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BUilDING. DIVISION
CITY OF PORT ANGELES
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Correction Notice
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Job Located at -11ld lLAA ~.t
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
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These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call t{ ('7 -f..{k I c;-
for inspection.
Date
--
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Inspector for Building Division
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CITY OF PORT ANGELES
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CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 51h Street, Port Angeles, W A 98362
, :.
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning , , .
Application valuation
05-00000924 Date
601224
1710 LAMBERT LN
06-30-14-6-5-0170-0000-
RES NEW SFR
4/25/06
Owner
Contractor
~
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123159
FOX, RUTH M
POBOX 993
ALLYN
Other struct info .
NEW VIEW INC.
277 MONROE RD
WA 98524 PORT ANGELES
(360) 477-9449
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
30.60
1. 00
6547,00
2006,00
1. 00
-
Permit FIRE SPRINKLER RESID
Additional desc
Permit pin number 75465
Permit Fee .00 Plan Check Fee .00
Issue Date 4/25/06 Valuation 0
Expiration Date 10/22/06
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-
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Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Nwnbers colors must contrast with wall
color they are mounted on. (Ord, 14,36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location, No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill,
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA),
09/29/2005 11:32 AM SROBERDS -- The proposal will result
in a new sfr w/attached garage and deck in a PRD, Setbacks
comply with PRD approval. No land use issues are
anticipated,
$713 Connect Fee.
09/28/2005 01:12 PM JHEBNER ----------------------------
Electrical permits are required.
09/28/2005 01:13 PM JHEBNER"----------------------------
Any modifications to the electrical facilities will be at
the customer's expense.
09/28/2005 01:13 PM JHEBNER ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way, An inspection by Public Works
~
~
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E
This pennit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examintd this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled
with whether specified herein or not. The g~anting of this permit does not presume to give authority to violate or cancel
th~rovisions of any s" tate or local law regulating the work specified in the permit.
'A '
~ H-... ":z. (
Signature of Contractor or Aut orized Agen Signature of Owner (if Owner is builder) Date
FIRE PERMIT INSPECTION RECORD
Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate
or conceal any work before inspected and accepted. Post permit in a conspicuous location.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
I
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough-in inspection
Alann final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test Test #1
Above ground piping inspection/pressure test Piping pressure test . pSI
Time initiated
Tank (container) inspection Test #2
Appliance inspection Piping pressure test psi
Time initiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
-
Removal of flammable/com bustible liquids
Tank appropriately abandoned
UST abandonment final.
PERMIT OTHER (specify)
pennit final
Inspection Type
I Date Passed I
Comments
GENERAL COMMENTS:
2/15/00
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 51h Street, Port Angeles, WA 98362
Application Number , . , , , 05-00000924
Application pin number 601224
Page 2
Date 4/25/06
Special Notes and Comments
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4,50
1025,00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total ,00 ,00 ,00 ,00
Plan Check Total .00 .00 ,00 ,00
Other Fee Total 1774,50 1774.50 .00 .00
Grand Total 1774.50 1774.50 .00 ,00
This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
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 recognized standards, laws and ordinances governing this type of work will be compied
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the provisions of any state or local law regulating the work specified in the permit.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if Owner is builder)
Date
.-
FIRE PERMIT INSPECTION RECORD
Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate
or conceal any work before inspected and accepted. Post permit in a conspicuous location.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
Inspection Type
I Date Passed I
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough-in inspection
. - .
Alarm final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test Test #1 -
Above ground piping inspection/pressure test Piping pressure test pSI
Time initiated
Tank (container) inspection Test #2
Appliance inspection Piping pressure test pSI
Time initiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
.
Removal of flammable/combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final
Comments
GENERAL COMMENTS:
2/15/00
PREPARED 4/20/06, 12:39:53 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 4/20/06
ADDRESS 1710 LAMBERT LN SUBDIV:
CONTRACTOR NEW VIEW INC. PHONE (360) 477 -9449
OWNER FOX, RUTH M PHONE
PARCEL 06-30-14-6-5- 0170 -0000-
APPL NUMBER: 05- 00000924 RES NEW SFR
PERMIT. BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 12/01/05 JLL BUILDING FOUNDATION FOOTING
12/01/05 AP 11/30/2005 10:46 AM PBARTHOL
JEFF 477 -9449
12/01/2005 04:23 PM JLIERLY
20 ground rod /ok
BL2 01 12/06/05 JLL BUILDING FOUNDATION WALL
12/06/05 AP 12/06/2005 08:10 AM PBARTHOL
12/06/2005 04:51 PM JLIERLY
BL9 01 3/03/06 JLL BUILDING SHEARWALL TIME: 13:00
3/03/06 AP 03/03/2006 07:58 AM DYASUMUR
JEFF 477 -9449 INFORM JEFF PRIEST THAT CONTRACTORS LICENSE
EXPIRED.
03/03/2006 04 :35 PM JLIERLY
BAIR 01 4/13/06 JLL BUILDING AIR SEAL
4/13/06 AP 04/12/2006 03:53 PM JLIERLY
04/13/2006 04:26 PM JLIERLY
BUILDING FRAMING
04/12/2006 03:53 PM JLIERLY
Q BUILDING INSULATION
04:26 PM JLIERLY
BLI 01 x} 6 JLL 0UI19INNSULATION
t 9 04/19/ 05:05 PM PBARTHOL
JEFF 477 -9449
BL3 01 4/13/06 JLL
4/13/06 AP
COMMENTS AND NOTES
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PORT ANGELES FIRE DEPARTMENT
102 East Fifth Street, Port Angeles, Washington 98362
(360) 417-4650 FAX (360) 417-4659
Fire Sprinkler System Plan Review
Project Name: Private Residence Address: 1710 Lambert Lane
--- .."",'" ""',""'"." '''''''-~, =~""""".=.~<<-.~"
Installer: Innovated Fire Sprinkler Installer Telephone: 452-7583
Type of System: Open 130 13RO 13D[gI
~_. "'" ""'" >-,
Date: 4.13.2006 P AFD Permit #: 06-24
We have checked this plan and find that it conforms to the requirements of the code.
Additional Comments:
All systems, including underground mains, shall be installed by a state licensed and certified
company. Systems shall be installed per the applicable NFP A Standard.
All electrical components shall be compatible with the fire alarm system.
All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire
Department PRIOR to being covered. A witnessed flush of the underground piping is required.
A design sprinkler flow test and alarm test are required for all 13D systems.
Before final acceptance of the system, an inspection will be conducted to ensure that the
installation complies with the applicable NFP A Standard. This 13D system will require a
measured flow test.
Contractor
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Date: "I. \3 .Of,
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Reviewed by:
Building Department
Fire Department
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, cali
PERMITS (360) 417-4815 FAX(360)417-4711
Architect/Engineer:
Contractor ; )JJltJj/ If/En 1= / rx.E
Address: e I ,N tvv J)0l;) fl.-.
PROJECT ADDRESS: J 7/0
LEGAL DESCRIPTION: Lot: I -,
CLALLA:M COUNTY PARCEL NUMBER:
Applicant or Agent: . \ 1I\.U2.- ,ru- Phone: 452 - 7 S 8,]
Owner: J Q.++ Pr~ e.s + Phone:
Address: /33 Mo..,,:o..k w:~dj City: YO.r.f )/ '^j e/u'
Phone:
State License #:jlYl./di/ ~~ 0 VI.{ J)~ Exp: -0$)(1 ? Phone: i./S2 '-)S/?3
L-'\ City: ?6 vi JI..'"j..Q.L~.s Zip: 'l&.. fb Z
k~ VV\. bev-t- L V'\ ZONJNG:
Zip: czg 3 ~ <...
Block:
Subdivision:
TYPE OF WORK:
~Residential 0 New Constr. 0 Re-roof 0 Stove
(0' Multi-family 0 Addition 0 Move 0 Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT: -:r ",,1' 'kIf
SIZENALUATION:
SF, @$ /SF, = $
SF,@$ /SF.=$
SF. @ $ /SF. = $
TOTAL VALVATIO/:, ;:;0 b~ '
F: IrlL S 1'YI kb -t,,- . - 'S'-IeV1-t
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
& Proposed Sq, Ft.
Construction Type:
No, of Stories: Lot Size:
Total lot coverage
Existing Sq, Ft.
= TOTAL Sq. Ft.
%
PLANNING USE ONLY:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No 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: Ifno 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
Rl05.3.2 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 I
must obtain such permits prior to wof, .
mORMSlBldgP=i~~.wpd Applicant J~ ~ ,/j~ Date, w0 G
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PREPARED 3/03/06, 13:01:19 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 3/03/06
ADDRESS 1710 LAMBERT LN
CONTRACTOR NEW VIEW INC.
OWNER FOX, RUTH M
PARCEL 06-30-14-6-5- 0170 -0000-
APPL NUMBER: 05- 00000924 RES NEW SFR
PERMIT: BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 12/01/05 JLL BUILDING FOUNDATION FOOTING
12/01/05 AP 11/30/2005 10:46 AM PBARTHOL
JEFF 477 -9449
12/01/2005 04:23 PM JLIERLY
20 ground rod /ok
BL2 01 12/06/05 JLL BUILDING FOUNDATION WALL
12/06/05 AP 12/06/2005 08:10 AM PBARTHOL
12/06/2005 04:51 PM JLIERLY
BL9 01 /11/16 LL/� BUILDING SHEARWALL TIME: 13:00
L 03/03/2006 07:58 AM DYASUMUR
JEFF 477 -9449 INFORM JEFF PRIEST THAT CONTRACTORS LICENSE
EXPIRED.
COMMENTS AND NOTES
SUBDIV:
PHONE (360) 477 -9449
PHONE
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
05-00000924 Date 11/30/05
601224
1710 LAMBERT LN
06-30-14-6-5-0170-0000-
RES NEW SFR
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
FOX, RUTH M
POBOX 993
ALLYN
Other struct info .
Permit . . . . .
Additional desc .
Permit pin number
permi t Fee
Issue Date
Expiration Date
123159
Contractor
NEW VIEW INC.
277 MONROE RD
WA 98524 PORT ANGELES
(360) 477-9449
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT.SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
30.60
1.00
6547.00
2006,00
1. 00
DRIVEWAY INSTALLATION
61655
170,00
11/30/05
5/29/06
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
permi t . , . . .
Additional desc ,
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty
Unit Charge
\
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BASE FEE
Extension
170.00
PUBLIC WORKS RES WATER SERV
3/4" DROP IN METER
61689
195.00 Plan Check Fee
11/30/05 Valuation
5/29/06
,00
123159
Per
Extension
195.00
BASE FEE
RIGHT OF WAY
61671
50.00
11/30/05
5/29/06
Plan Check Fee
Valuation
.00
123159
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Extension
50.00
SANITARY SEWER HOOK UP
61663
110.00
11/30/05
5/29/06
Plan Check Fee
Valuation
.00
123159
Qty Unit Charge Per
Extension
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,
T:\Policies\IIOZ.15R [1105]
/!-dt:J-~
Date
Signature of Owner (if owner is builder)
Date
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE, IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION,
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE . DATE ACCEPTED COMMENTS
YES I NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEW ALK
CURB & GUTTER
DRlVEW A Y APPROACH
BACK-FLOW DEVICE I I
I
.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W,/ PW/ CONSTRUCTION - R.W,
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-46S3 FIRE DEPT.
PLANNING DEPT. 417-47S0 PLANNING DEPT.
BUILDING 417-481S BUILDING
T:\Policies\1102,ISR [1I0S]
~ ,?ORT ~
~<4,O~~~
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"- ~
~
'4l;~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application,pin number
05-00000924
601224
Page 2
Date 11/30/05
Qty
1.00
Unit Charge Per
110.0000 EA SAN SEWER HOOKUP
Extension
110.00
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-El
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFCl and National Fire Protection
Association (NFPAl.
09/29/2005 11:32 AM SROBERDS -- The proposal will result
in a new sfr w/attached garage and deck in a PRD. Setbacks
comply with PRD approval. No land use issues are
anticipated.
$713 Connect Fee.
09/28/2005 01:12 PM JHEBNER ----------------------------
Electrical permits are required.
09/28/2005 01:13 PM JHEBNER ----------------------------
Any modifications to the electrical facilities will be at
the customer's expense.
09/28/2005 01:13 PM 'JHEBNER ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards,
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745,00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 525.00 525.00 .00 .00
Plan Check Total .00 .00 .00 . .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2299.50 2299,50 ,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.
/t~Jt?-CJ~
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.15R [1/05]
...;'';'
PERMIT INSPECTION RECORD
\
CALL 417-4807 FOR UTILITY INSPECTIONS, PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE, IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION,
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANIT AR Y
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEW A Y APPROACH
BACK-FLOW DEVICE
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W.I PWI CONSTRUCTION - R,W,
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\l1 02,I5R [1/05]
~ pORT ~
",O~':~
C~_
~ --
~~
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:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
11/30/05
pI...'
A /J-?- ---
-.J
-
\:)
)-
~
~
r
'i-
)-
--:s
05-00000924 Date
601224
1710 LAMBERT LN
06-30-14-6-5-0170-0000-
RES NEW SFR
/1MtUv
7/zJ/CJ6 -
123159
Owner
Contractor
FOX, RUTH M
POBOX 993
ALLYN
NEW VIEW INC.
277 MONROE RD
WA 98524 PORT ANGELES
(360) 477-9449
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
30.60
1. 00
6547,00
2006.00
1. 00
WA 98362
Other struct info .
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
66209
1154.65
11/30/05
5/29/06
Plan Check Fee
valuation
461.86
123159
Qty Unit Charge Per
Extension
1020,25
134,40
BASE FEE
24,00 5.6000 THOU BL-I00,001-500K (5.60 PER K)
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 66217
Permit Fee 89.65 Plan Check Fee .00
Issue Date 11/30/05 Valuation 0
Expiration Date 5/29/06
Qty Unit Charge Per Extension
BASE FEE 50.00
4.00 7.2500 ECH ME-VENT FAN 29.00
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65
Permit . . . ...
Additional desc ,
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
66225
135 _ 00
11/30/05
5/29/06
plan Check Fee
Valuation
.00
o
Qty
Unit Charge
Per
Extension
50.00
56,00
7.00
15.00
7.00
8.00
1. 00
1. 00
1.00
BASE FEE
~L- EA.FIXTURE ON ONE
PL- EA. INSTALL WATER
PL- EA. BLDG SEWER
PL- EA. WATER HEATER
TRAP
PIPE
7.0000
7.0000
15.0000
7.0000
ECH
.ECH
ECH
ECH
~
~
S ecial Notes and Comments
SeparalW-PhWrll& a~r~fBtelBettil::aJ1WOrR~S~, $OOfeltiie, <ESA~u~, 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.
Sign
Signature of Owner (if owner is builder)
-30-0~
Date
T:\Policies\1 102_15 building permit inspection record05,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. 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS,)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS,LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL ' DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT, SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL.INSPECTlONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT, 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT,
BUILDING 417-4815 BUILDING
T:\Policies\1102_15 building permit inspection record05,wpd [1/4/2005]
f ?ORT ~
t.J.O~~~
r-Gii
L -=->r
~
'I,ii-;-~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . , . 05-00000924
Application pin number 601224
Page 2
Date 11/30/05
Special Notes and Comments
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-El
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed, An inspection
by Building Department is required prior to backfill. .
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
09/29/2005 11:32 AM SROBERDS -- The proposal will result
in a new sfr w/attached garage and deck in a PRO. Setbacks
comply with PRD approval. No land use issues are
anticipated.
$713 Connect Fee,
09/28/2005 01:12 PM JHEBNER ------~---------------------
Electrical permits are required.
09/28/2005 01:13 PM JHEBNER -------------~--------------
Any modifications to the electrical facilities will be at
the customer's expense.
09/28/2005 01:13 PM JHEBNER ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid. Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1379.30 1379.30 .00 .00
Plan Check Total 461.86 461,86 .00 .00
Other Fee Total 1774_50 1774.50 .00 .00
Grand Total 3615.66 3615.66 .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.
~ Jl-;}O-as-
re of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
Sig
T:\Policies\1102_15 building pennit inspection record05,wpd [1/4/2005]
,~
BillLDING PERMIT INSPECTION RECORD
co
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 UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE,
0-,\
'-
...,.Cl
~
~
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION: ( , ~/t: _- V1. ,L-
,?TeJ &~GVN!)
FOOTINGS / .<J-jt / 171-- , YZL. -&~~- ~/~~~ ~
(~j!C// 0)--- .;;.--
WALLS .I ?C---
FOUNDATION DRAINAGE 1 DOWN SPOUTS {
PIERS
POST HOLES (POLE BLDGS,)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN ? /?-.plb(.. .7iv
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS J...I.../~_(')r:.. J L.'-
CEILING I f I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING )../ -1'1_{/6 J I-c.....,...c
DRYW ALL (INTERIOR BRACED PANEL ONL Y)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING 4-'k?-o(, I.)J,..&
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKlNG/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL.INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W,
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT,
PLANNING DEPT, 417-4750 / PLANNING DEPT.
BUILDING 417-4815 ~~~/O~ -r~ BUILDING
T:\Policies\1102_15 building permit inspection record05.wp [1/4/2005]
~6
\1\>
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F~
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~
1
4
BUILDING PERMIT - APPLICATION
FOR OFFI<tft..L USE ONLY:
Date Rec.: 1'"'YV/O( .
Pennit #: o!7-q :z.
-.
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
ate Approved:
Applicant or Agent: ~ ~,j
Owner: ~ F~
Phone: <!))-fit.jlf 9
Phone: l./S?.- ,au 7
Address:
City: Zip:
Architect/Engineer:
Contractor ~ ~;;.r :JJ:~. State License #:
Address: /33?'JJ~ W..L.-~~ ~ City: /J.A.
PROJECT ADDRESS: 1110 LA M Be~1 l-H.
Phone:
Exp: Phone: "')- 9S'Y9
Zip: 983~2.
ZONING:
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER: O&? 0 l4(p? 0 t-, 0
TYPE OF WORK:
o Residential ~ew Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
o Stove
o Garage
o Deck
o Other ~
SIZEN ALUATION:
/(,'1) SF,@$ 7CJ.:Lb /SF.=$
.33C/ SF, @$ ..</. 38 /SF, = $
,s SF, @$ l~ .crv /SF, = $
TOTAL VALUATION $
l\?ll~ -
(/ r4(-
'80t/ -
11-1. I S4-
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No, of Stories: ~ Lot Size: fRS'""'1) Existing Sq, Ft.
Total lot coverage .30." %
Occupant Load: Construction Type:
o & Proposed Sq, Ft. .2.a?G, = TOTAL Sq, Ft. 2JJO~
APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. TIns 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 issliance,
EXPIRATION OF PLAN REVIEW: lfno permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3,2
of the International Building/Residential Code, 2003), No application can be extended more than once.
cr12~ to c-
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 I must obtain such permits prior to work.
TIPoUc;"IBL-lI02_13.wpd Applioonto fJ!I P
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Date: ?.. ~-OS-
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This map is nal intended 10 be IIsed as a legal description. . r~\
This map/drawing is produced by the City of Port Angelesfor its .O~'~ll~~ ~ld!.~~poses. ;,'S'
Any other use of this map/drawing shall not be the responslbliay oJ tel).
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
1\:)\:)UcU:
11/~1/~UU~
rCI"\IVIIII'tV.
1"(~1
OWNER/APPLICANT
ANDERSON HOMES LLC
618 SO PEABODY
Port Angeles, WA 98362
360/452-1232
T:
PROPERTY LOCATION
1719 LAMBERT LANE
Lot: A9
Block:
S:
Subdivision:
Parcel No:
o Long Legal
HIGHLAND ESTES
063014650090000
CONTRACTOR
ANDERSON HOMES LLC
618 S Peabody
Port Angeles, 98362-0000
360/452-4641
PROJECT INFO
Project Value: $108,320.00
Project Type: SFR NEW
Occupancy Type: RESIDENTIAL
Occupancy Group:
Construction Type:
Zoning Use:
ARCHITECT
N/A
, 98360-0000
360/000-000Q
SFD Units: 1 Commercial: 0
SFD SQ FT: 1,543 Industrial: 0
Garage: 466
MFD Units: 0
MFD SQ FT: 0
--
---::!
---
-.......s:::
PROJECT NOTES
CONSTRUCT NEW 1543 SQ. FT. SFR WITH 466 SQ. FT. ATTACHED GARAGE
AND 176 SQ. FT. DECK/PORCH
1-
:::c,
~
\,y.)
\\1
'"
-1
RECEIPT#9938 Pt CuI\. S H-~
FEES ASSESSMENT
Building Permit: $1.044.15 Misc Fee 1: $0.00
Plan Check: $417.66 Misc Fee 2: $0.00
State Surcharge: $4,50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $1,631.61
Plumbing: $98.00 AMOUNT PAID: $1,631.61
Mechanical: $67.30
Radon: $0.00 BALANCE DUE: $0.00
\-
~
Separate Permits are required for electrical work, SEPA, Shoreline. ESA, utilities. private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. T ranting of a permit does not
presume to give authority to violate or cancel the provisions of any state o~ law regulati c str tion or the performance of
construction. ' 1/ r'
~ d/-.~/_,o1._
Signature of Contractor or Authorized Agent
Date
Sign ture of Owner (if
Date
T:\PLANNING\FORMS\11 02.15 [412002}
BIDLDlNG PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS i ~ -6-0'l.. uf}
WALLS i'1- -IO-[l.L .L"" J.I
FOUNDA nON DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN I -I,,:; -D-; /--Elj
WATERLINE
GAS LINE
BACK FLOW {WATER
AIR SEAL
WALLS 1)-30-0-<; lieH
CEILING I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL f~23-c:l3 L.t:./-f
WALLS I ROOF I CEILING
DRYWALL
ToBAR
INSULATION
SLAB I 1 I
WALL I FLOOR I CEILING I~---)-O'" ILCt-.J I
MECHANICAL
HEAT PUMP
WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 -,o\-~7-o, -r. rC" BUILDING
T:\PLANNING\FORMS\1102.15 [412002]
ORT FOR OFFICIAL USE ONL'i;
~ _~/Q_/_d",
c)',.~ BUILDING PERMIT - APPLICATION ~:"l:;'roved
&. ~ Dale Issued: -z
~!!!!!' The Building Permit - Pre-application must befdled out completely.
'ltit,,~ Please type or print in ink. Uyou have any questions, please call 417-4815 I '3 (
Applicant or Agent: ?~ IC. /IV}) ~S tIV\ Phone: t./-':; 2 - /25 2-
Owner: /lNtJCRS~ HC/W1ES LL-.C-. Phone: 'It::;'?... '1h<l1
Address: ~/R S;,?r:nbatx);S'-i City: -PI. /llvJ--;z,S Zip: (/VA
ArchitectJEngineer: E l/e<;: fl'M IS D~r ~ ^-" Phone: SLS'j -"S <I/O
/1 ',I / . I1fJCJEiU;wooJ'S '
Contractor r-W{Jt:/e.,,,^- ti J?-ri 6':5 Licen #: Exp: /2./0110 z. Phone: t/<;2 -W~ i/
Address: 1..1f> 5, 7~6t7(71;/ Sf City: "PI /lU~'s ~A Zip: 98'5,'2-
PROJECT ADDRESS: 17 Lo."",be,,..t c>..",-Q... ZONING: . -:rr
LEGAL DESCRIPTION: Lot: A Cf Block: Subdivision: t.. I~Q( c<;ra.-rc-:
CLALLAM COUNTY PARCEL NUMBER: .to ~I<I'-<'"o '<lObOoCredit Card Holder Na .._ ~ ._, '..1
Billing Address: City: (j
Credit Card #: Exp. Date: VISA MC
TYPE OF WORK:
..at Residential a(New Constr.
o Multi-family 0 Addition
o Commercial 0 Remodel
o Repair
ORe-roof
o Move
o Demolition
o Sign
o Woodstove
o Garage
o Deck
o
SIZENALUATION: ~C~ .-
1 S'f.3 SF. @$ (oCJ ISF. = $c;2~eo
4(" ~ SF. @ $ 5" ~~ ISF. = $ i:S ee -
/7 (... SF,@$ iO .,~ ISF, =$ I~-
TOTAL VALUATION $ /0 52D--=--
BRIEF DESCRIPTION OF THE PROJECT:
~ F /'c..
COMMERCIALIRESIDENTIAL: OCCUPajlcy Group: i2 ,;. 3. Occupant Load: Construction Type: ~/ - tV
/ r LI .AD .> 7 d7~ ",
No. of Stories: ----L--- Lot Size: l ~_ % Lot Coverage: ::d _ It:! /(
Existing Lot Coverage: Isq. ft. + Proposed Lot Coverage: /sq. ft. ~ TOTAL LOT COVERAGE: Isq.ft
PLANNING USE ONLY: APPROVALS: PLAN
Notes: BLDG.
DPW
FIRE
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
VALUATION OF CONSTRUCTION: In all cases.. a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other
pennit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this applieation will expire. The
Building Official can extend the time for aclion by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
J hereby certifY that J have read and examined this application and know the same to be true and correct, and J am authorized to apply for
this permit. I understand it is not the City's legal responsibility to determine what pe . s are required: it remains the applicant's
responsibility to determine what permits are required and to obtain s
Applicant:
Date: It> -/ b _'67
T:\FORMS\APPS\Buildingpennit
~ORTANGELES
WAS H I N G TON, U. S. A.
PUBLIC WORKS & UTILITIES DEPARTMENT
October 2, 2002
John and Michaile St. Laurent
860 Rhododendron Lane
Brinnon, W A 98320
RE: 902 East I" Street
Dear John and Michaile:
This letter is a follow up on our conservation yesterday regarding ingress / egress and off street parking for
)'OW' fa€ility at tho abevo rofercB6e~ess. Public WOfks & Utilities has re-liewed the preliminary plan and
have these comments:
The existing driveway immediately east of Race Street may be used for ingress into the proposed
westerly parking loc The most easterly driveway on First Street may be used for ingress for the east
parking lot. This driveway appears to be offset and may need to be moved to the west to allow for
direct ingress. The two driveways abutting Race Street and the second driveway on First Street east of
Race Street will need to be removed and replaced with standard curbing and sidewalk.
The wheel chair ramp at the alley, along with two (10') sections of sidewalk and the deteriorated
asphalted parking strips are in need of replacement.
The existing water meter is located within the City's right of way close to the northwest comer of the
building. You may choose to continue using this meter for YOUT facility, or have this meter dedicated
for irrigation only. If you choose to use this for irrigation purposes, a back flow device would be
required. Installation of a second meter off the Race Street water main. the fee is based on the size of
meter requested. Those fees are as follows: 5/8"- $640.00, 3/4"-$670.00 and 1"-$1160.00. All
service lines would be I" to the meter. The city would tap the main and install the meter to within I'
(foot) of property.
The fee for any work with in city right of way is $45.00. Removal and replacement of the curbing and
repair of sidewalk would fall under this.
The sanitary sewer main is in the alley. A new direct line connection may be more cost effective than
trying to locate the old line. Your licensed bonded contractor would be responsible for all trenching,
pipe placement, back filling and asphalt restoration. Connection fee for the sanitary sewer would be
$95.00.
If you have questions, feel free to contact me at 417-4807.
~~
Trenia Funston,
Engineering Permit Specialist
ce. DepartmeotofCommunity Development
City Engineer
Zenovic & Assoc.
321 EAST FIFTH STREET. P. O. BOX 1150. PORT ANGELES, WA 98362-0217
PHONE: 360-417-4805 . FAX: 360-417-4542 . TTY: 360-417-4645
E-MAI L: PUBWORKS@CI.PORT.ANGELES.WA.US
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date /2 -IO~ o'L
Time
Received by
RV
(phone. person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Ins 'on (circle appropriate one):
'1719 ~uvU&evi- J.--~
A ll'€y\.
Phone No,
Permit No,
67o-'Tisf
Is79(
Sewe
Framing Chimney Plumbing Final Sewer Excav, Other
By
\~--//
INSPECTION NOTES:
, ""'! _'0")" /'}~)
Inspected: Date':"'-- v .-' ,.
Remarks:
Time
/"~
}
.
\'.H
RESTORATION REQUiRED...... YES NO
. J " ..'., . y ---po.
/; t_ ff " - ,~.L
,;.>. . . ~~. I~J _. .'-.~.
.11M
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
[] Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date J 2. - 5 - 0"2....
Time
Received by
R.\ }
-
(phone, person)
Location of Work to be inspected-----L:U q \..-o..V'-<.b~" t k.\A.~
Name of person requesting inspection T,p .r~ y
Address of person requesting inspection Phone No,
Type of Inspection (circle appropriate one): Permit No. \ ~ 79 L
Sewer
Framing Chimney Plumbing Final Sewer Excav, Other
INSPECTION NOTES:
1 - _/ ,- ('1'-~z
Inspected: Date [t l.:' ~"L.
Remarks:
.~............
"/
-
Time
By
V'~ ~
/ ;' eVlt
--."-,, ,.
C".".~
" "~
/;~)
'---_/ ~
RESTORATION REQUiRED...... YES NO
AfV\
IS'-e~or-e
16 ~ S6A)1'--
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . .
/
REQUEST:
Date I-I. ')- -() ~
Time
,)/
7/ q UHB6JZT ~>v.
Received by
{phone. person}
Location of Work to be inspected I
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sow", Fo"'.";o, F"m;,. Ch;moov ~;;1~ F;..,
Phone No.
Permit No, /9 "'11/
Sewer Excav, Other
Inspected: Date
Remarks:
INSPECTION NOTES:
t \'
Time By
/ '-j /.
I'
, I 1P;--
, /-
I I
/
/
"
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [] Gravel [] Asphalt [] PCC
[] Other
[] Repaired by City
D Repaired by Permittee
[] No Damage Found
Work Order #
[] COMPLETE
[] INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT . . .
REQUEST:
I I,
Date " ( I
"
Time
Received by
/-.
,"
,.i'
(phone. person)
Location of Work to be inspected 'JI /~
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
/ I/! r /.. , /'7 // '
Phone No,
Permit No,
/379/
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Othe;'- '1- "'..~
.,. .~
~.
Time
By
/
~'
INSPECTION NOTES:
Inspected: Date /.
Remarks:
..~
/
I
RESTORATION REQUIRED. . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel o Asphalt OPCC
o Other
[] Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . INSPECTION REPORT. . . . . .
REQUE~T: ~CJ 3
Date J <XJ
Time
Received by
/7 /1 1-/J/11 (!ff1ff /-M .
(phone. person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (c~opriate one):
Sewer Foundation ~ Chimney Plumbing
A I r 5-e<.l. \
Phone No,
Permit No, fL3 7'1 I
Sewer Excav, Other fI--r /2- I
Final
Inspected: Date
Remarks:
Time
By
~-;::: .
INSPECTION NOTES:
-
l .'
l/
I.
.
/
^,/
RESTORATION REQUiRED...... YES NO
C.h.~<:;,k /..M;fh. 4L
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
[] COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . .
v
REQUEST:
Date I -':::5 1- O::S
Time
Received by
R
(phone. person)
Location of Work to be inspected 17 I <1 L.o. t?l~ L. t'f
Name of person requesting inspection Pen H" <;.
Address of person requesting inspection Phone No,
Type of Inspection (circle appropriate one): Permit No, J 379/
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav, Other Ih. ,fA t Cl. f.d1A.
I'
INSPECTION NOTES:
....., ..,-;<:.
Inspected: Date ;:
Remarks:
Time
By
/'
o'
-.. 1./
/~'P
RESTORATION REQUIRED . . . . .. YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel o Asphalt OPCC
o Other
[] Repaired by City
o Repaired by Permittee
CI No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
L/
REQUEST:
Date ~- 2 b-~o3
Time
Received by
Pl/
,
(phone, person)
Location of Work to be inspected f 7 t q t.J::.t vvt ber f l.../Z I
I ~_ <
Name of person requesting inspection -J.€i? n I S
Address of person requesting inspection Phone No, 416/-:27 '.:<,3
Type of Inspection (circle appropriate one): ~_ Permit No. /:::s 7'9 /
Sewer Foundation Framing Chimney PIUmbing~lSeWer Excav, Other
INSPECTION NOTES:
Inspected: Date '?-Z 7--DS
Remarks: 1t-v4L
Time
I;I)~
By-y;/YII
(~~
RESTORATION REQUiRED...... YES NO
ThUr~ ~
cai / --h~/"$7-
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
[] No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATEI
"li
~...*'''
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
'21 EAST 5TH STREET. PORT ANGELES. WA 9R362
ELECTRICAL PERMIT
PERMIT NO 7929
ISSUED: 12/03/2002
OWNER/APPLICANT
ANDERSON HOMES LLC
618 SO PEABODY
Port Angeles, WA 98362
360/452-1232
T:
-1-PROP~7~:Y ~~CB~~~~::--
I Lot: A9
Block: Long Legal
Subdivision: HIGHLAND ESTES
Parcel No: 063014650090000
Project Value:
Construction Type:
Zoning Use:
S:
CONTRACTOR
SHAMP ELECTRICAL CONTRACTING IN
P,O. BOX 383
Port Angeles, WA 98362-0000
360/452-1689
PROJECT INFO
Project Type: TEMPORARY SVC.
Occupancy Type:
Occupancy Group:
Electrical Heat:
[J Baseboard
D Furnace
[J Heat Pump
D Fan Wall
ARCHITECT
N/A
, 98360-0000
360/000-0000
$0,00
-.J
-
o KW
o KW
o KW
o KW
Inl Riser [l
[Xl Overhead Service
161 T em p Service
Underground Service
Voltage: 120,240
Phase: t><: 1 D 3
Service Size: 100
Feeder Size: 0
)
p
J
(j
(\
<)
-t
PROJECT NOTES
TEMP. SERVICE
RECEIPT # 9945
FEES ASSESSMENT
Service:
Additional Feeders:
Circuit Wiring:
Temp Service:
Misc Fee:
TOTAL FEE:
AMOUNT PAID:
BALANCE DUE
COtvlI0J'-J\)TS/ACTION NEEDED
....0
r
~
(D
$0,00
$0,00
$0.00
$46.70
$0.00
$46.70
$46.70
$0,00
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MlNlMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
1lf7l
I
tJL/1) E.NUb/-
GENERAL COMMENTS:
PW-II02.1S(4'96)
"$
.. --
'.;;'~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Property Zoning . . .
Application valuation
Property owner
Owner address . . . .
03-00000017 Date
1719 E LAMBERT AVE
0630146500900000
FIRE SPRINKLER SYSTEM
1/24/03
Contractor . . . . . . .
Structure Information
Construction Type . . . .
Occupancy Type . . . . .
2350
LBR CONSTRUCTION/STEWARD LAND
618 S PEABODY ST STE H
PORT ANGELES WA 983626244'
( I
INNOVATED FIRE SPRINKLERS
FIRE SPRINKLER SYSTEM
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
FIRE SPRINKLER SYSTEM
50.00
1/24/03
7/23/03
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
BASE FEE
Extension
50.00
Fee summary Charged Paid Credited Due .---J
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 ,00
plan Check Total ,00 .00 .00 ,00 --.Q
Grand Total 50.00 50.00 .00 .00
\\1
r
~
~
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(\)
~
Separate Permits are required for electrical work, SEPA. Shoreline, ESA, utilities, private and public improvements, This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required Inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
~tULA,rt ~
Signature of Contractor or Auth-!:!!:2gent
} 123/00
f Da&;
Signature of Owner (if owner is builder)
Date
T:\PLANNrNG\FORMS\1102.15 {4/2002]
BIDLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPD SEPARATE PERMIT:;I
ROUGH-IN I I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATERLINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I I I
CEILING T T I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS! ROOF / CEILING
DRYWALL
T-BAR
INSULATION
SLAB I I I
WALL I FLOOR I CEILING I I I
MECHANICAL
HEAT PUMP
WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
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 - RW.
ENGINEERING 417-4807 PW ! ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 [412002]
~ I'ORT Ai\(
~
~~
The Building Permit Application must be filled out completely.
"ti1i:1C~ Please type or print in ink. Uyou have any questions, please call 417-4815
Applicant or Agent:~fVl-e. fL,. D .e.lJy...- /Nvo!/~r.c/J F/Jl.E Phone: '"'Is- 2- - 7.5' 8_~
f J S PitINkL-J!KJ'"
Owner: A kd A!./'~ 0 ""'"' 1+0 VVl. e....J' Phone:
Address: CJ9 So P.e.o.. bt,d'7 City: ?o...-f /J'---0.Jl.te..Jl
Architect/Engineer: I tJN Oil F,S.b 'I' jt>~ B--/~~OBq
Contractor IAiAlt:1 1/'A1~JJ F/PI" S.Y~icense #: /A/A/r);!,"j(J <fI xp: :J./1ro:J Phone: 4S2 - )S83
Address: B) /V' -e <-J jJ ctj/ <. '-0. L..., City: 'PbY'.J.. ./)'-o.J ./2./~~, Zip: 0; [} S ~ '2
PROJECT ADDRESS: 7/ C; L c",,,,,-, h R-,.,...f- '---....... ZONING:
LEGAL DESCRIPTION: Lot: A q Block: Subdivision: H'J,l. 1Q.l'1ds F<-fe<..
CLALLAM COUNTY PARCEL NUMBER: 0{..~OI4b5DD'l~redit Card Holder ame:
Billing Address: City:
Credit Card #: Exp. Date:
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE O~~
Date ~ec.: I '- r.....
PermIt #: t
Date Approved:
Date Issued:
Zip: '7&'S6 ~
VISA
MC
TYPE OF WORK:
"!f Residential 0 New Constr. 0
o Multi-family 0 Addition 0
o Cormnercial 0 Remodel 0
o Repair 0
SIZEN ALUATION:
SF. @ $ /SF, ~.$
SF. @ $ /SF. = $
SF. @ $ /SF. = $'
TOTAL VALUATION $
Re-roof
Move
Demolition
Sign
o Wood-stove
o Garage
o Deck
o
.2.. JSO. d 0
S':? s f..e ~
BRIEF DESCRIPTION OF THE PROJECT:
; V\ .rk /!o. + ';'0 v-.
COMMERCIALIRESIDENTIAL: Occupancy Group:
~
I- -' V"-e
Spyo,',-< k/R-.--
Occupant Load:
Construction Type:
/sq. ft. ~ TOTAL LOT COVERAGE:
APPROVALS: PLAN
BLDG.
DPW
FIRE
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER
BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted lor
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements, Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
No. of Stories: _ Lot Size:
Existing Lot Coverage:
PLANNING USE ONLY:
Notes:
% Lot Coverage:
/sq. ft. + Proposed Lot Coverage:
%
/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 Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: Your plan check fee is due 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: Ifno permit is issued within 180 days oflhe date of application, this application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
J hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to appiy for
this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's
responsibility to determine what permits are required and to obtain syc:.
ApplIcant: ~ ~ D ':/ /1,8.ili.iCLpate: / /fj)03
T:\FORMS\APPS\Buildingpennit I ,
s
" .
~., 'if
~"'"
DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION
APPLICANT:
PROJECT/DEVELOPMENT ADDRESS:
PHONE:
See Page 4 for instructions on completing the site plan. For more information, call 417-4815.
PORT ANGELES FIRE DEPARTMENT
102 East 5th, Port Angeles, WA 98362
360-417-4653
Fire Sprinkler System Plan Review
Project Name: Anderson Homes Address: 719 Lambert Lane
Installer: Innovated Fire Sprinkler Telephone: 452-7583
Type of System: 13D Open R-3 IXI R-I D Com 0
Date: January 15,2003 Permit #03-01
We have checked this plan and find that it conforms to the requirements of our ordinance.
Additionally:
I. The system shall be installed as per NFP A 13D.
2, Before final acceptance of the system, an inspection will conducted by the Port Angeles Fire
Department to ensure the system installation complies with NFPA 13D.
Date
~~() ~J--Q
\
l, IS, (l)~
D Contractor
m Building Department
D Fire Copy
Reviewed by
FP - 9
Page I of I
tJ
""..
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Property Zoning . . .
Application valuation
Property owner
Owner address . . . .
03-00000017 Date
1719 E LAMBERT AVE
0630146500900000
FIRE SPRINKLER SYSTEM
1/24/03
Contractor . . . . . . .
Structure Information
Construction Type . . . .
Occupancy Type . . . . .
2350
LBR CONSTRUCTION/STEWARD LAND
618 S PEABODY ST STE H
PORT ANGELES I WA 983626244
( )
INNOVATED FIRE SPRINKLERS
FIRE SPRINKLER SYSTEM
TYPE v NON-RATED
SINGLE FAM & CONGREGATES
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
FIRE SPRINKLER SYSTEM
50.00
1/24/03
7/23/03
Plan Check Fee
valuation
.00
o
Qty Unit Charge Per
BASE FEE
Extension
50.00
-
Fee swnmary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total ,00 ,00 ,00 .00
Grand Total 50.00 50.00 .00 .00
-J
-
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,
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construcllon 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 compiied 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 iaw regulaling construction or the performance of
construction.
Date
Date
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
T:\PLANNING\FORMS\1102.15 [4/2002]
BIDLDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH.IN I I
PLUMBING
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I I
CEILING I I I
FRAMING
JOISTS I GIRDERS
SHEAR WALL
WALLS I ROOF / CEILING
DRYWALL
I-BAR
INSULATION
SLAB I I
WALL I FLOOR I CEILING I I I
MECHANICAL
HEAT PUMP
WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT#'s SEPA:
P ARKINGILIGHTING ESA,
LANDSCAPING SHORELINE,
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417~4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R W.I PWI CONSTRUCTION ~ R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1102.15 (4/2002]
c~
.....;;;;.>
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Property zoning . . .
Application valuation .
03-00000017 Date
1719 E LAMBERT AVE
0630146500900000
FIRE SPRINKLER SYSTEM
3/19/03
2350
Owner
Contractor
LBR CONSTRUCTION/STEWARD LAND
618 S PEABODY ST 8TE H
PORT ANGELES WA 983626244
Construction Type . .
Occupancy Type
INNOVATED FIRE SPRINKLERS
81 NEW HAVEN LANE
PORT ANGELES
(360) 452-7583
Structure Information -------------------------
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
WA 98362
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
--,
SHAMP ELECTRICAL
116.20
2/05/03
8/04/03
CONTRACTING
Plan Check
Valuation
Fee
,00
o
"-J
-
Qty
1. 00
2.00
Unit Charge
70.8000
22.7000
Per
ECH
5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
70.80
45.40
-0
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 116.20 116.20 ,00 ,00
plan Check Total ,00 .00 ,00 ,00
Grand Total 116.20 116.20 ,00 ,00
\t1
'1-
~
.-.
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.,
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r
Separate Permits are required for electrical work. SEPA. Shoreline, ESA. utilities. private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct, All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNING\FORMS\1102.15 [4/2002)
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED, POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARA IE PERMIT: #
ROUGH.IN I I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / W A IER
AIR SEAL
WALLS I
CEILING 1
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS I ROOF I CEILING
DRYWALL
I-BAR
INSULATION
SLAB I I
WALL / FLOOR / CEILING I I I
MECHANICAL
HEAT PUMP
WOOD STOVE I PELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES! SITE WORK (Engineering Division) SEP ARA IE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARA IE PERMIT #'s SErA:
PARKING/LIGHTING ESA,
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 9121/173 AtO ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ / I CONSTRUCTION - R.W.
ENGINEERING < 417-4807 PW I ENGINEERING
FlRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLA-:\'NING\FORMS\1102.15 [4/2002]
t ELECTRICAL PERMIT APPLICATION
ttY Tne Electrical Pern", App[,collon must be tilled out completely,
Please type or reprint in ink. 11 you have any questlons, pl!!ase call (360. 4174736
Fax number, (360) 417-4711
1.1,m .:)FFi'::j,11. r..'~r. (1'-.:'-';
l).lr~:R~,': ._._."--_'_
r'rrml;~ _.__,. ,."__'"
llJl(.,l,P~f'''~': _., .--. f.
l)~!~lI,'WC(',..,..-_"-_'
#/7
Own" or FIAc.Contractor A~ent: Jo I'vJ 4L 5 (A.~ 'Z.t.S.<:.,
PropertyOwnsr: .A~t::l'z.J]...sc:.N Ko M'!i.5
Adere": bIG/, ~t'~ .-q-
.-- ~,~ Q,,'~r;""':l1o~<>- I",C.
Electrical Contractor: ;:;.t'\-"'Mr "'c:...... ' -
I I~ .., ',-.
Addrflss: ,.~. \,~~ ~ ':..:J.,......;:J
REQUEST INSPECTION '--!
Phone: L(57..-/ '-:iff Fax: /.f5z.-(,-'iSf
Phone:
I.{.,.z,- lit.. Y'(
Zip: '?'is;L.?.,,
Pnone:i(S-L-1 bi19
7;O.''iJ<.:~
INSTA~LATION WIRED BY:
City:
::: OWNER XE~ECTRICAL CONTRACTOR
<::''-''''" .",J S'. .u..P
Credit Card Holder Name; .,." '" =-+ =
BiJJlngAddress: "[10 U..> ,.", ~ ";;"- City; P~.",c".. A,."'b€L"'''
Crc:dir c~rd Numhl?r: Exp. Date:_,
City, ---'pOf2.r ~~5
Si\I\,'-f>-.;'CCiZ313'5
Licenslil Jl;
PO.f.b:"'" ..l\--fIJ6~c..6.
Exp;
~3
~"....
\oJ""
Zip: <;' S>3'-3
VISA:L Me:.
PRUJECT ADD~ESS,~.E:,.., LA;\fS-u;f' ~
TYPE OF WOR~
Check illl that apply: ~ew
c:: Commercial
o Alteration/Addition
tReSidental iJ Multi-famiiy
:. Remote Meter --' Detached garage
C. Mobile Home
Sq. Fl. (beo
.:; Hot Tub C; Swim Pooi
o Septic Pump
C Low Vcltag.. C Tf!i~cnm, 'i!
NUrclbN of Circuits added or altered:
DESCRIPTION OF THE ELECTRIC.A.L PROJECT: N~ H...u.s~
. Electrical Heat Load Additions
/
~
:J:/ \ \ (,,20
Service Information
VOltage:l.?"'(z.<<o "
Phase: ~ 1 (1:3
Service ~i2e: Zso-o A.r
Feeder Size:_zeet!.
:J 8aseboCl rd
%urnace
[?Heat Pump
; Fa~-Wall
':,.' Overhead Service
:J Tp.mf1 SBrvice
l' Underground Service
PAMC 14.05.060(B): For i~duslrial, commeroial. & residential projects larger than a duplex, a one. line. drawing of Ine Eleclrlcal Service
Feeders, building size (sq. ft.), load calculations, and Ihe type & of conductors and/or raceway is required and shall accompany the
Eleclricsl Permit 3
"1Z-''''
_KW
hereby certify that J have rAfJd and examined this application and know thElt same to be true and correct, and I
authorized to apply fOr this permit. I understand it is not the City's legal responsibility to determine what permits
are reqUIred; II remains the applicants responsibility to determme what permits are required and to obtain such,
_/~/o 'J r..-('I ~..:1
q It( -ol4<=:.'-.!;. ,kr ~ " '
Credit Card Holdt!r's Signature: ~~ ;:;/1 ~Z
Owner or Elec, ConI. 5ignature:.4~ ' .. L.
Oate: \hsle:.~
Date: Y7-e./6~
/)IPW-9019 a
~ c ....
-
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET. PORT ANGELES. WA 9Sj62
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivlsion Name
Property Use
Property Zoning
Application valuation
05-00000924 Date
601224
1710 LAMBERT LN
06-30-14-6-5-0170-0000-
RES NEW SFR
3/31/06
123159
Owner
Contractor
Other struct lnfo
NEW VIEW INC
277 MONROE RD
WA 98524 PORT ANGELES
(360) 477-9449
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
FOX, RUTH M
POBOX 993
ALLYN
30 60
1 00
6547 00
2006 00
1 00
Permit
Additlonal desc
Permlt pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
ELEC SERV/ 1930SFR
73650
ELECTRIC SERVICE
119 80
3/30/06
9/26/06
Plan Check Fee
Valuation
00
o
............
'-J
--
~
Qty
1 00
2 00
Unit Charge Per
73.0000 ECH
23 4000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
73 00
46 80
t
~
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Special Notes and Comments
BUlldlng address sign shall not be less than 6" & not more
than 12" In height Numbers colors must contrast with wall
color they are mounted on (Ord 14 36 050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill
All homes in new subdivisions that are outside of the Fire
Department four-mlnute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and Natlonal Fire Protection
Association (NFPA)
09/29/2005 11 32 AM SROBERDS -- The proposal will result
in a new sfr w/attached garage and deck in a PRD Setbacks
comply wlth PRD approval No land use issues are
antlclpated
$713 Connect Fee
09/28/2005 01 12 PM JHEBNER ----------------------------
Electrical permlts are required.
09/28/2005 01 13 PM JHEBNER ----------------------------
Any modifications to the electrical facilities will be at
the customer's expense.
09/28/2005 01'13 PM JHEBNER ----------------------------
Sanltary sewer connection inspection is required by
t'-
'"
><:
COMMENTS/ ACTION NEEDED
g
~
..
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 9R~62
Application Number
Applicat~on pin number-
05-00000924
601224
Page
Date
2
3/31/06
Special Notes and Comments
Publ~c Works pr~or to back fill of d~tch 24 hour advance
notice is required
Construct dr~veway and Sidewalks to City Standards
No concrete with exposed aggregate allowed in the City
road right of way An inspection by Public Works
Engineer~ng ~s requ~red prior to prouring concrete
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745 00
4 50
1025 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm~t Fee Total 119 80 119 80 00 00
Plan Check Total 00 00 00 00
Other Fee Total 1774 50 1774 50 00 00
Grand Total 1894 30 1894 30 00 00
COMMENTS/ACTION NEEDED
ELEcrRICAL PERMIT INSPEcrION RECORD
..
"'-
CALL 417-473 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
II' SPECTION TYPE
DATE
ACCEPTED
YES I NO
COMMENTS
......14'''11....
3- 3/-()(..
~l'3",1J to
#..- ?.; tt/ ,
..,-~-
-r13'
rG_
lJITCH
lU\T J(yH_ll I CUYhK
~'"' TAT
I 7 ':).1.. ob ..b-fll
I
GENERAL COJ\l MENTS:
PW-I102.1~ (41961
r \ 03/29/2005
~~v. __ 4
~O<J
07: 15
3504525424
PAGE 01
~"""..i' /Installation de~criPtion~
Job wIred by ~lcal Contrl1ict~r DOwner o Commercial SI entlal
Elect~OO1Taclol name ~ ' L.icmse number OatcExpires o New o AllercdlAddiUon
~II~"'D_
_ ~~""" 'wL- ~
purchaser'S m3mn~dres5 vJ2u, !SO
~L- ~
State ZTP e;~ (.. .<-
CitY'4 , 1.0--
.~' \ >-
Telephone number PAX number \q~D H-- ~# .. ~.D
"-'\,'- -'-.......'1 s""-" sr -
p"cmi'~WDerl$ n~ .
lLooJ ~
_h'
AddT7 7 D5Pccti~~ L.;....
Clt}' p A-
Phone number to scbedule Inspedlou: ,
. ,
Owner as defined by RCWJ9.18.26/:(l) Owner will occupy 'he strUClur€ fOT twu
years ojler this electrical permit [s fillalized. (1) Owner is required. 10 hire an elecuical
COrttractor if above said property is for ,~ak 'tltt or lease. D Cash D Check #
After reading the above statement, I hereby certify that I am the owner of the above VISa ~rc.rd
named property or A licensed electrical contracttn. 1 am m;sking the deetril:'al in:l'tal- D Credit Card Discover
latlon or alteration in compliance with the eleclricallaw5, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Card # ~ - -
Utility Specifications. ------------~---
Sig..t"U;-.",~rical r.o..,".r or "'''nral admi.;.lrat.. Expiration Date e S18pec,7 ~;
X ,P Date: . of card 80
5
n..nT t\fl'UCAUON
ELECTRICAL wORKYEw1U~
/
.I
Electrical Load Additions and or subtractions
Cl NO LOAD CHANG ES
t:J B~oard KW
ir'fumace 1J.2KW
o Heat Pump ~ Ton LAA
o Fan-Wall ~
Service Information
tJ Ovemead Service
CI Temp Service
o Underground. Sel'\liee
Volta.ga t '2.Co l~
PhasG ~3
Service Size: z.0(:)~....,.
Feedgr Size: .'"'In
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
4/'5"vb l' E'
Pile
~pl'tlvedB}
llIERMOSTAT '\
Dale Approved By
, DITCH .
$<~I --r!'
'- Dlte ApptcrJeO By
SERVXCl: '\
11~:!J ~ D(, -rEI
Olle Awrove~ 8,. ./
FEEDER
DM. AppfVV'ld By
..
ANAL
, 'J!Q.
Area., Building or Equipment Inspected
Aeliofl Takt:"
~D
o
,
, .
. ',~
DATE
7 -,;21 _
OWNER/CONTRACTOR
ILL, JVi
ADDRESS
/ () LAm6J&<.:r
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
APPROVED NOT APPROVED
o .................... DITCH . . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . .. . ROUGH IN/COVER.. . . . . .. . . . .. . . 0
D' . . . . . i H (;,. ~. . SERVICE. . . . . . . . . . . . . . . . . . . 0
CV'PtfJi.? . . . . .",. . . . FINAL. . . .. . . .. . . . . . . . . . . . 0
CORRECTIONS NEEDED:W It, rr"~ 1"-"7-<'~.fJ
,(J~??~ />lor (;.cr-_T:' /tt:'77U.9f;..{)
?!tfr/ i) /- v AL-0
!
~
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
LJS-
INSPECTOR
/fc:t;7
PERMIT #
A
~ L
APPROVED NOT APPROVED
'}l(;'-:-;i.l.~~'.b.. rE.... DITCH.................... 0
)( .f,';3..o{,. :16 . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
)( ..,.,.3 .-. ,;,'- . rc. . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D.....................RN~....................D
.. @;4
CORRECTIONS NEEDED: oS'r
/'~~-r-
~~it::-~
I!fII1&&k PA?t~<-
#t-G,fh 7" - / / t) .- /7 -)
6J/~.K7t:-
l?~re'1'Z IL pp,uc.~ !f7J ~7A.S~_
&S ;LJ~ t'-A.;VA1~J7DN /J&rt:t 7/3 CD
_ IN~-"74-'U.... b/D/ /t:;e-f"4jPrJa.c.:5
//y #71...!:{' ~D~ d-.oJI:J5r'-e<A(";r7DN
. -' (fJ (1~ ~ / 7 ~ 4735" /1.14?L iV-...-
U~~~ECTOR WHEN CORRECTIONS
,
, . ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
/.'
.::......l
~ Electrical Contractor 0 Owner
o Annual Permit 0 Alarm 0 Carnival 0 Commercial '
ELECTRICAL WORK PERMIT APPLICA.TION
o Request Inspection
.
,
Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom.
Job wired by ~Iectrical Contractor 0 Owner
?llctri~al s:ontf/tctor ~ame r Licen~e number
~nu ~U''''l (L,.L11C- 1:=4 Er::rs;'j. ('3'.:w'*1
purchase'k!;ng addr'p~~,.. If lLj}pw f'2I
CHy ID J.\ l Statcfu
f'Ot'-/ +1/,) YLfgj W A- 9g3b2
Telephone number il FAX number
~-2- b - 2..-"
CD h~lrvJ~on
L
LL
Installation description
+:€vy~rd7 .<:;e n/LtJ-l-
(pD a.>tp
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or the firm's authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
o Cash 0 Check #
o Credit Card 0 VPl ~ret
Card #, - -
Discover
l?\-
X
r-
tJJ
<)
Expiration Date
of card
/ WALLS
Insulation Only
Dale Approved By
Cover
Date Approved By
"-
CElUNG
Insulation Only
"
/' THERMOSTAT
Dale Approved By
DITCH
Dale Approved By
SERVICE
Dale Approved By
FEEDER
Dale Approved By
Dale
Approved By
Cover
Dale
,
Approved By
/
"-
Electrical Load Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAA
o Fan-Wall KW
0/,
Service Information
o Overhead Service
o Temp Service
CI Underground Service
Voltage
PhaseD 1 03
Service Size:
Feeder Size:
Inspection
Dale
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
of=-
/lm
""
----