HomeMy WebLinkAbout3604 Canyon Edge Dr - Building CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number ..... 03-00000200 Date 3/16/03
Property ~dress ...... 3604 CANYON E~E DR
~SESSOR P~CEL ND74BER: 0630155800200000
~plication description . . . ELECTRICAL ONLY
Property Zoning .......
~plication valuation .... 0
O~er Contractor
3604 CAN~ON EDGE DR PO BOX 383
PORT ~GELES WA 983626728 PORT ~GELES WA 98362
(360) 452-1689
Additional desc . .
Pe~it Fee .... 46.70 Plan Check Fee . . .00
Issue Date .... 3/16/03 Valuation .... 0
E~iration Date . . 9/12/03
Fee summa~ Charged Paid Credited Due
Pe~it Fee Total 46.70 46.70 .00 .00
Pi~ Check Total .00 .00 .00 .00
Gr~d Tota~ 46.70 46.70 .00 .00
Separate Permits are required for electrical work, SE PA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does no1
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance ~
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BU!LD1NG INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNL,4 WFUL TO CO VER,
1NSUL,4TE OR CONCE,4L ANY WORK BEFORE INSPECTED .4ND ACCEPTED. POST PERMIT IN a CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT 3OB SITE
INSPECTION TYPE I DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH~IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PWUTILITIES/ SITEWORK (EngineeringDivislon) 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 BATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTPdCAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ '/ '/ CONSTRUCTION - R.W
ENGINEERING, 417-4807 PW / ENGINEERING
FIKE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T:\PLAN~NING\FORM S\1102.15 [4/2002]
fl'ORT~
$-.J.O~~~
ha
1l::--
~
BUILDllit3 PERMIT
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
ISSUED:
7/01/2002
I-'t:KMII NU:
13432
OWNER/APPLICANT
JEFF WILLIAMS
3604 CANYON EDGE DR
Port Angeles, W A 98362
360/452-1068
T:
S:
PROPERTY LOCATION
3604 CANYON EDGE DR
Lot: 5
Block:
Subdivision:
Parcel No:
IZI Long Legal
CANYON EDGE
063015580020000
CONTRACTOR
OWNER
VARIOUS
Port Angeles, WA 99360
206/000-0000
PROJECT INFO
Project Value: $15,600.00
Project Type: ADDN/REMODEL
Occupancy Type: RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use: RS9
ARCHITECT
N/A
, 98360-0000
360/000-0000
SFD Units: 0 Commercial: 0
SFD sa FT: 0 Industrial: 0
Garage: 0
MFD Units: 0
MFD sa FT: 0
PROJECT NOTES
12' X 28' ADDITION TO SOUTH END OF EXISTING RES..AND INTERIOR REMODEL
~
~
(0
-:l:..
R €c.i -e pf if 1 '2.S '1 pt C\. \i\, C-<e
FEES ASSESSMENT f\
Building Permit: $265.25 Misc Fee 1: $0.00
Plan Check: $106.10 Misc Fee 2: $0.00 ~
State Surcharge: $4.50 Misc Fee 3: $0.00 ~
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $497.10 ~
Plumbing: $76.00 AMOUNT PAID: $497.10 ('\\
Mechanical: $45.25 BALANCE DUE: $0.00 P-
Radon: $0.00 ~
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, If construction or'work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether s I Ie herein or not. T granting of a permit does not
presume to give authority to violate or cancel the proviSions of any state r local la regulatin con t uction or the performance of
construction,
")
Signature of Contractor or Authorized Agent 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 IT IS UNLA WFUL TO COVER,
INSULA TE 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 12.-1 \--02 I E: l-\
WALLS ;2 - , q-() ~l..EH
FOUNDATION DRAINAGE 7ft -1l."- .r", ? ~}.l... ,
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT. #
ROUGH-IN
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN 0.. -I tI-- 0 ~ .J- I~-II
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS 11 -7 -0 ~ R\J
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILING ;1eed 10 ~1..t7~ :3-05-:'03 T. {., -
DRYW ALL
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING J,--ILO~ IT:?? I
MECHANICAL
HEAT PUMP
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s
WATERLINE 1 METER
SEWER CONNECTION
SANIT AR Y
STORM
PLANNING DEPT SEPARA TE PERMIT #'s SEPA
PARKING/LIGHTlNG ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W 1 PWI CONSTRUCTION - R W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 11f-7II ..r:;4 WV BUILDING
T \PLANNING\FORMS\1102.15 [4/2002]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 7- 'J-6 -0 I Time lo! ,;.~ Received by
, person)
Location of Work to be inspected ~OH ~~ ~ f!c..
Name of person requesting inspection W c..: I' 'L "
Address of person requesting inspection 3 (;oJ.j Ca.-Yl ~ ~ Phone No. J.I.S{j-LOG'if
Type of Inspection (circle appropriate one): Permit No. 1"343 {}-
Sewer Foundation Framing Chimney Plumbing esewer Excav. Other
INSPECTION NOTES:
Inspected: Date -; - 62b - 6 4
Remarks:
Time
By
RV
OK
RESTORATION REQUIRED. . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date Q-Zz-03
Time
Received by
;?>{/
Ed3~
(phone, person)
Location of Work to be inspected s60 'I ~aVL Y/'j [J....
Name of person requesting inspection ~ -e-$-
Address of person requesting inspection
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimne~ Final Sewer Excav. Other
.~
INSPECTION NOTES: I t~~~~~ Sv..'^"'-r
Inspected: Date lit I,,., l7)_'?:. Time ~/IA B~
Remarks: ~ ---r-v--r---
Phone No. S/ S""2 -/o/:,g
/34:5";>
-
~
RESTORATION REQUIRED . . . . .. YES NO
12A.~s.. k:5pec:l/cfA. 9-z~-o3
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
D Repaired by City
D Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 5~b-63
Time
j
Received by
RV
6-c~e
(phone, person)
Location of Work to be inspected --::?60?/
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
~ t.-t- \I'd fA.-
/
Phone No. 9'S2-/c?68
Permit No. /:9~7s2-
Final Sewer Excav. Other
Inspected: Date
Remarks:
Time
By R,/~
()k!
RESTORATION REQUIRED . . . . .. YES NO
-r.\r 6. <:. (
j (J ,/ lOA- yV\.
3 (100 pfJl\
no-/- r eo....dX
",,-<)-1- re<l~
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Repaired by City
D Repaired by Permittee
o No Damage Found
o Other
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
..
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
Date Rec .:::; - 17' ~ <:) 'C.-
Perrmt # I 3 l./ <. z..
Date Approved
Date Issued
The Buildmg PermIt ApplzcatlOn must be filled out completely.
Please type or print in ink. If you have any questions, please call 417-4815
Applicant or Agent: 5e-F[ vJ ,ll,'OvVV\ S Phone:
Owner: :Jeff \tJ. ~ ju.s~ \N, l ,;O-~<,
Address: 360Q Ca~JCly..._E~~ Dr
Architect/Engineer: Paul c~e 54cVle
~(fC~.p
City:
Pett A~k~
4S-2-10""~
Phone:~S"Z-IDh8
Zip: q83bG
457-3L\ID
Phone:
Contractor c l>-'> re ("
License #:
Exp:
Phone:
Address:
City:
Zip:
PROJECT ADDRESS: ~I't-e ZONING:
LEGAL DESCRIPTION: Lot: 5 Block: SubdIvIsIOn' CO-\l\jll"'~dJe
CLALLAM COUNTY PARCEL NUMBER:Ob3oI55~Ocz..oaco Credit Card Holder Name.
Billing Address: City:
Credit Card #: Exp. Date: VISA MC
TYPE OF WORK: SIZEN ALUATION:
ISVReSIdentlal o New Constr. 0 Re-roof 0 Wood-stove 3\2- SF.@$ 50 /SF =.$
o Multi-farmly o AddItion 0 Move 0 Garage SF.@$ /SF. = $
o CommerCIal ~Remodel 0 DemohtIOn 0 Deck SF.@$ /SF. = $
o RepaIr 0 SIgn 0 TOTAL VALUATION $
{5, bOb
(51 L()~
BRIEF DESCRIPTION OF THE PROJECT: A~.li~i~" of 12' '^ Z'E' -h 5~d-h ~. l<ew-cJeJ a..-J.
a.!h~~ of 2 lft+kr~~\"f'-S 11\ e)l..;")~;J :4-vclv-rc
COMMERCIAL/RESIDENTlAL: Occupancy Group: Occupant Load. ConstructIon Type:
No ofStones:~ LotSlZe. 129~o % Lot Coverage' 151'"1 %
EXlstmg Lot Coverage: I(.so /sq. ft + Proposed Lot Coverage: ;:;>/2- /sq. ft. = TOTAL LOT COVERAGE' 2d~ :2./sq. ft.
PLANNING USE ONLY: APPRO V ALS: PLAN
Notes: BLDG.
DPW
FIRE
ESA/Wetland(s): 0 Yes 0 No SEPA Checkhstreqmred? 0 Yes 0 No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must he filled out completely to be acceptedfor
review. The BuIlding DiVIsion can provide you with more detailed informatIOn on the applIcation and plan subrmttal reqUIrements. Your
completed apphcation, site plan (for addItIOns) and buildmg constructIon plans are to be subrmtted to the BUIlding DIviSIOn.
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 Bmldmg DIVISIOn to comply WIth current fee schedules. Contact the Permit Coordmator at 417-48 I 5 for aSSIstance.
PLAN CHECK FEE . Your plan check fee IS due at the time the bmldmg perrmt applIcatIon and construction plans are submitted. All other
permit fees are due at the tIme of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno perrmt IS Issued WIthin 180 days of the date ofapphcation, tlus application will expire. The
BUIlding OffiCIal can extend the tune for actIon by the applicant up to 180 days upon wrItten request by the apphcant (see SectIOn 107.4 of
the Umform BuIlding Code, current edItIon) No applicatIOn can be extended more than once.
I hereby certify that I have read and exammed thiS apphcatlOn and know the same to be true and correct, and I am authOrized to apply for
thIS permIt I understand It IS not the City's legal responslQ to etermme what permits are requIred, It remams the applicant's
responslblhty to determme what permIts are required and t obtazn such
Date:~
T \FORMS\APPS\Bulldmgpermlt
~
CPi~~b
26 DC->
M~C.h
2 ? ,50
3-.K 7,z 5"" =- 2/.7S
7 "j:. 7016:::- 49(.X:)
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST: ~_./J
Date , Z --/ (- ,,~ Time Received by ~ (phone, person)
3~ el if (l'FMJej fJN ~
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspecti Jcircle appropriate one):
Sewer ound3 Framing Chimney Plumbing
Phone No.
Permit No. {3 '-f'5-Z--
Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date I ~ ,0 II ,,- 6 ~
Remarks:
/
/
/~-......
/' J
( ./
~~
I'
/
/~---
By
/
/
- ./>''''
Time
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
/DATEl
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST: . \... /)
Date ) l. -/8 -0'2- Time Received by ~ (phone, person)
Location of Work to be inspected 3'0 ,t/ ~AJrtJlU ~G-
Name of person requesting inspection
Address of person requesting inspection
Type of ~~~irCle appropriate one):
Sewer ou~datiorl' Framing Chimney Plumbing Final Sewer Excav. Other
tv/k,-~
INSPECTION NOTES:
Inspected: Date I '2 - ;q ~ t) L.
Remarks:
Phone No.
Permit No. /~g'Z-.
~
Time
By
#>. /
/))~
(\ /.
\..-/
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessarv)
CTDI:I:T CllDI:Dll\lTl:l\lnl:l\lT
InATI:I
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date 2. - /2 - o::s
Time
Received by
RV
(phone, person)
Location of Work to be inspected SbO'7 Cq~/..t.-y'OU ~~3P~ lJf[
Name of person requesting inspection ~~ ~I<::t;?> I'
Address of person requesting inspection Phone No.~ 807/
Type of Inspection (circle appropriate one): Permit No. /,~ '1,,-~L
Sewer Foundation Framing Chimney ~Final Sewer Excav. Other
~ ~ ..;l~
INSPECTION NOTES:
Inspected: Date rJ ,I '2 ~ () 3-
Remarks:
Time
~
By
oK:
l ,
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
lDATEI
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date V 9- J ~"l
I
v
"
~ Cf" ~2
Time
i I.' J 0
Received by :J1;.", u ~
(phone, person)
Location of Work to be inspected ~ C~2f1tYJ -~J:;-e Df'.
Name of person requesting inspection :::>" t.Q _ ~Q J'kJ~
Address of person requesting inspection Phone NO,-".%. c;-/ JB
Type of Inspection (circle appropriate one): Permit No. q.s'2_ I06:ff!,
Sewer Foundatioera";i~~himneY Plu~:ng Final Sewer Excav. Other" ( '3 )/? tJ--
INSPECTION NOTES:~!i)pr 0t!);,:!/iJ1€-~fl
Inspected: Date ~ ?-D~ Time 9.CO By /
Remarks:;, 11lo~ iff 1 7~~ ~ ~:i. WJJuu?:~
(
~ ~~-'> -s-.03 _ .-"::> ~
SfJl.tCJt6(r~~)';I)A) 1,;0-1"lJ()0vJ"~ 4d.()~~ No LoN6~
fJ.~ {,"tAL ~ ;tJUo ~ ~NsP~.,
RESTORATION REQUIRED . . . . .. YES
NO
b~'1A"'( A4 9/ ~ ..P'~
~.,~ ~ ~M"'r'-ev&"./~~
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved 0 Gravel 0 Asphalt 0 PCC
D Other
D Repaired by City
D Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
CTDI:I:T CllDI:Dll\lTl:l\lnl:l\lT
InATi:1
~
:6l
tJ.
t\t ./b
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J
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,
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,
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date . ~ -/ D- Cia
j
Time
Received by
RV
(phone, person)
Location of Work to be inspected 360 t..j
Name of person requesting inspection -.J..e,.-ff-
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
La.vtyoL.c &:)<je.. Dr
{)J" (tl" 'a.I/l-S
Phone No.
Permit No. I "3'-1 "32
Final Sewer Excav. Other ~ScJ..L <Lfib L<...
INSPECTION NOTES:
Inspected: Date ~-( ( -e>3 Time L ~ '3 ();OXA
Remarks: (iU.4U- fNAtJlA~""; --@
BY~
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
D Repaired by City
D Repaired by Permittee
D No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(OA TE)
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000926 Date 9/21/03
3604 CANYON EDGE DR
06-30-15-5-8-0020-0000-
ELECTRICAL ONLY
o
Owner
Contractor
JEFFERSON W JR/SUSAN WILLIAMS
3604 CANYON EDGE DR
PORT ANGELES WA 983626728
SHAMP ELECTRICAL CONTRACTING
PO BOX 383
PORT ANGELES WA 98362
(360) 452-1689
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
200 A PNL./KIT. & LIV. RM. CIR
SHAMP ELECTRICAL CONTRACTING
76.30 Plan Check Fee
9/21/03 Valuation
3/20/04
.00
o
~
\:)
-t.,
Qty Unit Charge Per
1.00 76.3000 ECH EL-RM-0-200 1ST SRV FEEDER
Extension
76.30
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 76.30- 76.30 .00 .00
Plan Ch.eck Total .00 .00 .00 .00
Grand Total 76.30 76.30 .00 .00
~
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.......
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~
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.....
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined thiS application and know the same to be true and correct. All provIsions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T.\PLANNING\FORMS\1102.IS [4/20021
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE 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
FOUNDA TION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGII-IN I
PLUMllING
-
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CClLlNG
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL / rLOOR / CEILING I
MECHANICAL - .
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
1I00n / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT Ws
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT Ws 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 'i/Zbk :5 Aco ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W./ PW/ -, r 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 [4/2002]
.. c#.'ORr~...
$i~
,.
~ --
't&i:~p
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000967 Date 10/01/03
3604 CANYON EDGE DR
06-30-15-5-8-0020-0000-
PPG, STOVE,TANK,GASLINE
MECHANICAL PERMIT
1600
Owner
Contractor
JEFFERSON W JR/SUSAN WILLIAMS
3604 CANYON EDGE DR
PORT ANGELES WA 983626728
FERRELLGAS LP
ONE LIBERTY PLAZA
LIBERTY
(360) 683-9029
MO 64068
Permit MECHANICAL PERMIT
Additional desc
Permit Fee 57.65 Plan Check Fee .00
Issue Date 10/01/03 Valuation 0
Expiration Date 3/30/04
Qty Unit Charge Per Extension
BASE FEE 47.00
1.00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65
~
~
C)
..:!:.
Fee swnmary Charged Paid Credited Due
----------------- ----------~----------- ---------- ----------
Permit F.ee Total 57.65 57.65 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 57.65 57.65 .00 .00
~
<=4
~
f
~
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 whethe CI I herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any st or local I r gulatin cons ction or the performance of
construction. <
Signature of Contractor or Authorized Agent
Date
Date
T:\PLANNING\FORMS\1102.IS [412002]
BUILDING PERMIT INSPECTION RECORD
"
CALL 417-4815 FOR BUILDING 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 I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
-
UNDER FLOOR' SLAB
ROUGH-IN
WATER LINE
GAS LINE JLI-O~ J .)...
BACK FLOW' WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS' GIRDERS
SHEAR WALL
WALLS' ROOF' CEILING
DRYWALL
T-BAR
INSULATION
SLAB
WALL' FLOOR' CEILING I
MECHANICAL -0
HEAT PUMP
WOOD STOVE' PELLET' CHIMNEY
HOOD' DUCTS
PW UTILITIES I SITE WORK (Engineenng DIVISIon) SEPARATE PERMIT #'s:
WATERLINE'METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.' PW' CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW , ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 1/7/</65 '.4L'- BUILDING
T.\PLANNING\FORMS\I 102.15 [412002]
PREPARED 12/03/03, 12,09 33
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
12/03/03
------------------------------------------------------------------------------------------------
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
3604 CANYON EDGE DR
PPG, STOVE,TANK,GASLINE
FERRELLGAS LP
JEFFERSON W JR/SUSAN WILLIAMS
06-30-15-5-8-0020-0000-
03-00000967 MECHANICAL PERMIT
SUBDIV'
PHONE (360) 683-9029
PHONE
------------------------~~-------~--------------------------------------------------------------
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME6 01
11/06/03
11/06/03
JLL
AP
MECHANICAL GAS LINE
Gas Llne lnspectlon.
Second permlt stl11 outstandlng at thlS address
Permlt# 13432
MECHANICAL FINAL
Jeff Wl111ams Call ahead, set up tlme
Home 452-1068
Work 565-1763
ME99 01
12/03/03
~
-------------------------------------- COMMENTS AND NOTES --------------------------------______
PREPARED 11/06/03, 12 08 21
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
5
11/06/03
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
3604 CANYON EDGE DR
PPG, STOVE,TANK,GASLINE
FERRELLGAS LP
JEFFERSON W JR/SUSAN WILLIAMS
06-30-15-5-8-0020-0000-
03-00000967 MECHANICAL PERMIT
SUBDIV
PHONE
PHONE
(360) 683-9029
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
~~~--~~---~~/~~/~;---i-;-~-- ---i;~:~i~:~;;~:~~~~~-~~:::~~~:~:-~:-:~::-~~~~:::-----------------
. Permlt# 13432
--------------------------- ---------- COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
14928
)-/5- )IL'
Port Angeles, Washlngton.........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 eleCtri~ work a~ li~ted below.
Address _m"r...f.c-.'."!..C;;_:::__:.~Y:~.~~t~./IJ.~/.__=.?..__.....mm Occupancy...AJ2~.!'.~__:..m____m__..___.__..._..
A-" '/';4- jI
~::~~::~=::4::::~:::;:~:~::;;ep::::::::::~:::----~~::~~;:::::::::::::~.-:....::::::::::::::::::::::::::::::::::::::::::::::::::::
Light OUtletB.__.__.~:::':__.m...__m...__....m. Service, volts ../d...O/f?'f-.9.m_______ Type of WIring:
Receptacle Outlets.m?....0m._.m__.h.... No. wires .__..~"1___...m..____.__..m_.__.__ Armored Cable .....___..m.__..............
C 51'/0 <p f
:::r~, ::.~.......Z:?j~~~~~....~~~~................ ::: ;~::B~~6l~;:;~;C:~:::..~.~~~~..:
5
Enclosure .0........_.........0...........0......
Vi,rater Heater: ;-
KW..__...mft__~m.mm____m__mm__.
HeBt: RW.m.JJLf...P./l........mm.m..
Type of Wiring:
Entrance Cable ......__..__....._m.....m
Rigid Conduit ...........m...._.......m..
MetalUc Tubing mh._.h.h..............
Current transformers:
No. & Size........h......._.....................
Motors: sIze, volts and phase:
/..~.!:c...:__..m..m______m..__mm__m
/-AI<.~.y"-.L.mm.__.m.__..............__.
SeT. NO......_____....__....h...._..h.._..........
SeT. No...._..._.__............_......_____...........
SeT. No......_....._...._..........._..............
Total Loadm.mmhm.h._......_
Ser. NO.________....h.....__.____....___n_______...
Non-Metallic ....__..m.m..n.h........__.
Knob & Tube__..__________m....h......._...
Rigid Conduit m.__mm.......m____...__
Metallic Tubing ______________.............
Raceway ....n._:.:;.>"_.._______..___...............
Circuits, LighL.d.....................m..m__...
Utility m.Smm...m...__mm..m__m__
Heat ....~____.__.__.m.__m______.____..mm
...,
Range __.':::::.h.h................_.____.n___.__
;2
Water Heater .m'......m____.............
Motor ........____....__........_.h...............
Dryer......-:!........................_.__...._....__
Furnace ..______.__.u............___.__.............
?:;J.
Total ..._................__..................
Renlarks: _____.h_.__ra_'".-Ib...!_~.1:::.uu--.!:4"l':2-~.:!J-'1---!..u.hh.uh.------.h_.._____.__._______.n________uu______..._u________..._________..
Permit Fee
$ ~), 06
.__...___.___.___...___h...____.__.
Treas. Receipt
NO.__mmm________________
Byj0..tJp.~1r.d~",I1~,~.~___________
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
/1,sf(r.J
~i3
ELECTRICAL PERMIT
N~
14928
( C /J A ~V #5~, -- )
Date caae ~~ns1e'cti~0~<,,;;~e,..:....~,.,m.,.....::::n___................m.n__n.........______n........./::..!...~...=._:...>:.......__.____..........
prellmlnary~rriBp{ctlo'h"ll.t~i.-----.;.m.....~...m(~7......--h':(n.m--...f'.(,3............--m..m--..........----...--.....--.....m--..____m..__.........._..............._
/---r'-<..-,-'-'~'_a.-< I (.. ,.:, " r'
Inspectloncompleted......._.._.........._.._.........._...._u__......_.__..........................._......._.._._..........___.....__...................______..........................._......_
1M 3-72 Olympic Printers, Inc.
Total Load .n.....h..u.........._.__....__....................._.........u.._._._.............._ ...._..h............u...nn..unu.....u........h.h.u..__.__......................_.................._
02/20/2003 21:32
13504521589
SHAW ELEC
PAGE 01
b' lo~
ELECTRICAL PERMIT APPLICATION
:=-OR ornCl ~L t.:S[ 1):,1. y
n~!"'Rl:";: .__
I'=rm.....__._
DaltA:I:>muo:u;_._
DA'th~U('.;:
The Electrical Permit Application must be 'fIIed out complet9lv.
-#~crO
l 0""'.-;),' Elec. Controo.or ^90nl:~f'
Property Owner:
3' _J . C~"~~f)(~ I?
Address: bU -, -
. Electrical contractor:S'riJ,..M..r ~...~...~
Address: lo - [;l. ~ '3<;lj:;'
Please tyP" or reprint In Inl<. II you have any queslions, pl.a"" call (360. 417-4735
Fa. numb4lr: (360) 417-4711
REOUEST INSPECTION !
Phone: '15...- (0<.9 Fa'<:
W I ~'-' flt-J'$
Phone:
Credit Card Holder Name:
-;; 11. Gi LJ....el
, () '"!!\.. 0;;"
City:
X ELECTR ICAL CONTRACTOR
S~
Poll-or AIJr;,.r;i ~
5;1'\>i' "'e e~3 Q..~
L.lcense #:
Po~ k-rV6(;.'( J<:
wA-
Exp: <:;3
(..JA--
Zip: 't83'z.-.
Phone' o(S-z.-1 b
Zlp: 'T<i3b.-:Z-
~'.JE:.
City:
Cor...~G- I~
IN~-rALL.I\TlaN wlREn BY:
::J OWNER
Billing Address: "\1 C ~ .
Credit Card Number: ,_ Exp. Date:---.!.
PFlOJECT ADDRESS:
:3bot..{
CA"'~ ~f.(.
Dr....J'i.
. . TYPE Of WOFlK: Check all that apply: :::1 New } Alteration/Addition
."iJResidental Q Multi-family [j Commercial :J Mobile Home. Sq. Ft.
6 'Remota Meter [j Detached garage = Hot Tub C Swim POOl C Septic Pump :::J Low Voltage = Telecom. c:
Number of Circ.uitc ~dde-d or Rltp.red:.. .M
DESCRIPTION OF THE ELECTRICAL PROJECT: AOp,noN 10 (f~15"JJ(,.. t-loM.i:. . l'c.'rU.-u,rj. 14-t.~
/lL-7E~ ?/1?.JEb
1J{ -
. Electrioal Heat Load Additions
,-] -~ CTR.iJV:-t:r::i ~/iJ6/..Lr-diJ
-- --Service'lnformation
o Baseboard
o Furnace
o Heal Pump
o Fan-Wall
_KW
_KW
.~KW
~KW
o Overhead Service
~ Temp Service
o Underground Service
Voltage: '-,.{i."1:>
Phase: 1iiD1 0 3
SQrviee ~~: 7~ 4-/11
Feeder Size: ZO!.4.t'!'
PAMe 14.05,060(8): -For Industrial, commercial, & residential projects larger than 8 duplex. a one. line drawing of the EIe<Jlrical SarvIc
Feeders. building size (sq. ft.), load calculations. and the type & of conductors and/or raceway is re e
Elactrical f'erm
ion and know thfJt same to be true and correct. and,
authorized to apply tor this permit. I understand iris not the City's legal responsibility to determine what permit~
, - a"~ required; it remains the applicants responsibility to determine what permits are required and to obtain such.
~( ~c:(" "7 r L
.4 ( ~ '0 F- .(}":> I <, ~ ~..J.. .-..l ?/ I
Credit Card Holder's Signature;. .5 ~Zt 5h <:uZ Date: } 7< (",:s.
owner or Elec. Cont. Signature: 1f /\.. ~ _.~.. Date: -Z/U(03
PW.9019
aiL ~ a-
:L/;L~Jo 3
09/19/2003 14:09
13504521589
.
SHAMP ELEC
PAGE 01
.
tin.,
0'
, ,
~:~:~~
ELECTRICAL PERMIT APPLICATION
FOR 01TICI.^J. IJ.~C mJl. v
D~le/"ec. __....m_.__
p(TJ"IlII:t- ______."..
D~IIC'Apptt)''<'11. '...,.______n._
Dall"h~,,~; ,.__.___.__
The Electrical Permit Application mLlst be filled .,L1t com~
Please type orreprinl in inlc.. If you have any qllestlons, please call (3EiO) 417-4735
~ax numDer: (360) 417-4T11
o EI C I I \ I ~tfltrnP Cl L7-r"YOu'''AI t:6tJ1 plow,,", JI5~>lb.f9 Fo",
woor or OC, on r.3C Or! gOIl .~_ ~~~ -, :1l_ _
Pcoperty Owner: J<tt.----.kUJJ1JsZfYl.5: Phone,
Address 3fdJ +- C<'?D~~--,--_. City PlJ1t./ .tJ1JqfX&J/ -I . 11>>J ,
E:lectric:al Contmr:tnr" .~311;~ ~ii~.\ f C]R1LftL r.o~i i"l:.1~~LJ~ll-:' r~Jl\. Licr:;nsr~ ff"::f';V\'IPEel)~,~f)1ExP: 03
Address: (!,C Q:')<.~/c<" City: f!rH<l 4,.11,':1.":', I'JA,
~cun-e...
Zip, <11' .%~
Phone: ~S'L -1"'8"'1
Zip: 'IS3"'t,
INSTALLATION WIRED BY:
,- OWNtl<
~(t:I..EGr~lCAL CONTR/\CTon
Credit Card Holder Name: ,,5fJ(lL8f 511;]_''.].:)____
Billing Address:
(IIC _l'~. I C' nl :-;ty(C -1-
City: f,:,n
"II\.,\L._(:.tt:~).
lilA,
Zip: '1S3i,3
VISA;)\ Me:
Credit Card Number: ____ Exp. Dale: _....!~ _:;
PROJECT ADDRESS:. 30Q~ (i/}./l.f.jOD fJ/Jj.(J, Rd" f..'&Jt) (J n1fJ.t,j, J 1AAi4, 1'X3Prt-
TYPf OF WORK: Check;ill that apply ,"1 N0W \9"Alleratl0r1/Addition
v.:(Residential 0 Multi-family
o Commercial 0 Mobile I-lame
Sq.Ft.
o Remote Meter [J Detached garage 0 Hot Tull :] Swim Pool :~l Septic Pump
L' Low Voilage 0 Telecom, o5ig.
Number of Circuits added or ,~nered:
DESCRIPTION ~F THE ELECTRICA~--;ROJE~;::~...p'/J_fJIY2&_ J JAlzJ:ItJ -{!J()l'trfl OJ/Ii.
V~lJJn}, nid2mllrJjJ~--rJ) (Jlh;) J20JYJ!J1i!...., !l!:LUf.
Electrical Load Addition~ 'Iud or "ubtrllction~
Servie.. Information
L1 BaselJUdrU
~ Furnace
:J Heat Pump
u Fan.Wall
KW
KW
TON
-'---KW
lAR
J Overhead Servic~/
~ Temp Service
1'--1 Ufld~rground Servi(-I?
Voltoge:
Phase: [- 1-= 3
Service Size: _____
Feeder Size:_._
rAMC 14,06,060(9): 1=0" Jndustrl<ll, rnmmF!rcial. & residential projects lar!=l13r t1voin a duplex, a one - line drawing of the Electrical Service &
Feeders, building size (sq. ft,). load calculations, and tho ty po & of required and shall acc peny me
Electrical Permil application,
, hereby certify that' have read and examined Ihis application and know that same to be true and correct, and' ar
aulhotized to apply for this pormit I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine whal permits am required and to obtain such.
tA4w'~$W-
Crodil Card Hold.,. Sign"ture' ~ % ~ O.te: q ~ I { /(]?
/' )/
, OWl10r or Elec. Cont. Signature: ~./ ~:..t~ D.t.: 9 -/q --D3
~!I'1 )03 / PERMIT FEE; $~D' '?o