HomeMy WebLinkAbout429 W 6th St - BuildingPREPARED 3/09/11 9 13 34 INSPECTION TICKET PAGE 15
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/09/11
ADDRESS 429 W 6TH ST SUBDIV
TENANT NBR JOANNE ELLEN RIVERSTONE
CONTRACTOR ALL WEATHER HTG COOLING INC PHONE (360) 452 9813
OWNER JOANNE ELLEN RIVERSTONE PHONE (360) 640 1559
PARCEL 06 30 00 0 0 9464 0000
APPL NUMBER 0 00001 5 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 3/09/11 7�,L MECHANICAL FINAL TIME 01 00
t 1 -p March 3 2011 1 05 50 PM 1pangrle
jU JODI 640 1559
MECHANICAL FINAL HEAT PUMP
AFTERNOON
COMMENTS AND NOTES
Application Number 10 00001475
Application pin number 974375
Property Address 429 W 6TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 0 9464 0000
Tenant nbr name JOANNE ELLEN RIVERSTONE
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 5748
Application desc
INSTALL A DUCTLESS HEAT PUMP
Owner
JOANNE ELLEN RIVERSTONE
429 W 6TH ST
PORT ANGELES
(360) 640 1559
1 00
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98362
Permit MECHANICAL PERMIT
Additional desc DUCTLESS HEAT PUMP
Permit pin number 179200
Permit Fee 64 80
Issue Date 12/20/10
Expiration Date 6/18/11
Qty Unit Charge Per
BASE FEE
14 8000 EA ME FURN /HP /FAU
Charged
64 80
00
64 80
Contractor
ALL WEATHER HTG COOLING INC
302 KEMP ST
PORT ANGELES WA 98362
(360) 452 9813
Paid Credited Due
64 80
00
64 80
Plan Check Fee 00
Valuation 0
OR 5 TON
00
00
00
Date 12/20/10
Extension
50 00
14 80
00
00
00
REPORT SALES TAX
on your state excise tax form
to the City of Port Angeles
(Location Code 0502)
/11
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
iAlaoho Viactn 01, ill eown KagA4>N1
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T Forms /Building Division /Building Permit
BUILIDING 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
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers p,
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
Inspection Type
Date Accepted By Comments
1
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 P, ESA.
Landscaping 1 SHORELINE.
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Date Accepted By
T Forms /Building Division /Building Permit L_.
o weokrA,,
Applicant PA\ j 7 1 1
Property Owner
Property Owner's Addres
Contractor- Q1 (1
Contractor's Address
PROJECT ADDRESS
Parcel Number
PJAVE,cirtge Brief Description.
Check all that apply
a New Construction
o Addition
,Remodel
o Repair
Demolition
o Re-roof
Meat System
❑`Other
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will afire sprinkler system be installed?
BUILDING PERMIT
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St. Port Angeles, WA 98382
(360) 417 -4815 fax (360) 417 -4711
'dw c Gm
GUI L*
License At ,1 icjA Expires
Phone
Phone
c U)Q LOh r t'
,kesidentlal Multi- family
.4
APPLICATION Print in ink
For City Use Only
Date Received 12..41'F-10
Permit# to i IS
Date Approved
Phone Q() L F4R C-J
'r 4 \!W S lA. °led
E -mail aLt_21CenI'1 ).c�_XYI
Lot Zoning
a Commercial a Industrial
o House o garage a other o tear off re -roof o lay over one layer
)bleat pump o wood buming stove o gas fireplace o pellet stove_ o other Cityt `j
Floor Areas Existing (sq. ft) proposed (so. ft)
Basement per sq. ft.
l Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION v e 1 4%
Total footprint of structures sq. ft. Lot size sq. ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios,
and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage
ft.
I have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and understand
that it my responsibility to determine what permits are requite and to obtain permits prior to, Mg on pro ects.
Datek91c O Print Name V1 tY1 Lk �1 t x L Signature S i L.
T:Forme/BulldIng Olvislon /eldg Permlt.doc v
Z0 /Z0 39Cd 9NI1C3H a3H1V3M 11v
Occupancy group
Occupant load
Construction type
of bedrooms
of full baths
of half baths
1
LLT9Z5b09£T 0S TT 0T0Z /OZ /ZT
Clallam County Assessor Treasurer Property Details 56375 JOANNE ELLEN RIVE Page 1 of 7
Clallam County Assessor Treasurer
Property Search Results 56375 JOANNE ELLEN RIVERSTONE for Year 2011 2012
Property
Account
Property ID 56375 Legal Description
Geographic ID' 0630000094640000 Agent Code
Type Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11
Open Space. N DFL N
Historic Property' N Remodel Property N
Multi Family Redevelopment: N
Township Section.
Range
Location
Address. 429 W SIXTH ST Mapsco
PORT ANGELES WA 98362
Neighborhood Cycle 5 Res Map ID 2
Neighborhood CD' 10955130
Owner
Name. JOANNE ELLEN RIVERSTONE Owner ID
Mailing Address: 429 WEST 6TH STREET Ownership
PORT ANGELES WA 98362
Taxes and Assessment Details
Property Tax Information as of 12/20/2010
Amount Due if Paid on E.
Exemptions.
LOT 13 BL 94 TPA
206713
100 0000000000%
NOTE If you plan to submit payment on a future date make sure you enter the
click RECALCULATE to obtain the correct total amount due
First Second
Half Half
Base Base
Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty Interest B ase Paid p
2010 39421 ST SCH STATE SCHOOL $143 99 $143 99 $0 00 $0 00 $287 98
2010 39421 CC -GEN COUNTY CLALLAM $76 62 $76 64 $0 00 $0 00 $153.26
2010 39421 PORT PORT OF PORT ANGELES $10 77 $10 77 $0 00 $0 00 $21 54
2010 39421 PORT ANG CITY OF PORT ANGELES $177 40 $177 43 $0 00 $0 00 $354 83
2010 39421 SD #121 SCHOOL DISTRICT #121 $186 50 $186 51 $0 00 $0 00 $373 01
2010 39421 NTH OLY LIB NORTH OLYMPIC LIBRARY $22.26 $22.27 $0 00 $0 00 $44 53
2010 39421 HOSP #2 HOSPITAL #2 $31 44 $31 43 $0 00 $0 00 $62.87
2010 39421 WSMET PK DIST WILLIAM SHORE MET PARK DIST $10 00 $10 00 $0 00 $0 00 $20 00
2010 39421 CITY_STORMWATER CITY STORMWATER $36 00 $36 00 $0 00 $0 00 $72.00
2010 39421 WEED_CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $1 63
2010 39421 TOTAL. $695.80 $695.85 $0.00 $0.00 $1391.65
2009 563752008 ST SCH STATE SCHOOL $164 14 $164 14 $0 00 $0 00 $328.28
2009 563752008 CC -GEN COUNTY CLALLAM $83 06 $83 08 $0 00 $0 00 $166 14
2009 563752008 PORT PORT OF PORT ANGELES $11 77 $11 76 $0 00 $0 00 $23 53
2009 563752008 PORT ANG CITY OF PORT ANGELES $_182.21 $182 19 $0 00 $0 00 $364 40
2009 563752008 SD #121 SCHOOL DISTRICT #121 $202.99 $203 00 $0 00 $0 00 $405_99
2009 563752008 NTH OLY LIB NORTH OLYMPIC LIBRARY $24 14 $24 13 $0 00 $0 00 $48.27
http.// vpn .clallam.net.8084 /propertyaccess /Property aspx ?cid =0 &year =2011 &prop_id =5 12/20/2010
Application desc
2 TON DUCTLESS HP/ SIMPSON EL
WA 98362
Owner
JOANNE ELLEN RIVERSTONE
429 W 6TH ST
PORT ANGELES
(360) 640 1559
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
10 00001494
300608
429 W 6TH ST
06 30 00 0 0 9464 0000
ELECTRICAL ONLY
Contractor
SIMPSON ELECTRIC
243036 W HWY 101
PORT ANGELES
(360) 457 9270
ELECTRICAL ALTER RESIDENTIAL
2 TON DUCTLESS HP/ SIMPSON EL
179432
76 10
12/28/10 Valuation
6/26/11
Plan Check Fee
Qty Unit Charge Per
1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER
1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT
Special Notes and Comments
December 28 2010 8 14 09 AM Brian 417 4708 OK
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
Signature of owner or Electrical Contractor X
Charged Paid Credited
76 10
00
76 10
76 10 00
00 00
76 10 00
INSPECTION TYPE DATE.
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
iz.i-z,ctito 4;
1 zhE
U
Date 12/28/10
REPORT STATE SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
WA 98363
Due
RESULTS
00
0
Extension
73 50
2 60
00
00
00
INSPECTOR.
Date
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 -4735 Fax: (360) 417-4711
Date:
1 2 Single Family Dwelling Multi Family or Commercial* Commercial Addition Alteration Remodel Repair"
Plan Review May Be Required, PI as Complete Electrical Plan Review Information Sheet
Job Address: 4 t 4- S.
Building Square Footage:
Description of above
Owner Information
Name: l iC taiga 40 rt e
Mailing A dres 4 ''3 1.4.; (p 5 ..5-1
City P. Kt State: (1V4 Zip: yg?
Phone: 6 go /SJ 7jax:
License Exp.
Item
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 -600 Amp
Service /Feeder 601 -1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circuit W/O Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service /Feeder 401.600 Amp.
Temp. Service /Feeder 601 -1000 Amp
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit/ Limited Energy First 1500 sf Commercial
Note: $5.00 for each additional 1500 sf
Signal Circuit/ limited Energy 1 2 Family Dwelling 63.90
Signal Circuit/ Limited Energy Multi- Family Dwelling I 63.90
Manufactured Horne Connection 119.90
Renewable Electrical Energy 5KVA System or Less i 102.30
Thermostat 56.00
NEW CONSTRUCTION ONLY:
First 1300 Square Ft, 110.30
Each Additional 500 Square Ft. or Portion of 35.20
Each Outbuilding or Detached Garage 73.50
Each Swimming Pool or Hot Tub 110.30
w[5r�
Unit Charg
119.90
145.50
204.60
262.20
372.50
2.60
73.50
2.60
92.70
110.30
148.70
167.90
95.90
88.20
95.90
Contractor Information
Name: 711 /NESe517 &kd'F'r
Mailing Ad��ss N 0 C
City N l State; Zip: h
Phone: 'S ?7Fax: :+f: �a
License /Exp. E-c z
9tt
Total (gbr Multlalied by Unit Charnel
1144 QTotal
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. Permit expires after six months of last inspectior
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..16B, The City of Port
Angeles Municipal Code, and Utility Specifications and PANIC 14.05.050 regarding Electrical Permit Applications.
Signature owrl electrical contracts dr electrical administrator cash Check f
/f c, Credit Card
4 4/ N /c72. 3 01M112010
PREPARED 9/08/10 8 23 40 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/08/10
ADDRESS 429 W 6TH ST
TENANT NBR MICHAEL /JOANNE GURLING
CONTRACTOR THURMAN SUPPLY
OWNER MICHAEL /JOANNE GURLING
PARCEL 06 30 00 0 0 9464 0000
APPL NUMBER 09 00001078 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
SUBDIV
PHONE (360) 457 8591
PHONE (360) 640 1559
ME6 01 10/21/09 JLL MECHANICAL GAS LINE
10/21/09 AP October 21 2009 8 03 29 AM 1pangrle
NEIL 477 1146
GAS LINE
HE REQUESTED AN INSPECTION AS EARLY AS POSSIBLE
October 21 2009 3 47 30 PM jlierly
ME99 01 9/08/10 JLL 1 MECHANICAL FINAL TIME 02 15
September 1 2010 10 53 10 AM 1pangrle
JODI 360 640 1559
MECHANICAL FINAL GAS FIREPLACE
PLEASE INSPECT AFTER 2 00 PM
PLEASE CALL HER 10 MINUTES BEFORE YOU GET THERE
COMMENTS AND NOTES
PREPARED 10/15/09 8 42 11 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/15/09
ADDRESS 429 W 6TH ST
TENANT NBR JOANNE GURLING
CONTRACTOR HUTCHINSON CONSTRUCTION LLC
OWNER MICHAEL /JOANNE GURLING
PARCEL 06 30 00 0 0 9464 0000
APPL NUMBER 09 00000904 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
SUBDIV
COMMENTS AND NOTES
PHONE (360) 417 0575
PHONE (360) 640 1559
BL3 01 10/13/09 JLL BLDG FRAMING
10/13/09 AP Phill 460 2151
Call 30 min prior so he can meet you there
October 13 2009 4 46 09 PM jlierly
BLI 01 10/15/.09 JLL BLDG INSULATION
October 15 2009 8 40 58 AM 1pangrle
PHIL 460 2151
INSULATION DORMER
MORNING
PREPARED 10/13/09 8 30 47 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/13/09
ADDRESS 429 W 6TH ST SUBDIV
TENANT NBR JOANNE GURLING
CONTRACTOR HUTCHINSON CONSTRUCTION LLC PHONE (360) 417 0575
OWNER MICHAEL /JOANNE GURLING PHONE (360) 640 1559
PARCEL 06 30 00 0 0 9464 0000
APPL NUMBER 09- 00000904 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01 10/13/09
u
BLDG FRAMING
Phill 460 2151
Call 30 min prior so he can meet you there*
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 09 00000904 Date 9/11/09
Application pin number 541616
Property Address 429 W 6TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 0 9464 0000
Tenant nbr name JOANNE CURLING
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 2550
Application desc
ADD A DORMER AND 42 5 SF READING AREA UPSTAIRS
Owner Contractor
MICHAEL /JOANNE CURLING
429 W 6TH ST
PORT ANGELES WA 983625912
(360) 640 1559
Structure Information 000 000 BB
HUTCHINSON CONSTRUCTION LLC
P 0 BOX 1161
PORT ANGELES WA 98362
(360) 417 0575
Permit BUILDING PERMIT RESIDENTIAL
Additional desc ADD DORMER READING AREA
Permit pin number 152850
Permit Fee 109 75 Plan Check Fee 71 34
Issue Date 9/11/09 Valuation 2550
Expiration Date 3/10/10
Qty Unit Charge Per Extension
BASE FEE 95 75
1 00 14 0000 THOU BL 2001 25K (14 PER K) 14 00
Special Notes and Comments
September 8 2009 9 52 14 AM Brian 417 4708
Any new wiring to addition will require electrical permit
Other Fees
Fee summary
Tr ll12q /tiM J Sal OM
Date
T:FormsBuilding Division/Building Permit
STATE SURCHARGE 4 50
Charged Paid Credited
Due
Permit Fee Total 109 75 109 75 00 00
Plan Check Total 71 34 71 34 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 185 59 185 59 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days
after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
state or local law regulating construction or the performance of constr ction.
Print Name Signature of Contractor or Authoriz, Agent
G o
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 /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417
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
10- q5 -0
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I I ESA.
Landscaping SHORELINE.
FINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
R
Planning 417 -4750
Building 417 -4815 6 10 �L(.�
PREPARED 9/08/10 8 23 40
CITY OF PORT ANGELES
ADDRESS 429 W 6TH ST
TENANT NBR JOANNE GURLING
CONTRACTOR HUTCHINSON CONSTRUCTION LLC
OWNER MICHAEL /JOANNE GURLING
PARCEL 06 30 00 0 0 9464 0000
APPL NUMBER 09 00000904 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL3 01
BAIR 01
BL99 01
10/13/09
10/13/09
10/15/09
10 /15/09
9/08/10
JLL
AP
PB
AP
BLI 01 10/15/09 PB
10/15/09 AP
INSPECTION TICKET
INSPECTOR JAMES LIERLY
SUBDIV
BLDG FRAMING
Phill 460 2151
*Call 30 min prior so he can meet you there
October 13 2009 4 46 09 PM jlierly
BLDG AIR SEAL
October 15 2009 11 09 35 AM pbarthol
October 15 2009 11 10 02 AM pbarthol
BLDG INSULATION
October 15 2009 8 40 58 AM 1pangrle
PHIL 460 2151
INSULATION DORMER
MORNING
October 15 2009 11 10 14 AM pbarthol
BLDG FINAL TIME 02 15
September 1 2010 10 51 24 AM 1pangrle
JODI 360 640 1559
BUILDING FINAL ADD A DORMER AND 42 5 SF READING AREA
UPSTAIRS
PLEASE INSPECT AFTER 2 00 PM
PLEASE CALL HER 10 MINUTES BEFORE YOU GET THERE
COMMENTS AND NOTES
PHONE (360) 417 0575
PHONE (360) 640 1559
PAGE 3
DATE 9/08/10
6'1,,s\
g-i
cA ni\\
PROJECT ADDRESS
Parcel Number
Project Type Brief De
Check all that apply
New Construction
Addition
)`Remodel
Repair
Demolition
Re -roof
Heat System
Other
Floor Areas
Basement
1St Floor
2nd Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
4, Gur■i Ghai15e.A ha,Ime 4) 3 ari RiVers* one
BUILDING PERMIT APPLICATION Print in ink
Applicant 6
Property Owner 4 ,ljatJtsF /9UaL I N!s
Property Owner's Address LI (a
Contractor pit is i$ 1;1.1 S4I.3
Contractor's Address p, n,,
License 4 Expires
scription.
Max height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
CITY OF PORT ANGELES
Attn. Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
42-1 W
For City Use Only
Date Received 9-2...-0
Permit Clq-
Date Approved
a
Phone''
Phone
PO &EGa
Lot Zoning
E -mail
3 ��0 155
Phone (7- 0575
r Residential Multi- family Commercial Industrial
6F,TuJeeN 0012,1-14 uJit.tfaws A g i, nnA
A47011100 OP UPPE STA I>RAa. Re&.dtnc 4s+vc urea_
(1) 'Se joe-ree,ce r, vet t ■q h t' cross (4c- i
House garage other tear off re -roof lay over one layer
Heat pump wood- burning stove gas fireplace pellet stove other
Existina (sp. ft.)
576
T2
A3to
Proposed (sa. ft.)
ft.
tJo
S2 per sq ft. Z5G
reads n�
Qsiv
a
Occupancy group
Occupant load
Construction type
-N c:iu Pr l r y 5 TOTAL VALUATION
Total footprint of structures sq ft. T Lot size sq ft. Lot coverage
Site Coverage the amount of impervious surface on a parcel including structures, paved driveways sidewalks
and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage
Vl
I have read and completed this application and know it to he true and correct. t 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 orking on projects
Date
q G1 Pint Name -b
Nv I O J SGU-0M
T Forms /Building Divis o 'Bldg Permit.ucc
Signature
of bedrooms
of full baths
of half baths
patios
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CITY OF POT ANGELES Construction Plans
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
plar specifications and other data, or from preventing
building operations being carried on thereunder when in
violation of all codes and ornces of this jurisdiction. c
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2 T J0ANN GURLING 3 -1559
DRAWN AUGUST 2009
DON SGHUBA 452 -0207
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PREPARED 10/21/09 8 05 42 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/21/09
ADDRESS 429 W 6TH ST
TENANT NBR MICHAEL /JOANNE GURLING
CONTRACTOR THURMAN SUPPLY
OWNER MICHAEL /JOANNE GURLING
PARCEL 06 30 00 0 0 9464 0000
APPL NUMBER 09- 00001078 MECHANICAL APPL PERMIT
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 10/21/09
SUBDIV
COMMENTS AND NOTES
PHONE (360) 457 8591
PHONE (360) 640 1559
MECHANICAL GAS LINE
October 21 2009 8 03 29 AM 1pangrle
NEIL 477 1146
GAS LINE
HE REQUESTED AN INSPECTION AS EARLY AS POSSIBLE
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 09 00001078 Date 10/19/09
Application pin number 145048
Property Address 429 W 6TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 0 9464 0000
Tenant nbr name MICHAEL /JOANNE CURLING
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 3240
Application desc
INSTALL GAS LINE GAS FIREPLACE
Owner Contractor
MICHAEL /JOANNE CURLING
429 W 6TH ST
PORT ANGELES WA 983625912
(360) 640 1559
Qty Unit Charge Per
42 /5' /9 ,6/4 G7SStz.9.2 ?0-✓
T:Forms/Building Division/Building Permit
THURMAN SUPPLY
1807 E FRONT ST
PORT' ANGELES
(360) 457 8591
Permit MECHANICAL PERMIT
Additional desc INSTALL GAS FIREPLACE
Permit pin number 155267
Permit Fee 121 30 Plan Check Fee 00
Issue Date 10/19/09 Valuation 0
Expiration Date 4/17/10
BASE FEE
1 00 10 6500 EA ME STOVE /FIREPLACE /MISC APP
1 00 10 6500 EA ME FUEL GAS PIPING 1 5 OUTLETS
1 00 50 0000 HR ME INSPECTION MIN 1 HR
Fee summary Charged Paid Credited
Due
Permit Fee Total 121 30 121 30 00 00
Plan Check Total 00 00 00 00
Grand Total 121 30 121 30 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days
after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit d.es no .resume to give authority to violate or cancel the provisions of any
state or local law regulating construction or the performance of constructs
WA 98362
Extension
50 00
10 65
10 65
50 00
Date Print Name Signature of Contra tor or Authorized Agent 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
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 I Ceiling
MECHANICAL.
Heat Pump Furnace FAU I Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
I8 —7 I-0'1
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
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC
TYJE OF WORK.
Residential New Constr Re -roof
Multi- family Addition Move
Commercial Remodel Demolition
Repair Sign
BRIEF DESCRIPTION OF THE PROJECT
i /✓S Tic_ �i� S /�✓e.
COMMERCIAL/RESIDENTIAL. Occupancy Group.
No. of Stories. Lot Size: Existing Sq. Ft.
Total lot coverage
PLANNING USE ONLY
T•\Policies\BIr1102_13.wpd Applicant:
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Applicant or Agent: ie/J7i t, c P' `'7
Owner �d 4Y'F L Gc/2L
Address Z-9 J City
Architect/Engmeer
Contractor �f�/Z BATS
Address /RD 7 6 20n/7 City
PROJECT ADDRESS V29 iJ t
LEGAL DESCRIPTION Lot: Block:
CLALLAM COUNTY PARCEL NUMBER.
r Phone:
State License .0 y S
i�,er /0 Z`S
Stove
Garage
Deck
Other
AZe
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other.
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2
of the International Building/Residential Code, 2003) No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply
for this permit and understand that it is my po ibility to determine what permits are required ,not the City's, and that must
obtain such permits prior to work.
J%6S Fi
Phone:
Phone: 'S'C 5
62T /Q�G>t -t. Zip 5 C�S
Subdivision.
City.
Exp. Date:
SIZE/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION "gZ 4
Occupant Load: Construction Type:
Proposed Sq. Ft. TOTAL Sq Ft.
Date: /D
ZONING
FOR OFFICIAL USE ONLY
10 -19 0q
Date Rec.
Permit o°I to 7.5
Date Approved.
Date Issued:
Phone: 44 gsv
Zip 98365
APPROVALS.
PLAN
BLDG
DPWU
FIRE.
OTHER
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
top floor remodel 4 circuits
Owner
Gurling Joanne
429 W 6TH ST
PORT ANGELES
Permit ELECTRICAL
Additional desc
Permit pin number 154989
Permit Fee 63 50
Issue Date 10/12/09
Expiration Date 4/10/10
Qty
1 00
3 00
Unit Charge
57 5000
2 0000
Fee summary Charged
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
63 50
00
63 50
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
09 00001053
909714
429 W 6TH ST
06 30 00 0 0 9464 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
DATE
Contractor
BEST ELECTRIC
P 0 BOX 2445
WA 983625912 SEQUIM
SEQUIM
(460) 2248
ALTER RESIDENTIAL
Plan Check Fee
Valuation
Per
ECH EL BRANCH CIRCUIT WO /FEEDER
ECH EL -ECH ADDNT BRANCH CIRCUIT
Paid Credited
63 50 00
00 00
63 50 00
/o 12bc3
Date 10/12/09
WA 98382
RESULTS
00
0
Extension
57 50
6 00
Due
00
00
00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
City of Port Angeles Permit Application
Building Division /Electrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph. (360) 417.4735 Fax: (360) 417.4711
Date: /bliZ -Ar
%.1 2 Single Family Dwelling
Multi Family or Commercial*
Commercial Addition Alteration Remodel Repair*
*Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet
Job,Address: `1 61/4) 6 ST
Building Square Footage.
Description of above "r2. um°Q TZaEj 1 o f.:1 en) 1 L
Owner Information
Name. .)QANA) F.-
Mailing Address.
City'
Phone.
License Exp
Unit Charge
93.75
$113 75
$160 00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75 00
69.00
75,00
50.00
50.00
93.75
80 00
86.25
27.50
57.50
86.25
43 75
ill 1—U 4r
'AD 4-',S1
State Zip:
Fax:
YP`71oz,
Signature of owner electrical contractor or electrical administrator
a OtriZ 'MT
k —t Date: IQ //Z k,
Contractor Information
Name' Rte?
Mailing Address:
City .51r401 M
Phone.
License Exp
Total (Qty Multiplied by Unit Charae)
Service /Feeder 200 Amp.
Service /Feeder 201 -400 Amp.
Service /Feeder 401 -600 Amp.
Cash
El Check
Credit Card
Service /Feeder 601 1000 Amp.
Service /Feeder over 1000 Amp
Branch Circuit W/ Service Feeder
Branch Circuit W/O Service Feeder
1. e0 Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service /Feeder 201 -400 Amp
Temp. Service /Feeder401 -600 Amp
Temp. Service /Feeder 601 1000 Amp.
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit/ Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
6,3,Li Total
State. i) ip: V3132
Fax:
Owner as defined by RC W 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.
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
08-00000831 Date
590216
429 W 6TH ST
06-30-00-0-0-9464-0000-
JOANNE GURLING
RES FOUNDATION REPAIR
7/16/08
RS7 RESDNTL SINGLE FAMILY
2500
Application desc
SEISMIC IMPROVEMENTS TO FOUNDATION
Owner .
Contractor
MICHAEL/JOANNE GURLING
PO BOX 2404
FORKS WA 98331
ALPHA BUILDER CORPORATION
703 S. LINCOLN ST.
PORT ANGELES WA 98363
(360) 775-0759
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc SEISMIC IMPROV. ON FOUNDATION
Permit pin number 129965
Permit Fee 109.75 Plan Check Fee 43.90
Issue Date 7/16/08 Valuation 2500
Expiration Date 1/12/09
Qty Unit Charge Per Extension
BASE FEE 95.75
1. 00 14.0000 THOU BL-2001-25K (14 PER K) 14.00
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 109.75 109.75 .00 .00
Plan Check Total 43.90 43.90 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 158.15 158.15 .00 .00
Fi h cd
1~2 eel
5_ o<S
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
cons ructi
.--"
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
T: Forms/Building DivisionlBuilding Permit (I % 1/07). wpd
t-.
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. 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.
g
1
0")
vJ
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDA TION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLOGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS I GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS I ROOF I CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULA T10N
SLAB
W ALL I FLOOR I CEILING
MECHANICAL
HEAT PUMP I FURNACE I DUCTS
GAS LINE
WOOD STOVE I PELLET I CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LlGHTlNG ESA:
LANDSCAPING . SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 -, -213-06 -:ru..-- BUILDING
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Alpha Builder Corporation
703 South Lincoln Street
Port Angeles, W A 98362
~V'yYt;r
Estimate
DATE ESTIMATE NO.
7/3/2008 394
NAME/ADDRESS
fiLE
Joan Gurling
429 W 6th
Port Angeles, W A 98362
OF PORT ANGELES - Construction ['Ians
~n T
The Issuance of this permit based upon these p.la~s, spe.Ct.I-
cations and other data shall not preve~t the bUilding i~lf~~~
Irom thereafter requiring the correctIon of errors r
'ficaticns and other data, or from preven I~g
pla:1s, spec I '. . . d on thereunder when III
~~~i~~~~ ~e~~;I~:~e~el:;d c~;~i~ances of this iurisdiction. l.p ~c..
'"{SECTION 3B3(~)~~de.)! ~
ilpproval Date ~ y ~ b
~ t\ ~ ~t::Vt- "
DESCRIPTION
We propose to install the following items in order to improve the seismic connection between the house and
the foundation. The following items will be installed as prescribed by the manufacturer and approved by the
Port Angeles Building Department. We also propose to secure the hot water heater to a new post.
angle brackets (A24) for concrete to post attachment (see attached cut sheet). One A24 is attached to ever post
that is not secured to its post pad or floor.
Foundation Stud Anchor (FSA) to anchor beams & joists to concrete foundation. The attached sheet does not
show a recommended spacing but does show the application. The verbal prescriptive recommendation by
Simpson Strong Tie engineers is to attach a FSA to every other joist for one story buildings.
build a new box beam per the diagram on the above FSA cut sheet at the north wall.
Universal foundation Plate (UFP) to attach treated plate to foundation at locations where the plate is not bolted
to the foundation. The recommended distance apart is 6 feet. (see attache cut sheet)
Replace decayed or sub code posts with a pressure treated post.
Connect the top of posts to beams with OSB or metal gussets
strap hot water heater to new post.
SIGNATURE
Page 1
Alpha Builder Corporation
703 South Lincoln Street
Port Angeles, W A 98362
Estimate
DATE
ESTIMATE NO.
7/3/2008 394
NAME I ADDRESS
Joan Gurling
429 W 6th
Port Angeles, W A 98362
DESCRIPTION
install post next to hotwater heater for attaching the hot water heater strapping to, with an A24 at the base and
a wood or metal gusset at the top of post.
Building Permit - The local building department will inspect the completed job.
Earthquakes are a natural phenomena. An Earthquake's impact can very from house to house and from
neighborhood to neighborhood. The above seismic improvements are recommended applications of Simpson
Strong Tie products used to secure the frame structure of a house to a foundations against seismic uplift and
lateral movement. These improvements will strengthen your house against an earthquake and reduce the
damage that it would otherwise cause. There is no guarantee that you will not experience damage in an earth
quake.
Alpha Builder is not an engineering firm. We strongly suggest you consult an engineer for an engineered
seismic design. The engineered design will be tailer made for your house and a step up from the standard
improvements that we are proposing here. Should you decide that you would like an engineered solution we
would be happy to refer you to an engineer.
Alpha Builder does not warranty the fitness of the existing structure or foundation to resist an earthquake.
sales tax
SIGNATURE
Page 2
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BUILDING PERMIT APPLICA TION 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
For City Use Only,'
Date Received - I
Permit #
Date Approved
PROJECT ADDRESS
Ph e' '1 'j;J, - 3 ) Y1
Phone ~~-~c..c()- )':J5j
L3 ? )-y
Applicant or Agent
Property Owner
Property Owner's Address
Contractor/Engineer
Contractor/Engineer's Ad
License # A I p~ J3 [I~ 'lJ ~;j I j)./
~.:HOlP) } 1Y
\
Parcel Number
Lot
Zoning
Proiect Tvoe & Brief Descriotion: o Residential o Commercial o Multi-family o Industrial
Check all that apply
o New Construction
o Addition
o Remodel
o Repair
oRe-roof
o Demolition
o Heat System o Heat pump 0 wood-buming stove 0 gas fireplace 0 pellet stove 0 other J
"llir..other E\~_ i.""i t.-t-. JM I ,~ /1 ... ,~l::. ~ h: , ..L.r .
.r
Floor AteaS ExistinQ (SQ. ft.) Prooosed (SQ. ft.)
Basement @$ per sq. ft. = $
1st Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
other
Z,
TOTAL VALUATION $ -:J "-Jrr..J{./ ~/_,...
Total footprint of structures
sq. ft. -:- Lot size
sq. ft. = Lot coverage
%
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
fl
Occupancy group
Occupant load
Construction type
# 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 ~ is my respons;bUity to dele""ine what petmits are requimd. and to obtain pennzng on
projects.
Date~ PrtntName-!C~~ 'T~J!"3 Sign~C-----~ ~-<"
T:FormslBuilding DivisionIBldg Permit AppI.-2006 Code.doc
-'
/373
FEE RECEIPT NUMBER
, CITY OF PORT.ANGELES
., DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
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PERMIT NUMBER
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TOTAL FEE - ~
CONT. Lie. NO. 1IM,EJ~'~OMPL:p~\ .... NO. STORIES LEGAlOCCUPANCY
Site Address
ELECTRICAL PERMIT ONLY
1- 2. q {,U, (;-r4.
CORRECT ADDRESS.. IS, ~ESPONSIBILlTY OF APPLICANT
7' CUJ f, MC.5..fI.-
NO OCCUPA"'NCY OR USE ESTABLISHED UNDER THIS PERMIT
Owner's Address
Installation By
Installers Address
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
fL~( rrtLfc
S''UL 1// C L
Owner
~
Day Phone - Installers Phone
Application is hereby made fOf Permit to install Electrical Equipment as foltows:
Q!1~~ ST./LJICL i Irvr-f.r1(L m1. tv b /
Vi) T4-7/U ,
35'00 (.J /f>-A-t- [} 1,
Wiring Met~od
..
NUMBER . AMP 120V 240V NUMBER AMP .120V 240V
USE OF CIRCUIT CIRCUITS PER '0 ,00R FEE USE OF CIRCUIT CIRCUITS PER '0 ',00R FEE
CIR 30 CIR 30
L1GH" SIGN
LIGHT . 50 VOLTS
OR lESS
CONVENIENCE - . MOTOR ..
CONVENIENCE ... MOTOR , -
APPLIANCE - MOTOR n
DISHWASI:iER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN ,
WATER HEATER
LAUNDRY
DRYER REINSTALLATION LIGHT FIXTURE # .
FURNACE SUB TOTAL FEE
GAS - OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT -
. TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE A.W.G.
-
I SUB-TOTAL - .-
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made
,19
By
CONTRACTOR OR OWNER (OA AUTHORIZED AGENT)
P.ermission is here~y given to do the above.described w.or.k, according to the conditions hereon and according to the approved plans and
specifications pertaining thi; ;;7f07omPliance with the o::nanC7CIY~T?:;;t r
. Date Permit Issued ( PLANS APPROVED ~ I
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned qn before. inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ex!. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WARNING
WHITE. Original CANARY. Duplicate PINK - Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
DATE OF VISIT
<b..nJR1
.
REPORT OF INSPECTOR
MA~E BY
REMARKS
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/37'/
FEE RECEIPT NUMBER
~
.. CITY OF PORT ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
//.3/
PERMIT NUMBER
.
TOTAL FEE / b oJJ--
CONT.lIe. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
Site Address
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
Owner
Owner's Address )D
PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Installation By 'i Lf.L7'>< / L S"ijZ.Y ( C. L..
Installers Address
Day Phone Installers Phone
Application is hereby made for Permit to install Electrical Equipment as follows:
(<.<;c,vlfL'i....d GA.A-~ 'i:... f o.rtQ ]@ //ftJE. I
~t4IJlIJ/:I!~~td!@-
Wiring Method
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V .
USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT SIGN .
LIGHT 50 VOLTS
OR lESS
CONVENIENCE MOTOR
CONVENIENCE MOTOR
APPLIANCE MOTOR
DISHWASHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
RANGE MISC.
OVEN
WATER HEATER
LAUNDRy
DRYER REINSTALLATION LIGHT FIXTURE #
FURNACE SUB TOTAL FEE
GAS. OIL
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTRIC HEAT
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
SERVICE AW.G.
I SUB-TOTAL SIZE OF GROUND SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code.
Date Application made
,19
By
CONTRACTOR OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.
~~IRECTOR ITY LIGHT
By
PLANS PP OVED \ ~ '
,
Notify Department of City Light by Street Address and Permit Number when ready'for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
.
Date Permit Issued
WARNING
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE - Original CANARY - Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
f'll VUPI(' PPlhITI:P<::; 11\1('.
REPORT OF INSPECTOR ,.
~
DATE OF VISIT MADE BY REMARKS ,
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CITY or PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17869
:J -/ J..3
Port Angeles, WashlngtolL.m.._........n.......mmm...m..m................. 19,0000000
In accordance with the City Ordinance to regulate the Installation. extension. or repair of elec-
trical equipment in. on, or about any building or other structure In the City of Port Angeles. per-
mission is hereby granted to d6 electrical work as listed below.
~:~:;s. ...~~::.1z:~::::::::::::::::::::::...~::~:~:::.n~::~~~.~~.~::::~~=:~::=~:::::::::::::::::::::::::::::
"00' t1) a ' 8fr yo
Wiring Contractor .m....mmn<:!i..,"".,L!:,c....",-:.~~~m.f:P.:::.By..nnnm.oonnmnm.moom...nn__noooo...mn....nn__n
r7 {/
Light Outlets..............................._.._..... Service, volts __..................................... Type of Wiring:
Armored Cable ..............................
Receptacle Outlets...............................
No. wires ............hu.......................
Dryer, KW n....un.n.............................
Size wlres..................._.............._..
Runge, KW.....h.............................
Main fuse .......................................
Water Heater:
Enclosure .......................................
KW.oonoo.. ............000000.00........
Type of Wiring:
Entrance Cable .............................
Heat: KW...........................................
Motors: size, volts and phase:
Rigid Conduit .................
Metallic Tubing .............
Current transformers:
No. & Size.......................................
Ser. No..............................................
Ser. No. .............................................
Scr. No. .............................................
Non.Metallic .................................
Knob & Tube.....................n..........
RIgid Conduit ...............................
Metallic Tubing ......................._..
Raceway ....n................._.....__..._
Circuits, Light.......................................
Utlllty ........................................00...
Ifeat ......................................._......
Range .............................................
Water Heater ...............................
Motor .............................................
Dryer....................._........................._
Furnace .........................'_...................
Total wad............................. Ser. NO.............................._............n Total ............................;;-........
C //+, . 0/
~:=~~~~:m::::::::::=:~~:~:::~~:::::~=:~~~:=:::::::::::::~:::~::~:~~~~i~:::~~~~~:::=:::-'
.;~~;~--;~~mnm.mm...ooooo__nm.mn..__oo..m.m....oooooooooooooomn......ooom.n:t?:l':r.m...oo;.ooomnnnnnmnm
$:../I..~.::..~n.........oo.n.. ::~.~.~:..~~.~:~~.~........ By ...:.....:.n".'.;~..n.nISC,&~~.~~,~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
cealed due noUce must be given the Inspector so that work may be Inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N~ 1 7 8 6 9
Address........................................................................................................................................Date..._......_.._.._.._.................._......_.........
Owner ..................................._......_.._......_......_n_........................................................... Tenant....................................................................
WirlngContractor........................n..............n................._.............................................................By.............................n...............................
NOTICE-Current must not be turned on until Cert1tlcate of Inspection has been issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Inc.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15861
7-3 7.k.
Port Angeles, Washlngtoll...................._........m..m.m..m.m...m...... 19m.....
In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec-
trical equipment in, on. or about any building or other structure In the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
Address .h-..~i}2...~..m.0:!:.T7..t?--~.'/....m---h------.mm.m Occupancyh_7-1...~__m...__...m.......
Owner mm_~!'..~'-12__m.~~.._ mm ,:tenant_____h___....m...._.......h___....._...._m......__.m.._m......
Wiring Contractor mm.&lI.k/2~.r?-l?... _....Cd"!..';f_~mm By_....mmmmm..mm....m...mm_.m.._..m.._._.m....
Light Outlets......._....._____....................... Service, volts ..../~/:?:f.'!_....... Type a! Wiring:
R t I Outlets No. wires ....~:3.......?12..........-'""......... Armored Cabl. ...-.........................
ecep ac e ..__.n........................ ~ _
SI I ~ Non-Metallic m_m.____....___b_...........
Dryer, KW....................n......._......_..... ze w res...._. .(j,! ...............l
(fQ 0 .J Knob & Tub................................._
Range, KW h....hnnnh.nn___...._ Mafn fuse "';,,:y.- - .....'rf..... ......
r RIgid Conduit ...............................
Water Heater: Enclosure .......J...___........______...___ I b
Meta lic Tu ing .....__no..___.....__.....
HeatK:~:::::~.~::lzr;;;.8B..
Type of wirIng;
Entrance Cable ..__.._____..................
Ser. NO...n...........____.._..____.......__.........
Raceway ...._..........._....._......_.__._
Circuits, LighL.......................___............
Utility.__.....__...................................
I-Ieat ......................................._......
Range ..........n......._.........................
Water Heater ...__....__.__.................
Motor ___...............__n.......................
Motors: size. volts and phase:
RigId Conduit .........__....................
Metallic Tubing ...........................
Current transformers:
No. & Size........................__..h......h.
Ser. No. .h._____.....__..._....____.................
Dryer......_.._....___....._........................._
Furnace ..__........_n..........._.........._.......
Ser. NO...hn..__...______....______._...............
Total Load....~..{r..lf (;)0.....;........."1"........-............-.. Total ..............-........................
Remarks: ..mm.6!:~mh.C.,___/;...4.LJ1?.h_..C_______._'f_~.L.mmm..mm...m...h__.mmm..mmm........mmm
_..____._.__~~_n_____u_____.....__.._......____.___._._...._....._......___...____.___........_......h......._....__.__._.._..._............~.._____._._.___.__.___..._____.
::_:.~~..~~~..~~~~~~._....~~.~~..~~.-.-mm::~.~.~:~.~~.~.~~~.~.......~....mh-----m..~:..:9?:~~~~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N?
15861
Address............__.....................................................................................n...................................Date..._.........._.._.._.........._......_..............._
Owner ...hnun........................_..Uh_.._......__....._.._.................h....n..............h.................. Tenant....h...nnn.n.......u..............U..h....nn..nnn.n..
Wiring Contractor........................._................................_......................_........_........._................... By .........................................................._...
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be COD-
_ c.al.d due nOj. must b. glv.n the Insp.ctor so that work may b. Insp.cted b.!or. conc.alm.nt.
\ 'M Cllvrnnlc 'dntm. Inc.
o '-)
'-"ElECTRICAlINSPECTION
WIRING REPORT
457-0411 Ext. 158
"
DATE
OWNE{2fe~OR
I PERMIT i l:s / i INSPEC~
C~ ~ ~/(~
~-'1 /( 61i:.
ADDRESS
APPROVED NOT APPROVED
o ................... DITCH ................... 0
o .............. ROUGH IN/COVER. . . . . . .. . . . . .. 0
o .................. SERViCE.................. 0
o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0
CORRECTIONS NEEDED:
GFCI ~ sY?t,~c/ cYcqL
lJefJ ~'J;td! C~ ~#
(j)
G-
f~; ,
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE _
OLYMPIC PRINTERS. INC. (206}452-13Bl
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . . . . . . .
fKJY
~ ~.
"
. Time 7 A fr"'- Received by De'-1.lA ~~ ~ (phone. person)
L 0 Work to be inspected cf '2..-'1 W, C:, --( S
Name of person requesting inspection :;>.e...", ;s E.
Address of person requesting inspection urp)/r-, ,J
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
(7Cf'g. Phone No. tfn-<{?I'(Cf
Permit No.
Sewer Excav. OtherWc.. -re....--
INSPECTION NOTES:
Inspected: Date 5-2'1-07
Remarks: 12 01..€.i<.J ed 3/(1 N 6,:,.( vi .
~('" -to /;\A...L.+e r .
Time 3 PiV'...
~or, If c. I,-vt.-(L
By Ue vtvt:"5 ~ .
wrl-l 3/<f." R/3. -(-",1M;':]
..p r C),,,,,-
RESTORATION REQUiRED...... YES)<. NO
tt1 I ~
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
'1'>< ~ '
o Asphalt 0 PCC pOther "5 (~(L w..../ k
Work Order # 303L{b -t"{2..
~ COMPLETE 0"'> 'tJ/HV"'l
o INCOMPLETE
~', ,,113
~
I ~
(PI/lit Iff
(Continue on reverse side if necessary)"
/r;'SIr~
STREET SUPERINTENDENT
(DATE)
Application Number . . . . . 23-00000152 Date 2/15/23
Application pin number . . . 963000
Property Address . . . . . . 429 W 6TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-0-9464-0000-
Application type description ELECTRICAL ONLY
Subdivision Name . . . . . .
Property Use . . . . . . . .
Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY
Application valuation . . . . 0
----------------------------------------------------------------------------
Application desc
Service and garage feeder
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
JOANNE ELLEN RIVERSTONE ANGELES ELECTRIC
429 W 6TH ST 524 E. 1ST ST.
PORT ANGELES WA 98362 PORT ANGELES WA 98362
(360) 640-1559 (360) 452-9264
----------------------------------------------------------------------------
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc . .
Permit Fee . . . . 240.00 Plan Check Fee . . .00
Issue Date . . . . 2/15/23 Valuation . . . . 0
Expiration Date . . 8/14/23
Qty Unit Charge Per Extension
2.00 120.0000 ECH EL-0-200 SRV FEEDER 240.00
----------------------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 240.00 240.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 240.00 240.00 .00 .00
1-2 SING LE-FAMILY
.ELEC TR I CAL P E RM I T AP-P-L] CAIIO.N.
Public Wor'l<s and tlLili[ies Depltrtrnent
.i2l E. 5tlr Stlcel. f'olt i\ngi:lcs, \.\t/t 98.i6?.
360.'ll'7.4'135l u'r,vrv.cil.Vttfpa.us l electricaJpct'trritstZi.ciryofpiL.Lts
d,
1Uo
3
*
Proj
Project Address:
n
Single-Family Residential n Duplex /RU Building Square footage:
Name:
Mailing Address
Ema i I : JFty!*N-aaft @ A$Zoo&&
Phone: 3C n-6ur - /6T?
Name:Anqeles Electric, lnc.
Mailing Address: 524 E. First Street, Port Angeles, WA 98362
Email:ksimpson@olvmpus.net
Lice nse: ANGELEI460RS
Expiration Date 21412024
Phone 360-452-9264
ltexo
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp,
Service/Feeder 401 "600 Amp.
Service/Feeder 601 -1 000 Amp,
Service/Feeder over 1000 Amp.
Branch Circuit W Service Feeder
Branch Circuit WO Service Feeder
Each Additional Branch Circuit
Branch Circuits 1-4
Temp. Service/Feeder 200 Amp.
Temp. Service/Feeder 201-400 Amp.
Temp. Service/Feeder 401-600 Amp.
Temp. Service/Feeder 601 -1 000 Amp.
Portal to Portal Hourly
Signal CircuiULimited Energy - 1&2 DU.
Manufactured Home Connection
Renewable Elec. Energy: 5KVA System or less
(Note: $5 for each additional
*{""^yVO*,t charge)Unit Chargs
$120,00
$146,00
$205.00
$262.00
$373.00
$5.00
$63.00
$s.oo
$75.00
$93.00
$1 10.00
$149,00
$168,00
$e6.00
$64.00
$120.00
$102.oo
$56.00
,$,140.,CI0'
:$40:00-1
,
$F'4,00"
$1,{ro:oo '
auanlity
*re-*
$
$
$
$
$
$
$
o
$
$
$
$
$
$
$
$
$
l
TOTAL
Owner as defined by RCW.1g.28.26'1 : (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. Permit expires after six months of last inspection,
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-
468, The City of Port Angeles Municipal Code, and Utility PAMC 14.05.050 regarding Electrical Permit Applications
Ken
Print Name Signature Electrical Contractor / Administrator)
[Electrical PermitApplications may be submitted to City Hall or electricalpermits@cityofpa.us]
PREPARED 2/14/23, 7:22:53 PAYMENT DUE
CITY OF PORT ANGELES PROGRAM BP820L
---------------------------------------------------------------------------
APPLICATION NUMBER:23-00000152 429 W 6TH ST
FEE DESCRIPTION AMOUNT DUE
---------------------------------------------------------------------------
ELECTRICAL ALTER RESIDENTIAL 240.00
TOTAL DUE 240.00
Please present reciept to the cashier with full payment
ELECTRICAL INSPECTION WIRING REPORT
APPROVED NOT APPROVED
DITCH
ROUGH IN/COVER
SERVICE
FINAL
COMMENTS
Remodel
NOTIFY INSPECTOR at (360) 808-2613
WHEN CORRECTIONS ARE COMPLETED
WITHIN 15 DAYS
DATE PERMIT # INSPECTOR
3/7/2023 23-152 TAP
OWNER
CONTRACTOR
Angeles Electric
PROJECT ADDRESS
3805 Page St