HomeMy WebLinkAbout1130 Craig Ave - BuildingCITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
a
r
Application,Number !
Application pin number �.
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
08 00001494 Date 12/26/08
781682
1130 CRAIG AVE
06 30 14 5 4 0414 0000
JAMES / LINDA SCHNEIDER
RES ADDITION
RS9 RESDNTL SINGLE FAMILY
2500
Application desc
96 SF UNCOVERED DECK & ADD A DOOR
Owner
JAMES C & LINDA M SC
112 SEA VIEW DR
PORT ANGELES
(877) 333 6152
Structure Information
Other struct info
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge
1 00 14 0000
Contractor
HNE DER COLUMBUS CONSTRUCTION
194 BREEZY LANE
WA 98362 PORT ANGELES WA 98362
(360) 775 6678
OQO 000 96 SF UNCOVERED DECK & ADD A DOOR
HARD SURFACE AREA
BUILDING PERMIT RESIDENTIAL
961SF UNCOVERED DECK & DOOR
138578
109 75 Plan Check Fee 43 90
12/26/08 Valuation 2500
6/24/09
Per Extension
BASE FEE 95 75
THOU BL 2001 25K (14 PER K) 14 00
Special Notes and Comme
December 10 2008 3 01
Existing overhead sery
clearance over front p
Relocation of service
required prior to any
application All cost
Provide load calculate
application
The Fire Department ha
has no comments
December 15 2008 5 02
No land use issues 1
December 10 2008 2 54
Existing overhead sery
clearance over front p
Relocation of service
required prior to any
application All cost
Provide load calculate
.t s
02 PM tdahlqui
ce conductors violate minimum code
,rch roof installed last summer
,oint to achieve minimum clearances is
nspections for the work of this
are the homeowner s responsibilty
ns with Electrical Permit
reviewed the project application and \
33 PM sroberds
o lot coverage RS 9 zone
34 PM tdahlqui 1 1
ce conductors violate minimum code \
rch roof installed last summer
oint to achieve minimum clearances is
nspections for the work of this
are the homeowner s responsibilty
ns with Electrical Permit
Separate Permits are required fqr electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authgrized is not commenced within 180 days. if construction or work is suspended or abandoned for a period of 180 days
after the work has commenced, or, if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
state or local law regulatin construction or the performance of construction.
i Z.1Z� / c9 6 IteA � r -W Co -A h �AQO,� 4�
bate Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:FormsBuilding Drvision/Building PerA
Special Notes and Comme
December 10 2008 3 01
Existing overhead sery
clearance over front p
Relocation of service
required prior to any
application All cost
Provide load calculate
application
The Fire Department ha
has no comments
December 15 2008 5 02
No land use issues 1
December 10 2008 2 54
Existing overhead sery
clearance over front p
Relocation of service
required prior to any
application All cost
Provide load calculate
.t s
02 PM tdahlqui
ce conductors violate minimum code
,rch roof installed last summer
,oint to achieve minimum clearances is
nspections for the work of this
are the homeowner s responsibilty
ns with Electrical Permit
reviewed the project application and \
33 PM sroberds
o lot coverage RS 9 zone
34 PM tdahlqui 1 1
ce conductors violate minimum code \
rch roof installed last summer
oint to achieve minimum clearances is
nspections for the work of this
are the homeowner s responsibilty
ns with Electrical Permit
Separate Permits are required fqr electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authgrized is not commenced within 180 days. if construction or work is suspended or abandoned for a period of 180 days
after the work has commenced, or, if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
state or local law regulatin construction or the performance of construction.
i Z.1Z� / c9 6 IteA � r -W Co -A h �AQO,� 4�
bate Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:FormsBuilding Drvision/Building PerA
Separate Permits are required fqr electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authgrized is not commenced within 180 days. if construction or work is suspended or abandoned for a period of 180 days
after the work has commenced, or, if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
state or local law regulatin construction or the performance of construction.
i Z.1Z� / c9 6 IteA � r -W Co -A h �AQO,� 4�
bate Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T:FormsBuilding Drvision/Building PerA
BUILDING PERMIT INSPECTION RECORD
— PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS —
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type I
Date
I Accepted By I
Comments
FOUNDATION
417-4653
Planning
Footings
Building
Stemwall
Foundation Drainage / Downspouts
1
Piers
Post Holes (Pole Bldgs)
PLUMBING
Under Floor / Slab
j
Rough -In
I
Water Line (Meter to Bldg)
Gas Line
Back Flow / Water
1
FINAL Date Accepted by
AIR SEAL.
Walls
Ceiling
FRAMING
Joists / Girders / Under Floor
Shear Wall / Hold Downs
j
Walls / Roof / Ceiling
Drywall (Interior Braced Panel Only)
l
T -Bar
INSULATION
Slab
Wall / Floor / Ceiling
MECHANICAL.
Heat Pump / Furnace / FAU / Ducts
Rough -In
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts
l FINAL Date Accepted by
MANUFACTURED HOMES
Footing / Slab
Blocking & Hold Downs
Skirting
PLANNING DEPT Separate Permit: #s
SEPA.
Parking / LightingI
ESA.
Landscaping
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
Electrical
417-4735
Construction R W PW / Engineering
417-4831
Fire
417-4653
Planning
417-4750
Building
417-4815
T.Forms/Building Division/Building Permit
ICITY OF PORT ANGELES
ilrI DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION
'� 321 EAST 5TH STREET PORT ANGELES WA 98362
t:
S
Page 2
Application Number 08 00001494 Date 12/26/08
Application pin number 781682
Special Notes and
Comments
application
Public Works Utility Engineering
has no
requirements for
this plan review
Other Fees
STATE SURCHARGE
4 50
Fee summary
Charged
Paid
Credited
Due
Permit Fee Total
709
75
109 75
00
00
Plan Check Total
43
90
43 90
00
00
Other Fee Total
4
50
4 50
00
00
Grand Total
158
15
158 15
00
00
Separate Permits are required fo- electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction autho -ized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days
after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have
read and examined this app licati n 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 specifiied 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 Print Nam Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder)
T.FonnsBuilding Division/Building Pennit
d
BUILDING PERMIT INSPECTION RECORD
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
e
— PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS —
7
Building Inspections 417-4815 Electrical Inspections 417-4735
(�
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
Electrical
417-4735
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
R W PW / Engineering 417-4831
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Fire
Inspection Type I Date Accepted By Comments
FOUNDATION -
417-4750
Footings
Building
Stemwall I
Foundation Drainage / Downspouts
Piers
Post Holes (Pole Bldgs)
PLUMBING
Under Floor / Slab I
Rough -In
Water Line (Meter to Bldg)
Gas Line
_
Back Flow / Water
FINAL Date Accepted by
AIR SEAL.
Walls I
I
0,
Ceiling
FRAMING
I
Joists / Girders / Under Floor
Shear Wall / Hold Downs
Walls / Roof / Ceiling
Drywall (Interior Braced Panel Only)
�n
T -Bar
INSULATION
Slab
Wall / Floor / Ceiling
l
MECHANICAL.
Heat Pump / Furnace / FAU / Ducts
Rough -In
Gas Line
Wood Stove / Pellet / Chimney
Commercial Hood / Ducts I
FINAL Date Accepted by
MANUFACTURED HOMES
Footing / Slab
Blocking & Hold Downs
Skirting I
PLANNING DEPT Separate Permit #s
SEPA.
Parking / Lighting
I
ESA.
Landscaping
I
SHORELINE.
T:Forms/Building Division/Building Permit
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type Date Accepted By
7
0
Electrical
417-4735
Construction
R W PW / Engineering 417-4831
Fire
417-4653
Planning
417-4750
o�
Building
417-4815
T:Forms/Building Division/Building Permit
` o*Ae
� M•�ns S owoPJr's are
L
r `\wog5'°1Rr,,ti9(. BUILDING PERMIT APPLICATION Print in ink
'►�.+- CITY OF PORT ANGELES
Attn Building Permit Technician buS For City Use Only --
W._ t Yt1 °CI Date Received �?-:�j-(1�S
321 E. Fifth St. Port Angeles, WA 98362 (�' Q U 0V Permit # — q9.4
(360 417-4815 fax (360) 417-4711 4r
C ate Approved
Applicant or Agent � C,Ha rd Co (U W -w S Ph e 4 o `175- 6 4e -76
Property OwnerTl vVIN SC h _e_t der Phone 87-7 33-3 / /SZ
Property Owner's Address 11-2 �231/r��✓ /.fir -(61-k A19e4es
Contractor/Engineer k kd,r-d C6 10 u,n (OL) 5 Ar" Phone 5- 66 775 64.z8
Contractor/Engineer's Ad ress I rj kt (-ree1 , t_-5
License # C D U AA C rk q 5-5-Kr5xpires 5"/y /eg E-mail
I -
PROJECT ADDRESS
Parcel Number
Proiect Tvpe & Brief Description.
Check all that apply
New Construction
ddition
❑ emodel
13O Crag
Residential ❑ Commercial
2nd Spry
1> 0 c_(<
Lot Zoning F, S- q
❑ Multi -family ❑ Industrial
❑ Repair 00 l +0 V -,O -f 10- op- o to
❑ Re -roof
❑ Demolition
o Heat System ❑ Heat pump ❑ wood -burning stove ❑ gas fireplace ❑ pellet stove o other
o Other
I
Floor Areas Existing (sq. ft.) Proposed (sg, ft.)
Basement @ $ per sq. ft. _ $
15' Floor I I, .�ooipWn�
2nd Floor
3`d Floor
Garage Int 1(,.D�►���
Carport
Covered Porch S-�o V�u
Deck .S qui- otr�
Shed
Other
r.ch1h' 9� . r�`C' , ni
3cn'wa\�n �' zr eUcGO,�rL I I TOTAL VALUATION $ t vt�
Total footprint of structures �Z-�� ._ sq ft. - Lot size 14) 0 4 6 sq. ft. = Lot coverage -7
Max. height of proposed structu, es ft. Occupancy group # of bedrooms
Will a lawn sprinkler system be installed? Occupant load # of full baths
Will a fire sprinkler system be installed? Construction type # of half baths
I have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on
projects. / w ,
Date i'Z �✓ 08 Print NamEn,ha ref (� �Ub v5 Signature ��/
'�""''
9
6
23 --
1'� s
-Al
FILE
CITY OF PORT ANGULES — Constructinn Plans
The Issuance of this permi based upon these plans, specifi-
cations and other data sh I not prevent the building official
from thereafter requiring the correction of errors in said
plats, specifications and other data, or from preventing
building operations and
carried on thereunder when in
violation of all codes an ordinances of this jurisdiction..t
Z ea o V
Approval Date /1- By
---------- -- ----- -- -
113 ,J Craig
l ,I,
I
Application Number 08 00001161 Date 9/15/08
Application pin number 663205
Property Address 1130 CRAIG AVE
ASSESSOR PARCEL NUMBER 06 30 14 5 4 0414 0000
Application type descri tion ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning
RS9
RESDNTL SINGLE FAMILY
Application valuation
0
Owner
Contractor
SCHNEIDER JAMES C
& LINDA M
OWNER
1130 CRAIG ST
PORT ANGELES
WA983622721
Permit
ELP,CTRICAL ALTER
RESIDENTIAL
Additional desc
OWI'1ER/ EXTEND
MAST
Permit pin number
131429
Permit Fee
i
34 00
Plan Check Fee
Issue Date
9/15/08
Valuation
Expiration Date
;3/14/09
Qty Unit Charge ger
1 00 34 0000 ECH EL R OR
RM REPAIR METER/MAST
Fee summary
Charred
Paid Credited
Permit Fee Total
34 00
34 00 00
Plan Check Total
00
00 00
Grand Total
34 00
34 00 00
00
0
Extension
34 00
Due
00
00
00
i
33
GN
INSPECTION
TYPE DATE
DITCH
SERVICE
I
ROUGH - IN
FINAL
COMMENTS:
RESULTS
ELECTRICAL
INSPECTOR
of •awr',„ F ELECTRICAL W ORK PERMIT APPLICATIC&
\(Installation description
Job wired by ❑ ElectricI Contractor ❑ Owner ❑ Commercial *Residential '
Electrical contractor name License number Date Expires
❑ New LJ
Ow r�
Purchaser's mailing address
City State ZIP
Telephone number FAX number
rPremises owner's name
u%
&C-5 3c.�'! IZ2 i
Address of inspection
I i 3o Crra, live
City
.:+ An A,, i/JA 9t�:51(.Z
Phone number to schedule ip� p��tion
Owner as defined by RCW 19.28 261 (1) (Owner will occupy the structure for two
years after this electrical permit is finalized.+ (2) Owner is required to hire an electrical
contractor if above said property is for sale, rent or lease.
After reading the above statement, I hereby certify that I am the owner of the above
named property or a licensed electrical contractor I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.0 RCW Chapter
19.28, WAC Chapter 296-46B The City, of Port Angeles Municipal Code, and
Utility Specifications.
/Signature of owner electrical contractor or electrical administrator 1\' Expiration Date
\,X Date %/ 1 ZI o y / `of card
El c ri I oad( dditions and or s6btractions C
V NO L AD CHANGES
❑ Baseboard _ KW
❑ Furnace _ KW ❑ Overhead Service
❑ Heat Pump _ Ton _ LAR ❑ Temp Service
❑ Fan -Wall KW ❑ Underground Service
❑ Cash ❑ Check #
❑ Credit Card Visa Mastercard
Card #
SAME DAY INSPECTION. ALL BEFORE 7.00 AM 360-417-4735
ROUGH -IN THERMOSTAT
Date App' ed By Date Appr ved By
FINALDITCH
Date App o ed By Date Appr ed By
Inspection Area, Building or Equipment Inspected
Date
AJo Ca,vl t -c T )%'c
Discover
�Inspection fee $2L.o0
Service Information
Voltage rz-0/z 1 o
Phase`,1 ❑ 3
Service Size: Zen P,
Feeder Size.
SERVICE
Date Appr ed By
FEEDER
Date Approved By
R G V � V Electrical
Inspector
CEP 12 ?nnR
113W DEPT
y� POH)gn,C CITY OF PORT ANGELES
G
h�
DEPAM
RTENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
UP` 321 EAST 5TH STREET PORT ANGELES, WA 98362
,�k- �I
Application Number 08 00000960 Date 8/07/08
Application pin number 775360
Property Address 1130 CRAIG AVE
ASSESSOR PARCEL NUMBER 1 06 30 14 5 4 0414 0000
Tenant nbr name JAMES SCHNEIDER
Application type descri;--tion RES REPAIR
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 750
u
Applicationdesc
REPAIR EXISTING 40 SQ IFT PORCH
I
Owner Contractor
JAMES / LINDA SCHNEIDER',TRUST COLUMBUS CONSTRUCTION
112 SEA VIEW DR ii 194 BREEZY LANE
PORT ANGELES WA'!98362 PORT ANGELES WA 98362
(360) 504 0184 (360) 775 6678
ii
Permit BUILDING PERMIT RESIDENTIAL
Additional desc REPAIR EXISTING PORCH
Permit pin number 131755
Permit Fee 59 15 Plan Check Fee 23 66
Issue Date 8/07/08 Valuation 750
Expiration Date 1,2/03/09
Qty Unit Charge :.ler Extension
BASE FEE 50 00
11
3 00 3 0500 HIND BL -501 2K (3 05 PER C) 9 15
Other Fees DOUBLE PERMIT FEE 59 15
1 STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 59 15 59 15 00 00
Plan Check Total 23 66 23 66 00 00
Other Fee Total 63 65 63 65 00 00
Grand Total L46 46 146 46 00 00
R
Separate Permits are required fore ectrical 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 vA ork has commenced or if required inspections have not been requested within 180 days from the
last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction
Dete Print Name S'gn ture of Contractor or Authorized Agent Signature of Owner (if owner is builder)
11
'r Forms/Building Division/Building Penni (05)'l3/08).wpd
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS
CALL 417-4807 FOR PUBLIC WORKS UTILITIES. CALL 417-4886 FOR BACKFLOW PREVENTION INSPECTIONS.
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE.
INSPECTION TYPE DATE ACCEPTED I COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
I PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR/SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
(INSULATION
SLAB
WALL/ FLOOR / CEILING
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE/PELLET/CHIMNEY
COMMERCIAL HOOD/ DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT ll's
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W / PW/
ENGINEERING
FIRE
PLANNING DEPT
TBUILDING r n n
FINAL DATE ACCEPTED BY.
FINAL DATE ACCEPTED BY.
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE
417-4735
417-4807
417-4653
417-4750
417-4815
1� s
EE X
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW / ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
ACCEPTED
YES NO
{.0,% r0 �'AB ILDING PERM[T
'°�-- CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417-4815 fax (360) 417-4711
APPLICATION Print in ink
Applicant or Agent T Erie- Sc,4nt, At r
Property Owner
Property Owner's Addressv.>c
.-,
! l Z S�a� ►!, �c !i
Contractor/Engineer ��IM bVS (�.a hs t,-vC hi -1
Contractor/Engineer's Address (q<{ Qjr"zc4
License # v k -vi r 4.55 -
PROJECT ADDRESS n3o CrA,g Avc
J
For City Use Only -
Date Received 5� --7 - 02
Permit # OS-� 0 _
Date Approved
Po of ?OR- 196s
,
Phone p) S -o y - DIAL
Phone 34�U ZZ r` G.{
e r'4-
�nG�lPs l,✓�4. �e3�7
Expires L57-c-/-
per
57y
Parcel Number Lot Zoning
Proiect Tvpe & Brief Description. ❑ Residential ❑ Commercial ❑ Multi -family ❑ Industrial
Check all that apply /
❑New Construction � pQ, ex,41n � h p Do r� A_ — / O o I ti arc&St , I 5120
❑ Addition 11 J I �-
❑ Remodel
Repair
❑ Re -roof
❑ Demolition
❑ Heat System
❑ Other
Floor Areas
Basement
1s' Floor
2nd Floor
3`d Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
II
Total footprint of structures
Max height of proposed structures
Will a lawn sprinkler system be irstalled?
Will a fire sprinkler system be ins!alled?
Nood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other
Proposed (sq. ft.)
per sq ft. = $
U
TOTAL VALUATION $ 1 S
sq ft. _ Lot size 14 64 (o sq ft. = Lot coverage %
1
ft. Occupancy group # of bedrooms
Occupant load # of full baths
Construction type # of half baths
I have read and completed this a,�)plication and know it to be true and correct. /am authorized to apply for this permit and
understand that It is my responsibility to determine what permits are required, and to obtain permits prior to working on
projects. f
Date O Print Name 6r% — SJntl O_e4l-
Signature s
T Forms/Building Division/Bldg Penr;t Appl. 2006 Code doc ,
LJ
3 1113
E v'09'
1
--------- ---------Graig Ave ------------------------
\I -----------------------
110-3 1129
117,
1-W
----I ------------ ------- Campbell Ave -----------------------
'C U
1102
- 41044,
ga
ww"
*Z,
IN
V177
Ave.W
Or
:, WA
N4
mml.
WE
H
0
0
n
gv�
a
I � �
I �
t '
--ISI{}--
�1
_ 1 F i
---
l �
PREPARED 2/22/07 9 31 39 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/22/07
ADDRESS 1130 CRAIG AVE SUBDIV
TENANT NBR SATTERFFIELD
CONTRACTOR PHONE
OWNER SATTERFIELD GLEN/SHEILA PHONE (360) 461 4585
PARCEL 06 30 14 5 4 0414 0000
APPL NUMBER 07 00000127 RES FOUNDATION REPAIR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT •RESULTS/COMMENTS
BL1 01 2/15/07 JLL BUILDING FOUNDATION FOOTING TIME 09 00
2/15/07 AP 02/14/2007 05 06 PM PERMITS
Casey 461 4585
02/15/2007 04 33 PM JLIERLY
BL99 01 2/22/07 Jj L BUILDING FINAL TIME 13 00
02/22/2007 09 23 AM PERMITS
461 4585
COMMENTS AND NOTES
PREPARED 2/15/07 9 11 48 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY
ADDRESS 1130 CRAIG AVE SUBDIV
TENANT NBR SATTERFFIELD
CONTRACTOR PHONE
OWNER SATTERFIELD GLEN/SHEILA PHONE (360) 461 4585
PARCEL 06 30 14 5 4 0414 0000
APPL NUMBER 07 00000127 RES FOUNDATION REPAIR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 2/15/07 LL BUILDIN UN
1 1 02/1 2007 05 0
i
Casiry 461 4585.
- COMMENTS
FOOTING TIME 09 00
PM PERMITS
NOTES
l Q2jc�ts
PAGE 14
DATE 2/15/07
uvi
CITY OF PORT ANGELES
DEPA.KTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
O
321 EAST STH STREET PORT ANGELES, WA 98362
l
Application Number 07 00000127 Date 2/13/07
Application pin number 188186
Property Address 1130 CRAIG AVE
ASSESSOR PARCEL NUMBER 06 30 14 5 4 0414 0000
Tenant nbr name SATTERFFIELD
Application type descri)tion RES FOUNDATION REPAIR
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 1000
Owner Contractor
SATTERFIELD GLEN/SHEILA OWNER
1130 CRAIG ST
PORT ANGELES WA 983622721
(360) 461 4585
Permit BUrLDING PERMIT RESIDENTIAL
Additional desc FOJNDATION REPAIR
Permit pin number 94313
Permit Fee 65 25 Plan Check Fee 26 10
Issue Date 2J13/07 Valuation 1000
Expiration Date 8/12/07
Qty Unit Charge )er Extension
BASE FEE 50 00
`
5 00 3 0500 H14D BL 501 2K (3 05 PER C) 15 25
c!
Other Fees STATE SURCHARGE 4 50
{y
Fee summary Char ized Paid Credited Due
Permit Fee Total 65 25 65 25 00 00
h
`w
Plan Check Total 26 10 26 10 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 95 85 95 85 00 00
f
Separate Permits are required for el ;ctrical 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 l 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 b�` der) Date
T-\Policies\1102_15 building permit inspection +ord05 wpd [1/4/2005]
BLUDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS,
CALL 417-4807 FOR PUBLIC WORkt UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO CODER, INSULATE OR CONCEAL ANY WORKBEFORE
INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION
KEEP :PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES ( NO
FOUNDATION:
{ FOOTINGS f l js/d L 1
SHEAR WALLS / WALLS 1(
FOUNDATION DRAINAGE / DOWN SPOUTS , ,+
PIERS
POST HOLES (POLE BLDGS)
PLUMBING
UNDERFLOOR/SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
1
JOISTS/ GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
I INSULATION
SLAB
WALL / FLOOR / CEILING i
MECHANICAL
ROUGH -IN
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE/PELLET/CHIMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING I
j( I tt
i 1 FINAL DATE
1
FINAL DATE
PLANNING DEPT SEPARATE PERMIT # s
SEPA.
PARKING/LIGHTING
+ I ESA.
LANDSCAPING
SHORELINE:
FINAL INSPECTIONS
REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL
I DATE
I YES
I NO
COMMERCIAL DATE
ELECTRICAL LIGHT DEPT
417-4735
I
I
ELECTRICAL
DP i
(
CONSTRUCTIONR W / PW/
WRINNG4174807
�
PCONSTRUCTION
/ ENINRN
GEEIG �
�II
FIRE
4174653 I
1 I FIRE DEPT. 4
PLANNING DEPT
4174750
I
PLANNING DEPT
!E
t BUILDING
417-4815[_0
#
Yf
(�.+(/
j BUILDING 1
T•1Policies11102 15 building permit inspection record05.wpd [1,14/2005]
ACCEPTED BY.
ACCEPTED BY.
ACCEPTED
YES I NO
FOR OF I
BUILDING PERMIT - APPLICATION D
,#aFill out COMPLETELY and in INK. Your application and site plan MUST BEed:
COMPLETE to be accepted for review If you have any questions, caIl a
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent:::E�?'P ��-�c �-e� Phone:
OwnerclKl Phone:
Address: "Po a, 1-7"1 Citr�-A- 34" ZIP
Architect/Engineer- Phone:
Contractor K9 -Gt t n o .1 + State License #- Exp Phone:
Address: I City. Zip
PROYECT ADDRESS J Crc� j 1 yy��rP - ZONING
LEGAL DESCRIPTION Lot:, /0, �� Block: L4 Subdivision. T111^0t S f
CLALLAM COUNTY PARCEL, NUMBER. CX-_-�3 (0 N SVC) q1 7 000
TYPE OF WORK.
2 Residential ❑ New Constr a Re -roof ❑ Stove
❑ Multi -family ❑ Addition Move ❑ Garage
❑ Commercial ❑ Remodel Demolition ❑ Deck
a Repair ❑ Sign 11 Other
BRIEF DESCR`I,PTION OF THE jPROJECT "Keplaco_ Z
_pas cR-• i 1, • Li
CI IOMMERCIAL/RESIDENTIALi Occupancy Group -
No of Stones: — Lot Size: Existing Sq, Ft.
Total lot coverage
USE ONLY
ai
SIZE/VALUATION
SF rr $ /SF = $
SF @ $ /SF = $
SF @$ /SF = $
TOTAL VALUATION $ /000
Acer.4�CA be.an.5,
Occupant Load. Construction Type:
& Proposed Sq. Ft. = TOTAL Sq Ft.
PLANNING USE ONLY APPROVALS
PLAN
BLDG.
DPWU
ESA/Wetland(s) ❑ Yes ❑ No SPA Checklist required? ❑ Yes ❑ No Other- Fes.
OTHER.
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by -the applicant.
This figure will be reviewed and to y be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417-4815 for assistance.
�. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
RI 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
1 hereby certify that 1 have read Viand examined this application and know the same to be true and correct. 1 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_iio
Wo .
6-07
TAFORMS\BidgPermitform."d Applic Date:
' '
ri
Y -e flqc.%- Ac,"C
lec,M5 qt -e- j l 4 W- p,�r- LlockS t.,,\1 L,,, 46 ,j a R�
1
a'Yxa�xlz
W�, /,00 �;�
jAl�jl e-191 PW, -r
41
�f CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION
c� 321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . .
06-00000751
Application pin number . . .
690808
Property Address . . . . . .
1130 CRAIG AVE
ASSESSOR PARCEL NUMBER:
06-30-14-5-4-0414-0000-
Tenant nbr, name . . . . . .
SATTER FIELD
Application type description
RE -ROOF
Subdivision Name . . . . . .
CHIMACUM
Property Use . . . . . . . .
Property Zoning . . . . . . .
RS9 RESDNTL SINGLE FAMILY
Application valuation . . . .
13100
Date
7/13/06
Owner
Contractor
------------------------
BENEFICIAL MORTGAGE
CORP
------------------------
STA -BUILT -IT -TY
931 CORPORATE CENTER
4960 CENTER RD
POMONA
CA 917681617
CHIMACUM
WA 98325
(360) 732-0403
----------------------------------------------------------------------------
Permit . . . . . .
BUILDING PERMIT - NO PR FEE
Additional desc . .
Permit pin number .
82362
Permit Fee . . . .
431.75
Plan Check Fee
.00
Issue Date . . . .
7/13/06
Valuation . . .
. 13100
Expiration Date . .
1/09/07
Qty Unit Charge
Per
Extension
BASE
FEE
95.75
24.00 14.0000
THOU BL -2001-25K
(14 PER K)
336.00
----------------------------------------------------------------------------
Other Fees . . . .
. . . . STATE SURCHARGE
4.50
----------------------------------------------------------------------------
Fee summary
Charged
Paid Credited
Due
----------- - - - - --
---- - - - - ----
-- - - - - ---- - - - - -- -' - -
- - -- - �a
Permit Fee Total
431.75
431.75 .00
'DO
Plan Check Total
.00
.00 .00
.00
Other Fee Total
4.50
4.50 .00
.00
Grand Total
436.25
436.25 .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 Ly
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 performan` of
constructio �.
Sig ture of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\Policies\1102_15 building permit inspection recordOS.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORKBEFORE
INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPEI DATE I ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE/ DOWNSPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH -1N
WATER LINE (METER TO BLDG)
GAS LINE
FINAL DATE
ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS/ GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING 7/l 7
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
I
I
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
FINAL DATE
ACCEPTED BY:
COMMERCIAL HOOD/ DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s
SEPA:
PARKING/LIGHTING
LANDSCAPING
I
I
I
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.
r
BUILDING 417-4815 �/ ?
BUILDING
i :\Policies\1102_15 building permit inspection record05.wpd [1%4/2005]
t
PREPARED 7/24/06, 12:12:42 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 7/24/06
------------------------------------------------------------------------------------------------
ADDRESS . : 1130 CRAIG AVE SUBDIV:
TENANT, NBR: SATTER FIELD
CONTRACTOR STA -BUILT -IT -TY PHONE (360) 732-0403
OWNER BENEFICIAL MORTGAGE CORP PHONE
PARCEL 06-30-14-5-4-0414-0000-
APPL NUMBER: 06-00000751 RE -ROOF
-- -- ----- --- ----- --
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL3 01 7/14/06 JLL BUILDING FRAMING TIME: 13:00
7/14/06 CA CALLER LEFT NO NAME OR PHONE #
07/14/2006 07:55 AM DYASUMUR -----
07/14/2006 03:58 PM JLIERLY ----------------------------
builder cancelled inspection/jll
BL3 02 7/17/06 JLL BUILDING FRAMING TIME: 13:00
7/17/06 AP PERSON LEFT NO NAME OR PHONE #•
07/17/2006 07:54 AM DYASUMUR ----- --------------
07/17/2006 04:25 PM JLIERLY ----------------------------
BL99 01 7/ 4/06 JL BUILDING FINAL TIME: 13:00
CALLER LEFT NO NAME OR PHONE #
Z07/24/2006 08:29 AM DYASUMUR ---------------------------
-------- -------------- ----------- COMMENTS AND NOTES --------------------------------------
/ (�� �v✓
PREPARED 7/17/06, 12:26:46 INSPECTION TICKET PAGE 13
CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 7/17/06
--
ADDRESS . : 1130 CRAIG AVE SUBDIV:
TENANT, NBR: SATTER FIELD
CONTRACTOR STA -BUILT -IT -TY PHONE (360) 732-0403
OWNER BENEFICIAL MORTGAGE CORP PHONE
PARCEL 06-30-14-5-4-0414-0000-
APPL NUMBER: 06-00000751 RE -ROOF
--- ------------------------------------------------------------------------
PERMIT: BHOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL3 01 7/14/06 JLL BUILDING FRAMING TIME: 13:00
7/14/06 CA CALLER LEFT NO NAME OR PHONE #
07/14/2006 07:55 AM DYASUMUR ---------------------------
07/14/2006 03:58 PM JLIERLY ----------------------------
builder cancelled inspection/jll
BL3 02 7/17/06 J BUILDING FRAMING TIME: 13:00
1 S PERSON LEFT NO NAME OR PHONE #•
07/17/2006 07:54 AM DYASUMUR ---------------------------
--------------------- ---------
---------------------------------------------------------------- COMMENTS AND NOTES--------------------------------------
PREPARED 7/14/06, 11:15:25 INSPECTION TICKET PAGE 12
CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 7/14/06
------------------------------------------------------------------------------------------------
ADDRESS . : 1130 CRAIG AVE SUBDIV:
TENANT, NBR: SATTER FIELD
CONTRACTOR STA -BUILT -IT -TY PHONE (360) 732-0403
OWNER BENEFICIAL MORTGAGE CORP PHONE
PARCEL 06-30-14-5-4-0414-0000-
APPL NUMBER: 06-00000751 RE -ROOF
---- ---------------------------------------------------------------------
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FES
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
---------------------------------------------------------------
---------- ----------- ---
BL3 01 7/14/06 ^TLL BUILDING FRAMING TIME: 13:00
A CALLER LEFT NO NAME OR PHONE #
l•� 07/14/2006 07:55 AM DYASUMUR---------------------------
------------------------------------- COMMENTS AND NOTES ---------------
-----------------------
BUILDING PERMIT - APPLICATION
Fi]1 out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If ,you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
ST4 - G3u I (,T I 'T- ry
Applicant or Agent: Ot e—i4kri
FOR OFFIC USE ONLY -
Date Rec.: 3
Permit #:6&—
Date
: Date Approved:
/? 1
Date Issued: f/ 3 /ff.,
S
Phone: y6l - ys
Owner: Sn�-Kr �ztC� / ��,c\ r" '-/
Phone:
' J
Address: 1 130 C r�o, C' AL/- City:
Architect/Engineer: r Phone:
Contractor S ,b, �; �-o�;s k x J, -,;,.State License #:- LL,) e ' no L Exp:
Address: 4%0 (`w.X li City:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot: Block:
CLALLAM COUNTY PARCEL NUNIBER:
TYPE OF WORK:
❑ Residential ❑ New Constr. ❑ Re -roof ❑ Stove
❑ Multi -family ❑ Addition ❑ Move ❑ Garage
❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck
❑ Repair ❑ Sign ❑ Other
XBF DESCRIPTION OF THE PROJECT:
I e- '� ��rM,N' .f, �G �=h
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: _ Lot Size: Existing Sq. Ft.
Total lot coverage %
PLANNING USE ONLI'
Subdivision:
SIZE/VALUATION:
Zip: Cy.3b2-
Phone.?3L- 731
Zip: g3SZj
ZONING:
SF. @'$ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION ?U PS I C.O-W
"5fFkL r -cion tz 6 -
Occupant
Occupant Load:
& Proposed Sq. Ft.
ESA/Wetland(s): ❑ Yes ❑ No SEPA Checklist required? ❑ Yes ❑ No Other:
Construction Type:
= TOTAL Sq. Ft.
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
RI 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
1 hereby certify that / have read and examined this application and know the same to be true and correct. 1 am authorized to
apply for this permit and understand that it ' my responsibility to determine what permits are required ,not the City's, and that 1
must obtain such permits prior to work.
T:TORMSBidgPermitfortn.wpd Applican ' Date: 7—/:3- 06
El
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
Site Address:
/430 n c4 i ,-, lqv£
Installed By:
fl S � Iti
Owner/Business:
r (� tlElda
OwrierlBusiness Address:
Residential
Heat KW
C Baseboard ❑ Furnace/Boiler
C Heatpump ❑ Other
C" Commercial/Industrial load
Total Connected load
(attach breakdown)
Total Motor load
(attach breakdown)
Details/Description:
'K New Construction
O Remodel
❑ Service update/alter/repair
❑ Add/alter circuits
❑ Auxiliary power
(list below)
❑ Special equipment
(list below)
PERMIT Nr)
DATE
❑ READY FOR
INSPECTION
License Number:
❑ WILL CALL FOR
INSPECTION
Phone:
Phone:
Sq. Ft.
❑ Overhead
❑ Underground
Voltage /�0'
C, 10 El3Z'
Service size .-2" Amps
❑ Temporary
W.S. No, SArvice Siz=
Capacity: ❑ O.K. ❑ Not O.K. Commentq
❑ Ditch inspection O.K.
Rough-in/cover O.K.
O.K. to connect service
Final O.K.
late
Hold for: ❑ Easement ❑ Letter
❑ Signed up for service/meter
❑ Meter Department notified for installation
❑ Fire Department notified of inspection
❑ Plan Review approved/pending
Site Address: 1:rk �etl£i�j (Permit/Receipt No.
//J OC r a �t1 �— / 7S
Installer: New Meters Date:
80 'S 1 _71111W
® Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work
must not be covered or electrically energized before inspection and O.K. for covering or service has been given
by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT.224.
NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT �O I?0 /
Inspector Amount paid
WHITE —file by address YELLOW —file by number PINK —Top: Eng, Bottom: Customer GREEN —Top: Inspector, Bottom: City Hall I
OLYMPIC PRINTERS, INC. I
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT N? 15150
Port Angeles, Washington ----u------------- --------------------------------------- 19- -----
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
/f ' --%--% �Address ---------- -�-"' ---- ---------------------- ------------ Occu ancy a ---------- ------- ...........
Owner ---n _-------.
-------------- Tenant----------------------------------------------------------------------
Wiring Contractor - -v----sill------------------ - By----- --------------------------------------------- ---------------
Light Outlets ...................................
_.....
Service, volts ---..----.----
Receptacle Outlets-------------------------------
No. wires ..............
Dryer, KWI............
– ................. -..........
Size wires --------------
Range, KW ---------------------------
-------------
Main fuse ..............
Water Heater:
Enclosure ..............
KW-----------
Type of wiring:
------------- _....... _---- .....
Entrance Cable ...-
HeatRW...................................................//.
Rigid Conduit .......
Motors: size, volts and phase:
�/
Metallic Tubing ..
-------------------1r
'J"""""""""""'
'ryes
Current transformers:
- -------------
No. & Size..............
Type of Wiring:
Armored Cable ------...
Non -Metallic ---------------------------------
Knob & Tube .... ............................
Rigid Conduit --------- ---
Metallic Tubing ...........................
Raceway ..._----------------__------_._..._
Circuits, Light ---------------------------------------
Utility.............................................
Range.............................................
Water Heater ...............................
Permit Fee Treas. Receipt
$ -------------------------------------- No ------------------------ - B /y lam' . �r • .< /a
NOTICF.—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
Date called/1
F. ellminary
I
Inspection c
ELECTRICAL PERMIT
N? 15150
Total Load
1M 3-72 Olympic Printers, Inc.
C7 v Gr DORS ANGELES
LIGHT DEPARTMENT ELECTRICAL PERMIT
LIN? 15144
Port Angeles, Washington'------------------------------------------------------ 19 --------
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
Address � � ,7� Occupanc en.- - --------------I---------- -------
' ,l - .r-Bn _ ref -e'•, �._
Owner --------= - - Tenant------------------------- ------- ---------------------------------
Wiring Contractor.. `' - } ------------ By --------------------------------------------------
Light Outlets ........ ::------------------ .............
Receptacle Outlets ------------------------_-----
Dryer, KWl------------ --------_..._-----.-
Range, KW ---------- :---------------- _------
Water Heater:
KW------ /---- --..
Heal: RW ..... F^-------------------------------.
Motors: size, volts and phase:
Total
Remarks:
Permit Fee
Service, volts
No. wires
Size wire
Main fuse
Enclosure ---------------------------------------
Type of wiring:
Entrance Cable -----------------------------
Rigid Conduit -_----------------------------
Metallic Tubing . --------------------------
Current transformers:
No. & Size ---------------------------------------
Ser. No ----------- ----------------------------------
Ser. No. ----- ---------------------------------------
Ser. No.
Ser. No.
Treas. Receipt
Type of Wiring:
Armored Cable .............................
Non -Metallic
Knob & Tube ---------------------------------
Rigid Conduit ...............................
Metallic Tubing ..._------_--------------
Raceway -------------------------------_.-------
Circuits, Light ----------- ......... ..._--------------
Utility.........................._................
Heat----------------------------------- -----------
Range
------- --------------
Range.............................................
Water Heater ...............................
Motor... .........................................
Furnace ...
Total
$------------------------------------- No ------------------------ ---- By ----------------------------------------------------------------
NOTICE--Current must not be turned on until Certificate of Inspection has been issued. If work is to be con-
ceaded due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
Date called for inspection
Preliminary inspection dates ..................
Inspection completed ---- --- --------------- ---.....
TotalLoad-------------------------------------------------
IM
-----------------------------iM 3-72 Olympic printers, Inc.
N° 15144
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: nn
Date /�' Zy -OCA Time --7144A Received by -de ;vtrS 4�7 (phone, person)
Location of Work to be inspected l 13'0 C"ro , t� A V e
Name of person requesting inspection Dem -L i 5 I
Address of person requesting inspection 4-� j' -O �Lr d ( 14- & Phone No. qt 7 —4-Rq
Type of Inspection (circle appropriate one): Permit No
Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Oth�-
INSPECTION NOTES:
Inspected: Date �� Z5�D6 Time By ���w r5
Remarks: �QEvtz_.Jed 5•Zf'yl�c-.e -�ro4� 1 .6A i'01 1`a d�1v/'fed'.
Ox/ �r e1A "- 1' O rvl 3`y r. 6CSI ✓ - �c7 �r 10 Zo 1 l L Ci hf_ E.% tr T'z p .
/ I f
RESTORATION REQUIRED ......
L'r c_=. sr
YES_ NO
I
SURFACE RESTORATION:
SURFACE TYPE: ❑ Unimproved ❑ Gravel ®Asphalt ❑ PCC ❑ Other
❑ Repaired by City
❑ Repaired by Permittee
❑ No Damage Found
frnntinue on reverse side if neressarvl
Work Order # 3Jj`« iii
❑ COMPLETE
s ❑ INCOMPLETE
,�LTC1