The URL can be used to link to this page

Home My WebLink About2418 W 14th St - BuildingApplication Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation Owner RUTHERFORD RL /TROTTER T 4205 SO C STREET PORT ANGELES (360) 452 -4640 Structure Information Construction Type Occupancy Type Other struct info Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 70 8000 5 00 22 7000 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T• \PLANNING \FORMS\ 1102.15 (4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 9 Per ECH 5C 03 00000733 2418 W 14TH ST 06 30 00 1 -0 8005 0000 RES NEW SFR RS9 RESDNTL SINGLE FAMILY 177774 Contractor JTROS ANDERSON HOMES LLC 618 SOUTH PEABODY 8363 PORT ANGELES (360) 452 4641 NEW SINGLE FAMILY HOME TYPE Vi NON RATED SINGLE'FAM CONGREGATES NUMBER' OF UNITS ELECTRICAL NEW RESIDENTIAL S F R SHAMP ELECTRICAL 184 30 11/19/03 5/18/04 CONTRACTING Plan Check Fee Valuation EL -R SQFT FIRST 1300 EL -R SQFT ADDITIONAL 500 SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Charged Paid Credited 184 30 184 30 00 I 00 1774 50 1774 50 1958 80 1958 80 00 00 00 00 Date 11/19/03 WA 98362 Extension 70 80 113 50 745 00 4 50 1025 00 Due 1 00 00 00 00 00 00 0 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \PLANNING \FORMS \1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS ROOF CEILING DRYWALL T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP WOOD STOVE PELLET CHIMNEY HOOD/ DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO /o 2' YES NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT I BUILDING I I I I I I I I I 11 06/2003 13 11 13604521609 SHAFIP ELEC Address: :PO I 383 INSTALLATION WIRED BY (Residential Multi family 1 k( a.31 C4 ELECTRICAL PER UIIT APPLICATION Owner or Elec. Contractor Agent: s ji1r+ lP J E 1 N 'R/' (A LC t J &&i'J Phone. 1 4,52 I iC i)i Fax: Property Owner' A'1 1� 1� 1!(`Q-O Phone; City �N Electrical Contractor (V CL tC.�L i�taTTAL.:1i L 1_61g Llccnse mPEco23t3' Exp. I X13 C'.L1 Address: 1_ l S Credit Card Holder Name W J 14tiiiw Billing Address. 4 In III.' 1, 'io' .5I"Yr-C City' L f T �f Lti) A Exp..Date. WO 7 j VISA. X MC PROJECT ADDRESS 7— n r t j 1 1 Q 0 r 6 J P l7 o—tS 1 Uc) (0, r TYPE OF WORK. Check all that apply' '(New 0 Alteration/Addition 3 3 7 of 7? 0 p S S Commercial U Mobile Home Sq Ft Gee r 7 Remote Meter Detarhari garage Hot Tub Swim Pool Septic Pump 0 Low Voltage Telecom 0 Sic Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT Electrical Heat Load Additions and or Subtractions Service Information 0 Baseboard KW sZFumace 14 KW 0 Heat Pump TON LRA O Fan -Wall KW C. /ELECTRICAL RMITAP LICAT ON O3 The Electrical r ermitApplicntion must bo filled out eomnlatety. Please type or reprint in ink. If you have any questions, please call (360) 417 -4735 Fax number (360) 417-4711 I OWNER ^1 ELECTRICAL CONTRACTOR I t.)7 <A city 5 T 1�IuE;t WIl D Overhead Service 0 Ternp Service Underground Service J /611 PAGE 01, VOR OjFll'IAI, IISE ONLY Dnedne Per 0 0 O:i c Approvcd: Or lap cd. ?t 733 T1 Zip: 98 Phone. 1 45 1 t-(21 Zip' 9 133H.- Zip. Voltage Phase 1 0 3 Service Size Feeder Size. 983o3 I hereby certify that I have read and examined this apfl icatian and know that same to be true and correct, end 1 e1 authorized to apply for this permit. understand it is not the City's legal responsibility to determine what permits are required, it remains the applicants res to determine what permits are required and to obtain such. Credit Card Holder's Signature Date. �p''Q�j_ Owner or Elec. Cont. Signature /✓J�' Date 1\ ��j�(�� I PERMIT FEE (0, t /8` 30 Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Zoning Application valuation Owner RUTHERFORD RL /TROTTER T 4205 SO C STREET PORT ANGELES (360) 452 4640 Structure Information Construction Type Occupancy Type Other struct info Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 40 9000 1 00 11 1000 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T• \PLANNING \FORMS \1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 9 Per Signature of Contractor or Authorized Agent 03 00000733 2418 W 14TH ST 06 30 00 1 0 8005 0000 RES NEW SFR RS9 RESDNTL SINGLE FAMILY 177774 Contractor JTROS ANDERSON HOMES LLC 618 SOUTH PEABODY 8363 PORT ANGELES (360) 452 4641 NEW SINGLE FAMILY HOME TYPE V NON RATED SINGLE FAM CONGREGATES NUMBER OF UNITS ELECTRICAL NEW RESIDENTIAL ALARM SYSTEM 52 00 11/05/03 5/04/04 Plan Check Fee Valuation EL -LOW VOLT SYS =2500 SQFT EL -LOW VOLT SYS >2500 SQFT SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Charged Paid Credited 52 00 52 00 00 00 00 00 1774 50 1774 50 00 1826 50 1826 50 00 Date 11/05/03 WA 98362 1 00 14 Date Signature o 00 0 Extension 40 90 11 10 745 00 4 50 1025 00 Due 00 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ill 0 1 1 erkif owner is buildler) 1 Date CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL WALLS ROOF CEILING DRYWALL T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP WOOD STOVE PELLET CHIMNEY HOOD DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T\PLANNING \FORMS\ 1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD YES NO 417 -4735 LIGHT DE T CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING ff'ORT,,-!~ J.J..O~~~ 'ha 'L ~ ~ "tt1l~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00000733 Date 2418 W 14TH ST 06-30-00-1-0-8005-0000- RES NEW SFR 7/29/03 177774 Owner Contractor RUTHERFORD, RL/TROTTER T JTROS ANDERSON HOMES LLC 4205 SO C STREET 618 SOUTH PEABODY PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452-4640 (360) 452-4641 Structure Information NEW SINGLE FAMILY HOME Construction Type TYPE V NON-RATED Occupancy Type . . . .. SINGLE FAM & CONGREGATES Other struct info. . .. NUMBER OF UNITS 1.00 Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 2790SF SFR ATTCH 587SF GARAGE 1454.05 Plan Check Fee 7/29/03 Valuation 1/26/04 581. 62 177774 Qty Unit Charge Per Extension 1017.25 436.80 9 -2:. BASE FEE 78.00 5.6000 THOU BL-100,001-500K (5.60 PER K) Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT \)(J 108.70 Plan Check Fee 7/29/03 Valuation 1/26/04 .00 o Qty Unit Charge Per BASE FEE 5.00 7.2500 ECH ME-VENT FAN 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 1. 00 14.8000 ECH ME-INSTALL FLOOR FURNACE Extension 47.00 36.25 10.65 14.80 E - Permit PLUMBING PERMIT Additional desc Permit Fee 188.00 Plan Check Fee .00 Issue Date 7/29/03 Valuation 0 Expiration Date 1/26/04 Qty Unit Charge Per Extension BASE FEE 47.00 15.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 105.00 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00 2.00 7.0000 ECH PL- EA.WATER HEATER 14.00 .00 5.0000 ECH PL- EA. GAS PIPE 1-5 .00 -l: -+ s ('f) ~ Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Char ed Paid Credited D e Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, prrvate 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 s type of work will be complied With whether specified herein or not. The granting of a permit does not presum ive authorit to 101 te or cancel the provisions of any state or local law regulating construction or the performance of construct' n. Signature of Owner (if owner is builder) Date T IPLANNING\FORMS\l102 15 [412002] f pOR~ rS.J.O~f(~ ~,. 'L -=..;or ~ 'l.t1;~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 03-00000733 ----------------- ---------- ---------- ---------- Permit Fee Total 1750.75 1750.75 .00 Plan Check Total 581. 62 581. 62 .00 Other Fee Total 1774.50 1774.50 .00 Grand Total 4106.87 4106.87 .00 Page 2 Date 7/29/03 .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authOrized is not commenced within 180 days, If construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work Will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to Violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (If owner is bUilder) Date T'IPLANNlNGIFORMSII102 15 [4/2002] BUILDING PERMIT INSPECTION RECORD .. CALL 417-4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION' FOOTINGS ~ -I~n~ I.L WALLS ICI-J-? -0"1, I 1... FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN i /')- 2. ~ \l WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS II/;-;},..;:- \1' CEILING I 'j I -(. ." i' FRAMING JOISTS / GIRDERS SHEAR WALL I/tJ...!)()-IJ~ 1_1,7 .L..4e"'I~1' BUJ-? Il-11-o~.jLL.- WALLS / ROOF / CEILING If /12/0~ 1-1 LL \ 11/21.{ /1)3 jLl- DRYWALL -Mi+ .>~~ wCP.,\.1 11- zLJ-()~ \ L <..., , T-BAR INSULATION ~ H"'I'1,()~ \.d LL - WALL / FLOOR / CEILING IIJ-ofP-(!)-2., 1_/__ It:- I ~-i- (jnl\./ MECHANICAL { ~ (~fiA J '~ '0 -2-F, JL- - WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Englneenng DIVISion) SEPARATE PERMIT #'s' WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 J"Ztf)- all -'LL BUILDING T \PLANNING\FORMS\1102 15 [4/2002] ," '" ~_ ----~~DO:'.--,.... - W'l ,__"~.....m"~bIrNt...."-,,,.._...... >lIl'L1- ~""ilFllI~lnlll~_~_ ~r.-___.__ ----.,'l:~-_~.r.:~ (i!E([;(Q)I!?J/l} (Q)F $flJl!?Jf'llEJf B/LJJJ @2o@$) ~ A1 p(Q)l!?Jrl/(Q)N (QJF $(fJjgJ(fJ/filjgJJJJN /L(Q)r 1tJ@ VI 1f1J!)!E If(Q)WN~l/rlE (QJF !p(QJ/filr JJJN@ElLg& i\! ~AJIL/LA1N ([;(Q)(fJNnt; WJJ~IJ!!I/N@r(Q)1#J FOR: fROllJlEKlf R. JOIfII/SS/EN ~ 7 ~~, ~ I ~ CJ'f~ / ' ~#' ~ ~;~ J' c\..O r 't~ I 1t, ....O~ / 01 \. ~ \ ~4i I/.. "~I 0 4'<..,d5 / . ~~~(j. '" ~ I ~~,~~ / ~<.9 ~Jt"3 /1 ./~ &~~ I $:)' .... / &~ "?: <<: / / / I / / r .' AP ICE /'....{> / "- "" ~./ ~ / /,,,,, ~A / / "" ~ BUILD/NG SETBACK UNES~ '>.. ~ ' ~ Lt36 / . / "" / "" / 14 ~ ' / "" / "cT~-y "- , / I / . >'1"" {> / .:v',' :;;4;;z4 . j;'; / / ~ ~ / / o~,/a' / n~ / ,,~---" ,/ !dY ?t!J. / .~-, " ". (j I r/(d/ .'/ t^ . / " "" "" )~~i~ ........ ~"-- - --',,,, "\ / ~-~./ ~d" 1._ "'-_ _"'/~ ~ {> "- "" "- "" S''''- S$. ""- "If.". " /,/ '. " "- ~~-.~. "" I V " ",,"'II" ~, ~ . , -it ~ <~9.p~ /, , 45-. ,-;. "" ~ " ".,,~~ .', S'~ "" Q-1-c " 11- ~"" 'O,p. "" ~(" ~ ""- / ~~" '909' " "" ~O " ""- <0' . "'-P)- , "'>.". ~ V6>- (~~ ", "" ~S - "", ^ '0. , / "" " ,,/ ""- .so v "~''b. /5,08' , ~ , ~ AP ~G[ , ~ .PO~ '~ ~~ ' S S' ~.... ~.~. S6'. "-Y~L~ ~ !.,. "If.". ..-.)' ~.. , ~~.. S-~. ~ <!' ..? ./flp ,,"So ~~ v~'^ ''::':.PJ'. 0",. /' "'-... ,.c-.ct '110, . ~? ,.0 .:', <<'-P ~..2, .....q. 'b.;> v~ -"1 <.<' " .;>.. o & 0;" c;- ;-"1SS Ou '-4;> '?): S (<<-1- ('S ~ [ '.IN ~~ ITS, / ~ ~ , ) '/ .ss ... "- ". -' ;~~" "-~, PARCEL B 1521 "0" STREET / " ~ / ~-{' ~ / ,~c\. / ^~ ~ ~~ r?118//~ ....... /00 ' , tV ~& ?}"q,"?: YJ ~ /:1' 0<:) S .:f5<< & ~Q: \) <:) " ~.t ..::i 0" ~ / '- ^' '. >~ ~ . ~ ~~--- . - -' : :'-.- .. ....~:.~.._-.~-; ~;:.~~:-. ~.:~~....:....- .~- ~F-- - - _ ..... . . ":-:' --,' - -. '. :"~> '<-.~~,;~<:.,. '. .' . - ;. - < ": ': ,- '.:.:: <. ' - ~ . -.. . :: .~..... ~-, ...~: _: - -.... - ,- .- . ~ - - . .' :.. - '- +;- '''~-..? .-.. - : -;- ~ . - ' ~ I ',_ _ _ ~, _ .- .,.~. ~ -..' __ . -~ :.~.'~.~'~.: ~'.- ~ :-.:.~~ /~,'" ~ ~~-- .~:: "<:<,~ ~." . ~ ~ -- . ' , . - . .--- - . - -~ - '. :. -" :'-" "" ".: -.., - ...... ... ........: -. _-.: - .. '. '. -"~' . ,'-, <~.' .'.<: .:'- BUILDING PERMIT - APPLICATION J 'jj\. \.Jl. I\. J/\L U':-'t ~'Nl y Date Rec -7- /-ct:5:.' Penmt /I '7 ':"~3 = Date Approved Date Issued The Building Permll - Pre-applzcatlOn must befiUed out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent: 7/0-1::.- /lIve ~S7~ Phone: yS; 2- - LIb if / Owner u:p A/ r ,~/) UL '-)) Phone: {jC: 2- - (~'tJ City: 7/7 Zip: 98S?, j ArchltectlEngineer: t; V t's jy., 0;' ]) C 5 / C ./'--' Phone: if S 7 -. 3 If; c) A " ' 1 I ' L' - a:?)J ::; f 0- ( J..r 1..16 (/ ) Contractor ,vO~n-, /'-Yhr'> k<;, L C License #: JJOlS ;Y1l- Exp: I ~/ 0 '/ Phone: 7: J 2.. ?T f_ Address: &? I g <:. -relJ~~d 'j sf, City: 71 ;1./'1~/y S V/ 11 Zip: 9 JrS (; 7__ PROJECT ADDRESS: :.!) J-f ,I 8 W,.d.l::L ' ST: ZONING: l \" 'CJ LEGAL DESCRIPTION: Lot: ,8 ' Block: Subdivision: .j 0 (' is;. ~e )/ SuI:. 1..1 ~o CLALLAM COUNTY PARCEL NUMBER: Of.'~ 06oI0fuJ~Dod'Credit Card Holder Name: !~'.. Billing Address: City: , Credit Card #: Exp. Date: VISA MC \ ~'r)' , ~ TYPE OF WORK: ~ ..~.. ... . I, A ReSIdential , . ..{.... 0 Multl-family ,1 0 Commercial " ','J' ~.+" BRIEF DESCRIPTION OF THE PROJECT: o New Constr. o Addition o Remodel o Reparr ORe-roof o Move o Demolition o Sign o W oodstove o Garage o Deck o SIZENALUATION: 22..- '2-790 SF.@$ S'1 ISF.=$-'lzr:;,22-L{- ::X7 SF. @ $ -z.-138 ISF. = $ /2-,,'SSO SF. @ $ ISF. = $ TOTAL VALUATION $ f 771, 7Tf , SFR- COMMERCIALIRESIDENTIAL: Occupancy Group: /G3 No. of Stones: 2- Lot Size: 2-, I 0" A ch:.J. % Lot Coverage: Existmg Lot Coverage: Isq. ft. + Proposed Lot Coverage: PLANNING USE ONLY: Notes: Occupant Load: Construction Type: (/ - i.J &. i<io % Isq. ft. = T~TAL LOT COVERAGE: 3'; 7) APPROVALS: PLAN BLDG DPW, FIRE OTHER sq.ft ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLI CATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The BUlldmg DIvision can provide you with more detailed information on the apphcation and plan submittal requirements. Your completed apphcation, site plan (for additions) and building construction plans are to be submitted to the Building Division. VALVA nON OF CONSTRUCTION: In aU cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be reVISed by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance PLAN CHECK FEE: Your plan check fee is due at the time the building penrut applicanon and construction plans are submitted. All othet penrut fees are due at the hme of permit issuance. EXPIRATION OF PLAN REVIEW: If no permIt IS Issued wIthm 180 days of the date of apphcatlOn, thIS application will expire. The BUlldmg OffiCIal can extend the tlme for action by the applicant up to 180 days upon wntten request by the applicant (see SectIOn 107.4 of the Ul1lform BUlldmg Code, current edition). No applicatIOn can be extended more than onCe. / he/ eby (e/ t/(jl that I have read and exammed thiS applicatIOn and know the same to be tme and correct, and / am authOr/zed to apply for t/1I.I peml/t f understand II IS not the City's legal responsibility to determine what pejrrfllt are required, rt remams the applrcant'!, res[Jo/1\/hdltl' to deternllne what permits are reqUired and to obtal/l,~ G' J / I ~ i) _ /") :' Apphcant I Date: I - (j ') T \j'()I{ M\\^J>J>\\Buddlllgpt'tTnil )? ~ ~ V\f\~ 'I tap" J:!t 1?l~ ~e~ lb~1-Q..v- \ J l1.,e.. 1 t+(W T ~\4k ;J I ! / iVlkG LA. ~ ~CA-V\5 S- PREPARED 9/12/03, 12 15 07 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 9/12/03 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER 2418 W 14TH ST ANDERSON HOMES LLC RUTHERFORD, RL/TROTTER T JTROS 06-30-00-1-0-8005-0000- 03-00000733 RES NEW SFR SUBDIV PHONE PHONE (360) 452-4641 (360) 452-4640 -------------------------------------------------------------~---------------------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/12/03 BUILDING FOUNDATION FOOTING Permlt In Tube at locatlon Footlng Inspectlon requested by Allen Janssen at 670-9451 TIME 17 00 ~ -------------------------------------- COMMENTS AND NOTES ----------------------------------____ PREPARED 9/17/03, 13 12 41 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 9/17/03 -----------------~------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 2418 W 14TH ST ANDERSON HOMES LLC RUTHERFORD, RL/TROTTER T JTROS 06-30-00-1-0-8005-0000- 03-00000733 RES NEW SFR SUBDIV. PHONE PHONE (360) 452-4641 (360) 452-4640 ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BLl 01 9/12/03 JLL BUILDING FOUNDATION FOOTING TIME 17.00 9/15/03 AP Permlt ln Tube at locatlon Footlng Inspectlon requested by Allen Janssen at 670-9451 BI2 01 9/17/03 ~ BUILDING FOUNDATION WALL ,Foundatlon Wall l.nSpectlon for Anderson Homes called ln by Al Jansen at Ph#670-9451 -------------------------------------- COMMENTS AND NOTES ---------------------_________________ PREPARED 10/20/03, 12 27,11 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 10/20/03 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 2418 W 14TH ST ANDERSON HOMES LLC RUTHERFORD, RL/TROTTER T JTROS 06-30-00-1-0-8005-0000- 03-00000733 RES NEW SFR SUBDIV PHONE PHONE (360) 452-4641 (360) 452-4640 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/12/03 JLL BUILDING FOUNDATION FOOTING TIME. 17 00 9/15/03 AP Permlt In Tube at locatlon. Footlng Inspectlon requested by Allen Janssen at 670-9451. BI2 01 9/17/03 JLL BUILDING FOUNDATION WALL 9/17/03 AP Foundatlon Wall lnspectlon for Anderson Homes called In by ~ Al Jansen at Ph#670-9451. BL9 01 10/20/03 BUILDING SHEARWALL Exterlor shear wall nalllng lnspectlon Ph# 461-2733 Called In by DennlS -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 10/28/03, 12 53 04 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 10/28/03 -------------------------~---------------------------------------------------------------------- ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 2418 W 14TH ST ANDERSON HOMES LLC RUTHERFORD, RL/TROTTER T JTROS 06-30-00-1-0-8005-0000- 03-00000733 RES NEW SFR SUBDIV PHONE PHONE (360) 452-4641 (360) 452-4640 ----------------~------------------------------------------------------------------------------- PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME6 10/28/03 ~ ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- 01 MECHANICAL GAS LINE propane gasl~ne 808-0668 TIME 17 00 PREPARED 10/28/03, 12 53.04 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER, INSPECTION TICKET INSPECTOR JAMES L LIERLY 2418 W 14TH ST ANDERSON HOMES LLC RUTHERFORD, RL/TROTTER T JTROS 06-30-00-1-0-8005-0000- 03-00000733 RES NEW SFR PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT PL2 01 DESCRIPTION RESULTS/COMMENTS 10/28/03 ~ -------------------------------------- COMMENTS PLUMBING ROUGH-IN rough p1umb~ng 808-0668 AND NOTES -----------------------------------___ SUBDIV PHONE PHONE (360) 452-4641 (360) 452-4640 TIME 17 00 PAGE DATE 3 10/28/03 PREPARED 11/06/03, 12-08 21 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 11/06/03 ------------------------------------------------------------------------------------------------ (360) 452-4641 (360) 452-4640 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 2418 W 14TH ST ANDERSON HOMES LLC RUTHERFORD, RL/TROTTER T JTROS 06-30-00-1-0-8005-0000- 03-00000733 RES NEW SFR SUBDIV PHONE PHONE -----------------------------------------------------~------------------------------------------ PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/12/03 9/15/03 BI2 01 9/17/03 9/17/03 BL9 01 10/20/03 10/20/03 BLI 01 11/06/03 JLL AP JLL AP JLL AP ~ BUILDING FOUNDATION FOOTING Permlt In Tube at locatlon Footlng Inspectlon requested by Allen Janssen at 670-9451 BUILDING FOUNDATION WALL Foundatlon Wall lnspectlon for Anderson Homes called In by Al Jansen at Ph#670-9451 BUILDING SHEARWALL Exterlor shear wall nalllng lnspectlon Ph# 461-2733 Called In by DennlS BUILDING INSULATION soff~t lnsulatlon for cover, front & rear Dennls 461-2733 TIME- 17 00 COMMENTS AND NOTES ------------------------------________ PREPARED 11/12/03, 12 17 49 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 11/12/03 ------------------------------------------------------------------------------------------------ (360) 452-4641 (360) 452-4640 ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER 2418 W 14TH ST ANDERSON HOMES LLC RUTHERFORD, RL/TROTTER T JTROS 06-30-00-1-0-8005-0000- 03-00000733 RES NEW SFR SUBDIV PHONE PHONE ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/12/03 JLL 9/15/03 AP BI2 01 9/17/03 JLL 9/17/03 AP BL9 01 10/20/03 JLL 10/20/03 AP BLI 01 11/06/03 JLL 11/06/03 AP BUILDING FOUNDATION FOOTING Permlt In Tube at locatlon Footlng Inspectlon requested by Allen Janssen at 670-9451 BUILDING FOUNDATION WALL Foundatlon Wall lnspectlon for Anderson Homes called In by Al Jansen at Ph#670-9451. BUILDING SHEARWALL Exterlor shear wall nalllng lnspectlon Ph# 461-2733 Called In by Dennls BUILDING INSULATION sofflt lnsulatlon for cover, front & rear Dennls 461-2733 front and rear sofflt area only ok to cover/Jlm BUILDING AIR SEAL TIME. 17 00 01 11/12/03 ~ -------------------------------------- COMMENTS AND NOTES -------------------------_____________ BUILDING FRAMING BAIR 01 11/12/03 BL3 PREPARED 11/14/03, 12,40 32 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 11/14/03 2418 W 14TH ST ANDERSON HOMES LLC RUTHERFORD, RL/TROTTER T JTROS 06-30-00-1-0-8005-0000- 03-00000733 RES NEW SFR SUBDIV, PHONE (360) 452-4641 PHONE, (360) 452-4640 --------------------------~--------------------------------------------------------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/12/03 JLL 9/15/03 AP BI2 01 9/17/03 JLL 9/17/03 AP BL9 01 10/20/03 JLL 10/20/03 AP BLI 01 11/06/03 JLL 11/06/03 AP BUILDING FOUNDATION FOOTING Permlt In Tube at locatlon Footlng Inspectlon requested by Allen Janssen at 670-9451 BUILDING FOUNDATION WALL Foundatlon Wall lnspectlon for Anderson Homes called In by Al Jansen at Ph#670-9451 BUILDING SHEAR WALL Exterlor shear wall nalllng lnspectlon Ph# 461-2733 Called In by Dennls BUILDING INSULATION sofflt lnsulatlon for cover, front & rear Dennls 461-2733 front and rear sofflt area only ok to cover/Jlm BUILDING AIR SEAL TIME 17 00 11/12/03 JLL 11/12/03 AP BL3 01 11/12/03 JLL BUILDING FRAMING 'LL__O'___::;::;::___~___::::!::;:~::::'::: NO'" ____________________________________ BAIR 01 PREPARED 11/17/03, 12 46 41 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 11/17/03 2418 W 14TH ST ANDERSON HOMES LLC RUTHERFORD, RL/TROTTER T JTROS 06-30-00-1-0-8005-0000- 03-00000733 RES NEW SFR (360) 452 -4641 (360) 452 -4640 SUBDIV PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING INSULATION Insulatlon Dennls 461-2733 ~ BUILDING SHEARWALL IBWP osb after 2pm/Jlm ----------------------- ------------- COMMENTS AND NOTES BL1 01 9/12/03 JLL 9/15/03 AP BI2 01 9/17/03 JLL 9/17/03 AP BL9 01 10/20/03 JLL 10/20/03 AP BLI 01 11/06/03 JLL 11/06/03 AP BAIR 01 11/12/03 11/12/03 11/12/03 11/12/03 11/14/03 11/14/03 JLL AP JLL AP JLL AP BL3 01 BLI 02 BL9 11/17/03 02 BUILDING FOUNDATION FOOTING Permlt In Tube at locatlon Footlng Inspectlon requested by Allen Janssen at 670-9451 BUILDING FOUNDATION WALL Foundatlon Wall 1nspect1on for Anderson Homes called 1n by Al Jansen at Ph#670-9451 BUILDING SHEARWALL Exter10r shear wall nall1ng 1nspect1on Ph# 461-2733 Called 1n by Denn1s BUILDING INSULATION sofflt lnsulatlon for cover, front & rear Dennls 461-2733 front and rear soff1t area only ok to cover/J1m BUILDING AIR SEAL TIME 17 00 BUILDING FRAMING PREPARED 11/24/03, 12 49 27 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 11/24/03 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 2418 W 14TH ST ANDERSON HOMES LLC RUTHERFORD, RL/TROTTER T JTROS 06-30-00-1-0-8005-0000- 03-00000733 RES NEW SFR SUBDIV PHONE PHONE (360) 452-4641 (360) 452-4640 ----~------------------~------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION Typ/sQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 9/12/03 JLL BUILDING FOUNDATION FOOTING TIME: 17 00 9/15/03 AP Perrmt 1n Tube at locat1on. Foot1ng Inspect10n requested by Allen Janssen at 670-9451 BI2 01 9/17/03 JLL BUILDING FOUNDATION WALL 9/17/03 AP Foundat1on Wall lnspectlon for Anderson Homes called 1n by Al Jansen at Ph#670-9451 BL9 01 10/20103 JLL BUILDING SHEARWALL 10/20103 AP Exter10r shear wall na111ng 1nspect1on Ph# 461-2733 Called 1n by Denn1S BLI 01 11/06/03 JLL BUILDING INSULATION 11/06/03 AP soff1t lnsulatlon for cover, front & rear Denn1s 461-2733 front and rear soff1t area only ok to cover IJ 1m BAIR 01 11/12/03 JLL BUILDING AIR SEAL 11/12/03 AP BL3 01 11/12/03 JLL BUILDING FRAMING 11/12/03 AP BLI 02 11/14103 JLL BUILDING INSULATION 11/14/03 AP Insulat10n Denn1s 461-2733 BL9 02 11/17/03 JLL BUILDING SHEARWALL 11/17/03 AP IBWP osb after 2pm/]1m BLDR 01 11/24/03 R- BUILDING DRYWALL Inter10r sheet rock na111ng shear walls Denn1s 461-2733 -------------------------------------- COMMENTS AND NOTES -------------------------_____________ c PRBPARED 1/26/04, 12 13 13 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 1/26/04 2418 W 14TH ST ANDERSON HOMES LLC RUTHERFORD, RL/TROTTER T JTROS 06-30-00-1-0-8005-0000- 03-00000733 RES NEW SFR (360) 452-4641 (360) 452-4640 SUBDIV PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING INSULATION Insulatlon Dennls 461-2733 BUILDING SHEAR WALL IBWP osb after 2pm/Jlm BUILDING DRYWALL Interlor sheet rock nalllng shear walls DennlS 461-2733 BL99 01 1/26/04 JLL BUILDING FINAL TIME 17 00 --------------------~---~:::~: :::~:::: AND NOTES -------------------------------------- BL1 01 9/12/03 JLL 9/15/03 AP BI2 01 9/17/03 JLL 9/17/03 AP BL9 01 10/20/03 JLL 10/20/03 AP BLI 01 11/06/03 JLL 11/06/03 AP BAIR 01 11/12/03 11/12/03 11/12/03 11/12/03 11/14/03 11/14/03 JLL AP JLL AP JLL AP BL3 01 BLI 02 BL9 11/17/03 11/17/03 11/24/03 11/24/03 JLL AP JLL AP 02 BLDR 01 BUILDING FOUNDATION FOOTING PermIt In Tube at locatIon Footlng Inspectlon requested by Allen Janssen at 670-9451 BUILDING FOUNDATION WALL Foundatlon Wall lnspectlon for Anderson Homes called ln by Al Jansen at Ph#670-9451 BUILDING SHEARWALL ExterIor shear wall naIlIng InspectIon Ph# 461-2733 Called ln by DennlS BUILDING INSULATION soffIt InsulatIon for cover, front & rear Dennls 461-2733 front and rear sofflt area only ok to cover/Jlm BUILDING AIR SEAL TIME 17 00 BUILDING FRAMING BUILDING DIVISION CITY OF PORT ANGELES * * Job Located at Correction Notice j Lf fit ~v{( r w Inspection of your work revealed that the following is not in accordance with the codes governing the work in this juriSdiction: (). ~~s.ul'lM ~bLvva}i/~ -D~I~ 0 Wtp ~ be- ~uDepo~~J- ~ ~fL, w I~ ~'L:)~ , , ~ \i ~ y~, ~~ IS ~IS t:~wu ~~{~ hi ~ ~~,-J,,,^- These corrections must be made and are not to be covered until reinspection is made. When corr~ns have been made, please call - t-I for inspection. ; Date Ii J d-.(. fD~ I I nspector for Building DlvlsYon DO NOT REMOVE THIS TAG PREPARED 1/28/04, 12.37,39 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR ROGER VESS PAGE DATE 4 1/28/04 2418 W 14TH ST ANDERSON HOMES LLC RUTHERFORD, RL/TROTTER T JTROS 06-30-00-1-0-8005-0000- 03-00000733 RES NEW SFR (360) 452-4641 (360) 452-4640 SUBDIV' PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING INSULATION Insulatlon DennlS 461-2733 BUILDING SHEARWALL IBWP osb after 2pm/Jlm BUILDING DRYWALL Interlor sheet rock nall1ng shear walls DennlS 461-2733 BUILDING FINAL DennlS 461-2733 PRESSURE RELIEF VALVE ON W/H TO BE SEPARATED FROM OTHER W/H RELIEF DRAIN 3/4" ID RV BUILDING FINAL OK DennlS 461-2733 ------------------------~~------- COMMENTS AND NOTES -------------------------------------- BLl 01 9/12/03 JLL 9/15/03 AP BI2 01 9/17/03 JLL 9/17/03 AP BL9 01 10/20/03 JLL 10/20/03 AP BLI 01 11/06/03 JLL 11/06/03 AP BAIR 01 11/12/03 11/12/03 11/12/03 11/12/03 11/14/03 11/14/03 BL3 01 BLI 02 BL9 11/17/03 11/17/03 11/24/03 11/24/03 02 BLDR 01 BL99 01 1/26/04 1/27/04 BL99 02 1/28/04 JLL AP JLL AP JLL AP JLL AP JLL AP JLL DA BUILDING FOUNDATION FOOTING Permlt lTI Tube at locatlon Footlng Inspectlon requested by Allen Janssen at 670-9451 BUILDING FOUNDATION WALL Foundatlon Wall lnspectlon for Anderson Homes called In by Al Jansen at Ph#670-9451 BUILDING SHEARWALL Exterlor shear wall nalllng lnspectlon Ph# 461-2733 Called In by DennlS BUILDING INSULATION sofflt lTIsulatlon for cover, front & rear Dennls 461-2733 front and rear sofflt area only ok to cover/Jlm BUILDING AIR SEAL TIME 17 00 BUILDING FRAMING TIME 17 00 ~of~ ~ 1!.. -- "l.&<1C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00000963 Date 10/01/03 2418 W 14TH ST 06-30-00-1-0-8005-0000- ELECTRICAL ONLY o Owner Contractor RUTHERFORD, RL/TROTTER T JTROS 4205 SO C STREET PORT ANGELES WA 98363 (360) 452-4640 SHAMP ELECTRICAL CONTRACTING PO BOX 383 PORT ANGELES WA 98362 (360) 452-1689 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE TEMP POWER SHAMP ELECTRICAL 40.90 10/01/03 3/30/04 CONTRACTING Plan Check Fee Valuation .00 o Qty Unit Charge Per 1.00 40.9000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 40.90 ~ \) ~ ~ Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.90 - 40.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40.90 40.90 .00 .00 ~t ~~ ~ ~ ~ L Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [412002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE - ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING - UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR WALL WALLS 1 ROOF 1 CEILING DRYWALL T-BAR INSULATION SLAB I WALL 1 FLOOR 1 CEILING I MECHANICAL -0 HEAT PUMP WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA. ~f ~ t/Z/ J a..- 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 /()h/03 Au> ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. 1 PWI 7" CONSTRUCTION - R.W. ENGINEERING 4 I 7-4807 PW 1 ENGINEERING FIRE 4 I 7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1I02.15 [4/2002] e9/23/2BB3 B8:47 135B4521589 SHAMP ELEe PAGE Bl . ~ f~ if~ ~~~J .' II/L #0(,7,5 P leas~ type or reprInt In hlk. If you have any Questioll">, plea$e call (360} 4174735 / Fax oumbor: (360) 411-4711 ~ OW"., o,'Elec Con "C""A8.nt,~0>\'i'\~ 'f-\n::,,-MC9.:>J ('b'r\:-\". ,PkM.:~ F..' S>-me.... _..-L / \ Phone' Property OWl1er: ~-d ..._"_ __.__.__ ')~\ ~__~\_"t~\ ::::2::\:______Clty l>Q~Llli~1J::::s. Eectrlcal Contractor: }r1:\MP [LtC1IW.+L CD',li,' \', "2,,'~ I\JC Add'ess: P.C O:-~ "'''? .,,".._ City: fl'W~_.''';':''lL:) ~ ~~ ELECTRICAL PERMIT APPLICATION ~ The E lectrlca' Pe:""I.~ppllc"lIu" ",..1 L. 1I11.,d out comp'etel.. rnR nl'..U-IA.I. I'''''' nNI_Y ~rt".IF.~' .____.._____.__ rcrmit/l. _ f)1If"''4'pro"ed_.______ DQt<:I::::lI<:-:1: Address: L'p Cj 8?>h:3 llCCfl'ifJ :f::-',::J~~I;fJ.L 2~f'J~E xp: c='> Phone: %'i. '/(,,8"1 r.lf\ Z;p: '1r.3,,-,2- INSTALLATION WineD BY: C OVVNER X. ELECT~lC.AI. cnNTRArl OR Credit Card Holder Name: .5W:U..l2''/ :S~:H,U) Billing Address: _'}!Lj', i \.' Tr! stn (,. ,__ ..._ City: ~:::j___':::.:yl':~ ,VA. Zip: '153" 3 V/SA;:>\ Me: PROJECT ADDRESS:-.ffi\ ~ \r0 j 4'l'r\ ~-t TYPF. OF WORK: Check ;l1! that apply: I I Np.w o Alteration/Addition :J Residential 0 Multi-family o COlllrn€'rcial 0 Mobile Horne Sq.Ft. :J Remote Metsr [! Detached garage :J Hot Tub [J Swim Pool c:; Septic Pump C Low Voltage [! Telecom. Q Sig Numbe" of Cireur~ aoded or ollr:rcd: ~--- .. fl,.... ,\ .....~" ,..,.._ DESCRIPTION OF THE ELECTRICAL PROJECT:,_.3~~___ {0 '1'\/ (\ "IV I EIQctrical Load Addiljon~ and or subtraction,! S~rvic€! Infarm~tion ,'-':! B.asl?-ht:'l~rrl -:' Furnace ~ Heat Pump '":'FAn-W:::l1I KW KW TON -'-KW LAR ", Ovemead Service :-' T(;:mp Service ~I Underground Servic~ VOltage: ".___..._ Phase: C 1 .-:: 3 SeNjce Size: Fe@der Size: PAMC 14.05,060(8): For Industrial, commercial. & resident,al projects largor Ulan a duplex, a one -line drawing afthe Electrical Service 1\ Feeders. building slz@ (,q Itl. load calculations. and the tv pe & of conductors ol1rllor raceway i 0 I hereby certify that I have read and examined this application and know that same to be true and correct, and I ar ;mfhnri7ed to apply for this pelmit. I understand it is not the City's legal responsibility to determine what permits are required: it remains the applicants responsibility to determine what permits are required and to obtain such. ,-'({il pc Lt.l5?-- {S,-rHLLcV lJ.:P 1(, C?I, . CK-./ G/- ( Crod;t Cord Holdor'.SigMture' ~%d~~ D..e:--.9-~~_3 ./ y 0-/ 'l"~; J</ n_r) ~D?-. ""\ Owner or Elee. Cont. Signrltuf(l: v"" .~ v;,L:.- D;tte: ""'\ .__F 'J PERMIT FEE: $ 4a .~O PW-901917103