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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
04-00000466 Date
.578778
535 E 7TH ST
06-30-00-0-2-0495-0000-
RES NEW SFR
6/17/04
RESIDENTIAL HIGH DENSITY
93331
Owner
Contractor
BOWER JR FRED C
223 VIEW RIDGE DR
PORT ANGELES
WA 983629580
WEATHERBEE CONSTRUCTION
201 ROBINSON RD.
PORT ANGELES
(360) 452-3710
1360 SF SFR W/ATT 533 SF GARAGE
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
Structure Information
Construction Type
Occupancy Type
Other struct info
27.00
V-N
1. 00
1. 00
7000.00
1921.00
1921.00
1. 00
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
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Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee 975.25 Plan Check Fee 390.10
Issue Date 6/15/04 Valuation 93331
Expiration Date 12/12/04
Qty Unit Charge Per Extension
BASE FEE 667.25
44.00 7.0000 THOU BL-50,001-100K (7.00 PER K) 308.00
76.00 Plan Check Fee
6/15/04 Valuation
12/12/04
.00
o
Qty
Unit Charge Per
4.00
BASE FEE
7.2500 ECH ME-VENT FAN
Extension
47.00
29.00
Permit PLUMBING PERMIT
Additional desc
permi t Fee 132.00 Plan Check Fee .00
Issue Date 6/15/04 Valuation 0
Expiration Date 12/12/04
Qty Unit Charge Per Extension
BASE FEE 47.00
8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 56.00
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00
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 orwork is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Owner (if owner is builder)
Date
T:IPLANNINGIFORMSI1102.15 [11/]412003J
~
BuiLDING PERtvIIT 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 N~
, v
FOUNDATION:
FOOTINGS
WALLS
FOUND A nON DRAINAGEIDOWN 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 I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEA T PUMP
GAS LINE
WOOD STOVE / PELLET / CfllMNEY
HOOD / DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417.4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:IPLANNINGIFORMSI1102.I5 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
04-00000466
.578778
Page
Date
2
6/17/04
Qty
1. 00
Unit Charge Per
7.0000 ECH PL- EA.WATER HEATER
Extension
7.00
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City'S electrical facilities will
be at the customer's expense.
Close existing driveway at curb on Albert street.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
745.00
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1183.25 1183.25 .00 .00
Plan Check Total 390.10 390.10 .00 .00
Other Fee Total 749.50 749.50 .00 .00
Grand Total 2322.85 2322.85 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regUlating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNINGIFORMSII102.15 [11114/2003]
BuiLDING PERtvIIT 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 "'"
FOUNDATION:
FOOTINGS t,:- J<. 0,./ ...L 1
WALLS ~ - fJ.. J. OJJ "LL
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN
PLUMBING In Iv n1 bl/(J h",.,~ t J:J.. - 'J.J.H~''Y A,.p
UNDER FLOOR 1 SLAB
ROUGH-IN crr)I-OI-) J,t.
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS 19-n-o~ .J j.-L
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS 9-'7., -(ij'; J l-L
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY) ~'I-.'-+-' - 04 ,,) J-l
T-BAR
INSULATION
SLAB
WALL I FLOOR 1 CEILING IQ-I'''-. -oJ,../ I.! J--L
MECHANICAL ?'l.e C/t"UI". ,,', / j::J IV n.. I !).. -9<J 01-1 n- r
HEAT PUMP
GAS LINE ~
WOOD STOVE 1 PELLET 1 CHIMNEY -
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 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. 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 i!l. ../)..fJ -0.....1 J ,1..., BUILDING
T:IPLANNINGIFORMSIl 102.15 [11/14/2003]
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.:.5=- 9-Jroq
permit#O'-/~ I
Date Approved: ~
Date Issued:
FiII out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: ~~~~ee... (~-t Phone: Y-s-l -3)/0
Owner: 6eJXCje_ ~ /-Io,rffh- (3 ower Phone: ~ /7 -.;' 0 <6 '1
Address: 223 Y\t:~) r-; d~Q. .eYe City: ~~ AV'?ye. \ e<; W(~, Zi~:( CZ9. '36:;-
Architect/Engineer: t... \ Y\d berc-) .y .sn'--/;-\-~ 45).,.- r; 1/ f Phone: ~ 0 3 ~ d... H-
ContractorW-ez:Jnerte< (...(')'('1$1- State License #:LJ<:,q71f,-*,Ot~~~ (0 ---'.3/ -04 Phone: <g06-~n71
Address:?-.Oll<obw-\.~ol\ rd City: P'V;:T A-Y\c,Jo lJ~\ Zip: ~~'"]6'2.
PROJECT ADDRESS: 7 n ~ Albea 5' ~ s- E 7 .~ ZONING: ;<.5 -;
Block: F) .'} liT' PA
/-'-' ~ Subdivision:
062: O[)O -" 0'204- <'-j 5-
LEGAL DESCRIPTION: Lot:
1<;2.
Iv
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
BiIIing Address:
Credit CardType VISA MC #
TYPE OF WORK:
~esidential ~New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Conunercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
~ Garage
XDeck
o Other
/Yt.~ fA.J
SI~ENALUATION: c
/360 SF. @$ &.1)0 /SF. = $ (,{ /) t:dYe,J
..5-~":) SF.@$ ZL~~/SF.=$ i l} ~~~
23 SF. @ $ /2 IX> /SF. = $ , .
TOTAL VALUATION $ '1?>)'~ 3 /~r e:sJ/
.s ~ p, i 20fle fle.ot-
COMMERCIAL/RESIDENTIAL: Occupancy Group:
'a"
No. of Stories: L Lot Size: 7000 Existing Sq. Ft. -e-
Total lot coverage ''2.. /
Occupant Load: Construction Type:
& Proposed Sq. Ft. i9J. \ = TOTAL Sq. Ft. \ 9d.-\
%
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
APPROV ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
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 Permit Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other pennit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: lfno permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby cerlify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work.
T\FORMS\APPS\Buildingpermit.wpd Applicant: &.A:7~ r:. .k.7~"'- Date: "_5~/20 /cL;
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Washington State Energy Code
Pian Review Checklist
Applicant please Check write in N/ A or fill in value on boxes or lines.
Proj ect Address:
-, t~
J-- +-
AI berl
Compliance Approach:(check one) D Systems analysis
D Component perfOlmance ~rescliptive path
HEATING SYSTEM
>>one Heating
D Electric Fumace
DHeat Pump
FOUNDATION PHASE NA
D Slab R-_ Exterior down to fi__ostline/slab bottom; Interior 24" horizontal or vertical; or, If radiant under entire slab
D Below grade exterior wall insulation: R-_ (If interior -see Insulation Phase)
FRAMING PHASE
~ Standard D Intermediate 0 Advanced
j(Standard au' seal: sole plate/sub floor; rim joist; window & door frames; wires, plumbing, ducts, light fixtures
t( Source specific exhaust fans: bath & laundry(50 dill) kitchen(100 cfm)
,M' Whole house exhaust fan _ cfm intermittent system has manual & auto controls: Outdoor air supply reg. for habitable rooms
or
D Integrated forced -air system, fan_ cfm, outside au" duct(with motor damper) allowing .35 and .S ACH
INSULA TION PHASE
)!l:.'R - B Wall insulation( above grade)
D R-.L1:1! Wall insulation(below grade): Interior wallulsulation
)i1 R-3.Q Floor ulsulatiol1
?R-~ Ceiling insulation: Includulg attic hatch
D R - Lit1 Vaulted Ceiling ulsulation
..B Vapor retarders: Walls, Ceiling: 0 4 mil poly ~eml rated paint Dkraft faced batts
ftI yapor retarders: Floors: 0 4 mil poly Db"aft faced batts ~ C6B Gci) V1~ i...... 6
A Ground cover: 6 mil Black polyethylene, 12" lap at joints & extending to foundation wall
T:IROGERIBLDG-FORMS-BROCHURESIENERGYPLANREVIEW
Over: Fill in back side also.
WINDOW GLAZING
Please fill out window information, inclued skylights, glass doors, and all other glazing on this form. Use rough opening area for calculations.
SIZE QUANTITY AREA U-VALUE & MANUFACTURER
lj v 4 v ,Xc t"I 3 ?-.,r;I' ...J ~Y\ ~) ~\ () (5vfl1;t ')
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Lf c .~:; -t' ...-'1:0 / /4 J:l' I
4.....'" 5'0 Pi< / 20D (
......, o ",-,,,-=> sit 2 20i=> "
L J
3 .c- 5"'<7 ) /!) Il- l
/'--0 "...0 I "'2..)-p. )
J j
t~' 40 J '2 lJ t>-' I
t
51:, '-'1 If tr' .s \
12a')....o .""'\ <6 ~'
L-
Total glazing area:
Total conditioned floor area:
Percentage of glazing:
/scg
'/36C
/1..6'%
DOORS
List doors by type(solid core, insulated, Etc.)quantity, U-value, and Manufacture.
SIZE QUANTITY AREA U-VALUE & MANUFACTURER
.;::0 ,<3 I 20 i!; 5iG..?k'"1
,...., <:1 '<i' / '2-0 I? /' I /
:5 6'>
f
T:\ROGERIBLDG-FO RMS-BROCHU RESIEN ERGYPLAN REVI EW-2
~ VORT ~
-~;'}/ ~~~
'~-
"-~
~
"l.ti~
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
04-00000466 Date
.578778
535 E 7TH ST
06-30-00-0-2-0495-0000-
RES NEW SFR
7/08/04
RESIDENTIAL HIGH DENSITY
93331
Owner
Contractor
BOWER JR FRED C
223 VIEW RIDGE DR
PORT ANGELES
WA 983629580
WEATHERBEE CONSTRUCTION
201 ROBINSON RD.
PORT ANGELES
(360) 452-3710
1360 SF SFR W/ATT 533 SF GARAGE
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
Structure Information
Construction Type
occupancy Type
Other struct info
27.00
V-N
.00
o
\ft
'"
1. 00
1. 00
7000.00
1921.00
1921.00
1. 00
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL TEMPORARY SERVICE
60A TEMP./ DAVIS ELECTRIC
DAVIS ELECTRICAL
40.90 Plan Check Fee
7/08/04 Valuation
1/05/05
1'\
...
(\
.
Qty
1. 00
Unit Charge Per
40.9000 ECH EL-TEMP SRV - 0-60 SRV FDR
Extension
40.90
~
11
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City'S electrical facilities will
be at the customer's expense.
Close existing driveway at curb on Albert street.
~
.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
745.00
4.50
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 749.50 749.50 .00 .00
Grand Total 790.40 790.40 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction. ~
Date
Signature of Owner (if owner is builder)
Date
T:IPLANNINGIFORMSII102.15 [11114/2003]
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 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE I PELLET / CHIMNEY
HOOD I DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION. R.W.
ENGINEERING 417.4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417.4815 BUILDING
T:IPLANNINGIFORMSIl ]02.15 [I ]/1412003]
~ ,"ORT "'-\:
,~~,~ ~~~..
'J. ~
~~
...~
~
"toO:~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
04-00000466
.578778
Page 2
Date 7/08/04
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:IPLANNINGIFORMS\I 102. I 5 [I 1/14/2003J
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 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH.IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER COl->'NECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 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 '/'2-/~L/ Acv ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ / / CONSTRUCTION - R.W.
ENGINEERING 417.4807 PW / ENGINEERING
FIRE 4 17.4653 FIRE DEPT.
PLANNING DEPT. 417.4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:IPLAl->'NINGIFORMSII 102.15 [11114/2003]
~ pORT ~
$.J.,O~<(~
ha
"-- -=..::a-
~
'\-&;~
CITY OF PORT ANGELES
DEP ARTMENT 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
04-00000466 Date
.578778
535 E 7TH ST
06-30-00-0-2-0495-0000-
RES NEW SFR
8/31/04
RESIDENTIAL HIGH DENSITY
93331
Owner
Contractor
BOWER JR FRED C
223 VIEW RIDGE DR
PORT ANGELES
WEATHERBEE CONSTRUCTION
201 ROBINSON RD.
PORT ANGELES
(360) 452-3710
1360 SF SFR W/ATT 533 SF GARAGE
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
27.00
WA 983629580
WA 98362
Structure Information
Construction Type
Occupancy Type
Other struct info
V-N
1. 00
1. 00
7000.00
1921.00
1921.00
1. 00
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit Fee 119.80 Plan Check Fee .00
Issue Date 8/31/04 Valuation 0
Expiration Date 2/28/05
Qty Unit Charge Per Extension
1. 00 73.0000 ECH EL-R-SQFT FIRST 1300 73.00
2.00 23.4000 5C EL-R-SQFT ADDITIONAL 500 46.80
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City'S electrical facilities will
be at the customer's expense.
Close existing driveway at curb on Albert street.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
745.00
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 119.80 119.80 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 749.50 749.50 .00 .00
Grand Total 869.30 869.30 .00 .00
~
'-...--"
-P..
)
--.c.
-------- ~
C.-:'
('), ~
~
C.
_..
~0
~
CJ1
~ (}J
~ ..' Ul
~ M
~~ I
......... ~
.............
, ~
\...,\
C
W
\
() ~f\
r"
-, "
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 orwork 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.
d-'~ "y --{J l./
Date
Signature of Owner (if owner is builder)
T:IPLANNINGIFORMSII 102.15 (lIIl4/2003]
Date
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 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
WALLS
FOUNDA TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # . t.O -10 - ~ d?-dO t'--t _SA-{.~ -I
ROUGH.IN / J-.jq-Oc" ') /J r () A '-0.. ~ ik.A?
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER ,
AIR SEAL !
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONL Y)
T.BAR
INSULATION
SLAB
WALL / FLOOR I CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 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 ( - ~3 .-0 C( /:-J/: ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ \ .", CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 4 I 7.4653 FIRE DEPT.
PLANNING DEPT. 417.4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:IPLANNINGIFORMSII 102.15 [11/14/2003]
ELECTRICAL PERMIT APPLICATION
~:'l~~,~~:HC.~_~~=;~;~~~~~~ [' I
1''''[eAIlI''''~eL! .W\:
lJa\tls......"J___.______
The ::Iectrical Permit Application must be filled out completely.
Please type or reprint in ink. If you have any questions, please call (360) 417-4735
Fax number: (360) 417-4711
tkj-<f6G:>
Owner or Elec. Contractor Agenl: DiAD\.5 RCC-r--
Propeny Owner G ~ e _ -::: ~ j3t9yPf R.. .--
Address: ~ ,<;..5;; t::. '-7 .-(- t.z 7ty:
:::~:;I CO;;;~~~fr t:-!5:~ '
Phone(I)B3 -i8#---Fax
Phone:
R!f,
License #: /Iff;' t/:,Ii LExp:
-ji-t4- . 5'8 f II f WI
ZiP78_1R~
Phoneu~-3B + t
Zip 1'83 [}ij/
I
Cily:
INSTAllATION WIRED BY:
DOWNER
6CTRICAl CONTRACTOR
Credit Card Holder Name:
Billing Address:
City:
Zip:
Exp. Date:
VISA: MC:
Credit Card Number:
PROJECT ADDRESS:
535' t.-
7-d
Sf
~w
DAlteration/Addition ~ /9'13 St:2 ~r:
o Mobile Home Sq. Ft ~60 Ifous.~) 5:s#9C(/-a3~
TYPE OF WORK:
Check 9lIthat apply:
~ential 0 Multi-family
o Commercial
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom. 0 Sign
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT:
J-O 0 IfHI/J
tJ ce R.tfr=-J4/)
~KW
KW
TON_LRA
KW
~~
Lad Service
o Temp Service
o Underground Service
Service Information
Electrical Heat Load Additions and or Subtractions
Cl Baseboard
::J Furnace
:J Heat Pump
:J Fan-Wall
1/
Voltage: * cJ
Phase: 1 0 3
Service Size: j.oO """f
Feeder Size:
I hereby certify that I have read and examined this application and know that same to be true and correct, and I am
3uthorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
3re required; it remains the applicants responsibility to determine what permits are required and to obtain such.
'fJ/14-(ti4- Credit Card Holder's Signature: Date:
A(- W ~?;m';;7;;:;/~1 -?4+7t~' o"d-z,~"
. 1i '\~ -rotled-Uh ~ PERMIT FEE: $ //9,.130
7J:lJERili;Lt ~~ \tA'f c;D"k~
",,0
~'
ELECTRICAL PERMIT APPLICATION
FOR OfFICl."'.L USE ONLY
Dale/Rec-
rennt ~.
Date Approved
Dale I~su"d.
\
"
The Electrical Permit Application must be filled out completelv.
Please type or reprint in ink. If you have any questions, please call. (360) 417-4735
Fax number: (360) 4174711
o~ - ~~b
Owner or Elec. Contractor Agent: ..D ''fir U \. '-~
Fool i?'(~
Phone:lO 9 ~ - ? p; {- '2-r.lx:
Property Owner:
Phone:
City:
Zip:
Address:
Electrical Contractor: , b i!,t )"0::. I?L j:>~
Address: 1-\-5":5 L.(..J , \ ~., "-r-vu 5' ~ ~C1
I
License #'(\.\:;) OJ.. L\~ ~,1p:
o ;::'(1)
City: .J ""'-=r
PhOne(()~,. .~ ~4t-
Zip f??B1-
INSTAllATION WIRED BY:
DOWNER
o ELECTRICAL CONTRACTOR
Credit Card Holder Name:
Billing Address:
City:
Zip:
Credit Card Number:
Exp. Date:
V/SA:_ Me:
PROJECT ADDRESS:
.:) ~:S <)
~
e::- <'
~w
71
7-
o Mobile Home
Sq. Ft
dv<<- C-;c.-= 94"
/3(0(/ 7- 53-3
TYPE OF WORK: Check all that apply:
~Sidential 0 Multi-famiiy 0 Commercial
o Alteration/Addition
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
o Low Voltage 0 Telecom. 0 Sign
Number of Circuits added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT:
Electrical Heat Load Additions and or Subtractions
1~
Service Information
:::J Baseboard
:::J Furnace
:J Heat Pump
:J Fan-Wall
_KW
KW
1fT TON_ LRA
-c;-- KW
[] Overhead Service
~mp Service
o Underground Service
Voltage: ~? D L/
Phase: 0 1 0 3
Service Size:
Feeder Size: I. D
I hereby certify that I have read and examined this application and know that same to be true and correct, and / am
3uthorized to apply for this permit I understand it is not the City's legal responsibility to determine what permits
3re required; it remains the applicants responsibility to determine what permits are required and to obtain such.
7 "/z:/o~ . Credit Card Holder's Signature: Date: '
k( - Owner or Elec. Cant Signature:..:::uJ,~ () tv."';:' Date: (;,-:'D ,. "1
7e:., uf:- - 2\1Yt.l!-z7PY f1' ~fL , SP~ wesr-
p ~--(.-.~ "'JI'I! Dn'] nJt_J~PERMIT FEE: $ 7"0, 90
:/ElECTRICAlPERMITAPPLlo;v ~ "5vL- ( v/F- /~.:sa;6-z- dlbe- "'777 -
/.11 ~') "I/, 1M ~ ....h 1.-