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Home My WebLink About1704 W 7th St - Building PREPARED 8/09/11 8 46 49 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/09/11 ADDRESS 1704 W 7TH ST SUBDIV TENANT NBR DANIEL M HILT CONTRACTOR PHONE OWNER DANIEL M HILT PHONE (360) 452 8530 PARCEL 06 30 00 0 2 4800 0000 APPL NUMBER 11 00000634 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 8/09/11 L BLDG FINAL August 8 2011 3 30 14 PM 1pangrle KERRY 452 1430 BUILDING FINAL RE ROOFED THE HOUSE COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 11 00000634 Date 6/22/11 Application pin number 866888 Property Address 1704 W 7TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER 06 30 00 0 2 4800 0000 Tenant nbr name DANIEL M HILT on your state excise tax form Application type description RE ROOF to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 2295 Application desc TEAR OFF & RE ROOF THE HOUSE Owner Contractor DANIEL M HILT OWNER 328 HANSEN RD PORT ANGELES WA 983639400 (360) 452 8530 Structure Information 000 000 RE ROOF THE HOUSE Permit BUILDING PERMIT NO PR FEE Additional desc RE ROOF THE HOUSE Permit pin number 188029 Permit Fee 109 75 Plan Check Fee 00 Issue Date 6/22/11 Valuation 2295 Expiration Date 12/19/11 Qty Unit Charge Per Extension BASE FEE 95 75 1 00 14 0000 THOU BL-2001 25K (14 PER K) 14 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due 1 Permit Fee Total 109 75 109 75 00 00 C_ \\\^, /�\ Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 114 25 114 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 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 2-1 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) 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 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date 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 FINAL Date Accepted b AIR SEAL. Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) l T-Bar �J INSULATION- Slab Wall/Floor/Ceiling MECHANICAL. Heat Pump I Furnace/FAU I Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 (� Construction R W PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 �— — L T.Forms/Building Division/Building Permit BUILDING PERMIT APPLICATION Print in ink J CITY OF PORT ANGELES Attn Building Permit Technician For City Use Only- Date Received = 321 E Fifth St. Port Angeles WA 98362 Permit# — � (360)417-4815 fax (360)417-4711 Date Approved Applicant ,� L/c�dv Phone Property Own6r Phone 'Is Property Owner's Address 328 ; �D , �� , 1�1/� g�G3 Contractor � ff�/f Phone Contractor's Address License # --Expires-- PROJECT - _Expires-PROJECT ADDRESS Parcel Number Lot, Zoning Project Type & Brief Description. Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction ❑Addition ❑ Remodel ❑ Repair ❑ Demolition *Re-roof House ❑ garage ❑ other Aear off& re-roof o lay over one layer ❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing (sq. ft.) Proposed(sq. ft.) Basement @ $ per sq ft. = $ 1st Floor 2nd Floor9S- 3`d Floor V Garage r- Carport Covered Porch Deck ._. Shed Other q G T VALUATION $ I J, O Total footprint of structures sq ft. _ Lot size sq ft. = Lo co % Site Coverage = the amount of imperviou su ce on a parcel includin structures paved driveways, si wal patios and other impervious surfaces (see PAN 17 94 135 for exempti s) Site cover Max. height of proposed structures ft. Occu ncy group #of be ooms Will a lawn sprinkler system be install d? Oc pant load #of I baths Will a fire sprinkler system be instal d? C nstruction type #d half baths /have read and completed this application and know it to be true and correct. tam 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 on projects Dateoi�-22—// Print Name /��r�y �C ��fa� Signature T Forms/Building Division/Building permit application PREPARED 5/09/11 10 01 37 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/09/11 ADDRESS 1704 W 7TH ST SUBDIV TENANT NSR DANIEL M HILT CONTRACTOR PHONE OWNER DANIEL M HILT PHONE (360) 452 8530 PARCEL 06 30 00 0 2 4800 0000 APPL NUMBER 10 00000381 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 8/26/10 PB BLDG FOUNDATION FOOTING 8/26/10 DA August 26 2010 8 23 18 AM 1pangrle MIKE 360 301 2797 GARAGE FOOTINGS THE PERMIT IS IN A WHITE TUBE BY THE FOUNDATION August 26 2010 4 27 06 PM pbarthol Verify rear property line and string so setback can be checked Remove all organic material from inside footings Verify stemwall height/retaining wall/drainage plan for south side of garage BL1 02 8/30/10 JLL BLDG FOUNDATION FOOTING 8/31/10 AP August 30 2010 8 57 18 AM 1pangrle MIKE 301 2797 FOUNDATION FOOTINGS & SETBACKS August 31 2010 4 11 29 PM jlierly BL2 01 9/15/10 JLL BLDG FOUNDATION STEM WALL 9/16/10 AP September 14 2010 4 37 03 PM 1pangrle MIKE 301 2797 FOUNDATION WALLS September 16 2010 9 01 53 AM jlierly BL99 01 3/16/11 JLL BLDG FINAL TIME O1 00 3/16/11 DA March 15 2011 9 19 07 AM 1pangrle DEBBIE 452 8530 BUILDING FINAL GARAGE AFTERNOON March 16 2011 5 01 02 PM jlierly replace the 2x2 washers with 3x3 and provide h clips on all truss top plate connections/complete fascia and soffit/jll BL99 02 5/09/11 BLDG FINAL tj— 'i May 6 2011 4 42 01 PM 1pangrle DAN 452 8530 BUILDING FINAL GARAGE COMMENTS AND NOTES CITY OF PORT ANGELES �. DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 10 00000381 Date 5/06/10 Application pin number 867721 Property Address 1704 W 7TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 4800 0000 Tenant nbr name DANIEL M HILT Application type description RES DETACHED GARAGE Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 10560 Application desc 352 SQ FT DETACHED GARAGE Owner Contractor DANIEL M HILT OWNER 328 HANSEN RD PORT ANGELES WA 983639400 (360) 452 8530 Structure Information 000 000 352 SF DETACHED GARAGE Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc 352 SF DETACHED GARAGE Permit pin number 163980 Permit Fee 221 75 Plan Check Fee 144 14 Issue Date 5/06/10 Valuation 10560 Expiration Date 11/02/10 Qty Unit Charge Per Extension BASE FEE 95 75 9 00 14 0000 THOU BL-2001 25K (14 PER K) 126 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments i May 6 2010 11 56 02 AM sroberds ^ `` The proposal will result in a 352 sq ft detached garage in the RS 7 zone for total lot coverage of lit No land use issues are anticipated 1 1 April 20 2010 1 41 10 PM Brian 417 4708 New building must maintain minimum clearances from overhead service conductor 5 feet horizontal or 3 1/2 feet vertical Construct driveway to City Standards Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way Broom finish only An inspection by Public Works Engineering is required prior to pouring concrete Driveway opening to be located no closer than 10 of alley right of way Curb to replaced to full height from alley R/W to new driveway opening Other Fees STATE SURCHARGE 4 50 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. 4' -a15 ao P 'D A7v� 41 cr Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:FormsBuilding Division/Building Permit _ 1 BUILDING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date 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 FINAL Date Accepted b AIR SEAL. Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION. Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit:#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T.Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Page 2 Application Number 10 00000381 Date 5/06/10 Application pin number 867721 Fee summary Charged Paid Credited Due Permit Fee Total 221 75 221 75 00 00 Plan Check Total 144 14 144 14 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 370 39 370 39 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 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/BuiJding 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 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSRICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. -T Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall LiL Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs) PLUMBING Under Floor I Slab Rough-In Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL. Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION. Slab / Wall/Floor/Ceiling X51 MECHANICAL. Heat Pump/Furnace/FAU/Ducts Rough-In Gas Line Wood Stove I Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting _ ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By — Electrical 417-4735 Construction R.W PW I Engineering 417-4831 Fire 417-4653 Planning _ 417-4750 Building 417-4815 — �I✓L T:Forms/Building Division/Building Permit V PREPARED 3/16/11 8 14 36 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/16/11 ADDRESS 1704 W 7TH ST SUBDIV TENANT NBR DANIEL M HILT CONTRACTOR PHONE OWNER DANIEL M HILT PHONE (360) 452 8530 PARCEL 06 30 00 0 2 4800 0000 APPL NUMBER 10 00000381 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 8/26/10 PB BLDG FOUNDATION FOOTING 8/26/10 DA August 26 2010 8 23 18 AM 1pangrle MIKE 360 301 2797 GARAGE FOOTINGS THE PERMIT IS IN A WHITE TUBE BY THE FOUNDATION August 26 2010 4 27 06 PM pbarthol verify rear property line and string so setback can be checked Remove all organic material from inside footings Verify stemwall height/retaining wall/drainage plan for south side of garage BL1 02 8/30/10 JLL BLDG FOUNDATION FOOTING 8/31/10 AP August 30 2010 8 57 18 AM 1pangrle MIKE 301 2797 FOUNDATION FOOTINGS & SETBACKS August 31 2010 4 11 29 PM jlierly BL2 01 9/15/10 JLL BLDG FOUNDATION STEM WALL 9/16/10 AP September 14 2010 4 37 03 PM 1pangrle MIKE 301 2797 FOUNDATION WALLS September 16 2010 9 01 53 AM jlierly BL99 01 3/16/11 L BLDG FINAL TIME O1 00 March 15 2011 9 19 07 AM 1pangrle DEBBIE 452 8530 BUILDING FINAL GARAGE AFTERNOON COMMENTS AND NOTES PREPARED 9/15/10 8 14 01 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/15/10 ADDRESS 1704 W 7TH ST SUBDIV TENANT NBR DANIEL M HILT CONTRACTOR PHONE OWNER DANIEL M HILT PHONE (360) 452 8530 PARCEL 06 30 00 0 2 4800 0000 APPL NUMBER 10 00000381 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL, REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 8/26/10 PB BLDG FOUNDATION FOOTING 8/26/10 DA August 26 2010 8 23 18 AM 1pangrle MIKE 360 301 2797 GARAGE FOOTINGS THE PERMIT IS IN A WHITE TUBE BY THE FOUNDATION August 26 2010 4 27 06 PM pbarthol Verify rear property line and string so setback can be checked Remove all organic material from inside footings Verify stemwall height/retaining wall/drainage plan for south side of garage BL1 02 8/30/10 JLL BLDG FOUNDATION FOOTING 8/31/10 AP August 30 2010 8 57 18 AM 1pangrle MIKE 301 2797 FOUNDATION FOOTINGS & SETBACKS August 31 2010 4 11 29 PM jlierly BL2 01 9/15/10 L BLDG FOUNDATION STEM WALL September 14 2010 4 37 03 PM 1pangrle MIKE 301 2797 FOUNDATION WALLS COMMENTS AND NOTES PREPARED 8/30/10 9 06 51 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/30/10 ADDRESS 1704 W 7TH ST SUBDIV TENANT NBR DANIEL M HILT CONTRACTOR PHONE OWNER DANIEL M HILT PHONE (360) 452 8530 PARCEL 06 30 00 0 2 4800 0000 APPL NUMBER 10 00000381 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTTAT• REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 8/26/10 PB BLDG FOUNDATION FOOTING 8/26/10 DA August 26 2010 8 23 18 AM 1pangrle MIKE 360 301 2797 GARAGE FOOTINGS THE PERMIT IS IN A WHITE TUBE BY THE FOUNDATION August 26 2010 4 27 06 PM pbarthol Verify rear property line and string so setback can be checked Remove all organic material from inside footings Verify stemwall height/retaining wall/drainage plan for south side of garage BL1 02 8/30/10 L BLDG FOUNDATION FOOTING August 30 2010 8 57 18 AM 1pangrle MIKE 301 2797 FOUNDATION FOOTINGS & SETBACKS COMMENTS AND NOTES r� PREPARED• 8/26/10 8 25 38 INSPECTION TICKET • PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/26/10 ADDRESS 1704 W 7TH ST SUBDIV TENANT NBR DANIEL M HILT CONTRACTOR PHONE OWNER DANIEL M HILT PHONE (360) 452 8530 PARCEL 06 30 00 0 2 4800 0000 APPL NUMBER 10 00000381 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 8/26/10 JLL BLDG FOUNDATION FOOTING August 26 2010 S 23 18 AM 1pangrle MIKE 360 301 2797 GARAGE FOOTINGS THE PERMIT IS IN A WHITE TUBE BY THE FOUNDATION COMMENTS AND NOTES y BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job Located at 212 �Z 1XZ Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction ."e- All VC-4—V-Y -------- These corrections must be made and are not to be covered until reinspection is made When corrections have been made, please call _ /z- 4-- for inspection Date _ Inspector for Building Division DO NOT REMOVE THIS TAG "ORr,,.,. BUILDING PERMIT APPLI A TION Print in ink CITY OF PORT ANGELES For City Use Only- 321 Building Permit Technician :aeeceived 321 E Fifth St. Port Angeles WA 98362 # 10- (360) 417-4815 fax (360)417-4711 pproved i Applicant �� i I -�' p n �, 3 v SLS a Property Owner ' !l Phone Property Owner's Address 3 S'� Liza Contractor 13 Q_ hone Contractor's Address License # Expires E-mail PROJECT ADDRESS -7+k S+ Parcel Number Lot Zoning R S-7 Project Type & Brief Description. PC-Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply Gark — e.fdew Construction � �sZ S� Qe ❑ Addition J --- - ❑ Remodel = - ❑ Repair No Powev- a ❑ Demolition ❑ Re-roof ❑ House garage ❑ other ❑ tear off& re-roof ❑ lay over one layer 011t� Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing (sq. ft.) Proposed(sq. ft.) t @ $ per sq ft. _ $ It Floor � V 2 Floor 3rd Floor Gara e c� aSlo ,00 16 SA6 Carport Covered Porch Deck Shed Other TOTAL VALUATION $. Total footprint of structures C �` sq ft. T Lot size 4 $ sq ft. = Lot coverage 6 . 3 % Site Coverage = the amount of iki;f6ous surface on a parcel including structures paved driveways sidewalksatios and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage IV itt Max. height of proposed structures I I �D ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? �o Occupant load #of full baths Will a fire sprinkler system be installed? A).CL Construction type #of half baths I have read and completed this application and know it to be true and correct. lam 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 on projects. DateU—/1—JV Print Name])AA3 }-fit L-{� Signatur .` c_ . _ T Forms/Building Division/Building permit application �1701 1/ 5720 Ie \ / 1714 \ • 163q- 1710' S' t 1704. • � � 1838 44 / \ / / A � • r / ` f �/iia ! _ � I•�\ `��, l Clallam County Assessor& Treasurer- Property Details - 58244 DANIEL M HILT for Y Page 1 of 4 t Clallam County Assessor & Treasurer Property Search Results > 58244 DANIEL M HILT for Year 2009 2010 Account Property ID- 58244 Legal Description. LOT 1 & E2 LOT 2 BL 248 Geographic ID- 0630000248000000 Agent Code Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space: N DFL N Historic Property- N Remodel Property- N Multi-Family Redevelopment: N Location Address: 1704 W SEVENTH ST Mapsco PORT ANGELES Neighborhood: Cycle 5 Res Map ID- Neighborhood CD- 10955134 �(Y� Owner / Name DANIEL M HILT Owner ID- 30581 Mailing Address. 328 HANSEN RD %Ownership 100 0000000000% PORT ANGELES WA 98363-9400 Exemptions: Taxes and Assessments Due Property Tax Information as of 04/19/2010 Amount Due if Paid on. �. First Second Half Half Statement Base Base Base Amoi _Year ID_ Taxing Jurisdiction Due Due Penalty Interest Paid Due 2010 41199 ST SCH STATE SCHOOL $13837 $13837 $000 $000 $000 $27( 2010 41199 CC-GEN COUNTY $7365 $7364 $000 $000 $000 $14 2010 41199 PORT PORT _ $1035 $1035 $000 $000 $000 $2( 2010 41199 PORT ANG PORT ANGELES $17049 $17050 $000 $000 $000 $34( 12010 41199 SD#121 SCHOOL DISTRICT#121 $179.22 $179.23 $000 $000 $000 $351 2010 41199 NTH OLY LIB NORTH OLYMPIC LIBRARY $21 40 $21 39 $000 $000 $000 $4. 12010 41199 HOSP#2 HOSPITAL#2 _ !!� -^ - $30.21 $30.21-y_$000 $000 $000 �$6( 2010 411_99 WSMET PK DIST WILLIAM SHORE MET PARK DIST $961 $961 $000 $000 $000 $1! 12010 41199 CITY_STORMWATERCITY STORMWATER $3600 $36,00 $000 $000 $000 $7' 2010 41199 WEED-CONTROL WEED CONTROL $082 $0 81 $000 $000 $000 $ f 2010 41199 TOTAL. $67012 $670.11 $0.00 $0.00 $0.00 $1341 2009 582442008 ST SCH STATE SCHOOL _ $15602 $15603 $000 $000 $312.05 �$( i2009 582442008 CC-GEN COUNTY $7897 $7896 $000 $000 $15793 $l 2009 582442008 PORT PORT $11 18 $11 19 $000 $000 $22.37 $( 2009 582442008 PORT ANG PORT ANGELES $173.20 $173.20 $000 $000 $34640 $( 2009 582442008 SD#121 SCHOOL DISTRICT#121 $192.94 $192.93 $000 $000 $38587 $( [2009582442008NTH OLY LIB NORTH OLYMPIC LIBRARY -$22.94 $22.95 ^$000 $000 $4589 _ $( 12009 582442008 HOSP#2 HOSPITAL#2 $32.38$32.39 $000 $000 $6477 $( i2009 582442008 CITY_STORMWATER CITY STORMWATER $3600 $36 00 $000 $000 $72.00 $( 3 http.//vpn.clallam.net.8084/propertyaccess/Property.aspx?cid=0&year=2009&prop_id=58 4/19/2010 A I wAf It. 4r, W, 'sk 10.006,�r** �1* ji t rA- IWI ILI x' 'i 4s, C'i Y i , 8 i 19 6" ! o V CITY OF POPTAN LES—Cor,;sVucticn Plens The issuance of this p mit based upo those plans,spcciri- cations and other daJshall not preyeria`the building official from thereafter reouiring the cortection of errors in said plans specificati-ins and othep,data, or from preventing building operatl ns being ca ipd'on thereunder when in ui,GNtia of 4codes and fdihances of this jurisdiction. Approi+)1}ie BY a £NOVIS) l -uoipipspnl,'sltq }o saaueulp.10 pue sapoo lle }o U5 in / ul uo uiEa–fi o s:roitesado 8utplinq. nsl+uar, , .to eiep gay;o pue suo;a:ti},:rads aid t 1 IE:1 utna .� 2�{�l+t�Ml ).t(11t Is:� r}r 3ulpllnq a ft;Uanaatl , =c;,�'n oyfo;pue �''a ;1^'SV?Itj^,�y,t C;O1fP. �Pl ittl)i;G aili )n � r /f INTERNATIONAL BUILDING CODE CONCRETE FOUNDATION WALL & FOOTING DETAIL �r LOVFRNN'� WALL THICKNESS 6' THICK FOR WALLS-UNDER 6'HIGH 8' THICK FOR WALLS OVER 6' 46H %ANCHOR BOLTS FOR 1-STORY @ 72' O.C.&2 STORY @ 48' O.C. PLACE BOLTS WITHIN 12' OF EACH PLATE END&USE 3"X3'X114' SQ.WASHERS UNDER NUTS PRESSURE TREATED SILL PLATES #4 HORIZONTAL REINFORCEMENT PLACED WITHIN 12' OF TDP OF WALL FINISH GRADE REINFORCEMENT SCHEDULE ANCHOR 6' MIN.TO 7' MIN. • UN-TREATE HEIGHT VERTICAL HORIZONTAL EMBEDMENT - « ATERIAL IN FEET REINFORCEMENT REINFORCEMENT CRAWL SPACE r *2' #4 @ 48 O C (1) #4 TOP BAR VERTICAL REINFORCEMENT DEPTHFOOTING *2'TO 4 #4,@ 48' _O G #4 @ 24 O C BEND=12 X BAR DIA. BELOW #4'BAR=6' BEND GRADE INTO '4'TO LESS24 O C #4 @U 18. 0 C @ UNDISTURBED THAN 6' • SOIL i 12'1-STORY lee, 3 CLEARANCE •' ,�e�..yi 18'2-STORY ENGINEERS ANALYSIS WITH T''��1�r STAMPED&SIGNED PLAN REQUIRED VERTICAL REINFORCEMENT MUST BE BENT&TIED TO FOOTING REINFORCEMENT BENT VERTICAL REINFORCEMENT TIED IN PLACE TO HORIZONTAL REINFORCEMENT #4 REINFORCEMENT FOOTING WIDTH FOOTING THICKNESS 12' 1-STORY 1-STORY 6' 15' 2-STORY 2-STORY4 23' 3-STORY 3-STORY 8 112' MONOLITHIC CONCRETE FOUNDATION DETAIL NO SCALE 1/2 ANCHOR B TS(SAME AS ABOVE). PRESSOR REATED SILL PLATES #4 REIN RCEMENT 1-PIECE CONTINUOUS SLA j * � 'ANCHOR � 6'MIN.TO EMBEDMEN 3 J=� 17'MIN. - I}� UN-TREATED ♦ 1I MATERIAL INISH GRADE N.FOOTING DEPTH BELOW GRADE INTO 1 1 • I UNDISTURBED 1 I SOIL s_ 1-STORY 3 CLEARANCE I 1 ~ lS�• L X111 I 1 - WIDTH - 44 REINFORCEMENT 1 1-STORY 2 STORY .33 STORY T 1 I� c I r fau � I 6" I I 3 � cr I 9 xVITOO� 3 S, 3� i- FN6rnraF,t R rRllss AE 2LI.S Hoa 1,2-- L p /a> '' FoT�/ 1 1 No rt1� h N 1 ��c��71u�C � 7 � Eo,s4- Ele-va-h'on We,54r { �c,v--I� � I �va,-h'o h r F0."',C Q CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 07 00001106 Date 9/25/07 Application pin number 418816 Property Address 1704 W 7TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 4800 0000 Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 2700 Owner Contractor HILT DANIEL M EVERWARM 328 HANSEN RD 257151 HWY101 PORT ANGELES WA 983639400 PORT ANGELES WA 98362 (360) 452 3366 Permit MECHANICAL PERMIT Additional desc Permit pin number 111732 Permit Fee 50 00 Plan Check Fee 00 Issue Date 9/25/07 Valuation 0 Expiration Date 3/23/08 Qty Unit Charge Per Extension BASE FEE 50 00 Fee summary Charged Paid Credited Due Permit Fee Total 50 00 50 00 00 00 Plan Check Total 00 00 00 00 Grand Total 50 00 50 00 00 00 d9 Separate Permits are required forelectrical 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 constructi n. Q- -?2 g ture of Contract Authorized Agent Date Signature of Owner(if owner is builder) Date T-\Policies\1102_15 building pennit inspection record05 wpd[1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4515 FOR BUILDING INSPECTIONS. CALL 417-473 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLA N FUL TO CODER,INSULATE OR CONCEAL ANY WORK BEFORE � INSPECTED 4ND ACCEPTED POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT.JOB SITE. Q INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY. BACK FLOW/WATER AIR SEAL WALLS CEILING _ FRAMING JOISTS/ GIRDERS SHEAR WALLIHOLD DOWNS r WALLS/ROOF/CEILING --1 DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL ROUGH-IN HEAT PUMP/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY. WOOD STOVE/PELLET/CHIMNEY MANUFACTURED HOMES FOOTING/SLAB BLOCKING R.HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT#I'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 417-4607 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 ( BUILDING T-\Policies\1102 15 building permit inspection record05 wpd[1/4/2005] 4-30-03 8 12AM CI.TY PORT ANGELES ?'13jV • 3804174711 tt i C*Pyr ' LlkBUILDING PERMIT - APPLICATION D ROFF1ClAL SE0 Y ! Date Ree. V.- Fiat out COMPLETELY and in INK.Your application and site plan MUST BE pC1.TT3it a. O COMPLETE to be accepted for review Ifou have any y questions,calf Date Approved. (360)417-4815 Date Issued. APP r Agent: Phone: O�orier. Phone Address X02 8 •�So City_ PC! Zip Architect/En.gineer �- -' Phone• Contractor'X�i V F.R W '42n i State License#• �ie, 0 c� _ Exp g / 7 0k Phone ��.3361, Address: x'1/,5/ �'+w�/ / O/ Cit,. �I!--) PROJECT ADDRESS • —704 (,J Y-A-- Zip ZONING- LEGAL DESCRIPTION Lot: Block; Subdivision. CLALLAM COUNTY PARCEL NUMBER. Credit Card Holder Name: Billing Address: Credit CardType VISA,_MC # City. K— R!�' OF WORK. Ezp.Date: Residential O New Constr. C3 Re-roof O Stove SIZE/VALUATION Multi-family o Addition l7 Move 0 (}� a SF @$ /SF �$ SP @ E3 Coa> l 0 Remodel t7 Demolition O Deck $ /SF =$ (3 Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT G Other TOTAL VALUATION $ '7pC C) ° i [e C COMMERCLAL/RESIDENTIAL: Occupancy Group: Occupant Load, ~ P Construction Type- NO.of Stories:_, Lot Size: Existing Sq Ft. &Pro Proposed S Ft. s Existing lot coverage %&Proposed lot coverage %=Total lot coverage q % TOTAL Sq.Ft. --- PLANNING USE ONLY y APPROVALS PLAN BLDG• DP WU ESA/Wetiand(s): ❑Yes O No SEPA Checklist required? O Yes o No Other- FIRE OTHER. BUILDING PERMIT APPLICATION SUBMITTAL. The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION In aU cases,a valuation amount must be entered by the applicant. This figure will be reviewed and maybe revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at4174815 for assistance PLAN CHECK FEE.IF a plan check fee is due it must be submitted at the time the building pernut application and construction plans ale submitted. All other permit fees are due at the time of permii issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 1180 days of the slate of application,the application will expire. Th.. $uilding Qf'f1ciaLCRn2xt thelhne.foLaetion by-tha applicant up-to lMd&Yf-upon-written.request by-the-applicant(see Section 107 4 of the Uniform Building Code,current edition). No application can be extended more than once. Y 1 hereby cerb/y that 1 have read and-examined this application and know the same to be true and connect. 1 am authonzed to apply for this permit and understand that d/s my responsibility to determine what permits are required, he City's,end that I must obtain such permits prior to work, T-T0RMS\AP"\Bu11dingpennit.wpd Applica ; p ? 2,5 v 7 Date CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION �r 321 EAST 5TH STREET. PORT ANGELES.WA 98362 Application Number 07-00000145 Date 2/14/07 Application pin number 117910 Property Address 1704 W 7TH ST ASSESSOR PARCEL NUMBER. 06-30-00-0-2-4800-0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . . . . RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor ------------------------ ------------------------ HILT DANIEL M COLEMAN ELECTRIC 328 HANSEN RD P 0 BOX 1326 PORT ANGELES WA 983639400 PORT ANGELES PORT ANGELES WA 98362 (360) 452-7594 ---------------------------------------------------------------------------- Permit ELECTRICAL NEW RESIDENTIAL Additional desc COLEMAN/ 200A SER Permit pin number 95190 Sub Contractor COLEMAN ELECTRIC Permit Fee 75 00 Plan Check Fee 00 Issue Date . . . . 2/14/07 Valuation 0 O Expiration Date 8/13/07 Qty Unit Charge Per Extension 1 00 75 0000 ECH EL-RM-0-200 1ST SRV FEEDER 75.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 00 .00 Plan Check Total 00 00 00 00 Grand Total 75 00 75 00 00 00 V C� CONIM_NTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417A735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINBRIM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTIONTYPE DATE ACCBPIBD COMMITS YES NO DITCH SERVICE FINAL �JL F-- GENERAL COMMENTS: PW-1102.1514" OF pORi` , �i,0" CITY OF PORT ANGELES lasered C�� DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 323 EAST 5TH STREET, PORT ANGELES,WA 98362 CES Q `ta � l Application Number . . . . . 07-00000196 Date 2/27/07 Application pin number . . . 137072 Property Address . . . . . . 1704 W 7TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-2-4800-0000- Application type descri{tion DEMOLITION Subdivision Name Property Use . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 100 Owner Contractor ------------------------ ------------------------ HILT DANIEL M OWNER 328 HANSEN RD PORT ANGELES WA 983639400 -------------------------- Structure Information 000 000 --- ----------- Construction Type . . . . TYPE V NON-RATED Occupancy Type . . . . . . GARAGES, CARPORTS, SHEDS ---------------------------------------------------------------------------- Permit . . . . . . DEMOLITION Additional desc . . DEMOLITION Permit pin number . 96164 Permit Fee . . . 50.00 Plan Check Fee .00 Issue Date . . . . 2/27/07 Valuation . . . . 0 Expiration Date 8/26/07 Qty Unit Charge Per Extension BASE FEE 50.00 Q ------------ ------------------------------------ ---------------- -Z Fee summary Charged Paid Credited Due Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 V—L Q Separate Permits are required forelectrical 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. PignSignature of Contractor or Authorized Agent Date ture of Owner(If owner is builder) Date T\Policies\1 102_1 5 building permit inspection record05 wpd[1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE 3T IS UNLA N FUL TO COVER,INSULATE OR CONCEAL ANYWORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE -7DATE ACCEPTED COMMENTS YES NO ' FOUNDATION FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWNSPOUTS PIERS 1 POST HOLES(POLE BLDGS) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY 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 ROUGH-IN HEATPUMP/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY WOOD STOVE/PELLET/CHIMNEY MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT#f'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 RW /PW/ CONSTRUCTION-R W ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 / I PLANNING DEPT tAW� BUILDING 417-4815 L� V�/� BUILDING T\Policies\l 102 15 building permtl inspection record05 wpd[1/4/20051 PREPARED 6/28/07, 8 48 09 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/28/07 ------------------------------------------------------------------------------------------------ ADDRESS 1704 W 7TH ST SUBDIV CONTRACTOR PHONE OWNER HILT DANIEL M PHONE PARCEL 06-30-00-0-2-4800-0000- APPL NUMBER 07-00000196 DEMOLITION - ------------------------------------- ------------ PERMIT: DEMO 00 DEMOLITION REQUESTED INSP DESCRIPTION TYP/SQCOMPLETED RESULT RESULTS/COMMENTS BL99 01 6/28/07 JLL BLDG FINAL CED 2007 04:18 PM LPANGRLE MIKE 3 MIKE 385-4149 BLDG FINAL - DEMOLITION OF OLD GARAGE -------------------------------------- COMMENTS AND NOTES - Lw 'V S 02/27/2007 16:21 FAX 360 491 6308 ORCAA Lasered191 001 CED 07_DE-7-'7l(6 Z- �� ,caiol� � G p o ro VQ -f J�� c0 0 -17 Notification of Demolition Permit It is unlawful for any person to cause or allots'the demolition (or major renovation) of any structure unless all asbestos- cont$inin6 materials have been removed from the area to be demolished. Wort[stall not commence nn an asbestos project or demolition unless the owner or operator has obtained written approval from ORCAA. A writtep application for a demolition shall include n certification that there is no known asbestos-containing material remaining in the area of the structure. Project Site Address: D t--k W 1 ` County: two City: �P 4 _ State: W 15 Zi -tel 3 Starting Date: ! h, 17 2 aQ Completion Date: rG4 -:-->I0 0 ( here is a 10 working day advance notificatioxi period from receipt of permlt application) Property Owner:-0 pm ��1- _Telephone- pogS�. 5 Fax, Mailing Address: _3'6, City: PYlk State: L-D!,a Zip: Demolition Cantractor: 50weagA Lm& �5xyk$6 State License#: ' C 14Q�, 50q YJ'!4P Mailiva Address:2W 2514n At6&i 10 City: 0rV A f t` State: INS Zip: Contact Person: J t'rNQ(* Telephone:-36a xl b0 -(0q 7.Y Fax- YES NO /D3 XDemolition,by Vilrecicing or Dismantling? (525.00 fee)check W �' TT4 ng Fire Demolition? (If yes, attach fire departuicat request for training fire) Renovation,Alterafiioz4 Remodeling,Maintemaztee, or other Constriction? Asbestos found or suspected* ! ba 5,cd Q ii p h OJ4Dc- p F_5 �j �Q/ *,An ORCAA"Notice of Intent to Remove or Encapsulate Asbestos"form acid appropriate fee must be submitted prior to any asbestos removal work. Asbestos removal projecis involving demolition must be praformcd by a Certified Asbestos Contractor and all friable or potcmrtally friable asbestos must be removed before ariy demoluion begins. Refer to ORCAA Regulation 1 Article 14 for additional requirements that may apply. Asbestos Survey Completed by A-HERA Certified Inspector a- Certiflcatioxi# his approv=Job ,XKnclose X25 Certification of the Asbestos Suryey mllst be availablProcessing Fee accompany t4is form �r 294013 Limited Lane W,Olympia,Washington 98502 360-586-1044 * 8001122-5623 w fax 3601191-6308 homepage.vw✓w.orcaa.org * email: info(1arcaa-ore Itev.07/11/02 11 (!p c ®■0® 0)8/ Feb 12 07 05: 09p Bobby 0. Coleman 360-452-7594 p. 1 CUL1r nr•, c�! I�u i..4= A.SI 1.111 Up PA BLDG DEPT =A.3 ih. 36C 411 47i1 ui ! ELECTRICAL PERMIT APPLICATION 0.1r Aur�ewa___ The Electrical Permit Application must be filled out completely, °a` Please tYpa w rapnnt in ink. If You have anY 4U"Li* l•please"it(360)4174735 Fax number(360)417 4711 Owner or Eiec.C°nloctor Agent Phone: c2 / j Prooeny Owner: -r Phone: 'r+/5�. ApOress'. / �� II[(J ryLlJ) aGIY: Lice�!/le f: A•�iFxp�Oectrcal ConlraL7or ,/LT Addess: J + n Phone - Cry: _ Zlp: SJ E Z l INSTALLATION WIRED BY: DOWNER '- -' '0 ELECTRICAL CONTRACTOR- - - Credit Card Holder Name: Billing Address: Gly; Zip: Credit Card Number: Exp.Date: VISA: MC: l / I PROJECTADDRESS: - 7G� w '! TYPE OF WORK: Check all that apply. 119•11Tew DAlteration/Addition Po"'Sidenlial OMulti-family O Commercial O Mobile Home Sq. Ft fO Remote Meter O Detached garage 0 Hot Tub 0 Svnm Pool O Septic Pump 0 Low Voltage 0 Telecom. 0 Sign Number of Circuits added or altered: j DESCRIPTION OF THE ELECTRICAL PROJECT: i i Electrical Heat Lead Additions and or Subtractions Service Information I 1 0 Baseboard _ KW Voltage: _ Fumace Z)Heat Pump —Fan-Wali TON LRA— 0 Overhead Service Phase: D v 0 3 OO Temp Service Service Size: KW O Underground Service Feeder Size: I r hereby Certify that l have read and examined this application and know that same to be true and corrBct, and I am I 3uthurized to apply for MIS perm((. I understand if is not the City's lesponsibility to determine what permits are required;it remains the applicants responsibility to determi per a eq it nd to obtain such. Credit Card Holder's Signature: Date: j Owner or Elec Cant-Signature: Date: I i PERMIT FEE: $_�7�•G� :tELECTRICALPER 141TAPPUCATION