
Permit Fee 36.40 Plan Check Fee .00
Issue Date Valuation 0
Expiration Date 10/04/06
Qty Unit Charge Per Extension
1. 00 36.4000 ECH EL-LVT-FIRST THERMOSTAT 36.40
---------------------------------------------------------------------------- ~
Permit MECHANICAL PERMIT
Additional desc .
Permit pin number 72660
Permit Fee 111.60 plan Check Fee .00 Oy1?~
Issue Date Valuation 0
Expiration Date . 10/04/06
Qty Unit Charge Per Extension ~
BASE FEE 50.00
1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70 O.p
5.00 7.2500 ECH ME-VENT FAN 36.25
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65
----------------------------------------------------------------------------
Permit PLUMBING PERMIT
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 g eming this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to v .~ to violate or cancel the provisions of any state or local law regulating construction or the performance of
construc '0
4-7-06
Signatu~tractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\Policies\1102_15 building permit inspection record05,wpd [1/4/2005J
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 I DATE I ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS 1 WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS,)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS I I I
CEILINO
FRAMING
JOISTS 1 GIRDERS
SHEAR WALUHOLD DOWNS
I WALLS 1 ROOF 1 CEILING
, DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB I I I
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT, SEPARATE PERMIT #'5 SEPA:
P ARKlNG/LIGHTING I I I ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W, 1 PW 1 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:\Policies\1102_15 building permit inspection record05,wpd [1/4/2005J
-
-.
~ \
CITY OF PORT ANGELES
. DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
~ -=.. 321 EAST 5TH STREET, PORT ANGELES, W A 98362
>~
Application Number Page 2
06-00000221 Date 4/07/06
Application pin number 776552
Additional desc .
Permit pin number . 72686
Permit Fe~ ':0\0;-. -.......' ~. ..,.:1.49\1\0 '. . Plan Check Fee .00
I D '.i. . ,.' , ,..,,\ f'\
ssue ate ., .: ,. -..l., '. .Valuation . . 0
Expiration Date .. 10/04/06 \
Qty Unit Charge Per Extension
BASE FEE 50.00
10.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP 70.00
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00
1. 00 7.0000 ECH PL- EA. WATER HEATER 7.00
----------------------------------------------------------------------------
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background. .1.. .... "I . ,.~ \'
03/09/2006 04:33 PM SROBERDS -- The proposal wi11~lesu1t ~J1
in a s.f. res in the RS-7 zone for total lot coverage of .
27%, Corners MUST be staked to determine property setbacks.
Electrical load calculations and elctrical permits are
required.
There is no power to these lots. Cost estimate sent to
owners. Waiting for payment & easements for line extension.
03/06/2006 03:42 PM GMCLAIN ----------------------------
sani~ary sewer ~onnection inspection is required by
Publlc Works prlor to back fill of ditch. 24 hour advance
notice is required.
C,:,nstruct driv~way at alley and 6" wide Sidewalks along
Vlewcrest to Clty Standards. No concrete with exposed
aggregate allowed in the City road right of way. An
inspe~tion by Public Works Engineering is required prior to
prourlng concrete. A survey will be required to establish
property line along Viewcrest.
----------------------------------------------------------------------------
Other Fees SEWER SYSTEM DELV CHARGE 870.00
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 1200.00
~----i.----------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1.468.45 1468.45 .00 .00
Plan Check Total 468.58 468.58 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 4011.53 4011.53 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\Policies\1102_15 building pennit inspection record05,wpd [1/4/2005]
,
BUILDING PERMIT INSPECTION RECORD I
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 I DATE I ACCEPTED COMMENTS ~
YES I NO \
FOUNDATION: /;;1fldtt/- JO;z,/~ flu ~
FOOTINGS -
I Siji:AR"w I\LL5-.( WALLS ( I ,,"I /
\.{'OUNDA ~I~N ~AGE / DOWN SPOUTS ;{" / J. / 0 J fA...; $./(1 / tTr. ~ 0/ ~ / tt: ,-rz-...
I PIERS ' . '
POST HOLES (POLE BLDGS,)
PLUMBING \~\)
UNDER FLOOR 1 SLAB \)
~~ ~ Z~
WATERLINE (METER TOBLDG) VW ~ <-
GAS LINE FINAL~~/{)? DATE 41,,1- ACCEPTED BY: G U\
BACK FLOW 1 WATER CJ
A::~:SL 18/'J-/~ I VVv I 1 ~
CEILING / I JV
FRAMING '
JOISTS 1 GIRDERS ~
SHEAR WALL/HOLD DOWNS 7/ t3 foe Vv.--
WALLS 1 ROOF / CEILING 71 1:7 / ~ n--- \>
DRYWALL (INTERIOR BRACED PANEL ONLY) " <
~ ~
INSULATION '
~':L 1 FLOOR 1 CEILING bt II / () h I~) J.. L I
MECHANICAL . ,;.., 7~ -~- 7/'l7/0' -
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL W) 7 DATE J..J,.J..-- ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT, SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING I I I ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL- L1GHTDEPT, 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W, 1 PWI CONSTRUCTION - R,W,
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FlREDEPT,
PLANNING DEPT, 417-4750 PLANNING DEPT.
BUILDING 417-4815 OY_=JJj)j..__-. :\\,.// BUILDING
T:\Policies\1102_15 building permit inspection record05,wpd [1/4/2005J
..
~ ~ ~\ >JV.................... _........ .... _._. ...--- ,)/';'7 Mt,
..~~) ~p"",".; ~. ,.>-,
Fill out COMPLETELY and in INK. Your application and site plan MUST BE . Date Approved: 7 cJ.o
'i.~ "r--:--'J CON' "' .;;:IE io he acceDkrl for review. If yon have an;' qncstiG:lS, ,::11 A~
"' . I ~/ PERMITS (360) 417-4815 FAxo60)417..4711 \ D~~ 1::!:ue:!: 7 'h I
Applicant or Agent r.. Af\Qefu\f\ H-olt)^ 6 i)~,!.d.~~-f Phone: L),;;_v 770 - ty 7J
- - I I
Owner: ~.~~TS y \evJ LL (;, Phone: Lf.). s-- 770 '-/1, ., i1
Address:~\,,). ub~~j'D~'^ ~~ '-VI te Jo~-,I,K City: <; r 1 (,in-. I
q q's~.:l I
,Zip: i
I
ArchitectlEngineer: SO() 11 J '" +r v( fv~' <;.o} u+ru Ii '\ Phone: i-fj ~- 7?~-/ 0)3
ContractorG .~Jt'1"')1l1'\ ~/\tA [)f,/. I
State License #: . fu.']J: Phone:..1l.f - /,a::.m7
Address: ; 11l>'>vJ. WaS~IO,L" SvdeJD'-I-II'i{ City: S. .F~ v;,'h ' Zip: '9 g---~&,.J- i
:PROJECT ADDRESS: ~ 'It evJ Ctttsl Ave. , ZONING: I2s - -7
::~=:::::::~~= B1O~c../30//;?~~~~j;'~
I, / / (
TYPE OF WORK: lsUd!iNALUATION: JJJ
~Residential )tLNew Constr. ORe-roof o Stove 1!:Ib S SF.@$ <60 ISF.=$ 1/7,.) J~J~
o Multi-family 0 Addition o Move JZ Garage 4-00 SF. @$ "Z./. 3~ ISF. = $ 0~-
o Cv...........eTcial D' Remodel o Demolition ,P'Deck 41 SF.@$ \'7-.00 ISF. = $ '2.: -
o Repair o Sign o Other TOTAL VALUATION $_\ '2-b('J,44
BRIEF DESCRlPTION OF .l.l::1.J!. PROJECT: I 4 [., c::: ~ ~~ '~".,v 5..EJ2. (n " ~ I..r....c. h... " '
COMMERCL.ulRESIDENTI.AL: Occupancy Group: Oc~ant Load:' Construction Type: I
!
-
No. of Stories: Lot Size: 1(1 ()1) , Existing Sq. Ft. 0' & Proposed Sq. Ft. t q O(p = TOTAL Sq. Ft._ Iq DG::>
TotRllot coverage-14. 'V % ,
:PLANNING USE ONLY: APP:ROV ALS:
PLAN:
BLDG:
urwu: '
I
- J.4'llU!i:
ESAlWetland(s): 0 Yes 0 No SEPA Chccklistrequired? 0 Yes 0 No Other: lHH t1.t(:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This:figure ~ be reviewed
and may be revised by the Building Division to complywith ...uu....... fee schedules. Contactthe Permit Cov...~atOI at417.4815 for assistance.
pLAN CHECK FEE: IF a plan check fee.is due it must be suL.u.:u..-rl at the time the builrt~ permit application and construction plans are
suL~.;..;.d. All other p"""""':'L fees are due at the timt: ofp~' issuance. I
J!,,Ar .u<ATION OF PLAN REv J.J!, V\': If no p..........i'. is issued within 180 days of the date of application, $e application w~ e1.11ire. The
Building Official can extend the timt: for action by the applicant up to 180 days upon written request by the applicant (see SeCtion Rl 05.3.2
of the Iu,...wational BuildinglR.esidential Code, 2003). No application cm be t..,~~ded more than once. I
, I
I hereby certify that I have read and examined . 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 determi t required ,not the City's, and that 1 must obtain such permits prior to work.
T:\Policies\BL-II02_13.wpd Applicant Date: J - d- 7-06
Prescriptive Approach-Simple Form
For the Washington State Energy Code (2003 Edition)
Climate Zone 1
Site InlL.1.w.ation Building Department Use Only: ;
Lot: ~ ,
Pennit #
Address: '
Notes: 11
City: P(')r+- ~Gi ~ rt7S /
/ ;
lArA- i'
State: Zip: ,/
C:~rl" JbdPr:5 0" ;
Contact: i
!
Phone: 4J..s--,/{) -Il(" ;
Phone 2: I
!
FAX: ~ 6 0 - ~"1'2, - ~ OJK' ;
Table 6-1
PRESCR.l.t' 11 VEREQUIREMENTS FOR GROUP R OCCUPANCY
CLIMATE ZONE 1 !
, (U~,...i G1azin~ Option On} ) , I
Option Glazing ffi~~-F'l Dom ~~ Wall Wall ~j
Area % U- Vaulted Above Interior E>..'terior on
of Floor Vertical Overhea Factor Ceiling Ceiling Gnlde Below Below Floor Grad
Gnlde Gnlde I
I
,
Unlimited j
I
j
ill a~~..;: R-3 0.40 0.58 0.20 R-38 R-30 ' R21 R-21 R-lO R-30 R-10:
Occupancy I
Only i
This Project complies with the following: ,
,/ The Proj~t is a single family residence or duplex. I
;,
,/ The Project is wood frame OR all of the insulation is interior or exterior of the L~g.
,/ All building components meet the re~..............." listed in Table 6-1, Option m.
,/ The Project will meet all other provisions of the WSEC and VIAQ.
The Project will take advantage of the following exceptions to the pres...~;'p;'; ve option.
o 602.6 Exception 1. One door, that is 24ft. Or less, that does not meet the standards allowed. I
L
Location of the door taking this exception I
o 602.6 Exception 2. Doors with a U-FactorofOAO allowed without calculations, Option ill only.
Location of the Door (5) taking exception "
Type of Heat Source: E lee {riG- Fa Ie et) Air, . I
.hXtlll:Sll A
-- ---,
'-'..J VJ .... "....L ......6 .................,
Applicant Project Review Sheet
Applicant: c., . M\'1)u" J.Jv.~^ (). ~l/' Property Address:
Owner: Gh..n <... 4,u\US,)/'\ Proposed Use: ~FIJ SF-f2.. Zoning: p.~ - --,
Is the proposed use listed as a "permitted use" or an "accessory use" in this zone? ~yes: ok Ono: requires PD
review
Is this the only use (business, residence, etc.) on this site? IRtyes: ok o no: requires PD
Has there ever been a subdivision, shortplat, or PRD approved for this site, or has one been o yes: requires PD ':R:;! no: ok
submitted and is pending approval?
Does the proposed use require a new buisiness license? o yes: requires CC Xl no: ok
review
Does the project extend into any required setbacks or cross any lot lines (interior or o yes: requires PD ~ no: ok
exterior)? revIew
Does the project exceed the permitted height allowance or cause the property to exceed o yes: requires PD '(I no: ok
the allowed lot coverage in this zone? review
Does the project require any additional parking or special designlIandscape o yes: requires PD ')Q no: ok
improvements in this zone? review
Does the project eliminate any existing parking spaces? o yes: requires PD ::er no: ok
revIew
Is the project located within 200' of the shoreline? o yes: requires PD ~ no: ok
revIew
Are there any environmentally sensitive areas on or within 200' of the property, including: o yes: requires PD )g no: ok
. wetlands or areas of standing water (year round or seasonal);
. streams (year round or seasonal); revIew
. 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 applicant?
o Site Plan o Construction Drawings
o ParkingIDrainage Plan o Civil Drawings
o Energy Calc o Supporting Engr. Calc
o Landscape/Lighting Plan o Other
If Planning Department review is required, the processing time may be extended. If it is determined a separate Planning Department permit(s) is
needed. the PlanninJ! Department permit(s) must be approved prior to the issuance of any other pemlit.
I
The information provide above is true to the best of my knowledge, I understand that in the event that any of this information is determined by
Ihe City to be in~ I, is p' ecl wm he slOpped until such lime the City detmoines Ihe co""cl injo,matian is provided and any!
subsequently re i d approvals are completed and granted. .J- {; j
- )-/-0
Applicant Date
:
Permit Category # (see reverse side) Building Permit # Master Tracking #
Route to: DBD Dee OPD OLD oPD DPW o Pile o Other
StaffInitials Date Completion of this form is required for all category lb. 2 & 3 permits. Completion is not required for
I 0
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S CITY OF PORT ANGELES "
PUBLIC WORKS - ELECTRICAL DIVISION
:m EAST 5TH STREET. PORT ANGELES. WA 98J()2 .
,,",r~
"-" -' ., ..-
Application Number 06-00000221 Date 7/27/06
Application pin number 776552
Property Address 308 VIEWCREST AVE
ASSESSOR PARCEL NUMBER: 06-30-15-5-1-2835-0000-
Tenant nbr, name CHRIS ANDERSON
Application type description RES NEW SFR
Subd~v~sion Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 126244
Owner Contractor
------------------------ ------------------------
GRANT'S VIEW, LLC C ANDERSON HOMES & DEV INC.
2432 267TH COURT SE 8215 184TH DR SE Lasered
SAMMAMISH WA 98075 SNOHOMISH, WA 98290
SEBRING FL CED
(425) 770-1477
Other struct ~nfo TOTAL % LOT COVERAGE 27 20
NUMBER OF STORIES 1 00
LOT SIZE 7000 00
TOTAL LOT COVERAGE 1906 00 ~
NUMBER OF UNITS 1. 00
---------------------------------------------------------------------------- <:J
Permit ELECTRICAL NEW RESIDENTIAL Q0
Add~tional desc DISCOVERY BAY/ 1865 SF SFR
Permit p~n number 82990
Sub Contractor DISCOVERY BAY ELECTRIC, INC
Permit Fee 119 80 Plan Check Fee 00
Issue Date 7/27/06 Valuation 0 ~
Expiration Date 1/23/07
Qty Unit Charge Per Extension {'
1 00 73 0000 ECH EL-R-SQFT FIRST 1300 73 00 L
2 00 23 4000 5C EL-R-SQFT ADDITIONAL 500 46 80
----------------------------------------------------------------------------
Spec~al 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
03/09/2006 04 33 PM SROBERDS -- The proposal will result
in a s f res in the RS-7 zone for total lot coverage of 1
27% Corners MUST be staked to determine property setbacks
Electrical load calculations and elctrical permits are
required
There is no power to these lots Cost estimate sent to
owners Waiting for payment & easements for line extension
03/06/2006 03 42 PM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is requ~red.
Construct dr~veway at alley and 6" wide Sidewalks along
V~ewcrest to C~ty Standards No concrete w~th exposed
aggregate allowed ~n the City road r~ght of way An
inspect~on by Public Works Engineering is required prior to
prour~ng concrete A survey will be required to establish
property line along viewcrest.
----------------------------------------------------------------------------
Other Fees SEWER SYSTEM DELV CHARGE 870 00
:
COMMI::NTSI ACTION NEEDED
'~ CITY OF PORT ANGELES "
PUBLIC WORKS - ELECTRICAL DIVISION
J2\ EAST STH STREET. PORT ANGELES. WA 98J62 ..
~
"- - -' -
Page 2
Applicatlon Number 06-00000221 Date 7/27/06
Applicatlon pin number - 776552
----------------------------------------------------------------------------
Other Fees STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE 1200,00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 119.80 119" 80 .00 00
Plan Check Total 00 00 .00 00
Other Fee Total 2074 50 2074 50 .00 .00
Grand Total 2194 30 2194.30 00 00
:
COMMENTS/ACTION NEEDED
I
ELECTRICAL PERMIT INSPEcrION RECORD
I
I
. I
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINJMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER.
I INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
I MI:'.I" PERMIT CARD AND APPROVED PLANS AT JOB SITE
u .:.~ .IoC110N TYPE I DATE I ACCEPTED COMMENTS
II YES I NO
II
DITCH I 6 -16- 1>5 ~
ROUUH-INI COVER 1, '-~. () ~ k.f"5
I
SER VICE I R-Ih-vh ~)
I ,
FINAL I 1/1-:1..?-cr6 I -hV / I
II
II
I
II
I
GENERAL COM~ENTS:
II .PW-II02.!' 14'961
.
:
.
Q CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANGELES. WA 983()2
~ .
.....-.....-.....,
-.. ..,',~,,",--
Application Number 06-000?0221: ,"-,,;~," '~:::', _ ,~~te 11/27/06
Application pin number _ 776552. ' " __' -: _' .'" !.!.",,;';-;:_... "'"'~'< , ~. - " .-
Property Address .' . '308 VIEWCREST-'AVE ';,"- '.'
ASSESSOR PARCEL NUMBER' 06-30-15-5-1-2835-0000-
Tenant nbr, name CHRIS ANDERSON
Application type description RES NEW SFR
Subdivision Name
Property Use
Property Zoning . RS7 RESDNTL SINGLE FAMILY
Application valuation 126244
Owner Contractor
------------------------ ------~-;::~:-~--:------
GRANT'S VIEW, LLC. C: 'ANDERSONoHOMES & DEV. INC,
- ," ':: .' "'~'-... '. '
2432 267TH COURT SE 8215 184TH DR'. SE
SAMMAMISH WA 98075 SNOHOMISH, WA. 98290
SEBRING FL
(425) 770-1477
Other struct info TOTAL % LOT COVERAGE 27.20
NUMBER OF STORIES 1. 00
LOT SIZE 7000 00
TOTAL LOT COVERAGE 1906.00
NUMBER OF UNITS 1. 00
----------------------------------------------------------------------------
Permit ELECTRICAL NEW RESI9ENTpAL _~~
Additional desc T-STAT ' ..t~l 03;1, ,-~,.
Permit pin number - '-......-.,- toJ'" r~'" ,._.. -- ...--
72678 ' " ~, .-'io '
Sub Contractor ALL WEATHER HTG & COOLING INC
Permit Fee 36.40 plan Check Fee .00
Issue Date 4/07/06 Valuation 0
Expiration Date 5/20/07
Qty Unit Charge Per Extension
1 00 36.4000 ECH EL-LVT-FIRST THERMOSTAT 36.40
----------------------------------------------------------------------------
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of si~,i~cte~high and be
of contrasting color from the J3ackgi'ouna~'S~ ""~PJLU1--' , ----
03/09/2006 04:33 PM SROBERDS -- The proposal will result
in a s f. res in the RS-7 zone for total lot coverage of
27%. Corners MUST be staked to determine property setbacks.
Electrical load calculations and elctrical permits are
required.
There is no power to these lots. Cost estimate sent to
owners Waiting for payment & easements for line extension.
03/06/2006 03:42 PM GMCLAIN ----------------------------
Sanltary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24.hour advance
notice is requi~ed. :-1m:,. OF ~!.?~l~~ ,.''''t,. G..
Construct driveway at alley arid '6,,1.Wide-SidewallCs along ,tlJOtr-Ot- '- -
viewcrest to City Standards. No concrete witfi"exposed ' ,.
aggregate allowed in the City road right:of way. An
inspection by Public Works Engineering is required prior to
prouring concrete. A survey will be required to establish
property line ~long viewcrest
----------------------------------------------------------------------------
Other Fees RES UNDERGRND SERVICE FEE 713.00
SEWER SYSTEM DELV CHARGE 870 00
,'.
~t-ef'l~ "'1'1--- :
. ,...... t--l'"" t---. - .i
COMMENTS/ACTION NEEDED
"" ;-
'-' ,0 fi" --~-
, r <<:~~Jo",r.e,
, i . ;:. . :;.~
tW CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION ,
32\ EAST 5TH STREET. PORT ANGELES. WA 983()2
""..~ ~
, -.- -' -.""'-
.. - ..",-- ._-. Page 2
Application Number . . . . . 06-0000,02?~;~::".:':>,.;;;,i""_, .'"Date 11/2~/06
Application pin number - . "'.~~.~' '74765~~'~:..;~:~~~J...~~..~~~;~<~~:~c..L-.:;:~.-..,,(.4"~.-
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - .. - - - -.- - - - - - - .. - - - - - .. - - - - - - -
Other Fees STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 1200.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 36 40 36.40 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2787.50 2787 50 .00 .00
Grand Total 2823.90 2823.90 .00 00
"; ~~ .-.:<:~,f<I~}1~~$,.:,-<; "" ' - .' -~.
,- ~ . , ~
.
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-
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COMMENTS/ ACTION NEEDED i~ ,"I "'11"': '
~
"'t' -. ~ . .... ", ,.,~"'I' "~ "'....
- -- -""'-y '''>1 ' ,.. .'.~ -- .
, ...:;'.. ~ ^ ',.....
''1:''- "1
ELECTRICAL PERMIT INSPECTION RECORD
,
CALL 417-473S: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 .
INSPECI10N TYPE I DATE I ACC... .... COMMENTS
I: YES \ NO
I,
DiTCH Ii ~)..2<- ~ F
ROUUH-lNlll COVER
SER ViCE Ii
I. I
FINAL II I /I~,t/~ fJ' I ALJ I
I,
I.
I
I
I
I,
GENERAL COMMENTS:
I - ,PW.IIIl2.1514196l
~
:
.
Q CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~ 12\ EAST 5TH STREET. PORT ANGELES. WA 98J()2
Application Number 06-00000613 Date 7/05/06
Application pin number 550413
Property Address 308 VIEWCREST AVE
ASSESSOR PARCEL NUMBER 06-30-15-5-1-2835-0000-
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
------------------------ ------------------------
GRANT'S VIEW, LLC. DISCOVERY BAY ELECTRIC, INC.
2432 267TH COURT SE PO BOX 3531
SAMMAMISH WA 98075 SEQUIM WA 98382
(360) 681-5194
----------------------------------------------------------------------------
Permit ELECTRICAL TEMPORARY SERVICE
Additional desc DISCOVERY BAY/ 60A TEMP Lasered
Permit pin number 79939
Sub Contractor DISCOVERY BAY ELECTRIC, INC CED'
Permit Fee 61 30 Plan Check Fee 00
Issue Date 7/05/06 Valuation 0 ~
Explration Date 1/01/07
Qty Unit Charge Per Extension a
1 00 61 3000 ECH EL-TEMP SRV - 101-200 SRV FDR 61. 30 (JJ
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 61. 30 61 30 .00 00 S
Plan Check Total .00 00 .00 .00
Grand Total 61.30 61 30 00 .00
g
~, '
~
:
COMMENTS/ACTION NEEDED
ELECfRlCAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE I DATE I ACCEPTED COMMENTS
YIS I NO
DiTCH
ROUUH-lN I COVER
SER VICE
FINAL lh...q-fJb~! I
I
I
GENERAL COMMENTS:
.PW.II02.1S 14'961
~
:
.
{ .~ CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Oat" 8-Z-o(o Timp .:s '. '30 jJvvc o . C (phone. person)
, Received by .e.n .-\., S ~
Location of Work to be inspected 305' Jt'e.w L.f.C'<,-r
Name of person requesting inspection Dc.Vl. VI. , S E.,
Address of person requesting inspection <::e,,r'.L? y",-.~jl ('7"4- "6 Phone No. i.{rl-..{.8"c/<r
,
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Oth~tJA.+"~)'
INSPECTION NOTES:
g- Z -0(0 b :60 ~j",- D . r-
Inspected: Date Tim" By _ .e_...--L VI.. l S ~.:::-.
Remarks:
RESTORATION REQUiRED...... YES NO ':><
~
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V)
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- Z. 33 >j ~
C - " ,'<..
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I I
If--II~1 ~
yc. (JA."-
pl'ec...e.
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other
o Repaired by City Work Order # 5 D:, '/ '/ - 0 I 0
o Repaired by Permittee o COMPLETE
o No Damage Found o INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DJ.\IE)