The URL can be used to link to this page

Home My WebLink About319 S Peabody St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc TEAR OFF RE ROOF Owner 8 00 Other Fees Fee summary Qty Unit Charge Per T Forms /Building Division /Building Permit (05 /13/08).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Charged 08 00001206 706502 319 S PEABODY ST 06 30 00 6 5 0060 0000 WILLIAM LINDBERG RE ROOF 10000 Contractor BASE FEE 14 0000 THOU BL -2001 25K (14 PER K) Date 9/22/08 4TH AND PEABODY ASSOCIATES LINDBERG CONSTRUCTION LLC PO BOX 1595 139 W 7TH ST PORT ANGELES WA 983620194 PORT ANGELES WA 98362 (360) 452 6116 (360) 457 6408 Structure Information 000 000 TEAR OFF RE ROOF Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF RE ROOF Permit pin number 135012 Permit Fee 207 75 Plan Check Fee 00 Issue Date 9/22/08 Valuation 10000 Expiration Date 3/21/09 Paid Credited Due Permit Fee Total 207 75 207 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 212 25 212 25 00 00 Extension 95 75 112 00 STATE SURCHARGE 4 50 a \VA' --1° 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 sam it JRe true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herei. r ftd granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regul.t it 'o asiruction or the performance of construction !4IGk/1/ 1.J11� Print Name Signature of Contractor or Authorized Agent Si Ta i ¶l.wr+er (if owner is builder) CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION 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 AND APPROVED PLANS AT THE JOB SITE. INSPECTION TYPE DATE ACCEPTED FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING I 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 I COMMERCIAL HOOD DUCTS I MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT ll's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 ino BUILDING PERMIT INSPECTION RECORD 0 OQ YES 1 NO FINAL FINAL SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT 1 PLANNING DEPT BUILDING COMMENTS DATE ACCEPTED BY. DATE ACCEPTED BY. DATE ACCEPTED YES I NO l L Applicant or Agent Iu-INO 1-n\latig6 Property Owner Y y 11.6A M t...//40tat Property Owner's Address I p}S, Contractor /Engineer L_ eg ig_„c 1 Contractor /Engineer's Address I9Daf V 1.1 pfl License /../N0e2GL PROJECT ADDRESS 9 ,11 5 PEWOY Parcel Number b DDS 6)0,b Project Type Brief De Check all that apply New Construction Addition Remodel Repair A(Re -roof Demolition Heat System Other Floor Areas Total footprint of structures Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? Date Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other scription. Print Name T Forms /Building D; ,sion /Bldg Permit Appl. -2006 Code doc BUILDING PERMIT CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Residential XCommercial Heat pump o wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) sq ft. T Lot size ft. Occupancy group Occupant load Construction type W ILL M APPLICATION Print in ink I have read and completed this application and know it to be true and correct. I am,a understand that it is my responsibility to determine what permits are required, and c L i 3, projects. Signature For City Use Only Date Received 9— 1' (jg Permit 08— (20A Date Approved Phone 7-11P,r Phone 3 Phone .1S7. Expires Lot W 1', 12. Zoning Multi- family per sq ft. TOTAL VALUATION I P. CeZ sq ft. Lot coverage of bedrooms of full baths of half baths Industrial to apply for this permit and _vrmits prior to working on CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Nua~oer ..... 03-00000174 Date 3/16/03 Property Address ...... 319 S PEABODY ST A~SESSOR PARCEL NUMBER: 0630006500600000 Application description . . . ELECTRICAL ONLY Property Zoning ....... Application valuation .... 0 Owner Contractor 4THA~D PEABODYASSOCIATES PACIFIC OFFICE EQUIPMENT INC. PO BOX 1595 402 E. 8TH ST. PORT ANGELES WA 983620194 PORT ANGELES WA 98362 (360) 452-9755 Permit ...... ELECTRICAL ALTER CO~ERCIAL Additional desc . . Sub Contractor . . PACIFIC OFFICE EQUIPM~T INC. Permit Fee .... 40.90 Plan Check Fee . . .00 Issue Date .... 3/16/03 Valuation .... 0 Expiration Date . . 9/12/03 Qty unit Charge Per Extension 1.00 40.9000 EL-LOW VOLT SYS <=2500 SQFT 40,90 Fee summary Charged Paid Credited Due Permit Fee Total 40.90 40.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40.90 40.90 .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 cedify that I have read and examined this application and know the same to be true and correct. All provisions ol laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does no! 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 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 WORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # / / PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE RACK FLOW / WATER AIR SEAL I WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB I WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD/ DUCTS PWUTILITIES/ SITEWORK (Engin¢¢r~ngDivision) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHOI~ELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 41%4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 PLANNING DEPT. BUILDING 417~4815 BUILDING 02/14/2003 00:13 13504521589 SHAMP ELEC PAGE 131 &1? ELECTRICAL PERMIT APPLICATION ;:[,)1<. .nmcl ""7~.l)lL ':" C~lr"~l;"t: - :=r..-- I'~=n'" ..__ L.Jrc.\r;mlVl(u:___._ Dftlc I.<<~~~._---- The Electrice.1 PermIt Application must be filled out comDletelv. Please type or reprint in ink. If you h.ave any questions. please eall (360. 4174735 Fax number: (360) 417-1711 5~r' t~C)'; Co. own.ror Erec. ControctorA9"nt: Q...'J!l"'Il1rc. :P~N''''S"<..A ~ Prop"rt)! owner:! ( . '~('l 5. f~~y ~ C;ty: "!2A A-tJu,,>Ui-I. AddresS. - j .-~. '"" -- ~ ~.... ... "~CO~;;b'.5 .- co._.. _ c"";-tk::T,~(r- ILK. U' Exp: c:i3 Electri:al Cor,tracl0r: ;:.t\..6tJo.o\..f' '"""&:;...., __ - cense : to q,..,.: "3.'63 I 01" Pc.-- k,,-,::>..-<.6' Addr...: . . ,- ~ - .- i .,. 1I;3TALLATION WIP"O 8Y' c: OWNER X ELECTRICAL CONTRACTOR Credit Card H"lder Name: ! S 11. ~ u...E:/. <; ~ ~~ n A Billing Address: 't {Q (,.>. Ie - 0;::;, ciry: r...-v,' "''''''''......,,; Credir Card Number: Exp. Date:- ; PROJECT ADDRESS: ~ 1'\ C:;. ~&A-B,dD'i ~. f<3/lX 4",(,,~s: 0rr..c.L. P..oJl"'''''''~ IYe.E OF WORK: Check ill! that apply: :J New )(Alteration/Additi.on o Residental :J Multi.family f Commercial c: Mobile Home Sq. Ft. C, Remote Meter C Detached garage 0 Hot Tub C Swim Pool C S"f'lic Pump 0 Low Voltagc = Telecom. Num"::ler of Circuit' addl?rl or alte;ed:.. C REQUEST INSPECTION :J . Phone: '{51- "'(SI Fax: Phone: Zip: Phone: '15'<- I bl!9 W-h- Zip, "t'i.3b~ 1..l4 Zip: y>;3U_ VISA:LMC:- os DESCRIPTION OF THE ELECTRICAL PROJECT: (, <=.-f!G<ktY "AN!;\.. '10 ,..e-vl L.oc.A.1'Z'''.J ~ H:~OI':ll- .!r<..T'lJt.tJ) l1 ~L ~ So t, {In:;ruu.O{~O -T"T/'rL ~ I '10 :!~ . Electrical'Heat Load Additions kow/Al-Tti/Z..lOO: f-\ovIN(,. St~lo-EtL I .. . (,., C/lI,c.oJ'1r - llC.'f - -f S-'I, % r S,d}O $tf,q,t,o Service Information C Baseboard C Furnace ::: Heat Pump L Fan-Wall _KW _K'vV _KW _KW LJ Overhead Service :.:_1 Temp GCi\fice .1!DJnderground Service Volt vic..;;:r. ~ .Dl'? Feeder Size __ ..... . PAMe 14.05.060(B): For indus!dal. commercial. & residential projects larger than a duplex, a one. line drawing of the Electrical Service Feeders, building size (sq. h.). load calculations. and the type & of conductors andior raceway is required and shall accompany the Electrical Permit appllcatiurl. ; r \1;hereby certify that I have read and examined tNs applicRtian and know that same to be true and correct, and I ; authorized to apply for this permit. I understand il is not the City's legal responsibility to determine what permits -vI ~F~'::rl '1~~":':'':':;:'':lT: d,~'mi", wMI p'~I" '" rnq,"'d ,"d to obl,l" ""'" A Credit Card Holder's Signature: ~~~ 511 cu.Z oare:z-!<{..o,!. /} " ~ ~../ - --'1 Date'. 'Z-(L{-~3 Owner or Elec. Cont. Signature: 7:fLl==~ L~ ----- - PW.9019 tJg:. cO-- d-jI8/05 ELECTRICAL PERMIT APPLICATION FOR OFFICIAL USE ONLY DalrlRa:; '7'/ Pmnil-= I ./ Oa&e Appmvnl: D3!c luueoJ: The Electrical Permit Application must be filled out comDletetv. Please type or reprint In Ink. If you have any questions, please call (360. 417-4735 - "'0 \ L I \ Fax number: (360) 417-4711 P 1-\ C-- \ F al:::- '-' M Owner or Elee. Contractor Agent: Phone: Fax: Property Owner. O\~"",('.c' \>eiY'. __"LP Address: :~ \C\ S- \)PC'> \y ,;.. r~ " ' City: D'A- Electrical Contractor: \)~I t: ,'e n \<:-~ ~QP License#:PAQ.\I=Or;;~\:}~ Address: L\02.. \?: _ ?;.., ~ ~~ City: <fb g~1 QY\~\,-,,", INSTALLATION WIRED BY: 0 OWNER ~LECTRICAL CONTRACTOR Credit Card Holder Name: ""-tt)l""\ ~~,mc. ~ """ . Billing Address: 1..\.02.. E:'l=+'>:'I ?s,~ ~ City: PClIt-l , ~ -'-..)\-, Exp. Date' Phone: Ll <;'r - Lj LI "> \ Zip: C; 7<; '3 bL. Phone:t.l);} 41)( Zip: {:)r..cS.o' V\ t Zip:q,&%2. VISA:X---MC:_ PROJECT ADDRESS: 3\<4 s" f\?fu\yJd., i TYPE OF WORK: Check all that apply: 0 New o Residental 0 Mutti-family " u;rCOmmercial ~dlL1 ~\'"\.N\<X\ '-' ~rationlAddition o Mobile Home _ Sq. Ft. " o Remote Meter 0 Detached garage 0 Hot Tub o Swim Pool 0 ~eplic P.ump\'llLowVoltage o Telecom. Osi Number of Circuits added or altered:! ,', . ,.- , , DESCRIPTION OF THE ELECTRICAL PROJECT: , , Electrical Heat Load Additions Jfo I ?O Service Information o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: o Baseboard o Furnace o Heat Pump o Fan-Wall _KW _KW _KW _KW PAMC 14.05.060(B): For industrial, commercial. & residential projects larger than a duplex. a one -line drawing of the Electrical Service I Feeders, building size (sq. ft.), load calculations, and the type & of conductors andlor raceway is required and shall accompany the Electrical Permit application. I hereby certify that I have read and examined this application and know that same to be true and correct, and I ~ authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Slgnature:--: ate:a;/; i18 PW-9019 .~,~ CITY OF PORT ANGELES ~[~- --.. DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000092 Date 1/31/03 Property Address ...... 319 S PEABODY ST ~SESSOR PARCEL NUMBER: 0630006500600000 Tenant nbr, name ...... C OLYMPIC PENINSULA TITLE Application description . . . CON~4 REMODEL Property Zoning ....... Application valuation .... 23345 Property owner ....... 4THAND PEABODYASSOCIATES Owner address ........ PO BOX 1595 PORT ANGELES WA 983620194 () Contractor ......... CHILDERS/BUKOVNIK .......................... Structure Information ......................... Construction Type ..... TYPE V NON-RATED Occupancy Type ...... BUSINESS:OFF/PRO/MED/REST Permit ...... BUILDING PEENIT - CO~94ERCIAL Additional desc . Permit Fee .... 400.75 Plan Check Fee . . 260.49 Issue Date .... 1/31/03 Valuation .... 23345 Expiration Date . . 7/30/03 Qty Unit Charge Per Extension BASE FEE 92.75 22.00 14.0000 THOU BL-2001-25K (14 PER K) 308.00 Other Fees ......... STATE SURC~L~RGE 4.50 Fee s~um~ary Charged Paid Credited Due Permit Fee Total 400.75 400.75 .00 .00 Plan Check Total 260.49 260.49 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 665.74 665.74 .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 authorib/ 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:\PLANNINGtFORMS\ 1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY I~FORK 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 WALLS FOUNDATION DRAFNAGE ELECTRICAL (LIGHT DEPT) SEPAILATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK PLOW / WATER AIR SEAL WALLS [? I CEILING I *~ BUILDING PERMIT - APPLICATION Perm,,#: ~p_..~_ Date Approved: Date Issued: The Building Permit Application must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent:~ Phone: ~ Owner:~~ Phone: ~ Contractor~[~/~V~$t~ License g:~lLO~CO~xp:~ Phone~0~ L~G~L DESCmPTION: Lot:~ glock:~ Subdivision:g~~ I* ~ CL~L~ COUNTY P~CEL NUMBER: Credit Card Holder Name: ' Billing Address: City:_ Credit Card $: Exp. Date: VISA MC T~E OF WO~: SIZE~UATION: D Residential ~ New Co~. D Re-roof ~ Wood-stove SF. ~ $ /SF. =$ D Multi-f~ly D Addition D Move D Garage ~Co~ercial ~Remodel D Demolition D Deck ~ SF'~$~ $~/SF.--/SF. = $$~=~ SF. ~ Repair m Sign D TOTAL VALUATION $. BmEFOESCmPTIONOFTHEPRO~CT: ~l~ ~~ ~ ~}~ ~$, ' COMMERCI~SIDENTI~: .Occupancy Group: ~ Occupant Load: Cons~ction T~e:~ No. ofStories: ~ LotS~e: *[IgTS %Lo;Coverage: % ~ Existing Lot Coverage: /sq. fi, + Proposed Lot Coverage: /sq. fi. = TOTAL LOT COVE~GE: /sq. fi. PLANING USE ONLY: ~PROV~S: PL~ Notes: BLDG. DPW ES~Wetland(s): ~ Yes ~ No SEPA Checklist requked? ~ Yes ~ No Other: OTHER BUILD~G PE~IT ~PLICATION S~MITT~: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed infomtion on the application ~d plan sub~l requkements. Your completed application, site plan (for additions) and building co~ction plans are to be submRed to ~e Bulldog Division. V~UATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This fig~e will be reviewed and ~y be revised by the Building Division to comply wi~ c~ent fee schedules. Contact the Pemt Coordinator at 4174815 for assistance. PL~ CHECK FEE: Yo~ plan check fee is due at the time ~e building pemt application and cons~cfion pla~ ~e sub,Red, All other pe~t fees are due at the time of petal issuance. EXPIATION OF PL~ ~EW: If no pemit is issued within 180 days of~e date of application, t~s application will expire. ~e Building Official can extend ~e time for action by the applicant up to 180 days upon ~iRen request by ~e applicant (see Section 107.4 of the Umfo~ Building Code, cu~ent edition). No application can be extended more than once. I hereby cert~ that I have read and examined this application and know the same to be ~ue and co,ecl, and I am authorized to apply for this permit. 1 understand it is not the Ci~5 legal responsibili~ to determine what pemits are required; it remains the applicant's responsibili~ to determine what permits are required and to obtain such. * Applicant: ~~~) Date: l)¢~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ff~ <) '_~ Time ? _,/~ /2 !~ Rece,ved by erson) Location of Work ,o be inspected >'":~ J'.:~:: : ~: Name of person requesting inspection.,-)~'~- , ~ ~ -~ ~., ~,~' Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. ~ ~. Sewer FoundatiRn ~n~ Chimney Plumbing Final Sewer Excav. Other Inspected: Date 2~ J~ Time By Remarks:. RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt ~IPCC [~]Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE r-I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~- ~ <?~-~-'~ Time Received by ~>~/ (phone, person) Location of Work to be inspected Name of person requesting inspection ~jc-~ ~ ~"~ ~-J~ ~/o~Ph°ne/N Address of person requesting inspection .~ [/'~-- Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected:Date ~-~- - ~---~'--~-~ Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel r-]Asphalt []PCC [~Other I--I Repaired by City Work Order # [] Repaired by Permittee ~-~ COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date L~ ~ lb ~ Time ~ ~ Received by ~'-~- (phone, person) Location of Work to be inspected ~l~ ~ ~1~ ~_'~, ~) IV/ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate onel: Permit No. ~--~_,~ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: /~ Inspected: Date ~~~e .~-V~ By _ Remarks: ~/' ,~,.~ ~~~~ RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel ~]Asphalt ~]PCC [~Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [--I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~-~ -- /~-~ Time Received by ~ ~/~ (phone, person) Location of Work to be inspected ~?/~ ~ Name of person requesting inspection ~-~V~-- Address of person requesting inspection Phone No. '/'//c~ - Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing ~nal~Sewer Excav. Other INSPECTION NOTES: Inspected:Date L"I i ~ [ °"~ Time /~)~/ By ~-'---'-~------ Remarks: RESTORATION REQUIRED YES NO ~ ...... ) SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel [Z]Asphalt []PCC DOther [] Repaired by City Work Order it ~] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000164 Date 3/16/03 Property Address ...... 319 S PEABODY ST ASSESSOR PARCEL NUMBER: 0630006500600000 Application description . . . ELECTRICAL ONLY Property Zoning ....... Application valuation .... 0 Owner Contractor 4TH AND pEABODY ASSOCIATES SHAMP ELECTRICAL CONTRACTING PO BOX 1595 PO BOX 383 PORT ANGELES WA 983620194 PORT ANGELES WA 98362 (360) 452-1689 Permit ...... ELECTRICAL ALTER COS~4ERCIAL Additional desc . . Sub Contractor . . SHAMP ELECTRICAL CONTRACTING Permit Fee .... 140.90 Plan Check Fee . . .00 Issue Date .... 3/16/03 Valuation ..... 0 Expiration Date . . 9/12/03 Qty Unit Charge Per Extension 1.00 76.3000 ECH EL-COM ALT 0-200 SRV FDR 76.30 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 nspect ons have not been requested within 180 days from the last inspec~io.~r~,l hereby ce~f~hat I have read and examined this application and know the same to be true and correct. All provisions of aws ~r~i~l~*ifl~llg this type of work will be complied with whether specified herein or not. The granting of a permit does not )resun~l~ ~e'~J~n'~it~ I~e violate or cancel the provisions of any state or local law regulating construction or the performance of ;onstruction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MIN1MUM 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 YESI No FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL I WALLS [ CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEy HOOD / DUCTS PW UTILITIES ! SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED · YES NO CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 4] 7-4807 PW / ENG INEEPdNG FIRE 417-4653 FIRE DEPT. PLANNING DEPI. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING W.S. No. Service Cap'acity: D O.K. D Not O.K. ~ bitch inspection O.K. '" Rough-in/cover O.K. ~ 6.K. to connect service ~ linal O.K. Site Address: I ..~ . .' ~ ...~ CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. ::2..s:;<o ~~4y ELECTRICAL PERMIT DATE $/ [) D READY FOR 9<:M"LL CALL FOR INSPECTION INSPECTION License Number: Phone: Site 'Address: I: Installed By: I Owner/Business: I I Ow'nerfBusiness Address: I 6 Residential I Heat KW ID Baseboard D Furnace/Boiler OJ Heatpump D Other OJ Commercial/Industrial load I Total Connected load (attach breakdown) Total Motor load (attach breakdown) Phone: Sq. Ft. D New Construction D Remodel D Service update/alter/repair ~ Overhead D undergrOU~ ~ c/O V~oltage 102 ,.22_ 10 D 30 ervice size t, 100 Amps D Temporary D Add/alter circuits D Auxiliary power (list below) D Special equipment (list below) Det~ilslDescri ption: ;;2- 1- cff;' ~. .;3(;2() ~ 1;)\' Z; ~ ,v-tM/ Size Comments Date Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for instaliation D Fire Department notified of inspection D Plan Review approved/pending Insfaller: I New Meters ~ PermitlReceipt No. ::<3,;;z,O Notify the Departm t of City Light by Street Address and Permit Number\when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.041);. EXT. 1~r EXT. 224. t, I ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT ~ ;j () -- J . Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall ! OLYM~IC PRINTERS. INC. . . e. ~ II! Sitei'AddreSS: ? Ii. -d/ In~t'alled By: e../L Owner/Business: I Owner/Business Address: I I , o Residential I Heat KW o Baseboard 0 Furnace/Boiler b Heatpump 0 Other b Commercial/lndustrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. Q / 7.;z DATE 0":/4/61 ELECTRICAL PERMIT D READY FOR D WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Phone: Sq. Ft o New Construction o Remodel o Service update/alter/repair ~ Overhead o Under~~~' fa ~o tage . .)- 113 0313 e vice size Amps Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Detai Is/Descri pt ion: I I I I I I , , I I W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments I o Ditch inspection O.K. I 'If Rough.in/cover O.K. 'P 9.K. to connect service ~ Final O.K. AVt I' Site Address: f3 Installer: I I I Notify the De art ent 01 City Light by Street Address and Permit Number when ready lor inspection. Work must not be covered or electrically energized before inspection and O.K. lor covering or service has been given by the Inspe in Writing on the Wiring Report or the Building Permit. PHONE 457'04~r;.XT.. 158 or EXT. 224. I, NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT .{1; I b f):2 Inspector " Amount paid WHI,TE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall Date Hold lor: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notilied lor installation o Fire Department notified 01 inspection o Plan Review approved/pending " Permit/Receipt No. New Meters / OLYM"'IC PRINTERS. INC.