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Home My WebLink About535 E 3rd St - BuildingPREPARED 11/04/09 8 13 40 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/04/09 ADDRESS 535 E 3RD ST SUBDIV CONTRACTOR ACE MICHAELS INC PHONE (360) 460 6172 OWNER HALLER SANDRA M PHONE PARCEL 06 30 00 5 2 5878 0000 APPL NUMBER 09 00000335 SIDING PERMIT DROP 00 BUILDING PERMIT NO PR PEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 11/04/09 JL BLDG FINAL cl_A November 3 2009 5 11 30 PM 1pangrle MIKE 460 6172 BLDG FINAL RE ROOF AND RE SIDE COMMENTS AND NOTES Owner HALLER SANDRA M 1329 W 10TH ST PORT ANGELES Permit Fee Total Plan Check Total Other Fee Total Grand Total T:FormsBuilding DivisionBuilding Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc TEAR OFF /OVERLAY ROOF AND RESIDE WA 98363 Permit BUILDING PERMIT Additional desc TEAR OFF /OVERLAY Permit pin number 144337 Permit Fee 207 75 Issue Date 4/15/09 Expiration Date 10/12/09 Qty Unit Charge Per 8 00 Other Fees Fee summary Charged 207 75 00 4 50 212 25 09 00000335 254855 535 E 3RD ST 06 30 00 5 2 5878 0000 SIDING RS7 RESDNTL SINGLE FAMILY 10000 Contractor ACE MICHAELS INC 1329 W 10TH ST PORT ANGELES (360) 460 6172 NO PR FEE ROOF RESIDE BASE FEE 14 0000 THOU BL -2001 25K (14 PER K) STATE SURCHARGE Plan Check Fee 00 Valuation 10000 Paid Credited 207 75 00 00 00 4 50 00 212 25 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 stag or local law regulating construction or the performance construction. c V/ /_9 1 CPO .L C ,r v J Date Print Name Signature of Contractor or AuthorizeAgent Signature of Owner (if owner is builder) Date 4/15/09 WA 98363 Extension 95 75 112 00 4 50 Due 00 00 00 00 Ri o? Inspection Type 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 Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting 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. Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Comments FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By V) W Lfl i 1 0C1 PROJECT ADDRESS Parcel Number Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition .erRe -roof Heat System ,e -Other 5 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 Applicant M%\1_ aw d Property Owner 3241.4- 1 Property Owner's Address 5� Fzs+- 3rd Contractor Ace /li cl� S rnc._ Contractor's Address t,dcc+- /o S p A License Expires ,e?4esidential Multi- family lra�l 5 r b House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Floor Areas Existing. ft.) Proposed (sp. ft.) Basement per sq ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq ft. Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Date 'y is- ea Pr nt Name T Forms /Building Division /Bldg Permit.doc J d A\ Signature APPLICATION Print in ink Phone Phone Phone E -mail AGi iA1 iGwAi .S ZNC. Lot TOTAL VALUATION Commercial Industrial have read and completed this application and know it 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, and to obtain permits prior to v4orkin g on projects. For City Use Only Date Received 7-' /6--- e G Permit 33S Date Approved IISL` dg�� /-1 cl 1 7 c Zoning of bedrooms of full baths of half baths R io (900 4...efLo 'O.'~. $~cI~~ [Ja -..-~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98362 Laserer: CED - " Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Applicat~on type description Subd~v~sion Name Property Use Property Zon~ng Application valuat~on Owner HALLER SANDRA M 535 E 3RD ST PORT ANGELES (360) 460-7516 Other struct ~nfo Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date . 5/23/07 07-00000435 Date 033745 535 E 3RD ST 06-30-00-5-2-5878-0000- SANDRA HALLER RES DETACHED GARAGE RS7 RESDNTL SINGLE FAMILY 15000 Contractor ACE MICHAELS INC 431 VASHON AVE WA 983626404 PORT ANGELES (360) 417-9579 TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 29 18 V-N 1 ~ l\ '" 1. 00 1564.00 10500 00 1500 00 3064 00 1. 00 ELECTRICAL ALTER RESIDENTIAL JEDI/ MOVE MAST 101188 JEDI ELECTRIC 64 00 Plan Check Fee 5/23/07 Valuation 11/19/07 .. .00 o U\ l~ Qty 1 00 Unit Charge Per 64 0000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 64 00 Special Notes and Comments The Fire Department has rev~ewed the project application and has no comments 05/02/2007 05 17 PM SROBERDS --The proposal w~ll result in a very large detached garage in the RS-7 zone ABSOLUTELY NO RESIDENTIAL OCCUPANCY IS ALLOWED as the setbacks allow only an unoccupied use ~n this area of the s~te Electrical load calculations and elctrical permits are required MAINTAIN CLEARANCES FROM SERVICE WIRES Any modifications to the C~ty's electrical facilities will be at the customer's expense Construct driveway and Sidewalks to City Standards No concrete w~th exposed aggregate allowed in the C~ty road right of way An inspection by Publ~c Works Eng~neering is ~equ~red prior to prour~ng concrete Other Fees Fee summary STATE SURCHARGE 4.50 Charged Credited Due Pa~d COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD , . CALL 417-4735 FOR ELECTRICAL INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW -\102 15 (4'96) dpJ.'~ '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ,21 EAST 5TH STREET. PORT ANGELES. WA 98~62 Laserea CED . Application Number Application pin number Permit Fee Total Plan Check Total Other Fee Total Grand Total 64 00 00 4 50 68 50 COMMENTS/ACTION NEEDED 07-00000435 033745 64 00 00 4.50 68 50 Page 2 Date 5/23/07 00 00 00 .00 00 00 00 00 ELECfRICAL PERMIT INSPECfION RECORD . CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-II02 IS (4196] ~"ORT% .t:::..J..O~~~ 0,.~ ...~ ~ 'l.O;,,~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32 I EAST 5TH STREET, PORT ANGELES, W A 98362 LasereC! CED o ---J , vJ ,...j - Appllcatlon Number Appllcation pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type descrlption Subdivision Name Property Use Property Zoning Appllcation valuatlon 07-00000371 Date 320397 535 E 3RD ST 06-30-00-5-2-5878-0000- SANDY HALLER DEMOLITION 4/10/07 RS7 RESDNTL SINGLE FAMILY 200 Owner Contractor HALLER SANDRA M 535 E 3RD ST PORT ANGELES ACE MICHAELS INC. 431 VASHON AVE. WA 983626404 PORT ANGELES WA 98362 (360) 417-9579 Structure Information 000 000 ---------------------- TYPE V NON-RATED GARAGES, CARPORTS, SHEDS \J1 '-N V\ Permlt DEMOLITION Addltlonal desc DEMO 500 SQ. FT. GARAGE Permlt pln number 99192 Permit Fee 50.00 Plan Check Fee Issue Date 4/10/07 Valuation Expiratlon Date 10/07/07 .00 200 (\\ f \}'1 ~ Constructlon Type . . Occupancy Type BASE FEE Extension 50.00 ~ Qty Unit Charge Per 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 ~ ?~/ O~. /~ ~ ~ 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 withm 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 regulatmg construction or the performance of construction. ....... -0 ~~~ ~ 0, ,-' Signature of Owner (If owner IS bUilder) Date t \ (f\j- ~ ~, J1{ ~J Signature of Contractor or Authorized Agent l-f -ro~\:)7 Date T \Pohc.es\1102_15 buIldmg penn It mspectlon record05 wpd [1/4/2005] 01-31 , CALL 41,-4815 FOR BUILDlNG INSPECTIONS CALL 41 7-4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A h1INIMUM 14 HOUR NOTICE iT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANJ' 1FORK BEFORE 1.I\'SPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCA TJON KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE BUILDING PERMIT INSPECTJON RECORD INSPECTION TYPE DATE ACCEPTED COMMENT~ YES NO FOUNDA nON FOO riNGS SHEAR WALLS/WALLS FOUNDA TION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF I CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL ROUGH-IN HEATPUMY/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY WOOD STOVE I PELLET / CHIMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING &.. HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMJT#'s SEPA P ARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LlGHT DEPT 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTIONR W /PW/ CONSTRUCTION - R W ENGINEERING 4] 7-4807 PW / ENGINEERING FIRE 4 17-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 ~/6b hi -:5"'-1- BUILDING T IPo],elesl] 102 15 bUlldmg perml1lJJSpectlOl1 recOld05.wpd [1/4/2d05I ~ ~ PREPARED 6/06/07, 8 09 28 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE DATE 11 6/06/07 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 535 E 3RD ST SANDY HALLER ACE MICHAELS INC HALLER SANDRA M 06-30-00-5-2-5878-0000- 07-00000371 DEMOLITION SUBDIV PHONE PHONE (360) 417-9579 PERMIT: DEMO 00 DEMOLITION REQUESTED INSP TYP/SQ COMPLETED RESULT Laserea CED DESCRIPTION RESULTS/COMMENTS BL99 01 6/06/07 'f.t BLDG FINAL \1 06/05/2007 11 43 AM LPANGRLE FINAL - GARAGE DEMOLITION ------------------------- ------------ COMMENTS AND NOTES -------------------------------------- 04/10/2007 13:01 3604171467 04/10/2007 12:40 .FAX 360 491 6308 \ ~'ECE1~ri!D APR 1 Q ZO~7 OReAA L '/ferea .... ED A~ON-~~ :: CY-f () ;~ ~& . . ~ ~ CONDmONALlY APPROVm /J' ~: j.' >,' ~ NIn'APPAIMI \~. ORCA A .~~ FOlIeaullUANCEwmt ~~;; -,:it..'!: -"U~N1 .~~~.-~ ~, , ~ B't: ~CA ,$ NotificatioD of Demolition Perrmt It Is unlawfJlI fo~ any perSGJI t(l call1le liT allow the dcnaolftJOIl (OT major renavatiOJl) of 1IlIl' structllTe unless all asbestO$- colltainillg DUltariab ha1'e been removed from tbe area to bu demoli.&hca. Work shall Dot comDlellce on lIJI 3$be~ project or demllUtion uiaJcss tile oWller or oporatDr- "0 ohtained written approval from ORCAA. A Written application fUl' a demolition sbnUiinclude a cert.i.fiWlti01l thllt there is DO known asbestos-containing material reo1ailltng ill tt1e area of the I st)'Ul:tlu'll. : r- cd Project Site Andress: 5' ~$"' E as+- "3 County: e. l ~J I ~ City: l\a'""'~~5 State; vJ A Zip: q{\'3 ,~ . StiirtingDatc: ~'k.- ~~ ~,. E:ompletiooDate: /VD:~._ J 2. ~o 7 "'( hen: is a 10 wbkina ~ advan.cc notifica.tio~ period from rcce:ipt of pc::mDt application) I . : ?,~~ )/bO 15' I~ P.r:oporty~: 5a).JI;{ A ~ )\.er Telephone:~ Fn; Mailins M4ess:' 1 '2..,' ~ ~ . j...kS-t I () ~ S-r- City: ~,,~ t ~,~ State: vJA Zip: ~ g:>3 ~ 4rl-o "'. (; , PAGE 01/01 IlI001 .~ , _n "" 1\'~ r~i.1 ;'J;f'-j--"~ ').--1 '. - i .: I , .., Demolition Contractor. ~ €- tM.~ rl.)A c;.. Ike. State License #:1\ L€" M. :r,MI Cf"Y/A ~ Mailing Addro~s~ 1 ~ ,J ~ ~ ~ 1 c.\ ~ :s 0- City:~~+ ~It~ \ . Stare: vJA Zip: q ~ ~ ContactPerso~: A.. ~ K.t... TelephClIlfl;"?, ca:J 9(Jj ~I -:>.ol Fax: '3 ~a 10- 0'19'}- NO L _ Demolition by Wrecking o.r Dismantling? ($25.00 fee) checlc. # : ~ Training Fire DOlDDlition? (If yes, attach fire deparlmeot request for Iraining fire) _ .~ ~enoV8tiOD, Alteration, Remodcling. Maintcn.anc;c, ox ofhc:::r Constnl.ctl.on? _ _~~ Asb~!Os found or sus.._;glD * An OllCAA "N~C8 of t.wnt t.o llentlW! OJ' Ene;aplllllabi ~8beltoll" ~ItpPJ'OllPllte flle mum. b!lIl~!l(1 ~or 10 Iny lISb=i106 removel work. Amesros rl.ll1lOVll\ pngecb; mvolvi:l1g demolition must be pr<:foxmctl by a Certifiea Asbcstoq Cr;m~of and 811 frillblc Of pDt!lDtiaUY ftlllble 11Iib.e&U1S mwst be: J'CU1DV<:.d b"f_ MlY demolition bllglnS. 1to*r to ORCAA Rt>gulertion 1 Article 14,for additiDne1 T"'lu!rll!llem that Die)' apply. : 12 ..{\.Bbesto~ ~.~r~eYI Completed by AHEM Ce~ed InspeetGr gOb LV~ : ;, ~ "" Certification ~ to.ql/)O/J - 00 f./. 2. - /"Dd-. 7 CJbo / ~~ I hi!: 3ppmVCG Jl cnnit must be available lit the j ob site n"close .t1!S pntcesDng Fee Certi.fiomon of the Asbe&t.o.~ 9\11'Vl':}'must. ..aecoID,P.!IDY this from I~ -0\ :.. . RcY.07I1Jm . , 2940 B Lim~d J.ane NW. OlympiA, Wamgtml98502 'p A " D 360-5g~1044 "800-422-S623 · 1Bx 360-49l~jOB homc;pa~ 'W'lJW~8 " e.uWl: lilfotAlore:aa..ClJ'Il . ~ .;)"S',oO :w -I,? -0" -.= ~ lob Location: Contact: Subiect: Inspector: ~~II)'y., Northwest Asbestos Consultants 406 Reed St. Port Townsend, WA 98368 360-385-0584 northwestasbestosconsultants@cablespeed.com 4/6/07 535 East 3rd St. Port Angeles, WA 98362 ACE Michaels, Inc. 1329 West 10th St Port Angeles, WA 9836~ Demolition Bob Witheridge AHERA - Building inspector / Management Planner WAMOA - 0042-10270601 Expires - 10/27/07 ..:> 1-\0 .. <'t9s C'['too , Scope of work I.as r> eie{j f.,EO 1) Good faith inspection for asbestos containing building materials (ACBM). 2) Survey, sample and record suspect materials. 3) Report to ACE Michaels, Inc. Inspection Reoort The inspection started with a visual survey looking for Asbestos Containing Building Material (ACBM). A single story garage. Approx. 500 sq. ft. Built on concrete foundation, wood siding, composition roof, no heat, plumbing or insulation. No suspect of ACBM. Summary of Insoection All asbestos containing building materials with a reading greater than 1% is considered a hazardous material if disturbed. If removed the owner or a certified abatement contractor must follow the rules of the EPA and governed by Olympic Region Clean Air Agency. During demolition it is possible that additional suspect asbestos containing building material (ACBM) may be found. Should such suspect material be discovered an AHERA certified inspector will have to sample and test the material to prove it is of non-asbestos. Northwest Asbestos Consultants is not responsible for identification of hidden materials that are not identifiable with reasonable diligence. Thank you, Bob Witheridge, E.F.M. <i UJ :J ~ o i= ::J Laserea CED BUILDING PERMIT - APPLICATION FOR OFFlCIAL U~ ONLY Date Rec' J-/ 7 t() ,,7 Penmt # {f}? - ~ '-ij Date ApplOved ,y r" ,,7 Date lssued If (IO .107 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 Apphcant or Agent: . Owner: S~ dl/ f Address' , ~ rl C; ~~ Phone: 1 "0 ,,(") d- Phone: 'iCoO '7 s / <.0 ZIp: '1g3~~ Archltect/Englneer: p~ne: Contractor k~ tM; c ,U S State LIcense #: AC.f M'I 1f^....:C'~,?L(/.J\~,xp: Address: I '3 () 9 \..cb ..+ J 04L 5T City: ~ A PROJECT ADDRESS: 5' 3 S z:.~+ 3'\'c.. .s T LEGAL DESCRIPTION: Lot. Block Subdivlsion: CLALLAM COUNTY PARCEL NUMBER: Phone: Zip: 183 ~ 3 ZONING: TYPE OF WORK: SIZEN ALUATION: o ResIdentIal D New Constr. D Re-roof D Stove SF @ $ /SF = $ D Multl-family 0 Addrtlon D MoveD Garage SF @ $ /SF = $ o CommercIal D Remodel D DemolitlOn 0 Deck SF @ $ /SF. = $ o Reparr D SIgn D Other ~. J'QTAL VALUQION $ ~ ~ BRIEF DESCRIPTION OF THE PROJECT. ~ hJti D ~ ?)-\-. -') ()O ~ F ~ 01^-~' -c. ~""'6 \J' ~~ COMMERCIAL/RESIDENTlAL: Occupancy Group. Occupant Load: & Proposed Sq. Ft Construction Type = TOTAL Sq. Ft No of Stones: Lot SIZe: Total lot coverage EXlstmg Sq. Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlW etland( s). 0 Yes 0 No SEP A Checklrst requrred? 0 Yes D No Other. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. Thrs figure will be revIewed and may be revIsed by the Buildmg DIVlSlOn 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 t1ille the buildmg permrt apphcatlon and construction plans are submitted. All other permrt fees are due at the t1ille of permit issuance. EXPIRATION OF PLAN REVIEW: lfno permit IS Issued Wlthm 180 days of the date of applrcation, the application will expire. The Burldmg Official can extend the time for action by the apphcant up to 180 days upon written request by the applicant (see Section R105.3.2 of the IntematlOnal Buildmg/Residential Code, 2003). No applIcation can be extended more than once. 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 pennfts prior to worn. A T'\FORMS\BldgPernlltfurm wpd Applicant ~ a 1~, Daleo '1- 1 C2 - 0., Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. CJ~:J.:2 / //;;J-()$f DATE Installed By: o READY FOR ILL CALL FOR INSPECTION INSPECTION License Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o Residential I Heat KW / o Baseboard 0 Furnace/Boiler o Heatpump 1\(1 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 010 030 Service size o Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Amps DetailslDescription: ~ ~ P~p. cft=/. /tU rA;.k /hA 70 In-I . ~U . /1 ,k't.</ W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. o Rough-in/cover O.K. q::.O.K. to connect service ~ Final O.K. Size Comments 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 Installer: Permit/Receipt No. Site Address: New M(5S . 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. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT -jI C) ~ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall I l O~YMPIC PFlINTERS, INC. &1,0 J ELECTRICAL WORK PERMIT APPLICATION Job wired by .\lII Electrical Contractor 0 Owner Installation description o Commercial }8 Residential Electrical contractor name ~GD ( ~1(<Tr,'c. Purchaser's mailing address P. c:> - B<.?i< 's S- y Ci) f- c)''"\ tfvt.d~f Telephone number tUo - 0.5 License number Date Expires :::'~PIE-E 'j<qs;7C-Z- o New ynO(}~ St<lte ZIP L-:;,.... q b J t ;;,L FAX number 1.-11/- {C)O '7 Premises owner's name ~ ",cJ.r fi-<"- II e r Address of inspection S3.s (3",,-> r 3r-cA. City Perl !4"'1el,...) Phone number to schedule inspection: Owner as defined hy,RCW/9.28.26/:(J) OWI/er will occupy Ihe slrucllIrefor two years after Ihis elee/rical pC1mil is finalized. (2) Owner is required to hire at! elecrrical contractor if above said propert)' is for sale, relit or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a liccnsed electrical contractor. I am making the elcctrical instal. lalion or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28. WAC. Chapter 296.46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of own.~ ,..electrical contractor or electriral administrator ;8 AlteredJ Addition C;efll/(e iM<0"1 o Cash ~heck # o Credit Card Card # Expiration Date of card Date: 5 -7-0 7 x Load Additions and or subtractions o NO L AD CHANGES (J Baseboard KW o Furnace KW (J Heat Pump Ton LAR o Fan-Wall KW (J Overhead Service o Temp Service D Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN D3le / THERMOSTAT D3le Appro,'ed By / DITCH '- D3le Approved By ./ Approvcd By FINAL 1 n .1~ Approvcd By Inspection Date Area, Building or Equipment Inspected _0/ Visa Discover Mastercard Service Information Voltage PhaseD 103 Service Size: Feeder Size: SERVICE Dale Approved By FEEDER D31e Appro"cd By Action Taken Electrical Inspector ,At' ,elL--