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Home My WebLink About1826 W 15th St - Building Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000799 Date 149171 1826 W 15TH ST 06-30-00-0-4-3830-0000- ELECTRICAL ONLY 7/09/08 RS7 RESDNTL SINGLE FAMILY o Application desc Wall strike repair Owner Contractor GNL DEVELOPMENT GP 1115 E FRONT ST PORT ANGELES (360) 452-7861 WA 98362 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457-9270 WA 98363 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 129528 Permit Fee 34.00 Plan Check Fee Issue Date 7/09/08 Valuation Expiration Date 1/05/09 .00 o Qty 1. 00 Unit Charge Per 34.0000 ECH EL-R OR RM REPAIR METER/MAST Extension 34.00 ~ ~ 0' Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 34.00 34.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 34.00 34.00 .00 .00 ~ - ~ S ~ ~ SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE 7 -'7..-Cf() - OUGH - IN FINAL 7-'7 OMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000322 Date 422412 1826 W 15TH ST 06-30-00-0-4-3830-0000- ELECTRICAL ONLY 3/12/08 RS7 RESDNTL SINGLE FAMILY o Owner Contractor Anderson Homes 618 S. Peabody St. #H PORT ANGELES WA 98362 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457-9270 WA 98363 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 122721 Permit Fee 113.00 Plan Check Fee .00 - Issue Date 3/12/08 Valuation 0 ~ Expiration Date 9/08/08 N Qty Unit Charge Per Extension tJ' 1. 00 69.0000 ECH EL-R-SQFT FIRST 1300 69.00 2.00 22.0000 5C EL-R-SQFT ADDITIONAL 500 44.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 113.00 113.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 113.00 113.00 .00 .00 G c:--- CS\ (J\ 1 SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE >/1 OUGH - IN FINAL OMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001497 Date 12/14/07 936222 1826 W 15TH ST 06-30-00-0-4-3830-0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY o Owner Contractor GNL DEVELOPMENT GP 1115 E FRONT ST PORT ANGELES (360) 452-7861 WA 98362 CURRENT ELECTRICAL CNTRG INC. 416 N. CARNE STREET PORT ANGELES PORT ANGELES WA 98362 (457) 1831 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE 11 7770 CURRENT ELECTRICAL 40.00 12/14/07 6/11/08 CNTRG INC. Plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 40.0000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 40.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.00 40.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40.00 40.00 .00 .00 r;:t:< ~ (J' ~ 0"\ ~ ~ I INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH - IN 121 te/<fl- #? ~ FINAL COMMENTS: f pORT ~ Ot:~O~~~ ~ L -=::;...>r ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 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 Owner ANDERSON HOMES 618 S. PEABODY PORT ANGELES (360) 452-4641 Other struct. info Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 07-00001105 Date 11/19/07 899025 1826 W 15TH ST 06-30-00-0-4-3830-0000- RICK ANDERSON RES NEW SFR RS7 RESDNTL SINGLE FAMILY 140340 Contractor LLC ST ., SUITE H WA 98362 ANDERSON HOMES LLC 618 SOUTH PEABODY, PORT ANGELES (360) 452-4641 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS STE. H WA 98362 22.74 V-N 2.00 7000.00 1592.00 1592.00 1. 00 BUILDING PERMIT -RESIDENTIAL 1680 SF SFR, 456 SF ATT GAR 111724 1249.85 Plan Check Fee 11/19/07 Valuation 5/17/08 499.94 140340 Qty Unit Charge Per Extension 1020.25 229.60 BASE FEE 41.00 5.6000 THOU BL-100,001-500K (5.60 PER K) Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 112300 203.40 Plan Check Fee 11/19/07 Valuation 5/17/08 .00 o BASE FEE 5.00 7.2500 ECH ME-VENT FAN 11.00 10.6500 ECH ME-OTHER APPL. N/R Extension 50.00 36.25 11 7.15 ~ ~ ~ ~l ~ y*-- ~ Qty Unit Charge Per permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 112292 163.00 11/19/07 5/17/08 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE 12.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE Extension 50.00 84.00 7.00 Separate Permits are required for electrical work, SEP A, 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 has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with wheth ecified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state r loc I law regulating construction or the performance of construction. T:Forms/Building OivisionIBuilding Permit (10/01/07).wpd Signature of Owner (if owner is builder) 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 YES I NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA TION SLAB . WALL / FLOOR / CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS I GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'5 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. 4 I 7-4735 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.Forms/Building Division/Building Permit (1 % 1/07).wpd ~ pORT ~ ....~O~~ i; f'trffii""' .....~ ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number 07-00001105 899025 Page 2 Date 11/19/07 Qty 1. 00 1. 00 Unit Charge Per 15.0000 ECH PL- EA. BLDG SEWER 7.0000 ECH PL- EA.WATER HEATER Extension 15.00 7.00 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. A residential fire sprinkler system, installed per NFPA 13D, will be required. 2nd option is to install an outside alarm bell that is inter-connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as "Fire alarm" October 1, 2007 1:19:01 PM sroberds. The proposal will result in a new sfr in the RS-7 for total lot coverage of 23%. No land use issues noted. Electrical load calculations and elctrical permits are required. Customer connection fee of $410.00 required. 09/26/2007 09:38 AM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Down spout drains may be connnected to storm system in alley. Construct driveway 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 pouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1616.25 1616.25 .00 .00 Plan Check Total 499.94 499.94 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 4350.69 4350.69 .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 has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/BlIilding DivisionIBlIilding Permit (IO/OI/07).wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. !\ ~ CALL 417-4807 FOR PUBLIC WORKS UTILITIES V PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE .-J INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. , . KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. - INSPECTION TYPE DATE ACCEPTED COMMENTS 0- YES NO \5'\ FOUNDATION: 6\ Je/2-/og fo6tihj f~ lu4~ :::JU- FOOTINGS \ 2- 31-c)'l PiS SHEAR WALLS / WALLS L-21--o8 ("ILL O\IO~{()g F-coTi~ FOUNDATION DRAINAGE / DOWN SPOUTS \_ Q-fIR ';fLl.- PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN 2-'2.2-0& ;TU- WATER LINE (METER TO BLDG) '-S{ -() R- riLL- GAS LINE FINAL5~.zI-OR DATE JLL ACCEPTED BY: BACK FLOW / WATER AIR SEAL 3.-\'t-O g . PB WALLS - CElLlNG ro FRAMING 3:-\ (1--DR Pi?:> JOISTS / GIRDERS N SHEAR WALLIHOLD DOWNS S' WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) Z. T-BAR ~ · I ,...n. '11 L , INSULATION - L.. T}]<:,. , SLAB .....--- WALL / FLOOR / CEILING vJ MECHANICAL ~ HEAT PUMP/FURNACE/DUCTS GAS LINE \f\ WOOD STOVE / PELLET / CHIMNEY FINAL!?> 2/-0 & DATE J (<- ACCEPTED BY: + COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES 3 FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING J:ol' .1 PLANNING DEPT. SEPARATE PERMIT #'s SEPA: \ PARKING/LIGHTING ESA: , ~. LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE ~ RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W. / PW/ CONSTRUCTION - R.W. Z. ENGINEERING 417-4807 PW / ENGINEERING ~ FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. \f1 BUILDING 417-4815 :>-2\-D~ :-rU- BUILDING T: corms/Building Division/Building Permit (1 % 1/07).wpd 11\ \ f"ORr~ lO~~ if Uiii ,..- ---- ~.,~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner ANDERSON HOMES 618 S. PEABODY PORT ANGELES (360) 452-4641 Other struct info Permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 07-00001105 Date 11/19/07 899025 . 1826 W 15TH ST 06-30-00-0-4-3830-0000- RICK ANDERSON RES NEW SFR RS7 RESDNTL SINGLE FAMILY 140340 Contractor LLC ST ., SUITE H WA 98362 ANDERSON HOMES LLC 618 SOUTH PEABODY, PORT ANGELES (360) 452-4641 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS STE. H WA 98362 22.74 V-N 2.00 7000.00 1592.00 1592.00 1. 00 PUBLIC WORKS RES WATER SERV 5/8" DROP IN METER 112839 200.00 Plan Check Fee 11/19/07 Valuation 5/17/08 .00 140340 Qty Unit Charge Per Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BASE FEE Extension '200.00 RIGHT OF WAY 112821 50.00 11/19/07 5/17/08 Plan Check Fee Valuation .00 140340 Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Extension 50.00 SANITARY SEWER HOOK UP 112847 120.00 11/19/07 5/17/08 Plan Check Fee Valuation .00 140340 Qty Unit Charge Per 1.00 120.0000 EA SAN SEWER HOOKUP Extension 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. Separate Permits are required for electrical work, SEP A, 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 r16t 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 authori to 01 e or cancel the provisions of any state or local law regulating construction or the performance of con~n. Sig T:\Policies\1102.15R [1/05] 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 NO PW UTILITIES (Engineering Division) WATERLINE 1 METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO 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:\Po1icies\1102.15R [1/05] I , ~,ORT~ lO~~~ ~ L~ J~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTll..ITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 07-00001105 Application pin number 899025 Page 2 Date 11/19/07 Special Notes and Comments A residential fire sprinkler system, installed per NFPA 13D, will be required. 2nd option is to install an outside alarm bell that is inter-connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as "Fire alarm II October 1, 2007 1:19:01 PM sroberds. The proposal will result in a new sfr in the RS-7 for total lot coverage of 23%. No land use issues noted. Electrical load calculations and elctrical permits are required. Customer connection fee of $410.00 required. 09/26/2007 09:38 AM GMCLAIN -----------------~---------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Down spout drains may be connnected to storm system in alley. Construct driveway 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 pouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 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, SEP A, Shoreline, ESA, utilities, private arid 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\1102.15R [1105] L 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 A CCEPTED. 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 I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I 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\1102.15R [1/05] a) a) o , ..... N , IJ1 0000 ~E-< ..;..; a.. 0 .......... "'''' \0\0 "'''' , , NN IJ1IJ1 "'''' >< ..:I. e>: 00 H ..:I E-< 00'" ~oo 8:ii f-<o-, Z .. oe>: HO f-<f-< UU 0000 a.. a.. 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H , '" .-q:~ZZOr-l 9 , 00 ~~gg~~ :~ 00 HQQ -...:l ~o::oo ::>0000 , \:\ r-M \.O~~~MO <XlE-<E-< '0 oel N U ~ Q I I 0000 " ~~ ~~ ~~~ OM...:l ,... 0::>0. , M 0:;: , " 'E-< 000 'N NO>: 0>: 0>: <>:O>:U ,... .....0 . <Xl 0>: .00 '" : " 0. ZO <Xl <Xl Q E-< 00'" 00 - U ~ ..... ~O OOE-<<C ...:l E-< 0 0 ~~~&J~...:l H 00 0.>< ~ , ME-< QZZZO>:o. 0. ... O>:H ~M03:<Co. >< ...:l o.U E-<UOo.<c '" E-< <Xl -" PRESCRIPTIVE APPROACH-SIMPLE FORM For the Washington State Energy Code (2006 Edition) Climate Zone 1 Site Information: Building Department Use Only: Lot: Ltfr '7 Address: I ~2b fU. Ir;;hl ST. City: FtJPT tf1J€rH_0S' State: (e..J!1-- Zip: 1 tJ,?{.,3 Contact: 1\ I c..~ ~/f/Jt:f-,0IJ Phone: 452 - 4b 1, ( Phone 2: FAX: Permit # Notes: ()t-.LloS' Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) ';;!:;w~i'I)'. t;~~n,7;.. ,Wall!t;: '. ,,:.)) ;)lnterior;.Exterior )~;;:~: ;J~~~l~1:("'?~~~~i,~~ III 0.40 0.58 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 This Project complies with the following: .y The project is a single-family residence or duplex. .y The project is a wood frame OR all of the insulation is interior or exterior of the framing. .y All building components meet the requirements listed in Table 6-1, Option III. .y The project will meet all other provisions of the WSEC and VIAQ. The P)Jl.tect will take advantage of the following exceptions to the prescriptive option. /0 602.6 Exception 1. One door, that is 24 ft. or less, that does not meet the standards allowed. Location of the door taking this exception: 0602.6 Exception 2. Doors with a U-Factor,ofOAO allowed without calculations, Option III only. . Location of the door(s) taking exception: Type of Heat Source: E::-LJ::~ c . ~ ~ en w ~ I. .. u h~ .. 0 it" aI en ;f: .a~m c -~ o !- Ul Ul (J)J! ..... Q) Sell Q) E .,[]I -g 0 .. ;;;~ <C:I: S ~~ ~ . T""" ~ C\i " I!!' !i I~ i <( ~ <\g ~ " ..:...; ~m ~ ~~ ~ ~ Q) ~ Ol i 11l CD > ~ " 0 ~ I 0 ~~ 0 9~ "s ...J e ! ~ Ii 8l ~ ~ ~ '0 ~ ~ ~ ~ ~ ~ ~ ~0ee / / / / / / / / gyY f!'/ $/ .... " / if / / "b;,., ,,~~~ ~'< .... """"~" "- I'- "" '" '/'" " . ,->' b "') ") . ~ 11-0,>" _J / ~"'~""" /;/ " " " ;." '~"" /' )' ..~v · .,1....,,< C eel a.. Q) .~ CJ) ,---- .. ~~;5~il~:~~~ i~.. .~~) \..-- ~ '--=---' BUILDING PERMIT - APPLICATION ate Issued: Fill out COMPLETEL Y and in INK. Your application, prescriptive energyO form, plans, specs, and a 8 If,'' xII" site plan MUST BE COMPLETE to be accepted for review. (360) 417-4815 FAX (360) 417-4711 Residential projects: submit two sets of plans Commercial projects: submit three sets of plans /3(( (en ~eo IS.//. 1(( GIt- lrNo~9CI\l big ~ ~f)r 9T. Contractor/Engineer kN Pe!!~ /hr"" C5 State License # ,4A//Je1?Ift..a:::o,/S Expires (2. -C$- (:) 7 Contractor/Engineer's Address big ~ feAtJO,{)'J" c:;;;:r. t;;:C{lTc 1'JI~r Phone 49Z - f64/ Ig~b tv. ff;k1 :;;r. ZONING: f{97 LEGAL DESCRIPTION: Lot: L~T 7- Block: Phone 157- ,?o14 1S2-~~41 Applicant or Agent Owner Phone I' /1 /I t711/ re rr Owner's Address PROJECT ADDRESS: ,J8 Residential o Multi-family o Commercial o Repair TYPE OF WORK ,B' New Constr. 0 o Addition 0 o Remodel 0 o Sign 0 Re-roof Move Demolition Other q z. Y D1 ~t ~ L ~\ d:6~9n fC"-G\<e::.b 07- 069 '30 wi#\ 0... SIZE/VALUATlON76.09 12.7.831 Lot 1 o Stove j'BtJ SF.@$A~SF.=$ HCds;t:.. o Garage 1i'?t:.. SF. @ $ 21.Jf? /SF. = $ ,2., . t:j~ o Deck :t 0 ~:.? -J SF. @ $ /2. ~d /SF. = $ ~--tt TOTAL VALUATION 0 11../0) 3l.Jo CLALLAM COUNTY PARCEL NUMBER: 1/ 3 ) ~01 New ca.I'3Tff'tlCT((JM. 5'/~~tc fi+lttILY iff!$;;/PeHCC Wlttl A-TTIfafe:D 6i~.Jrqe COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: Existing Structure(s) basement Sq. Ft. & Proposed Structure(s) basement Sq. Ft. :(!:" ~ 1 ,( floor Sq. Ft. & I" floor :;~$ Sq. Ft. 2nd floor Sq. Ft. & 2nd floor _ __ Sq. Ft. 3'd floor Sq. Ft. & 3'd floor Sq. Ft. Accessory Structures Sq. Ft. & q~. ,'.BBBSSQr~' <;:tr'J~tltl'Ol., +5h Sq. Ft. Existing Structure(s) TOTAL Sq. Ft. & Proposed Structure(s) TOTAL Sq...ft. TOTAL of existing & proposed structures 'ZI-~b Sq. Ft. Maximum Height of Proposed Structure(S)~Ft. BRIEF DESCRIPTION OF THE PROJECT: \. ~ Beo-hX>01 S~ fv II bo:,~ 2.. :::;::=-- { bt\,~>---L LOT COVERAGE Lot size Sq. Ft. 7 ()~O Existing Structure(s) Sq. Ft. Footprint Proposed Structure(s) Sq. Ft. Footprint TOTAL Structure(s) Sq. ~rint Total Lot Coverage ~ (f) %- 1-2. .1 Lf- V ALVA TION 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 417-48] 5 for assistance, PLAN CHECK FEE: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are due at the time of permit issuance. EXPIRA TlON OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects) each. The extension> shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3,2) Are you planning to install a lawn sprinkler system? . -fr5~ 15'1z . I r;; 13 '2... \ 59,2- (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.) 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, and that I must obtain ,uch pe,mil, priM to wo,k. . (Il Date tJ1 A /7 A ~7 Applicant ~ Web Version 8/14/2007 v --g~/ '"- ~- "'c~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 07-/lO~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning Application valuation 07~0000110S Date 11/19/07 899025 , 1826 W 15TH ST 06-30-00-0-4-3830-0000- RICK ANDERSON RES NEW SFR IgZ~ w[5~ RS7 RESDNTL SINGLE FAMILY 140340 Owner Contractor ANDERSON HOMES 618 S. PEABODY PORT AN"GELES (360) 452-4641 Other struct inEo LLC ST., SUITE H WA 98362 ANDERSON HOMES LLC 618 SOUTH PEABODY, PORT ANGELES (360) 452-4641 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS STE. H WA 98362 22.74 xindev9Jn No~ V-N 2.00 7000.00 1592.00 1592.00 1. 00 Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 5/8" DROP IN METER 112839 200.00 Plan Check Fee 11/19/07 Valuation 5/17/08 .00 140340 Qty Unit Charge Per ~ BASE FEE 200.00 ~---~~~----------------------~~~~----~~-------------------------- -------- . Permi t RIGHT OF WAY Additional desc Permit pin number Permi t Fee Issue Date Expiration Date 112821 50.00 11/19/07 5/17/08 \ y\ oJv <;/D~ lrt Plan Check Fee Valuation .00 140340 -----~~~~r~~---~~:~~~~~~~~~~~~~~~~~~~;:~~;;-;;~~:------------~ Additional desc Permit pin number Permit Fee Issue Date Expiration Date 112847 120.00 11/19.107 5/17/08 plan Check Fee Valuation .00 - 140340 Qty Unit Charge Per 1.00 120.0000 EA SAN SEWER HOOKUP 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. 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 bulider) Date T:\Policies\J ID2.l5R [lIDS} . ~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number 07-00001105 899025 Page 2 Date 11/19/07 Special Notes and Comments A residential fire sprinkler system, installed per NFPA 13D, will be required. 2nd option is to install an outside alarm bell that is inter-connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as "Fire alarm" October 1, 2007 1:19:01 PM sroberds. The proposal will result in a new sfr in the RS-7 for total lot coverage of 23%. No land use issues noted. Electrical load calculations and elctrical permits are requi red. Customer connection fee of $410.00 required. 09/26/2007 09:38 AM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by public works prior to back fill of ditch. 24 hour advance notice is required. Down spout drains may be connnected to storm system in alley. Construct driveway 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 pouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 230.00 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 wilhin 180 days, if construclion or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requesled wilhin 180 days from the last inspection. I hereby certify that I have read and examined Ihis 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 nol presume to give authority 10 vioiate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Conlraclor or Authorized Agent Date Signature of Owner (if owner is builder)'. Date T:\Policies\1102.15R [l/05} , , 'r Issued date: II -/ '/-.( -) APPLICATION FOR WATER City Water Division, Port Angeles, WA '7/'7 Instal led by & date: II'~ 2 I - () 1 Permit # 0 7-1 / D'5 .' I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: Apphcant:-';ame&Phone 4nrffJYSIJ17 /.J;~ 4'52- LJ&4/ / Site Address: r.?z & /J.) /6tb MmhngAddress (al?? S ~ Bile _!/~giot: 7 Add: If? A- Parcel #. ffo~axz;43ft3t:) SVC:oN/@QMeter#'sc Fu706'i7/,J.w/o#: '30ss7 -~ ,,, "" f!i:-~A' + 1tZ30 ~""",'"" "0"'''' SIgnature: ____~ Remarks: N ~\ ~ w k I'iT'-- /'I'f'~ E ~j" N<- s CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . .. INSPECTION REPORT. . . REQUEST: Date I - 2. - 0 B Time Received by I<. V (phone. person) IS1L-c sl V~s~V'- t?tJsas Phone No. Permit No. Dr - II oS- Final Sewer Excav. Other S+c. c-..... / <1ouJV\~po"'-t S: Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing /f3zC::, \IV T<!>dd INSPECTION NOTES: (-z.-o8 Inspected: Date Remarks: ,.veLd C" 'I ?y~ S O("M. + If/I PJlc.. -{!,-o..... "P,.o~..'/v /'~e.. , ( By ~V t) K~v RESTORATION REQUiRED...... YES NO "'A 11L IL N t I /. .4 ~ ?t!'.-i~ ~."'" ,.)~", u'7vv ~ t> -, 51>0"""-I-<'r polll->"'- I.~ r,l,ItA.t.. '"..A..- I.IIL pl"o.. ~ ,.;...'" ~ .i"V....~ i-o:",.Mo , D>."Q.. I{.o......... tJQ.. \II r::. I., 5....')."~... ,-. ~ ~ ID cl""P 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 _ (Contill.':'e on ~evers~_ side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT. ........ REQUEST: Date_l- 2. - 0 ca Time Received by Rv' (phone, person) Location of Work to be inspected 16 2.~ W ~5"'" S T Name of person requesting inspection 7 bcJ-J V', :S I 0 V\" & / ~ S Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. 07 - II oS: ~e9 Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date I - '2. - 0<6 Time Remarks: NeuJ S'2V--l , c..o",,, e c.. ~o VI- + Q+ fJt'"op'2>t-i-y L'1AQ.. , /Vd ("-,,>nn=iQ Ji +0 ~ /11 I t, O/\'\e., No r'/toio.s RV RESTORATION REQUiRED...... YES NO 'j-. ~')#t 'I' 8.,<'4 (0" 7"Y~ N t , " vr.. <{ , \ ( '1,....)"- \ I L SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC '- o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE _ (Continue on reverse si<!.e ~_necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date J?r-:1-/J7 Time Received by (phone,person) Location of Work to be inspected r9-/ (II j(/ P Name of person requesting inspection -;-:/1 J/K A~ ' Address of person requesting inspection Type of Inspection (circle appropriate one): ~ /);.., .,c; U-,/1 ./ - Phone No. Permit No. 07 - /1/8 Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date Remarks: Yes , , f~':'l~~~~~~<pJ:;~~~ Weef' k,..,lE> 1...... ~'-"-v- h ha.~ h-e..e"'L Lu..s~tted. 1- 1[-0 ) K V RESTORATION REQUiRED...... YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel OAsphalt 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) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . INSPECTION REPORT. . . . . . . REQUEST: Date t....j - '2. c; - be, Time Received by 7<V (phone. person) Location of Work to be inspected I ~ h. ~ \AJ' 5ivl Name of person requesting inspection .])et'\t'\~s LB R Const Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. 07 -II aS- Sewer Foundation Framing Chimney Plumbing €D Sewer Excav. Other INSPECTION NOTES: Inspected: Date L.J ~Z5: - 09 Time Remarks:g-e.we r- I - 2. - c>9 l:b'lJn.;pm-L;is: -IoSf.,-tIAA :"'- AtI-ey 1-2.-C~ "Dt-~JQ..W;~ 'f-2S...6~ By i<v RESTORATION REQUIRED . . . . .. YES NO )Z SURFACE RESTORATION: SURFACE TYPE: DUnimproved DGravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE IContinue.on.,.ev.e,se.side if necessa''ll STREET SLJPERINTFNDFNT !DATEl 07/07/2008 05:04 4579270 SIMPSON ELECTRIC PAGE 01 Og-0799t . ELECTRICAL WOIlKrERMlT Al"l'UCATION III/l wtrd 6, ~ &IemlaI CoDtr........ a Ow_ L_"'- o...ElqMu Sf- 97. u; /1..-0 9 IMNI',..... lIllIIeflp'la~ o Comm...dAl r 1b:L. . 'I~I l:I N... Pf AIIlonlIIAddtltll. r... /J Ai- 31'~ r:c.pIJt~ o o<J \ ~ --.D -..D e 5 p '. ...t1Io~ -.. .:2<+3D3iD ~Cu!j 10/ W City : Slale ZIP PO~t Ane.e.1es /1)j:l. q83~3. TIItopbone IIIIIWber I PAX ml~ ~ 4-5'1- ~ :2 'J,c . I""'- J..J.&rn o€-& OwltC!'r as dfrflud by ftCw'/9.28.2tU:(I) Own.,. 'Will tJet!tIf'J' ,11, ,,,",cI.,.jn, two .....,." .. ,,*1iJJ<<Jrlca/ p.,.1I ,. jUmIJsed. (2) ()M,wr I, 1'fft1",raI m ""., .. dl!etrlOlJI c:'IHJ''*'"'' if dbcwe $III#tI ~ropm'ft "ft1r 1fI/I!. f'I!IIt ", ~ Albir _.... .... abo.. -.. ll10laby eertif\llbol 1m 1M ....... .r III. lIbov. IWDIId property or A ItcarllNMt dedrlcn.1 .,.,.....1". , "'" a_d. the dtc.trloftl Inn.... '.oon Of altrlm. in ~pItAlu'e ""lIh U.. llaoetritJll r.W'~ N,S.C., IlCW. CfMptClr 19.18, WAC. Chopter 296-'16D, """ C;1y of I'orI A,..I.. "'noim",,1 C", and Udllty S ed..,. I II.ODt ". ownll!l", ',Iftu" 4! IJ"IItt.....r ellllflrlc.1 .....ldr.tnr , Date: 7 or a Cash 0 Check II CJ Credit c..l ~ M.~ OiJoovcr Olrdll ___""'~~__'__'__ P.JqJirotinn Dote of cllll roc $ . C9 IlI.odllOlnfDrml.lllJm o NO LOAP CHANGES a~ _KW . 0 Fum_ KiN C H8lIl Pump = 'r"" __LAR o F....Woll _I(W , SAME DAY INSPECfION CALL BEFORE 7-410 AM 36ll-<117-4735 o OvMle&d Se""", o Tomp SeMce o Undlllllft>und SaM<>> VoI",g. _0'03 !lervloIl_:_ F_SIze: . , ROtJGR.IN TIIII:ltI\IOSTAT SEIl.VICE '- Do. NI,...,..,")' ON, ^""--' 8y 71.-c.8 'a<., '- . , I1INAL OO'CH I'~ 7~~ce .--. 14llJ( ... s..../ ..... ^""",,",IIIY./ .... Inspection , , M".. Bwldi"tl at !i4uipmenl '_Old EtIltCl'triClll) Date , ActlDa. T.lctm hll1pealC)f , I I , I , .~.._-- - - ~ , -----... -- .. , I ---..-.-. I I --'-' " , , .. ..~. __--L EllECJR~CAl ~NSIPIECT~ON WIRING REPORT 417-4735 APPROVED NOT APPROVED o 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 DITCH 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Do 0 0 0 0 0 0 0 00000000 ROUGH IN/COVER 0000000000000000 Do 0 0 0 0 0 0 0 0 0 0 0 0 0000000 SERVICE 0 0 0 0 0 0 0 0 0 00000000000 Do 0 0 0 0 0 0 0 0 0 0 0 0 0 0000000 FINAL 000000000000000000 oX (j) CORRECTIONS NEEDED: /f1"VJ'..- /~ J Jy !"f'..5nq.-, A < 1!5~/?.JJlJ4- (CAAI~'~"T' IAJIT?/ j)SF.J.j( W~ r$~~ 7>>JI7e t.JhI1~~ tU/~~ IA~Y) @' ~LL f!b~ rJ~hl.l-r.s NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 03/09/2008 19:40 4579270 SIMPSON ELECTRIC PAGE 01 1P \j\ -- <{~ ~ y_& ( ~JY\ CB-63ZZ-, JoiJ _ by jfJ Electral Contractor 0 Owner Eloccrical l:':ontfactor fUlme' Lic:cnIe number Dale I!lpi~ i 5 e ','e S sr;L 97. 12f) 1:1-09 Purtb " lllAlliua oddmi ~<f3D31o "lw!j 10/ w City I Srate: ZIP POl'lt Anqofdes LUll. QB3k.3 .1tlephan~ number I PAX Dumhc:r ~ '457- 9;2. 70 f"C-- 1'fCJtI'o!Ill ntnllflr's .....e II 1=J;/l/J\pJ?SD'n 6fdtW) LL r A'dr'7~ la" tottloD 10 '.S# CIl, . ELEC1RICAL WORK PERMIT APPLICATION' ,,"(: fl'llJUillatlon due'lpcio~ o ClllIIIDOrdal r-.dIJ )( N... C AIIentIIAddlllan , tV ew c.()n ~j,euC--';'~ ,:il'~ ~~ "_oid."l~ ~ 213(pi .1- . . :bo)n Ow"r.r 0., dffIJ,.td by RCw'J9.28.:16J:(I) OWth!!~ will OC'CNp'y ,he ~""CfllNJ ./'or 'Wit' )INn tVtu 1M, eJwmcat ~rmJl ""fifIIIIm:cL (2) ~, u ~ It, It~ Mf ~~moal eorttrtu:ftN' if DboYr mJd propcWtJ. u for .ral~ '!!Jl or I$'fr:. I . After JUldfns Ihe above llatanent, I befeby cortilY that I am the D""U of the above named property or I licenSted eleetriC1\1 coneractor. 1 \I'I7l milk. ttJo clflctral iMtlllli- llIiOft or ,alterotiOll i.n CD~pltlUtCC' wilb chn .,lIlCtrICAI Ilw&. N.R.C., RCW. o..p1cr ",28, WAC. Ch.pt~ 296-4CiB, ne City or Pott AngcleQ MnDit:iptl Colle, Bnd Utm,y eIOt:lrionl. : 81 t. 01 ftWDer. ,Ieet e.tI"rtlCtor or eleetrlul "lIlIiDlUrltot I -/O-(j'g I:l Caah I:l Cheek # )if Credit Cant ~ M8Sten:ord Discover CllllIlI ____._____-___....:____ o NO LOI\D CHANGES o Ilaooboerd _ KW' C F.mace _ I<'IV )I 0Yettload BeM". a,Hut Pump _ T"~ _ LAR 1;.1 Tell1P Servtce ; Fen-Wall _ KW. 0 lIfQwg"'.nd SeNt"" SAME DAY INSPECTION CALL BEFORE 7-00 AM 360-417-4735 voltago PlwleO,C3 SeMea SI2ll: &PCL~ F_ SIze; . ROlIGIHN ( _~M~:,., SERVICE "tle/bB ~ 3hg(os ~., 0- ~ltDIIa,.-~ DO. -" ? . , /' " mw. . nrrcu "'~lWI!X ~r&. ~ Aprfn\lft!l n J Ollie. Ily I ^",,",vftl R" D., '- A Inapcction ! ^"'.. Builmos or E<juipmcnt lllBpClcft:d l!"'lrical DOl. Aeti.,. T"Ic~ Jn5fJCr.&or (;; - /1-- n f3 :& I. '_ J A.. ,.,../ -5t.41D E2 IIlA/l J'J~ Jc1';- /) , , () - f I 1.J) .. \\' ~\' , , - .. - - -. ... ........ ... ........ ... ........ ........ "''76t~ 0 \5'/" . ... ........ ... ........ ... ........ ... " //(:, / ,) 't!) , ~'%}18J5 11 1'~..J10. j:J / / / / / Tlti$ map is '10f intended to be U!Jed OJ a legal description. 1Jlis mapldra>l-ing is prQdllced by Ihe City of Port Angeles/or liS oW~lllSe alld purposes AllY a/her use of Ihis mo.pldrawing shall nOl be (he respoIUlbllu)' oflht C/O'. (1512\ ~ 112 _ .I _' 3_ I ep:~_r_; G[ 1 \ 1 \ I 1\\ <J: / \ /]tJ I 1 "'I \ 1 \ 1- 1 \ z 1 \ I !1l \ / \ Q) i" BB t:J tB a I ~ BE I \ 1835 1831 I I I I 1827 18231 I I \ 1819 1-6-t-A-S-t, { I 1738 II I [ I , I 2., \ \ o \ 1 '51 -'-'- - I I 1\ 0 1\ I \ 1\ I \ I \ I \ I 1815 \ \ \ 1 1811 1807 \ \ 1801 \ d199\ Win -']. - ~ ....9 - ), "S'" '/ --it 5> " ~..:) ~ ./ /:! . '(,~,' ,* " 7~ ~..s- .v\ ;g ~ <> S" c.r ~ .-'-... ..... .{ qj, L- Dee 13 07 OS: IDa Current Electrical Cont 3604571873 p. b, Ot -ILfCZ 7 0- ~~~1vJ .. << .."'4W.......~ ~:~~ ... .. ELECTRICAL WORK PERMIT APPLICATION ElCC:lrical contractor name Gv(l.(Lp^'r ~A&4L CdN1' pu'pc;cr's b~x addTzsf~ 1 c"p, A ' dlV/ Nb$.-Lb5 Telephone number %0. (;7(:), t1 License number o New a Alteredl AdditiOD Q --.J I Job wired by )&i~Eledrical Contractor DOwner Dale Expires t/'~c.37 Installation description Cl Commercial ~ ResldeDtial ~,..,p .J:. -S) -J preit~l>~SO~ FAX number ~O. {}oM It- :; Addren of Inspection '"b /t,U I!v lS )t,.., 0 U65 W4 Slate ZIP Cilff o"'"T Phone number ~O~Ched~~ ic;pect:3,ny q ,,( Owner Q.\ defined hy RCW.I/9.28.26J:(J) OWller wj/f occupy the strllcture for tWO .war.\' after ,his electrical pcr~lj( i~' jil,olized. (2) Owner i.~ r~quj,(!d 10 hire un eleerTieD/ contractor if above .fOid properly j,~ fur :fu/e. rent or lease. Aflcr n::ading the above stal,'ement. ] hcr(by certify that I am the owner of the above numed property or a licensed electrical contractor. I am making the electrical instal~ lation or alteration in compliance with the electrical la.....s, N.E.C., RCW, Chapter 19,28, WAC. Chapter 296.468, The City of Port Angclt:s Municipal Code, and UtililY Specifications. ' Signalu 0 nH. electrical eoptractor or electrical admini rato o Cash 0 Check # );f Credit Card Visa .. Mastercard Discover x ,~ Expiration Date ofc.rd 0 I 10 Inspection fee $ tJ - 110 Service Information lectrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW Q Furnace KW Cl Heat Pump Ton lAR Q Fan-Wall KW o Overhead Service o Temp Service o Underground Service Voltage PhaseD103 Service Size: _ Feeder Size: SAME DAY INSPECTION CALL BEFORE 7-00 AM 360-417-4735 . ROUGH-IN "' THERMOSTAT / SERVICE l.hlc ^PJ'I""wd l\y "- DOlle ^I'provt:d Dy "- tZ/LYtn ~y / FINAL ( DITCH I / FEEDER rL/tfi6/ ~ Apllru~l;d Uy../ "- O...c Approved By../ D:'lc Apprvvcd By Inspection Area. Building or Equipment Inspected Action Taken Electrical Date Inspector I I