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Home My WebLink About1311 E 5th St - Building ~~ORT~ $4.0~~~ r.. 'L ~ ~ "tt\~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000044 Date .947096 1311 E 5TH ST 06-30-11-5-4-0420-0000- RES NEW SFR 2/25/04 RS7 RESDNTL SINGLE FAMILY 166750 Owner Contractor HAINES, ROBERT/JENNY 15708 60TH AVE W EDMONDS (206) 226-3848 Other struct info BEE JAY CONSTRUCTION P. O. BOX 82594 WA 98026 KENMORE WA 98028 (206) 226-3848 TOTAL % LOT COVERAGE 28.50 CONSTRUCTION TYPE V-N NUMBER OF STORIES 2.00 EXISTING LOT COVERAGE 1.00 LOT SIZE 10350.00 PROPOSED LOT COVERAGE 2949.00 TOTAL LOT COVERAGE 2949.00 NUMBER OF UNITS 1.00 APS ELECTRIC 40.90 2/25/04 8/23/04 Plan Check Fee valuation .00 o w ~: Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE Qty Unit Charge Per 1.00 40.9000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 40.90 ~ ~ ~ (' ~ ~ Special Notes and Comments Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.90 40.90 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1815.40 1815.40 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and vord if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned forCi p~riod 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 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEP ARA TE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 -z.11-~Io'i /fcO ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERlNG 4]7-4807 PW / ENGINEERlNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMSIl 102.15 [11114/2003J 1 ~l ( s!^ -=)- ~ \ e \;- o .. . ..JOHNS- APOUS, P.E~ :. . . 'c.-,..... Sttudur.1 E"ii.R~ ~"ites.lac. ' . . ....... ....,6~l1..l7th.A'VenueNE.SeaUle-.,WA9.11S .. .... ....... . '))hOftO (206) S27-12SS. ..emmi .;iOtm@r&irioitv.~om. ... · Fax(206l~676~. I!!!!:. August S, 2004 6rdaiteet: Jim Jessup 3123 Fairview Ave. East Seattle, WA 98101 Proied: Bob Haines residence Lot I. Block 1, Cresthavet1 Port Angeles, W A FILE Subiet~: Revisions to' shc:ar walls. To the inspector: 1 am the structural engineer of record for this project, and performed the original structural design. The purpose of this letter i~ 10 address changes in the sbeo.r watts and hold downs resulting from relocated window openings. J have marked twn partial plan "heets (attached to this letter) with the neceSliary changes and additions to the strUCtural design. If the noted changes are made to the strucguret the changes will not signifialntly affect the strength or serviceability of the hOlne with respect to lateralload~ design (wind and earthquake). The assemblies affected. and the associated. framing. will continue to conform to the intent of the ur iglnal struc;tural design, and with applicable !;tNctural building codes. Please can roe ify()u have questions or require further. information. Sincerely, .JL ):'1~ John S, Apolis, P.E. CSES Inc. 1EXPIRES: 01-.. ~ I -- t}l -. ........ ~I cr{ 1- lJ) ~ HI 391;fd 9900-9L9-900 L~ :(;1 P0lilUge/8lil SIlOdl;f Nt.(Jr ~... .. ~ Ai'~ . ... II'{.:.~:,.. ':i~'''' ., ..' . . ~<. ......"'I/.6-11..1t'.~P. , . '. ,.,' . ~. '~i . .'-..fi:J . . ..' . " . ' , , . . , .. . ~ ; .' . . .,1.... .' "1 '.'.' , ,; ,. ;,,', ,; " _I" j!~~~w.L~ .Jlr'C,I:j~~~; -.~'.. .. 9lJd ..... .., .... . 5 IlOdlJ NHOC ..': ........... ::~C.~A .{kf ~"~ll~~ .W ... ... ~~, ... .lMiIJllDS ur K '.: :.t:rffltllM. & ~ .,-:.' .... ,;" ,:",:'.,: ... , ....,;':',::..-.,", '-" . ...: ......0.... ...:..:',..:.:.."........'.....:..................'.. :::... . ... ... r" .. .. ..... .... ... . .... , . dOQF ..~~IN4 Ft....,6.i..U .. lU~LUr:>J~q. ..:l~'..~..; ;"~:.W~""'~ . .":..... . .... . . ..... .... . ,'. ",.., ...:..0......... .. :::. ..j .... ... ...,"-,.. . .._ {z~5 s-Z1-rb88i' .... Jd1n s. ~IlS.. I'>.L .... ConsullingSlTI..cturaIEnglneemgSeNices. Inc, , .'. < ~11 . 17th Avenue NE . , _~C1tt.~:.:_wA.,2a_l.H),_..:. ..,.. ... ..'. .. ...'.... . " . .. ", .' . "', . '. --...::..... ...... -9~L9-9l2il.--.'-. .----. ..--- LS:lI veel/Sa/ee "'."~f!.'~':k:;;;"~.';'f~~~~;:'!1~....:-. ;jI:'.:: YH,:. . .:.: ~ ..... (2~,)5i7-;fiiB.- .)ehn s. Alldls.,. 1='.1:. Corl5UltC'ig SttucturOl Engineering SeMces Inc 6311 . '7th Avenue NE ' ' +t .., "O"):,~,~-O"7C':~7-,-::~n .'H"'.':Y~it't~il~~~"~~~I\._~~i... .. ... '..J. '.. < '.I'I.~.;qr~: ... ~,~;..w:IH.::',I,::,:.. .'."l':'i~r?-.~"'-,":'''C~ ~ .. .'... ., ", . . '. ' . , . , . . .~, ':.~,.~.':,~,..'..' .'~ :'~':.~.~,.. ..~{:' J>~~.~;:.:',.' : :;J> '.... . .', \,';~~{~"'" ...i: ..... . . . . . ~~~I' ~,~f, .... .1 .... ~ '" ; ;.' :' . .. ..A;..:.... ....~ .;.....~ - stru laote *' by! COD ~Jr~~' ,.~.."._.~~-;...~~....:;~~~:.~.,~:~.,;,,'._...~'-~.. . . . . "..' Where applieal i lood coad_ .1 tit. hold doWD. cs 0(' ZCSd~- . "enkaUy oriented 'I~r.p litlld dOWft eonsiBtfllg of one or trt'o SilapsOlt CSt6 \lel'licalstl1lP tlat coa___a the. end studs of ~e shear .. ",.11 iadicatecl Co new or e:xistina: studa io the waD {raDliog below, or to a . .wood beam aapPorUft& the shear wall, "bere BPplicable. provide shear wan eelge naBiac for the fuU Ileight of the waD iD1o.u1Itt~ to .whieb an1 .. b~" claWB is attadled.. Refer to 5i1Apson Cataloc C2G0~ for details. Ela 39\1d ~~Ull Note: 4 found.Mal at !!pildia2 ins\* mutt nerfol'lD 1 . Jllto tilt! ho~ 5 IlOd\1 NHOf' 9900-9L9-9laZ:- Lc;o :Z:! t>lala1l99/89 t CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subd~v~s~on Name Property Use Property Zoning . . . Application valuation 04-00000044 Date .947096 1311 E 5TH ST 06-30-11-5-4-0420-0000- RES NEW SFR 6/20/04 RS7 RESDNTL SINGLE FAMILY 166750 Owner Contractor HAINES, ROBERT/JENNY 15708 60TH AVE W EDMONDS (206) 226-3848 Other struct info BEE JAY CONSTRUCTION P. O. BOX 82594 WA 98026 KENMORE WA 98028 (206) 226-3848 TOTAL % LOT COVERAGE 28.50 CONSTRUCTION TYPE V-N NUMBER OF STORIES 2.00 EXISTING LOT COVERAGE 1.00 LOT SIZE 10350.00 PROPOSED LOT COVERAGE 2949.00 TOTAL LOT COVERAGE 2949.00 NUMBER OF UNITS 1.00 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 3130 SQ FT SFR/ SHAMP SHAMP ELECTRICAL CONTRACTING 172.70 Plan Check Fee 6/20/04 Valuat~on 12/17/04 .00 o ~ ~ Qty 1. 00 4.00 1. 00 Unit Charge 70.8000 22.7000 11.1000 Per ECH 5C ECH EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 EL-METERS REMOTE INSTALL Extension 70.80 90.80 11.10 ~ ~ ~ \~ Special Notes and Comments Electrical load calculations and elctr~cal permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 lJ\ ~) Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perm~t Fee Total 172.70 172.70 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1947.20 1947.20 .00 .00 Separate Permits are required forelectncal work, SEPA, Shoreline, ESA, utilities, pnvate 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 penod 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 authonty 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 IPLANNINGIFORMSIII02 15 [11/14/2003] , ~ BuiLDING PERl\HT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS , PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN 7/p--c;/()q A-Lf~ PLUMBING , , UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHJMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIvISIon) SEPARATE PERMIT #'5 WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEP ARA TE PERMIT #'5 SEPA PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT 417-4735 tf;#fk5' k~ ELECTRJCAL 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 BUILDING T \PLANNING\FORMS\1102 15 [11/1412003] ~ I' .". ci pORT ~G ,,~ ~".~..:t", O".~ !o -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000044 Date .947096 1311 E 5TH ST 06-30-11-5-4-0420-0000- RES NEW SFR RS7 RESDNTL SINGLE FAMILY 166750 Owner Contractor HAINES, ROBERT/,TENNY 15708 60TH AVE W EDMONDS (206) 226-3848 Other struct info BEE JAY CONSTRUCTION P. O. BOX 82594 KENMORE (206) 226-3848 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98026 Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 1392.45 Plan Check Fee Issue Date 2/10/04 Valuation Expiration Date 8/08/04 '.' Qty Unit Charge Per BASE FEE 67.00 5.6000 THOU BL-100,001-500K (5.60 PER K) Permit . . . . Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 79.60 2/10/04 8/08/04 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 1.00 14.7000 ECH ME- INSTALL 100- FAU 1. 00 7.2500 ECH ME-VENT FAN 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 Permit Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT 174.00 2/10/04 8/08/04 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 14.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 15.0000 ECH PL- EA. BLDG SEWER .1.00 7.0000 ECH PL- EA.WATER HEATER '- -- 2/10/04 FtNALeo o/2bIt7G WA 98028 11 g..5 - '1 itS - 3 '<if W6 28.50 V-N 2.00 1. 00 10350.00 2949.00 2949.00 1.00 vJ - -- ~ ~ '0 D- \Iv \ff ~3 1- 5 556.98 166750 Extension 1017.25 375.20 .00 o Extension 47.00 14.70 7.25 10.65 _/ .00 o Extension 47.00 98.00 7.00 15.00 7.00 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 inspectforJ . 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 authonty to violate or cancel the provisions of any state or local law regulating construction or the performance of con~a .+. j , ce:; tu ~ 2-//0!oq- Signature of Contra~tor or Authorized Agent ' Date Signature of Owner (if owner is builder) Date T \PLANNING\FORMS\1102.15 [11/14/2003] ~ VORT ~ tO~~~ r'Iiii L~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 04-00000044 pin number . . .947096 Page 2 Date 2/10/04 Special Notes and Comments Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1646.05 1646.05 .00 .00 plan Check Total 556.98 556.98 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 3977.53 3977.53 .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 her,eby 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 [11/14/2003] BUILDING PERMIT INSPECTION RECORD '. CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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. I INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: .t:-,O.fJt1 a- "'5 -) J -o~1 J ' )... I;), -&-3 ~OJ:..I J,J- ,- J FOOTINGS iJ..J-dltb "3 -~- -uf ,J-" WALLS f.? - J 1- t?)-I ,J 1)../ ~~~~, ~~~3-O~ ".J.! FOUNDATION DRAINAGE/DOWN SPOUTS T~,. 'r,~ J. ... vt.l' )./ -I - {'HI J r L, ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT. # ROUGH-IN I I PLUMBING ~, ,.nA_ 1- <j'--t)1 J,). H-I}.V....OJ.l J. L , UNDER FLOOR / SLAB rlMi -~/2b/t>E.. Jf.-L, - .4f3P ROUGH-IN rj-J-,,4 ...L L WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS It~..."O~o<t. J LL,...; WALLS / ROOF / CEILING Id....}.I. (;~ I I r~~ /f-{J <(- '-~I.( ~ rJ-- DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING ~/-9.-~J./ ,_L l. I MECHANICAL rmtt/. 6-/~/oG-VU- ,Ap HEAT PUMP GAS LINE ~1").-OH ~, J.., WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng 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 / I PLANNING DEPT BUILDING 417-4815 Ob IJ~ BUILDING T \PLANNING\FORMS\1102 15 [11114/2003] '. PREPARED 6/28/05, 13 13 29 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 6/28/05 1311 E 5TH ST BEE JAY CONSTRUCTION HAINES, ROBERT/JENNY 06-30-11-5-4-0420-0000- 04-00000044 RES NEW SFR SUBDIV: PHONE (206) 226-3848 PHONE: (206) 226-3848 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING INSULATION Bob, 206 226-3848 key 1S on beam at slde door, fram1ng has not passed, no correct1ons show1ng 1n computer BL99 01 I ~(~~ffL BUILDING FINAL ~ _ 06/28/2005 01 05 PM JLIERLY ---------------------------- -------------------------- -------- CONTINUED ONTO NEXT PAGE ----------------------------------- BL1 01 2/23/04 JLL 2/24/04 AP BI2 01 3/11/04 JLL 3/11/04 AP BL1 02 3/11/04 JLL 3/11/04 AP BL1 03 3/23/04 JLL 3/23/04 AP BI2 02 3/25/04 JLL 3/26/04 AP BL6 4/01/04 4/01/04 6/10/04 6/10/04 8/04/04 8/04/04 8/06/04 8/06/04 8/12/04 8/12/04 JLL AP JLL AP JLL DA JLL AP JLL AP 01 BLHD 01 BL3 01 BL3 02 BLI 01 BUILDING FOUNDATION FOOTING JASON 460-2673 BUILDING FOUNDATION WALL DAN 460-6325 BUILDING FOUNDATION FOOTING DAN 460-6325 BUILDING FOUNDATION FOOTING JASON 460-2673 BUILDING FOUNDATION WALL Jason 460-2673 f1na1 phase (3rd) 1nspect1on 1nspected at later date/Jll BUILDING POST/COLUMN FTG JASON REQUESTS A PREPOUR IN BUILDING FRAMING HOLD DOWNS 1pm ben BUILDING Ben BUILDING on stem wall pl1nths w1ll be THE A M. FRAMING 460-7901 FRAMING TIME 17'00 .. PREPARED 6/28/05, 13 13 29 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 6/28/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1311 E 5TH ST BEE JAY CONSTRUCTION HAINES, ROBERT/JENNY 06-30-11-5-4-0420-0000- 04-00000044 RES NEW SFR SUBDIV: PHONE (206) 226 - 3 848 PHONE . (206) 226 - 3 848 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 8/13/04 JLL MECHANICAL GAS LINE 8/13/04 AP seth ME99 01 1~~8~1~~ JLL MECHANICAL FINAL _________~1:-~---::~2:~::::UE:10::0 PM ME6 01 JLIERLY ---------------------------- NEXT PAGE ----------------------------------- . PREPARED 6/28/05, 13-13 29 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR, JAMES L LIERLY PAGE DATE 3 6/28/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1311 E 5TH ST BEE JAY CONSTRUCTION HAINES, ROBERT/JENNY 06-30-11-5-4-0420-0000- 04-00000044 RES NEW SFR SUBDIV PHONE PHONE (206) 226-3848 (206) 226-3848 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PL5 01 4/08/04 4/08/04 4/20/04 4/21/04 JLL AP JLL AP TIME 17,00 PLUMBING BUILDING SEWER Joel 461-1863 PLUMBING UNDER SLAB TIME. 17 00 Joel at 461-1863 requests an underslab plumb1ng 1nspect1on th1S P M PLUMBING ROUGH-IN JOEL 461-1863 PLEASE CALL SO HE CAN BE THERE FOR INSPECTION ::::_::__~__~_____::~:~~:::::::SO:::~:OT::I~~~~_~~~~~~~~~~~~~~~~~~~~~~~~~~~~_____ PLl 01 01 7/01/04 7/01/04 JLL AP TIME_ 17 00 PL2 PREPARED 8/13/04, 12 45 39 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 8/13/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1311 E 5TH ST BEE JAY CONSTRUCTION HAINES, ROBERT/JENNY 06-30-11-5-4-0420-0000- 04-00000044 RES NEW SFR SUBDIV PHONE PHONE (206) 226-3848 (206) 226-3848 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 86-tif~~i I FtLL MECHANICAL GAS LINE ~I seth ------------------------- ------------ COMMENTS AND NOTES -------------------------------------- - PREPARED 8/12/04, 12.51 08 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER, 1311 E 5TH ST BEE JAY CONSTRUCTION HAINES, ROBERT/JENNY 06-30-11-5-4-0420-0000- 04-00000044 RES NEW SFR INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 5 8/12/04 SUBDIV PHONE PHONE (206) 226-3848 (206) 226-3848 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 2/23/04 JLL 2/24/04 AP BI2 01 3/11/04 JLL 3/11/04 AP BL1 02 3/11/04 JLL 3/11/04 AP BL1 03 3/23/04 JLL 3/23/04 AP BI2 02 3/25/04 JLL 3/26/04 AP BL6 01 BLHD 01 BL3 01 BL3 02 BLI 01 BUILDING FOUNDATION FOOTING JASON 460-2673 BUILDING FOUNDATION WALL DAN 460-6325 BUILDING FOUNDATION FOOTING DAN 460-6325 BUILDING FOUNDATION FOOTING JASON 460-2673 BUILDING FOUNDATION WALL Jason 460-2673 f1nal phase (3rd) 1nspect1on 1nspected at later date/Jl1 BUILDING POST/COLUMN FTG JASON REQUESTS A PREPOUR IN BUILDING FRAMING HOLD DOWNS 1pm ben BUILDING Ben BUILDING on stern wall p11nths w1ll be THE A M FRAMING 460-7901 FRAMING TIME: 17 00 BUILDING INSULATION Bob, 206 226-3848 key 1S on beam at s1de door, fram1ng has not passed, no correct1ons showlng In computer AND NOTES -------------------------------------- BUILDING D~VISION CITY OF PORT ANGELES * * Job Located at i3/J Correction Notice s.fA y- & Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: . ) ~a12(t'f To-P :pf~Je (cJ ~ ~ ,-L;S 0 ~yI('{,.Zi0,),O /::xJ"~ ~- !f%.Vt;e @ 1--1;p )r21J;)1:./F These corrections must be made and are not to be covered until reinspection is de When corr tions have been made, please call 'I / for inspec 'on. DO NOT REMOVE THIS TAG i I I I PREPARED 8/04/04, 12:25 04 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 7 8/04/04 1311 E 5TH ST BEE JAY CONSTRUCTION HAINES, ROBERT/JENNY 06-30-11-5-4-0420-0000- 04-00000044 RES NEW SFR (206) 226-3848 (206) 226-3848 SUBDIV PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING FOUNDATION FOOTING JASON 460-2673 BUILDING FOUNDATION WALL DAN 460-6325 BUILDING FOUNDATION FOOTING DAN 460-6325 BUILDING FOUNDATION FOOTING JASON 460-2673 BUILDING FOUNDATION WALL Jason 460-2673 f1nal phase (3rd) 1nspect1on on stem wall p11nths w111 be 1nspected at later date/Jll 4/01/04 JLL BUILDING POST/COLUMN FTG 4/01/04 AP JASON REQUESTS A PREPOUR IN THE A.M 6/10/04 JLL BUILDING FRAMING HOLD DOWNS 6/10/04 AP 1pm ben BL3 01 iFfPi104/ 4 JLL BUILDING FRAMING ~ Ben 460-7901 ....,." ) ------------ -- - -------------------- COMMENTS AND NOTES -------------------------------------- BLl 2/23/04 2/24/04 3/11/04 3/11/04 3/11/04 3/11/04 3/23/04 3/23/04 3/25/04 3/26/04 JLL AP JLL AP JLL AP JLL AP JLL AP 01 BI2 01 BL1 02 BL1 03 BI2 02 BL6 01 BLHD 01 PREPARED 7/01/04, 13 16 06 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1311 E 5TH ST BEE JAY CONSTRUCTION HAINES, ROBERT/JENNY 06-30-11-5-4-0420-0000- 04-00000044 RES NEW SFR PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT INSPECTION TICKET INSPECTOR JAMES L LIERLY DESCRIPTION RESULTS/COMMENTS SUBDIV PHONE PHONE (206) 226-3848 (206) 226-3848 PAGE DATE 1 7/01/04 PL5 01 4/08/04 JLL PLUMBING BUILDING SEWER TIME 17 00 4/08/04 AP Joel 461-1863 PLl 01 4/20/04 JLL PLUMBING UNDER SLAB TIME 17 00 4/21/04 AP Joel at 461-1863 requests an underslab plumblng lnspectlon ~ thlS P M PL2 01 ~ PLUMBING ROUGH-IN TIME 17 00 JOEL 461-1863 PLEASE CALL SO HE CAN BE THERE FOR INSPECTION -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 6/10/04, 12 50 13 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 6/10/04 1311 E 5TH ST BEE JAY CONSTRUCTION HAINES, ROBERT/JENNY 06-30-11-5-4-0420-0000- 04-00000044 RES NEW SFR (206) 226-3848 (206) 226-3848 SUBDIV PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING FOUNDATION FOOTING JASON 460-2673 BUILDING FOUNDATION WALL DAN 460-6325 BUILDING FOUNDATION FOOTING DAN 460-6325 BUILDING FOUNDATION FOOTING JASON 460-2673 BUILDING FOUNDATION WALL Jason 460-2673 flnal phase (3rd) lnspectlon on stem wall pllnths wl11 be lnspected at later date/Jll 4/01/04 JLL BUILDING POST/COLUMN FTG 4/01/04 AP JASON REQUESTS A PREPOUR IN THE A M :~~~_::__~___~_____~~~~~:~:o::::::G~:L:o:::N:_____________________________________ BL1 01 2/23/04 2/24/04 3/11/04 3/11/04 3/11/04 3/11/04 3/23/04 3/23/04 3/25/04 3/26/04 JLL AP JLL AP JLL AP JLL AP JLL AP BI2 01 BL1 02 BL1 03 BI2 02 BL6 01 PREPARED 4/20/04, 12 52 31 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 5 4/20/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1311 E 5TH ST BEE JAY CONSTRUCTION HAINES, ROBERT/JENNY 06-30-11-5-4-0420-0000- 04-00000044 RES NEW SFR SUEDIV' PHONE PHONE (206) 226-3848 (206) 226-3848 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PL5 01 4/08/04 JLL PLUMBING BUILDING SEWER TIME 17.00 4/08/04 AP Joel 461-1863 PL1 01 ~ JLL PLUMBING UNDER SLAB TIME 17 00 ~ Joel at 461-1863 requests an underslab plumb1ng 1nspect1on th1S P M -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 4/08/04, 12-48:15 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 4/08/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER- 1311 E 5TH ST BEE JAY CONSTRUCTION HAINES, ROBERT/JENNY 06-30-11-5-4-0420-0000- 04-00000044 RES NEW SFR SUBDIV PHONE PHONE (206) 226-3848 (206) 226-3848 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT DESCRIPTION RESULTS/COMMENTS PLS 01 ;il~8(~~ ~L~ PLUMBING BUILDING SEWER ~ ~ Joel 461-1863 -------------------------------------- COMMENTS AND NOTES -------------------------------------- TIME 17:00 PREPARED 4/01/04, 13 15 55 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 4/01/04 1311 E 5TH ST BEE JAY CONSTRUCTION HAINES, ROBERT/JENNY 06-30-11-5-4-0420-0000- 04-00000044 RES NEW SFR (206) 226-3848 (206) 226-3848 SUBDIV PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 2/23/04 JLL 2/24/04 AP BI2 01 3/11/04 JLL 3/11/04 AP BL1 02 3/11/04 JLL 3/11/04 AP BL1 03 3/23/04 JLL 3/23/04 AP BI2 02 3/25/04 JLL 3/26/04 AP BUILDING FOUNDATION FOOTING JASON 460-2673 BUILDING FOUNDATION WALL DAN 460-6325 BUILDING FOUNDATION FOOTING DAN 460-6325 BUILDING FOUNDATION FOOTING JASON 460-2673 BUILDING FOUNDATION WALL Jason 460-2673 flnal phase (3rd) lnspectlon on stem wall pllnths wlll be lnspected at later date/Jll BL6 01 j'~1!04J JLL BUILDING POST/COLUMN FTG ~ A F JASON REQUESTS A PREPOUR IN THE A M -------------------------------------- COMMENTS AND NOTES ------------------------------------__ PREPARED 2/23/04, 12:15 49 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 5 2/23/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1311 E 5TH ST BEE JAY CONSTRUCTION HAINES, ROBERT/JENNY 06-30-11-5-4-0420-0000- 04-00000044 RES NEW SFR SUBDIV PHONE PHONE (206) 226-3848 (206) 226-3848 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 'C'__"'__~v\_~___~~:~'~::::::::T::: :::::NG_____________________________________ PREPARED 3/11/04, 13 35 53 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 3/11/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1311 E 5TH ST BEE JAY CONSTRUCTION HAINES, ROBERT/JENNY 06-30-11-5-4-0420-0000- 04-00000044 RES NEW SFR SUBDIV. PHONE PHONE (206) 226-3848 (206) 226-3848 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 2/23/04 JLL BUILDING FOUNDATION FOOTING 2/24/04 ~ AP JASON 460-2673 3/t1/~ ~LL BUILDING FOUNDATION WALL .~ \l 0 DAN 460-6325 fr1/r;, ~ BUILDING FOUNDATION FOOTING 3,H~ ~ DAN 460-6325 -------------------------------------- COMMENTS AND NOTES ------------------- ------------------ 02 01 BI2 01 BL1 PREPARED 3/23/04, 12-19 19 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1311 E 5TH ST BEE JAY CONSTRUCTION HAINES, ROBERT/JENNY 06-30-11-5-4-0420-0000- 04-00000044 RES NEW SFR PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 2/23/04 2/24/04 3/11/04 3/11/04 3/11/04 3/11/04 3/23/04 V9'...,/IlI~ ( I -------------------------------------- COMMENTS BL1 01 BUILDING FOUNDATION JASON 460-2673 BUILDING FOUNDATION DAN 460-6325 BUILDING FOUNDATION DAN 460-6325 BUILDING FOUNDATION JASON 460-2673 -JLL AP JLL AP JLL AP JLL J.L,.. BI2 01 BL1 02 BL1 03 AND NOTES -------------------------------------- SUBDIV PHONE PHONE FOOTING WALL FOOTING FOOTING (206) 226-3848 (206) 226-3848 PAGE DATE 4 3/23/04 PREPARED 3/25/04, 12 09 31 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 3/25/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1311 E 5TH ST BEE JAY CONSTRUCTION HAINES, ROBERT/JENNY 06-30-11-5-4-0420-0000- 04-00000044 RES NEW SFR SUBDIV. PHONE PHONE (206) 226-3848 (206) 226-3848 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 2/23/04 JLL BUILDING FOUNDATION FOOTING 2/24/04 AP JASON 460-2673 BI2 01 3/11/04 JLL BUILDING FOUNDATION WALL 3/11/04 AP DAN 460-6325 BL1 02 3/11/04 JLL BUILDING FOUNDATION FOOTING 3/11/04 AP DAN 460-6325 BL1 03 3/23/04 JLL BUILDING FOUNDATION FOOTING 3/23/04 AP JASON 460-2673 "'__O'__~_~___:~:~'~::::;~::'::: ::::, ______________________________________ "" \ ... .' , BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ON!- Y Date R.ec.: f - c-l.. - 0 'i P~t'. eN. Date Approved: , Date Issued: =.J Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review..Uyou bave any questions, call (360) 417-4815 Appli'~ant ~~ Agent~- jg8~.1,4WE s' . . Phone: .z1J(P - 2.2. ~ -384-8 owner: --UI3UP "ij-rE:AfN'(--- #It-I-N~-S .. - - . Phone: 45- 74S-3%48- . Addre~;:' /5'7Q8 -- c;,rj~~A-vG. W. .. City: EPfYJCJN05') Wit Zip: CJ gOZtp ArchltectJEngineer: '-..;rIfME.S~ 'J"""GSSMP /' .'. , - Phone: ..20~. "" .32:2..-~:2.T2T: --~ /1 - 'Contractor '.6?$-.mY-EeA'sr;~==--=-=~State~License #: 8ceJ/tc.*t37otExP: ~/&,/Zco~' Phone:2'a. -224> - 38<i8' 'Address: -7?;)-:F;o~~2SCfll-~.'--:- ~ - ~ ~ .- =-. =-Clt)r:',YENMe.ee: //A)I} , Zip: 98028' PROJECT ADDRESS: 13 n - 'E S.....~. - . ... - ..- -, - - - '. zoNiNG: - LEGAL DESCRIPTION: Lot: -t.. -. Block:. -- ;r Subdivision: . .c.I2e5:'T-f#, VJ!fil - - - - -~ CLALLAM COUNTY PARCEL NUMBER:?? ()(P30 I / 54D420 'GODO - Credit Card Holder Name: Billing Address: Credit CardType VISA TYPE OF WORK: ~Residential lII""New Constr. 0 Re-roof o Multi-fanuly 0 Addition 0 'Move o Commercial 0 Remodel 0, Demoijti~n o 'Repair "0 Sign'" : ':: BRIEF DESCRIPTION Of THE PRO.mC.T: ,- City: o Stove . " 0 Garage , '0 Deck " 0 Other ; ~ j/~ ,,-' . l .. Exp. Date: SIZEN AL.UATI.oN: ' co? 00 /t?'84. _ .-SF, @.$' ~..,- /SF. = $ ( Of 0'10 /44(,,;,'. -SF. '@$,,3'?9:f2 /SF.. = $ S-4b~O o<:!J _ 5Lf<-/ ~'SF. @'$ -21 :m.. /SF. ~'.$ , l'=>sO OCJ ,', ,TOTAL V~LU~Ti9~.'" '~:','$~{5CJ 00 . '''~~'.~ _" -r_. ,,,,,/M;, :'~~.\.~:~'_'\ ",' . MC # , . ,I '. ,....', ~~r I,. .J . ~ , >. I" I ~ ~. :.' . , .. f ~. '_ ~ .' ~ '- , .. ' 'f' \ I. . -~. ~ J -, COMMERClAL/RESIDENTIAL:' Occupancy Group: i<' 3 Occupant Load: ~- '- ." ~.. :..-. 'Construction Type: V IV - N~.' ~iSt~~ie~':~ r- LotS~;; rO 1.35-0'P:<~;U~t~g Sq. Ft.. 0 & Proposed Sq. Ft~f:. q~1 f '.::j'OTAL-Sq.Ft. 2..,'qq rjJ ExistIng lot coverage- -6>= =0/0 & Proposed;lot coverage',;2&. '1 -%.= Total lot coverage...:.....:....: 28.#5:", %- ." . APPROVALS: PLAN: BLDG: 'DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can prOVide you with information on the applIcation and plan submittal requirements if you have questions. _ VALUATION OF CONSTRUCTION: In 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 Pennit 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 pennit application and construction plans are submItted. All other pennit fees are due at the time of pennit issuance. EXPIRATION OF PLAN REVIEW: If no pennit 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 107.4 of the Uniform Building Code, current edition), 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 11 IS my responsibility to detennine what permits are reqlLi.a!"-,not e City's, aJd)1at I must obtain such permits prior to work T \FORMS\APPSIBUlldmgpennit wpd Applicant is ~ '. Date: /)- z- j; { I ." 8t / 0/ I) O' ~ I' ! cfj \JJ- / L $~ $.'(" 1\1 /" I ~-'--+}\- .,. 't I I ~ f ,t r I I I /, ,(.;/' " ! I,' 'I ~/ / '--- r ~- ~O' If "::,-~-:t ' "', , - - . , --,- -- It. , , , - 1-- -' - ,.-- _ ----"'(1'1" , ! , . At', I /' "...t"" "'''''' .- .' I, --- _ ! I i ' Y--~_ i , , I " -+1>0!::h fa,'" ~ W'PE:e, F', ~ I I , ^ -(1" ) , 'l4 'It ,/ , --.,,, , - , , I; '1 , ~ I" !':,,'-<.. ~yl 1\ ' 11".' "jf / I f j / /~r----,.J , ' 7'~M'~,P':.~D, ,. I I 1 /' IS;:'{' f . ..; I j f, I j I"l" .- '~/ , 'IJ ~b !. ",~ \, , M~-rlU4 l;;1~ \ It 'rl-Mlll~o\'A" t;l-", ,: L- ,>, ~;1l"'$ ~r --i;-;,--/ ,le_,', ._,",' "'I I~_" , ~.. __,. ' -- - I, --',7, '- . ,/'\loP. klJa ' , .1 , '/ ~ '0' ;::I">'",g.:_~...::=--_ ~+-r=',;-o"~"'~~;-" ~ / -, ,-- --,. ~ ;"'. !';"""..!~~.. - - (_ -- 'of " I/~,!_ 14' I /. . . ,"<'7- -- ~ii>' "'"",, ".",,"ok 0' '_ 4' ' ;f~~~ "" I "~"'<J,,<<.j.'I"'M<m'~"f~, , Ill'" - -." /0\, 'Ll.f>4f "~~ _ '<" ~). \. .!. -.'" '. ~~ , .~ . ~'ld'-c:J -----"""\: :""7~.: . --~~- . ,. "'''' ,. -., --- . - :'''':'_!''':Z=~, =- --~, -- " , ~"'1'~C_ __C '"" P~d '-a'e.: ': t _. ~~~ / " / '" ~. J i J I '--- , ~o ..____. ____._+_ : - -- -- - - jR I - I-I'!" iu- _,/ I , -- ,I"e..~ $O:,~ ~~I~C f- 'v f<J, I f ~~ ~"",,"'"5.~ I L.dtvc;...a::.. "-f'---___... __ 'l4 ~t Je I 01 ,,' '-1, , .'t/" I ~ - t. , r-- --:' , ~i : "_'llillS1 fi?",.rl , - . \1.,' 1~1 i $-<""':;;/,., , , I , 1,- I , }~iI;f-LH"7i1'"""''' z,f " , f, \",~ 1'-\, \ . \(0 i, \ - -to ~ '\/11 ~ ~ ( , . , i_____ ,,_ I-~j,j'~'t''f; ~'>>. I , Ia.~,f' ~' "'i '" ~<. _ ",. , r='r- ~r' f$'an' 1,1 --~~'--~?'-;) ~;,.-r,,' ___' >!E;J_~~~~;iZI'!"I-IJ':I.'t: -r- _- _ 1Jt' I T . 'p "'--,.", =,,-~."' " ~".'f' ~ .' -' "'" , -, =., ,~., ,- . .' .~. u",'"~"'" =, '--m'\--' _.~,.' '., ~~ -"''''1.. -,- . '"'' " <", . , ,.. -~- " .. r "J ..,. '" '"'''.i_~ " ~'=-:" PLo'f,P" , ". '" '4 . "'" '- "- , ' . ., ' , ' ---.. ,,". =- " . '-"""''''"~''"'''~-'''~-~t~i.~~~<<'~e2~:~'':~'_~ r '~=--~~-""'",,",,,,~y,,,",,=,,,,o ......, . '" :, ~ ...,.... ,.1:::" '- '1 ~,~ ~ -", ~ " ,,- Ult~~. ~~f!" . ~; L.. , , - t~I~Cr~ : _ ;r"-- I ! I Ul~11.J.:i, L FI.Iofl:!lN;(.-t 11 ~';t<..... -,,~- - ""., - i--1'l7R. ~f.Y ..- 13\ l S'i-~ G 05/15/2004 18:01 13504521589 SHAMP ELEC PAGE m \ ' ~,o ,.~.". , . '(ff,,-~. ~Aij~ "'= .~ --,,,, ELECTRICAL PERMIT APPLICATION FOP. QITICJ,^.L USe ONLY D.".)rv..:. J'crmlt n: ~_ D~I& App~.,~d: n~l:l<.t\l~; ..~ The. Electrlc:J1 Parmit AppliC:::Jtion must be filliE'd "of cnmnlp.:tP.lv. ()i/,L/'/-OO /711 l;. Please type or reprint In Ink. If you have any queslions, please call (360) 417-4735 Fa. number: (360)417-4711 Owner or Elee. Contractor Agent: ,9f11tmP 1:/ i;(!7 R/UtLC L'fJ TW:J1 Nb 11..1 C. Phone: Property owner.~<; Address \ '3 \ \ E. S-M S'trr,-+- . EleCUlca' Contractor: .5l-imI'IP ~ lCI\1...CC> \'l'T1;}k -n~ {, 1f52-lbl~q Fax: 3~JK--- Phone:-Y'LC; -l~S -3Pl!.ffi. Clty:YORT A\lbeLBS. 3 l!lA. ziP.:l8::1iot2- 01tA"ll1peC02,B " 11..1<'.. ~icen.oH, Exp:I-'l.3.D<.1 Phnno:'1-5t-ll"g:j City: .JlOi1.T ~irl':\ J~ W..'j. Zip: <133kJ'1.. Address: 1)0 m'J/. 3S?> INSTALLATION WIRED BY: o OWNER "tJ'ElECTRICAL CONTRACTOR Credit Card HofderName: M.'ff<K W. :)~p SiflingAddnu:s: '110 W. iO'7\4 .5tYt'.d City: :f'6f.T At-l6-\<<..8S W4. Credit Card Number.~~ . __ Zip: 983(0::' VfSA:A Me:_ PROJECT ADDRESS~s-h:e.eJ- lYPE OF WORK: Check all that apply: ~New o Alteration/Addition 3/'30 $1fJ F" Sq.FI~ ..6 Residential 0 Multi-family o Commercial o Mobile Home }(Rcmotc Meter. 0 Datached garagE> 0 Hnt TlIh n Swim Pool 0 Septic Pump 0 LowVolta~e 0 Telecom. 05i9' Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT:-12JTCrl i~ECllo}..1 Electrical Heat Load Additions and or Subtractions vir, Service Information IJ Baseboard ~ Furnace III Heat Pump o Fan-Wall KW 6K'N TON KW I LRA 2.'1-- 'Jb1"4 o Overhead Service o Temp Ser'llice ~ Underground Service . VOltage:;1/ .,;,... Phase: 1 IJ 3 ~erviee ~i7.e: .:IiTtJ ~.1 Feeder Size: , ~'. t , ~, \ , ~v ~' ELECTRICAL PERMIT APPliCATION FOR OFFlC1A1.. USf ONLY """,-<, hrmitlJ: _ D~c: J\WOvct IRte l=led: . Tl'1s Eleclfical Permit Application must be filled out comDletelv. PloasQ type or reprint in ink. If you have any questions, please call (360) 417--4735 O~ - L/~ Fax number: (360) 417-t711 REQUEST INSPECTION 0 0",,,., Of Elec con~acto' Agent: A n J ~. S I a e-k Phone' Lf <S;;l. - b 7 S 3 Fax: . 'Sit IY\ e... P'operlyOwn., \~') h \-~4 t:l In'" ~. . Phone:'fJ5 -715 -3't:'/ g Address P,.fY. ~O.:c -~9St1'1 C;ly,kE'1fflc~t.. W {b Z;p:'q~"'Cil~~DS~ EloctricalContractoc 1\ .p, S. Eledf'!~ (C.(Jrrl-l'a(fIT~1:~cPcenr.t c.-:t:- 'l'.illexp: "I-Ie; -0'-( Phone: 'i5:;J -6753 Addr.ss 5'i 6 f)~() ''}In !Ce-a. Cily t>" ("r- A ng,.,J of ") Zip 9~ 36.3 INSTALLA TION WIRED BY: CJ OWNER )<:ELECTRICAL CONTRACTOR Credit Card Holder Name: A. p. 5 [ J.p. ('1' i" I CA.-( . Co ",t r-a do (', cr: 1'10 - Billing Address: 5l.fb Be,rJ.5:J f\ R-d City: fA. ZIp: OJ '6 3L3 Credit Card Number: 0 ni='l I e / Exp. Date: VISA: MC: II t, OROJECTAOORESSJ 3<< c. s+~ 5rr-eet) p. A . TYPE OF WORK: Check all thai apply: )j New 0 AlterationlAddition ":l4 Residental 0 Multi-family r.J Commercial 0 Mobile Home Sq. Ft Remote Meter 0 Detached garage r: Hot Tub rJ Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. 0 Sigr Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: ~ t)j p (D (lo, f J S.e r- Ii / C e..... Electrical Heat Load Additions PERMIT FEE:l.ffp.7 0 Service Information :.:: Baseboard :,~i Furnace :-, Heal Pump r-: Fan-Wall KW i<MI _TON_LRA KW 9 D(Overhead Service ..Ji(femp Service o Underground Service Voltage: :2..l-/0 Phase: ~1 1:1 3 Service Size:],O (j A Feeder Size: .q PAMC 14,05.060(6): For industrial, cOMmerc;a!. & reSidential projects larger than a duplex, a one -line drawing of the Electrical Service & Feeders, building size (sq. ft.), load calo'llations. and Ihe tYPe & of conductors andlor raceway is required and shall accompany the Electrical Perm;1 application. ( hereby certify that I have read and examined this application and know that same to be true and correct, and I am authorized to apply for this permit. 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. t/ZA/O 4- A( -- Credit Card Holder's Signalure: Oate:d -;;23 '0'( Oal.:;;2',;)'3' Or rpr~pGrN~ C S. & t!- Owner or Elec. ont. Ignature: '-.. ", CIEhECTRICALPERMITAPPLlCATIONJ,' //:.L L:../. ;Jw No ~.J('id- <<J/~.Jlc-r 7? "'} - ~rT~p ~r ;P~i W~00G ~G 'qa~ ~SL9 GS~~~~ 'o::~OlJ~~lNOJ l~)I~~~13 ~~,~~~