HomeMy WebLinkAbout1710 Delores Pl - Building
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. .", " CITYOF PORTANGELES " ' ,',
DEPARTMENT OF CGMl\fUN!TYDEVELQPMENT - BUlLDlNGDlVISION
321, EAST5'IH STREET, PORT ANOELES, W A98362
Application Number . .
Application pin number
I1roP~rtY Address ", .
ASSESSOR PARCEL NUMBER:
Application type description
subdivision Name:
property Use ... . .
property zoning .. .
Application Valuation
05-00000782 Date 21/14/05
snooo
ino DELORBSPL
06:~~-00:4-9-0l70-0000-
RESMANUFAC'l'qREDHOME '.
BASBFEE
n.oo 14.0000 TaOU BL-2QOl-25K (14 PER.K)
<;:,..
RS9 RBSDNTL SINGLE FAMILY
noooo
Owner
Contractor
-------------~~--------~.-
GARCEAU, FREJ)
164 HEUHSLIEN RD
PORT ANGELES
(360) 460-7390
Other struct info
TOTAL '% LOT COvERAGE
EXISTING LOT COVERAGE
LOT SIZE,
PROP,OSBDL9TCOVERAGB
TOTAL LOT, COVERAGE
-~~-~---~~~-~-----~-----------~~----~--~-----~--~---~~-----------~~----~---~-~
Permit . . . . .
Additional desc .
Permit pin number. 65250'
Permit Fee 246.75
Issue Date . . .
Expiration Date,: 5/13/06
Qty Unit'Charge Per
Plan Check Fee
Valuation
..
Extension
",92.75
:''154.00 .
Special Notes and Comments
The Fire Department has reviewed thep~oject application and
haano.comments'
08/2..!lI~~9!), 1,2 :18 PM . ~OBERDS --; The proposal Will allow
the placement of a sf mfg home, in the RS~ 9 zone for total
lot coverage of 23%. No land use issues are noted. , .
Connection fee 1;.0 ujg power $.113 . 00.. .
08/23/2005 03 :25 PM GMc:I.Am' ..--------------;;.--"---;..------
ElectFica1load calculations _and elctricalpermits are
requ1r,ed'd '
sanitatysewer connection inspection is required by
Public~orks prior to backfill of ditch. ,24 hour advance
n(ltice iSJ:equired. " ,
constJ:i1ctdriveway to City Standards. No concrete With
eXposedaggregate.allowed in the City roa<l right of ~ay..Ari
~11,spec:,;ion'bY',Public W01:'ks 'EngineeX'ing is reqUired p1:'ior to
prouring concrete. .
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Other Fees
'" " ~
RES UNDERGRNDSERVICE FEE
SEWERSYSTEM.nELVG:HARGE
STATE SURCHARGE "
PW,WATER sysTmfuSEFEE
713.00
745.00.
4.50
1025.00
. . .
- -- ---- - -_~'___.. ~ ",!.. _ -__ __.. .-__..... -'.... "!" M.. _ __.......'.. "".... _,...................................... _.. "':'...............:............
. _' ','- .-. -' '-'_ l
___ -................ _. ~.......... __.... _ ~.......................... _,.0; _ _...._ ___........ ~_.... __,_ ~__~.. ~ _':"':'._:";' __,~___ _,_...........;;. _._ _.... _ ___
Fee suimnary Charged Paid Credited Due '
__~_,;;,;;"...v....__";:".' ,
Permit Fee Total
246.75
246.75
.00
Separate Pennltsare required for electrical work. SEP A; Shorellrl~;ESA;'tJtil1~~s. private and public improven1e~.'. ,:. ,', " , ,', ,,'
null andv~l,d,:ifworkorconstruction authorized lsnat c:omme?ctid;within1~9cfa,)'S; if constru~tiofl or\V,()r:kil~$U~B': .......... .,j,#a,~~doned
for a Periodof180days after the work~s comJT1enced.orifrecitilr~cfji1,sp.EfC?tI~nshave notbeenrequestedwlthiI'l1~9ci~~from:the last
tnspe~l~n. '}herebycertify. t~at I have read ,andexaminedthis ~ppJicati,on~n.dkh~wthe sameto be truean"d~(r:~Ct;.;:~r~~Visions of
laws andordlllances govemlng this type of workwlll be complied With whether specified herein or not Thegrantiflgof~petmlt~oes not
presurne'togive authority to violate or cancel the provisions of any'stateor locaHaw r~gulating construction<or.th9.performance of
construction. .,'
T:\Policies\1l02_IS building permit inspectionrecordOS:wpd [tl4i2005]
.\ - " ,-,' '
CALL 417-4815 FORBUILDINO INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
. . CALL 417-4807 FORPUBLIC:WORKS UTILITIES ........ ............. d... . .
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATEgR~ONCEALANY WORK BEFORE
INSPECTED AND A~CEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PI..ANS'ATJOB SITE.
INSPECTJO~ TYPE DATE. I ACCEPTED '. .COMMENTS .
NO ......:;i/.<.......... ,
.... YES c. . '.
FOuNt)ATION: .... " '.
'. .. . .'
FOO~GS .
WALLS. ,. .'
FOUNDATION DRAll'iAGEI DOWN SPOUTS . . ...
pmRS . .
. I..'
. POST HOLES (poLE BLDGS.) ..
. " . . .... ."
PLtJM~ING . ..'
UNDER FLOOR I SLAB .
RoUGH.1N .
.
. · WATER LINE (METER TO BLDO) .
.
GAS LINE .... '. '. FINAL . DATE ACCEPTED BY:'
BACK rLOW I WATER ". .
..
AIRSEAL '.. . ".
. . , '.. I
WALLS r I ".
'"
CEILING I I . I .......... .'
....
FRAMING . '. '.
.
JOISTSI GIRDERS .' t! i,,}.'
>'
SHEAA WAr.UHOLD DOWNS I' ?! ~i~ .
W ALtS/;ROOF I CEILING ..' ."
,
DRYWAll. (INTBRIOR BRACED PANEL ONLY) ....
.'
T-BAR~ ' '. '.' .. .. '.' ." '.
..
lNSULATl,ON ..
SLAB .
;p
WALL/FLOOR I CEILING " '. J I .,
..' MECHANICAL '.' .
.... .'
HEAT PUMP I FURNACE I DUCTS .
. .
GAS LINE c,' ;>,:'1 . ..'
WOODST()VE/PEI.LET1CmMNEV. .. ..... FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD I DUcis-:C .' .. .' . " ". . .. .., .
.
MANlJF'Acrmum HOMES ':c...... >>. . ~ >
. . , '.
.... FOOTING/SLAB .. ..... ..... .
..... .... ".
BLOCKING & HOLD DOWNS '.
" . ....
SKIRTING .. .. ..
......)... .'
PLANN~GDEPT. SEPARATE'PERMIT #'s., ....... .'.' ..... SEPA:
. ...". '.:.. .
PARK1NGlLIGHTJNG '..'. ...',.... ~ BSA:
,. ..... . .
, ' - ,"~
LANDSC;iPING ......... ........~".:h't.. .".. . .. .~()~:
.\.' '. '.,.. " ....... . . .
.. ...:: '. '.;. . .'...~..<t.~(t\iSPEq10NS IJEQUIREJ) PRlORTOoqqJP~~ltJ~~ ". . ,i",. .... .,.... :;.
'. RESIDENTIAL :?i.:/'.Y:-oi ',' :,-. DATi.... . . YES NO"" COMMERCIAL DATE 'A:C.C~..'
.
. !}i'...... ....... >'
.. " .- ; YESC ~i'\NO
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ELECTRICAL. LIGHT DEPT. 4l'74~5' ELECTRICAL >,
'" . .' ; .~ UGHT DEPT
, CONSTRUcTIoN R.w./Pwl .....'; '. CONSTRUCTION - R. W. ....
ENGINEERING ,4174807 -~.. .-" PeW jJ!.NG~Q..: . .... ."
>.
...... '.::~'~~ - ,;' ',_,I! : ,;:' I ,__ '~ ".l: ,:. .. '. ,.' .....
FIRE ,.417..4653' FIRE DEPT.
PLANNINGDBP'J:': ~'''-'' , 417-4750 ''''''''. ..; PLANNING DEPT.
. . . '..
.".... .'
BUlLDING 4174815 BUILDING
". .".
....
BUILDING PERMI'I'INSPcECTIO~RECORD
T:\P()hcles\110US bwl~ ~t mspecttonrec:ordOS.Wjxi [lI412O?SJ
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. .. .CITYOFPOgT i\.NeJELES
DEPARTMENT OF coMMtJNrry J)l!~QrMENT - BUILDING 'DIVISION
321 EASTSTHSTREET. PORT ANGELES. WA98362 ,
Application Number . . .. .~.
. Application pin number . . ;
Plan Check Total 98.70
Other Fee Total 2487.50
Grand Total 2a32.~5
05-00000782
511000
9.8.70
2487.50
2832.95
2
11/14/05
.00
.00
.00
Separate Permits are required for electrical work. SE:PA;'ShClrElline.E~Aiutiliti~; private and publie improvements. Thispe,.mlt~ecomes
null and void If work or construction authorized is not commenpedwithiry180daY$, if constructlol1orwork is lO.lJSp;fmded9!:a.b~ndoned
for a periodof180 days after the work as commenced, or if requfrEt~II1~P.el:1io!1shave not been requested within 180 da~frbmthe last
Inspection; I hereby certify that I have read and examined this appliea.tion an:d kl'l!>wthe same to be trueandcorrect.:Alrpl"Ovisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not The granting of aperm!t 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,
Signature of Contractor or Authorized Agent
Date
Signa~ure ofOWnerflf oWl1er is builder)
Date
----'--------"--~,~: .':.";:",";; ,'.
JJl:JILDINGPERM;@:INSPEC110N RE<:;ORD
. '.~.'
CALL 417-4815 FORBUILDrNG INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
~'G'ALL417-4807 FOR PUBLICWORKSUTILlTIES ...... .'C ., <' .....'
PLEASE.PROVIDE A MINlMUM24aOURNOTICE., IT ISUNLA WFUL TQ CQVER, INSY4TE OR"CQNCEALANYWORJ(BftFORE
'lNSPECTEpAJl{l!ACCEPT~. POST PERM!Tm:ACONSPICUOUS'LOc,ATION~
KEERPER.MITCARD AND APPROVEDPDt\NSATJOBSITE '
.
INSPECTION TYPE
.
I DATE I ACCEPi'ED "I, ~', ,<, ',' ,coMMENTs C'-'- "
,J; I YES I NO . .' , ",
..
,
. "" ,
FOUNDATION: '
FOOTINGS
WALLS
FOuNDATION DRAINAGE / DOWN sPoUTS" '
"'
,
PIERS
POST HOLES (pOLE BLOGS.)
PLU~BINC
UNDER FLOOR/ SLAB
ROUOH-JI'T
,WATERLINE (METER TO BLDG)
, GAS LINE
.'
I
"
.
1l1';'IJI-o~ _\ J..V
Iii * 1- 'J1:;M <'
,
FINAL DATE ACCEPI'ED BY:
, ,
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, .:<>.
,'., ".,',' .'
> ":."
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BAcK FLOW/WATER
AIR-SEAlI; ""
"'WALLS
. ,
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I
CEILING
FRAMING .." '."
10lSTs {GIRDERS ...'
SHEAR W ALUHOLDOOWNS
WALLS/ROOF/CEILING
DRYWALL (IN'rERlOR BRACED PANEL ONLY)
T.BARi"
,
."
.
INSUI.ATION ,'.
SLAB .
,., .',. ,
'.' "
WALL I FLOOR/ CEILING
MECHANICAL .".
HBATPUMP I FURNACE I DUCTS
GAS LINE
WooD~VE/PELLET / CHIMNEY
CO~HooDI DUCTS
"
I
I "'
,
,
FINAL
'DATE
'.',
cc-
ACCEPTED BY:
MANUFA~HOMES
FOOTING/SLAB
BLOCKING & HOLD DOWNS
SKlRTJNG ,
".
.
,
PLANNING DEPT. SEPARATllPERMlT#'s
I, PAR.KINGILIGHTING
LANDSCAPING '
f::-."~.l:';'~'--", <;-t " .
, .. "'"1,,"" ,. "; "
. ':~ RESIDENTIAL
SErA:
ELECTRICAL. LIGHT DEPT.
.
CONSTRUCTION R. W.I PW/
ENGINEERING
, ,',
FIRE "
Pl.ANNINGDEPT~ "
" ESA:
',',:. ',"~ . ,',," '"T *lI~RBLINE;
"",., ,," ',FINAL.INSPECTIONS REQUIRED"PRIOR TOOCCUPANCVIUSEd
',.',' - '.' ' _~_, - _.",', ,. :' _-' ',_, '. _, - ." '''_..' " - . '" c_, _ ".,.; _ -, " "
~n DATE YES NO CO~ERCIAL
, ,.ic'
417.4807
, 417~653
417-4750'
,
I.., h"/Of
'I, ,
ELEctRICAL
LIGHT DEPT
,
c", ,""",,', ,: :"
DATE ',' ",J\CCE~p
, '"",,,,"" YES , ,NO '
"I .. ","/
.,
417-4735
eN
,
CONSTRUCTION - R. W.
PWIENGINEERlNG
'.
"
"",.".:,
"
FIRE DEPT.
/
'PLANNING DEPT.
BUILDING
, ,
, ,
;
BUILDING 417~815Lz..r I'.ifJ Or: ./W 1/
T:\Policies\ll02 .15 buildingpennit inspection record05.wpd [1I412t 05 ' ";
,
;.-'-; ~~
. . C:ny91' PORT AM9ELES .
DEP AR1;:MENT OF COMMlJ:NrrypEVELQPMENl' - BUILDING DIVISION.
321 EAST:51HsTREET, PORT ANGELES, WA98362
" . . ' , ' , , ,<. ~- - " t ','- - ' ' , -, " ,," ,",
Application Number
App~i~ationpin number
P~operty Add~ess .
ASSESSOR PARCEL NUMBER:
APplic~t:iontype description
SUbdiv1s1onName . .. . '. .
Pr9Pefty Use
Property Zoning . . .
Application valuation
05-00000782 Date
'. 511000. .' . . .. .
. 1710 DELORES PL' .
06 - 3 0 - 00-;.4 -:'.-P':J,}9.:" 0.0,00 c:..
RES MANUFAC'l'tJREO' HOME .'
. RS9 RESDNTL SINGLE FAMILY
110000
OWner
Contractor
", -,. ,. " .
--,----------------------
GARCEAU, FRED
164 HEUHSLIEN RD
PORT 'ANGELES
(36.0).,460"-7390
Other struct info
WA98362
TOTAL t LOT'. COvERAGE
EXISTING' LOT-cOVERAGE
LOT . SIZE '"
PROPOSBD LOT COVERAGE
'.l'OTAL LOT.' COVERAGE
22.90
.1.00
9000.00
2069.00
1.00
, -'-, ".'--.
---------.---------------------------------------~--~----------~-------------
. .
Permit . . . . .
'Additional desc .'.
Permit pin number
Permit Fee
Issue Date
Expiration, Date .
BL MANUFACTURED' HOME
58990 '
230.00
8/30/05:
2/26/06
Plan Check Fee
Valllation
~oo
110000
, Extension
230.00
Qty Unit Charge Per
BASE FBB
------------------------~-------------~------~--~~--~--~~~------~--~-----~--
Special NotesandCoIl1I\\ents '.. ."
The. Fire. Depa;tment has reviewed the project'Cipplication and
has"no comments .. .... . .... . '.
08/29/2005 12: 18 PM SROBERDS -- ThepJ;()p()~al..wiU.allow
theplace~ent ofasfmfghome iIlthe RS-9 zonr for total
lot coyerage O~23%.NO land use'issues'are.hbted.
Connection fee to u/gPClWer$713. 00 , . ."
08/23/2005 03:25 PM .~IN ---------'--~--;;......_----------
Electrical load calculations and elctricalpermits are
req\,tired~. . .... . . . ,....~ ' .., ....... '.' .
Sanitary sewerconne9,tioninspection iSfe~red by...
Public;"Works prior to back fill of ditch. 2.4 hour advance
notice is required. '.' . .' ..,'
Constr1lctdriveway to City Standards.. . No coIlcre!:E!with
eX1>osed aggregate allowed in the City' r.oadi::i9h.tof way. An
inspection by Public Works Engineeringis.r~qil,iredpri:or to
'prouring concrete. .
OtherFees . . . . . . . .. SE~R SYSTEM. DELV CHARGE
STATE SuRcHARGE' .
PW WATBR'SYSTEMUSEFEE
745.00
. 4.'50
1025.00
- - - -:- - - -..,. - -,-,- - - - - - - - - - - - - - - - - - - - -- .._- - - --..;..--~---- .-. .'. - - - - - - - - - - - - - - -.. - - - - - --
Feeswmnary Charged ,Paid Credited Due
/" --~~-~ ~','- --
perIllit Fee '.l'otal
P!an.theck Total
Other'Fee Total
230.00
.00
1174.50
SeparatePerm!~.are required for electrical work, SEPA, shareii'ne; ESA', utilities, private and public improvemei1ts.This.~~r:i:iIltbecomes
null ancJ'vbld;itwork or construct/on authorized is.not coilmie'ric~dWithin .180 days, if construction orwork tssuspen'ded':oricibii6doned
for a peribp:()f 180daysaft~r the worka.s commenced, orlf requW:ed I~specttons have not been requested !NItQlnj80dii~:iiPm tJ,elast
inspection;' I hereby certIfY that.1 "~ave read and eXaminedthis;~pplication and know the same to be true' arid"correct"AIJ:provisions of
lawsahd ordlhances governing this type of work will be complied .Wi~ whetl)er specified herein or not. The granting of'a. permit (foes not
presume 10 give authority to violate or cancel the provisioii's 'iWany stale or local law regulating 'construCtion 'or thif p'errormarice of
conslruclion. ~'
. '. "'. ,",C""'",, , _
:,' ,:,:,,/<,,~'-:.:~:>.','--',,"~
.,~. ~.. '..'. r....3(),~:iJ,~
.Signature of Owner;(if pwner is builder) .... . pate
~ -;/., < ',>..: ('.,;:, -"~ '
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',' '. '.. .'. ". ,~~PJi' POR'li~<;J~];,ES ..... .' .....
DEP ARTMENTOF COIv.Il\1P'NfI'YDEVEEO:rMENT - BUILDINGDMSION
321 EAST5THSfREET, PORTAN~J;:LES,WA98362
Page 2
Date 8/30/05.
. (Ill .00
Application Number . . . ~ .' 05-00000782
Application pin number .. 511000
Grand Total 2004.50 2004.50
':; .... 10.
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Separafli! Permits are required for electrical wOrk,SEPA, Shoreline., ESA, utilities, private and public improvements. T ·
null and void if work or construction auihoiizedjsnofc9mmer:u~(idy.litf1in ,180. da~.:ifcPIJ$tructi~n O'r work Is su~pen. . .
for a period of 180 days after the~orkas cOlllmenceq,!orif' . . . 'Ired Inspections:~~~Elnot been requested witttln18~, ",\ rri the last
inspection: I hereby certify that I have' read and exartt!n , is applicationiilnd know the same to bet~ and 'colTEict.~A!lp.;pvisions of
laws and brdfnancesgovemingthis type of work:,NilL{>d:cQlT)pJiedwith whet/:1er~pecifi~d herein or not. Thegrantfng' . ',90es not
. presume to give authority to violate or cancel the provisions of any state or locallaw'regulatlng construCtion or " ormance' of
construction. ' , .'
Signature of Contractoror A!,lthorlzed Agent
T:\Policies\11 02;..15 btrllding pennit inspectionreeordOS:wpdl1l4!20QS)
,~. '''", .'-,:-<
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BUILDING PERMIT INSPECTION RECORD
. CAI,L 417-4815 FORBUILDINGINSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
. ". . CALL 417 -4807FORPUBLIC WORKSUTII..ITIES '. . .';' . .'
PLEASE PROVIDE A MlNIMlJM24'aoQitNOnCE.iTlSUNiAWFUL TOCOVEIlrUjill/Jif,t;tQltCOlVCEALANYWORKBEFORE
INSPECTEDtl1XDAc,CJEPT/pJ.:POSTPERMIT IN ACQN.S~l~()tt~I..()CATlON.' .
. KEEPPERMITCARD AND APPROVED PLANsiiN:Tti€lBiSrtE~:. .
.. ,> . SEPA:
7:',~,. ~~.,
. --:- --}:'; Sll0.RJ3LlNE:. ~::".,; 'ir " "f. :" .'.
. . FIN~1N'~!,~q~~~q~DPRI()IfTOoCcup.~~JY~:'""<' .......... ,.,:"l!';:' I
'::.~ATE YES NO ,;';'.~~;CO~~~>'i" 'DATi '....~. ...~c~tfED
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"EJ..Ec:nucAt'. " ,.... .
UGiITDlWT. . .'
C()NSTRbdno~:R.w. -~.
PW lENGINEEIqNG'
. ..';' ...
FIREDEPT!.. '. - .'~:
l'~GJ)EPT,.....
BUlLIiINCf .' 'J' .
r
. .. . ,.'
INSPECTION TYPE
FOUNDATION:
romINGS ". .' .
WALLS ..j ....
FOUNDATION . DRAINAGE I DOWN SPOtJTS ..
PIERS .'
POST HOLES tPOLE BLoGS.)
.' .,.-
PLUMBING
UNDER~OORI SLAB
'.; ,
...
'. .
: '- '-'r;
!lOUGH-IN .
WATER LINE (METER TO BLPG)
GAS LINE
BAcK-FJ-OW/WATER. '
Alll SEAL
wAlls.
....:
.....
.
I
CE~G....
FRAMING
.
.. - JOISTS I GIRDERS
.... .. SHEARWALUHOLDDOWNS
WALLS1'RC>QF1CEILlNG ........,
DR.YWAu.~ORI3M-CED PAl-llili'O~Y)
,. T-BAR, ...... ::2;,,\:, '>, '
~SULATlON ."T~~,,' k.'"
SLAB' , ,.....,.... .'. .,.,'
W~l?,E;LQpRI'CEILING .........
, ~'MECHA~~ .'
". ., HEATP~/FURNACE/DUCTS . ...
GASLINE\:'C.,. .'.
WOODSTOvE/PELLET / CHIMNEY
.'. COMMERCIAL HOOD I DUCTS
MANUFACTURED HOMES-
'.~'\'3';
'";~",
'. .
.
,
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKIRTING
. .... ..,. .' ..'
PLANNING DEPT. SEPARATE PERMIT #.'s
" PARKlNGIJ,IGHTING
LANDSCAPING
. h
.' '.'
.,' :',
RESIDENTIAL
" " .'
.. 'ELEcriuCAL - LIGHT DEPT." 4174735
CONsTRUltTION R. W./I'WI
:ENG.11{~~RING, ?
. FIRE ;:\.,:" .; .
.' .
.
..4~?~807
417-465j-<.:
.
PLANNING DEPT. . 417-4750
BUILDING . - - . .... .' 417-4815
."
DATE I.' A(t.c::EPTJID
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:nUILDING PERMIT INSPECTION RECORD OS-791J..
~ ' , - .!-, ,
'-. - - - '-",'" ,,'.
CA~L 417-4815 FOR BUlLDINCHNSPECTIONS. GALL 4174735 FOR ELECfRlCAL INl?PECTIONS.
'. CALL 417-4807 FOR PUBLIC WORKS UTILITIES c.: . .... '. .
PLEASS PROVIDE A MINIMlJM24 iIomtNQTlCE:'tris tJNiJAWl!UL TO COVERiIN$lJLATEOR eqlVCEAf.ANY WORK l!EFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUSr:oCATlON.;~ '. '
. .' KEEPPERmtCARD'ANDAPPROVEDPLANSATiOBSrTE' . ",;.'.
INSPECTIOI'I TYPE D~1:E ACCEPTED . COMMENTs: .
. . YES I NO
1m
. FOUNDATION: '. .. ..
FOOTINGS':~_ ~~ ...... f/l~7QI--]~1{
. WALLS... ....... ........ [.'1 .. J';'~ .'
FOUNDATION DRAINAGE/DOwN SPOUrS'):" '.
',cc '.'
PIE~S', .... ..; .,'
POST HOLES (poLE BLOGS.),' .....
PLUMBING<' ..... " ........ '.' .... '.
.' UND,ERFL9<>R/SLAB . ..... .........
ROUGH-IN:' ....... ........ ..'
WA.TERi.INEa.mTERTOElLDO).iQ;..'~-a~) JLL '.
.' '.<. '.',,'
: GAS L1J"lE",.; . .' . .. .../' ..."......
"',BACK-FLOW/WATER .' '... Sf ..;1",'
AIRSEAI". '.' ...,....... .' . ,',m:.. ..
WALLS .'. ......' ... ..... . '. .
CEILING' ., ..... .... .... .'.
"';>;';,'-, ..' .
FRAMING.. ,.',X, ..... .'.
JOISTS/ GIIU)ERS ..... ...., ... ;'3ffi~h ....
SHEARWALUfI<:)LDDOWNS ..'...... ......'
WALLS / RQOF/ CEILING, ...........
;DRYWALL~RIORB~CED PANBJ)"ONLYl
T.BAR 1;~h ..........
INSULATJON " ....:-":~i"i;"'./
SLAB """. .. "'....< .
W~~'l>E-pOR/CEILING' .,
MECHA~~' ....
HBAT~/FURNACE I DUCTS
GAS LINE!;" ".
WOOD sTovE/PEI+Jn" I ClWdNEY'.
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COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES .....
FOOTING I SLAB '. '..
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PLANNING DEn. SEPARATE PERMq ii's
.
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417-4807 \t.fz:z.lo~
., 411'-'i.6S3 ,.
~ '
.-. . .,,'" SEl' A: <,
. . " -"~" ESA: .. . .
..j ",1:"; .,' ./;: '. .'Sil~: . ,}~i~,;: '..,..: ..' ."
,':'~~NA1.lf1.I!S.P~C?TIONSREQ~PRlORTOOCCUP'AN~(.U~ ""':' '. . :,".-:~.", <'. .
. I,',})ATE YES NO --'1" '-'-C9~RCiAL '0' .....;A'CcEPTED:' ,
'. _'. . __ ..' 1..- '.,.~ ,-,'. ' ...' . '''.. .,', "'(' ."; '.: '.'](1$';'.:' ,NO.",'
417-4735 I: EI.ECnuCAL' ,;;.:. i'. .- .,' . .;
. LIGJITDJWT ..: ';' ..'
--CoNSTRUCTlON.ILW. .:
PW/~~G. . .
..... .. ., " '.. . . .
FIRE DEPT. ,<., .....
. P~qJ;l~....
Btlii15fi.iG~' , .:.~ ';' .-.- I. .
,
PARKlN~ILIGHfING
.. LI\NDSC.(pING"
~. RESIDENTIAL
,. .i""
, : ", .
ELECTRlCAL - LIGHT DEPT.
.
.
CONSTRUCTION R.W./ PWI
ENGINEERING
.
FIRE ....
PLANNING DEPT.
BUILDING . ".'
1AA
.
417-4750
...
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417-4&15
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T:\Pohcles\1102 15 bwlding pennltlnspection record05;wpd(I!412005]
" ~'<:~."-'>--- .-''- ~.' -,,' ,,' - ,'. ~~.':;." ',""". ',;~~?-" C'
PREPARED 12/19/05, 13:43:45
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1710 DELORES PL
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
3
12/19/05
GARCEAU, FRED
06-30-00-4-9-0170-0000-
05-00000782 RES MANUFACTURED HOME
SUBDIV:
PHONE
PHONE : (360) 460-7390
PERMIT: BLM 00 BL MANUFACTURED HOME
REQUESTED . INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BUILDING FOOT /SLAB
MANUFACTURED HOME SLAB
TOMMY? 477-0778
09/09/2005 04:59 PM
BUILDING MANUFACTURED
09/28/2005 04:40 PM
09/28/2005 04:41 PM
PLUMBING WATER SUPPLY
09/27/2005 01:25 PM
FRED 460-7390
09/28/2005 04:34 PM JLIERLY ----------------------------
BUILDING FOUNDATION FOOTING
11/02/2005 07:47 AM PBARTHOL ---------------------------
TOMMY 477-0778
11/02/2005 04:41 PM JLIERLY ----------------------------
BUILDING FOUNDATION WALL
11/04/2005 07:58 AM PBARTHOL ---------------------------
TOMMY 477-0778
11/04/2005 02:58 PM
BUILDING FINAL
12/15/2005 02:36 PM PBARTHOL ---------------------------
FRED 460-7390
12/16/2005 04:31 PM PBARTHOL ---------------------------
HOUSE #'S CHECK OUTSIDE BELL AND CLEAN STREET
:~::_::_-~~---~~~!~~~~~;:~~~~=~--~~--~~~~=~~~-===========================-----
BLFS 01
9/09/05
9/09/05
JLL
AP
BLMH 01
9/28/05
9/28/05
JLL
AP
PL6
9/28/05
9/28/05
JLL
AP
01
BL1
11/02/05
11/02/05
JLL
AP
01
BI2
11/04/05
11/04/05
JLL
AP
01
BL99 01
12/16/05
12/16/05
JLL
DA
JLIERLY ----------------------------
HOLDDO.WN
JLIERLY ----------------------------
JLIERLY ----------------------------
TIME: 17:00
PBARTHOL
JLIERLY ----------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL9 01 11/14/05 JLL
11/14/05 AP
BL3 01 11/28/05 JLL
11/28/05 AP
BL99 01 12/16/05 JLL
12/16/05 DA
BL99 02 l~t;1~v Jtf-
BUILDING SHEARWALL
. OVERRIDE TAKEN BY PBARTHOL DATE: 11/14/05 TIME: 09:25:42
11/14/2005 09:25 AM PBARTHOL ---------------------------
CLINT 477-9600
11/14/2005 04:20 PM JLIERLY ----------------------------
BUILDING FRAMING
. OVERRIDE TAKEN BY PBARTHOL DATE: 11/28/05 TIME: 08:29:49
11/28/2005 08:29 AM PBARTHOL ---------------------------
CLINT 477-9600
11/28/2005 04:00 PM JLIERLY ----------------------------
BUILDING FINAL
. OVERRIDE TAKEN BY PBARTHOL DATE: 12/15/05 TIME: 14:39:05
12/15/2005 02:39 PM PBARTHOL ---------------------------
12/16/2005 04:32 PM PBARTHOL -------------------------c-
BUILDING FINAL
. OVERRIDE TAKEN BY PBARTHOL DATE: 12/16/05 TIME: 16:35:08
12/16/2005 04:35 PM PBARTHOL ---------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
G~G,g-
I
L
,
~
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~~e.
~~~ V\sO
PREPARED 12/16/05, 13:27:13
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1710 DELORES PL
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
4
12/16/05
GARCEAU, FRED
06-30-00-4-9-0170-0000-
05-00000782 RES MANUFACTURED HOME
SUBDIV:
PHONE
PHONE : (360) 460-7390
PERMIT: BLM 00 BL MANUFACTURED HOME
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFS 01 9/09/05 JLL
9/09/05 AP
BLMH 01 9/28/05 JLL
9/28/05 AP
PL6 01 9/28/05 JLL
9/28/05 AP
BL1 01 11/02/05 JLL
11/02/05 AP
BI2 01 11/04/05 JLL
11/04/05 AP
BL99 01 ~
BUILDING FOOT /SLAB
MANUFACTURED HOME SLAB
TOMMY? 477-0778
09/09/2005 04:59 PM
BUILDING MANUFACTURED
09/28/2005 04:40 PM
09/28/2005 04:41 PM
PLUMBING WATER SUPPLY
09/27/2005 01:25 PM
FRED 460-7390
09/28/2005 04:34 PM JLIERLY ----------------------------
BUILDING FOUNDATION FOOTING
11/02/2005 07:47 AM PBARTHOL ---------------------------
TOMMY 477-0778
11/02/2005 04:41 PM JLIERLY ----------------------------
BUILDING FOUNDATION WALL
11/04/2005 07:58 AM PBARTHOL --------------c------------
TOMMY 477-0778
1i/04/2005 02:58 PM
BUILDING FINAL
12/15/2005 02:36 PM
FRED 460-7390
JLIERLY ----------------------------
HOLDDOWN
JLIERLY ----------------------------
JLIERLY ----------------------------
TIME: 17:00
PBARTHOL
-#-s
~~U!
JLIERLY --------------------'1------
PBARTHOL -------------------~~~
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL9 01
11/14/05 JLL
11/14/05 AP
BL3 01
11/28/05 JLL
11/28/05 AP
BL99 01
12/16/05 ~
BUILDING SHEAR WALL
* OVERRIDE TAKEN BY PBARTHOL DATE: 11/14/05 TIME: 09:25:42
11/14/2005 09:25 AM PBARTHOL ---------------------------
CLINT 477-9600
11/14/2005 04:20 P~ JLIERLY ----------------------------
BUILDING FRAMING
* OVERRIDE TAKEN BY PBARTHOL DATE: 11/28/05 TIME: 08:29:49
11/28/2005 08:29 AM PBARTHOL ---------------------------
CLINT 477-9600
11/28/2005 04:00 PM JLIERLY ----------------------------
BUILDING FINAL
* OVERRIDE TAKEN BY PBARTHOL DATE: 12/15/05 TIME: 14:39:05
12/15/2005 02:39 PM PBARTHOL ---------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
e ~-e(/lc
OtlJ- <>;~t!
c r eI~.
&~~
PREPARED 11/28/05, 12:40:14
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1710 DELORES PL
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
5
11/28/05
GARCEAU, FRED
06-30-00-4-9-0170-0000-
05-00000782 RES MANUFACTURED HOME
SUBDIV:
PHONE
PHONE : (360) 460-7390
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL9
11/14/05 JLL
11/14/05 AP
01
BL3
~~
01
BUILDING SHEAR WALL
* OVERRIDE TAKEN BY PBARTHOL DATE: 11/14/05 TIME: 09:25:42
11/14/2005 09:25 AM PBARTHOL ---------------------------
CLINT 477-9600
11/14/2005 04:20 PM JLIERLY ----------------------------
BUILDING FRAMING
* OVERRIDE TAKEN BY PBARTHOL DATE: 11/28/05 TIME: 08:29:49
11/28/2005 08:29 AM PBARTHOL ---------------------------
CLINT 477-9600
-------------------------------------- COMMENTS AND NOTES --------------------------------------
(
PREPARED 11/14/05, 11:57:56
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
8
11/14/05
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1710 DELORES PL
SUBDIV:
PHONE
PHONE : (360) 460-7390
GARCEAU, FRED
06-30-00-4-9-0170-0000-
05-00000782 RES MANUFACTURED HOME
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL9
~~
-------------------------------------- COMMENTS AND NOTES --------------------------------------
01
BUILDING SHEARWALL
* OVERRIDE TAKEN BY PBARTHOL DATE: 11/14/05 TIME: 09:25:42
11/14/2005 09:25 AM PBARTHOL ---------------------------
CLINT 477-9600
G~t!
PREPARED 11/04/05, 9:21:47
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL ..
APPL NUMBER:
1710 DELORES PL
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
9
11/04/05
GARCEAU, FRED
06-30-00-4-9-0170-0000-
05-00000782 RES MANUFACTURED HOME
SUBDIV:
PHONE
PHONE : (360) 460-7390
PERMIT: BLM 00 BL MANUFACTURED HOME
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFS 01 9/09/05 JLL
9/09/05 AP
BLMH 01 9/28/05 JLL
9/28/05 AP
PL6 01 9/28/05 JLL
9/28/05 AP
BL1 01 11/02/05 JLL
11/02/05 .AP
BI2 01 ~ 'fL-
BUILDING FOOT /SLAB
MANUFACTURED HOME SLAB
TOMMY? 477-0778
09/09/2005 04:59 PM
BUILDING MANUFACTURED
09/28/2005 04:40 PM
09/28/2005 04:41 PM
PLUMBING WATER SUPPLY
09/27/2005 01:25 PM
FRED 460-7390
~ 09/28/2005 04:34 PM JLIERLY ----------------------------
BUILDING FOUNDATION FOOTING
11/02/2005 07:47 AM PBARTHOL ____h_n_____n______h___
TOMMY 477-0778
11/02/2005 04:41 PM JLIERLY ----------------------------
BUILDING FOUNDATION WALL
11/04/2005 07:58 AM PBARTHOL c__________________________
TOMMY 477-0778
JLIERLY ----------------------------
HOLD DOWN
JLIERLY ----------------------------
JLIERLY ----------------------------
TIME: 17:00
PBARTHOL
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 9/28/05, 13:30:49
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
7
9/28/05
------------------------------------------------------------------------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1710 DELORES PL
SUBDIV: /
PHONE
PHONE : (360) 460-7390
GARCEAU, FRED
06-30-00-4-9-0170-0000-
05-00000782 RES MANUFACTURED HOME
PERMIT: BLM 00 BL MANUFACTURED HOME
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFS 01
9/09/05
9/09/05
JLL
AP
PL6
BUILDING FOOT /SLAB
MANUFACTURED HOME SLAB
TOMMY? 477-0778
09/09/2005 04:59 PM
9/28/05 JLL PLUMBING WATER SUPPLY
~ tb-/9. 09/27/2005 01:25 PM
tJr Irrr FRED 460-7390
-------- ----------------------------- COMMENTS AND NOTES --------------------------------------
01
JLIERLY ----------------------------
TIME: 17:00
PBARTHOL
~ I)t1W)V/~
o~-
PREPARED 9/28/05, 16:41:09
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
1
9/28/05
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1710 DELORES PL
SUBDIV:
PHONE
PHONE : (360) 460-7390
GARCEAU, FRED
06-30-00-4-9-0170-0000-
05-00000782 RES MANUFACTURED HOME
-------~----------------------------------------------------------------------------------------
PERMIT: BLM 00 BL MANUFACTURED HOME
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFS 01
9/09/05 JLL
9/09/05 AP
BUILDING FOOT /SLAB
MANUFACTURED HOME SLAB
TOMMY? 477-0778
09/09/2005 04:59 PM
BUILDING MANUFACTURED
09/28/2005 04:40 PM
PLUMBING WATER SUPPLY
09/27/2005 01:25 PM
FRED 460-7390
09/28/2005 04:34 PM
JLIERLY ----------------------------
HOLDDOWN
JLIERLY ----------------------------
TIME: 17:00
PBARTHOL
PL6 01
&rJL~
28/05 JLL
9/28/05 AP
BLMH 01
JLIERLY ----------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 9/09/05, 12:38:17
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL . .
APPL NUMBER:
1710 DELORES PL
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
GARCEAU, FRED
06-30-00-4-9-0170-0000-
05-00000782 RES MANUFACTURED HOME
SUEDIV:
PHONE
PHONE: (360) 460-7390
PERMIT: BLM 00 BL MANUFACTURED HOME
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFS 01
~~
BUILDING FOOT /SLAB
MANUFACTURED HOME SLAB
TOMMY? 477-0778
PAGE
DATE
12
9/09/05
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 11/02/05, 12:56:51
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL .. .
APPL NUMBER:
1710 DELORES PL
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
4
11/02/05
GARCEAU, FRED
06-30-00-4-9-0170-0000-
05-00000782 RES MANUFACTURED HOME
SUBDIV:
PHONE
PHONE: (360) 460-7390
PERMIT: BLM 00 BL MANUFACTURED HOME
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLFS 01 9/09/05 JLL
9/09/05 AP
BLMH 01 9/28/05 JLL
9/28/05 AP
PL6 01 9/28/05 JLL
9/28/05 AP
BL1 01 \\\~\~~~
BUILDING FOOT /SLAB
MANUFACTURED HOME SLAB
TOMMY? 477-0778
09/09/2005 04:59 PM
BUILDING MANUFACTURED
09/28/2005 04:40 PM
09/28/2005 04:41 PM
PLUMBING WATER SUPPLY
09/27/2005 01:25 PM
FRED 460-7390
09/28/2005 04:34 PM JLIERLY ----------------------------
BUILDING FOUNDATION FOOTING
11/02/2005 07:47 AM PBARTHOL ---------------------------
TOMMY 477-0778
JLIERLY ----------------------------
HOLDDOWN
JLIERLY ----------------------------
JLIERLY ----------------------------
TIME: 17:00
PBARTHOL
-------------------------------------- COMMENTS AND NOTES --------------------------------------
BUILDING PERMIT - APPLICATION
Date Issued:
Fill out COMPLETELY and in INK. Your application and site plan MUST B j :
COl\1PLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FA...X(360)417-4711
_':::. ___:... .; ..~i" ....:~_""......,"""_.,-:.. ._"":
';) . 1
Applican~Agent t{Jt j r~ 2r- ~ Phone 7t'tfj -7 ~ 'liJ
~::fj:~;;~ DIy ,~A,:lian~~ 'ZiP ;;, 126.2
Architect/Engineer: Phone:
contractor;Jd~~} L~ StateLicense~)/q?LtJo7c.-<6'EXp: ~/; "
Addresslbr tI~ JLJ City: E-;T-4-:;~ i1 J;f-
__..PROJECTADDRESS: /7/ f) .'D.4~ PL
LEGAL DESCRIPTION: Lot: ! 7 ..
CLALLAMCOUNTYPARCELNUMBER: 61 iP3 n~O ~ 4''lf!:) /76
Phone:41.6"~-73 90
Zip: '1$"36:2-
/C..s9
ZONING:
Block:
- Subdivision:
__ .'-'- _' :,,""""':::"':'U''':'', '.
Credit Card Holder Name:
Billing Address:
. Credit Card Type VISA MC #
TiTf'E OF WORK:
JI... Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRlEF DESc:RIPTION OF THE PROJECT:
~c;.
City:
Exp. Date:
SIZEN ALUATION:
J4q~ SF.@$ F
'771; SF. @ $ 2/ r 32 I~/~/-
SF.@$
TOTAL Vil,LUATIO
COMMERCIAL/RESIDENTIAL: Occupancy Group:
. No. of.Stories: ...L Lo(SiZe: ~ tH>-D Existing Sq. Ft.
Total lot coverage ~ ~ %
Occupant Load: Construction Type:
& Proposed Sq. Ft. ,;(O!o r = TOTAL Sq. Ft. ,;:( () b9
ESA/Wetland(s): 0 Yes 0 No SEPA Chec1distrequired? 0 Yes 0 No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
. .." .-_. _..__.~._-~--_.... -. ---. -.... .... -- '--" --.-.-----. ...-. .--'-
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and ma,y be revised by:the BuildinE Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECR FEE: IF.a plan; clre-ckfeeis dueitmusfhe'submitted at the time the building.permit application and construction. plans are
submitted. All other permit fees are due at the time of perrrrit issuance.
EXPIRATION OF PLAN REVIEW: lino permit is issued ,,~thin 180 days of the date ofapplication, theapplication 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 R1 05.3.2
of the International Building/Residential Code, 2003). No application can be ex:tended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permN and
understand that it is my responsibj/ity to determine what permits are required ,not the City's, and that 1 must obtain such permits prior to work.
T:\Policies\BL-110U3.wpd APPlicant::;3,.il-!f~ Date:' ~..... i 7 - tJ ~
60
Feet
Area Map
This map is not intended to be used as a legal description.
This map/drawing is produced by the City of Port Angelesfor ilS own use and purposes.
Any other use of this map/drawing shall not be the responsibility of the City.
Pier
PlQn
Port AngelesJ 'viA
oncrete Slo.b
o
o
o
o
o
o
o
o
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All set up deto.lls to be per Mo.nufo.cturer Set Up Mo.nuo.l
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lers-under fro.Mes
24' Mo.X froM ends
PIER DETAIL
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CCNCl'lFTF:/t.fASONR't PlfR
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TABLE 4.1B
SECTION
WIDTH
FT
, , , , , , ,
30 1,500 2,900 4,400 5,800 7,300 8,700 10,200
40 1,800 3,600 5,400 7,300 9,100 10,900 12,700
60 2,500 5,100 7,600 10,200 12,700 15,200 N/A
80 3,300 6,500 9,800 13,100 N/A N/A N/A
13 20 1,200 2,400 3,500 4,700 5,900 7,100 8,200
30 1,600 3,100 4,700 6,300 7,800 9,400 11,000
40 2,000 3,900 5,900 7,800 9,800 11,800 13,700
60 2,700 5,500 8,200 11,000 13,700 N/A N/A
80 3,500 7,100 10,600 14,100 N/A N/A N/A
14 20 1,2 0 2,500 3,7 0 6,2 0 ,400 8,700
30 1,700 3,300 5,000 8,300 9,900 11,600
40 2,100 4,100 6,200 , 10,300 12,400 14,400
60 2,900 5,800 8,700 11,600 14,400 N/A N/A
80 3,700 7,400 11,100 14,900 N/A N/A N/A
16 20 1,300 2,600 ,9 5,300 6,60 7,900 9,20
30 1,800 3,500 5,300 7,000 8,800 10,500 12,300
40 2,200 4,400 6,600 8,800 10,900 13,100 15,300
18 20 1,500 2,900 4,400 5,900 7,300 , 10,200
30 2,000 3,900 5,900 7,800 9,800 11,700 13,700
40 2,400 4,900 7,300 9,800 12,200 14,600 N/A
EXAMPLE' 14-foot section width
30-psf roof Jive load
18- foot mating wall opening
Follow down the "section width" column to "14 feet"; follow across to "3D psf'in the
"Roof Live Load" column. Since the opening is 18 feet wide, follow across to the
"20 foot" column (for any opening width that is not shown, use the next highest
number on the chart). The required pier capacity is 6600 pounds.
For piers supporting two adjacent openings, the capacity shall be
the sum of the capacities from each span.
Page 12
2000.04
CHAPTER 5 INSTALLATION PROCESS
TABLE 5.1: MaL Tie-DoWD SpaciDg For Maximum Sidewall Heighf$ (in.)
. Wind Zone D: Diagonid W"md ZDnc lD: Diagonal
~I & Vertical Ties to Near & Vertical Ties 10 Ncar
Ties ear Beam Beaml Beaml
W WFR Hp 84 90 96 102 108 114 84 90 96 102 108 84 '90 96
20 12'-4" 11'-6" 10'-10 10'-3" 9'-8" 9'-3" 5'-4" 5'-4" 5'-4" 5'-4" 5'-4" 4'..{)" 4'~" 4'..0"
- 80 40 8'-10" 8'-4" 7-10" 7'-S" 7'-0" 6'-8" FAR FAR FAR FAR FAR 4'-0" FAR FAR
- 60 6'..!)" 6'-4" 6'..{)" 5'-8" 5'-4" 5'-1" FAR. FAR. FAR. FAR. FAR. FAR. FAR FAR.
80 5'-S" 5'-'" 4'-10" 4'-6" 4'-3" 4'-1" FAR. FAR. FAR FAR FAR FAR FAR FAR
12 20 9'-11" 9'-3" 8'''!)'' 8'-3" 7-10" 7'-S" 5'-4" FAR FAR. FAR FAR 4'-0" 4'..{)" 4'..{)"
96 40 6'-8" 6'-3" 5'-11" 5'-7" 5'-3" 5'..0" FAR FAR FAR FAR FAR FAR. FAR FAR
60 5'-0" 4'-8" 4'-5" 4'.,2" 3'on_FAR FAR FAR FAR FAR. FAR FAR FAR
20 9'-3" 8'-8" 8'-2" 7'-8" 7'-4" J 6'-n- FAR FAR FAR FAR FAR 4'-0" 4'-0" FAR
99.5 40 (/-2" 5'-10" 5'-S"~FAR FAR FAR FAR FAR. FAR FAR FAR
60 4'-7" 4'-4" 4"'1" FAR FAR FAR FAR FAR FAR. FAR FAR
20 14'-1" 13'-3" 12'-S"l1'-9~. 11'-2" 10'-7" 5'-4" 5'-4" 5'-4" 5'-4" 5'-4" 4'..{)" 4'-0" 4'..0"
SO 40 10'-10" 10'-2" 9'-7" 9'-0. 8'-7" S'-I" 5'-4" 5'-4" 5'-4" FAR. FAR 4'-0" 4'-0" 4'-0"
60 8'-6" 8'..0" 7'-6" 7'-1" 6'-9" (/-5" FAR FAR FAR FAR FAR 4'..{)" FAR FAR
80 7'-0" (/-6" (/-2" 5'-10" 5'-6" 5'-3" FAR FAR FAR FAR FAR FAR FAR FAR
ct2: 20 12'-6" II'..!)" n'-I" 10'-5" 9'-11" 9'-5" 5'-4" 5'-4" 5'-4" 5'-4" 5'-4" 4'-D" 4'-0" 4'..0"
@ 40 9'-1" 8'-6" 8'..{)" 1'-7" 1'-2" 6'-10" FAR FAR. FAR FAR FAR 4'..{)" 4'-0" FAR
60 1'..{)" 6'-6" (/-2" 5'-10" 5'-6" 5'-3" FAR FAR FAR FAR FAR FAR FAR FAR
80 5'-7" 5'-3" 4'-n" 4'-8" 4'-5" 4'-3" FAR FAR FAR FAR FAR FAR FAR FAR
20 12'-1" 11'-4" 10'-8" 10'-1" 9'-7" 9'-1" 5'-4" 5'-4" 5'-4" 5'-4" FAR 4'-D" 4'-0" 4'-0"
-99.5 40 S'-8" 8'-1" 7'-8" 7'-3" (/-10" 6'-6" FAR FAR FAR FAR FAR 4'-D" FAR FAR
60 6'-7" (/-2" 5'-10" 5'-6" 5'-3" 4'-11" FAR FAR FAR. FAR FAR FAR FAR FAR
80 5'-4" 5'-0" 4'-8" 4'-5" 4'-2" 4'-0" FAR FAR FAR FAR. FAR FAR FAR FAR
20 15'-0" 14'-7. 13'-8" 12'-11" Il'-$" 10'-3" 5'-4" 5'-4" 5'-4" 5'-4" 5'-4" 4'-0" 4'-D" 4'..{)"
80 40 12'-8" 11'-10' 11'-2" 10'-7" 10'-0" 9'-6" 54" 5'-4" 5'-4" 5'-4" 5'-4" 4'-0" 4'-D" 4'-0"
60 10'-4" 9'-8" 9'-2" 8'-8" 8'-2" 1'''!)'' 5'-4" 5'-4" FAR FAR FAR 4'-0" 4'-0" .4'-on
16 80 8'-8" 8'-1" 7'-7" T-2" 6'-10" (/-6" FAR FAR FAR. FAR. FAR 4'..()" FAR FAR
20 14'-4" 13'-5" 12'-8" 11'-11" 11'-4" 10'-9" 5'-4" 5'-4" 5'-4" 5'-4" 5'-4" 4'..{)" 4'..()" 4'..()"
96--99.5 40 11'-1" 10'-4" 9'-9" 9'-3" 8'-9" 8'-4" 5'-4" 5'-4" 5'-4" 5'-4" FAR. 4'..0" 4'-0" 4'..0"
60 8'-9" 8'-3" 7'-9" 1'-4" 6'-11" 6'-7" FAR FAR FAR. FAR FAR 4'-D" FAR FAR
80 7'-2" (/_9" 6'-4" 6'..()" 5'-8" 5'-5" FAR FAR FAR FAR. FAR FAR. FAR FAR
20 15'-0" 14'-10" 14'-0" 13'-2" 12'-6" 11'-11 5'-4" 5'-4" 5'-4" 5'-4" 5'-4" 4'..()" 4'-0" 4'..()"
IS 80-99.5 40 13'-1" 12'-3" II'-~ 10'-11" 10'-4" 9'-10" 5'-4" 5'-4" 5'-4" 5'-4" 5'-4" 4'~" 4'-0" 4'-0"
60 10'-10" 10'-2" 9'-7" 9'-0" 8'-7. 8'-1" 5'-4" 5'-4" 5'-4" FAR. FAR 4'-0" 4'..{)" FAR
80 9'-1" 8'-6" S'-O" T-7. 7'-2" 6'-10. FAR FAR FAR FAR FAR FAR FAR FAR
W = Nominal Section Width (fl), per Section. See Figure 5.12.
WFR = Frame Width (10.). See Figure 5.12.
Hp = Max. Pier Height, (in.). See Figure 5.12.
I - Configurations showing "FAR. must have straps moved to the
f.Ir beam at a maximwn spacing of5'-4" for Wind Zone n
and 4'-0" fur Wind ZDne ID.
PROfESSIONAL ENGINEER SEAL
M~nuf~ctured House
F oundo. tlon Plo.n
Port Angeles, VA
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NOTEl All set up detQlls to Ioe per MQnuPQcturer Set Up Mo.nuo.l
6 Anchors Equo.lly Spo.ced
ANCHOR DETAIL
#4 reloo.r
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TleDown Engineering
Mdl MIJ2
Go.l vo.nlzed PN 59121
or equlvo.lent
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Typlco.l oP 12
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2'X2' po.d
Concrete Notesl
ASTM Std C-150 & C-33
Re-Ioo.r ASTM A-615 Grode 40
Vo.lley Properties & Construction) Inc
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The City of Port Angeles
Building Division.
Upon reviewing your application and plans submitted for a Manufactured Home,
the following are some of the items that will need to be taken in to consideration.
Property.
Property boundary pins are to be identified and marked at footing inspection to verify minimum set
back requirements.
Manufactured homes.
"Wains" installer tags must be on unit and appropriate box checked for each item completed.
Manufactured home foundation design shall be included with the application. Foundations are
required to be pit set with 12" maximum and 6" minimum reveal on foundation. Blocking and tie
down inspection is required
Wood framed skirting, framing shall be 2"x 6" treated wood with W' anchor bolts w/ 3"x 3"x 1/4"
washer at 6'-0" OC and within 12" of P.T. sill ends. Stud pacing shall be 16" OC. 15/32" min
thickness structural grade treated plywood 30 PCF equivalent-fluid weight soil pressure horizontal
(max unbalanced back fill at 18" in height). Face grain across studs.
Skirting, foundation crawl space and ventilation are required per WAC 296-150M-0610 (1) (d)
section 1 through 3.
1. Skirting must be made of approved material by the building division. Metal fasteners must
be of hot dip zinc-galv. / stainless steel or other corrosive resistant materials. Ferrous metal
members in contact with earth, except those made of galvanized or stainless steel, must be
coated with asphaltic emulsion. Skirting must not trap water between the skirting and siding
or trim. All skirting must be recessed behind the siding or trim.
2. The ventilation required is one (1) sf. Per 150 sf. of crawl space.
3. Access to under floor area to bea min. 18"x 24" and positioned so that all areas under
manufactured home are available for inspection. Access opening must be covered and that
cover must be made of metal, pressure treated wood or vinyl.
Foundation protection requires finish grade to be a minimum of 6" slope in 10'-0" away from the
foundation. Footing/downspout drains (if required) to be directed to a drywell or other approved
locations.
An inspection of the water, sewer, electrical, footing and down spout drains is required before
backfill is allowed. (NO EXCEPTIONS)
If outside of (4) minute response area a sprinkler system or an exterior bell tied into the smoke
detector, approved by the Fire department.
A final inspection is required to be approved before occupancy can occur.
CIT'-'
FILE
The. .
c~"'r
frl'
PI'
bl
CRr ANGELES - Construction Plans
:e ollhis permit based upon these plans, spec/fie
:~i,:~ler data .shall not prevent the building official
,. ;'''f}eQUlnng the correction of errors in said
:'.~:~~'ons and othe~ data, or from preventing
"'"'~t,uns bemg earned on thereunder when in
3:' ,cOdes. and ordinances of. this jurisdiction.
."1 (;11I1UlfII tiUIlUHlg l,vdtt.t"- '2~ ~
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,
The City of Port Angeles
Building Division.
Upon reviewing your application and plans submitted for a Manufactured Home,
the following are some of the items that will need to be taken in to consideration.
Property .
Property boundary pins are to be identified and marked at footing inspection to verify minimum set
back requirements.
Manufactured homes.
"Wains" installer tags must be on unit and appropriate box checked for each item completed.
Manufactured home foundation design shall be included with the application. Foundations are
required to be pit set with 12" maximum and 6" minimum reveal on foundation. Blocking and tie
down inspection is required
Wood framed skirting, framing shall be 2"x 6" treated wood with Yz" anchor bolts wi 3"x 3"x 1/4"
washer at 6'-0" OC and within 12" of P.T. sill ends. Stud pacing shall be 16" OC. 15/32" min
thickness structural grade treated plywood 30 PCF equivalent-fluid weight soil pressure horizontal
(max unbalanced back fill at 18" in height). Face grain across studs.
Skirting, foundation crawl space and ventilation are required per WAC 296-150M -0610 (1) (d)
section 1 through 3.
1. Skirting must be made of approved material by the building division. Metal fasteners must
be of hot dip zinc-galv. I stainless steel or other corrosive resistant materials. Ferrous metal
members in contact with earth, except those made of galvanized or stainless steel, must be
coated with asphaltic emulsion. Skirting must not trap water between the skirting and siding
or trim. All skirting must be recessed behind the siding or trim.
2. The ventilation required is one (1) sf. Per 150 sf. of crawl space.
3. Access to under floor area to be a min. 18"x 24" and positioned so that all areas under
manufactured home are available for inspection. Access opening must be covered and that
cover must be made of metal, pressure treated wood or vinyl.
Foundation protection requires finish grade to be a minimum of 6" slope in 10'-0" away from the
foundation. Footing/downspout drains (if required) to be directed to a drywell or other approved
locations.
An inspection of the water, sewer, electrical, footing and down spout drains is required before
backfill is allowed. (NO EXCEPTIONS)
If outside of (4) minute response area a sprinkler system or an exterior bell tied into the smoke
detector, approved by the Fire department.
A final inspection is required to be approved before occupancy can occur.
,
Garages.
A continuous footing is required around the perimeter of the load bearing walls, although some
manufactured homes are designed to accommodate a garage. The garage must be designed as though
it is independent from the manufactured home.
Sill and bottom plate anchor requirements for seismic zone D2. As per the 2003 mc.
Garages detached and attached to a manufactured homes, require standard wall bracing methods to
be met, If they cannot be met, then refer to "Alternate Braced wall panel" Section of the 2003 mc. If
any of the aforementioned methods cannot be met, engineering design will be required for the
"SHEAR WALL, ALTERNATE BRACED WALL PANEL" design under 2'-8" in width.
This letter is not intended to cover all items required by the City of Port Angeles, but is to serve as a
guide to help you understand frequently asked questions, "ALL WORK IS SUBJECT TO FIELD
APPROVAL"
1/05
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CITY OF PORT ANGELES
PUBLlCWORKS -. ELECTRICAL DIVISION
J21EAST 5TH STREET. PORT ANGELES. WA 98,362
,.'.
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Application Number
Application pin number
Property Address
ASSESSOR'PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning.. . .
Application valuation
05~00000782 Date
511000
1710 DELORES PL
06-30~00-4-9-0170~0000-
RES MANUFACTURED HOME
RS9 RESDNTL SINGLE FAMILY
110000
Owner
Contractor
GARCEAU, FRED
164HEUHSLIEN RD
.PORT ANGELES
(360) 460-7390
Other structinfo
OWNER
WA 98362
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT.SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
Permit .. . . .
Additionaldesc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
RW BECKER/ MOBILE HOME.+FEEDER
61317
RW BECKER ELECTRIC
78.70
9/29/05
3/28/06
Plan Check, Fee
Valuation
Qty
1. 00
unit. Charge Per
78 7006 ECH EL~MANF HOME SERVICE & FEEDER
Special Notes and Comments
The Fire Department has reviewed the project a.pplication and
has no, comments
08/29/2.0.05, 12: 18 PM SROBERDS. -- The proposal will allow
theplacemE!nt of a sf mfg home in the RS-9 zone for total
lot coverage of 23%: No land use issues are noted.
Connection fee to u/g power $713.00
08/23/2.005 03:25, PM GMCLAIN _hh__________ __h_________
Electrical load calculations and elctricalpermits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch., 24 hour advance
notice is required.
Construct . driveway to City. Standards.. No concrete with
exposed aggregate allowed in the City road right of way. An
inspection by'PublicWorks Engineering is required prior to
prourlng concrete.
Other Fees
SEWER ,SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
Fee summary Charged Paid Credited Due
9/29/05
22.90
1. 00
9000.00
2069.00
1. 00
.00
o
Extension
78.70
745.00
4.50
1025.00
Permit Fee Total 78.70 78.70 .00 .00
Plan Check Total .00 .00 .00 .00
COMMENTS/ACTION'NEEDED
~
~
C)
..
'..
r
..,
CAt! 417-473S.FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINlMUM24HOUR NOTICE. I1'.ISUNLAWFl1LT() COVER,
~. 1 INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
ELECfRlCAL PERMIT INSPECfION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
NO
GENERAL COMMENTS:
PW.II02.I' (4'961
~.
~
~..;;?
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
J2\ EAST 5TH STREET. PORT ANGELES.WA 98362
~
,,~
Application Number ..,. . .
Application pin number . . .
Other Fee Total 1774.50
Grand Total 1853.20
COMMENTS! ACTION NEEDED
0.5-00000782
5.11000
1774.50
1853.20
Page
Date
2
9/29/05
.00
.00
.00
.00
ELECfRICAL PERMIT INSPECfION RECORD
I.
I
c~ 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. 11' IS UNLAWFUL TO COJlER,
. . INSULATE OR CONCEAL ANY WORK BEFORE 11' IS INSPECTED AND ACCEPTED.
INSPECTION TYPE
GENERAL COMMENTS:
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
COMMENTS
NO
PW-IID2.lS (4196)
g
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:m EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number _ .
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00001177 Date 11/28/05
522689
1710 DELORES PL
06-30-00-4-9-0170-0000-
ELECTRICAL ONLY
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
GARCEAU, FRED
164 HEUHSLEIN RD
PORT ANGELES
( 36) 460-7390
WA 98362
RW BECKER ELECTRIC
1532 TAYLOR CUTOFF RD
SEQUIM WA 98382
(360) 683-5839
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
RW BECKER/ GARAGE
65995
RW BECKER ELECTRIC
48.10 plan Check Fee
11/28/05 Valuation
5/27/06
.00
o
Qty Unit Charge Per
1.00 48.1000 ECH EL-R-OUTBD/DTCH GAR SEP
Extension
48.10
.........
"-J
'-
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 48.10 48.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 48.10 48.10 .00 .00
I
~
COMMENTS/ACTION NEEDED
ELECfRlCALPERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA. WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFOREIT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE 01 ACCEPTED COMMENTS
I YES I NO
UITC.t1
llnI I(yH_~j. .. IVMK
o. '"'''' .......,
..~.L:.n. Y lCh
1<0lNAI ) I /1,..2~ -ll<rl ~.L J j
.
.
GENERAL COMMENTS:
pw.n02.1'14I96)
/
,,'J
lA
.
ELECTRICAL WORK PERMIT APPLICATION
Job wired by p(Electrical Contractor 0 Owner
ltCj'o"1l~;c7C8L /Z:J/'C-Ce't-Ob J ~e ~Pi"~
Purchaser's mailing address
! 53 z... r~ WlC...
City I
S d-C( ~ ( '--7
Telephone number
Installation description
o Commercial ~esidential
tv( -II.
-Jt:'ew
o Altered/Addition
Premises owner's
r~
I' //T7>,cr ;VJ
State ZIP
C; 8'~ r L-
FAX number
"5
(4~!)-'739i)
.... pL.-Acf
~
U-r/"JI5/1'
.
~d-
.
<;r-n-d/u
Y- FIJIL
C'Ule in
Owner as defined by RCW./9.28.26J:(J) 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.C., RCW. Chapter
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Specific 'ons.
o Cash 0 Check #
o Credit Card l\.YIsa
Mastercard
Discover
Card# .o1Y-/E"-(:C __-____-____
rical contractor or electrical administrator
x
Date:
-u-o~
Expiration Date
of card
Inspecti~fcc
$ 0 I?D
Service Information
VOltagel ~Z-jIo
Phase~ 1 3 ,
Service Size: -, 1..1'"()
Feeder Size: ~ &~
,
\
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
o Fan-Wall KW
o Overhead Service
o Temp Service
~ndergrOUnd Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
THERMOSTAT
SERVICE
Date
Approved By
Date
Approved By
Date
Approved By
AU)
Approved By
DITCH
/iVn~ A~
FEEDER
Date Approved By
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
00
a
--
Nov 26 05 07:40a
R.W. and F.L. Becker
360-683-6104
p.2
)O-Electrical Contractor
o Annual Permit 0 Alarm
5.':-:-;""
-~
~i
(J Owner ...........>t-
o Carnival 0 Commercial ')(.Residential
ELECTRICAL WORK PERMIT APPLICATION
SRequest Inspection
o Residential Maint. CI Signs 0 Thermostat D Telecom.
Job wired by
~lectrical Contractor 0 Owner
Installation description
Electrical conrf'gor name
1< ) ~ u~--rL
LA. . G"--""fL.t..;.
Purchaser's mailing address
/ ~ 7 f7t--'.( '-<Nt..
City
~~ tUt--T
Telephone number
D. ... License number
1<...l.J t, G-c-C .>je 663 C
/'Z...I)
l ".1 / N' -L:;
~/1fr1A/,e-
(2.l~.
State ZIP
~
FAX number
r b
Premises owner's name
PfLbJ f-,.~
Address of inspection
I~/~ oe~ls t9L-~
ch;fcnr /iN ~
<;.y~ r"2.-
G. / c> '(-.
1 hereby certify that I am the owner of the above named property or a licensed
eleccrical comractor (or the finn's authorized agent) and am making the electrical
installation or alteration in compliance with the c(cctricallaw. Chapter 19.28 RCW.
o Cash 0 Check #
o Credit Card f?:.Yisa
Mastercard
Discover
Card# --f;1L'L1:?Z-e-e: _-____-____
x
Expiration Date
of card
,,- WALLS
Insulation Only
Datc Approvcd By
Covet
DIIIC A~provcd By
,,- CEIL1NG
Insulation Only
DalC A~r'o,..d Uy
Cover
DalC Appr.wod By
,,- TIlERMOSfAT
" Datc Approved By
,,- DITffi
Dllc Appro'.cd By
,,- SERVICE
Oa.. ^ppro..ed~y~
FEEDER
Datc Approv."J By
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Fumace KW
o Heal Pump Ton LAR
o Fan-Wall KW
o Overhead Service
o Temp Service
o Underground Service
Service Information
Voltage I !-fJ/ v/-D
Phas~ 1 0 3 --0 t1
Service Size: --z-e;.
Feeder Size: ? --C/1? ;q
IW
Inspection Area, Building or Equipment Inspected AClion Taken Electrical
Date Inspector
N hAl,.,< IC, . A~ ArJ /feD
'/ I
.
/ I:?_ /(7 <(' I
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