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Home My WebLink About624 S Oak St - BuildingPREPARED 8/10/07 8 19 39 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/10/07 ADDRESS 624 S OAK ST SUBDIV TENANT NBR CHARLES SMITH CONTRACTOR PHONE OWNER SMITH CHARLES D PHONE PARCEL 06 30 00 0 1 6498 0000 APPL NUMBER 05 00001088 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/13/06 JLL BLDG FOUNDATION FOOTING 2/13/06 AP 02/13/2006 02 09 PM PBARTHOL ROB 4779253 02/13/2006 04 46 PM PBARTHOL BL2 01 2/16/06 JLL BLDG FOUNDATION STEM WALL TIME 13 00 2/16/06 AP 02/15/2006 11 26 AM DYASUMUR ROB 477 9253 02/16/2006 03 53 PM PBARTHOL BL9 01 4/05/06 JLL BLDG SHEARWALL TIME 13 00 4/05/06 AP 04/04/2006 03 01 PM DYASUMUR ROB 477 9253 04/05/2006 04 17 PM JLIERLY BAIR 01 9/06/06 JLL BLDG AIR SEAL TIME 13 00 9/06/06 AP CHARLIE SMITH 452 6116 CALL BEFORE GOING SO CHARLIE CAN MEET YOU AT HIS HOUSE 09/05/2006 08 52 AM DYASUMUR 09/06/2006 04 29 PM JLIERLY BL3 01 7/25/07 PB BLDG FRAMING 7/25/07 DA 07/24/2007 02 07 PM LPANGRLE CHUCK 452 6116 FRAMING 07/25/2007 04 11 PM PBARTHOL ELECTRICAL NOT SIGNED OFF BL3 02 7/27/07 PB BLDG FRAMING 7/27/07 AP 07/27/2007 08 34 AM PBARTHOL 07/27/2007 08 35 AM PBARTHOL BLI 01 8/10/07 J BLDG INSULATION 08/09/2007 04 23 PM LPANGRLE CHUCK 452 6116 INSULATION BL3 03 8/10/07 JAL BLDG FRAMING 08/09/2007 04 19 PM LPANGRLE CHUCK 452 6116 FRAMING COMMENTS AND NOTES PREPARED 7/27/07 8 34 26 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/27/07 ADDRESS 624 S OAK ST SUBDIV TENANT NBR CHARLES SMITH CONTRACTOR PHONE OWNER SMITH CHARLES D PHONE PARCEL 06 30 00 0 1 6498 0000 APPL NUMBER 05 00001088 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/13/06 JLL BLDG FOUNDATION FOOTING 2/13/06 AP 02/13/2006 02 09 PM PBARTHOL ROB 4779253 02/13/2006 04 46 PM PBARTHOL BL2 01 2/16/06 JLL BLDG FOUNDATION STEM WALL TIME 13 00 2/16/06 AP 02/15/2006 11 26 AM DYASUMUR ROB 477 9253 02/16/2006 03 53 PM PBARTHOL BL9 01 4/05/06 JLL BLDG SHEARWALL TIME 13 00 4/05/06 AP 04/04/2006 03 01 PM DYASUMUR ROB 477 9253 04/05/2006 04 17 PM JLIERLY BAIR 01 9/06/06 JLL BLDG AIR SEAL TIME 13 00 9/06/06 AP CHARLIE SMITH 452 6116 CALL BEFORE GOING SO CHARLIE CAN MEET YOU AT HIS HOUSE 09/05/2006 08 52 AM DYASUMUR 09/06/2006 04 29 PM JLIERLY BL3 01 7/25/07 PB BLDG FRAMING 7/25/07 DA 07/24/2007 02 07 PM LPANGRLE CHUCK 452 6116 FRAMING 07/25/2007 04 11 PM PBARTHOL ELECTRICAL NOT SIGNED OFF BL3 02 7/27/07 JLL BLDG FRAMING V• 07/27/2007 08 34 AM PBARTHOL COMMENTS AND NOTES L PREPARED 7/25/07 8 56 58 INSPECTION TICKET PAGE 15 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/25/07 ADDRESS 624 S OAK ST SUBDIV TENANT NBR CHARLES SMITH CONTRACTOR PHONE OWNER SMITH CHARLES D PHONE PARCEL 06 30 00 0 1 6498 0000 APPL NUMBER 05 00001088 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/13/06 JLL BLDG FOUNDATION FOOTING 2/13/06 AP 02/13/2006 02 09 PM PBARTHOL ROB 4779253 02/13/2006 04 46 PM PBARTHOL BL2 01 2/16/06 JLL BLDG FOUNDATION STEM WALL TIME 13 00 2/16/06 AP 02/15/2006 11 26 AM DYASUMUR ROB 477 9253 02/16/2006 03 53 PM PBARTHOL BL9 01 4/05/06 JLL BLDG SHEARWALL TIME 13 00 4/05/06 AP 04/04/2006 03 01 PM DYASUMUR ROB 477 9253 04/05/2006 04 17 PM JLIERLY BAIR 01 9/06/06 JLL BLDG AIR SEAL TIME 13 00 9/06/06 AP CHARLIE SMITH 452 6116 CALL BEFORE GOING SO CHARLIE CAN MEET YOU AT HIS HOUSE 09/05/2006 08 52 AM DYASUMUR 09/06/2006 04 29 PM JLIERLY BL3 01 7/25/07 JLL BLDG FRAMING 07/24/2007 02 07 PM LPANGRLE CHUCK 452 6116 FRAMING COMMENTS AND NOTES A I gjAJAM 6 1--;ie' PREPARED 9/07/06 11 10 06 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS 624 S OAK ST TENANT NBR CHARLES SMITH CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ PL2 01 PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 5/02/06 JLL 5/03/06 DA PL2 02 5/04/06 JLL 5/04/06 AP PLSP 01 9/07/06 JLL SMITH CHARLES D 06 30 00 0 1 6498 0000 05 00001088 RES ADDITION INSPECTOR JAMES L LIERLY PLUMBING ROUGH IN 05/02/2006 08 19 05/02/2006 01 15 05/03/2006 08 35 no answer at door PLUMBING ROUGH IN 05/04/2006 08 04 ROB 477 9253 05/04/2006 04 45 PLUMBING SHOWER P CHARLES 452 6116 09/07/2006 07 54 SUBDIV PHONE PHONE COMMENTS AND NOTES TIME 13 00 AM DYASUMUR PM DYASUMUR AM JLIERLY called charlie smith left message TIME 13 00 AM DYASUMUR PM PBARTHOL AN TIME 13 00 call to open house AM DYASUMUR PAGE 7 DATE 9/07/06 PREPARED 9/06/06 11 07 10 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/06/06 ADDRESS 624 S OAK ST SUBDIV TENANT NBR CHARLES SMITH CONTRACTOR PHONE OWNER SMITH CHARLES D PHONE PARCEL 06 30 00 0 1 6498 0000 APPL NUMBER 05 00001088 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/13/06 JLL BUILDING FOUNDATION FOOTING 2/13/06 AP 02/13/2006 02 09 PM PBARTHOL ROB 4779253 02/13/2006 04 46 PM PBARTHOL BL2 01 2/16/06 JLL BUILDING FOUNDATION WALL TIME 13 00 2/16/06 AP 02/15/2006 11 26 AM DYASUMUR ROB 477 9253 02/16/2006 03 53 PM PBARTHOL BL9 01 4/05/06 JLL BUILDING SHEARWALL TIME 13 00 4/05/06 AP 04/04/2006 03 01 PM DYASUMUR ROB 477 9253 04/05/2006 04 17 PM JLIERLY BAIL 01 9/06/06 J L CHIRLIEG MIT SEAL 1IME 13 00 CHARLIE SMITH 452 6116 CALL BEFORE GOING SO CHARLIE CAN MEET YOU AT HIS HOUSE 09/05/2006 08 52 AM DYASUMUR COMMENTS AND NOTES P e PREPARED 5/04/06 13 09 34 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY ADDRESS 624 S OAK ST TENANT NBR CHARLES SMITH CONTRACTOR OWNER PARCEL APPL NUMBER PL2 01 5/02/06 JLL 5/03/06 DA SMITH CHARLES D 06 30 00 0 1 6498 0000 05 00001088 RES ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 02 5/04/06 JLL -5/ 06 74Y 5L PLUMBING ROUGH IN 05/02/2006 08 19 05/02/2006 01 15 05/03/2006 08 35 no answer at door PLUMBING ROUGH IN 05/04/2006 08 04 ROB 477 9253 SUBDIV PHONE PHONE COMMENTS AND NOTES TIME 13 00 AM DYASUMUR PM DYASUMUR AM JLIERLY called charlie smith left message TIME 13 00 AM DYASUMUR PAGE 5 DATE 5/04/06 PREPARED 5/02/06 13 15 25 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/02/06 ADDRESS 624 S OAK ST SUBDIV TENANT NBR CHARLES SMITH CONTRACTOR PHONE OWNER SMITH CHARLES D PHONE PARCEL 06 30 00 0 1 6498 0000 APPL NUMBER 05 00001088 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/13/06 JLL BUILDING FOUNDATION FOOTING 2/13/06 AP 02/13/2006 02 09 PM PBARTHOL ROB 4779253 02/13/2006 04 46 PM PBARTHOL BL2 01 2/16/06 JLL BUILDING FOUNDATION WALL TIME 13 00 2/16/06 AP 02/15/2006 11 26 AM DYASUMUR ROB 477 9253 02/16/2006 03 53 PM PBARTHOL BL9 01 4/05/06 JLL BUILDING SHEARWALL TIME 13 00 4/05/06 AP 04/04/2006 03 01 PM DYASUMUR ROB 477 9253 04/05/2006 04 17 PM JLIERLY PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS MECHANICAL GAS LINE TIME 13 00 05/02/2006 08 19 AM DYASUMUR 05/02/2006 01 14 PM DYASUMUR PL2 01 144110_ JIL 0502I ROUGH IN TIME 00 05//02/2020 06 08 19 AM DYASUMUR 05/02/2006 01 15 PM DYASUMUR COMMENTS AND NOTES oft_ fs 0 c. 0 PREPARED 4/05/06 14 34 26 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/05/06 ADDRESS 624 S OAK ST SUBDIV TENANT NBR CHARLES SMITH CONTRACTOR PHONE OWNER SMITH CHARLES D PHONE PARCEL 06 30 00 0 1 6498 0000 APPL NUMBER 05 00001088 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/13/06 JLL BUILDING FOUNDATION FOOTING 2/13/06 AP 02/13/2006 02 09 PM PBARTHOL ROB 4779253 02/13/2006 04 46 PM PBARTHOL BL2 01 2/16/06 JLL BUILDING FOUNDATION WALL TIME 13 00 2/16/06 AP 02/15/2006 11 26 AM DYASUMUR ROB 477 9253 02/16/2006 03 53 PM PBARTHOL BL9 01 05 06 LL BUILDING SHEARWALL TIME 13 00 04/04/2006 03 01 PM DYASUMUR ROB 477 9253 COMMENTS AND NOTES PREPARED 2/13/06 14 10 26 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/13/06 ADDRESS 624 S OAK ST SUBDIV TENANT NBR CHARLES SMITH CONTRACTOR PHONE OWNER SMITH CHARLES D PHONE PARCEL 06 30 00 0 1 6498 0000 APPL NUMBER 05 00001088 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/13/06 JLL BUILDING FOUNDATION FOOTING 02/13/2006 02 09 PM PBARTHOL ROB 4779253 COMMENTS AND NOTES PREPARED 2/16/06 12 49 22 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/16/06 ADDRESS 624 S OAK ST SUBDIV TENANT NBR CHARLES SMITH CONTRACTOR PHONE OWNER SMITH CHARLES D PHONE PARCEL 06 30 00 0 1 6498 0000 APPL NUMBER 05 00001088 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/13/06 JLL BUILDING FOUNDATION FOOTING 2/13/06 AP 02/13/2006 02 09 PM PBARTHOL ROB 4779253 02/13/2006 04 46 PM PBARTHOL BL2 01 2 16/ 6 JLL BUILDING FOUNDATION WALL TIME 13 00 6 O 02/15/2006 11 26 AM DYASUMUR ROB 477 9253 COMMENTS AND NOTES r Application Number 05 00001088 Application pin number 331392 Property Address 624 S OAK ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 6498 0000 Tenant nbr name CHARLES SMITH Application type description RES ADDITION Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 15000 Owner Contractor SMITH CHARLES D 624 S OAK ST PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date 13 00 Permit Additional 1 00 Permit Qty Unit Charge desc Permit pin number Permit Fee Issue Date Expiration Date Qty 1 00 1 00 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983626025 Per 14 0000 THOU MECHANICAL PERMIT Unit Charge Per 66126 57 25 11/29/05 5/28/06 BASE FEE 7 2500 ECH ME VENT FAN PLUMBING PERMIT Additional desc Permit pin number 66134 Permit Fee 64 00 Issue Date 11/29/05 Expiration Date 5/28/06 Qty Unit Charge Per T \1102_15 building permit inspection record05.wpd [1/4/2005] OWNER TOTAL LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL 66118 277 75 Plan Check Fee 11/29/05 Valuation 5/28/06 BASE FEE BL -2001 25K (14 PER K) Plan Check Fee Valuation Valuation BASE FEE 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 7 0000 ECH PL- EA WATER HEATER Date 11/29/05 28 70 2 00 1872 00 7000 00 140 00 2011 00 1 00 15000 Extension 95 75 182 00 00 0 Extension 50 00 7 25 Plan Check Fee 00 0 Extension 50 00 7 00 7 00 Special Notes and Comments Separa 'PAnits BreNcrtirii#f eLIVaTinfikt, 8EFIA,cgli6elffiZRtu3At, iliARtifArivate 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. �av NOV OS Signature of Contractor or Authorized Agent Date Signature f Owner (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD YES I NO FINAL FINAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO Application Number Application pin number Special Notes and Comments has no comments T-\Policies\1 102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00001088 331392 11/10/2005 03 42 PM SROBERDS Kitchen remodel Setbacks are good with 22% lot coverage No land use issues noted MAINTAIN CLEARANCES FROM SERVICE WIRES relocate meter so it is still accessable to meter reader 11/09/2005 09 21 AM GMCLAIN Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review Page 2 Date 11/29/05 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 399 00 399 00 00 00 Plan Check Total 111 10 111 10 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 514 60 514 60 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS ff)tJ WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING BUILDING PERMIT INSPECTION RECORD Vt 3 /DC. 1\114 Z /dh /06 17/L �(r /oC I J bt. 5 V= <c /•S_ /O e q /t /o c FINAL F- a,m'njr (i0 /07 SLL. FINAL ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I_ )(e, 't2, n I (lnl t k I 1 PLANNING DEPT BUILDING 417-4815 `1 I K I BUILDING T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] 1 DATE ACCEPTED BY. DATE ACCEPTED BY. PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING I ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I Applicant or Agent: Phone Owner G 1 0 1'4 t T1-1 Phone. 4 5Z Fai I Address el S OA g- City T 41*-16&1. 'S Zip lei t- Architect/Engineer ig►' Lt1' 5A4 I Phone. 4 6 G Contractor g-a 13 G NI 1 11- State License Exp Phone. City PoD -T Ilive.05UiE4 Zip WA 07 PROJECT ADDRESS ��k s ZONING ZOO LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. Address TYPE OF WORK. SI7,E/VALUATION Residential New Constr Re -roof Stove 3GI SF /SF 6. OOC) Multi- family Addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION .ODU BRIEF DESCRIPTION OF THE PROJECT IG I TG N! f1 U'(V COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type: No of Stories. 2. Lot Size: 10 Existing Sq Ft. I VI 2. Proposed Sq Ft. 140 TOTAL Sq Ft. I Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee as due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. 1 hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that 1 must obtain such permits prior to work. T•\Policies\BL 1102_13 wpd Applicant: 4 Date: 1 Nov. O FOR OFFICkAL SE O LY Date Rec' l 1 0 1 /a5 Permit �J IOfb Date Approved: Date Issued. APPROVALS PLAN BLDG DPWU FIRE OTHER 50 Feet Vertical Datum NAVD 88 Horizontal Datum NAD 83/91 Area Map This map is not intended to be used as a legal description. This map/drawing is produced by the City of Port Angeles for its own use and purpos Any other use of this map/drawing shall not be the responsibility of the City. PLAN EXISTING GARAGE 24'-0" 45 -0' PROLOSED ADDITION e, 4,•!'" 10'-o" -0' I. 14'-0" 100'-0" 3070" ,5'-0" 1 1 EXISTING RESIDENCE 20' -0" Application Number 05 00001088 Date 11/16/06 Application pin number 331392 Property Address 624 S OAK ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 6498 0000 Tenant nbr name CHARLES SMITH Application type description RES ADDITION Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 15000 Owner Contractor SMITH CHARLES D 624 S OAK ST PORT ANGELES Other struct info WA 983626025 Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER/ CIRCUITS PNL Permit pin number 86488 Permit Fee 78 70 Issue Date 11/16/06 Expiration Date 5/15/07 Qty Unit Charge Per 1 00 78 7000 ECH EL -RM 0 200 1ST SRV FEEDER Special Notes and Comments The Fire Department has reviewed the project application and has no comments 11/10/2005 03 42 PM SROBERDS 'Kitchen`Jremodel LT Setbacks are good with 22% lot coverage No land use issues noted MAINTAIN CLEARANCES FROM SERVICE WIRES relocate meter so it is still accessable to meter reader 11/09/2005 09 21 AM GMCLAIN Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review Other Fees STATE SUR ,8 4 50 Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 OWNER TOTAL LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT 'SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Charged Paid Credited Plan Check Fee 00 Valuation 78 70 78 70 00 00 00 00 00 00 4 50 4 50 00 00 83 20 83 20 00 00 28 70 2 00 1872 00 7000 00 140 00 2011 00 1 00 Due 'R PR tJ rdy i ^1 1 c rni1' pe) art 0 Extension 78 70 t, n E ;A 4 FINAL INSPECTION TYPE ROUGH -IN COVER SERVICE GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE ACCEPTED YES I NO COMMENTS PW.i 1m.1514/961 Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner SMITH CHARLES D 624 S OAK ST PORT ANGELES Other struct info WA 983626025 COMMENTS /ACTION NEEDED. CITY PORT ANGELES. PUBLIC WORKS ELECTRICAL DIVISION 321 FAST 5TH: STREET PORT ANGELES WA 98362 05 00001088 331392 624 S OAK ST 06 30 00 0 1 6498 0000 CHARLES SMITH RES ADDITION RESIDENTIAL HIGH DENSITY 15000 Contractor OWNER TOTAL LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit ELECTRICAL ALTER RESIDENTIAL Additional desc ANGELES/ 10 CIRCUITS Permit pin number 70565 Sub Contractor ANGELES ELECTRIC Permit Fee 79 90 Plan Check Fee 00 Issue Date 2/09/06 Valuation 0 Expiration Date 8/08/06 Qty Unit Charge Per 1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS 6 00 5 3000 ECH EL -R OR RM ALT ADDNT CIRCUITS Permit ELECTRICAL NEW RESIDENTIAL Additional desc ANGELES/ GARAGE Permit pin number 70557 Permit Fee 30 50 Plan Check Fee 00 Issue Date 2/09/06 Valuation 0 Expiration Date 8/08/06 Qty Unit Charge Per 1 00 30 5000 ECH EL R OUTBD /DTCH GAR W /SERV Special Notes and Comments The Fire Department has reviewed the project application and has no comments 11/10/2005 03 42 PM SROBERDS Kitchen remodel Setbacks are good with 22% lot coverage No land use issues noted MAINTAIN CLEARANCES FROM SERVICE WIRES relocate meter so it is still accessable to meter reader 11/09/2005 09 21 AM GMCLAIN Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for Date 2/09/06 28 70 2 00 1872 00 7000 00 140 00 2011 00 1 00 Extension 48 10 31 80 Extension 30 50 4LL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM•24. HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORKBEFORE IT-IS INSPECTED AND ACCEPTED: DI 1'W SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO co Mit COMMENTS Pw.1102.15 I Application Number Application pin number Special Notes and Comments this plan review Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged 110 40 00 4 50 114 90 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 05 00001088 331392 STATE SURCHARGE Paid Credited 110 40 00 4 50 114 90 00 00 00 00 Page 2 Date 2/09/06 Due 4 50 00 00 00 00 INSPECTION TYPE DITCH wCEk SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD 4LL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CODER, INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE ACCEPTED YES I NO 1� -o/ I,L2 II 1 1 I I .rll I 1 1 1 I 1 COMMENTS PW- 1102.1311 ~,~I _ CITY OF PORT ANGELES d~ PUBLIC WORKS - ELECTRICAL DIVISION t21 F, AST 5TH STREET, PORT ANGELES. WA 98362 ELECTRICAL PERMIT ISSUED: 10/09/2002 PERMIT NO 7852 OWNER/APPLICANT PROPERTY LOCATION CHARLES SMITH 624 OAK S 624 S OAK Lot: S 1/2 19&20 Pod Angeles, WA 98362 Block: 164 [] Long Legal 360/452-6616 Subdivision: TPA T: S: Parcel No: 063000016498000 CONTRACTOR ARCHITECT 'RNETER ELECTRIC N/A 572 OBRIEN RD. PORT ANGELES, WA 98362 , 98360-0000 360~457-6759 360/000-0000 PROJECT INFO Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: RESIDENTIAL Construction Type: Occupancy Group: Zoning Use: RHD Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 0 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] [] Fan Wall 0 KW Service Size: 200 Feeder Size: 0 PROJECT NOTES INSTALL NEW 200AMP SERVICE FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Gircuit Wiring: $64.90 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $64.90 AMOUNT PAID: $64.90 BALANCE DUE $0.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS, PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERlv~T CARD AND APPROVED PLANS AT JOB SITE DITCH ROUGH-IN / COVER SERVICE GENERAL COMMENTS: PW-H02A~[~ 10.- 6 :'2; '-.2-""'~1::::1-,-'~ ,'"'?.If .'~""'.::'::L",;:. :,'. ,;'..7" 2/ 2 . -~ ~itt~r 'f ,".O.CIf ~, ;.~~, EI.ECTRICAL PERMIT APPUCATION FOil OFFICIAl. USE O~L y O~IUiLr~: Femur'; DlltA~IYttl: Oaltl~d; . . .' The Elect:ical Pennlt Application mUG' be tIlled ot,;t (;Omgl.'~ei". # 7657.. ~19;t,.A' ~ c:- reF'rint in ink. If you have any questions. please CDII (J60. 417-4735 Fax number: (360) 417-4711 Owner or EJec. Contractor Agent: ~~ J2rPc r" ~L '"' F,o",rtyOwner: C\-..\"'-.a.L~"< S~(Tf( v-l "7 ":J.. r;, 2. 4i s:. a4~i1.,. EIOClricaIContractor.....:J!.u;:[ri:!/f iiYi?C /4<::. Phone 4//7 //~I Fax V/ 7/ /? / Phone: ACluress:, /Jc l fA- license #: ~p: 7"3' '% -c: :Ei~~Y PORT ANOEI.E8, WA", PH. (380) 4'701,., INSTALLATION WIRED BY: !J OWNER City: K ELECTRICAL CONTRACTOR Address; Credit Card Holder Name: BIII/ng Address: '1'2 3 ~~JWK t-f. C/ty:_D A- Zip: 9~-"3G L Credit Card Numl:ler:..____.______ __..___________EJCp. Date. VISA:_MC:_ PROJECT ADORESS: f,;1./f S. OaK TYPE OF WORK: Check all that apply. 0 New MA~.,.,...~U.....r.IAd;-l!fiv'n fl' ......... -,. .-...... ~Residental 0 Multi.family o Commercial 0 Mobile Home Sq. Ft. [] Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool N'Jmber of Circuits added or altered: .......-= 0- _. Ci Septic Pump o Low Voltage 0 Telecom. 0 Sign DESCRIPTION OF THE ELECTRICAL PROJECT:_ ,;zeo,.q S"C:~~/ 1~0L. Ci-l.1-rvUC-'T ~'''rN;Z:c.. Of'JL 'f I _KIN _KIN _KIN _KIN -I &,1. 7'0 :/I 17t.? 'O~~r~"iead SeJV~ce [; r em~ Servlc~ ::J Undergn:umd Service $arvlce Ir,formetlon Electrical Heat Load Additions o Baseboard o Furnace n Heat Pump o Fan-Wall Vo:taga:._ iZO /7:. fd Pha.e: 5J 1 0 3 Service Size: 2.-m? Feeder Si2e: PAMC 14.05.060(8): For industnal, commercial, & resIdential projects iarger thBf' is dLipicA, a one ~ l;ii:3 tli"awir:g ot the Electrical Service & Feeders, building size (sQ. ft.), load calcuI8tjon~, <);-:d !he ;j'~03 e. ~~ .::-fli:luc1ors and/;)f rac~way is r'eC!uir~d 3nd shall accompany the :Iectrical Permit application. I hereby cen:iy Ihar I have read ar,d examined this application and know that' same to be true and correct, and I am authorized tc' apply for this PJrmit. I understand it is not the City's legel responsibility to dE.rermine what permits are requirE(I; it' remains the applicants responsibility to determine what permits are requimd and to obtain such. PW-9019 Credit Card Holder's Slg.....ture: ~ OWl'')!' or Elee. Cont.. Sl9nat\lc.Y _ Date: Date: !O/<;{/o 2- AlP U,n::; /i7.:Zc7c-O ~ C D--- /(J~/t)-()Z- :'I/o-... ~. S. ~ ~.~ ~+ '#-~ _.' . .; ELECTRICAL WORK PERMIT APPLICATION Telephone nu'mbl:r FAX number In~t3l1ation description /' CJ Cornm€:rci:.\l riesidential D New ~red/Addition /'i , ~A A .#- ,1'1 y;~ L;1I!{!!:!!!::!'l~_ /0 !/ ~E x ~::81 ~, "- .' ~ /i;/Z ?A-JWo/. , /00 *-t JY-7At"AlF/) ~ Job wired by lectric:al Contractor a Owner Electrical contT3ct(lr name license number 03tC Expires AA'Y..hA1f I./fp/)~S P",ch",c"m8fEE'gdETICTRIC, INC. 524 EAST rl ~ST Slate ZIP PORT ANGELES, \VA 98362 City rremlseijk:~mt Addreshf 1"a,';Zq- City 7(4 Phone ..umber s~ .s: 041< c-?_ ~/, iF: ..;,~: ,,' -9 Owne,' a,~ deflm::l' by RCW/9.1lJ.26J:(J) Owner wifl acct/py 1M .structun: for 11"0 yean: (J.flc", !i!Lf e1ectrical permit i.v finali=E'(I. (2) Owm,",' ~ n'ql.lircd It) hj'l't!. all e1ectn"cal cnn!ro.ctor "ff ahove said proputy 1:,' fo" .)'(If<!, ,.~fI.t OJ' lease. After reading the above slatement, I hereby certify thl I am tbe owner of the above named property or a licensed electric31 contractor. I am making lhe electrical instal- lation or altcrntion in compliance with lhe ~leclric;),1 laws, N.H.C., RCW. Chapter 19.28. WAC. Chapter 296~468, The City of Port Angeles Municipal Code, and Utility Specifications, Signature of own .A Check # Visa Mastercard Discover c~#___~_~~_h~~___ x Expiration Date ofc~ Date; ;2. 'I #6 Electrical Load Additions ~.!:l.d.Qr subtractions 1/" ../ ,~- / "",/:.wi!) #Nb IJ NO LOAD CHANGES ~~ 4'f)VrlltJlI/', /C tJ!!I'~ ,...",--.. IJ Baseboaro _ KW jrJ!.,8;f/t.D a Furnace KW 0 Overhead Service o Heat Pump Ton LAR D Temp Service CI i=an.WaU KW 0 Underground Service Service Information VOltage~# Phaso 1 IJ 3 Service Size; ~ Feedor Slzo' ~..t2.. SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 THERMOSTAT SERVICE D~tc AJlll(l)v~'(1 Hy 11MC Approved B~ Inspection O;l.tc FEEDER -t!t2 D;lIC A(lIIN:Wod lIy Area. Building or Equipment Inspected Al.:tioll Taken Elcc:tric:ll Inspector L'd S9c6 CSV 092 ~NI ~IdL~3l3 S3l38N~ NOd~ N~SS'8 90c-c0-c 5,-_",- $, .. .. ~=. "\t- :J''''~ -... . ELECTRICAL WORK PERMIT APPLICATION. ,... xl. Owner Installation description Job wired by D Electrical Contractor o Commercial YReSidential Electrical contractor name License number Date Expires )(Altered/Addition o New Purchaser's mailing address " (p ~ c:;,. . OJ. tz- 12SlYloYl"> S( r=:>71 N~ ~tI6~ '\ C;POla-T State ZIP f7/AlA.D AiVG, l:Jl. "5~ W/4 4 t/?-J 112- N~ It-lrc...8a"t-J- Nl6W '"" Tel:$G7u:bl~ 4-"2- FAX number 45"7.-70(04 1i\'1~IN~. ~1(2.1 N<:.; OF -rv.J 0 P2;;1~?L.~n.g'e D. "7?.-1 t Tl-l ~r:H 2.00rn~ W'? 01\1~ ~~m. Address of inspection &>24 <? OA~ CHYpor.;z..r Atvc,,~:nas . wA "l f;>7~ 2. , Phone number to schedule inspection: 45Z-~) /(p Owner as defined by RCw'/9.28.261:(J) Owner will occupy the struclIIre for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said properly is for sale. rent or lease. D Cash D Check # After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- D Credit Card Visa Mastercard Discover lalian or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28. WAC. Chapter 296-4613, The City of Port Angeles Municipal Code, and Card # - - - Utility Specifications. ---------------- Si~r~:f owner, electrical contractor or electrical administrator Expiration Date (~nSP7B ~e; 0 X ~~ . , Date:tP.~.O~ of card Electrical L ~d Additions and or subtractions Service Information o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton o Fan-Wall KW LAR o Overhead Service o Temp Service o Underground Service Voltage Phase 0 1 0 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 R UGH-IN THERMOSTAT 5/P Ad1 o Approved By Dale Appro'cd By SERVICE Dale Approved By FINAL DlTOI FEEDER Dale Approved By Dale Approved By Dale Approved By Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector CITY OF PORT ANGELES PUBLIC WORKS - BUILDRqG DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 6/18/2001 PERMIT NO: 12739 OWNER/APPLICANT PROPERTY LOCATION CHARLES SMITH 624 OAK S 624 S OAK Lot: S 1/2 19&20 Port Angeles, WA 98362 Block: 164 [] Long Legal 360/452-6616 Subdivision: TPA T: S: Parcel No: 063000016498000 CONTRACTOR ARCHITECT REDI-CONSTRUCTION N/A 1032 E.4TH ST PA, WA 98362-0000 , 98360-0000 360/452-4582 360/000-0000 PROJECT INFO Project Value: $4,600.00 SFD Units: 0 Commercial: 0 Project Type: REROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RHD PROJECT NOTES TEAROFF/FELT/COMP FEES ASSESSMENT Building Permit: $111.25 Misc Fee 1: $0.00 Plan Check: $0.00 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: $115.75 Plumbing: $0.00 AMOUNT PAID: $115.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 ot laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does nol presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance ol construction. Sig~nature of Contractor or Au~orized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-481 $ FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNL4WFUL TO COVER, INSUL4TE OR CONCE,4JL ,4N~ ~4~ORK BEFORE INSPECTED .4ND 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 WALLS FOUNDATION DRAINAGE ELECTRICAL {LIGHT DEPT) SEPAR>,TE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK (Engineering 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 OCCUPANCY/USE RESIDENTIAL HATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417~1735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. ! PW/ CONSTRUCTION - R.W. ENGINEERING 4174507 PW / ENGINEERING CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST STH STREET, PORT ANOELES, WA 98362 BUILDING PERMIT ISSUED: 6/05/2001 PERMIT NO: 12699 OWNER/APPLICANT PROPERTY LOCATION 624 OAK S CHARLES SMITH 624 S OAK Lot: S 1/2 19&20 Port Angeles, WA 98362 Block: 164 [] Long Legal 360/452-6616 Subdivision: TPA T: S: Pamel No: 063000016498000 CONTRACTOR ARCHITECT REDI-CONSTRUCTION N/A 1032 E.4TH ST PA, WA 98362-0000 , 98360-0000 360/452-4582 360/000-0000 PROJECT INFO Project Value: $4,300.00 SFD Units: 0 Commercial: 0 REROOF SF I-T! 0 Industrial: 0 Project Type: Occupancy Type: Garage: 0 Occupancy Group: 0 Construction Type: 0 RHD LT~~ ~'~ Zoning Use: PROJECT NOTES TEAR-OFF / SHEET / FE FEES ASSESSMENT Building Permit: $111.25 Misc Fee 1: $0.00 Plan Check: $0.00 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: $115.75 Plumbing: $0.00 AMOUNT PAID: $115.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 RW SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for elect~cal work, utilities, pdvata and public improvements. This permit becomes null and void if work or constn,,c~on authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work es commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and e~(amined this ap~n and know the same to be t~e and correct All provisions of ~ 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 xovisions of any state or local law regulating construction or the performance of construction. Si~lnature of Contractor or Authorized A~]ent Date Si~lnature'"6fo Owner (if owner is builder)Date BUILDING PERMIT INSPECTION RECORD CALL 417-481 $ FOR BUH~INO INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COFF-.R, INSULATE OR CONCEAL ,4NY 14'ORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE PARKINO BU1LDING 4174815 BUILDING GENERAL COMMENTS: PW-1102 1514/96] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST:~, -~'~ ~ ~ Date --__ Time Received by (phone, person) Location of Work to be inspected ~'~ S ~")t~, Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. /'~-7 ~ Sewer Foundation Framing Chimney Plumbing(/~F~na~SeWer Excav. Other INSPECTION NOTES: // Inspected: Date ~---~, -'~o~'--~ 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)