HomeMy WebLinkAbout2526 W 16th St - BuildingOwner
Other struct info
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Bailey Hans /Beverley
77 Nisbet Rd
SEQUIM
WA 98382
70 00 I Plan Check Fee
10/25/07 1 Valuation
4/22/08 1
1
Qty Unit Charge Per Extension
2 00 35 0000 ECH EL MORE THAN 1 ADD INSPECTION 70 00
Special Notes and Comments
110726
KIRSCH ELECTRIC INC
07 00000222
610922
2526M 16TH ST
06 30 00 4 4 0040 0000
I HANS BEVERLY BAILEY
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
98159
1 Contractor
HI LINE HOMES
11306 62ND AVE E
PUYALLUP
1 (253) 840 1849
TOTAL LOT COVERAGE
CONSTRUCTION TYPE
NUMBER STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL liOT COVERAGE
NUMBER pF UNITS
ELECTRICAL NEW !RESIDENTIAL
KIRSCH EL/ DITCH ONLY 2 TRIPS
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
03/26/2007 12 56 PM SROBERDS Proposal will result in
ne sfr w /attached garage in the RS 9 for total lot coverage
of 24% No land use issues anticipated
Electrical load calculations and elctrical permits are
required
Customer connection fee of $713 00 is required for
underground connection
03/14/2007 02 41 PM GMCLAIN
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
Construct driveway and Sidewalks to City Standards
No concrete with exposed aggregate allowed in the City
1
Date 10/25/07
WA 98373
24 30
V N
1 00
8827 00
2148 00
2148 00
1 00
00
0
INSPECTION ELECTRICAL
TYPE DATE. RESULTS INSPECTOR
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS:
Application Number 07 00000222
Application pin number 610922
Special Notes and Comments
road right of way An inspection by Public Works
Engineering is required prior to prouring concrete
Other Fees
Fee summary
ELECTRICAL PERM T AND INSPECTION RECORD
CITY OF PORT ANGELES
360- 417 -4735
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged
70 00
00
2947 50
3017 50
RES UNDERGRND SERVICE FEE 713 00
SEWER SYSTEM DELV CHARGE 1000 00
STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE 1230 00
Paid Credited Due
70 00
00
2947 50
3017 50
00
00
00
00
Page 2
Date 10/25/07
00
00
00
00
Ili
SPECTION
TYPE DATE. RESULTS
DITCH
SERVICE
ROUGH
FINAL
'COMMENTS:
9/7
/6 Ar--0
4P
2 ,frA e ,047P
ELECTRICAL
INSPECTOR
JUL -30 -2007 12 01P FROM KIRSCH ELECTRIC 3606830869 TO 4174711
Job wired by 0 Electrical Contractor 0 Owner
Electrical contractor name License number
Inspection
Date
State ZIP I
Tele FA X number 1
t 1� 3 e q 3 t ►oP� r_a
Pro misee. owuer'�nume
C�0►J C�1 Pry►
A dress or laspectlotr.J
�o �u.p
\X F cc
Electrical Load Additions or subtractions
O NO LOAD CHANGES vv
O Baseboard KW
O Furnace KW
O Hoot Pump Ton LAR
0 Fan -Walt KW
d
z se.: 7'48
D Approved By
JUL. 3 0 2d07
LIGHT DEPIr
APprvved Dy
FINAL
D
‘4 ■0
Da
/Installation descriptio
0 Commercial Residential
Date Eapir a
15.E
Dine
DITCH
Dine
Pb ppg Number sc ed Ie erection:
Owner at defined by RCW 19.28.261•(1) Owner will occupy the structure for two
years after this electrical permit Is finalised. (2) Owner is required to hire an electrical
contractor if above said property Is for sale. rent or teasel 0 Cash 0 Check
ARer reading the above statement, 1 hereby certify that 1 a m the owner of the above
named property or a licensed electrical contractor. l am making the electrical instal- 0 Credit Card Visa
lotion or alteration in compliance with the electrical Taws, N.E.C. RCW Chapter
19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code. and 'Card
Utility Specifications.
Signature of owner electrical contractor or electrical administrator ExpirationDate
card
O Overhead Service
0 Temp Service
O Underground Service
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360- 417 -4735
R a UGH-IN THERMOSTAT
Area, Building or Equipment Inspected
ELECTRICAL WORK PERMIT APPLICATION
__7- r_P
Approved By
C.b sieG .ti-r Darr. bt
AT
ppeoved BY
ew 0 Altered/Addition
n e Or10
napeetion tree
$orrice. Information
Voltage
Phase 0 1 0 3
Service Size:
Feeder Size:
SERVICE
er
V De d Approved By
1FEEDIR
Dale Approved By
Action Taken
P 1
Discover
Electrical
Inspector
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:UI EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number _'
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000379 Date
902890
2526 W 16TH ST
06-30-00-4-4-0040-0000-
ELECTRICAL ONLY
4/18/07
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
BAILEY HANS/BEVERLY
77 NISBET RD
SEQUIM, WA 98382-7314
SEQUIM WA 98382
QUALITY ELECTRIC
257 CAYS RD
SEQUIM
(360) 460-3811
WA 98382
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL TEMPORARY SERVICE
QUALITY/ 60A TEMP.
99465
QUALITY ELECTRIC
40.00 Plan Check Fee
4/18/07 Valuation
10/15/07
.00
o
~
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~
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
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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
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW-lI02.JS (4'961
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
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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
3/27/07
07-00000222 Date
610922
2526 W 16TH ST
06-30-00-4-4-0040-0000-
HANS & BEVERLY BAILEY
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
98159
Contractor
Bailey, Hans/Beverley
77 Nisbet Rd
SEQUIM WA 98382
Other struct info .
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
HI-LINE HOMES
11306 62ND AVE E
PUYALLUP
(253) 840-1849
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98373
24.30
V-N
1. 00
8827.00
2148.00
2148.00
1. 00
BUILDING PERMIT -RESIDENTIAL
1664SF SFR W/484 SF ATT GAR
96628
1013.25 Plan Check Fee
3/27/07 Valuation
9/23/07
405.30
98159
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Qty Unit Charge Per
BASE FEE
49.00 7.0000 THOU BL-50,001-100K (7.00 PER K)
Permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Extension
670.25
343.00
MECHANICAL PERMIT
98095
89.65 plan Check Fee
3/27/07 Valuation
9/23/07
.00
o
t
Qty Unit Charge Per
Extension
50.00
29.00
10.65
.-..
~
""i-
S
BASE FEE
4.00 7.2500 ECH ME-VENT FAN
1.00 10.6500 ECH ME-HOOD/DUCT SYSTEM
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
98103
135.00
3/27/07
9/23/07
(';.,
:'j.
plan Check Fee
valuation
.00
o
Qty Unit Charge Per
BASE FEE
8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE
Extension
50.00
56.00
7.00
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.
?-?. c-ol
Date
Date
Signature of Owner (if owner is builder)
T:\I'<1licics\1102_15 building pennil inspection rccord05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
~
CALL4Ii-4S15 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINII'\'IUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANI' WOPJi." BEFORE
f./VSPECTED AND ACCEPTED. POST PERMIT II\' A CONSPICUOUS LOCA TlON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDA TlON:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA nON DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMIlING
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 I GIRDERS
SHEAR Vi ALLlHOLD DOWNS
WALLS / ROOF I CEILING
DRYWALL (INTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
ROUGH-IN
HEATPUMY/FURNACE/DUCTS .
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE I PELLET I CmMNEY
MANUFACTURED BOMES
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
ELECTRlCAL - LIGHT DEPT. 4 17-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERJNG
FIRE 4 J 7-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policie5\1102 IS building pennir inspection record05.wpd [1/4/2005]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
07-00000222
610922
Page
Date
2
3/27/07
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"
03/26/2007 12:56 PM SROBERDS -- Proposal will result in
ne sfr w/attached garage in the RS-9 for total lot coverage
of 24%. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required.
Customer connection fee of $713.00 is required for
underground connection.
03/14/2007 02:41 PM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
1000.00
4.50
1230.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1237.90 1237.90 .00 .00
Plan Check Total 405.30 405.30 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 3877.70 3877.70 .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:\I'olicics\ 1102 _15 building pcnnit inspection rccord05. wpd 11/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTJONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIlvlUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL AN}' WOPJl BEFORE
J/VSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS A T .lOB SITE.
~
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INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION: tv) 0 f\l () 5 Utt3 ~/20/<R JLL
FOOTINGS ~Oan ~ "'-/S1'E:JnWfltL G?/zO/OT.Jl..(...
(SHEAR WALLS) WALLS 2 ( 11/ 0 '7 3LL
FOUNDA TJON DRAINAGE/ DOWN SPOUTS ,
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN 9; 17.vlol :ILL-
WATER LINE (METER TO BLDG) T ,
GAS LINE FINAL 9~12:C8 DATE3LL ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL lo.-CJ - () I --:\LA/
WALLS
CEILING I
FRAMING 1(') - q- ('){ ~LL..
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS I ROOF / CEILING
DRYW ALL (INTERJOR BRACED PANEL ONLY) I C>--'1---6t J"L...L.--
T-BAR
INSULATION j().-g ......01 -:TLL
SLAB
WALL I FLOOR I CEILING
MECHANICAL
ROUGH-IN
HEATPUMY/FURNACE/DUCTS FINAj-I2:-08
GAS LINE DATE -:S-L-l- ACCEPTED BY:
WOOD STOVE I PELLET / CIDMNEY
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SKlRTING
PLANNING DEPT. SEPARATE PERMIT #'s SErA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJcAL - LlGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUTLDING 417-4815 q-I ?_"':6g- 'TLL- BUILDING
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T:\Policies\1102 15 buildmg penntl inspection record05.wpd [11412005]
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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
07-00000222 Date
610922
2526 W 16TH ST
06-30-00-4-4-0040-0000-
HANS & BEVERLY BAILEY
RES NEW SFR
3/27/07
RS9 RESDNTL SINGLE FAMILY
98159
Owner
Contractor
Bailey, Hans/Beverley
77 Nisbet Rd
SEQUIM WA 98382
HI-LINE HOMES
11306 62ND AVE E
PUYALLUP
(253) 840-1849
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98373
Other struct info .
24.30
V-N
1. 00
8827.00
2148.00
2148.00
1. 00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
DRIVEWAY INSTALLATION
97626
170.00
3/27/07
9/23/07
Plan Check Fee
Valuation
.00
o
BASE FEE
Extension
170.00
Qty. Unit Charge Per
Permit PUBLIC WORKS RES WATER SERV
Additional desc 5/8" DROP IN METER
Permit pin number 97618
Permit Fee 200.00 Plan Check Fee
Issue Date 3/27/07 Valuation
Expiration Date 9/23/07
.00
98159
Qty Unit Charge Per
BASE FEE
Extension
200.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
97600
120.00
3/27/07
9/23/07
Plan Check Fee
Valuation
.00
98159
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, 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.
7-07
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 COJlER,
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 f 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 OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W.f PWf CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW f ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PoliciesIJ 102.15R [lf05T
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 07-00000222
Application pin number 610922
Page
Date
2
3/27/07
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"
03/26/2007 12:56 PM SROBERDS -- proposal will result in
ne sfr w/attached garage in the RS-9 for total lot coverage
of 24%. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required.
Customer connection fee of $713.00 is required for
underground connection.
03/14/2007 02:41 PM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
1000.00
4.50
1230.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 490.00 490.00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 2724.50 2724.50 .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\1102.15R [l/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 LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
PW UTILITIES (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEW ALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
I I
.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
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:\PoliciesllI02.15R [1/05]
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:m EAST 5TH STREET. PORT ANGELES. WA 911~62
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name .
Property Use
Property Zoning . . .
Application valuation
07-00000222 Date
610922
2526 W 16TH ST
06-30-00-4-4-0040-0000-
HANS & BEVERLY BAILEY
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
98159
Owner
Contractor
Bailey, Hans/Beverley
77 Nisbet Rd
SEQUIM WA 98382
HI-LINE HOMES
11306 62ND AVE E
PUYALLUP
(253) 840-1849
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Other struct info .
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
DOUBLE D EL/ 1664 SQ FT
110148
DOUBLE D ELECTRICAL
91.00
9/05/07
3/03/08
Plan Check Fee
Valuation
Qty
1. 00
1. 00
Unit Charge Per
69.0000 ECH
22.0000 5C
EL-R-SQFT FIRST 1300.
EL-R-SQFT ADDITIONAL 500
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 lIFire alarmll
03/26/2007 1Q:56 PM SROBERDS -- Proposal will result in
ne sfr w/attached garage in the RS-9 for total lot coverage
of 24%. No land use issues anticipated..
Electrical load calculations and elctrical permits are
required.
Customer connection fee of $713.00 is required for
underground connection.
03/14/2007 02:41 PM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
COMMENTS/ACTION NEEDED
9/05/07
WA 98373
24.30
V-N
1. 00
8827.00
2148.00
2148.00
1. 00
.00
o
Extension
69.00
22.00
N
\\)
N
f'
[)
---
~
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I
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ELECfRICAL PERMIT INSPECfION .RECORD
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 DATE I ACCEPTED COMMENTS
I YES NO
UITCH
II nT l~~.:rnIl;U V bK
SER V lCh
FThT AT I
GENERAL COMMENTS:
PW-lI02.lS 14'961
:- --- -- - - -----
.>..~.
$fjd~~
D!i
""~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:12[ E^ST 5TH STREET. PORT ANGELES. W^ 91B62
.
Application Number
Application pin number
07-00000222
610922
Page
Date
2
9/05/07
Special Notes and Comments
No concrete with exposed aggregate allowed in the City
road right of way.. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
1000.00
4.50
1230.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 91.00 91.00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 2325.50 2325.50 .00 .00
COMMENTS! ACTION NEEDED
ELECfRICAL PERMIT INSPECfION .RECORD
, 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
DATE
COMMENTS
NO
/At...--
ftL-
AL
GENERAL COMMENTS:
PW-II02.1S (4'96)
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[(rdia7:ro-o'i) James Lierll- 2281 GASTElV-.fIT-HINGE C~RREgfj(rf::r~~hLe2f
Reep Engineering & Consulting, Inc.
October 05, 2007
I.E. (Gene) Reep, P.E.
Reep Engineering & Consulting, Inc.
8205 Sunset Lane
Pasco, Washington 99301
Kevin Arnold
Architectural Design Department
HiLine Homes, Corporate Office
11306 62nd Avenue
Puyallup, Washington 98373
SUBJECT: CORRECTION OF HINGE IN FAMILY ROOM GABLE END WALL
ON PLAN 2281
This letter provides a design and specification for correcting the hinge in the Family
Room gable-end wall. The hinge results from use of a vaulted ceiling in the Family
Room with a flat bottom chord gable truss. This deficiency can be corrected by 2X4
blocking laid flat on the wall top plate and fastening blocking to top plate and truss
bottom chord with 10d nails @ 12-inches o.c. (see attached detail). The composite
beam formed by the double top plates, 2X4 blocking, and 2X4 truss bottom chord will
accommodate about 60% of the design base wind load of 90-lblft on the composite
beam. The remaining load is transferred to the 2X4 vertical gable truss web members
@ 16-inches o.c. which transfers the load to the ceiling/roof diaphragm.
Please call me on (509) 547-9087/Cell on 366-2869 if you have questions or need
further assistance.
STi'nc rely, ..,.
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Attachments
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BUILDIN-G DIVISION
-- ---- -- - - --1
CITY OF PORT ANGELES
* *
Job Located at
Correction Notice
g _ L , '1-'"t;"
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Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
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~-., ~C I i. r d
These corrections must be made and are not to be
covered until reinspection is made. When correctiQ.AS
have been made, please call '-11-; - Lf r / (
for insPAecyon.j c
Date ~
pector for Building Division
DO NOT REMOVE THIS TAG
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The City of Port Angeles
Building inspections Dept.
Upon reviewing the single-family residential plans submitted for permit, the
following are some of the items that will need to be taken in to consideration.
1- Foundation Footing. The minimum size of a footing in Seismic zone D2 are as follows.
(1 Story 12" WI 6" min. thick) (2 story IS" WI 7" min. thick) (3 story 23" WI 8" min. thick)
(Load bearing value of soil 1,500 (psf). With 2 # 4 bars horizontal continuous 3" off the
bottom of footing. The minimum specified compressive strength of concrete in basement
walls, foundation walls, exterior walls and other vertical concrete work exposed to weather
in moderate weathering table R402.20f the IRC is 3000lbs with a min. of 5% air entrained,
but not more that 7%. Foundations in seismic categories D2 that exceed 50'-0" in either
direction are required to have a continuous footing per section R403.1.2 including support of
an interior braced wall line. Locating and marking the property boundary is required for a
footing inspection. Tables in chapter 4 of the IRe. Will be applied for soils that are heavy in
moisture (hydraulic) in nature or foundation wall over 5'-0" in height. Verify site conditions
and unbalanced back fill at time of application. Foundations Drains are required as per
section R 405.1 (see exception for soil classification)
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~
2- Foundation walls. Vertical steel in foundation walls as of July 1st 2004. Vertical bar reqd
to be 'lj" #4 bar with a hook and tied to the footing steel in place at 4'-0" O.C. at footing
inspection. One #4 bar horizontal within the top 12"of the wall. y," anchor bolt with a 3" x
3" x '/." steel washer is required at 6'-0"OC for a 1 story and 4'-0"OC for a 2 story, along
and within 12" of each end the pressure treated sill plate. Crawl space ventilation is required
at (1') s.f. of vent per (150') s.f. of area per sec. R408.2. 2003 IRe. 6 mill black poly is
required in crawl space as a below grade moisture barrier per section R406.3.2 2003 IRC.
Finish grade shall be a 6" slope away from foundation within 10'-0" of the foundation wall
measured horizontally as per sec. R406.3 2003 IRC.
3- Framing. All connections from a pier to a post and beam are required to have positive .
connection per code. In addition any connectorsl fasteners in contact with treaded wood are
req'd to be hot dipped zinc/galv. (See manufacture details.) All floor joist are required to be
blocked with 2x material at the beam support. 7/16" OSB sheathing is required to be nailed
to pressure treated sill plate and bottom plate or sole plate of wall. (or other approved hold
down's). Attic ventilation is required at (1') s.f. of vent per (150') s.f. Of area with an
allowable 50% of ventilation can be located in the upper portion of the ridge if applicable
per 2003 IRe. Truss design and calculations are required upon submitting an application,
lateral connections are required to end walls where truss I rafters are perpendicular to end
walls. A truss Irafter tie shall be required to prevent uplift per code.
4- Braced Wall Lines. In Seismic category D2 exterior and interior braced wall lines
cannot exceed 25'-0". Wall bracing must start within 8'-0" of a transverse wall or a designed
collector. Standard wall bracing methods are required as per section R602.10.3 of the 2003
IRe. If the wall bracing methods cannot be met, then refer to "Alternate Braced wal(panel"
Section 602.10.6 of the 2003 IRe. If any of the aforementioned methods cannot be met,
engineering design will be required for the "SHEAR WALL" design. Section R602.10.9 for
interior braced wall line support for 1 and 2 story buildings require a continuous footing
supporting a braced wall line, interior and exterior not to exceed 50'-0"intervals.
f-
I
5- Egress; Rooms used for sleeping are required to have one window with 5.7'S.F. of openable
space and a sill height of not more the 44" above finished floor for emergency escape per
2003 IRC.
6- Energy and Air Quality. Insulation, Heating, Air conditioning, Lighting, Windows and
Appliances to meet 2003 WSEC & VIAQ. New single family structures are required to have
a whole house exhaust fan with a 24hr timer per table 3-1, 3-2, 3-3 of the 2003 VlAQ.
Mechanical fresh air intake (FA!) is required to have a 24 hr timer or windows in all
bedrooms and living, dining area may have intake ports for fresh air per 2003 VIAQ if zone
heat is applicable.
7- Dry Wall. (Gypsum wall board) 5/8" type "X" sheets rock is required in the accessible
usable space under stairs and on ceiling of a garage only if a habitable area is located above
the garage. The rating of the sheet rock & nail pattern must be visible to the inspector. Nail
pattern for all sheet rock Yz" and 5/8" to be 8" on center and 12" DC if drywall screws are
used. Per table 702.3.5 of the 2003 IRe. Interior braced wall panels are to be inspected prior
to tape, bed and texture. Moisture resistant wallboard is required around w/c. A cementuous
backer board is required for tiled areas at tub and showers. Vapor barrier is required. A
perm rated paint may be substituted for a poly vapor barrier on the warm in winter side.
8- Plumbing. Water heaters are required to have two approved seismic straps in the upper
and lower 1/3rd of the tank per UPC. T &P valve to be %" I.D and directed to the exterior and
turned 90 degree downward not less that 6"-12" above finish grade. Water heater s are
required to have a 26 ga. Pan of other approved drain pan with a %" drain line from pan to
exterior. Impact protection for wlh and mechanical equip are required to resist 6,000lbs
impact iflocated in the garage area. All DWV are req'd. to be tested under water pressure
per 2003 UPC or air test (consult manufacture recommendations for air test) Min. test
pressure in Residential LPG is 30 Ibs.
9- Smoke detectors. shall be located in each sleeping room and in the hall leading to each
sleeping area. One smoke detector is required at the top of each stairs, and at least one
smoke detector is required on every floor level. Smoke detectors must be within 6" to
12"from the ceiling if mounted on wall. Smoke detector shall not be less than 36" from any
air return. Power supply for smoke detectors shall be from the main house supply that is not
switched and required to be battery back up. Smoke detectors to be inter-connected so that
if one smoke detector alarm will start a chain reaction to all other smoke detectors as per
code.
10- Maximum building height allowable is 30'-0" based on an average grade plain per 2003
IRe. Property pins shall be located and marked for a footing inspection to verify zoning set
back requirements.
11- Safety glazed tempered glass required within 24" of any doorway edge, along with other
requirements as per 2003 IRC.
12- All water, sewer, gas, electrical, drywells, downspouts.and footing drains are required to be
inspected before cover.
This letter is not intended to cover all items required by the City of Port Angeles, but is to serve
as a guide to help you understand frequently asked questions, "ALL WORK IS SUBJECT TO
FIELD APPROVAL" 4/05.
Ikl11s of OWlll:/ S Resl le,,'s,! ,liltj'
Owner's estimated property value - including improvements.
Sewer Fee/Septic System & Connect
Water Meter FeeslWell & Connect
Lot Grading & Excavation
Electric Connection (Permanent Service)
Electric Connection (Well, Septic)
Exterior ConcrateIDriveway
Misc. (Ralndrains, Temporary Power & Water, Engineering, etc.)
Systems Development Fee, Impact Fee, etc.
Govemmental & County Permits, Fees, etc.
Steps, Decks, Railings
Painting
Appliances
Monitored Fire/Security System
County Road ApproachlPortable Toilet
Consl Heating, Ventilation
Mise
Molstura Control
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$2,000.00
09-05-2007
$67,500.00
City
063000440040
W 16th 51.
Port Angeles, WA
County:
Base Plan:
Components:
Subtotal:
Adjustments:
Code #500 at %8.40
Subtotal:
Less Processing Fee
Hlllne Balance
$78,900.00
$11,375.00
$90,275.00
$0.00
$7,584.00
$97,859.00
$(1,700.00)
$96,159.00
1. This contract and price are subject to the acceptance of HiUne Homes
below to be binding; .
2. The processing fee is refundable ONLY in the event HiUne does not
accept this construction contract
3. No representations will be honored or recognized which are not a part of
the signed contract documentation.
4. Changes are not possible after the agre ment has been pted by
HiLlne except stated in ection 7 of e ct.
Present Address:
City, State:
Phone 1:
Phone 3:
Zip:
Phone 2:
98382
Date: /- j'~t??
'-
Copyright HiLlne Homes 1997
CCB No. 163572/HILlNH*BD Page 1 of..
Revised September 2006
Building Permit Information Form
1664 Pic
This form contains the information you'll need to complete your building permit packet. We've included information for all counties,
some of it may not apply to yours. If you have any questions, please give us a call at 360-807-1849
Applicant / Owner / Contact Information: Your name, address, phone number
Contractor Information: Name: HiLine Homes
Address: 1213 Lona Rd
Centralia WA 98531
Phone: (360)807-1849
License #HILlNH*981BT .
Expiration: 01/30/04
Tax Parcel # / Assessor's Acct. # : This will be with your property information.
Job Site Address: Your new home address (example: xxx Filmore St.)
Legal Description: This will be with your property information. (example: Lot xx large Lot Sub Division xxx in Lewis County etc.)
This will be a New Single Family Residence
Describe work / Type of Job: New Home construction
Home Information: Floor Area: (sq. footage)
Main /1st: 1664 # of stories:
Second: 0 Bedrooms:
Basement: 0 Bathrooms:
Total: 1664
Garage: 484 (Attached)
Wood frame
1
3
2
CarDOrts:
Decks:
Porches:
o
o
o
Construction Method:
Heating System:
Be sure to choose the information below that correlates with the heat system you have ordered.
HVAC 1 Mechanical Contractor is the company installing your heat system.
Cadet 1 Wall Mount / Zone Heaters: Standard heat s stem
nstaller: North Pacific Electric Contact: Bernie/Kim
icense #: NORTHPE994JB Phone: 360-943-6020
xpiration: 06127/04 Location: Olvmpia
Marley Brand:
WH1031. 1531 & 2031 KW: 7
HF: AMPS: 20
n permits, for the # of wall heaters, put 1, or you'll be charged extra for every one.
Heat Pump w/ furnace w/HWH:
nstaller: Chehalis Sheet Metal Contact: Dave PYles
icense #: CHEHASM252MH Phone: 360-748-9221
Expiration: 07/02104 Location: Chehalis
~anuf: Trane Module: 2TWB0024A 1 OOOA KW: 10
tronna~e: 2 HSPF: 7.75 Seer: 10
~RA: 60 Efficiency: 100%
so o a t
Chehalis Sheet Metal Contact: Dave Pyles
CHEHASM252MH Phone: 360-748-9221
07/02104 Location: Chehalis
Trane Module: TDE060A936 Watts: 977
60,000 Efficiency: 80%
Spot Vent Fan:--1- Kltchen Exhaust Fan:--1- Dryer Vent:--1- WoodlGaslPellet StOYes:---'L- Gas Outlets:---'L-
Plumbing System: Installer: Dee Dubs Plumbing Contact: Darren
License #: DEEDUPI990KQ Phone: 360-456-7469
Expiration: 05/31/04 Location: Olympia
Toilets: 2 Bathroom Sinks:~ Bath Tubs:-1L Showers:~ Kitchen Sinks: 1 Water Heater:--1-
Clothes Washer:--1- Dishwasher.--1- Hose Bibs:--1.-(first 4 enter quantity of 1, every home has 2}
Energy Compliance Information:
Compliance Method / Path: Alwavs # 3 (Per Washington State Energy Code)
Total sq. ft of glazing (glass): Standard home: 214. w/ sliding glass door option: 231 divided by
total sq. ft. of heated area: 1664 equals a glazing percentage of ~ standard or 14% w/ sliding glass door option.
Swinging doors and skylights are not counted in this configuration because they meet all requirement minimums.
Window Schedule: See attached form.
Ventilation System:
Intermittently operatina Whole House Ventilation System using exhaust fans & window fresh air vents. (VIAQ 303.4.1)
House Fan Specifications: Whole house fan: Qty: 1 Manuf: Solitaire Ultra Silent Module#1 S110U CFM: 110
Bathroom One-Bulb Heater/Fans: Qty 2 Manuf: Solitaire Ultra Silent Model #: 162 CFM: 70
Copyright 2003 HiLine Homes of Centralia
~~
" j..~
Manufacturer: Milgard Windows Inc.
Type: Vinyl
Windows
Window Schedule
for 1664 plan
Hiline Homes of Centralia
Model: Classic Series
U-Value = .36
Quantitv Size I Handina Glazina area Total Sa. Ft. Location
width x height
1 8'0 x 5'0 40 40 Living Room
1 4'0 x 5'0 20 20 Living Room
1 6'0 x 5'0 30 30 Dining Room
1 4'0 x 3'6 14 14 Kitchen
1 3'0 x 3'0 9 9 Mast. Bath
*1 6'0 x 4'0 24 24 Mast. Bed
1 .4'0 x 4'0 16 16 Bedroom 3
1 4'0 X 5'0 20 20 Bedroom 2
Slid. Glass Doors
1 6'0 x 6'10" sgd 41 41 Dining Rm.
Total glazing area 214 sq. ft.
214 + 1664 = .128 X 100 = 13%
Glazing Area + Conditioned floor Area Glazing Percentage
lot If a sliding glass door option was chosen, switch the appropriate window wI the sliding glass door
and use the calculation below.
1 6'0 x 6'10" sad 41 41 Appropriate Room
231 + 1664 = .138 X 100 = 14%
Glazino Area + Conditioned floor Area Glazino Percentaae
All other doors, windows & skylights do not need to be calculated do to the fact they meet all minimum requirements.
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D~ARi1mNT ~F:LAVOR AND INDUSTiuEs
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HILDm' HOMES '. . .":
113.06 62ND AVE' E " .
PUYALLuP WA '98373
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- REGISttRIlD AS ~ BY LAW AS l
CONST. CORT GENERAL .
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.~ VICINITY MAP.
NAME: HANS. 4SY6~/'y 8AI'-~>'
SITE ADDRESS: IJ "$.,- Lt>-r Iw'
CITY: ,tJ~~.,.. AH/'lftlF.S"
ZIP: ,91',11.'2-
MAILING ADDRESS: 77 N'$t~-r AI)
CITY: orE 9V 11'1
ZIP: 9g3'~
PARCEL NUMBER: O'3t:X)t!J ""lJd 'IIJ
PHONE NUMBERS H:.$ IS - ~81- S-fJ9 /
W:
, C:
MILES FROM HILlNE SALES OFFICE: ~ 7
NOR~ {
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Phone:
3fe,o - Co 1) l-5o<i. 1
3ea.o - 4~ \ - '2.>~ \ <S
?8"~ %:2
BUILDING PERMIT - APPLICATION 0
Fill out COMPLETELY and in INK. Your application and site plan MUST E
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent--y\o.1\--;:' "" ~"'et ~
Owner: tIo-Y\.?<\- ~~et- \.~'&..::,
Address: II kj, ~ CIty:
~,le~
l~\)
5e~1 , t IV)
tJ-
Phone:
Zip:
ArchitectlEngineer:
ContractorY"\
Phone:
L'rne
State License #:
Exp:
Phone:
Zip:
ZONING:
PROJECT ADDRESS:
lD -t Lj
City:
/ ~~ '252" uJ 'b 1J..r
Address:
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER: 0 (C 300 a L\ 11 tJ C) L[ 0
TYPE OF WORK: ~ SIZEIVALUATION:
18. Residential )l:l New Constr. D Re-roof D Stove l (. c..,,( SF. @$ /SF. = $
D Multi-family D Addition D MoveD Garage tP-", f~ SF. @ $ /SF. = $
D Commercial D Remodel D Demolition D Deck ,- SF. @ $ /SF. = $
D Repair D Sign D Other TOTAL VALUATION $ CfR ( (~ . 00
BRIEF DESCRIPTION OF THE PROJECT:
"ll Ltg ~. ~ ~\I\.'" \.... t.~"",: l,y rC.s ~ JLVl.L~
J
COMMERCIAL/RESIDENTIAL~~i:.lfpancy Group:
No. of Stories: ~ Lot Size: <D,S y. II 0 Existing Sq. Ft.
Total lot coverage 1..L{. ~ %
Occupant Load: Construction Type:
D & Proposed Sq. Ft. 2./11~ = TOTAL Sq. Ft. !46 ~ r..t
"Z.. L ~ &'
ESAlWetland(s): DYes D No SEPA Checklist required? DYes D No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and 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.
EXPffiATION OF PLAN REVIEW: If no permit is issued within 180 days ofthe date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
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 itJs my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
T,\FORMS\B]dgP""""'~.wpd APPli~/~
Date:
>~ C;-"07
--'
/iC/7 / '",-----
<:F~QRT -v.,
...-.l.f~~'"&~
"r1&ii .
1L --
"",:;;;;<>
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
D7-2L"2-
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
07-00000222 Date
610922
2526 W 16TH ST
06-30-00-4-4-0040-0000-
HANS & BEVERLY BAILEY
RES NEW SFR
3/27/07
RS9 RESDNTL SINGLE FAMILY
98159
Z?l& w 1& 'ftJ
~B~
Owner
Contractor
Bailey, Hans/Beverley
77 Nisbet Rd
SEQUIM WA 98382
Other struct info .
HI-LINE HOMES
11306 62ND AVE E
PUYALLUP
(253) 840-1849
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98373
24.30
V-N
1. 00
8827.00
2148.00
2148.00
1. 00
Permit
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
DRIVEWAY INSTALLATION
97626
170.00
3/27/07
9/23/07
Plan Check Fee
Valuation
.00
o
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
5/8" DROP IN METER
97618
200.00 Plan Check Fee
3/27/07 Valuation
9/23/07
.00
98159
~~~
1/'0
Qty Unit Charge Per
BASE FEE
Qty Unit Charge Per EX~'
BASE FEE 200.00
-----------~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~------------------------~- -~
Permit SANITARY SEWER HOOK UP
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date .
97600
120.00
3(27(07
9(23(07
Plan Check Fee
Valuation
.00
98159
Qty Unit Charge Per . E@'
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.
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\ll02.ISR [1105]
"
't,f~o"r """
$"'~""~~~
,.~
.. ~-
"4i:~
CITY OF PORT ANGELES
PUBLIC WORK:'i - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
07-00000222
610922
Page
Date
2
3/27/07
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"
03/26/2007 12:56 PM SROBERDS -- proposal will result in
ne sfr wjattached garage in the RS-9 for total lot coverage
of 24%. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required.
Customer connection fee of $713.00 is required for
underground connection.
03/14/2007 02:41 PM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
_____;~~!~~;~~~~::~:-~::~~~:d:p:ior-~~~~~o~~~;~~c~~~~:~~~~--~-_
------------------------------------~~~~;=;~~~~~~-~:~~~~~-~:=~~~~--
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 490.00 490.00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 2724.50 2724.50 .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\J I02_15R [1105]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date 7 ~ 1"5 - 07
Time
Location of Work to be inspected 252 t:,
Name of person requesting inspection 7,.0,-/
I
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
Received by
i<.v
(phone, person)
W Ib14
$PQd~..s
Phone No. 7'~ 1- 4(;, e:;- /
Permit No. 6'7 -2.2 ~
Final ~we~. Other
INSPECTION NOTES:
Inspected: Date "7... 1:S - D"f Time By J<.. \)
Remarks: tI-eiJJ if/r PVc. \'_o"'^- l-\o......S'l., +<> Pr"-.ss,^,,,~.. DIAIMr. +O\A\<" 61-'\
eo.. ~ .;.;de... o~ hc:,v.. 0. 2. If (1'(. ,~:SS'A.v- I,'<,/€" . ";-- ,~ -+ hs
, J' /' II .7'> . i
eV151f"::) :-<0,,1/( ') ,..""11'1// 1<::< 'C..r..! "",f P"'o,n.iu'f,Y !,''''€-
/ 6"'--\ ::; f-
RESTORATION REQUiRED...... YES NO
7'-1
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. (0" j>~<:' '3
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--
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T<> D
o A.f/ij
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Repaired by City'
[] Repaired by Permittee
o No Damage Found
o Other
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 ,s~ 6- 68
Time
Received by 1< V
(phone. person)
Location of Work to be inspected .:L52 ~ LV J h -fit
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
Phone No.
Permit No. 07-222-
Final Sewer Excav. Other Ct-.. or h
INSPECTION NOTES:
Inspected: Date s-r:;- 02>
Remarks:
Time
By t<. V
-l~ u V-
Ok -1-0
RESTORATION REQUIRED . . . . .. YES NO
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 side if necessary)
STREET SUPERINTENDENT
(DATE)
~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date 5-11- o~
Time
Received by
i<V
(phone, person)
Location of Work to be inspected 25 2~ W I b'f 4... S T
A I I,.' _1'1'-.
Name of person requesting inspection -L:b..J !AJ ~
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. 67- 'Zz."2....,
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other l>.-.....Q.. ....Q.v
/
Inspected: Date
Remarks:
INSPECTION NOTES:
3~/(-68
Time
By
~v
OK
t-c)
t:b u... V
RESTORATION REQUIRED . . . . .. YES
NO )<.
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 side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date 7-8-0~
Time
Received by
~,v
(phone, person)
Location of Work to be inspected 2 "")') en W I~,-f-~
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
Phone No.
Permit No.
~ Sewer Excav. Other
()/-Z2.?...
INSPECTION NOTES:
Inspected: Date, t - B -6~
Remarks:
Clot.... b ~ GIAt4..~
'Dr: v'€...wo...y
Time
By
Rv
So;::w eV'
3-"-08
g-II-6'6
/2-/3-67
Ne.WS 10 cO,,/Yleci d"",</. y'-.o.f~ ilucu.q~
~""<<.p lIIo/-=- I'" <2.u..r b a f {'-'--<AI ~ ""M~.j
DA~v
NO ><
RESTORATION REQUiRED...... YES
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(I:ontinue 1m reverse side if necessary I
!':TRFFT !':IlPFRINTFNnFNT
IDATEI
flue: 27 07 05:02p
Double D Electrical Inc
3603855761
p.2
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G-'~
.
ELECTRICAL WORK PERMIT APPLICATION
ID '11{)~
Joh wired by )d' Electrical Contractor CJ OWDer
D;;;~bT~'b' nE'leflfRt' C~ C;b'OGELD~9g~rD
Pwchaser's mailing addreu
1'0 BO)( QS 7
City
p+. l-l~oL!{)c!G
Telephone number
3". -385-113D
PreT1fes oWher',",n..m~ I
nCA liS Do , ..~
Addres5 of inspection '"i'lt ~i-' _
,J.S;;(&, 1.0. Jb u
C1i5t. I+r"\,,(j (' je..s
Phone number to"T,chedule ID,peet'on36b_Io~/_ 5CJ9/ (H
Installlloliotl description
o Commercial )(Residutial
J:l\New
o Altered/Addition
Slate ZIP
IAlct. 9 8'3 b s'
FAX nwnbcr
3190.. 8
,,, .
~ J'U..
I /P lot! S l .0+ I-J {)L/ "d:
/,pI
Owner as dqIned by RCW. /9.28.16/ :(1) Owner willoccup>, ,he slructufT for two
years oflt>r 1M!>, electricnl ~lil is jirJOlized. (2) awller ;s req.,jrerJ to hire an elec.rical
contractor if tJoo,'C' said pl'OpCl'Iy is f(lr .laic. rent or lease.
Aner rC.oIding the above stacement, J hereby certify Ihat ( am che owner of the above
named property or a licen$cd electrical conlfactor. J am making the elccrrical instal.
Jalion or aheration in l;ompliance with che electrical Jaws. N.E.C.. RCW. Chapter
19.28. WAC. Chapler 296.46B. Tile Cicy of Port Angeles Municipal Code, anlJ
Ulility Specifications.
tur or
o Cash 0 Check #
,RCreditCard (Vi~)
~~".
/ ()
r' I
ftND LOAD CHANGES
a Bas&board KW
o Furnace KW
a Heat Pump Ton
a Fan.Wall KW
r
"
Service Information
LAR
o Overhead Service
o Temp Service
'-~ Underground Service
Voltage 11.<.11.'1 "
Phaselill 0 3
Service Size: ~
Feeder Size:
..
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH~IN . THERMOSTAT
'tJ-/t>r'J7
O.le A p",vcd Dal~ AflllIOvcd By
F1NAL""=AV
)l~!6P!. ~
DITCH
AdZ
RVICE
If 7, 07 -.:Izo
o ^FPr(l~cLl Dl'
FEEDER
DOle
Approvcd Bv
Inspection
Date
Area, Building or Equipment Inspected
I
711,0. ~r F~
Action Taken
Electrical
Inspector
\
IN
AI'
g(,.L
~.I{_".,
'jGH'I' DEPT.
.. .
. .
~
I
/;
'-
ELECTRICAL iNSPECTION
WIRiNG REPORT
417-4735
ub uJ
07-2ZL-
~ lJ':Crj2.} C-
IC 5'J
DATE
'7/JJB
OWNER/CONTRACTOR
J1:,J)PL..1Z- ~
PERMIT #
ADDRESS
APPROVED
D.. ..
D...... .......
D...........
D..
. DITCH...
. ROUGH IN/COVER. . .
. . . . . SERVICE. . . . . . . . . .
.... FINAL..... .........
NOT APPROVED
......... D
....... D
'. D
. .~
CORRECTIONS NEEDED:
5?~ -SdJri.--1c..-D_I'1/ c..J20i<Jf'rT1:E C'llJlLr:r'
N/i-L 31L[- 2U
SIP, A ? z. ' I :;Cue -'::-0 t2- <?f'€:l2v I ClC...
N€..L.. 3S 2. - 30 t>,
L/c"j..ti ~E.QV\~~.j)
FOR...
LAO N. DE it' PN."',I--'\
~ULL.Dt.....U.. I'b D~
~TEW2.lorz:.- 'B~~MDI<l'f-.
11 II
fi(2..1L coD E .
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTeRS, INC_ (360) 452-1381
ELECTRICAL INSPECTiON
WIRING REPORT
417-4735
::~ ~~~fl
o
ADDRESS
. z,~,2.-&, t.-<J Ib-13 T
APPROVED
~.f't-: 7. . . . . . . . . . . . . . DITCH. . . . . . .
~ 10.../(,....... ROUGH IN/COVER.
~. 't-:7............. SERViCE..........
D...... ..RN~................
NOT APPROVED
.........0
....0
...0
.. ..0
CORRECTIONS NEEDEO@ PA7itf I" ~ ~-L4.<AA...E-
~It<; NDr Yn~ ~LL "IF'S
EAA:5L- 1Z~c..L~ ,./ow' # ~ n-N
_ <~""-"ut:..- SHO~a JD/ t"-~ _ 7'i':1C.
/&2~fr1
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
'.',~,~ '~,~.'"
"PORT A~
.....J.,O~Q(<:'(
&~t.
",,,,,~
"'C1L....~G?
~ ......- $
(/C'~,o/
4-0RKSg.\'J
"~"""""'----"~.- - ~,- ~ ,=--,~ .
ELECTRICAL INSPECTION
vy,!f;U~G REPORT
\ 417-4735
NOT APPROVED
. . . . . . . . . . . DITCH. . . . . . . . . . . . 0
. . . . . . . ROUGH IN/COVER. . . . . . . . . . . pr
. . . . . . . . . SERVICE. . . . . . . . . . . . . . . 0
.RN~.......O
'1V~:
" .
'- 8}d"" -" -
CORRECTIONS NEEDED: '1Z:-r-- t? /2../"_
,
D~Y
t;/7,;>
aWNERfcONTRACTOR
).. -'" .
.jl,,-'Vl,--<;Ln._
ADDRESS
2.5',7.(,;,
APPROVED
,
pr.~..-7 . .
.-' ,-'
/~)r"'l0. "
,
=, -
""0"('
,.,'/ ..
,
0...
~ '"
, :?i. 5~/?
PERMIT it
f?z.
U
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INSP:k~~ , ~~i
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;/..,141
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6,'- C__ ./
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77\
07)
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,,c ,t-"'t?
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/ ...,.q;_f .
/</{_:/.?~/ LJ i.."",.~;:.r(-~
-" /"
/d J, i,-" I
....V/-f'JT",,-(
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/ - " -- ~/ ~ )"
/:;;
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/ /'v.57J4'ZA_
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/-;,. J C.
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/).J.....( 7"...:5'/ L?~ ~
/c A
.r A57-
,
h4 p C€
&~~. \
,,/ ..../
./
,/ l~;/-':J /'.-tf-
\.... ,,- ~-
./
r~r:)>1
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE _
OLYMPIC PRINTERS, INC. (360) 452.138,
~
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
'""-~l
!
i
'"?rCC?
€.-i-U:n::.t c-
u.J / 0 ~ ,<-r.
APPROVED
O"'",D~H,.
0, , , , , , , , , , . , , , , , ROUGH IN/COVER
D. , , , . , , , , , . , . , SERVICE,
0, , , , , . ,. , . , , , , . , FINAL, , .
NOT APPROVED
""",.",0
",,,,,,,,,,,,0
""",0
o
/1
CORRECTIONS NEEDED: f/ /
r/L-CL",-(
/~L4-7'7". S
/&,','i-t//J L/)
/,.~ / ,c/? /
7-./ I ~// L--' (
\,.,'
/,......-=..'1
".!!7/1
C..._
r--o/<_
;:~~ ~- /ZO.A/7-
;?c/C
(~o ~- f S:.r~Lc:.71'2) k/ <<--'"
// ,~~ ~~-r'""-' / A-Ri / "'<-J
____ .'..- 0.... ; C'>""--O ..,. ,. \
j
---...--/
/ry" 0' ~~, ~~"$".
f"'A
l5k.~ L~/_.
\
/'.~){--c,7=;-/f:) L 1
'" rei
/.
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE _
OLYMPIC PRINTERS. INC. (360) 452-1381
,
i
ELECTRICAL INSPECTION
WIRING REPORT'
417-4735
c....)
16/{
<---
/ .
APPROVED
'./
121".... . . . . .
\.
CL..
0.......'Ji,...
......... .. DITCH......
. ROUGH IN/COVER. .
. . . . . . . . . SERVICE. .
..... FINAL
NOT APPROVED
. . . . . . .. 0
...0
.. . . . . . . 0
... .... ..0
.'
, r
,8,......
/
"-i
CORRECTIONS NEEDEDl/ I
'-~
,4;-/\(,.,,</,
~ ,
L/L')/t.,~:)
/'/ 0 T'
'" "'l~" Lf'
;";; ",'-r- I ~_.c-
-.1; q -4) i:~ ~./\/ C' ,I /_ if~_U ,,' ".\/
~. (. '"'.
. '~~?).l'''i::::./)~( C-cf~~ ...._.5"//<{)v ~'. ~/'
'~ ').0/" ;/.rI
'/-;';"-/K-~
/~~" .,
,",/:r; r I .[::: /"'1
I '-- - -' ,41"_ ,
"-
y,,,)
1/
, \
\ '
f-.
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. {360) 452-1381
,
::f
ElECTRICAllNSPECTiQN
WIR~NG REPORT
417-4735
aY... /.
~-J'elCTOR
lJo~I!.-L
ADDRESS
z..S'~~
PERMIT If
~~_~~~~6.
t2 ~c....,
c.J_L6t1 ~-,=
'NShD
APPROVED
/fJ. .................. DITCH. . . .
o. . . . . . . . . . . . .. ROUGH IN/COVER. . . .
'jf:. . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . .
o. . . . . . . . . . . . . . . . . . . . . FINAL. . . .
@
CORRECTIONS NEEDED: '$~4J!.._E-a.v~ n
~flt... L,N.s~~.a b':c....1
,
4P~.&_@ o&V~
~J-"--;I.3-,-flD
NOT APPROVED
..0
. . . . . . . . . . )R'
..0
.. .0
"""b~
~~
7Z>
,e.t!.€
MtL
W~1'/
(Jp1tn/,~-5I/7-7"";ry.r"'1
t!j) //vs~
Ohr"'..La~
/A7s~
~.s/~_LE A 13~
,~ MB-i.dIt: ~_
~~ ~~
NOTIFY INSPECTOR WHEN CORRECTIONS
c;.'
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
Oi'.YMPIC PRINTERS. INC. (360) 452-1381
~u~ 27 07 05:02p
Double D Electrical lnc
3603855761
p.1
DOUBLE D ELECTRIC
P.O. BOX 957 - 191 CHlMACUM RD.
PORT HADLOCK, W A 98339
360-385-1130 PHONE / 360-385-5761 FAX
E-MAIL: vickiel@ddeleclrical.com
FAX
TO: AL OMAN
FAX:
II
360-417-4~
FROM: VICKIE LE HURA Y
DATE:
8-27-07
RE: ISSUE PERMIT
PAGES:
2
(including this page)
;'''"~'.>Co.'~'iI/.'j ~':~iA~J"';:'J"~' ~\
" . -,. .,...--...~
HELLO AL,
THANK YOU FOR LETTING ME KNOW ABOUT THE ELECTRICAL PERMIT
ISSUE FOR THE CITY OF PT ANGELES. THAT WAS A NEW ONE ON ME. I
GUESS WE'VE ONLY DONE WORK OUTSIDE THE CITY LIMITS OF PT
ANGELES.
FOLLOWING IS OUR PERMIT APPLICATION FOR HANS BAILEY'S HOUSE AT
2526 W. 16TH ST. PT ANGELES. PLEASE LET ME KNOW IF THERE IS
ANYTHING ELSE YOU REQUIRE
ONCE YOU HAVE ISSUED THE PERMIT, COULD YOU PLEASE DO THE
ROUGH-IN INSPECTION OR DO WE NEED TO DRIVE THE PERMIT TO THE
SITE TO PLACE IT THERE OURSELVES BEFORE REQUESTING THE
INSPECTION?
IS THERE A LIST OF INSPECTION FEES THAT CAN BE SENT TO ME FOR
FUTUE REFERENCE? YOU HAD MENTIONED THAT THE $91 FOR THIS
PERMIT WAS "ABOUT RIGHT". LET ME KNOW IF THIS IS NOT CORRECT.
I APPRECIATE YOU CALLING TO LET US KNOW ABOUT THIS ISSUE AND I
LOOK FORWARD TO WORKING WITH YOU IN THE FUTURE.
VICKIE LE HURA Y
DOUBLE D ELECTRICAL, INC.
~IECEIVED
7f;L
AUG 2 8 2007
UGHTDEPT.
APR-10-2007 08:51A FROM:KIRSCH ELECTRIC
3606830869
. //70/
It'!
ti
ELECI'RlCAL WORK PERMIT APPLICATION
ReOfJ nOW
TO: 4174711
P.l
Insll1J1otioll dOSGtipliOIl
o Commerdal ~e5IdeDtt.1
o New 0 Alkred/AddldoD
Job wired by ~Iectrlcal Contractor 0 Owner
Electrical contracLOr name l License number Date Elpircs
(~" <} J.d...J F/ l' CoL...., (.
Purcbaser'.!-nllUling ad4r6. - ...t1 I
---J l~~ C<:,(......:!rnn Kd.
City SLOte ZIP
S f.E1U / YI-\ I Ai IJ.
Telephone num6cr I FAX nLmlber
o - ~I
~
f~~.i'"?
1
s,
CJ:5";)~b
Prtml~e, o,,"ner". uame
H'Ul~ + 'J\..v
AddreSI of In.pt"Ctlon
Lo+ ;1 '-'I.
~r-\-~
(~ .-.::. \-W'
PbG.e Dumber to acbed In.peetloD:
6~P
Owner' as defined by IlCW./9.28.Z6/:(/) Owner wil occupy the 3,,.uclure Jo,. two;
yetJr:t aftn- llI,-s cleclricnllW""it u finolized. (2) Owrler is requlnJ tv ltiN! an elec'rical,
Coftf",clor if above scUd property is for .Idle. ,enl 01' ltUJSe. [J Cash [J Check #
After reading the .bovc statement, I hertby certify Ihat I 8m (he oWt1cr or (he .hove'" - - --...............-~
named property" or a I'tented clcctrial conb'Dctor. I om making the electTic.1 iD'ta1-'1 ~reditCard VISQ
I.lioo or alteration in compliance W,U\ the elcctriul lawe, N.E.C:. . RCW. Chapter,! .
19.28, WAC. Chapter 196.468, The Cit)l of Pnr! A.ngeles MUD1CIQllI Code. and; Card II
Ulility Specifications.
SICD tarc or owa . elcctr
x
oale:L\-1 \)-0
lectrlcal admlalltrator
I
o 0 LOAD CHANGES
o B....bo.rd _ KW
o Fumace _I<W 0 OVerh..d Sorvlea
Q Heal pump Ton LAA 0 Temp Service
o F.n.WolI _ KW 0 UndBrground SaNIes
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROIJGH-IN THERMOSTAT
D..
AppNwcdD)
DIII~
ApprvwodBy
"
PI"
A""...wed 9]/
DITCH
7
Inspection
Dale
Area. Building or Equipment Inspected
~
/5 (3 "0
lRl
A
UGHT DEPT.
.JV. It.'~
~----"-'----'-'-.. --.---
~ Discover
(70
Servtee Information
VO"-96
Ph.seO,03
Service Size: _
Foeller Siz.:
SERVICE
000,
AppnlvCId By
,t:r...uJn(
D."
Ap ..dB
Action Taken
EloctTical
Inspeclor