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Home My WebLink About321 W 10th St - BuildingPREPARED 12/16/10 8 23 36 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/16/10 ADDRESS 321 W 10TH ST SUBDIV TENANT NBR MICHAEL CRAIG AND M B CONTRACTOR PHONE OWNER MICHAEL W CRAIG /M BARRIENTES PHONE PARCEL 06 30 00 0 2 9470 0000 APPL NUMBER 10 00001105 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 12/16/10 J BLDG FINAL TIME 01 00 December 16 2010 8 21 29 AM 1pangrle MICHAEL 452 1531 BUILDING FINAL DECK AFTERNOON COMMENTS AND NOTES Application 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 REMOVE EXISTING DECK ADD A 306 SQ FT DECK Owner MICHAEL W CRAIG /M BARRIENTES PO BOX 424 PORT ANGELES Other struct info Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total 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 WA 98362 10 00001105 919970 321 W 10TH ST 06 30 00 0 2 9470 0000 MICHAEL CRAIG AND M B RES ADDITION 3672 Contractor OWNER HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 174482 Permit Fee 123 75 Plan Check Fee Issue Date 10/19/10 Valuation Expiration Date 4/17/11 Qty Unit Charge Per BASE FEE 2 00 14 0000 THOU BL -2001 25K (14 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments October 12 2010 4 25 09 PM sroberds The proposal is renovation of a deck in the RS 7 on property with an ESA A geological report was submitted supporting the work by Zenovic and Associates No land use issues anticipated October 6 2010 10 52 40 AM Brian 417 4708 OK Public Works Utility Engineering has no requirements for this plan review Charged Paid Credited 123 75 123 75 00 80 44 80 44 00 4 50 4 50 00 208 69 208 69 00 Date 10/19/10 STATE SURCHARGE 4 50 Due Date Print Name Signature of Contractor or Authorized Agent 00 00 00 00 80 44 3672 Extension 95 75 28 00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 applicati• now the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied witt(hether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of am state or •ca aw regulating construction or the performance of construction /0//9/0 4 d41&t (?4/ Signature of Owner (if owner is builder) 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 by 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 Roui h -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts 'FINAL Date Accepted by MANUFACTURED HOMES Footing Slab Blocking Hold Downs 1 Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By N tH V 1 Electrical 417 -4735 I 7 Construction R W PW Engineering 417 -4831 1 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 1 12.-1 (p- 10 I 11.-1-- 0 T.Forms /Building Division /Building Permit L-_ Applicant q,,._,,,.a‘i Property Owner fM,4kg1,1 Property Owner's Address u Contractor p Contractor's Address .1,) /p,. License N/ Proiect Type Brief Description. Check all that apply New Construction Addition Remodel repair Demolition Re -roof Heat System Other Floor Areas Shed Other 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 C„a 4 1M \e� taW t.cw4 Phone 3 21 to 1 l -�1-es rl�j�— Lc C)2Co7-.. Phone PROJECT ADDRESS 3 a w Parcel Number oi —co (019 M House garage other tear off re -roof lay over one layer Heat pump wood- burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (g. ft.) Basement I o c o per sq ft. 1 Floor 1 1 ZS 2 Floor 3rd Floor Garage Carport Covered Porch Deck 24 AJ" -eL-- j GCO TOTAL VALUATION 3 Total footprint of structures ;4 sq ft. Lot size i c l 51 sq ft. Lot coverage 12 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 25 Max. height of proposed structures Will a lawn sprinkler system be installed; Will a fire sprinkler system be installed? Cr." cC kt.,1 qtr {Residential Multi- family Commercial Industrial ft. ND t\Ib Expires E -mail Occupancy group Occupant load Construction type I 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 vytorking on projects. Date `11Z°IVIlD Print Name C t W\ yl Signature T•Forms /Building Division /Building permit application l�{lAZ 3, Oa For City Use Only Date Received 1 -Z ID Permit# �p 7_61 Date Approved Poe 4- t1 otl 74.4. Lot lsTI4 BI fining Cc- 1 of bedrooms N1-A. of full baths of half baths ASSOCIATES INCORPORATED September 14, 2010 Michael Craig and Mariela Barrientes P O Box 424 Port Angeles, WA 98363 Re Residence at 321 West 10 Street, Port Angeles Parcel No 06- 30 -00- 029470 Dear Michael and Mariela. Zenovic Associates, Inc. presents herein the results of our geotechnical review of the referenced property located on the north side of the 10 Street, west of Laurel Street, in Port Angeles. The site sits at the top of the ravine bank that overlooks Valley Creek. Valley Creek runs along the base of the bank; the thread of the creek is well removed from the toe of the bank. The site has an existing single -story single family residence. According to Clallam County records, the house with a detached garage were constructed around 1918. Subsequent small additions of unknown age have been added to the original house including a deck that extends along the west side of the house. The deck is irregular in shape, having an area about 12 feet wide by 16 feet long at the northwest comer of the house and a 3 feet wide walkway extending about 20 feet further north. Total deck area is estimated at about 250 square feet. The upland portion of the lot is fully improved with lawn landscaping, sidewalks and two driveways, one accessing the garage from the alley and a second one running along the east side of the property from West 10 Street. The remainder of the lot is a steep bank covered with dense native vegetation. We understand that you intend to replace the existing deck, which is in danger of failure, with a new deck of similar construction. Total are of the new deck will be approximately 308 square feet. The larger portion of the deck will extend no further from the house than the existing deck, but the walkway along the side of the house will be widened to 5 feet. PURPOSE AND SCOPE OF SERVICES The purpose of the geotechnical review is to provide information regarding the soil and slope stability in order to assure that the current conditions on the site and future improvements do not induce soil erosion or endanger on -site or adjacent off -site properties, consistent with the requirements of Chapter 15.20 of the Port Angeles Municipal Code (Environmentally Sensitive Areas protection). The scope of the review included a field inspection of the site and determination of site and adjacent property slopes using a hand -held clinometer No topographic mapping services have been provided. €WIL.'ENGINEE AND S RVEYIN.G, 301 East 6th Street, Suite 1 Port Angeles,Washington 98362 (360) 417 -0501 Fax (360) 41 -0514 E -mail: zenovic @olympus.net Page 2 Michael Craig and Mariela Barrientes Residence at 321 West 10 Street, Port Angeles September 14, 2010 Research of available data included a review of the USGS Topographic Map, Angeles Point quadrangle, aerial photos on file at the Clallam County Road Department (DNR, 1971, 1981, 1990, and 1997), aerial topographic mapping completed by David Smith Associates, Inc. for the City of Port Angeles (Mar 1995) and by the City in July 2006 and the Soil Survey of Clallam County Area, Washington (USDA/SCS, February 1987). Existing Slopes and Site Conditions REGIONAL GEOLOGIC AND SOIL CONDTIONS According to the Soil Survey of Clallam Area, General Soil Map the City of Port Angeles area and the surrounding region are comprised of Elwha Clallam -Catla soil association These soils are typically moderately well- drained, nearly level to very steep slopes on hills, underlain by compact glacial till Inspection of the soil maps of the site indicate that the property lies along the north edge of an extensive Elwha soil area that extends from the Elwha River on the west to the Dungeness River on the east, from the foothills of the Olympic Mountains on the south to the Strait of Juan de Fuca on the north The Elwha Clallam -Catla soils are derived from weathered glacial till. These soils were deposited by the ice sheet during the Vashon stade glaciation. The Vashon Glacial Till consists of a poorly sorted mixture of rock fragments deposited directly by the Vashon- age ice sheet. Finer portions of the soil consist of clay, silt, and sand These fine particles comprise a moderately to highly compact matrix in which the coarser components (gravel, cobbles, and boulders) are firmly imbedded SITE OBSERVATIONS An engineer from Zenovic Associates, Inc. conducted a site visit on September 9 2010 to observe the site slopes vegetation, surface and immediate subsurface hydrology, and evaluate in -situ soils for density The site currently has an existing single -story dwelling and a detached garage. The structures are of wood frame construction. There is a basement under the original portion of the house The upland portion of the lot is generally level The ravine bank extends along the west side of the property The bank shows evidence of past regrading, apparently for an abandoned roadway that extended from the bottom of the Valley Creek ravine to the top of the ravine near 8 Street. The remainder of the bank is generally undisturbed but has some minor terracing in the vicinity of the house. The properties to the north and south of the subject site are developed in a manner similar to this property with dwellings very close to the top of the ravine bank. The yard areas for these properties and the subject site are covered with lawn and shrubbery No drainageways cross any of the properties and no runoff is directed over the face of the bank. No localized bluff sloughage was observed on the face of the bank; no significant slope failures were observed in the vicinity of the site. Page 3 Michael Craig and Mariela Barrientes Residence at 321 West 10 Street, Port Angeles September 14 2010 Soil Conditions The soils on the upland area are mapped as Clallam- Hoypus gravelly sandy loam in the Soil Survey The soils along the bank are mapped as Neilton very gravelly loamy sand in the Survey The Clallam Hoypus soils are a mix of the outwash material that was deposited along the edge of the glaciers as they receded and the finer unsorted sands and gravels that were deposited directly by the glacier Both soil types are relatively free draining, the difference is that the Hoypus soils extend for significant depths, while the Clallam soils are underlain with a glacial till, a fine sand and silt that has been compressed by the overlying glacier This glacial till layer is essentially impervious to water Vegetation The upland area of the property has vegetation typical of residential development lawn areas, ornamental shrubs and trees. The bluff slope area has an understory of brush and extensive ivy, scattered large, mature fir trees near the top of the bank, and dense stands of big leaf maple and alder trees closer to Valley Creek. The trees on the ravine bank are very substantial and do not exhibit a pistol -grip growth form and associated tilting that is indicative of slopes with soil movement or creep The vegetation on the property indicates that the slope on the bank of the ravine is generally stable. Hydrology and Drainage No surface depressions or runoff channels were observed on the property The site has no upgradient tributary area and moderately well- drained soils. No groundwater seepage was observed on the property or on the face of the ravine bank. International Building Code Site and Soil Categorization Seismic design parameters for this site include a seismic zone soil profile of Type D in accordance with Table 1615 1 1 of the International Building Code.The native surficial site soils can be classified as a sand, silty sand, clayey sand, silty gravel, and clayey gravel consistent with Class 4 materials as set forth in Table 1804.2 of the International Building Code. Increases for depth and width as set forth in the table footnotes are not recommended for structures within 20 feet of the top of the ravine bank. CONCLUSIONS The structure of the ravine bank on the west side of the property was created by historic glacial action and stream erosion of Valley Creek. The thread of the creek is now well removed from the base of the bank and substantial vegetation is present within the stream corridor, so erosion of the base of the bank is not expected. Since the base of the bank is no longer subject to the noted bank creation mechanisms, further mass bank movement is not expected. Page 4 Michael Craig and Mariela Barrientes Residence at 321 West 10 Street, Port Angeles September 14 2010 Review of available historic photos of the bluff indicates that the rate of recession of the top edge of the bank has been negligible over the last 30 years. As long as proper maintenance of the site is completed, the potential for bank failure that would impact the existing dwelling and proposed improvements is slight. General RECOMMENDATIONS Replacement of the existing deck shall be done in conformance with all requirements of the City of Port Angeles including but not limited to, the International Building Code and applicable clearing, grading, drainage, and erosion control requirements. In particular the work shall meet the requirements of Section 15.20 080.A.2 of the Port Angeles Municipal Code (Minor Additions to and Modifications of Existing Structures). The narrow walkway is currently supported by knee braces, the addition of deck posts and footings to properly support this portion of the deck is acceptable provided the construction requirements set forth below are met. Excavation and Grading Excavation into the bank shall be limited to that necessary to construct cylindrical footings for the deck posts. Footings shall be no greater than 18 inches in diameter Footings shall extend a minimum of 18 inches into the substantial native subsoil below the surface topsoil and duff layer Disturbance of the existing ground cover shall be the minimum necessary to complete the work. Any disturbed areas shall be replanted with vegetation similar to the existing ground cover at the conclusion of construction. Excavation for the footings shall be completed by hand or with hand operated equipment. Any materials excavated in this area shall be immediately removed from the site, stockpiling excavated material on the site overnight is not permitted Slope Maintenance Proper maintenance of the existing ravine bank is critical to the continued safety of the site and for minimizing damage to the bank. No organic material including grass clippings and tree or brush trimmings should be thrown over the top of the bank. These materials may help hold water on the slope, thereby reducing slope stability USE OF THIS REPORT This report has been prepared at the request of Michael Craig and Mariela Barrientes for the purpose of determining the slope stability of the ravine bank and appropriate development standards for the replacement of an existing deck on the subject property This report is specific to this site and the information contained herein is the property of owners and may not be used without their permission. Page 5 Michael Craig and Mariela Barrientes Residence at 321 West 10 Street, Port Angeles September 14, 2010 The findings set forth in the report are based on a site inspection and review of available data. The conclusions and recommendations derived from these findings assume that the site conditions do not vary radically throughout the site. If excavations and /or construction activities discover that site conditions are significantly different than those documented herein, Zenovic Associates, Inc. must be contacted to verify or modify the conclusions, as appropriate If any site improvements are proposed the contractor for the project is responsible for performing all work in conformance with all applicable WISHA/OSHA regulations. There are inherent risks associated with construction on or adjacent to steep slopes that the owner and contractor must assume. This report is intended to reduce, but not eliminate, uncertainty regarding the stability of the slope. We appreciate the opportunity to provide this information to you. Please contact this office if you have any questions regarding the contents. Sincerely, Zenovic Associates, Inc. hen M. Zenovic, P E. Principal Engineer Fc: JN 10229 (7)041, k' n c% aim+ 4 roav 5 C e 7 t 4 4 Imagery Date Jul 19 2006 022010 Gouge image ity Pact Angeles 480646 26"N 123°26'43 23"W 5_62.6 44, i ri! i PROP ED DECK LINE OF EXISTING DEC �FS 70 Ty ST 0 SITE PLAN Scale 1" 20' 20' 40 60' DATE. 9/29/2010 JOB NO: CLIENT 10229 ,MICHAEL CRAIG AND MARIELA BARRIENTES E NOV I C FILE. 321 WEST 10TH STREET ASSOCIATES 229E -1 PORT ANGELES, WA 98362 INCORPORATED SCALE. TITLE. PROPOSED DECK REPAIR AT 321 W. 10TH ST PORT ANGELES SHEET NOTED 301 EAST 6111 ST. SUITE 1 PORT ANGELES, WA 98362 PHONE. (360) 417 -0501 FAX: (360) 417 -0514 EMAIL: ZENONOOZENONC.NET 1 OF COPYRIGHT 2010 EYESTONE BUILDING DESIGN EYESTONE BUILDING DESIGN 215 S. Lincoln St. #2B Port Angeles, WA 98362 360-457 3410 06 PROJECT Deck Replacement for Michael Craig Mariela Barrientes LOCATION 24 -cl' tSl L 321 N. 10th 5t. Port Angeles OWNER/BULIDER TO CONFIRM ALL DIMENSIONS, MATERIALS, AND CONDITIONS PRIOR TO CONSTRUCTION 1 ,0 NJ 00 THESE PLANS ARE COPYRIGHT BY ESTON NG DESIGN AND TO USED FOR CONSTRUCTION ON EYESTONE BUI DING ESIGN UNAuTHOR USE L FERA1 ION, OR REPR uCTIO OF THESE PLAN ANY PROJECT OTHER T THA WY THE WE ALLY INTENDED IS A VIOLATION OF FERDERAL COPYRIGHT LAW. rn Clallam County Assessor Treasurer Property Details 49 MICHAEL W CRAIG AN. Page 1 of 4 Clallam County Assessor Treasurer 58849 MICHAEL W CRAIG AND M BARRIENTES for Year 2009 2010 Property Account Property ID: 58849 Legal Description: LOTS 15&16 BL 294 Geographic ID: 0&3043294700000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space: N DFL Historic Propert N Remodel Property: N Multi-Family Redevelopment N Township: Section: Range: Location Address: 321 W TENTH ST Mapsco: PORT ANGELES, WA 98362 Neighborhood: Cycle 5 Res Map ID: Neighborhood CD: 10955130 Owner Name: MICHAEL W CRAIG AND M BARRIENTES Owner ID: 19749 Mailing Address: PO BOX 424 Ownership: 100.0000000000% PORT ANGELES, WA 98362 l'Taxes and Assessment Due Property Tax Information as of 09/09/2010 Amount Due if Paid on: EL, Market Value: 5181,109 Productivity Loss: 50 Subtotst 3181,109 Senior Appraised Value: 50 Non-Senior Appraised Value: 8181,109 Total Appraised Value: 5181,109 Senior Exemption Loss: $0 Exemption Loss: 50 (m) Taxable Value: 5181.109 Taxing Jurisdiction Owner. MICHAEL W CRAIG AND M BARRIENTES Ownership: 100.0000000000% Tots, Value: 8181,109 Tax Area: 0010 PA 121 PORT ST CNTY 112 L Exemptions: First tirli riedond Haiti I 'year! Statement 113 Jurisdiction Base Due j Base Due Penalty LInterest Base Pald Amount Dual iiiii 41766 STICH STATE SCHOOL 819161 8193.61 16.00 80.00 3193.61 8193.61 1 2010 41766 CC:ZEN CGUNT 5103.03 5103.04 50.00 $0.00 5103.03 5103.04 12010 41766 PORT PORT 514.48 814.48 $0.00 30.00 514.48 $14.48 12010 41766 PORT ANG PORT ANGELES $238.56 5238.55 50.00 30.00 3238.56 $238.551 1 2 610417e1 SD #121 SCHOOL DISTRICT #121 5250.78 5250.78 30.00 $0.00 $250.78 3250.78 1 2010 41766 NTH OLY LIB NORTH OLYMPIC LIBRARY C 529.94 829.94 50.00 50.00 $29.94 529.94 2010 41766 HOSP #2 HOSPITAL #2 $4226 $42.27 80.00 80.00 542•26 $42.27i 2010 41761 WSMET PK DIST WILLIAM SHORE MET PARK DIST 513.45 513.45 $0.00 30.00 $13.45 513.45 1 1 2010 41766 CITY_STORMWATER CITY STORMWATili $36.00 336.00 30.00 50.00 536.00 536.00 i 2010 41766 WEED_CONTROL WEED CONTROL 80.52 30.81 50.00 $0.00 30.82_ $0.81 2010 41766 TOTAL. 5032.93 5922.93 50.00 30.00 9922.93 5922.93 2009 588492008 ST SCH STATE SCHOOL $220.88 $220.88 12069 588492008 61-GEN COUNTY 3111.78 $111.79 S0.03 50.00 5223.57 80.00 2009 588492008 PORT PORT $15.83 515.84 50.00 MINI 331.67 .50.06' 1 2009 688492008 PORT ANG PORT ANGELES 5245.19 $245.20 50.00 50.00 3490.39 50.00 12009 588492008 SD #121 SCHOOL DISTRICT #121 5273.15 1273.16 80.00 80.00 5546.31 50.00 12009 588492008 iiii-iiiiiii lNORTH OLYMPIC t:iiinkii 532.48 832.48 50 .00 80700 561.96 iiiii 2009 iiiiiiin HOSP #2 HOSPITAL #2 2009 588492008 CITY STORMWATER CITY STORMWATER 836.01 836.01 5e:60 ittio 572.00 ie.& .2009 588492008 WEED_CoNTRO C WEED CONTROL $0.81 50.82 lab iiiii via 80.00 2009 S38492009 TOTAL. 9981.96 9982.02 80.00 90.00 $1903.98 80.00 NOTE: If you plan to submit payment on a future date, make sure you enter the date and RECALCULATE to obtain the correct total amount due. Values Improvement Homesite Value: so Improvement Non-Homesite Value: 3107,984 Land Homesite Value: 50 Land Non-Homesite Value: 573,125 Cum Use (HS 50 50 Curr Use (NHS): 50 50 http://vpn.clallam.net:8084/propertyaccess/Property.aspx?cid=0&year=2009&prop_id=58849 9/9/2010 Clallam County Assessor Treasurer Property Details 49 MICHAEL W CRAIG AN Page 2 of 4 !Levy Code j Description Levy RateAppralsed Value Taxable Value Estimated Tax STATE SCH STATE 2.1380572250 8181 109 $181.109 SCHOOL I Ca- 5151,109 GENERAL COUNTY 1.10099,4489 8181.109 8 8 99 7 2 22 8 GENERAL i DEVDISIBLT DEVELOPMENT 0.0250000000 8181,109 _$181,109 4153 DISABILITIES I Lh113 ASSM+ LAND 0.0012000000 8181,109 5181,109 50.22 1 ASSESSMENT rTAX REFUND TAX REFUND 0.0000000000 5 181,109 FUND 5181,109 5181,109 tiiET REUEP 0.0112500000 8181 5181,109 52.64 REUEF I CAPT IMP CAPITAL 0.1599172357 $181,109 5181,109 iiiiii IMPROVEMENT i al UBRARY 0.3306193731 5181,109 5181,109 859.88 riiiiiiii LIBRARY BONO 5181,109 0.1654681323 $181.109 529.97 !PRT ANG PORT 22918314531 8181,109 5181,109 8 09 ANGELES 15.07 GENERAL !REFUND BD CITY 6770848231 532.07 5181,109 $181,109 532.07 REFUNDING BOND SD 121 BD BOND 0.3816935961 5181,109 5181,109 569:19 SD 121 GEN aiiiiii 2.3876689904 8181109 5181,109 $432.43 HOSP 2 GEN GENERAL 0.4667570034 5181,109 $181,109 884.53 I WSMETPARK ti 0.1485185009 $181,109 9181,109 $26.90 SHORE MET PK DIST Total Tax Rate: 9.7854198327 t Taxes w/Current Exemptio ns: $1,772.23 Taxes v;/oExemptiOrt 51,772.23 Improvement 1/1: HOUSE State Code: 11 1890.0 sqft Value: $107,984 Type Description Class CD Sub Class CD Year Built Area DET GAR DETACHED GARAGE 04 02 1918 480 0 MA Main 04 03 1918 1375.0 MA2 2nd Floor 04 03 1918 515.0 PORCH-1 PORCH OPEN 04 01 1918 80.0 BSMT-UNFIN BASEMENT UNFINISHED 04 03 1918 1284.0 Sketch No sketches available for this property. Property Image http://vpn.clallam.net:8084/propertyaccess/Property.aspx?cid=0&year=2009&prop_id=58849 9/9/2010 Clallam County Assessor Treasurer Property Details 49 MICHAEL W CRAIG AN Page 3 of 4 Land .9 Type 1- Descr108on !Acres Sqlt Eft Front .7- Eff Depth ProtVaiue i 1 1 1112 1112 0.0000 0.00 0.00 0.00 973,125 tRoll Value History iYear km.,...._„ '3 Land Market Current Use Total Tiaxab1;VaTue 2010 Wk 1.1/A NIA N/A N/A iiiii 9107,984 973,125 iii _.1 181 109 9181,109_ 2008 9127,040 981,250 90 9208.290 9208.290 12007 $127,040 $81,250 IiiCli2iJ13 2908 !'59,49 --999.940 S159,345 P._..._ F9 90 5159,345. 2005 981,585 943,680 SO 9125,265 1 2004 970,940 933 SO 9104,540 9104,540 002 1 2003 959.120 933,600 SO 992,720 992.720 2 959.120 933,600 SO 992,720 959,120 933,600 90 192.720 9 99 91,7 7 2 2° 2001 OH r 2000 ii3iiii .i22,ocii .so ii 05.060 9105,0601 1999 983,060 iiiki iii 9105,060 9105060 1998 983,060 90 9105,060 9105,060 r deed and Sales History 1 !Excise Deed 10 DateiType Description Grantor i Orman I Volume !Pape Sale Price I Wafter Number 1 WAFIRANTY D WARRANTY DEED CCELLA B CLAYTON MICHAEL W CRAIG/MARIELA BARRIE 0 siiido.ao 200150689 20011058070 2 COMMUNITY COMMUNITY PROPERTY AGREEMENT ALLEN E S CLAYTON-DECEA9 CCELLA13ECATTON 836 254 sill O iiiiiiiiiico iitioufili t http://vpn.clallam.net:8084/propertyaccess/Property.aspx?cid=0&year=2009&prop_id=58849 9/9/2010 PREPARED 9/23/09 8 28 50 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/23/09 ADDRESS 321 W 10TH ST SUBDIV TENANT NBR MICHAEL W CRAIG /M BARRIEN CONTRACTOR DENNIS M DOYLE PHONE (360) 457 1902 OWNER MICHAEL W CRAIG /M BARRIENTES PHONE (360) 452 1531 PARCEL 06 30 00 0 2 9470 0000 APPL NUMBER 09 00000092 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLI 01 4/07/09 JLL BLDG INSULATION 4/07/09 AP April 7 2009 8 38 38 AM 1pangrle MICHAEL 452 1531 INSULATION April 7 2009 1 06 33 PM jlierly BL99 01 9/23/09 JLL BLDG FINAL TIME 01 00 September 23 2009 8 26 22 AM 1pangrle MICHAEL 452 1531 BLDG FINAL AFTERNOON PERMIT MB 01 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 2/18/09 PB MECHANICAL GAS LINE TIME 01 00 2/19/09 AP February 18 2009 8 50 50 AM 1pangrle MICHAEL 452 1531 GAS LINE AFTERNOON February 19 2009 12 31 40 PM pbarthol ME99 01 9/23/09 JLL MECHANICAL FINAL TIME 01 00 September 23 2009 8 27 30 AM 1pangrle r MICHAEL 452 1531 MECHANICAL FINAL AFTERNOON PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 2/05/09 JLL PLUMBING ROUGH IN 2/05/09 AP February 5 2009 8 18 51 AM 1pangrle MICHAEL 452 1531 ROUGH IN PLUMBING PLEASE CALL HIM BEFORE YOU GET THERE TO MAKE SURE HE IS THERE February 5 2009 3 31 50 PM jlierly PL99 01 9/23/09 JLL PLUMBING FINAL TIME 01 00 September 23 2009 8 27 52 AM 1pangrle MICHAEL 452 1531 PLUMBING FINAL AFTERNOON COMMENTS AND NOTES PREPARED 4/07/09 8 43 53 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/07/09 ADDRESS 321 W 10TH ST SUBDIV TENANT NBR MICHAEL W CRAIG /M BARRIEN CONTRACTOR DENNIS M DOYLE PHONE (360) 457 1902 OWNER MICHAEL W CRAIG /M BARRIENTES PHONE (360) 452 1531 PARCEL 06 30 00 0 2 9470 0000 APPL NUMBER 09 00000092 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLI 01 4/07/09 BLDG INSULATION April 7 2009 8 38 38 AM 1pangrle MICHAEL 452 1531 INSULATION COMMENTS AND NOTES PREPARED 2/18/09 8 55 35 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/18/09 ADDRESS 321 W 10TH ST TENANT NBR MICHAEL W CRAIG /M BARRIEN CONTRACTOR DENNIS M DOYLE OWNER MICHAEL W CRAIG /M BARRIENTES PARCEL 06 30 00 0 2 9470 0000 APPL NUMBER 09 00000092 RES REMODEL PERMIT ME 01 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 2/1/09 (4' JLL MECHANICAL GAS LINE TIME 01 00 February 18 2009 8 50 50 AM 1pangrle MICHAEL 452 1531 GAS LINE AFTERNOON SUBDIV COMMENTS AND NOTES PHONE (360) 457 1902 PHONE (360) 452 1531 CITY OF PORT ANGELES iSir DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 09 00000092 Date 2/17/09 Application pin number 407592 Property Address 321 W 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 9470 0000 Tenant nbr name MICHAEL W CRAIG /M BARRIEN Application type description RES REMODEL Subdivision Name Property Use Property Zoning Application valuation 600 Application desc KITCHEN LAUNDRY REMODEL Owner Contractor MICHAEL W CRAIG /M BARRIENTES DENNIS M DOYLE 321 W 10TH ST PORT ANGELES WA 98362 PORT ANGELES (360) 452 1531 (360) 457 1902 Structure Information 000 000 KITCHEN LAUNDRY REMODEL WA 98362 Permit MECHANICAL PERMIT Additional desc ADD GAS STOVE GASLINE Permit pin number 141705 Permit Fee 31 30 Plan Check Fee 00 Issue Date 2/17/09 Valuation 0 Expiration Date 8/16/09 Qty Unit Charge Per Extension 1 00 10 6500 EA ME STOVE /FIREPLACE /MISC APP 10 65 1 00 10 6500 EA ME FUEL GAS PIPING 1 5 OUTLETS 10 65 1 00 10 0000 EA ME SUPPLEMENTAL PERMIT 10 00 Other Fees Fee summary STATE SURCHARGE 4 50 Charged Paid Credited Due Permit Fee Total 31 30 31 30 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 35 80 35 80 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 mit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance cf cons ction. a O Date Print Name T:FormsBuilding DivisionBuilding Permit Signature of Contractor or Authorized A Signature of Owner (if owner is builder) 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. Inspection Type Date Accepted By Comments Inspection Type 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. FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By 7 e4,44,1 IV-PSS v Gv /0 2/ atd/c)eg- /WI 0,1-14&- fr6dilloi\-) /0 /A/L-41-/-z_00 i--/A)e_ 4g- (W-_-7D11& pAig--7 or A.Azi ,gam -(/.e-r/ e rL 4s r s sb°2-- PREPARED 2/05/09 8 23 13 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/05/09 ADDRESS 321 W 10TH ST SUBDIV TENANT NBR MICHAEL W CRAIG /M BARRIEN CONTRACTOR DENNIS M DOYLE PHONE (360) 457 1902 OWNER MICHAEL W CRAIG /M BARRIENTES PHONE (360) 452 1531 PARCEL 06 30 00 0 2 9470 0000 APPL NUMBER 09 00000092 RES REMODEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 2/05/09 LL PLUMBING ROUGH IN February 5 2009 8 18 51 AM 1pangrle MICHAEL 452 1531 ROUGH IN PLUMBING PLEASE CALL HIM BEFORE YOU GET THERE TO MAKE SURE HE IS THERE COMMENTS AND NOTES state or it Date Application Number 09 00000092 Date 2/02/09 Application pin number 407592 Property Address 321 W 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 9470 0000 Tenant nbr name MICHAEL W CRAIG /M BARRIEN Application type description RES REMODEL Subdivision Name Property Use Property Zoning Application valuation 600 Application desc KITCHEN LAUNDRY REMODEL Owner MICHAEL W CRAIG /M BARRIENTES DENNIS M DOYLE 321 W 10TH ST PORT ANGELES WA 98362 PORT ANGELES (360) 452 1531 (360) 457 1902 Structure Information 000 000 KITCHEN LAUNDRY REMODEL Permit BUILDING PERMIT RESIDENTIAL Additional desc KITCHEN LAUNDRY REMODEL Permit pin number 140954 Permit Fee 53 05 Issue Date 2/02/09 Expiration Date 8/01/09 Qty Unit Charge Per BASE FEE 1 00 3 0500 HND BL -501 2K (3 05 PER C) Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 1 00 1 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 7 2500 EA 10 6500 EA 7 2500 EA Qty Unit Charge Per Print Name T:FormsBuilding Division/Building Permit MECHANICAL PERMIT 140962 75 15 2/02/09 8/01/09 Contractor Plan Check Fee 34 48 Valuation 600 Plan Check Fee 00 Valuation 0 BASE FEE ME VENT FAN (SINGLE DUCT) ME STOVE /FIREPLACE /MISC APP ME INSTALL APPLIANCE VENT PLUMBING PERMIT Extension 50 00 3 05 WA 98362 Extension 50 00 7 25 10 65 7 25 140970 93 00 Plan Check Fee 00 2/02/09 Valuation 0 8/01/09 Extension Rh Z 3 09 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 ovisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a perm es not pr' sume to give authority to violate or cancel the provisions of any w regulating ,cogstruction or the perfor ce of const Signature of Contractor or Authorized Agent V Signature of Owner (if owner is builder) 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 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 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping i SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T Forms /Building Division /Building Permit FINAL Date Accepted by FINAL Date Accepted by Date Accepted By Application Number Application pin number Qty Unit Charge Per 2 00 1 00 1 00 1 00 Other Fees Fee summary 7 0000 EA 7 0000 EA 7 0000 EA 15 0000 EA T:FormsBuilding DivisionBuilding Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 09 00000092 407592 BASE FEE PL- PLUMBING TRAP PL -WATER LINE PL- DRAIN VENT PIPING PL -SEWER LINE STATE SURCHARGE 4 50 Charged Paid Credited Page 2 Date 2/02/09 Due Permit Fee Total 221 20 221 20 00 00 Plan Check Total 34 48 34 48 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 260 18 260 18 00 00 Extension 50 00 14 00 7 00 7 00 15 00 a- cs- 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) 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 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 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 4 -1-09 PLANNING DEPT Separate Permit #s Parking Lighting Landscaping T:FormslBuilding Division /Building Permit FINAL Date 9 Z 34 1ccepted by FINAL Date 1 "Z3 1 Accepted by TL- 1 SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 C) Construction R.W PW Engineering 417 -4831 Fire 417 -4653 I v Planning 417 -4750 qq Building 417 -4815 -1- Z3 -oi ,7-14.- ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Application Number 09 00000088 Application pin number 584600 Property Address 321 W 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 9470 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 Application desc Kitchen remodel 7 circuits Owner Contractor MICHAEL W CRAIG /M BARRIENTES OWNER PO BOX 424 PORT ANGELES WA 98362 Permit ELECTRICAL ALTER RESIDENTIAL (.J' Additional desc Permit pin number 140905 �J Permit Fee 69 50 Plan Check Fee 00 Issue Date 1/28/09 Valuation 0 Expiration Date 7/27/09 Qty Unit Charge Per Extension 1 00 57 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 57 50 6 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT 12 00 Fee summary Charged Paid Credited Due Permit Fee Total 69 50 69 50 00 00 Plan Check Total 00 00 00 00 Grand Total 69 50 69 50 00 00 INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS DATE Date 1/28/09 RESULTS INSPECTOR. Signature of owner or Electrical Contractor X Date 0 4 d 0 a) City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph: (360) 417.47 Fax: (360) 417.4711 Date. /7 09 2 S Family Dwelling Multi Family or Commercial* Commercial Addition I Alteration I Remodel I Repair* owner electrical contrac r electrical administrator Date: RECEIVED JAN 2 8 2009 LIGHT DEPT Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 52,1 10 r Building Square Footage: Description of above Owner Information Contractor Information Name: �l -/-1�L PI-14r Name. Mailing A ess: PO i L'2- Mailing Address: City 7'4 State. Zip (7/6.5-( City State. Zip Phone. 2 i) 3 Fax: Phone: Fax: License Exp. License Exp Unit Charge czy Total (Qty Multiplied by Unit Charae) 93.75 Service /Feeder 200 Amp. $113.75 Service /Feeder 201 -400 Amp $160.00 Service /Feeder 401 -600 Amp. $205.00 Service /Feeder 601 1000 Amp. $291.25 Service /Feeder over 1000 Amp 2,0 Branch Circuit W/ Service Feeder 57'50) 4'2 S° Branch Circuit W/O Service Feeder fv J -7. 8O Each Additional Branch Circuit 72.50 Temp. Service/ Feeder 200 Amp. 86.25 Temp. Service /Feeder 201 -400 Amp. $116.25 Temp Service /Feeder 401 -600 Amp. $131.25 Temp. Service /Feeder 601 1000 Amp. 75.00 Portal to Portal Hourly 69.00 Sign /Outline Lighting 75.00 Signal Circuit/ Limited Energy Commercial 50.00 Signal Circuit/ Limited Energy 1 2 Family Dwelling 50.00 Signal Circuit/ Limited Energy Multi Family Dwelling 93.75 Manufactured Home Connection 80.00 Renewable Electrical Energy 5KVA System or Less 86.25 First 1300 Square Ft. 27.50 Each Additional 500 Square Ft. or Portion of 57.50 Each Outbuilding or Detached Garage 86.25 Each Swimming Pool or Hot Tub 43.75 Thermostat Total Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation 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. Cash Ere—Check Credit Card X30 7 OR CITY OF PORT ANGELES Attn Building- Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent /4 t /6 Property Owner 4J( Property Owner's Address w /0%7.4.9r Contractor /Engineer e /5 Contractor /Engineer's Address License y2 iM Expires 6//5/20/- PROJECT ADDRESS v Parcel Number Project Tvoe Brief Des Check all that apply New Construction Addition 'emodel Repair Re -roof Demolition Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures sq. ft. T Lot size 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 crivtion ia' fiesidential L(Qn) /4 CvAshze/ d eoer l'C2S4L ei;t -e s �r/E f D r U6J-) C Wel,— /i2e,- g/ AtateC,A- /�.-Ge S /eee6 /s04 Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) ft. Occupancy. group Occupant load Construction type I have read and completed this application and know it to be true and correct. understand that it is my responsibility to determine what permits are required projects. J� Date /�7/ Print Name "t/a g/44-(t Signat Commercial Multi- family Industrial per sq. ft. TOTAL VALUATION For City Use Only 1 Date Received t -Z1 -O9 Permit r) 2 ,Date Approved Phorre Phone Z 75.3/ Phone i/ 7 /t E -mail Lot Zoning sq. ft. Lot coverage of bedrooms of full baths of half baths authorized to apply for this permit and obtain permits prior working on e cze'L,- ('(1,,bNo J u 01610.0 \took- rea-0 co rre-c P In s or- ktn �v�s G' HyO rmr�chin� dv 1-619 e-tk. f t 229 03. FILE c.vief\P Cia) F/s4 PA-Like CITY OF PORT ANGELIS Construction Plsns The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said plans, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. "r" t Approval Date 2.. a (BY l U 00944_ ...312z.5(cre--- k lej Vpit-(2Alke-1 04-,P \\.)J■ Ecr L- PREPARED 12/22/08 8 27 23 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/22/08 ADDRESS 321 W 10TH ST SUBDIV TENANT NBR MICHAEL MADIANA CRAIG CONTRACTOR DAVE S HTG COOLING SRVC INC PHONE (360) 452 0939 OWNER MICHAEL MADIANA CRAIG PHONE (360) 452 0939 PARCEL 06 30 00 0 2 9470 0000 APPL NUMBER 08 00001528 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 12/22/08 JLL MECHANICAL FINAL TIME 01 00 r. December 19 2008 8 43 27 AM 1pangrle 7,4,--A— A‘7 MICHAEL 452 1531 MECHANICAL FINAL FURNACE AFTERNOON COMMENTS AND NOTES bs izs Job wired by lit Electrical Contractor Electrical contractor name E17� F l Tc' Pur x mailing address ASP acid, City S tate ZIP LI% 6 12340- Telephone number FAX number Win 105.51p 1 4;7 Iqo 7 Premises owner's name YYl t;1 tm e I C tb.% Address of inspection 30. I m City Per T 4 vl JeS Phone number to schedule inspection. Owner as defined by RCW 19 28.261 (1) Owner will occupy the structure for two years taller this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation 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 Card Utility Specifications. /Signature of ner, electrical contractor or electrical administrator Expiration Date Date: 141. g Electrical Load Atf`dit/ons and or subtractions NO LOAD CHANGES O Baseboard KW O Furnace KW 0 Heat Pump Ton LAR 0 Fan -Wall KW u I t. Inspection Date I) /17 /oX d OUCH -IN et E E7CSz 68-15 BLIIS9S09E RECEIVED DEC 1 7 2ECTRICALWORK PERMIT APPLICATION 1.1%1114 I MO installation description Owner License number Date Expires Date DITCH Area, Building or Equipment Inspected 0 Commercial Residential 0 New `f card O Overhead Service Temp Service O Underground Service -417 -4735 THERMOSTAT Approved By J Data Approved By J Cash "-Check Credit Card Visa D Altered/Addition �U l'Y► 0.G@— G t SERVICE Date Dale Mastercard Discover Voltage Phase 0 1 0 3 Service Size: Feeder Size: Approved By It EDER Action Taken /f Cs In 4 Service Information Approved By J Electrical Inspector SSA J XlIJ 13C213SU- dH WdE2 01 9002 91 oaa ELECTRICAL PERMIT AM) INSPECTION RECORD CITY OF PORT ANGELES 360417- -4735 Application Number 08 00001540 Application pin number 177600 Property Address 321 W 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 9470 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 Application desc Furnace circuit Owner Contractor MICHAEL W CRAIG /M BARRIENTES PO BOX 424 PORT ANGELES WA 98362 Fee summary Permit Fee Total Plan Check Total Grand Total JEDI ELECTRIC 331 FORS RD PORT ANGELES (360) 460 0556 Qty Unit Charge Per 1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS Charged Paid Credited Due 46 00 46 00 00 00 00 00 46 00 46 00 00 Date 12/19/08 WA 98362 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 139196 Permit Fee 46 00 Plan Check Fee 00 Issue Date 12/19/08 Valuation 0 Expiration Date 6/17/09 Extension 46 00 00 00 00 INSPECTION ELECTRICAL TYPE DATE. RESULTS INSPECTOR DITCH SERVICE ROUGH IN FINAL COMMENTS. 17/141 /OP 716P Tz-1 ii)v4R Dec 15 08 09:03a Dave s Heating Cooling QB- )4; 3 Electrical contractor name 106We 5Hec -k r� i Purchaser's mailing address V PO. >x 5 City n c r-f l>r..s Tele hone number 'Premises owner's name M f 1 1 `t-t e.t -€.-1 °F l-► p� A I I a vN a Address of inspection 1.11 _3 a t (U s-r cut Phone number to schedule inspection: 4 l 5 .P -/-5 3 I t :.yrtle Appr tea By J F[NAL Inspection Date i'l /(1las I ()k State ZIP FAX number LAO Apau•ed By RECEIVED U (�Y D� b Installation description Job wired by li�Electrical Contractor D Ova ne� p Commercial B'Residential License number Date Expires DAvESficein l a c- sr r Owner as defined by RCW 19.23.261 (1) Owner will occupy the structure for two rears after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease, After reading the above statement, I hereby certify that 1 am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.2$, \VAC. Chapter 296 -4613 The City of Port Angeles Municipal Code, and Utility Specifications. .tSign are of owner electrical contractor or electrical administrator Expiration Date X 1' i7&� Da te: J�2 /)s' °f card Elect Load Additions and dr subtractions O N' LOAD CHANGES Cl Baseboard KW li Fumace )o KW Overhead Service O Heat Pump Ton LAR Temp Service Fan -Wall i KW Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 -417 -4735 ROUGH-IN THERMOSTAT Date Dale Area, Building or Equipment Inspected DEC 1 6 20 06ELECTRICALWORK PERMITAPPLICATION DITCH New Cash 0 Check at Card Card Approved ny Approved By 360 -452 -0939 Daft Dab. Altered/Addition l V iL) ✓o 1 a 4.52- A-a --l'ryl Ct rigid Gc' 1 V'€, Mastercard FEEDER P C Inspection fee Voltage Phase 1 3 Service Size: Feeder Size: SERVICE Appr real By Approved By Action Taken /4P Discover Service Information Electrical Inspector Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 10 KW furnace Owner MICHAEL W CRAIG /M BARRIENTES PO BOX 424 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total ELECTRICAL PE IT AND INSPECTION RECORD CITY ,OF PORT ANGELES 360 -417 -4735 WA 98362 08 00001535 556250 321 W 10TH ST 06 30 00 0 2 9470 0000 ELECTRICAL ONLY 0 Contractor ELECTRICAL ALTER' RESIDENTIAL 35 00 35 00 00 00 00 00 35 00 35 00 00 Qty Unit Charge Per 1 00 35 0000 EC EL LOW VOLTAGE Charged Paid Credited Date 12/17/08 DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 139147 35 00 Plan Check Fee 00 12/17/08 Valuation 0 6/15/09 Due Extension 35 00 00 00 00 -6 INSPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE ROUGH IN FINAL COMMENTS: altilofi -fk? Application Number 08 00001528 Date 12/15/08 Application pin number 704816 Property Address 321 W 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 9470 0000 Tenant nbr name MICHAEL MADIANA CRAIG Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning Application valuation 4435 Application desc INSTALL ELECTRIC FURNACE CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Owner Contractor MICHAEL MADIANA CRAIG PO BOX 424 PORT ANGELES WA 98362 (360) 452 0939 DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 Permit MECHANICAL PERMIT Additional desc INSTALL ELECTRIC FURNACE Permit pin number 139022 Permit Fee 64 80 Plan Check Fee 00 Issue Date 12/15/08 Valuation 4435 Expiration Date 6/13/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 8000 ECH ME INSTALL 100- FAU 14 80 Fee summary Charged Paid Credited Due Permit Fee Total 64 80 64 80 00 00 Plan Check Total 00 00 00 00 Grand Total 64 80 64 80 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 fora period of 180 days after the work has commenced, or tf required inspections have not been requested within 180 days from the last inspection. I hereby certif 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 co ruction. 7. f az_i ate Print Name Signature of Contractor or Authorized Agent T:Forms/Building Division/Building Pennit 'I' w Signature of Owner (if owner is builder) 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 I 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 /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 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 SHORELINE. Comments FINAL Date Accepted by FINAL Date tZ °Z Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Dec 15 08 08:22a Applicant or Agent 1::) v& 5 Ff e ck_-{-1 vt c Phone 4 (53 c c7 =3 9' Property Owner K x c-k cit.� ..1- Nt n A. i a r Cv-e. Phone '5 /531 Property Owner's Address _3 1 tie ,-r I .5-1 -t- 9 0 r+ Angva „zs Contractor /Engineer _Dave s Phone '7 Contractor /Engineer's Address P_ a x 6 3 Pa. 4. 4r,4,,.c�A.,_5,- License IA t,%Es H c-ct 9 t a Kc Expires PROJECT ADDRESS 3 a u c; -f- (c Parcel Number Project Tvoe Brief Des Check all that apply New Construction Addition Remodel o Repair Re -roof o Demolition a Sign ra heat System a Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Dave s Heating Cooling 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 cr1otion. Total footprint of structures sq. ft. T Lot size Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? aVResidential Commercial o Multi family Industrial wall mounted n projecting freestanding a awning other Total sign area sq. ft. Maximum allowed skin area sq ft. Heat pump wood burning stove gas fireplace pellet stove Bother Existing (sq. ft.) Proposed (sq. ft) ft. 360 -452 -0939 p1 For City Use Only Date Received 1Z-1/1-06 Permit r7S 151 Date Approved S/p O Lot Zoning h S r o l l y ti o r c .z (a 4c. -Puy' Occupancy group Occupant load Construction type per sq ft. TOTAL VALUATION 3 S vo 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. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and obtain permits prior to working on projects. Date l� r 5 J O v 5" Print Name 01 -en k a a n P Signature T•FormsiB ilding Division/Bldg Permit Appl. -2006 Code.doc (I I CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDiNG DiVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~-~v~ r,-~w~ ~ ISSUED: 9~05~2002 I~-S~MII NO: OWNER/APPLICANT PROPERTY LOCATION 321 10TH ST W MICHAEL CRAIG 321 W 10TH ST Lot: 15 16 Port Angeles, WA 98362 Block: 294 [] Long Legal 360/452-1531 Subdivision: TPA T: S: Parcel No: 063000029470000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $200.00 SFD Units: 0 Commercial: 0 Project Type: WINDOWS SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 PROJECT NOTES INSTALL NEW IN STUDY RECEIPT#9634 FEES ASSESSMENT Buitding Permit: $23.50 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: $28.00 Plumbing: $0.00 AMOUNT PAID: $28.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 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 knew 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 !_o_cal law regulating construction or the performance of construction. ) Signature of Contractor or Authorized Agent Date Signature of Qwner (if owner is builfl'er) Date T:\PLANNING\FORMS\ 1102,15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-,1815 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 PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS,ROOPJCEILING DRYWALL / / T-RAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD/ DUCTS PW UTILITIES ! SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATEKLINE / METER SEWER CONNECTION SANITARY STORaM PLANNING DEPT. SEPARATE PERIvIIT #'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. ENGINEEPdNG 417 4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 ~)//~/J '', ~,/,.///1 PLANNING DEPT. BUILDING 417-4815 ] ~[~ BUILDING T:\PLANNINGLVORMS\1102A5 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date/~/~ - ~-~/~'- Time _ Received by ~ (phone, person) Location of Work to be inspected ~/ ~///Ci~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation~-~himney Plumbin~SewerExcav. Other INSPECTION NOTES:/~._ ~ -~ ~-_ ,.~ Inspected: Date ~-- Time By Remarks: RESTORATION REQUIRED ...... YES NO o SURFACE RESTORATION: ,~SURFACETYPE: [] Unimproved []Gravel ~-~Asphalt []PCC []Other .x.~.~, ~} Repaired by City Work Order # [] Repaired by Permittee COMPLETE ,~. [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) d'O'I'~_ $fi~~ as "'~~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION l21 EAST 5TH STREET. PORT ANGELES. WA 9R~62 ~ ~~ App11cat1on Number Application pin number Property Address ASSESSOR PARCEL NUMBER Appl1cat1on type description Subdivision Name Property Use Property Zoning Application valuation Owner MICHAEL W CRAIG/M BARRIENTES PO BOX 424 PORT ANGELES WA 98362 Permit Additional desc Permit p1n number Permit Fee Issue Date Expiration Date 05-00000679 Date 857612 321 W 10TH ST 06-30-00-0-2-9470-0000- ELECTRICAL ONLY o Contractor OWNER ELECTRICAL ALTER RESIDENTIAL JEDI ELEC /ALT SERVICE 56200 66 90 Plan Check Fee 7/29/05 Valuation 1/25/06 Qty Unit Charge Per 1 00 66.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Fee summary Charged Permit Fee Total Plan Check Total Grand Total 66 90 00 66 90 COMMENTS/ACTION NEEDED Paid Credited 66.90 00 .00 .00 66.90 .00 7/29/05 .00 o Extension 66.90 Due 00 00 .00 ~ )v '- c; "- ~ \} Vl '\ ~ -._._. ~'_4' ~'VI ~.~ ....;;. ~~''1 \- o Owner ~,.....~ ELECTRICAL WORK PERMIT APPLICATION }if Electrical Contractor !:J Annual Permit !:J Alarm o Request Inspection D Carnival 0 Commercial Residential !:J Residential Maint. !:J Signs !:J Thermostat !:J Telecom. Job wired by o Electrical Contractor 0 Owner Installation description C 11 c< 'l C:ec /00 "'-II'1P SacJlCf2.- Electrical contractor name \r.::DI E[l'c-Tr/c.. Purchaser's mailing address _p, (). i?>DX' ?J5!? C;t~o\'T f/rY)eJe5 Telephone number 460-055b License number \EDI Fr: ,YCf'j7C OIVlo. BtVVl-P po. VI e./ Sen.Jfee- 10 Ci:V\o\ ::200 Pc...lI\e..-1 State ZIP We-. ~ :U;) Premises owner's name ml0ho.t"-1 Address of inspection 3;;;)1 wuT City POI 4- {"J'cwv- IOTk I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. o Cash 0 Check # ~CreditCard ~ Mastercard Card # Discover \J Cl't Dale Approved By SERVI 1-2-'i-oS Dale -~?:o;n~ ( ~ ...j --.Q ractor or electrical administralor Expiration Date of card Inspection fee $ x .,v WALLS Insulation Only CEILING Insulation Only THERMOSTAT Date Approved By Cover Date Approved By Cover DITCH Dale Approved By Date Approved By Dale Approved By Electrical Load Additions and or subtractions ~ NO LOAD CHANGES b Baseboard _ KW D Furnace KW D Heat Pump Ton LAR D Fan-Wall KW ~ Overhead Service D Temp Service D Underground Service Service Information Voltage (;)qI;;J'fO Phase ~1 D 3 Service Size: :;J. C> 0 Feeder Size: Inspection Date Area, Building or Equipment Inspected Electrical Inspector GF-- ELECTRICAL PERMIT INSPECf.lON 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.I~ (4196} ~)