HomeMy WebLinkAbout3510 Galaxy Pl - BuildingPREPARED 6/27/06 13 47 59 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/27/06
ADDRESS 3510 GALAXY PL SUBDIV
TENANT NBR CAMPBELL RES
CONTRACTOR HATHAWAY CONSTRUCTION PHONE (360) 457 5627
OWNER CAMPBELL STEVEN M PHONE
PARCEL 06 30 15 7 5 0020 0000
APPL NUMBER 06 00000665 RES REMODEL
PERMIT DF3 00 BUILD PERMIT RES DBL FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 6/27/06
JLL
BUILDING FINAL TIME 13 00
RON 460 5143
06/26/2006 09 48 AM DYASUMUR
COMMENTS AND NOTES
CAMPBELL STEVEN M
3510 GALAXY PL
PORT ANGELES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 06 00000665
Application pin number 739470
Property Address 3510 GALAXY PL
ASSESSOR PARCEL NUMBER 06 30 15 7 5 0020 0000
Tenant nbr name CAMPBELL RES
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning RS9 RESDNTL SINGLE FAMILY
Application valuation 9854
Owner Contractor
WA 983623751
Date 6/22/06
HATHAWAY CONSTRUCTION
324 E 7TH STREET
PORT ANGELES
PORT ANGELES WA 98362
(360) 457 5627
Permit BUILDING PERMIT RESIDENTIAL
Additional desc
Permit pin number 80879
Permit Fee 207 75 Plan Check Fee 83 10
Issue Date 6/22/06 Valuation 9854
Expiration Date 12/19/06
Qty Unit Charge Per Extension
BASE FEE 95 75
8 00 14 0000 THOU BL -2001 25K (14 PER K) 112 00
Other Fees DOUBLE PERMIT FEE 207 75
STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 207 75 207 75 00 00
Plan Check Total 83 10 83 10 00 00
Other Fee Total 212 25 212 25 00 00
Grand Total 503 10 503 10 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorize w ent Date
TAPolicies \1102_15 building permit inspection record05.wpd 1/4/2005]
e/7/06
Signature of Owner (if owner is builder)
Date
BIUILDING 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. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 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 #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
I I
I I
I I I
I I I
I I I
I I I
I I I
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 1
BUILDING 417 -4815 1 ��7/
T n-, t.. :u:.....,a.,n,t ,,,cnecNnn record05.wDd f 1 /4/2005]
I I I
I I I
I
I I
I
I I I r
I 1 I v
I I
I I I FINAL DATE ACCEPTED BY:
I I
I I
I I
I I
I I
I I
I I
I I
FINAL
SEPA.
ESA.
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
DATE ACCEPTED BY.
I I I
I I I
I I I
Applicant or Agent. G5‹,
Owner• ri
Address: S LO i City
Architect/En$ sneer N/A
Contractor moo State License
Address: r 2 7( 7 City
PROJECT ADDRESS 2 /C) ('c,. Cc
TYPE OF WORK.
Residential New Constr
Mintz- family Addition
Commercial Remodel
Repair Sign
BRIEF DESCRIPTION OF THE
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
Fill out COIVIPLETEL\ and in INK.): our application and site plan MUST BE
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 F_AlX(360 -4711
LEGAL DESCRIPTION Lot: Block.
CLALLAM COUNTY PARCEL NUMBER.
Re roof Stove
Move Garage
Demolition Deck
Other C. u
PROJECT
COMMERCIAL/RESIDENTLAL. Occupancy Group
No. of Stones: Lot Size: Existing Sq. Ft.
Total lot coverage
Phone: 1 7
p Phone.
G u 7� /r1 c� s- LT Zip. 7 f C .2
Phone.
ESA/Wetland(s) Yes No SEPA Checl -list required? Yes No Other.
Exp
y CY c Zip
Subdivision.
ZONING
STZF/VALIJATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION A '7,
y z41., c r
r
FUR OFF1ylSE 0 LY
Date Let: /2IP
Permit V.
Dat.. r
Date Issued r /7" 3 /04
Phone. h
Occupant Load. Construction Type:
&Proposed Sq Ft. TOTAL Sq Ft.
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 P ermit
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 apphcatiou and construction pl
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 empire
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
R105.3.2 of the International Building/Residential Code, 2003). No application can be extended 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 permit and understand that it is my responsibility to determine what permits are required not the City's, and that 1
must obtain such permits prior to work
TAFORMS\Bldp�ermitform.wpd Applicant: X
.k" Date: C?(
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTHER.
ans are
The
CUSTOMER'S ORDER NO.
NAME
f 1 A aEnn‘,...4 LL
ADDRESS
37 0
F8=96-
SOLD BY CASH C.O.D. CHARGE ON ACCT MDSE. RET'D. PAID OUT
QTY. DESCRIPTION 'PRICE AMOUNT
RECEIVED BY
If e Zap
Si?
k .44 h cle
.4 e#,,er
HATHAWAY CONSTRUCTION
309 W 7th St.
PORT ANGELES WA 98362
(360) 457-5627
PHONE DATE
33%
®6
TAX g y 8
TOTAL c7/
',0.•PRODUCT6:1 Aflcliths SkitttUi must be accompanied this bill.
3f) 3.3 800225-:6300 or nebs.com
titrE/, To Reorder:
THANK YOU
'I
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~
CITV OF PORT ANGELES'
PUBLIC WORKS - ELECTRICAL DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
<~
ELECTRICAL PERMIT
Issued: 1/09/97
Permit No:
5783
OWNER/APPLICANT------------------------PROPERTY LOCATION------------------------
STEVE CAMPBELL 3510 GALAXY PL
3510 GALAXY PL. Lot:
Port Angeles, WA 98363 Block: Long Legal:
360/457-3181 Sub:
T: S: parc No:
CONTRACTOR-----------------------------DESIGNER---------------------------------
ANGELES ELECTRIC
524 E. .FIRST ST.
PORT ANGELES, WA 98362
360/452-9264
,
000/000-0000
PROJECT INFO--------------------------------------------------------------------
prj Type: RES. MISC. prj Value: $0.00
Occ Type: Cnstr Type: HOT TUB
Occ Grp: Occ Load: Land Use:
Electri,cal Hea't
Baseboard KW:
Furnace KW:
Hea<t Pump KW:
Fan/Wall. KW:
"-
o
o
o
o
Service Type
Riser
Overhead Service
Underground Service
Temp Service
Voltage:
Diameter:
Service size:
Feeder Size:
120,240
X-I -3
200 AMPS
o AMPS
PROJECT NOTES-------------------------------------------------------------------
9KW HOT TUB
--/
PROJECT FEES ASSESSMENT-------------------------------------------------________
Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $40.00
Temp Service: $0.00
$0.00
Misc
TOTAL FEE:
Amount Paid:
$40.00
$40.00
=================================
TOTAL FEE:
$40.00
Balance Due:
$0.00
COMMENTS/ACTION NEEDED
:i
.-------------
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ELECfRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLlI WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPEC'I10N TYPE DATE ACCEPTED COMMENTS
YES I NO
I DITCH
-iN II.-VVbK
:SbKVICb
l',INAI '\ {I{v/(; -. I 7'~' I
GENERAL COMMENTS:
PW-Il02.15[4I96]
~
() 3j? ?
FEE RECI:IPT NUMBER
CITY OF POR! ANGELES
DEPARTMENT OF LIGHT
APPLICATION AND ELECTRfCALPERMIT
f....
00012&, ~
PERMIT NUMBER - '\
A
.
- . '~' lIoN1~
'oc,;Ne,(. , , ( \~ ..
TOTAL FEE 10. Ot?
- C9NT. lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
, ,
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Owner's Address -Install~r~ Address h-
DayPhanetl<:'7.. - '11:.,:r" .". ,..' ", Installers phi,"',," ~<:'''1--1~7 3
APPlication'ishereby made for Permit to install EI~ctrical Equipment ~s follows: \ .51./ (l\ ,p A I'{ p L TD
tJo f<. K 5Ar:> I" '" ,- .
,
Wiring Metho,d
If oNf'A-Y
, ,
.
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER. 100R FEE USE OF CIRCUI.T PER 10QR FEE
CIRCUITS CIR '.0 , 30 ' ,. CIRCUITS CIR 10 30' --
-
LIGHT J 2..f) let> SIGN
1---. 50 VOLTS -
LIGHT OR LESS
CONVE.~'iIENCE / ~O (6) , MOTOR "
CONVE.~""IENCE I MOTOR
APPLIA,'iCE , MOTOR --
DISHWASHER FIRE ALARMS_ -
1---.
DISPO$AL BURGLAR ALARM
- '
RANGE MISC.
OVEN
WATER HEATER
LAUNDRY ,
DRYER -- - REINSTALLATION LIGHT FIXTURE #
FURNACE .. SUB TOTAL FEE ,
GAS - Oil
FURNACE ENERGY FEE
ELECTRIC BASIC FEE
ELECTF11C HEAT / IS- I!? . '.,' It!, L> C
' TOTAL FEE
ELECTFtlC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
A.C. UNIT ~^ AMP I ~ PHASE
.
FEEDEfl SIZE OF SERVICE ENTRANCE CONDUCTORS
SEAVIQE i )() j/'"' Ii t7."'" //'l AW.G.
'j SUB-TOtAL 1/0. oPe SIZE OF GROUND ~ ^ SIZE OF ENTRANCE SWITCH
I certify that the work to be performed under this permit wit I be done by the installer and'
,19 'Tf
1-;2-
17
ectrical Code.
Date Application made
.
Date Pefmitlssued
/ ;-- I 7
('c.f
OR OWNER (OR AUTHORIZED AGENT}
hereon and according to the approved plans and
of Port Angeles.
IRECTOR OF CITY LIGHT
"
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Permission is hereby given to do the above described work, according to the conditio
speciffci3.tions pertaining thereto, subject to compliance with the Ordinances of the Cit
I' WARNING I
By
PLANS APPR ED
-. . ,
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not.
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158.
.P~
, .
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER -
~
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
OLYMPIC PRINTERS, INC.
~
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
I-JI-ctS ::? /7 --Ii 1'1/ tI 5 T d,tJr/'c (I)&r.IO",'J fl r &,4-:;/, ji;Af{J ttJr
p, '" J. iN To JlOl./.'Jc 'f aPMI;? FL,,' f{ ,TD1rT.s' /IT
c:--l '" !) Arn Mee"" r i\ 0 'rp "T/ ;:w' of t('/tI;!e
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('1) ilL/.-- t.-J lK€ ,,,'s,(<<.1l ,0t1.5'{ 6'e /V1Vl15'
Pit.< 5 A/t-"p Md A'e s: (lfl'/. //v t.:...
1) AiL ii/, r\C //'1 /J " & t? <;' TbIU (..l" A!? <'!I
/X1"5 r Ife f? Co /.f//V' Q' ,S" ,Nfe f1!,N/J "'r WAiL
fJf\(J We T/ () /1/
I- J/{--IT 1'1/x Vi L ~ V /:'J) O.P
$'- )0 -'I) d~J I'La6-5 R e r/ L-I\,J'e i/ rPc LI/ I?, TV
..
(-;)./.1'-'1; -fl/:J 'O.K. FOR COVERING
(- ;J. '-1- Z:T /J( f"A O.K. TO CONNECT SERVICE
(-?-t - 7s- -ill' A' FINAL O.K.
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Port Angeles., Washlngtonnmn_:nm.m._..___m..__..d____dm....____n____, 19.__n.n
I In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment ln, 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.
A~~ress .m".~:.e&..___,.~~:m'.:__lr..__L__:Ln'i1;~.:.:'!'..?nnm.____.__ OccupancYnn__n?_:::m~,:"nnm__.._mn__mn.
-:< - ,.. ~;> .j" , . T r,.
~:~::~'~:~:~~~~':::~:~~~:J.~:~:::~~:~::;;:::~~~::~:;::'::::}~:~~~;::::::::::::::'.':.'.~::::::::::=:::::::::::::::::::::::::::::::::::::::
.<:;( :.; J,.
,/ . -,';".J-.u/;'~ ",:1,./
Light OutletB............~.......__._..._____.._..... Service, volts ......h......__.......................
. .~ ,.,
-f!.O "
Receptacle Outletsn..._........................ No. wires .....::....................n.....n...
C. . ('1"". .'-
Dryer, KW......u.........-._.__........ Size wireSm..:;;___:!_:m:~.:............._..
( /",..;L '.> 1.",.-j <I
Ran,ge, KW ___._n..___....uu....______ Main fuse _nn:_..:~n~___.._(:..:.............
,-
,
Enclosure .....::::....................__........
CITY OF PORT ANGELES
UGHT DEPARTMENT
""
'~ELECTRICAL PERMIT
Water Heater: ,,--
? '~
KW.._..___.....!:_..____.____......_...___.....
~ '.
I ~. ./;..- J:;
Heat: KW.......!....~;l.~____,~.I...................
Type of Wiring:
Entrance Cable ....m...........
M(ltors: size, volts and phase:
t.C:!.':;~c~:__~.:!....._._..____________.._......
Rigid Conduit ......._........._________.....
Metallic Tubing ..............
Current transformers:
No. & Size............._.._._..........
Ser. No.......____...._......_._......................
Ser. N u. ....__...................._.........___...._.
Ser. No. ...__...........__.___.__....................
Total Load......_______....__..........
Ser. No. ....._..........___.____.___................
. ~,.r
Remarks : ..nh_...,;n~_~.!.n:__.::__.nn_._n_:...~_.u__:_____:~___~__~__.._.nnnnnu.nhh.___.nnnnnnnn.nnu_...Unnnn.nnn.nnnnn....__
Total ..........__.........................._
N~
17980
Type of Wiring:
Armored Cable ..__........____..............
Non.Metallic .................................
Knob & Tube____..._.__..___.._...__......._..
RIgid Conduit ...........................u..
Metallic TUbing ...........................
Raceway .._.._._.........._............_......_
Circuits, Light.......................................
Utility.............................................
J-Ieat ......................................._.._
Range ......_.._............____...___.....________
Water Heater ...............................
. Motor ._____......_...._.....___.._____..._..__n.
Dryer _...__.....________.....................n....__
Furnace _____.._._..___..........._......_..__......
nn.nnn_u___nn.nnnnnnnnnnn.__nnnnn.n_n___.....n..n.Un..nnnnn_n__...un.nnnn..n.._n.nnnnn.n.........nnnnn...n..n.....nn_
.;~~;~.;~~.mnm.m.m.--.m--m~~:~~:.~:~:;~~nm.m--.nm.--------mnm--!--~Vnn3.'.:;2:.-.m:;?;.d------>m--m.--.
Wi f ~f (. ,\."" J.~.r ..... .''"(r'l! ..;~ ~..........
$...____...........m_______mm..__ NO__mm................_m By __'m____..m__mm__...___n.mmm__d.nnm__mmnmn
NOTICE-Current must not be turned on unttt 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 betore concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPEC:rION
ELECTRICAL PERMIT
N~ 1 7 9 8 0
Address___...._..........._.............................................__.___................................_................__..._.........Date..._.....__.._.._.._.........._......_......_h_......
Owner__................_________........___...._.._....._____..._.__.__....__.........______.__........_..___.___...__._._._...Tenant...._.....__________........_______________._.......___________...._
WIring Contractor._......................h.._......_........._________.____............................_______........._................. By.___.................___...._.._.........................___..
NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. If work i~ to be con.
ce:aled due notice must be given the Inspector so that work may be inspected before concealment.
1M Olympic Printers, Jnc.
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N~
17955
if - t:?) 'J :73
Fort Angeles. Wash1ngton...nn......mm.......nq:..n~oo.m.m.....mm. 19..00000.
i 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 Fort Angeles, per-
mission is hereby granted to dO electrical work as listed below.
Address ...oo;?m~/{.oo.g/~c::{~~:L~d...t2.~.~~.n.mnoo OccupanCy.m0oo.e.-.::~L.oom.......oomoo.oo
Owner .~-::?j1fe.;."'-l:~....c4.t2.tidLoom TenanL....oom.......oooomoo.~m_..nmm.m.....oomm.....oooom
Wiring Contractor a!,g,&'2..qR."~.,,.~.~-'~CL By....oo.....moommm......oom....oo.mm_...oo.moooooo..oo
.e. /. --- {j
/':;> ;.;;c:r-;>Yc:
Light Outlets..............................._.._..... Service, volts ....__......:...__.....................
y~~ 'J
::::~;:~m~~t{t.::.:.:::::"..:::::.::::::..::.:.. ;1:'. W~:::s::::"f2X;;??::::::~::
Range, KW..h.h.l-::).h...uhmhun.. Main fuse .~Q"f?,f)"....
S
Enclosure ..__.__.............__.......__..__....
Water Heater:
Kw.......1f:.f!.......h.......h....
Heat: KW...,,/.f.:!..!~/!...um"...um...u
Type of wIring:
Entrance Cable ....______......__...........
Motors: size. volts and phase:
/dZc.u--
.................1.........................................
J cf!~--.t-h
hum".mu"']"h"",,,,,,u"'hm''''''''h'''
Rigid Conduit
Metallic Tubing 'm...
Current transformers:
No. & Size..__.__......__..__....____............
..................................................h.......
........--.......--.--......--.................----........
Ser. No...__...................................__....
.........................................................-
Ser. No. .....______..................................
Ser. No........__.__.......__...................__...
Type of Wiring:
Armored Cable .........................__...
Non-MetallIc _.............................._
Knob & Tube................__.............._
RIgid Conduit "h......."..."h....".....
Metallic Tubing ..__.......................
Raceway ..............................._......_
Circuits. Light..............__..__...................
Utility "'"O"hm"""""""'''''''''''''..m
J.Jeat ...............................................
Range .............................................
Water Heater ...............................
Motor .___.............__.__.......__.............
Dryer __..........__................................__
F urnace ..__.....................'~......_...........
Total IAlad....__........__............. Ser. No.........____................................. Total.......................................
Remarks: oo.m.oooooon'.'oo!J...<oo'.':=:m.....Ld~D.!:..~::!f:LLu_____uuu.um__oomu__.___m_____u___..___m...___u__.moom__..m.
--...--..u~-------u--n----._________nn__.hn..__h_n__h____n__.____n____.nnn.....n...nnuu--..no.._n.__n.u___h....hnnnn__nn...nn_u_nnu.u...
:::i~:~::_:__:.:::__:--m--.::~.~~::~~.~.~~~.~.:__....mu-----.--m.:;.__~~lZll';.~:=:::::::
",
NOTICE-Current must not be turned on until CertIficate of Inspection has been issued. If work is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
N~ 1 7 9 5 5
Address........................................................................................................................................Date..._......_.._.._.._.........._......_......_.........
Owner ...................................-.........._......_......_.._..................................................__....... Tenant............__......__.......__.........__..........................
\
Vi.~lring Contractor..........................................................._........................,.....__............................. By__......__..........................__........................
\
NOTICE-Current must not be turned on until Certificate 'of Inspection has been issued. It work Is to be con-
cQaled due noUce must be given the Inspector so that work may -"be inspected before concealment.
1M Olympic Printers, Inc.
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00001128 Date 11/14/05
741288
3510 GALAXY PL
06-30-15-7-5-0020-0000-
STEVEN CAMPBELL
RE-ROOF
RS9 RESDNTL SINGLE FAMILY
2708
Owner
Contractor
CAMPBELL STEVEN M
3510 GALAXY PL
PORT ANGELES
WA 983623751
HATHAWAY CONSTRUCTION
309 W. 7TH STREET
PORT ANGELES
PORT ANGELES WA 98362
(360) 457-5627
Permit .. . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date .
BUILDING PERMIT - NO PR FEE
65359
106.75
11/14/05
5/13/06
Plan Check Fee
Valuation
Qty Unit Charge Per
Extension
92.75
14.00
BASE FEE
1.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 106.75 106.75 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 111.25 111. 25 .00 .00
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Separate Permits are required for electncal work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
~
Date
Signature of Owner (if owner is builder)
T:\PoItCles\1102_15 bUlldmg penmt mspectlOn record05 wpd [1/4/2005]
..
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FORELECTRlCAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW /WATER
AIR SEAL
WALLS
CEILING I I I
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
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 ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W / PW/ CONSTRUCTION - R. W
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 I I PLANNING DEPT.
BUILDING 417-4815 0/14--'lfk J~ BUILDING
T IPohcles\1102_15 bwldmg permit mspectlOn record05.wpd [1/4/2005]
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HATHAWAY CONSTRUCTION
309 W. 7th St.
PORT ANGELES, WA 98362
(360) 457.5627
CUSTOMER'S ORDER NO
I PHONE
I DATE
I(-/y-OS-
NAME
ST~v'C,.
ADDRESS
7~/c)
Ltb~t~/L
G<<--LrL /' hc.r.(- /b,.f 4,.~.J ~~.2...
RECEIVED BY
TAX
TOTAL
-0 PRODUCT 6l0T
./1
,',3026
All claims and returned goods must be accompanied by this bill
INeBSI To Reorder:
. 800-225-6380ornebs.com THANK YOU
I
I
/'
PREPARED 6/14/06, 10 44 18
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
11
6/14/06
ADDRESS
TENANT, NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER'
3518 GALAXY PL
SCOTT MICHAELIS
SUBDIV
scott/Jennlfer ffilchaells
06-30-15-7-5-0030-0000-
06-00000518 RE-ROOF
PHONE
PHONE
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL99 01 ~!.14/0 -;rL BUILDING FINAL TIME 13 00
SCOTT 452-5984
06/13/2006 09'47 AM DYASUMUR ---------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------