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REVIEWER: Lee..?
DATE 6- 3 9
DEPT REVIEW
DATE:
COMMENT DRAWING SHT
NO.
and/or
SPEC. PARA.
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REVIEW COMMENTS
CONCEPT REVIEW 0
PREUM. REVIEW 0
ANAL REVIEW 0
REVISION 0
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SHEET 2 OF 2
ACTION TAKEN ON COMMENT
COMMENT STATUS
A accepted
C= C orrection made
List DWG or paragraph number
wham oonectian made
1 4 c, 8 ci /emiS I
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'LOCATION: /0 33
'PERMIT I
a y/�o0s
BACK
CHECK
BY/DATE.
°"°'T CITY OF PORT ANGELES
°~' PUBLIC WORKS BUILDING DIVISION
321EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 10/22/2001 PERMIT NO: 13055
OWNER/APPLICANT PROPERTY LOCATION
1033 OLYMPUS
TOM HOSTETLER
1033 OLYMPUS Lot: 14
Port Angeles, WA 98362 Block: 2 [] Long Legal
206/000-0000 Subdivision: HIGHLAND VIEW ACRE
T: S: Parcel No:
CONTRACTOR ARCHITECT
ANGELES SERVICE CENTER N/A
56585 HWY 112
Port Angeles, WA 98363 , 98360-0000
360/928-3098 360/000-0000
PROJECT INFO
Project Value: $17,300.00 SFD Units: 0 Commercial: 0
Project Type: POLE GARAGE SFD SQ FT: 0 Industrial: 0
Occupancy Type: Garage: 0
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS9
PROJECT NOTES
INSTALL DETACHED 36' × 36' POLE BUILDING GARAGE
RECEIPT#8198 'p(~..~ ~-- t \
FEES ASSESSMENT
Building Permit: $293.25 Misc Fee I: $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: $297.75
Plumbing: $0.00 AMOUNT PAID: $297.75
Mechanicah $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate 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
nepection, hereby cart fy that have read and exam ned th s app JcatJon and know the same to be true and correct. All provisions of
laws and ordinances governing this type/~ work/~ll be complied with whether specified herein or not. The granting of a pemlit does not
presume to give authorit~o violate pf'/~anc, e~'the provisions of any state or local law regulating construction or the performance of
construction./~
Signature of Contractor or Authed~ed Agent Date Signature o[ Ovmer (if owner Is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
rooTiNGS ~¢-¢~-O I b~'
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE 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
SLAB ]
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOODSTOVE / PELLET/CHIMNEY / INSERT
HOOD/DUCTS
PW UTILITIES / SITE WORK (Englnecrin g Division ) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PEP3v[IT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTPdCAL - LIGHT DEPT. 417~1735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. ! PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
~o~ ~r~ FO~ OFF;C~U. uSE o~¥:
BUILDING PERM - APPLICATION
~t ~:
D~ ~:,
~ Building P~it - P~plicaHon ~t be ~d o=t co~lete~. ~ ~:
Pl~e ~ or p~t ia in~ ~you have any qu~tion~ pl~ ~ 417-4815
Applier ~or ~t:. ~ ~ ~~ ~ P~ne: ~Z~ ~0
~: ~O~ ~0 ~~ Phone: ~S7 0 ~[
Ad,ss:. ~°33 °~~ Ci~: ~v ~ ~b- Zip:~3~
~c~n~:. ~ ~ ~ Phone: q~ 2 ~
Con~tor ~ ~,~ ~Lice~eg:~,aa~c/~xp:(I.-~-o~ ~one:
Ad.ss: Ci : Zip:
LEG~DESC~ON:L~ /~ .Block ~ ~v~ion:N?h/~..~ ~.~
C~ CO~ P~CEL ~ER: ~ - ~ r~it Ca~ Holder Nam~
B~ Addms: ' Ci~:.
C~it Ca~ ~: Exp. Da2: ~~ MC
~E OF WO~: ~;~UATION:
~ ~l~-fm~ Q Ad.on ~ Mow ~ G~= SF. ~ $~~. = $
CO~R~E~: ~cy ~up: O~up~ ~ Co--on T~:
No. of Smri~: ~ L~ S~: . % ~t Cov~e: ' .%
~LotCov~o:~/~+~s~Co~g~ ~' / /~.fl::~LOTCO~GE: : '~:': /sq.R
P~G U~ O~Y: ~PROV~: PL~
Not~: B~..,,
ES~d(s): ~ Yes ~ No SEPA Ch~t ~? ~ Y~ ~ No ~:
Build~g Div~ion ~ pm~ you w~ more d~l~ ~o~afion on ~e app~c~on ~d p~ su~i~ ~q~.
B~.n~G PE~ ~P~CATIO~ S~: Yo~ compl~ed ~pliofion, si~ pl~ (f~ additiom) ~d bufl~g co~on
p~ ~ to be subdued m ~e Buil~g ~vision.
V~UA~ON OF ~N~U~ON: ~ ~ ~, a ~on ~o~t m~ ~ m~d by ~o ~t ~ fi~ w~
may be ~is~ by &e Bulldog Div. m comply w~ c~t ~ ~he~s. ~n~t ~e P~R C~ator ~ 417~815 f~ ms~.
P~ ~ ~E: Yo~ pl~ ~ f~ ~ ~e ~ &e ~e &e ~g ~ ~g~c~ ~d co~ pl~ ~ submi~ MI o~er
~t fees ~ ~e at ~e ~e of~it is~ce.
E~TION OF PL~ ~W: If no pe~it ~ issued wi~ 180 da~ of&e ~te of ~p~cafion, ~s application w~ expire by
l~it~ons. ~e Build~g O~cial c~ e~end ~e ~e for ~fion by &e applic~t ap to 180 da~, on wfiaen ~qu~t by &e applic~t (see
Section 107.4 of&e Unifom Buil~g Code, ~nt e~fion). No application c~ M extended mom ~ once.
I ~eby c~ t~ 1 ~e re~ ~d ~ined th~ appl~ca~on ~d ~ow the same to be ~e and co--ct. ~d 1 am ~thor~ed to ~p~for
this permit. I u~st~ it ~ not t~ Ci~'s legal r~pomibili~ to ~te~i~ wh~ per, its ~e r~uir~t ~mai~ the ~plic~t~
PW-, ,o2_13,.vJ,ol, Appli~t: ~~~& Date:
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date /0 /~'~?>/(~ I Time Received by ~'~ ~, person)
Location of Work to be inspected /~.~0-~ ~/~/l~j ~ (~/~O~ ~'~lJ~ )
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. / ~O ~-
INSPECTION NOTES:
Inspected: Date/(~ ~ ~ ~ - ~)/ Time By ,,~
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
I--] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ///--/z~ O ] Time Received by o erson)
Location of Work to be inspected /~) -~
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. !
Sewer Foundation Framing Chimney Plumbing~Final~)SewerExcav.
Other
INSPECTION NOTES:.~, ~- . ,'i? /"
Inspected:Dater~ Time By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel r~Asphalt []PCC [~Other
[] Repaired by City Work Order #
r-I Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
Site Address:
PERMIT NO. t/ 'l Y" 7
/ / Z- ff.>~
. .
DATE
Installed By:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Owner/Business:
Owner/Business Address:
(7-
;:)...
ELECTRIC HEAT
o BASEBOARD KW _
13 FURNACE KW ~
[5g HEAT PUMP KW ~
b FAN/WALL KW
1)Q RESIDENTIAL
tJ COMMERCIAL
)8J NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
.
Details/Description: &r.l)
/tv" r ffrd-R..,
,;2 ~14-Ce4--'
~ /i.fJ. C?
,
~.
O~C'
(
/ol:.uJ
C,.ct{j
~ C?~
-ffl A'o cu ~
st:.uJ ;
?,CuJ '-
Phone:
Sq. Ft.
;tJ RISER
o OVERHEAD SERVICE
o UNDERGROU'1 SERVICE
VOLTAGE: /..zD 'c;2f1'O
)i:f1\11 D3~
SERVICE SIZE .,;;'D20
FEEDER SIZE / t1-O
AMPS
AMPS
w:ft
/&0
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
~ Ditch Inspection O.K.
d~ ~ Rough-in/cover O.K.
1a-w\~ O.K. to connect service
o Final OK
Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered
bE1fore inspection and OK for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building~it. PHONE 457-0411, EXT. 224. ff
o - NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ ~ 0
. ~ $ <=>
Electrj~ar Inspect~r
Installer:
.
WHITE - File by address
PINK - Top: Eng, Bollom, Customer
QLYMPICPRINTERSINC
New Meters
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall
.
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles. WA 98362
(206) 457-0411
PERMIT NO.
L/~ 9D
7//z/'1tY
.
DATE
ELECTRICAL PERMIT
Site Address:
o READY FOR
INSPECTION
License Number:
o WILL CALL FOR
INSPECTION
Phone:
Installed By:
Owner/Business:
Phone:
Owner/Business Address:
Sq. Ft.
ELECTRIC HEAT
o I'BASEBOARD KW _
o FURNACE KW _
o HEAT PUMP KW
o FAN/WALL KW
o RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
~EMPORARY SERVICE
o RISER
~OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
D1l1S D3l1S
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
Details/Description:
I~~
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
o Final O.K.
I~staller:
I'
Permit/Receipt No.
~ 0
New ~ete~ (
.
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the BUi~ding P '1. PHONE 457-0411, EXT. 224. ~.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT r --, 0
_~ $ ~J
Elect callnspector Permit Fee
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
GREEN - Top: Meier Dept., Bottom: City Hall
~
OLYr..lPIC PRINTERS INC.