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Home My WebLink About3218 S Peabody St - BuildingApplication Number 08 00001219 Date 9/24/08 Application pin number 079746 Property Address 3218 S PEABODY ST ASSESSOR PARCEL NUMBER 06 30 15 5 0 1150 0000 Tenant nbr name PAUL PEDERSON BONNIE C Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 13256 Application desc HEAT PUMP INSTALLATION Owner PAUL PEDERSON /B CHRISTIANSON 3218 S PEABODY ST PORT ANGELES (360) 452 5238 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total T.FormsBu Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983623756 Per 14 8000 ECH MECHANICAL PERMIT INSTALL HEAT PUMP 135202 64 80 Plan Check Fee 00 9/24/08 Valuation 0 3/23/09 Charged 64 80 00 64 80 Contractor ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 BASE FEE ME INSTALL 100- FAU Paid Credited 64 80 00 00 00 64 80 00 Due Separate Permits are required for electrical work SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 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 Extension 50 00 14 80 00 00 00 q7(6 fi loft L ��f 6 w/ (-Va rs 0—e pro` Bate Print Name Signature of Contractor or Aut ized Agent Signature of Owner (if owner is builder) 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 Accepted By Comments 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 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 PLANNING DEPT Separate Permit #s Parking Lighting Landscaping RESIDENTIAL Electrical 417 -4735 1 Construction R.W PW Engineering Fire Planning Building 417 -4807 417 -4653 I 417 -4750 1 417 -4815 1 T.Forms /Building Division /Building Permit 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 4807 Backflow Prevention Inspections 417 4886 I n L' Y yi÷54 HO FINAL Date: Accepted by FINAL Date: Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE DATE Accepted By Commercial Date Accepted By I Electrical Construction R.W PW Engineering I Fire Planning 1 Building I Sep 22 08 04:09p Applicant or Agent 4 11 Wm R7 1 {10 Ct�d (Yl Owner po (xi 1 sir s ten ni Ch r19-of ?S1n l Owner's Address 32A S. .peikvd a St Contractor /Engineer ID 1. „k_, N s rl Yll 1 Contractor /Engineer's Address L 1 iKRti P S' -d'e License LLv.J, =}tc i5'() I&U PROJECT ADDRESS 53 1? S Pell-Welt-1 Parcel Number 0 /fil 01j D0000 Proiect Type Brief Description: Check all that apply o New Construction_ o Addition o Remodel o Repair o Re -roof o Demolition o Sign /sHeat System o Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? 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 Residential o Commercial W S 007 CA P 1 For City Use Only Date Received Z?rOg Permit q Date Approved Phone 3 -4 02 `711.3 Phone 3/Qf1- 95Z "5Z3 Phone ,Loft• L15L Expires 010 7 Lot Zoning o Multi- family o Industrial o wall mounted projecting o freestanding o awning o other Total sign area so. ft. Maximum allowed sign area sq. ft. XHeat pump wood buming stove o gas fireplace o pellet stove other Floor Areas Existing (sq. ft) Proposed (sq. ft.) Basement 1 Floor 2 Floor 3` Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq ft. Lot size ft. @S Occupancy group Occupant load Construction type per sq. ft. TOTAL VALUATION L5(p Z sq ft. Lot coverage of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. l am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working an Date project rS,l 1 r. api{14? r �;�5 Signature /Lt.1L1i� t -vri/ �►i Forms!Building DivisiontBidg Permit Appi —2006 Code doc 1 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00000926 Application pin number 323618 Property Address 3218 S PEABODY ST ASSESSOR PARCEL NUMBER 06 30 15 5 0 1150 0000 Tenant nbr name DONALD ROSS Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 8500 Owner Paul Pederson /B Christianson 3218 S PEABODY ST PORT ANGELES WA 983623756 Contractor Date 8/23/06 DIAMOND ROOFING ENTERPRISES P 0 BOX 2963 PORT ANGELES WA 98362 (360) 452 9518 Permit BUILDING PERMIT NO PR FEE Additional desc Permit pin number 85407 Permit Fee 193 75 Plan Check Fee 00 Issue Date 8/23/06 Valuation 8500 Expiration Date 2/19/07 Qty Unit Charge Per Extension BASE FEE 95 75 7 00 14 0000 THOU BL -2001 25K (14 PER K) 98 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 193 75 193 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 198 25 198 25 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. 12)rtAllje:Q, Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] A 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 YES NO 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 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 PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL BUILDING PERMIT INSPECTION RECORD I 1 1 1 FINAL FINAL SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417-4653 I 1 1 I FIRE DEPT PLANNING DEPT 417 -4750 I CXO -P) 1 1 1 PLANNING DEPT BUILDING 417 -4815 1 I i i i YY 11 b 1 BUILDING T•\ Policies\ 1102_15'building permit inspection record05 wpd [1/4/2005] DATE ACCEPTED BY. DATE ACCEPTED BY. Applicant or Agent: 1 ,,Z oEg∎N.0 ,S, J Owner r-ia i c o Address. Architect/Engineer: Contractor 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 Address: City PROJECT ADDRESS .3c) 15' S. LEGAL DESCRIPTION Lot: Block. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr Multi family Addition Commercial Remodel Repair Sign BRIEF DESCRIPTION OF TAF Re -roof Stove Move n Garage Demolition Deck Other PROJECT C c7 COMMERCIAL/RESIDENTIAL. Occupancy Group VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Buildmg Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit apphcation 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 clays 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. No of Stories. Lot Size: Existing Sq. Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other City State License T•\FORMS\B1dgPerrnitform.wpd ApphCant: BUILDING PERMIT APPLICATION I 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 I must obtain such permits prior to work. Phone: Phone: Subdivision. Occupant Load. Proposed Sq Ft. Phone: Exp Zip Phone: Zip ZONING SIZE/VALUATION SF /SF SF /SF SF /SF TOTA,L VALUATION i r Construction Type- TOTAL Sq Ft. 7Lte: FOP.OFF1CI1.L/USEE® 1 Date Rec. R Permit #:a q Date Approve Date issued: �I7- 0/O r APPROVALS PLAN BLDG DPWU FIRE. OTHER. D?o Application Number 08 00001228 Application pin number 692712 Property Address 3218 S PEABODY ST ASSESSOR PARCEL NUMBER 06 30 15 5 0 1150 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Heat pump furnace Owner Contractor URNES MARK KARA 3218 S PEABODY ST PORT ANGELES Fee summary WA 983623756 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 Qty Unit Charge Per 1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS Charged Paid Credited Date 9/26/08 WA 98363 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 135343 Permit Fee 46 00 Plan Check Fee 00 Issue Date 9/26/08 Valuation 0 Expiration Date 3/25/09 Due Permit Fee Total 46 00 46 00 00 00 Plan Check Total 00 00 00 00 Grand Total 46 00 46 00 00 00 Extension 46 00 INSPECTION TYPE DATE DITCH SERVICE 4ECEIVED ROUGH IN OCT 0 2 2008 FINAL COMMENTS /012 /clei 9"'i' ELECTRICAL RESULTS INSPECTOR Application Number 08 00001214 Application pin number 464570 Property Address 3218 S PEABODY ST ASSESSOR PARCEL NUMBER 06 30 15 5 0 1150 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc T stat Owner Contractor Pederson Paul 3218 S PEABODY ST PORT ANGELES Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 135145 Permit Fee 35 00 Plan Check Fee 00 Issue Date 9/24/08 Valuation 0 Expiration Date 3/23/09 Qty Unit Charge Per 1 00 35 0000 EC EL -LOW VOLTAGE Fee summary Permit Fee Total Plan Check Total Grand Total WA 983623756 Charged Paid Credited Date 9/24/08 ALL WEATHER HEATING COOLING 302 KEMP RD PORT ANGELES WA 98362 (360) 9813 35 00 35 00 00 00 00 00 35 00 35 00 00 Due Extension 35 00 00 00 00 SPECTION TYPE DATE RESULTS DITCH SERVICE ROUGH IN FINAL COMMENTS: f4/2-leor '11 ELECTRICAL INSPECTOR 09/23/2008 23:33 CB 12L8 4579270 SIMPSON ELECTRIC PAGE 01 fRlfECE'VED S'. SEP 2 52008 ELECI1UCAL WORKPERMIT APl'LICATION _.. 1I Elee 'C:illl cot:'ltract(W Mine /. License fl,UfI1be1' .., E~ Pu,.h_', .~nO~3-(p f Lbl r7 A- f3b3 Telepbone number 9 . ~ S~~ J-- 70 ~ Pf'Jv--~ 5_P~ Date Expires InstDlIaliOJ1 deaeription C Cnmme,..;oJ JA ___ a New ~lIerod/Addltia. , J-y (!If'C..~ III e..,' f' /L~r// kl I~~ 66 \ .lob wl,ed by Electr...l Conlradnr a Ow.er City N N ~ Premises ~ncr'a namtl D--u.R . Address ClM:litlo~ City P fl.. Phoae numbU.2f~ult! ~n!l Ow"CJ' a." defined bJ' RCJf:/9.28.26J:(I) Owner will occupy rhr .'fmltl~for two }'(!IJI'$ qftel' this ttltc:trical prrm;1 is jinolizcd. (2) Owne-r is reqldred fp 1Ji~ aft electrical L'OItth2dnr ~r "br,l1"- Jflit/ property is for sale. !'elft or 'can. ARer reading the .bove mtemertt, I hereby certify 1hAt I _m the ('lwnCt ot t"e above named prnperty or II lieefl.~d elcctticol contnletoT. I m\ m3lclMJ the cletlrical roll1.l.. )stion or alteration ift c:~pllnnce wilh the eleetritGt Jaw&. N.E.C.. RCW, dlaptet' 19.28. WAC, ChalJtcr 296-468, The C. or Pori An8!!1<< Municipal Cad!!, and UtiJity Specifi ",. Slcuture r 0 nero rhll:trlctl a Cash Q Check# redilCard ~ Mastercard Discover C~#___~~~_~____ Expiration Dale of card Inspection fee c:rD S LIb, li<l0!l~ (J NO LOAD CHANGES (J Basoboard _ KW ~UrmlC. /J!KW oa. Pump :3- Ton _ LAR Fan.Wall _ KW . 1:1 OverMad $""'1... 1:1 Ta"'p SeM... a Undatgl'Ound Sen.;"" Voltage Ph.....Q'(J3 SoMes SIzo:_ FaellarSll!e: SAME DAY INSPECTION, CALL BEFORE 7'00 AM 360-417-473S . .. ROUGlJ..tN r THERMOSTAT SERVJCt IIO/Z/V8 CVtJ:> Da~ ...Pr......~('I,. 1;.1...: ^......... By D.~ I'JOpoowecl'''Y FINAL r DITCH HXIJU< /D/1"( up, ~ Appl'llftllllty-~ '- o,.Ie UIUC ^~ij.)'./ "- 0.1, Inspection Area, BuHding or 'EqujpmClltlnspctted EhlC:trical Date Action T:lken In,p.eIO~~ '1-z.(,,-o~ 50 {<.-,,- XF",,/<. ".-e{J 7'> CHANe,;; T" 7SkvA f?Ev I lOW G1~ lX.T No (k.JN~/ fiE NO CJJAUt f9,e ~--' "'''WA6C - -. - '-CW~121tf i . L Sap 22 08 04 :09p RECEIVED p.2 CB-121 tf ~'...<-':"'.'.'..".";"'. ~. ...... ~~j 't'-.;o;;~o"~ SEP 32 20RECTRICALWORKPER1\UTAPPLICATION LI PT lnst<lllation descriPtio:; o Commercial f Residential o New ~Altered/Addition Job wired by ~Electrical Contractor DOwner A; Purchaser's mailing addr1;:'SS .')02,... v:.fu'\ r 51'" ~ . . L f') , Wit Tf}::ph.one :lU!.T /.,~ 00, 01--<1 J I'remises owner's name 'Paul P,J~bcSon ~~nl1i.e Chn5han.Scr\ Address of in~ecti~.I\ i,. d "'. 5]...../~..), t'fatJ6 i-j ..J1"' ~' .J Oyt !fnCJelp S Phone number IscbedUlejnSPl!cttqJ: . "0 - 2~'L3.,. Owner as defined by RCW/~28, 2r5i.'(1} Owner wit/ occ!..'PJ' the! structure far tu'o years a.lie.r this r:iecrricrJ! permit js ;in'-Jlizcd. (2) OHmer is required 10 hire an Clew-ica! CDnlraCror if aoolle said properry is for safe, rent or lease After rt':ading the abo\ie 51.'l.temCllt, I hereby ccnif~.' that 1 am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal. lation OJ alteration in com?Liancc with the ekctrical laws, N.E.C.. RCW. Chtlpter 19.18, WAC. Chapter 296~46B, The City of Port Angeles Municipal Code, and Utility Specifications. s;"n""'d;;;;~n1:t~;C'lt~'iJ~' nr "~t:~;: .~minjst"O'Y Date Expi c: Ii 'Ii 0: ~\jJi1V1 osW- wlr il~ v/ ..J () <J\J { .-- ~ - ~ o Cash 0 Check # ,: Credit Card Visa Card ;; Mastercard Discover d..Adaiti Cl NO LOAD CHANGES ::l Baseboard KW :J Furnace Ll2.. KW :J Heat Pump ..:.t Ton 7"i LAR a Fan-Wall KW Expiration Date of card ~n'351 fOO .5..eoic.e InformiUkm o Overhead Service o Temp Service CI Underground Service Voltage Phase CJ 1 D 3 Service Size: Feeder Size: SAMF. DAY INSPF(:TTON, (:..1.1. BRFORF, 7:00 AM 360-417-4735 Inspection Area, Building or Equipment Inspecled Action Taken Electrical Dale (nspector L:"'... qi,Z'/'O'/, SO "'vA XF",~ JJai> 70 C#AM/€ 1?J 75 I<VA 1U;v f Fw de, B,?-1J;) , NO C<wr/dZT ~ NO CHM'.;r ;:;.e xF"'~ t/6-M6c , - . ! ( ROUGH-IN I 1>IDJ~!06 ~B' < Ipkl~f~\:1!i:'d B, J THERMOSTAT SERVICE D:al<: r.ppro~ed By Dale App:ovc;l By DITCH Ap,ro,..,r;1 I~y I "- FEEDERAPPron-.J Bl j Oat" Due 4 - P.2t'> ~ ~ , , CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BU1LDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 DU;;_DiNC, /u /zuuz OWNER/APPLICANT PROPERTY LOCATION 3218 PEABODY S PAUL PEDERSON 3218 S. PEABODY Lot: 11 Port Angeles, WA 98362 Block: [] Long Legal 360/452-5238 Subdivision: MAGUIRES H ADDITION T: S: Parcel No: 063015501150000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $38,000.00 SFD Units: 0 Commercial: 0 Project Type: ELEVATOR SFD SO FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 t..~'-~ Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES ADD ELEVATOR TO I~ISITING RESIDENCE RECEIPT #9490 FEES ASSESSMENT Building Permit: $523.05 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: $527.55 Plumbing: $0.00 AMOUNT PAID: $527.55 Mechanical: $0.00 Radon: $0.00 BALANCE DUE: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and punic impmvements. 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 cer[J~ 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. Sig~nature of ContraCtor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\ I 102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERIvllT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPAKATE 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 DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. ! PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ~ '~"1- C7~ i'~c~ ' BUILDING T:\PLANNING\FORMS\I ]02.15 [4/2002] o*~ Date Rec.: BUILDING PERMIT - APPLICATION Date Approved: Date Issued: The Building Permit Application must be filled out completely. Please type or print in in~ If you have any questions, please call 4174815 Applic t orAgent: Phone: ~chitecffEngineer: Phone: Contractor ~t~g~ ~ License~: Exp: Phone: ~2 Address: City:. Zip:. LEG~ DESCmPTION: Lot: [[ ~~Bl°ck: Subdivision: ~/~; CL~L~ CO~TY P~CEL N~BE~~edit C~rd Holder Name: Billing Address: City: Credit Card ~: Exp. Date: ~SA MC T~E OF WO~: SI~UATION: ~ Residential ~ New Cons~. ~ Re-roof ~ Wood-stove SF. ~ $ /SF. =$ ~ Mulfi-f~ly ~ Ad~tion ~ Move ~ G~age SF. ~ $ /SF. = $ ~ Co~rcial ~ Remodel ~ Demoli~on ~ Deck SF. ~ $ /SF. = $ ~ Repair ~ Sign ~ TOTAL VALUATION $ ~1 B~F DESC~PTION OF THE PRO.CT: I~ [ ~ COMMERCI~SmENTI~: Occupancy Ooup: ¢ ~ Occupam Load: __ Commcfion T~e: No. of Stories: ~ ~t Size: % Lot Coverage: % E~sfing Lot Coverage: /sq. ~. + Proposed ~t Coverage: /sq. fl. = TOTAL LOT COVE~GE: /sq. PLYING USE ONLY: ~PROV~S: PL~ Notes: BLDG. DPW ES~etland(s): ~ Yes ~ No SEPA Checklist requked? ~ Yes ~ No O~er: OTHER B~LD~G PE~T APPLICATION S~MITT~: }'our application and site plan mu~ be fille~ out compl~ely to be accepte~ for r~iew. ~e B~ld~g Division can provide you ~ more derailed ~o~tion on ~e application and pl~ sub~al requirements. Your co~leted application, site pl~ (for addition) and building cons~ction pla~ are to be subdued to ~e Building Division. V~U~TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by ~e applicant. ~s fi~e MIl be reviewed and ~y be revised by ~e Build~g Division to comply ~ c~ent fee schedules. Contact the Pe~t Coordinator at 41%4815 for assis~ce. PL~ C~CK FEE: Yo~ pl~ check fee is due at ~e t~e ~e build~g pe~t application and cons~ction pl~ are subbed. All o~er pe~t fees ~e due at the time ofpe~t issuance. E~I~ON OF PL~ ~EW: If no pe~t is issued wi~ 180 days of~e date of applicafio~ ~is application will expire. Bulldog Official c~ extend the t~e for action by ~e applic~t up to 180 days upon ~i~en request by the applicant (see Section 107.4 of · e U~fom Building Code, cu~ent edition). No application can be extended more ~ once. I hereby cert~ that I have read and examined this application and know the same to be ~ue and comect, and I am authorized to app&for thix permit. I understand it ix not the Ci~'s legal responsibili~ to determine what permits are required; it remai~ the applicant's responsibili~ to determine what permits are required and to obtain such. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ./'- ~ / ~ ~) '~ Time ~/~ ! ~/, ~) Received by ~-~~ ~erson) Location of Work to be inspected '"~ _~ ~ ~ ~.~. Name of person requesting inspection ./~,'~,/.~,_ I ~'~l ~-~ Address of person requesting inspection Phone No.~/~( Type of Inspection (circle appropriate one): __ Permit No. Sewer Foundation Framing Chimney Plumbing~')~Sewer£xcav. Other~ INSPECTION NOTES: ~ ~ Inspected: Date / '~ ~ /'- ~) '~ Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) . . .. CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO J 3/oti' DATE Itj+/ S 7 ELECTRICAL PERMIT Sq. Ft. Sije Address: .3 L I Y S . tailed By [VU?G [f..N Owner/Business: 'J\ _ J i n-c-1L Owner/Business Addr 55: I I o Residential I Heat KW o Baseboard 0 Furnace/Boiler b Heatpump 0 Other b Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Phone: o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage o 1121 03.0' Service size o Temporary Amps o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) I Detai I slDescri ption: I . I IfD I I I I I I I I I W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments I o 0itch inspection O.K ~ ~Ough.in/cover o.K.6<;~c~~) l8l 0.K. to connect service I ~ linal O.K. OU "'-- Site(ddreSS:3 z--} 3 S. r E4 to tnstlaller: [, V EIL6iU'1.A.J R ftYJ O'f)f; L " r,ft Sf/'() f.,Afr: A-r-J 0 Sft<:.(//CE... PANE...L- R"C... Lo c A-1?C., M S RIL . tJvla. f.... )JzLJ A-f)OI(JON. Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending L New Meters ,...&-- I Notify the Department 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 457-0411, EXT. 158 or EXT. 224. I V r-- NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT '3 D ~ I Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall I OlYMP, C PRINTERS. INC. . "-.~ '-' '. . @ filM 0'''' ~( k~t# ~J)~~[ J L{ {h- . k'f O~c @ {r ,K1IYL.-'iI ' , 'k#- 1.- rv 1'/1")/("7 ' . , , fI1~'r crJ, \ . .' , '. '