HomeMy WebLinkAbout1334 1/2 W 15th St - Building PREPARED 7/10/09 9 41 54 INSPECTION TICKET PAGE 6
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/10/09
ADDRESS 1334 1/2 W 15TH ST SUBDIV
TENANT NBR JUDY WHITE
CONTRACTOR BUY RITE HOMES PHONE (479) 795
OWNER White Judy PHONE
PARCEL 06 30 00 0 4 3329 0000
APPL NUMBER 07 00000691 RES MANUFACTURED HOME
PERMIT BLM 00 BL MANUFACTURED HOME
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLRI 01 7/02/07 JLL BLDG REBAR INSPECTION TIME 01 00
7/02/07 DA 06/29/2007 04 36 PM LPANGRLE
MARK 683 4635
REBAR
REQUESTED AFTERNOON INSPECTION
PLEASE CALL FIRST
07/02/2007 04 02 PM JLIERLY
locate property line for foundation inspection unable to
verify prop boundry /jll
BLRI 02 7/03/07 PB BLDG REBAR INSPECTION
7/03/07 DA 07/02/2007 04 22 PM LPANGRLE
BIRDIE 681 0777
REBAR
07/03/2007 04 18 PM PBARTHOL
ID rear property line SITE PLAN SHOWS STRUCTURE SET BACK
45 FEET SUBMIT REVISED SITE PLAN IF CHANGED
DRW 01 8/23/07 JLL BLDG DRYWELL
8/23/07 AP 08/23/2007 08 40 AM LPANGRLE
BRUCE 808 4758
DRYWELL
08/23/2007 04 20 PM JLIERLY
DSD 01 8/23/07 JLL BLDG DOWN SPOUT DRAINS
8/23/07 AP 08/23/2007 08 40 AM LPANGRLE
BRUCE 808 4758
DOWNSPOUT DRAINS
08/23/2007 04 20 PM JLIERLY
BL99 01 9/13/07 JLL BLDG FINAL
9/17/07 DA 09/13/2007 08 10 AM LPANGRLE
BIRDIE 681 0777
BLDG FINAL
09/17/2007 08 10 AM JLIERLY
landings at steps all /house numbers /WAINS tag required /jll
December 21 2007 11 51 29 AM aoman
PW99 01 2/10/09 RV PUBLIC WORKS FINAL
2/10/09 AP February 10 2009 8 51 56 AM rvess
February 10 2009 8 52 22 AM rvess
BL99 02 7 10/09 LL BLDG FINAL
7 July 9 209 4 55 32 PM ermits
M NTS AND NOTES
CA/11
C) CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Ram
Application Number 07 00001347 Date 11/19/07
Application pin number 583017
Property Address 1334 W 15TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 4 3328 0000
Tenant nbr name QWEST
Application type description PUBLIC WORKS UTILITES
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
DELGUZZI LISA EXCEL UTILITIES CONSTRUCTION
4016 OLD MILL RD 54 MISTY LN
PORT ANGELES WA 983621905 PORT ANGELES WA 98362
(360) 452 1110
Permit RIGHT OF WAY
Additional desc 200 BURIED CABLE IN ALLEY
Permit pin number 115584
Permit Fee 00 Plan Check Fee 00
Issue Date 11/19/07 Valuation 0
Expiration Date 5/17/08
Fee summary Charged Paid Credited Due
Permit Fee Total 00 00 00 00.
Plan Check Total 00 00 0 00-
Grand Total 00 00 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 notbeen 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•\Policies \1102.15R [1 /05)
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 NO
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
BACK-FLOW APPROACH
DEVECH I I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
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 \1102.15R [1/05]
BUILDING DIVISION
CITY OF PORT ANGELES
Correction Notice
Job. Located at 13 2 /1/4F
Inspection of your work revealed that the following is
not- in accordance with the codes governing the work in
this jurisdiction
(-1( 4e
1-YODDK(C )L) 1)04 ,Lc)a
v r
Li Ili id
MIT
These corrections must_ be made and are not to be
covered until reinspection is made When corre 'ons
have been made, please call
for inspection
Date sz) 1 �j
I. p cto or Building Division
DO NOT REMOVE THIS TAG
PREPARED 9/13/07 12 12 57 INSPECTION TICKET PAGE 7 or
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/13/07
ADDRESS 1334 W 15TH ST SUBDIV
TENANT NBR JUDY WHITE
CONTRACTOR BUY RITE HOMES PHONE (479) 795
OWNER White Judy PHONE
PARCEL 06 30 00 0 4 3328 0000
APPL NUMBER 07 00000691 RES MANUFACTURED HOME
PERMIT BLM 00 BL MANUFACTURED HOME
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLRI 01 7/02/07 JLL BLDG REBAR INSPECTION TIME 01 00
7/02/07 DA 06/29/2007 04 36 PM LPANGRLE
MARK 683 4635
REBAR
REQUESTED AFTERNOON INSPECTION
PLEASE CALL FIRST
07/02/2007 04 02 PM JLIERLY
locate property line for foundation inspection unable to
verify prop boundry /jll
BLRI 02 7/03/07 PB BLDG REBAR INSPECTION
7/03/07 DA 07/02/2007 04 22 PM LPANGRLE
BIRDIE 681 0777
REBAR
07/03/2007 04 18 PM PBARTHOL
ID rear property line SITE PLAN SHOWS STRUCTURE SET BACK
45 FEET SUBMIT REVISED SITE PLAN IF CHANGED
DRW 01 8/23/07 JLL BLDG DRYWELL
8/23/07 AP 08/23/2007 08 40 AM LPANGRLE
BRUCE 808 4758
DRYWELL
08/23/2007 04 20 PM JLIERLY
DSD 01 8/23/07 JLL BLDG DOWN SPOUT DRAINS
8/23/07 AP 08/23/2007 08 40 AM LPANGRLE
BRUCE 808 4758
DOWNSPOUT DRAINS
08/23/2007 04 20 PM JLIERLY
BL99 01 9/13/07 10409 /G /INAL
09/13/2007 08 10 AM LPANGRLE
BIRDIE 681 0777
BLDG FINAL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL99 01 9/13/07 J PLUMBING FINAL
AN 09/13/2007 08 09 AM LPANGRLE
j 4 BIRDIE 681 0777
PLUMBING FINAL
COMMENTS AND NOTES
PREPARED 8/23/07 9 41 04 INSPECTION TICKET PAGE 9
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/23/07
ADDRESS 1334 W 15TH ST SUBDIV
TENANT NBR JUDY WHITE
CONTRACTOR BUY RITE HOMES PHONE (479) 795
OWNER White Judy PHONE
PARCEL 06 30 00 0 4 3328 0000
APPL NUMBER 07 00000691 RES MANUFACTURED HOME
PERMIT BLM 00 BL MANUFACTURED HOME
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLRI 01 7/02/07 JLL BLDG REBAR INSPECTION TIME 01 00
7/02/07 DA 06/29/2007 04 36 PM LPANGRLE
MARK 683 4635
REBAR
REQUESTED AFTERNOON INSPECTION
PLEASE CALL FIRST
07/02/2007 04 02 PM JLIERLY
locate property line for foundation inspection unable to
verify prop boundry /jll
BLRI 02 7/03/07 PB BLDG REBAR INSPECTION
7/03/07 DA 07/02/2007 04 22 PM LPANGRLE
BIRDIE 681 0777
REBAR
07/03/2007 04 18 PM PBARTHOL
ID rear property line SITE PLAN SHOWS STRUCTURE SET BACK
45 FEET SUBMIT REVISED SITE PLAN IF CHANGED
DRW 01 8/23/07 LL BLDG DRYWELL
08/23/2007 08 40 AM LPANGRLE
BRUCE 808 4758
DRYWELL
DSD 01 8/23/07 LL BLDG DOWN SPOUT DRAINS
08/23/2007 08 40 AM LPANGRLE
BRUCE 808 4758
DOWNSPOUT DRAINS
COMMENTS AND NOTES
PREPARED 7/03/07 11 26 48 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/03/07
ADDRESS 1334 W 15TH ST SUBDIV
TENANT NBR JUDY WHITE
CONTRACTOR BUY RITE HOMES PHONE (479) 795
OWNER White Judy PHONE
PARCEL 06 30 00 0 4 3328 0000
APPL NUMBER 07 00000691 RES MANUFACTURED HOME
PERMIT BLM 00 BL MANUFACTURED HOME
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLRI 01 7/02/07 JLL BLDG REBAR INSPECTION TIME 01 00
7/02/07 DA 06/29/2007 04 36 PM LPANGRLE
MARK 683 4635
REBAR
REQUESTED AFTERNOON INSPECTION
PLEASE CALL FIRST
07/02/2007 04 02 PM JLIERLY
locate property line for foundation inspection unable to
verify prop boundry /j1l
BLRI 02 7/03/07 JLL BLDG REBAR INSPECTION
07/02/2007 04 22 PM LPANGRLE
BIRDIE B 681 0777
REBAR
COMMENTS AND NOTES
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BUILDING DIVISION
CITY OF PORT ANGELES
Correction Notice
Job Located at /33 5/ /11/ /f
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction
(vi
Foko_ sa_r_72)14r.
_to CTUPOE,
s Gt& te.i tQclTY l ol/
?(m t (4
?5_41 SI
These corrections must be made and are not to be
covered until reinspection is made /VVhen orrections
have been made, please call (7- t 8((
for inspection
Date 7/37o7
Inspector for Building Division
DO NOT REMOVE THIS TAG
PREPARED 7/02/07 10 32 32 INSPECTION TICKET PAGE 10
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/02/07
ADDRESS 1334 W 15TH ST SUBDIV
TENANT NBR JUDY WHITE
CONTRACTOR BUY RITE HOMES PHONE (479) 795
OWNER White Judy PHONE
PARCEL 06 30 00 0 4 3328 0000
APPL NUMBER 07 00000691 RES MANUFACTURED HOME
PERMIT BLM 00 BL MANUFACTURED HOME
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLRI 01 7/02/07 L BLDG REBAR INSPECTION TIME 01 00
4l- �e -W 06/29/2007 04 36 PM LPANGRLE
MARK 683 4635
REBAR
REQUESTED AFTERNOON INSPECTION
PLEASE CALL FIRST
COMMENTS AND NOTES
C
t 1111",(2 LI
A :--°-ft'
4T—sytt/q
pORi
es c L% CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
NC 321 EAST 5Th STREET PORT ANGELES, WA 98362
Application Number 07 00000691 Date 6/26/07
Application pin number 158283
Property Address 1334 W 15TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 4 3328 0000
Tenant nbr name JUDY WHITE
Application type description RES MANUFACTURED HOME
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 59120
Owner Contractor
White Judy BUY RITE HOMES
221 W Alder 3543 W STATE HWY 16
SEQUIM WA 98382 SEBRING FL
(479) 795
Other struct info TOTAL t LOT COVERAGE 18 00
EXISTING LOT COVERAGE 1 00
LOT SIZE 7000 00
PROPOSED LOT COVERAGE 1264 00
TOTAL LOT COVERAGE 1264 00
NUMBER OF UNITS 1 00
Permit PUBLIC WORKS RES WATER SERV
Additional desc 5/8 DROP METER
Permit pin number 105429
Permit Fee 200 00 Plan Check Fee 00
Issue Date 6/26/07 Valuation 59120
Expiration Date 12/23/07
Qty Unit Charge Per Extension
BASE FEE 200 00
Permit RIGHT OF WAY
Additional desc
Permit pin number 105437
Permit Fee 50 00 Plan Check Fee 00
Issue Date 6/26/07 Valuation 59120
Expiration Date 12/23/07
Qty Unit Charge Per Extension
1 00 50 0000 ECH RIGHT OF WAY PERMIT 50 00
Permit SANITARY SEWER HOOK UP
Additional desc
Permit pin number 105445
Permit Fee 120 00 Plan Check Fee 00
Issue Date 6/26/07 Valuation 59120
Expiration Date 12/23/07
Qty Unit Charge Per Extension
1 00 120 0000 EA SAN SEWER HOOKUP 120 00
Special Notes and Comments
Address numbers shall be plainly visible from the street
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background
06/25/2007 01 45 PM SROBERDS The proposal will result
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 goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume give authoi to violate or cancel the provisions of any state or local law regulating construction or the performance of
.nstru n. /:„.,.._4/67
re of Contr•' tor o�thori e• gent Date Signature of Owner (if owner is builder) Date
T•\Policies \1102.15R [1 /05j
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 1 NO
PW UTILITIES (Engineering Division)
WATERLINE METER.
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION RAY PW/ CONSTRUCTION RW
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT 417 -4750 PLANNING DEPT
BUILDING 417 -4815 BUILDING
T•\Policies \1102.15R 1/05]
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
k
321 EAST 5TH STREET PORT ANGELES, WA 98362
Page 2
Application Number 07 00000691 Date 6/26/07
Application pin number 158283
Special Notes and Comments
in a mfg home placed in the RS 7 zone for total lot
coverage of 18 No land use issues are anticipated
Electrical load calculations and elctrical permits are
required Customer electrical connection fee $410 00
06/15/2007 01 12 PM GMCLAIN
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
Other Fees SEWER SYSTEM DELV CHARGE 1000 00
STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE 1230 00
Fee summary Charged Paid Credited Due
Permit Fee Total 370 00 370 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 2234 50 2234 50 00 00
Grand Total 2604 50 2604 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 goveming 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•\Policies \1102.15R [1 /05]
PERMIT INSPECTION RECORD
CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, 7
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 1 NO
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION RW PW/ CONSTRUCTION RW
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 FIRE DEPT.
PLANNING DEPT. 417 -4750 PLANNING DEPT
BUILDING 417 -4815 BUILDING
T•\Policies \1102.15R [1/05]
°f P CITY OF PORT ANGELES 0i
CVO DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION .,I
321 EAST 5TH STREET PORT ANGELES, WA 98362 1
Application Number 07 00000691 Date 6/26/07
Application pin number 158283
Property Address 1334 W 15TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 4 3328 0000
Tenant nbr name JUDY WHITE
Application type description RES MANUFACTURED HOME
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 59120
Owner Contractor
White Judy BUY RITE HOMES
221 W Alder 3543 W STATE HWY 16
SEQUIM WA 98382 SEBRING FL
(479) 795
Other struct info TOTAL LOT COVERAGE 18 00
EXISTING LOT COVERAGE 1 00
LOT SIZE 7000 00
PROPOSED LOT COVERAGE 1264 00
TOTAL LOT COVERAGE 1264 00
NUMBER OF UNITS 1 00
Permit BL MANUFACTURED HOME
Additional desc 1264 SF MANUF HOME
Permit pin number 104497 V
Permit Fee 230 00 Plan Check Fee 00 W
Issue Date 6/26/07 Valuation 59120
Expiration Date 12/23/07
Qty Unit Charge Per Extension
BASE FEE 230 00
Permit PLUMBING PERMIT
Additional desc
Permit pin number 104505 d
Permit Fee 72 00 Plan Check Fee 00 0 1
Issue Date 6/26/07 Valuation 0
Expiration Date 12/23/07
Qty Unit Charge Per Extension
BASE FEE 50 00 `v
1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 ✓11"
1 00 15 0000 ECH PL- EA BLDG SEWER 15 00 5 7
Special Notes and Comments
Address numbers shall be plainly visible from the street
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background 07 —)7/4
06/25/2007 01 45 PM SROBERDS The proposal will result
in a mfg home placed in the RS 7 zone for total lot (2?
coverage of 18' No land use issues are anticipated
Electrical load calculations and elctrical permits are
required Customer electrical connection fee $410 00
06/15/2007 01 12 PM GMCLAIN
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance m
VI
notice is required lv
k.
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 3
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 ordi ances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
me to authority -to iolate or cancel the provisions of any state or local law regulating construction or the performance of
l c6rist c'
r/
1 2..L. 7
iure of Co tra t•r or Authoriz-d Ag ent Date Signature of Owner (if owner is builder) Date Q
3
T \Policies \I 102_15 building permit inspection record05 wpd [1/412005]
BUILDING PERIVIIT 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 .IOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
1
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
I
PIERS i
POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY.
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DPYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP /FURNACE /DUCTS
GAS LINE FINAL DATE ACCEPTED BY.
WOOD STOVE /PELLET /CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT 4'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 PLANNING DEPT
BUILDING 417-4815 BUILDING
T• \Policies \1102 15 building permit inspection record05 wpd [1/4/2005]
wF.� CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
r 4
Page 2
Application Number 07 00000691 Date 6/26/07
Application pin number 158283
Other Fees SEWER SYSTEM DELV CHARGE 1000 00
STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE 1230 00
Fee summary Charged Paid Credited Due
Permit Fee Total 302 00 302 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 2234 50 2234 50 00 00
Grand Total 2536 50 2536 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
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T \Policies \1102_15 building permit inspection record05 wpd [I/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. I T IS UNLAH FUL TO CODER, DVSULATE OR CONCEAL 4NY WORK EEFORE crs
LNSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION: b
N IALo 1. I T(
FOOTINGS J O
SHEAR WALLS WALLS 3 FOUNDATION DRAINAGE GOWN, SPOl1TS 3 23 o7 TL.L
PIERS
POST HOLES (POLE BLDGS.1
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG) nq
GAS LINE FINAL 4 1 3// TE 71/1- ACCEPTED BY.
BACK FLOW WATER
AIR SEAL r�
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING V I
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB v}--
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP /FURNACE /DUCTS
GAS LINE FINAL DATE ACCEPTED BY.
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s SEPA. CD
PARKING/LIGHTING ESA.
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
q
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W 0
ENGINEERING 417 -4807 PW ENGINEERING
5
FIRE 417 -4653 FIRE DEPT (b
PLANNING DEPT 417 -4750 PLANNING DEPT
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BUILDING 417 -4815 7 J O 1 BUILDING
T \Policies \1102 15 building permit inspection record05.wpd [1/4/2005]
Application Inquiry
H th V *I+ 1 3T>p 1 1
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Cancel Exit I
',1 49 Refresh 'W. .Land In: ..Lj Warn-
Application 07-000006
Property information Application information
I GB Bonds -„„LP:
i EB Contractor escrow 1 Address 1334 IT 15TH ST 119 Application desc 1264 S0. FT MANUFACTURED Hatti.
i DJ Fees f PORT ANGELES, WA 98363 Application status: PERMIT ISSUED V
D3 Blobalbalancedus Location ID. 158870
Status Date: 7/23/2007
i EL Inspection history f Owner name: DELGUZZI LISA Application type: RES MANUFACTURED HOME 1
GB Miscellaneous Infor!i ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3328-0000- Application date 6/12/2007 tt
El Names ALTERNATE ID. 063000043328 12 Tenant name/number. JUDY WHITE
5 Penns ri ;1',.'2`f,:',.
RIVENOWASIEBINTez.:? ArtgairOMMEI
GB Plan tracking i.
V keceipts; f
Contractor Information Outstanding inspections
NI Square footage caltl.
1:
Iffl Structures 0. Contracto Name: BUY RITEIEDES Insp Schedule Confirmation It 1
[2 Valuation calculatio i Contractor Humber. 2518 Type ID Date Number I t
Type: SPECIALTY
Status. ACTIVE He outstanding inspections exist
Contractor Requirements Doc Number
i f rillaTRataWM1fr7=0=MWW raa0MtWIWFAMIAMMCW4U li tr
t 4 If&'.',.,.:M=:.:TIV;AIIIVAIIW ia-UiTUeKi.:.Z;Z:;'41ZWAIRMIZitc: MA" I
Receipt date Race' A time Number Cashier F'avarent twe Received Paid with credit Rernainina Check nurnber
6/27/07 0066782 0066782 CASHC CK 2906.50 .00 .00 3055 i
t f 1
r 7/23/07 0077388 CASHC CK 75.00 .00 .00
7/23/07 1 0077440 CASHC CK 410.00 .00 .00 27597
Total 3391.50 .00 .00
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iIA_law will all -Far GL Po ttc_ Final S DateRec.
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r y ��t B �J ILDING PERMIT APPLICATION ."1 1 Permit -01— O 1
-Fi'vta l Bug 4 P L Q erm ate Approved 9
Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Issued:
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711 b,-
Qer soY1 a 5 olo
1 0_Oct e 0. Lll� Z p
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Applicant or Agent: S C "1' Q G �o P 1 -D 7 7 /,S 3
Owner /119, �s o Phone: a 'f
Address otoZ id (,LC City p Q S
2)-110 8 zip g838 h4a
Architect/Engineer wi0-07- Phone'
�f o84' 8
Contracto I._ iI,„, State License B2(yRlviit Exp 5/20 /03 Phone: 1p R) -0 7 7 7 p,,,
Address €45' V-6, 5 /D) City' 9636a 'I, r
PROJECT ADDRESS 4 Lt i” (L%• ZONING
LEGAL DESCRIPTION Lot: 9 Block. Subdivision' 1 3 3 4 W 154 54
CLALLAM COUNTY PARCEL NUMBER. 64,10 1 ,A� ��02-tGB� (O3o 0o0 3328
000
1,,,i ►1 be I s5ued arN aaa -.ss af-- .1 carc &I ,s sel tv jea k ei
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC
TYPE OF WORK SIZE/VALUATION
t esidential 9 Constr Re -roof Stove /a 1,1 SF /SF
Multi- family Addition Move Garage SF /SF
Commercial Remodel Demolition Deck ,3 SF /SF
Repair Sign Other TOTAL VALUATION 59, /211 ,00
BRIEF DESCRIPTION OF THE PROJECT
_frj 4, A irk 0 e—
U
COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type:
No of Stories: Lot Size: 58 X 14'h Existing Sq. Ft. Proposed Sq Ft. /et 6 4 TOTAL Sq Ft. 4L
Total lot coverage /8
PLANNING USE ONLY APPROVALS
PLAN
BLDG
DPWU
ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other FIRE.
OTHER.
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance
PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans
are submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the4ime 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 re •onsibilit o deter what permits are required not the City's, and that I
must obtain such permits prior to work. /�7 Appl'. i Ali Date: �1 /5
3 60P5 0
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GENERAL NOTES
VARIES
1. ENdNEERING DESGN LOAD S
ROOF UVE LOAD: 20 PSNOW)
2' -0' TIE DOWN HOOK 10' -0' MAX. HAND LOADING BASED ON: (S WIND ZONE 1
MAX. ARE TO BE TURNED OPPOSITE DIRECTION) SOX BEARING CAPA I 1500 PSF, 1000 PSF SEE NOTE BELOW
a 4 4 MANUFACTURED HOME REQUIREMENTS
S DE
28' DOUBLE MA —z- I 99 1/2 FRAME SPACING
O rr 1 d- e d 4.---- d d= e STRAP ANGLE: 40' MAX IN o d e 24 MAX PER HT.
e d rk SIDEWALL FRAMING HT. r -6' MAX L I e 4 .4L... Q ---2.- 4 °i C no/ i 2. CONSTRUCTION SHALL CONFORM TO THESE PLANS, AU.
d e EDITION OF THE INTERNATIONAL BUILDING U COOE AND THE MANUFACTURED
\\C HOME INSTALLATION MANUAL
\A CONCRETE NOTES
a N 1. CONCRETE SHALL BE A COMMERCIALLY AVAILABLE TRANSIT- MIX PROPERLY
so OR RU 3 /5 CONTINUOUS V PROPORTIONED AND DEUVERED TO THE SITE IN READY -MIX TRUCKS. AGGREGATE
S O EA. COR SIZE SHALL BE A MAXIMUM Of 1 -1/2' IN FOUNDATIONS AND 3/4" AT AU. OTHER
LOCATIONS. SLUMP SHOULD NOT EXCEED 4- CURING COMPOUND SHALL BE SPRAYED
/4 0 6' EACH SDE ON ALL EXPOSED SURFACES IMMEDIATELY AFTER AL TROWELLING.
2 /4 CONTINUOUS CENTER OF FRAME O FlN
2 /4 CONTINUOUS 2. ALL CEMENT SHALL CONFORM TO ASTIR STANDARD C -150. ALL AGGREGATES SHALL
w //4 CORNER BARS v /4 CORNER BARS
d :\:!!5C/QKCI: Y�% A RM TO RD T D ARD C- 3. REINFORCING BARS S CONFORM TO
e d /3 is BARS ANO WWM CRADE 40
d e 3. CONCRETE USED FOR FOUNDATIONS AND SLABS ON GRADE SHALL HAVE A MINIMUM
UAL, C a L d a 28 -ANUDAY COMPRESSIVE STRENGTH OF 3 ARD. MAN000
PSI. AND PER SHA CHAMLL N N CONTAI N BUILDERS LESS CO THAN
dam— a c FACTURED HOME I NSTALLATION
le. d d e d d� 5 M SACKS OF CEMENT PER CUBIC Y
8 P 4 4. SPLICES IN CONTINUOUS REINFORCEMENT SHALL LAP AS NOTED ON THE PLANS OR
MATING UNE e 6 4 e H.
AS FOLLOWS
d e%� a d a GRADE 40 REINFORCING BARS: MINIMUM OF 32 BAR DIAMETERS
a e a a
c L I 4 a 4 O N S -�P /4 CONTINUOUS. O CEN R d 5. UNLESS SHOWN OTHERWISE, THE MINIMUM CONCRETE COVER FOR REINFORCING
SHALL ALL BE 2- EXCEPT WHEN CONCRETE IS TO BE P DIRECTLY AGAINST
y a e EARTH WHERE IT SHALL BE 3'
U e d l O 4
NOTES:
d'
d a- U 1. MAX. PER LOADS: 4000 LB W/ 1000 PSF ALLOWABLE SOIL BEARING.
�C 5800 LB W/ 1500 PSF ALLOWABLE SOIL BEARING
A
v v
4 4
W/ 128 S0. IN. PIER BASE AREA.
F O �O 2. THIS DESIGN DOES NOT APPLY TO OVER- THE -ROOF STRAPS.
/4 0 6' EACH SIDE OF 3. SLAB TO BE SLOPED 1/16' PER FOOT (FROM CENTER
CENTER OF FRAME TO OUTER EDGE) TO PREVENT STANDING WATER.
z
S 4. REFER TO KRISTEN HOMES INSTALLATION
LONGITUDINAL P 4' CGNC. SLAB
MANUAL. FOR PERIMETER BLOCKING SUPPORT
OR PIT RUN TIED INS AS REO'0 O LONGITUDINAL IF NECESSARY.
PER INSTALLATION v 3 CONTINUOUS INSTALL /5 CORNER BARS TYP
MANUAL a 24. TED N SETUP
R SHEET 24't
\�1` MANUAL. ONE AT Is TIE DOWN HOOK
a
4 4 I
°-'d'- T- d 4 n /5 CO NTINUOUS
l 0 OF EA M IN. a 12 sE cT cN
0 e r e .:14_ d "-C— XI d I' d e f0 0 .1 4 d e= q �l j e o I 11 1' 4
o T —p e I =11 1 7.11=11,-111=11141.= =11. IhII L, 11.--
e 6 a o d
6,..] #5 EACH SIDE In 4' -0'
2' -0' /5 TIE DOWN HOOK OF HOOK
MAX.' SPACED AS NOTED ABOVE SECTION
1 MIN. 16 t 5, MAX Alf
II 3 TIE DOWN HOOK
W
16 49 A: DOWN HOOK ITS. 1
i 15 CONTINUOUS CONC. SLAB T 1" MIN. 5 3 15 CONTINUOUS MAX \,....:1) 14"
I• T j s I e a I l YMIIAF NOAO FOUNATIN PLAN i01? BW /SITE MMES a.I1LLAM COUNTY, a i_i_i= l i_ 8 1 0.110
�1�11=1L 1� 11.11 :IL.. 1 11= 11= 1 IL 11 1 J o p .11 =ll 11. IL -JI 411811=1= ll14IL=1111 =1H11 .IL= 11= 11 =1I -1L= L =11 aril t i
4.-0" 00K TO BE /5 EACH SIDE n 4' -0'
CONTINUOUS OR OF HOOK audr DRAWING:o:iw3U eur- /siEN �w
4.16- M
PROVIDE /5 X 42 BUY —RI1E HOMES
TIED TO HOOK AND NOTE. USE THIS OPTION IF HOOKS ARE TO BE TURNED OPPOSITE DIRECTION. 259403 HWY 101
SECTION q I�,> A 'DER 0 SEQUA WA 98382 X16 STET
REINFORCING AS SECTION OPTION A s roNAL E
DATE NT5 Q.0) Pump"' sT. STE. n SEPTEMBER 2004
S 1
TUTS 1 EXPIRES: 8/12/08 Z ASSOCIATE ENOVIC 519 mope S. Pt 4±17 -050 2 SCALE
FAA IIIC�Pa tATfo NT$ or 1
1
R
SAC IND. CONCRETE TIE DOWN ANCHORS
J
tl0LT ONI TOP CHASSIS
4//00. 4 7' 17002 STRAP Il
e
WITH HOLE 7.,, 7000 7' STEEL
Ate /6005 SPOT STRAP W /BUCKLE
6005 BOLT Ac NUT
a #6004
#7000 #7001 #7002 '-ate, i f, -e
t :4 „E„.„.... 1, F i: --r 'i 4 4 1 ry+
11 1 r. t
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sue ,�r�
•iy. y .h tea+
OR i- e� i
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1 ii
a Fes-\ 16003
#4002 #6003 #6004 CONCRETE TIE —DOWN 4.
INSTALLATION 'INSTRUCTIONS I
NEW CONCRETE A6004
1 PLACE CONCRETE ANCHOR INTO WET CONCRETE. AND ALLOW TO PROPERLY CURE. i 1
2. ALTERNATE CONNECTION REQUIRES /S REBAR PROPERLY EMBEDDED IN CONCRETE.
EXISTING CONCRETE 116003 t
1 CONCRETE MUST BE A MINIMUM 3 1/2" THICK AND IN GOOD CONDITION. R
2. MINIMUM SLAB AREA OF EACH ANCHOR IS 28 SQUARE FEET ALTERNATE
3. DRILL PROPER SIZE HOLE IN SLAB A MINIMUM OF 12" FROM ANY SIDE. CONNECTION
4. P POUND PULL OUT w 7 130 1/2" WITH
SHEAR. MINIMUM 2 3/4 EMBEDMENT AND
6,180
CHASSIS CONNECTION
1 ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN.
2. MADE FROM F ANCHOR T TO P OPPOSITE T CHASSIS BEAMSTRAP CONNECTION CAN BE
3. INSERT STRAP THROUGH SPUT BOLT CUT OFF EXCESS STRAP AND TIGHTEN
BOLT UNTIL STRAP IS SNUG.
NO E; SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS.
END TIE DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION
OF THE MANUFACTURED HOME.
NOTE; A COMBINATION OF DIFFERENT TYPES OF TIE DOWNS CAN BE USED T 7
Ir t
DRILL 9/16" HOLE AT MID HEIGHT
OF BEAM AND INSTALL
1` r M 1/2" A307 BOLT IN i
1i
II I (TY PICAL) q I Jl �r'.
0
SIDE VIEW END VIEW f
II c-I Q..... END TIE DOWN
SIDE VIEW SIDE VIEW NOTE; END TIE DOWNS CAN BE
1 "C" BEAM CHASSIS "RFC' BEAM CHASSIS LOCATED WITHIN 18" OF EITHER
SEE GENERAL NOTE #3 SEE GENERAL NOTE /3 SIDE OF CHASSIS BEAM AXIS.
CONTRACTORS, CERTIFICATION
1 CERTIFY THAT I HAVE INSTALLED THE SAC IND., INC. ANCHORING SYSTEM AS I
PER THE INSTALLATION INSTRUCTIONS I HAVE MADE NO MODIFICATIONS TO THE
ANCHORING SYSTEM OR TO THE BUILDING STRUCTURE.
rnNTRACTORS LIC 1
t ENGINEER APPROVAL
o:... SAC INDUSTRIES
so Y TIE DOW NS ,N oF�s
n�a� ENGINEERED TIE DOWN BYSTEM +2
co -„e lipis60\P_---- i
A
,s...............„ GENERAL NOTES
DESIGN LOADS. OREGON
es
WIND 15psf (70 MPH EXPOSURE "C") l r 14, it, WIND 25psf (85 MPH EXPOSURE "C Aro
WIND 35psf (100 MPH EXPOSURE 'C w��
SEISMIC ZONE 4 i.,.. 4( of WASH
SOIL BEARING 1000 psf NOTE; MAXIMUM SOIL PRESSURE f
IS 1000 psf WITHOUT A SOIL REPORT f ii
EARTH AUGERS 4750 MIN. TOTAL LOAD CAPACITY 1 3150# WORKING LOAD CAPACITY 1 STABIL —X DRIVE ANCHORS 4750, MIN TOTAL LOAD CAPACITY GISI'ER�
3150# WORKING LOAD CAPACITY IGNAL E��'
CONCRETE SLAB ANCHORS 4750# MIN. TOTAL LOAD CAPACITY
3150# WORKING LOAD CAPACITY exu'ilEs
TIE DOWN STRAPS 4750# MIN. TOTAL LOAD CAPACITY jit°•'-‘ oft
31503 WORKING LOAD CAPACITY ,old f' 4�
TIE DOWN STRAPS MEETS FEDERAL SPECIFICATION QQ—S-781H FOR TYPE 1 CLASS B
GRADE 1 STRAPPING AND BE AT LEAST 1 1/4" x 035 ZINC PLATED I A j 1
1 THE CHARTS SHOW THE REQUIRED NUMBER OF TIE DOWNS ON THE SIDES AND ,r 4;s
ENDS OF THE MANUFACTURED HOME. t 0 ®`'Q'
2. COMBINATIONS OF THE DIFFERENT TYPES OF TIE DOWNS CAN BE USED 9 ti
3 FOR ALL TIE DOWN INSTALLATIONS, THE MANUFACTURED HOME CHASSIS MEMBERS
A Da��
ARE SHOWN AS "I" BEAMS (FOR ILLUSTRATION PURPOSE ONLY) CHASSIS BEAMS O
CAN ALSO BE "C" SHAPED OR 'RFC" SHAPED c
4 SIDE TIE DOWNS ARE REQUIRED ALONG THE OUTSIDE CHASSIS BEAMS. END TIE f rF /1 )1p
DOWNS ARE REQUIRED AT EACH END OF EACH TRANSPORTABLE SECTION OF THE 1 MANUFACTURED HOME. 5 END TIE DOWNS CAN BE LOCATED WITHIN 18' OF EITHER SIDE OF CHASSIS BEAM n
AXIS, AND BOLT —ON TOP CAN BE ATTACHED WITHIN 18" TO 60" FROM END OF CHASSIS BEAM. 0 DAHMEN I
6 THE SIZES TYPES LENGTHS, ECT OF MATERIALS SHOWN HEREON ARE MINIMUM NO 3913
LARGER LONGER, HEAVIER MATERIALS SUPPLIED BY SAC INDUSTRIES, INC. MAY
BE USED AT THE SAME SPACING AND LOCATIONS SHOWN 7 ALL PARTS ARE COATED WITH RUST RESISTANT INDUSTRIAL SHOP PRIMER. s OF
8 THIS TIE DOWN SYSTEM MEETS THE REQUIREMENTS OF SECTION 1336 3 SUB— (a) e` \fNeA7 4 F
nTxzES '4
STATE APPROVAL SAC INCO R.,TED /4 �A 1722 A BISHOP ROAD
ENGINEERED TIEDOWN bit 11.i:, CHEHALIS, WA 98332 t
APPROVED Ph: 360.748.8850
SUBJECT TO CORRECTIONS NOTED u o DAHMEN�9� I
Approve) does not authorize or approve any omission or Q 1 s ane
devtatlon from requirements of applicable State Ism and R i
regulations. e. N v. State of Celifornlo 1 De�ertment of Ho i i F
r^ r DMS S NOFCO1E AND STANDARDS
us ng and Community Development I J 918
l „VA:, I f� .I�' �"a tt
By o� j I2,/ �X
_Y 4 t11 re Date i t s}
SPA NO TS- 12-67 "lam C`IV\ F' D IiP Etl 1 CI O CIVIL
tbLs Plan Approval Expires ____1,
PACIFIC CONSULTING ENGINEERS t ''t
2150 BELL AVE. SUITE 145 t'
SACRAMENTO, CA. 95838 do 302 ',it*
PH. (918) 564 -6028 nn.„.
WIND ZONE 1 (15 PSF LATERAL)
F
CONNECTION BETWEEN ROOFS This is a recommended spec not a
TO BE PER IHSTALLATWW INSTRUCTIONS requirement for Longitudinal tie downs Is
MANUAL. SE SAME DESIGN AS FOR
°O" 'USE 1NT°�OOHN AS for a Triple Wide Karsten
U
Manufactured Home.
[I i i 1 I. i
iii I
F
U
S
ill Ref. Cale, 1 October 6, 2000 +BETWEEN FLOORS ENDWAL1S
TO BE PER INSTALLATION INSTRUCTIONS
MANUAL USE SAME DESIGN AS FOR
DOUBLE WIDE INTERCONNEC1IOU
7
LONGITUDINAL T1 MOWN x
7
U
R
LONGITUDINAL TIEDOWN 1
TIEDOWNS TO BE MU 111 AS
SPECIFIED FOR 0O118CE WIDE
4 TOTAL La:gm TIEDOWns E ACH ENO.
1) EACH END ON OUTSIDE UNITS AND (2) EACH END ON CENTER SECTION
1 -8EAM.
r —B
45• A Q.� RE'
LwI- F
OSS 4ES0ER G Do, <c
;a OCT 6 LI 0 fn 1
X..
o
2E1
r Fgdplell�lobile
LONGITUDINAL TIEDOWN jHStALU, p A
I ty-
i G
.cam Si
s as v� of
a
A.
RE SUA -73
R COMMENDED TIEDOWN D SITE CONNECTIONS SYSTEM
•NTINUOUS P 'LE WIDE (13 -4 FLOOR MOTHS)
This is a block and tie down spec
for a Double Wile. Triple Wides
are set the same per Karsten Homes. WIND ZONE i (15 PSF LATERAL) Nora
T. FRAIL£ TLE -DOWN SHOULD BE INSTALLED TO PROPERLY
See attached letter TIC HOUE
Z OVER -THE -ROOF TIES ARE NOT REWIRED WITH PROPERLY
SPACED AND INSTALLED FRAME TIEDOWNS. HOWEVER„ IF OVER-
BY LOCAL JURAD I
THE -ROOF T1tDONTtS ARE REQUIRED THE TiON,
THEY MAY BE INSTALLED. 1 (bEN fbUIRE 4
OVER THE =ROOF TIES BE SECURED
4. FRAME TLE?vIWNS
TD SHE StltE GROUND RS R THE
ANCHORS ARE NOT SUPPLIED
S OVER -1 Boo r S JW4PS Nfi REQUIRED) ARE SiIPPIJED
y .VICLIORS ArN END TRFATLNElflS
ARE TO BE AI BY OTHERS
CROUI4I) A NCHOR S AND FRAME TIE SIWL EiF CAPABLE OF
EL Mr
INSTALLED PER THE MANUF OF ACR RFR"S INSTALLATION INSTRUCTI S.
ARE NOT TO MEND MEND BEYOND THE SIDEWALI OF THE HOWC. BUT 7. STEEL AN CRORINC EQUIPMENT E POSED TO THE WEATHER
I rC n (FAST OZ OF ZJNC PER
Ti WN STRAPS AND ANCHORS MAY
2, FIE OFFSETUP TO FOUR FEET A110W ALIpNMFNT WTIH OVETN-
THE —ROOF S1RAP5 FRONDED NO OEtI EASE W THE TOTAL
T7tDO�N NUMBER OF FRAME 71FDOWNS RESULTS
1( 9_ DESIGN EWISS0 ON.44 1/Y 1
70 SPM7NC MD A W iuuY -„„,s_....it
AI k I SiDEWA1LHE7CFiT OF T —C
10. ANOIORS SHOULD BE CERTiMED FOR THESE CONDITIONS BY
A PROFESSIONAL ESC/NEER, ARCHITECT OR A NATIONALLY
REAR 7IFDO•r>a 1lEDOenN SPAOlIG T1EDOwN SPACING RECOGN ZED TESOHC LABORATORY AS TO THEIR RESISTANCE,
PER CHART TIFDOM?I SPACING TIfDC7flN SPAONG TEDONN SPACING FRONT IWDOFM BASED ON THE INSTALLED ANGLE OF DIACONAL TIE AHD /OR
T-4 MAX PER CHART PER CHART PER OL•ANT PER CHART 2--0" WAX VERTICAL TIE LOADING AND ANGLE OF ANCHOR INSTALLATION, AND
TYPE OF SOIL IN WHICH THE ANCHOR IS TO BE DLSTA EEt
11. GROUND ANCHORS SHOULD BE WEDDED BELOW THE MOST
TYPICAL SIDE ELEVATION SHOWING TIED 01YN SPACINGS L»4E MO BE AT LEAST 1r ABOVE THE WATER TABLE AND
1Z GROUND ANCHORS SHOULD BE DiSTALIFD TO TiaEOR FULL
0° Rc` DEM, AND STABILIZER PLATES SHOIRD DE INSTALLED TO
N N S INS
PROVIDE ADDED RIDSTANCE TO OVERTURNING OR AIDING
1' ■t TA ANCIfDNiPNC E0U1 SHOULD BE CEATiFI.D BY A
V ir Op RECts1ERED PL10FE55i0NAL D4CIHEI7E OR ARduiECT 10 RESIST
E/3
a r FIED i3Ts N ACCORDANCE wmmi ESTING
P ROCEDURES THESE SPECI LN FO
ASi1t SPECIFICATIO D35
T V3 41,
E g 3; T stANDARD SPtaFICATION FOR RAPPDIC. R E}1 ND SEALS
;.t h 1 1f. Si APP TNC TU ST
FFY TYPE 1, F1NLS11 El, AT sT GRAD 1 A STEEL
L -p 6 i STRAPPING. 1 -1/4 WIDE ANO .035 INCHES IN THICKNESS,
CERTIFIED BY A REGISTERED PROFESSIONAL ENGINEER OR
j' ARCHITECT AS CONFORMING WON AS STANDARD �GIT
1 1'.---1.1 1 1 o.+�- THE -ROOF EI E C FIAT STEEL AHD -S SPECIFICATION FORS RAPPING.
OUSStS (*ea veg u r J 1 FLOOR ASSEMBLY -1
1 WRAPS
TIOOi: n%TD+ GRAS=
I P 4T I NCtIJDLS DEPTH CI 1-410m
ri El ``q
FRAME TIEDOWN SPACING CHART
I SECTIONS „SHOWING TIEDOWHS WI EAVE
j•^�i' WI OVERHANG PIER HEIGHT
]I 1 S U E D v-� 15'-4 SINGLE 12 10'- 12-
,i�.
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Fir,AL CONFIR--
West 15th Street
5 0 00
I I
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I ITV OF PORT ANGELES Construction Mans
T Issuance of this permit based upon the plans, .;pt
51 11' c•tions and oche data shall not prevent thi building offi 'al
f nm thereafter requiring the correction 9f errors in
p specificaticris and other data, or from pre en ig
bidding operation' bung carried on therLunder when in
vi ,lation of ail code ano ordinances of this jurisdicti n.
1 uoc I form ;u
A proval Date i By
140 00' 140.28' J
4x4 deck/ It
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home
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White Judi scale I =20
Lot 9 rortl,on of
Marcel 0600004528 as of 6/ 4/ 07
20 1203051
gani When recorded 1 Ptr., cop. u1 u r op
OLYMPIC P1 C1�1I Coup 1•athln 06r0e /700. 03 50 00 PO
TITLE coMI Ell itj'iii,$) t'itI Jr+A IcoN 11 l
40. 6 7 GI
TRANSACTION GISE To /1 (A 7 It t
DATE JUM r e 2OO?
PAID O 6°
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File Nu bar L1088628DW LPB 10.05
STATUTORY WARRANTY DEED
THE GRANTORIS► LISA DELGUZZX AS HER SEPARATE ESTATE
for and In consideration of TEN DOLLARS AND OTHER GOOD AND VALUABLE
CONSIDERATION
In hand paid, convey., end warrants to JUDY 3 WHITE A SINGLE WOMAN
the following described reel estate, situated In the County of CLALLAM State of Washington.
LOT 9 BLOCK 433 TOWNSITE OF PORT ANGELES
SITUATE IN CLALLAM COUNTY STATE OF WASHINGTON
Abbrevleted Legal: (Required If full legal not Inserted shave.)
LT 9 BLK433 TPA
Tex Pereel Number {el• PTN OF 063000 043328
Derad: Ju e 07 2007
J-
LISA DELGUZZT
State of WASHINGTON
County of CLALLAM as.
I certify that I know or have satisfactory evidence that
LISA DELGUZZ,I___
is the persons) who appeared before me and said
person(s) acknowledged that she signed this instrument and
acknowledged it to be her free and voluntary at for the
uses and purposes mentioned in this instrument
Dated 6 00OIg t r
SHlO8(p Ilf
-.1:- P'k Ekp4 *i
1.-,71.)• B AR t i
2 0 I ,a
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l i A u w`' c,= Notary name rioted or typed. DAWN L SHIDELER
r `h 4 11P r b' in and for the Stall of WASHINGTON
y
rr 1�rF u\. 4 Res at: PORT ANGELES y
M Appo Ex G /9 /201 t
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,l S OF WASHINGTON ;i:,:\
J DEPARTMENT OF COMMUNITY TRADE AND ECONOMIC DEVELOPMENT
N. OFFICE OF MANUFACTURED HOUSING �t
\��Vli The person named hereon has met the requirements and
�>'�a is certified, as provided by law as a
i ill Manufactured Home Installer i ii,� w ‘E
X0 ('4 C 4
JAMES H HOESEL
la
°f Al E
i Number Issued Date Expiration Date
�J Manager Office of Manufactured Housing
t ;ilk/03
WAINSO 50 8/17/2004 7/61/2007. i
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�,:.:4" •'O'� '+r,, 1
H CONSTRUCTION
640 PARRISH ROAD
SEQUIM, WA 98382
TELEPHONE 360 681 -0871
779, psi —)1
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DrvISION
121 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
07-00000691 Date
156263
1334 W 15TH ST
06-30-00-0-4-3326-0000-
JUDY WHITE
RES MANUFACTURED HOME
7/23/07
RS7 RESDNTL SINGLE FAMILY
59120
Owner
Contractor
White Judy
221 WAlder
SEQUIM
BUY RITE HOMES
3543 W.STATE HWY 16
WA 96362 SEBRING
(479) 795
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
FL
Other struct info .
16.00
1. 00
7000.00
1264.00
1264.00
1. 00
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
OWNER/ MOBILE HOME
106153
75.00
7/23/07
1/19/06
Plan Check Fee
Valuation
.00
o
~
VJ
..z
Qty
1. 00
Unit Charge Per
75.0000 ECH EL-MANF HOME SERVICE & FEEDER
Extension
75.00
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
06/25/2007 01:45 PM SROBERDS --The proposal will result
in a mfg home placed in the RS-7 zone for total lot
coverage of 18%. No land use issues are anticipated.
Electrical load calculations and elctrical permits are
required. Customer electrical connection fee $410.00.
06/15/2007 01:12 PM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
l
"
""
~
\}.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
1000.00
4.50
1230.00
V1
L1
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 75.00 75.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 2309.50 2309.50 .00 .. 00
COMMENTS/ACTION NEEDED
~
ELECfRICAL PERMIT INSPECfIONRECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
COMMENTS
NO
GENERAL COMMENTS:
PW-IJ 02.1 S (4'96) .
./
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CI1Y OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TIISTREET, PORT ANGELES, WA 98362
o r-(pC})
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Qty Unit Charge Per ~s
BASE FEE . 200.00
- - - - - - - - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -.- - - - - - - ..
Permit RIGHT OF WAY
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Owner
White Judy
221 WAlder
SEQUIM
Other struct info .
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
6/26/07
07-00000691 Date
158283
1334 W 15TH ST
06-30-00-0-4~3328-0000-
JUDY WHITE
RES MANUFACTURED HOME
13.:;.4WIS-ch
J~W~
RS7 RESDNTL SINGLE FAMILY
59120
Contractor
BUY RITE HOMES
3543 W.STATE HWY 16
WA 98382 SEBRING
(479) 795
TOTAL % LOT COVERAGE
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
FL
18.00
1. 00
7000.00
1264.00
1264.00
1. 00
PUBLIC WORKS RES WATER SERV
5/8" DROP METER
105429
200.00 Plan Check Fee
6/26/07 Valuation
12/23/07
.00
59120
.
105437
50.00
6/26/07
12/23/07
Plan Check Fee
Valuation
.00
59120
SANITARY SEWER HOOK UP
0"'-
~/}
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
105445
120.00
6/26/07
12/23/07
plan Check Fee .
Valuation
.00
59120
Qty Unit Charge Per
1.00 120.0000 EA SAN SEWER HOOKUP
E~
-~
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
06/25/2007 01:45 PM SROBERDS --The proposal will result
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 goveming 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 construclio"n or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.15R [1I05J
'",-~
8"~~
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~;:oo>
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TIISTREET, PORT ANGELES, WA 98362
Application Number
Application pin number
07-00000691
158283
Page
Date
2
6/26/07
Special Notes and Comments
in a mfg home placed in the RS-7 zone for total lot
coverage of 18%. No land use issues are anticipated.
Electrical load calculations and elctrical permits are
required. Customer electrical connection fee $410.00.
06/15/2007 01;12 PM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
-----~~~~~-;~~~--~-~~~-~-~-~-~-~-~--~~~~~-~~~;~~-~~~;-~~~~~-c:=:~~~~--
STATE SURCHARGE ~
PW WATER SYSTEM USE FEE 230.
- - - - - - - - - - - - - - - - - - - - - - ~ - - - - - - - - - - ~ - - - - - - - - - - - - - - - - - ~ - - - - - - - ~ - - - - - - - - - - - - --
Fee summary Charged Paid Credited ue
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
370.00
.00
2234.50
2604.50
370.00
.00
2234.50
2604.50
.00 .00
.00 .00
.00 .00
.00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned
for a period of180 days after the work as commenced, or if required inspections have not been requested within 180 day$ 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 Con1ractor or Authorized Agent
Date
Signature of Owner (if owner is builder)'
Date
T:\Policies\1102.1SR [1105]
r
,.
APPLICATION FOR WATER
City Water Division, Port Angeles, WA
Issued date: In//; G J 67 Installed by & date: ItJ~"l Pem,it # 07 -&:,9/
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises: . ~
APPlicantName&Phone:M,1. ftJ~ (f?-.IY 1';7, -~
Iv If? Ci:2.. MailingAddress:
7P.A- ParceI#:D~300oo43~
F W/O# D"1-'bDlo'f)1..?'\
: :t 2W ~ I, 23D Restoration Required:
C'" . ~ Remarks:
s$:.. ~T
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. . . .
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . . . .
. .
REQUEST:
Date 8 -9 - 07
Time
Received by
'RV'
(phone. person)
'n
Location of Work to be inspected 1'33 q
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
W 15+M
));a~o"'-"'~
(>0,^-51
Final
Phone No,
Permit No.
twer E~ther
07 - (0 c1{'
By RV
Remarks: N,<-IAJ ';<2.l<.>ev- c....""'''-c,-t'''',,, b"?Ve:: .(.--O"^- e.'X:s{,'~ ('",,,-<<{'~te wye
0- + ""-D, ~ V\, q , (;,/1 de.eD) y II -?Vc. re.dU-.C Qy-- a.\- '? L , L/I' 1"1/'-- fo ^eu.J
) \ / '
AO-YUA,-f O--t. 't'-".v-e 0 Ho V1AE'.
INSPECTION NOTES:
Inspected: Date B - q - 6{
Time
RESTORATION REQUiRED...... YES
NO k'
?/L Ne..) ~ f7:L t
N,Q"-,,,f.dl}'"
~o,,",e.
/ ~
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u' <10 2- 'Jeep
,
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1+ ___ N~u.J fo/;PVc...
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'-"" 9~/ ~' 12./' ~/f
- c.o",,,,e.c-l-'''tI i"" Gx,'sf/~
J ()J'i '€. 9/(,// beep
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date Z - iD- 69
Time
Received by
'KV
(phone. person)
/55 / / X Jxj---IS fcr---,--"
Location of Work to be inspected '7 Z- r~ ' / '---!-
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing (Fi~ Sewer Excav. Other
Phone No.
Permit No. [3HCfTT)
INSPECTION NOTES:
Inspected: Date, Z - ID~O'1' Time
Remarks: $~\A.:\Q.V'- 'P,-q -07
By F2. V
() 1<
, {;
RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
,,...__...~____ __ __u____ _L..I_ !~________~_,
-
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ELECTRICAL WORK PERMIT APPLICATION
Buddin Perm,t- 'It 0"7-10(11
Job wired by
o Electrical Contractor
Owner
Installation description
o Commercial .ef Residential
~
Electrical contractor name
/nccrR wh; f-e...
Purchaser's mailing address I
:')..:1..1 w. /l;d-er
City
;; €9,. IU'M
Tclcph<o'nc number
0,0 (" S'3 ~GjS
License number
AJ~j{f?~e..
Date Expires
.zlNew
o Altered/Addition
"^) f:{
9S'3J'Z.
P>'1Q/luHuf,uf'd. IINJ7e
5'+1'<<'<-1- 1-0 U"Me.. +0
b~,
State ZIP
FAX number
Premises owner's name
:r;..dy wh;f,e.
Address of inspection
13"3'1 W.IS-r.!J.
C;'?or-f rh1~.,j~S, ,
Phone number to schedule inspection:
o (P'i:3- LfiD 35~ .
OWI1(' as defined hy RCW.:/9.28:26l:(J) Owner witl occupy the structure for two
years after this electrical permit is finalized. (2) Owner is required (Q hire WI electrical
contractor if above said properly is for sale. relit or lease.
After reading the above statement, I hereby certify that I am the owner of the above
named property or a licens<;d electrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapler 296-160, The City of Port Angeles Municipal Code, and
Utility Specifications. .
Sig'nature of owner, el~etrical contractor or electrical administrator
o Cash -e(Chcck #
o Credit Card
Visa
, Mastercard
Discover
Card #
x
Date:
Expiration Date
of card
Electr; al L6 d Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump _ Ton '-- LAR
o Fan-Wall KW
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage
Phase 0 1 0 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
TIIERMOSTAT
Dale Approved Uy
Dale
Approved By
SERVICE
Au>
Approved By
Durn
7 Jd;J
Approved Hy
FEEDER
/lale Approved By
.
Area, Building Dr Equipment Inspected
Action Taken
Electrical
Inspector
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ELECTRICAL INSPECTION ,. ___I
WIRING REPORT
417-4735
- 9 (
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APPROVED NOT APPROVED
bl' . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . 0
t!:J. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
):!7 . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDED: 2SJ!rZJ~ ~<;~/r/ ./
~P~.-/t'b r'~D
/- ' ./ ~V ,P'~L '/.v/ll,vQ
2'--- ..,/ ;n677'/ -vd'-v -'-yO
_'5 - ,~r~/L./ eO" /o~,y' T-'
5.E-.,pi//Q-6b ;70 6~t€-
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381