HomeMy WebLinkAbout3802 McGill Ave - Building
Aug-21-03
I
12:22P OLYMPIC WIRING INC
360 692 3680
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P'Ok OfFICIAL 1I1>;~ OWl.....
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ELECTRICAL PERMIT APPliCATION
Th~ E1cctrlcliIl Pelmlt Appllc::anon !!I.l:!.'~, ba ,".lIed out cornDletet,,~
P....... '- or ""rln! In 1111<. It you hl\lOO ony ~_, pIoaM...n (3601417-4735
Fax ",.mbot'; 1380) 411-4111
f/rL -It 19' I
o-..-Eleo,Contra_Agetll: OLYMPIC WIRING, INC.
P'opertyOwner: T.ORIIN 1\ DONI'I'II HF.F'I'ON
Pho",* 3601692-01 Hut3 60) 692-3680
PIle'''. ( 360) 457 -4109
Zip: 911363
A<ld...... 1603 WEs'r 7'1'H S'I' Cily:
EIoebkal Conllaetllr; OLYMPIC WIRING. INC.
9601 PROVOST RD. NW
PORT ANGELES. WA
8~f.WI310RU ~?~_1/05
SrLV~RDALE WA
-692-0134
zip98383
Add<_:
City:
INSTAlLATION WIRED BY
o OWNER
(J ELECTRICAl. CONTRACTOR
Crsdlr Card Holder Nam..: WILLIAM OR JUDITH CARTER IOLYMPIC WIRING. INC.
BnJlngAddresll.: 9601 PROVOST RD. Nw
City: SILVERDALE
wA
Zlp:98383
IhSA:_ MC:XX
CndJtCan1Number: EJrp.1J<Jt.:
PROJECT ADDlIJ!S:s; 3 802 MCG TT, r, AVE.
TYPe Of WORIS; Check l!.IIlhal BPply: A'New
/Iii RllSidentlal 0 MullJ.family 0 Commercial
o A1lernllonlAddllton
D Mobile Home Sq, Ft
2590
o Remote Maler 0 OeIached garage D Hot Tub 0 SWIm Pool 0 Septic Pump 0 Low Voltage 0 Telec;om. 0 Sign
Nurnbe1- of Circul18 added or altenad:
DESCRlPnON OF TItl:! El.EC1'RlCAL PRO.IECT:
2,590 SQ. FT. SINGLE FAMILY RESIDENCE
EltICIrlcal Heat Load AddlUons and or SubtrllcllDIIS
SenrlcelnfG""Rtion
Ll BaseboanJ
o Fumace
l!I(HeBlPump
OF..,...Wall
_KW
KW
TON lRA
KW-
o Overh_ Selvtee
o Temp Service
)( Underground Service
Vollege: 1 20 I 240
F'hasS:.1 Q 3
Servloe Si:z8: 200
Feeder Sizo: d. In
C;JELECrnCALPERMlTAPPLICA TlON
I hereby certify that I heve fead and examIned this application and knew thet same to be true and correct, and I am
authorized to apply for this permit. I understand it is not the Cily's legel responsibility to determine what permits
are required; it remains the applicants responsibility to determine whet permits are required and to obtain such.
~ Data: 'i?-2/-tJ3
d /, Date: g'-2/-tJ3
I/rl- et. ~r~? ft I
PERMIT FEE: $ 138.90
R~
8'(2-2- ~ 3
! 0 Own..... or Elac. Cont. Slgnalure:
A(- ;J. ~-f(,2.+ - 'kF 9&.~
Credit Card Holder's Signature:
~ c D..---
8/z-z- /03
~ "1"1"" ","
ep."
M
~,t;K:SA~
3604174729
PORT ANGELES CITY LT
PAGE 01
~ L/Cf Y
OUJIl'I piC- WI tfANb '.
CITY OF PORT ANGELES
LIGHT DIVISION
.,-
;
.\"
FAX TRANSMISSION COVER SHEET
Date:
To:
Fax:
Re:
Sender:
11/5/03
L&I
417-2755
Inspections
Kathy Trainor
YOU SHOULD RECEIVE I PAGE, INCLlJiJiNG THIS COVER SHEET.
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (360) 417-4724.
-------
Please Inspect the following: ~--
3802 McGill (/; 1;;1.. '.,J) .~, /k, - 'I /1/l1F'K"
:'~:::::toU" l2:;3 J' 7 I '"'1'-' ~'" "
City of PA
417-4623
Thanks,
Kathy
{
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I
~
'.
:U 0'3~ ~ ONL~
:# '1 " I ~.F.(Z..
pit jlMM
Pu.m IT fILL
J
,
138 .90
_-----'~."~-----<"~_C_-.:_.:.;..
. .. ....00., NOT
REMOVE
'....--.=.,""-~
---......::::::
!~- ,-.. '. :'._.""'I~:.",
Dcpartmeht of Labor & Industnes ' , 2'
ElcctriJ~l Section
,
--.-:-----..,
ELECTiUCi\VINSPETTION
CORRECTION REPORT "i
The corrections listed bflow are h~e_~y l:!.rdered and must be completed
within 15 days.
Refer to National Electrical Code or State Rules for Safely Standards.
Is the permit fee correct
o NOT APPROVED FOR SERVICE
No Fee due $
SAFETY DEFECTS NEEDING CORRECTION
r(JJ m~tti},Z'. ~~)tJ~
/-66t1lfJtJ5 R~( Rff ~g%f{g;;-~
~~~~7~
~
iP'K -tb ~
\
,
'\
NOTIFY INSPECTION OFFICE WHEN
READY FOR REINSPECTION
F500-006-000 Electrical inspection correction report I-OJ
Page_ of_
Jul-03-03 08:47A OLYMPIC WIRING INC
ti
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360 692
(I(' e. -fAXE\)
[R&\l\~ ,. 3-03
(., -Ih:.d l': RICAL PERMIT APPLICATION
3680
P.02
"'-
;-/-;;
. I
I
I
I
.~
to \{j f()
Th", EJ9CIfical Permit A.p~!iwll<<l mU:!It be flllad aut c.omDIl'lt~\'.
FO-Q"'F1n"LUSEo.-.LY
O.I""R.r,,:._.~_~
1'cmI1':~,__
e...... -\pPml'ttl:
D>trl~~:_
PtB~n~a ~ or f\lQTil'l1 in In)(. It yau'rU'i'I'Q 31'1Y ~1Je..stfc:rtl$. ptr.;u call (360. 417'-47.35
F.!IJ: number: (:160) 417-4711
(360)
V#b~6
Property Own.,..
TERHUNE
OLYMPIC ~!TR TNt;.
CUSTOM HOMES r
TNr
Phone: hQ7_01 ~..1
(360)
Fod; q 7 _ , h 1\0
Owne/ Of Elec.. Contr~\o7 .biy.ant
Phctlo( 360) 697-7000
Addre~:
P n 'R(')Y 07
City: bnul5l?O
~~~WI310RU E~3/31/05
City. SILVERDALE
,",,' 98370
(:)1,0)
Phono692-0134
Zip: 98383
Ele<1riC3J Conlrac:... nT v'4l>c<;' WIRINC, TNe_
A~~u. 9601 PROVOST RD. NW
INSTALLATION WIReD BY
DOWNER
IlIELECTRICAL CONTRACTOR
Credit Card HoltJerName: ,HTf)ITH rAP'!'!>p
BmmgAd~~:9601 PROVOST RD. NW
City: SIT.VERDI\T,~ WA
CJ'9d1t Card Numb.." , etp, D,ats: .
Zip: 9 a ;l6 3
_ V1SA:_MaUL'
PROJ~C"t ADDRESS:
lRO? Mr<,;:n.i .!luE.
Check .lIlhal apply; IX New
TYPE OF WORK:
o A~eralionlAClCllllon
Il/: Residantal 0 Mwni.family
o Commercial 0 Mobile Home
5<+FL
o Remote Meier [1 Delached garage 0 Hot Tub 0 Swim Pool [] Septic Pump [J Low Voltage 0 Telecom. 0 Sign
Number of CiR:uilS added or altered: ~
OESCRII'TION OF TliE EL!CTRICAL PROJECT:
TEMPORARY SERVICE
Electrlql HoatLoad AQditlons
SeNI<;8 Inlonnallon
o 8a~bodrd
o Furnace
o Heat Pump
o Fan-Wan
_KW
-KW
_KW
_KW
. 0 Ovsr1"lead $ervicfi
~ T EHnp Service
C! Underground Service
Voltage: 1 2 oL~.iQ
Ph...: III 1 0 J
SalVics SLl:e: 60 AMP
FllBd.rSi2e: 2-2-4
PAMC 14.0:5.060(8): For ind06frial, commercial. a resJdential projects larger than 01 duple,;, a Ontl. line dr:1lMng of the Electrical SlilMC8 &
Feedef5, blJilding sjte 'sq. fll. load calculationa, and Il'1e rype & at conduclors and/or raceway Ie requi,6d and shail ,3.t;compan)' the
Electrical Permit apPlica~(ln.
I hereby certify that I have read and examined this application and know that same to be true and correct. and I am
authorized 10 apply for rhis permit. I understand it is not the City's legal responsibmty to determine what permits
are required; II remains the a Ity to determine permits are required and to obtain such.
Jla/oJ --;7 _
. _ ok- -A,? <; S - I ~ '.
It ( Credit Card Holder's Signalure:
PW.9019
Owner or EJec. ConI. Sisnalure:
Dale: (.-11-0J
Dale: oD . 1'7' 03
~ c D----
7-7-03
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST STH STREET, PORT ANGELES, WA 98362
ApDlication description . . . RES N~W CFR
Subdivision Name ......
...... Structure Information NEW 1896SF SFR W/ATTACHED 497SF GARAOE .....
ExDiration Date . . 2/19/04
Qty Unit Charge Per Exten~ioa
1.00 70.8000 ECE EL-R-SQFT FIRST 1300 70.80
............................................................................FeeOther ......................................................... summary Fees ......... Charged STATE Paid SURCHARGE Credited Due 4.50
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether &pecified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or focal law regulating construction or the performance o!
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS~1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:#
ROUGH-IN
WATER LINE
BACK FLOW ! WATER
AIR SEAL
CEILING
FRAMING
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
YES NO
EL£CTg3CAL- LIGHT DEPT. 41%4735 /~/~ ~ LIGHTELECTRICALDEPT
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Nua~oe r ..... 03-00000491 Date 6/05/03
Property Address ...... 3802 MCGILL AVE
A~SESSOR PARCEL NUMBER: 0630155213100000
Application description . . . RES NEW SFR
Property Zoning .......
Application valuation .... 148000
Owner Contractor
HEFTON LO~tN F TERHUNE HOMES INC.
1603 W 7TH ST PO BOX 1267
PORT ANGELES WA 983635201 KENT WA 98035
(800) 772-3275
...... Structure Information MEW 1896SF SFR W/ATTACHED 497SF GARAGE .....
Construction Type ..... TYPE V NON-RATED
Occupancy Type ...... SINGLE FAM & CONGREGATES
Other strict info ..... ~ER OF UNITS 1.00
Permit ...... BUILDING PERMIT -RESIDENTIAL
Additional desc . .
Permit Fee .... 1286.05 Plan Check Fee . . 514.42
Issue Date .... 6/05/03 Valuation .... 148000
Expiration Date . . 12/02/03
Qty Unit Charge Per Extension
B~E FEE 1017.25
48.00 5.6000 THOU BL-100,001-500K (5.60 PER K) 268.80
Permit ...... MECHANICAL PERMIT
Additional desc . .
Permit Fee .... 90.80 Plan Check Fee . . .00
Issue Date .... 6/05/03 Valuation .... 0
Expiration Date . . 12/02/03
Qty Unit Charge Per Extension
BASE FEE 47.00
4.00 7.2500 EC"d ME-IrE~T FAN 29.00
Additional desc . ,
Fee summary Charged Paid Credited Due
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 t 80 days, if construction or work is suspended or abandoned
for a period of '180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
~resume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is buil~r) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNI. AWFUL TO COVER,
INSU£ATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT 1N A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE [ DATE ACCEPTED COMMENTS
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:#
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK PLOW / WATER
AIR SEAL
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Page 2
Application Number ..... 03-00000491 Date 6/05/03
Grand Total 2027.77 2027.77 .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 'tSO days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\PLA NNING\FORM S\ 1102.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILD1NG INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. 1TIS 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 I DATE I YEsACCEPTEDI NO COMMENTS
FOUNDATION:
FOUNDATIO? DRAINAGE
ELEC'rRICAL (LIGHT DEPT) SEPARATE PERMIT:#
PLUMBING
UNDER FLOOR ! SLAB
GAS LINE
BACK FLOW / WATER
AIR SEAL
CEILING WALLS
FRAM1NG
JOISTS / GII~DERS
SHEARW^LL 0 Z'O 3 LC
WALLSJROOE UEILIN
DRYWALL
T-BAR
INSULATION
MECHANICAL
HEAT PUMP
WOOD STOVE ! PELLET / CHIMNEY
HOOD / DUCTS
PWUTILITIES! $1TEWORK (EngineefingDivision) SEPARATE PERMIT #'S:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
BUILDING 41%4815 //'~s~O 5 ~J~ ~- BUILDING
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: . --
Date ~,~7/r~////~~ Time /~.' .J?/,~'~ Received by ~. ~ ~person)
Location of Work to be inspected -~'~1/~ ~ (~'~..~ / /
Name of person requesting inspection ,~.~,1-; ;.~,? ~/~'~..,-/ ~
Address of person requesting inspection Phone No.~-~J~/~, _ ~ ,-~'~
Type of~;m%-~c~cle appropriate one): Permit No. J//?/
Sewey' Foundatipn ~:raming Chimney Plumbing Final Sewer Excav. Other
INSPEC-T!ON~NOTES:I/ ~ I, _ ~-~
Inspected: Date '~'~ Time ~/~ By
y~ VV
Remarks:
RESIOR~TION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved (~Gravel [~]Asphalt []PCC [~Other
[-I Repaired by City Work Order #
I--I Repaired by Permittee [] COMPLETE
I--1 No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:~ ~ ~ -~ _ (~ //~ ~
Date Time Received by ~_ (phone, person)
Location of Work to be inspected -~'~'~ /~ ~ ~1 ~// A ~
Name of person requesting inspection ~ ~ ~ ~
Address of person requesting inspection Phone No. ~
Type of I~~rcle appropriate one): Permit No. ~ ~
Sewer ~,[~m~Framing Chimney Plumbing Final SewerExcav. Other
INSPEC~TES'
Inspected: Date ~ ~O~ Time ~ By ~
Remarks: ~
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[--} Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
~e Building P~mit - P~pllc~ion ~ be~d out co~lete~. ~ ~
Pl~ ~ nr p~t in ~ ~you have any qu~ou~ pl~a ~H 417~$1~
T~E OF WO~. ~
PL~N~G USE O~Y: ~PROV~: P~ ~
Pe~i~ ~uk~: NO~S:
Ske PI~ ~d U~ Appwv~d by: D~: ,
ES~eg~d(s): a Yes ~ No SEPA Chec~i~ ~qu~? ~ Y~ = No O~ O~R
B~G ~PLICA~ON ~'r l'~: Yo~app~na~s~p~tbe~doutco~ly~beacd~forro~,
~ Build~t Division ~ pmvid~ you wi~ mo~ d~iled ~fo~afion on ~e ~plicafion ~d p~ ~bmi~ ~,
pl~ ~ to bo mbm~d ~ ~e Buffet Divhiom
VALUA~ON OF CON~U~-rION: ~ ~ ~, a ~on ~t ~ be ~d by ~e ~pli~C ~s fi~ will be ~viewed
o~er pe~it f~s ~ d~ at ~ ~e of p~t ~su~ce.
E~ON OF P~ ~W: If no ~it h ~u~ wi~ 180 days of~e da~ of appli~on, ~h appl~tion will ~xpi~ by
l~i~fions. ~e Build~ Offici~ ~ ~tmd &e ~e f~ a~on by ~ ~p~cup ~ lg0 da~. on ~n ~qu~ by ~ ~pii~t
Section 107.4 of ~e Unifo~ Bulldog C~, c~nt edi~on). No appllaation c~ ~ ext~ m~e ~ once.
l h~eby c~ t~t I ~ re~ ~ ~ami~ th~ ~plkation ~ ~ow th~ same to be ~e a~ co~t, ~d I ~ ~thor~ed to apply
for this permit. 1 ~rsta~ it ~ not t~ ClW's leg~ r~po~ibtli~ to ~te~ine wh~ ~rmi~ are re~ired; it ~ai~ t~ appiic~'~
r~po~ibili~ to determi~ what ~rmi~ ~ r~uir~ a~ to obtain ~c~
SITE PLAN
DEPART~W.2~ OF PUBLIC '/~ORKS, BUILDI~IG DIVISION
See Pagt 4for ~ on ~g t~ ~e p~ For ~ ~o~ ~ 4~11, ~e~n 125.
City of Port Angeles
Applicant Project Review Sheet
IApplicant: Lt~r~xrx i.~'"'~:~Xt-~ J~-~'~k~ Propertyadd~ss: ~('~c-~t(( ~J~, --
Is thc proposed us~ listed as a "!~rmit'~d use'" or an -accessory u.se" in ~ z~? ~ y~s: ok [] no: reqgires PD
Is ~is thc only us~ Cousin~ss. ~ideac~, eic.) on this sit~? .J~yes: ok [] no: ~luires PD
Has ~.ere ever b~m a subdivision, shortplat, o~ PRD approved for this sit~. or has one E] y~s: r~tuir~s PD ,.~ no: ok
been submitted and is pending approval? r~iew
Do~s the proposed use require a n~w buisn~ss license? [] yes: r~l~res CC J~no: ok
Does the project exteud imo any required setbacks or cross any lot lines (interior or ~ yes: req.uims PD J~no: ok
exterior)?
Does the proj~:t exceed the ix:remitted height allowanc~ or cau..~ the propert!t 1o exceed f-{ yes: .~ PD .~[ho: ok
the allovaxt lot coverage in figs zone?
Does the project require any additional parki,_o or special desig~landscape hnl:muvemen~ [] y~s: mqui~ PD ~'4~b~o: ok
in this zone? .
Does the project eliminate any existing parldn,, spaces? [] yes: req~s PD c-i~uo: ok
Is the project located wiflfin 200' of ~he shoreline? [] yes: r~quirus PD ~i~ib: ok
r~vi~v
Are there any environmenlally s~nsilive areas on or within 200' of the properly.
including: [] yes: ruquir~ PD [~: ok
i wetlands or m of sumding water (year round ot seasonal);
areas with a slope of40% gt greater, or
aruas flint have evidence of past ground mov, m~nt ot erosion?
Have all the r~quired submittals bern provid~xi by lhe applicant? ~]~ yes: ok {~ no: mark
.)~ Si~e Plan ,~ ConsU~tion Drawings ~equired
r~ ParkingYDrainage Plan C3 Civil DraWings imm(s)
~ EnerglY Calc ~%-~t/~ t3 Supporting Eng. Cal¢
[] Landscape/Lightin8 Plan [] Other
ent permit(~) is needed, the Planning Detmronent permtt(~) must be approved prior to the issuance of any other permit.
The !.f~or~on provided a.~.. . is ~ ~ ~ best oflmy ~.o~.. ge. 1 ~ t~t ~ ~, ~nt ~at ~ of this inf~an'~ is dete~ined
by the Ct~ to ~ tn~e~, ~t~ p~yect ~ll b~ ~opped un~l ~ch time ~e Ci~ dete~ ~e ~ct inf~ is p~ided and any
~bsequently ~quired ~ ~ ~pr~ are c~plet~ ~
P~t Ca~o~ ~ (aec ~rse *ide) B~ld~g P~t ~ ~ T~ ~
Routem: ~BD ~CC ~ ~ ~PD DPW ~F~e ~
Smff~fi~s ~m Corn?etlon o/~f~ ~ ~qui~d f~ aH ca~ lb, 2 · ~ ~i~. C~pl~6~ ~ not
114'+-
A leg
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000638 Date 7/08/03
Property Address ...... 3802 MCGILL AVE
ASSESSOR PARCEL NUMBER: 06-30-15-5-2-1310-0000-
Application description . . . ELECTRICAL ONLY
Subdivision Name ......
Property Zoning .......
Application valuation ..... 0
Contractor
Additional desc . .
1,00 40.9000 ECH EL-TEMP SRV - 0-60 SRV FDR 40.90
Fee s%~a~ary Charged Paid Credited Due
Grand Total 40.90 40.90 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and pubiic improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby cer[ify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROV1DE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: g
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER L~NE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ aI~E~S
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ~/~/~ ~ ELECTRiCALLiGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
~LANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORM S\ 1102.15 [4/2002]