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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
08-00000659 Date
477136
613 DEL GUZZI DR
06-30-12-6-8-0140-0000-
ELECTRICAL ONLY
6/02/08
RS9 RESDNTL SINGLE FAMILY
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Application desc
Low Voltage
Owner
Contractor
Peabody, George
613 Del Guzzi Dr.
PORT ANGELES
WA 98363
HI TECH SECURITY INC
723 E FRONT ST
PORT ANGELES WA 98362
(360) 452-2727
\S'
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Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 127621
Permit Fee 40.00 Plan Check Fee
Issue Date 6/02/08 Valuation
Expiration Date 11/29/08
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Qty
1. 00
Unit Charge Per
40.0000 EL-LOW VOLT SYS <=2500 SQFT
Extension
40.00
~
~
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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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SPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
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
08-00000595 Date
277800
613 DEL GUZZI DR
06-30-12-6-8-0140-0000-
ELECTRICAL ONLY
5/21/08
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
PEABODY, GEORGE
613 DEL GUZZI DR
PORT ANGELES
WA 98362
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457-5303
WA 98363
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
OLY EL/ 2260 SFR
126870
113.00
5/21/08
11/17/08
Plan Check Fee
Valuation
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Qty
1. 00
2.00
Unit Charge Per
69.0000 ECH
22.0000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
69.00
44.00
vJ
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
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ELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
08-00000516 Date
873916
613 DEL GUZZI DR
06-30-12-6-8-0140-0000-
ELECTRICAL ONLY
5/05/08
RS9 RESDNTL SINGLE FAMILY
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Application desc
T-stat
Owner
Contractor
Peabody George
613 Del Guzzi Drive
PORT ANGELES WA 98363
DAVE'S HTG & COOLING SRVC INC
PO BOX 413
PORT ANGELES WA 98362
(360) 452-0939
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Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 125773
Pe rmi t Fee 35.00 plan Check Fee
Issue Date 5/05/08 Valuation
Expiration Date 11/01/08
.00
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Qty
1. 00
Unit Charge Per
35.0000 EC EL-LOW VOLTAGE
Extension
35.00
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Permit Fee Total
Plan Check Total
Grand Total
Charged Paid Credited Due
---------- ---------- ---------- ----------
35.00 35.00 .00 .00
.00 .00 .00 .00
35.00 35.00 .00 .00
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Fee summary
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SPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
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CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
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 . . . .
08-00000398 Date
399190
613 DEL GUZZI DR
06-30-12-6-8-0140-QOOO-
GEORGE PEABODY
FIRE SPRINKLER SYSTEM
4/21/08
RS9 RESDNTL SINGLE FAMILY
3500
Application desc
INSTALL FIRE SPRINKLER SYSTEM
Owner
Contractor
GEORGE / KATHRYN PEABODY
812 GOLF COURSE RD.
PORT ANGELES WA 98362
(360) 457-5702
Structure Information 000 000
INNOVATED FIRE SPRINKLERS
81 NEW HAVEN LANE
PORT ANGELES WA 98362
(360) 452-7583
INSTALL FIRE SPRINKLER SYSTEM
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date .
FIRE SPRINKLER RESID
FIRE SPRINKLER SYSTEM
123984
50.00 Plan Check Fee
4/21/08 Valuation
10/18/08
.00
o
Qty Unit Charge Per
BASE FEE
Extension
50.00
Special Notes and Comments
Call for cover inspection for all sprinkler installations. A
full acceptance test will be required for all fire alarm
systems.
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 50.00 50.00 .00 .00
/;i
10 . f;q~j~
~ -cr
~
OR
This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examimrl this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the ovision~_ of any state or local law regulating the work specifie~ in ~he pern:it.
Date
Signature of Owner (if Owner is builder)
Date
.
...,
- -.
_._,...~""".~
.
..-. ~
r--
C)
r:I)
~
J>
Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate ClQ
or conceal any work before inspected and accepted. Post permit in a conspicuous location.
FIRE PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final JO-Zl\-Q& D M (rKI(ef-h
FIRE ALARM
Rough-in inspection
Alann final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test Test # 1
Above ground piping inspection/pressure test Piping pressure test pSI
Time initiated
Tank (container) inspection Test #2
Appliance inspection Piping pressure test pSI
Time initiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final
Inspection Type
I Date Passed I
Comments
6'
-
~
E
~
C
~
- -
r;:1
~
2/15/00
:D
~
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V1
GENERAL COMMENTS:
"
,
City Permit # 08-398
PORT ANGELES FIRE DEPARTMENT
102 East Fifth Street, Port Angeles, Washington 98362
(360) 417-4650 FAX (360) 417-4659
Fire Sprinkler System Plan Review
Project Name: Private Residence Address: 613 Del Guzzi Drive
Installer: Innovated Fire Installer Telephone: 452-7583
Type of System: Open 130 13 RO 13D[g]
Date: 4.10.2008 P AFD Permit #: 08-13
We have checked this plan and find that it conforms to the requirements of the code.
Additional Comments:
All systems, including underground mains, shall be installed by a state licensed and certified
company. Systems shall be installed per the applicable NFP A Standard.
All electrical components shall be compatible with the fire alarm system.
All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire
Department PRIOR to being covered. A witnessed flush of the underground piping is required.
A design sprinkler flow test and alarm test are required for all 130 systems.
Before final acceptance of the system, an inspection will be conducted to ensure that the
installation complies with the applicable NFP A Standard. This 130 system will require a
measured flow test.
Contractor
Reviewed by: ^,OJ~)~
\
Date: '1-\0 -2.eoS
o
ll1J
o
Building Department
Fire Department
, DATE: O~ -01-08: I
El
FIRE DEPARTMENT
PLANNING DEPARTMENT
PUBLIC WORKS/ENGINEERING DIVISION
LIGHT DIVISION
o ENERGY
o ENGINEERING
o POLICE DEPARTMENT
o ADMINISTRA TI~N
o CITY CLERK
o RISK MANAGEMENT
I FROM: PUBLIC WORKSIBUlLDING DIVISION I
~
o
o
RE: ADDRESS: Co\ 3 be.-\3 U "2-2..\ \Jr.
NAME/CONTACT: Vi nce..v\+- Be... t+-;:3-e...r
PHONE: !-{ S 2..- l S 8 3
PERMIT NUMBER: . 08 - ~q 2,
PROJECT DESCRIPTION: .::t:n s'hJ I Ft' Y'e- S pri n kl er ~j S~
~ NEW CONSTRUCTION
o ADDITION/ALTERNATION
COMMENTS/CONDITIONS:
AREVlEWIRETURN
o FILE
~D o~~\3
CITY OF PORT ANGELES
Attn: Building Permit Technician
321 E. Fifth St, Port Angeles, WA 98362 (
(360)417-4815 fax(360)417-4711?
\\ b \r~b'
Applicant or Agent V~ V\.CiL'V'\. +~.e'f+~ fl.)! '" Phone
Owner G e.o,,",~ .Jl.,.. 1~.e...~ \0 Delft..J Phone
Owner's Address H) 2.. S t Gd f- c.. 0 ~vSJL R.cd.
Contractor/Engineer It:rNOi/H'TEO F / 12/C S j)P-../c. Phone
Contractor/Engineer's ddress 8/ N~vv H '^(/~"^' L"""",
License # INNOV,csot.l40f2.... Expires
Project Tvpe & Brief Description:
Check all that apply
)f(J'Jew Construction
o Addition
o Remodel
o Repair
oRe-roof
o Demolition
o Sign
PROJECT ADDRESS
Parcel Number
o Heat System
o Other
BUILDING PERMIT APPLICA TION Print in ink
For City Use Only:
Date Received~-O IrOB
Permit # O~- 39 ~
Date Approved
'1 S 2 - 75 83
Lt S 7-" S 70 "2.
'-t 5:2, -75"83
8/1 S/o 8
V\. ~ '2..: Vl'V-R-
Lot Zoning
~esidential
I 1= ..' v..e-
.s
o Commercial
o Multi-family
o Industrial
Y';tj..;z k l.e /"' S
o wall-mounted 0 projecting 0 freestanding 0 awning
Total si n area s . ft. Maximum allowed si n area S . ft.
o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other
o other
Floor Areas Existinq (sq. ft.) Proposed (sq. ft.)
Basement @$ per sq. ft. = $
151 Floor
2nd Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TOTAL VALUATION $ .3S00. ad
Total footprint of structures 2L~8
sq ft
Lot size
%
sq. ft. = Lot coverage
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
ft.
# of bedrooms
# of full baths
# of half baths
Occupancy group
Occupant load
Construction type
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it ;s my respons;IAdy to determine what permils are requ;red, an;;::;ermils pnor /0 working on
~:::::~" m9 ~'i;iO,,~:;:t;':::r~\2:~~d:O; B~ -f'J~ signatueej ~ I) t 13~
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BUILDING DIVISION
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CITY OF PORT ANGELES
* *
Correction Notice
Job Located at If / 3
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Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
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for inspection.
Date Ilf/-;))
7)1/6':
Inspector for Building Division
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
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07-00000574 Date
470466
613 DEL GUZZI DR
06-30-12-6-8-0140-0000-
GEORGE PEABODY
RES NEW SFR
6/19/07
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
RS9 RESDNTL SINGLE FAMILY
248600
Owner
Contractor
GEORGE/KATHRYN PEABODY
812 GOLF COURSE RD.
PORT ANGELES
(360) 457-5702
Structure Information
Other struct info . .
OWNER
WA 98362
000
000 2260 SQ. FT. SFR, /ATTACHED GARAGE
TOTAL % LOT COVERAGE 21.00
CONSTRUCTION TYPE V-N
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
1. 00
10673.00
2260.00
2260.00
1. 00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
DRIVEWAY INSTALLATION
104422
170.00
6/19/07
12/16/07
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
Extension
170.00
BASE FEE
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
104448
805.00
6/19/07
12/16/07
Plan Check Fee
Valuation
.00
248600
Qty Unit Charge Per
1.00 805.0000 EA PW W/M 1" SERV 3/4" METER
Extension
805.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
104430
50.00
6/19/07
12/16/07
Plan Check Fee
Valuation
.00
248600
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
'Extension
50.00
Permit . . . . .
Additional desc .
Permit pin number
STREET ALLEY RESTORATION
WATER & SEWER CROSSINGS
104463
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 dayS after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
T:\Policies\1102.15R [1/05]
z...
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~
07
Date
PERMIT INSPECTION RECORD
"
.
CALL 417-4807 FOR UTILITY INSPECTIONS, PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE, IT IS UNLAWFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
,
"
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES 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
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:\Policies\1102,15R [1/05]
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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
Permit Fee
Issue Date
Expiration Date
Page
07-00000574 Date
470466
720.00 Plan Check Fee
6/19/07 Valuation
12/16/07
2
6/19/07
.00
248600
Qty
1. 00
1.00
Unit Charge Per
290.0000 ECH STREET ALLEY RESTORATION
430.0000 ECH STREET CUT OTHER
Extension
290.00
430.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
104455
120.00
6/19/07
12/16/07
Plan Check Fee
Valuation
.00
248600
Qty Unit Charge Per
1.00 120.0000 EA SAN SEWER HOOKUP
Extension
120.00
Special Notes and Comments
Electrical load calculations and elctrical permits are
required.
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.
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
06/12/2007 11:32 AM SROBERDS --The proposal will result
in a new sfr in the RS-9 with total lot coverage of 21%.
No land use issues anticipated.
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 1865.00 1865.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 4099.50 4099.50 .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\ 11 02.1 SR [1105]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS 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
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 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1/051
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000574 Date
470466
613 DEL GUZZI DR
06-30-12-6-8-0140-0000-
GEORGE PEABODY
RES NEW SFR
6/19/07
~
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
RS9 RESDNTL SINGLE FAMILY
248600
Owner
Contractor
GEORGE/KATHRYN PEABODY
812 GOLF COURSE RD.
PORT ANGELES
(360) 457-5702
Structure Information
Other struct info . .
OWNER
WA 98362
000
000 2260 SQ. FT. SFR, /ATTACHED GARAGE
TOTAL % LOT COVERAGE 21.00
CONSTRUCTION TYPE V-N
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
1. 00
10673 .00
2260.00
2260.00
1. 00
<5'
-
vJ
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
2260 SF. SFR, ATT. GARAGE
102418
1854.65 Plan Check Fee
6/19/07 Valuation
12/16/07
741. 86
248600
(?
Qty Unit Charge Per
Extension
1020.25
834.40
(j)
C
~
(\I
BASE FEE
149.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 103721
Permit Fee 132.90 Plan Check Fee
Issue Date 6/19/07 Valuation
Expiration Date 12/16/07
Qty Unit Charge Per
BASE FEE
1. 00 14.7000 ECH ME- INSTALL 100- FAU
5.00 7.2500 ECH ME-VENT FAN
2.00 10.6500 ECH ME-OTHER APPL. N/R
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5
.00
o
~
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/0 ~
~~
~
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Extension
50.00
14.70
36.25
21. 30
10.65
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
103713
196.00
6/19/07
12/16/07
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
Extension
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date
T:\Policies\1102_15 building pennit inspection rccord05,wpd [1/4/2005] "
BUll-DING PERMIT INSPECTION RECORD
~
CALL417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL AN]' WOFJl BEFORE
INSPECTED AND ACCEPTED. POST PERMIT 11\ A CONSP1CUOUS LOCA T10N.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSI'ECTlON TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDA TlON:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE / DOWN SPOUTS I
PIERS I
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 ALUHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR / CEILING
MECHANICAL
ROUGH-IN
HEATPUMY/FURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE / PELLET 1 CHIMNEY
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKlNG & HOLD DOWNS
SKlRTING
PLANNING DEPT. SEPARATE PERMlT#'s SEPA:
P ARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PWI CONSTRUCTION - R.W.
ENGINEERlNG 4]7-4807 PW / ENGINEERlNG
FIRE 4] 7-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNlNG DEPT.
BUILDING 417-4815 BUILDING
T:\Po1icies\1102 15 bUlldmg penmt mspectJOo 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
07-00000574
470466
Page
Date
2
6/19/07
Qty Unit Charge Per
BASE FEE
15.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE
1. 00 15.0000 ECH PL- EA. BLDG SEWER
2.00 7.0000 ECH PL- EA.WATER HEATER
1. 00 5.0000 ECH PL- EA. GAS PIPE 1-5
Extension
50.00
105.00
7.00
15.00
14.00
5.00
Special Notes and Comments
Electrical load calculations and elctrical permits are
required.
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.
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
06/12/2007 11:32 AM SROBERDS --The proposal will result
in a new sfr in the RS-9 with total lot coverage of 21%.
No land use issues anticipated.
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 2183.55 2183.55 .00 .00
Plan Check Total 741.86 741. 86 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 5159.91 5159.91 .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:\Policics\ II 02_15 building penni! inspection rccord05. wpd [1I4/2005J
BUILDING PERMIT INSPECTION RECORD
CALL417-48J5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICALlNSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIiv1UM 24 HOUR NOTICE. IT IS UN LA WFUL TO COVER, INSULATE OR CONCEAL ANJ' JVOPJI BEFORE
I1VSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
\
INSI'ECTlON TYPE DA TE ACCEPTED COMMENTS
I YES I NO
FOUNDA TlON:
FOOTINGS II-f)l~07 -:ILL ~eba.y \ \ -<3 -Of ]L(...
SHEAR WALLS / WALLS Perl'tneier 1> r-.l n II-I'-I-oc :fL.-I-
FOUNDA nON DRAINAGE / DOWN SPOUT$
PIERS I
POST HOLES (POLE BLDGS.)
PLUMIlING
UNDER FLOOR / SLAB
ROUGH-IN 4..::S0-0& J"LL-
WATER LINE (METER TO BLDG)
GAS LINE FINAL \o-Z7/(r~ DATE J"LL ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL ~ -q -Oq PB
WALLS
CEILING I
FRAMING 1'7_-- \Sr07 \'LL F1ami'hJ b-'t-09 fB
JOISTS / GIRDERS .
II SHEAR W ALL~OLD DOWNS il- 2.'1., -OS PB
WALLS / ROOF / CEILING
DRYWALL (lNTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION c,-- {Z -02> PB
SLAB
WALL / FLOOR / CEILING
MECHANICAL
ROUGH-IN
HEATPUMY/FlJRNACE/DUCTS .
GAS LINE FINAL'V)-27-D8 DATE:JL0 ACCEPTED BY:
WOOD STOVE / PELLET / CffiMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCYJNG & HOLD DOWNS
SKlRTING
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
ELECTRJCAL- L1GHTDEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ CONSTRUCTION - RW.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUlLDING 417-4815 -rO -1-1-0?> ""1l..J..- BUILDING
T:\Policies\II02 15 building pennil inspection record05.wpd [1/4/2005]
BUILDING PERMIT - APPLICATION
~OR OFFICIAL USE ONLY: l
J Date Rec.: (') 5-2.2...--07
Pennit#: 07-~Lf I
~ Date Approved :6/ 'f 1:->1 ~
· \1 n,,, "'",' h -'I <f-O? I '
""}
Fill out COMPLETELY and in INK. Your application and site plan MUST
COlvLPLETE to be accepLt:d [or review. IfYOli have any qucstions, C:l1!
PERMITS (360) 417-4815 FAX(360)417-4711
Phone:
45'7- 5702-
4S-7 -5702-
Zip: Cj ~..5' Z-
Applicant or Agent: Genvz3-e!. Pea body
Owner: r::,.p,,~ ~ /;0 +.
Address: 8 i ~ Go I f L~ Rei City:
Phone:
Architect/Engineer:
Contractor
pc:J1 f I1N~
Phone:
State License #:
Exp:
Phone:
Zip:
C~ S~'cJls.~ONING: /25 9
Subdivision: t=N 1\1,'$ L~
Address:
Co 13 Del G~ z-zi ~City:
L 0-1- /4- 01- tt/llN,'S
LEGAL DESCRIPTION: Lot: I 4-
Block:
PROJECT ADDRESS:
CLALLAM COUNTY PARCEL NUMBER:
()~ -3 0 l;2.~ ~ 0 ( YO
SIZENALUATION:
aU.("O SF. @ $ 1/0d'f) /SF. = $ ..21../8. ~t)o. tXJ
,
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $ ..J.'1ct bOO. eX>
tv I 'U A- ffcP-L-/'\-'ecl u~
TYPE OF WORK:
.'f/. Residential J1 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
/lJ'euJ ,ReS'/ IJ-el'l U?_
o Stove
o Garage
o Deck
o Other
COMMERCLA,L/RESIDENTIAL: Occupancy Group:
No. ofStories:L Lot Size:'. '01"73 Existing Sq. Ft.
Total lot coverage :J.' %
Occupant Load: .
Construction Type:
& Proposed Sq. Ft. >>&0 = TOTAL Sq. Ft. ~6()
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
APPRO V ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
GttS F,rep\ llee. Yf~ FIre- Srr. ",K~r~ 'Ie> -lttnttScAfe, ~pH t'\\<l~
VALUATION OF CONSTRUCTION: In all case, 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 tin1e of permit issuance. .
EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. .
T:\Po1icies\BL-1l02_13.\V]ld Applicant: ~""----D ~ Date: if401 5,.. ;;;J.;)"- en
../
l
Prescriptive Approach-Simple Fonl1
For the Washington State Energy Code ( 2003 Edition)
Climate Zone 1
Building Department Use Only:
Site InfoIDlation
-d1L/
Address: be / 6vt22." De
001+ A':Jt ie.s
State: Wit Zip: Q83"2.
Contact: Gec~ R~Ot bcdV'
I
Phone: 45...< - '1803
Lot:
pemlit#()7- S 1 L
gWNi ~ L.P-ee K.
s:.\.~-(.t l~ ~j I Of\
Notes:
City:
Phone 2:357.- 510 Z.
FAX: 457 -1 'l32...
Table 6-1
PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
(u r . d Gl . O' 0 1
n lIll1 te azmg JptlOn ny
Option Glazing Glazing U-Factor Door Wall Wall Wall Slab
Area % U- Vaulted Above Interior Exterior on
of Floor Vertical Overheac Factor Ceiling Ceiling Grade Below Below Floor Grade
Grade Grade
Unlimited
III Group R-3 DAD 0.58 0.20 R-38 R-30 R21 R-2l R-IO R-30 R-lO
Occupancy
Only
This Project complies with the following:
./ The Project is a single family residence or duplex. .
./ The Project is wood frame OR all of the insulation is interior or exterior of the framing.
./ All building components meet the requirements listed in Table 6-1, Option III.
./ The Project will meet all other provisions of the WSEC and VLAQ.
The Project will take advantage of the following exceptions to the prescriptive option.
~ 602.6 Exception 1. One door, that is 24ft. Or less, that does not meet the standards allowed.
Location of the door taking tIllS exception ~o-r- l):x>~
o 602.6 Exception 2. Doors with a U-Factor of DAD allowed without calculations, Option III only.
Location of the Door (s) taking exception
Type of Heat Source:
i-4rO\+ ')~p
f,\e.eh1 C- EXHIBIT A
,/
.,
-
City of Port Angeles
Applicant Project Review Sheet
\
\
APPlicant:=~~ ;!j<<body
Owner: a ody
Property Address:
Proposed Use:
L~I- 1'-1 bv/1/,'S
R e.$id p,J f, oJ.
.s- u/, d,' /115/ 6?f
Zoning: _
Is the proposed use listed as a " permitted use" or an " accessory use" in th
Is this the only use (business, residence, etc.) On this site?
Has there ever been a subdivison, shortplat, or PRD approved for this site, or has one
been submitted and is pending approval?
Does the proposed use require a new business license?
Does the project extend into any required setbacks or cross any lot lines (interior or
exterior)?
Does the project exceed the permitted height allowance or cause the property to
exceed the allowed lot coverage in this zone?
Does the project require any additional parking or special design/landscape
improvements in this zone?
Does the project eliminate any existing parking spaces?
Is the project located within 200 feet of the shoreline?
Are there any environmentally sensitive areas on or within 200 feet of the property,
including:
. Wetlands or areas of standing water (year round or seasonal);
. Streams (year round or seasonal);
. Areas with a slope of 40% or greater; or
· Areas that have evidence of past ground movement or erosion?
. H}lVe all the requjred submittals been provided by the applicant?
~Site Plan. 1&1 Construction Drawings D Parking/Drainage Plan
DCivil Drawings D Energy Calculations D Supporting Engineers Calculations
DLandscape/Lighting Plans D Others.
If Planning Department review is required. the processing time may be extended. If it
is determined a separate Planning Department permit(s) is needed, the Planning
Department must be approved prior to the issuance of any other permit.
~ Yes: Ok 0 No: requires PD
reVIew
~ Yes: Ok 0 No: requires PD
review
.~ Yes: requires PD 0 No: Ok
reVIew
0 Yes: requires CC l2r No: Ok
reVIew
0 Yes: requires PD 15t No: Ok
review
0 Yes: requires PD ~ No: Ok
review
0 Yes: requires PD W No: Ok
review
0 Yes: requires PD ~ No: Ok
reVIew
0 Yes: requires PD "&3 No: Ok
review
ti Yes: Ok
o No: Mark
required item
The information provided above is true to the best of my knowledge, 1 understand that in the event that any of this information is
determined by the City to be incorrect, this project will be stopped until such time the City determines the correct information is
provided and any subsequently re tired review and approvals are completed and granted.
G
Applicant
I J
. I
Date
l../ -0 C:5 5- 22. - 07
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
08-00000606 Date
416270
623 DEL GUZZI DR
06-30-12-6-8-0190-0000-
ELECTRICAL ONLY
5/23/08
RS9 RESDNTL SINGLE FAMILY
o
Application desc
Temp pole
Owner
Contractor
Hulett, Erin
623 Del Guzzi Dr.
PORT ANGELES
WA 98363
HALVORSEN ELECTRIC
1426 W 11TH ST
PORT ANGELES
(360) 457-7803
WA 98363
Permit ELECTRICAL TEMPORARY SERVICE
Additional desc (j'--
Permit pin number 126995
Permit Fee 46.00 Plan Check Fee .00 W
Issue Date 5/23/08 Valuation 0
Expiration Date 11/19/08 (N
Qty Unit Charge Per Extension
1. 00 46.0000 ECH EL-TEMP SRV - 0-100 SRV FDR 46.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.00 46.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 46.00 46.00 .00 .00
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SPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
OUGH - IN
FINAL
OMMENTS:
ELECTRICAL PERMIT AiVD INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00001362 Date 11/20/07
948310
613 DEL GUZZI DR
06-30-12-6-8-0140-0000-
ELECTRICAL ONLY
RS9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
LUDWICK, WILLIAM P.
5319 BLUEBONNETT DR.
COLLEYVILLE TX 76034
OLYMPIC ELECTRIC
4230 TUMWATER
PORT ANGELES
(360) 457-5303
WA 98363
Permit ELECTRICAL TEMPORARY SERVICE
Additional desc
Permit pin number 115923
Permit Fee 46.00 Plan Check Fee
Issue Date 11/20/07 Valuation
Expiration Date 5/18/08
.00
1
Qty
1. 00
Unit Charge Per
46.0000 ECH EL-TEMP SRV - 0-100 SRV FDR
Extension
46.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.00 46.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 46.00 46.00 .00 .00
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INSPECTION ELECTRlCAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH - IN
FINAL
~ /1~/t8 I4P ~
COMMENTS:
...<-PORT"",
f....t)~~
,...~t.
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. --
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
o(-~ ?L/
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
property Use
property zoning
Application valuation
07-00000574
.<:I 7 04 6 6
613 DEL GUZZI DR
06-30-12-5-8-0140-0000-
GEORGE. PEABODY
RES NEW SFR
Date
6/19/07
Owner
Contractor
1.213 b~ qu-c:ci
-C Geo ~l~o~
,
RS9 RESDNTL SINGLE FAMILY
248600
GEORGE/KATHRYN PEABODY
812 GOLF COURSE RD.
PORT ANGELES
(360) 457-5702
Structure Information
Other struct info
OWNER
WA 98362
000 000
2250 SQ. FT. SFR, IATTACHED GARAGE
TOTAL % LOT COVERAGE 21.00
CONSTRUCTION TYPE V-N
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
1. 00
10673.00
2260.00
2260.00
1. 00
desc
number
104422
170.00
6/19/07
12/16/07
Plan Check Fee
Valuation
.00
0,"
r:;(1~
,..~/O~
10/U .
Permit
Additional
Permit pin
Permit Fee
Issue Date
Expiration
DRIVEWAY INSTALLATION
Date
Qty Unit Charge Per Extep~
BASE FEE C 170.0~
------------------------------------------------------------ -- --
Permit PUBLIC WORKS RES WATER SERV
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
104448
805.00
6/19/07
12/16/07
plan Check Fee
Valuation
.00
248600
Qty
1. 00
Unit Charge Per
805.0000 EA
PW W/M 1" SERV 3/4"
?.,~
-~~:~~----- -----~~::~~
Permit
Additional
Permit pin
Permit Fee
Issue Date
Expiration
RIGHT OF WAY
desc
number
104430
50.00
6/19/07
12/16/07
Plan Check Fee
valuation
.00
248600'
Date
________=~~~___~n~::~~~~~~_E~:r__RIGHT_OF_~~:_:~~=:____________~_~
Permit STREET ALLEY RESTORATION
Additional desc. WATER & SEWER CROSSINGS
Permit pin number 104463
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utili/ies, 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\ 11 02.15R [1/05]
~?DR1~
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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
Permit Fee
Issue Date
Expiration Date
Page
07-00000574 Date
470466
720.00 Plan Check Fee
6/19/07 Valuation
12/16/07
2
6/19/07
.00
248600
Qty
1. 00
1. 00
Unit Charge
290.0000
430.0000
Per
ECH
ECH
STREET ALLEY RESTORATION
STREET CUT OTHER
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
104455
120.00
6/19/07
12/16/07
Plan Check Fee .
Valuation
.00
248600
Qty Unit Charge Per Extension
1.00 120.0000 EA SAN SEWER HOOKUP ~
-----~~~~~~~-~~~~~-~~~-;~~~~~~~--------------------------------~
Electrical load calculations and elctrical permits are
required.
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.
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
06/12/2007 11:32 AM SROBERDS --The proposal will result
in a new sfr in the RS-9 with total lot coverage of 21%.
No land use issues anticipated.
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 qf way. An inspection by Public Works
Engineering is required prior to prouring concrete.
-----~~~~~-;~~~--~-~-~-~-~-~-~-~-~--~~~~~-~~~;~~-~~~~-~~~~~~100~-~
STATE SURCHARGE 4 s~
------------------------------------~~-~~=~~-~=:=~~-~~~-~~~~~~~~~:_~
Fee summary Charged Paid Credited . Due
----------------- ---------- ---------- ----------
Permi t Fee Total 1865.00 1865.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2234. 50 2234.50 .00 .00
Grand Total 4099 .50 4099.50 .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 reguiating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T;\Policies\1102. 15R [1/05]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date =:; - 1- 0 8
Time
Location of Work to be inspected ~ / .5
Name of person requesting inspection Lq,.r-y
Address of person requesting inspection
Type of Inspection (circle appropriate one):
0ew~ Foundation Framing Chimney Plumbing Final Sewer Excav. Other
I
Received by
l<V
b("-
(phone. person)
])a.1 C':, u. ~2 ~
4bl- '-1260 or-
Geol'<)Q,S <-fbi- ~2 b 7
Phone No.
Permit No. 67-$ 7'-/
INSPECTION NOTES: 1
Inspected: Date S- - )K,- 0 e
Remarks:
Time
p~\
By ~';-lL
,
RESTORATION REQUiRED...... YES NO
L"L~r.r '> f.", LF= J,..." c{c.~OJ~ ~"J-s,-d< bid!.
~"'7-c
pow-I,~< ,~.~.~ co
Le" rye L,>'. ~- -.'" " - z-q LIZ ~d ?V'c.
b"J",vJ '/" I/-a l:z,
4Z LfC _.__
v" pVG !
--/4'1~':o ~/<
-r.p'o? ~" ") ~~
8' do,,"",'" ,1- m~ /'>
~
SURFACE RESTORATION:
_ SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
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)
.,...........,---
APPLICATION FOR WATER
City Water Division, Port Angeles, WA
Issueddate:;tl~()llnstalledbY&date: Pennlt# 07-571
I hereby apply for water to be fumished in accordance with rates and rules of the City for the
following premises;
A~PltCant"ame&PhOne (jeovqp ~t1,htrl~ 4'57-570"L
SIte Address (p {~ De,It}I~ 7'Z; ""by Mailing Address: <is JZ tq (! FA
Blk: Lot: J 4 Add: Ennt~ CJ::. Parcel #: O("3(,)1;;?~f3IJI4b
SVC:ONI€j) ~er.#'sc , Fr::til~zz.\WIO# 3n3LJ"(-3Yt>
~' II fJ 8cs-7- / ~
Sve: Size Fees: Z-:i!;{) Restoration Required:
Signature: 4 Remarks;
LJ F;;e Sf',,:~ kt<<J' S
N ,
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s
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date <) - J:J. - Og
, ).
Time I : 00 j} fl\ Received by
,n
(phone. ~s00
Location of Work to be inspected tS 13 iJ e ~ U 7.. ~_ ; .
Name of person requesting inspection I/\/t;,..tt! f yJ;,/j 51"......
Address of person requesting inspection I 70? .".3- g 5 ;-
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
Phone No. 4 f7 - V'6''I c;
Permit No. 01 "571
Sewer Excav. ~ (J<A-fe,r
INSPECTION NOTES:
Inspected: Date 5'"--.)).. - 0<6
Remarks:
Time / () : '? 0 ~/P1 By / I 7
/7",&<./ .I)t 34 ~e/l//c.R 111 G1" fJl/C- C-flvlc!uir.
;?. \ XL/v' Cut In ti".J.olc..lf
f
RESTORATION REQUiRED...... YES X NO
* f I I{ ~6S~
y' wi
J, -
'i:> -W ') /75
, f ~
...
~
""
../
'&, 11 I .
OeI9UZz.,'
--:.
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
% Asphalt 0 PCC ' 0 Other
Work Order # 1'", S Y'it' - .JYo
~ COMPLETE ~('t/o r ~
j:8lINCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date In -1(- o~
Time
Received by
7<. V
(phone. person)
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
""/~
VI: lops
Del C"\0.. L ~ \:).,
~ vu::..~ ;\"
Phone No.
Permit No. 07- 57'/
Sewer Excav. Other ~
c.:, """ tle v---
Final
INSPECTION NOTES:
Inspected: Date I D -26- De
Remarks:
Time 411
By
7<V
() k' 1n 'P6,^,f
By Dwf\er-
RESTORATION REQUiRED...... YES X NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date ID --z..L/-of3 Time Received by /p (phone. person)
Location of Work to be inspected
Name of person requesting inspection
~~; ~1~il
Address of person requesting inspection Phone No. 7 - -57 O-z--
Type of Inspection (circle appropriate one): Permit No. D 7 -~ 71
Sewer Foundation Framing Chimney PIUmbing~eWer Excav. Other ~
INSPECTION NOTES:
Inspected: Date / () - 21 ~ DB
Remarks: "5aAl ,<)..p 1;. J-U J
fA) ttiJiv 0 K..
Om~ rrztwc
1=""" l - Ok-
Time Z ? l'-'l
f:"-'7--08
'i' -Z;Z.-()f;
) 0- VJ--08
[0 -1-"\- c:> ~
By Br"i Co
RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
. 0 No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
'ContinUA on reverse sida if nacAssarv)
~TD~~T ~IIDI:D'A..ITI:IUnI:IUT
,nATI:'
May 01 08 09:250
Dave's Heating & Cooling
360-452-0939
p.1
:--
08-05'](0
J......4~
01~
~
~?
ELECTRICAL WORK PERMIT APPLICATION
Q
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ttfElectrical Contractor Installation description
Job wired by DOwner a Commercial ~e5identi31
Eleclrical contractor name License number D31e Ex~res ~w o Altered/Addition
Jia ve; s H-ea-+1 n!?Ci .DAW=St1C."i"I\;;lC :5 07
Purch.aser's mailing address low vo f +-4-'f- ~"-YY\ c r;-h:cl-
f. D. fwx '+ (3 1..0 I \^-e..
Cit I~ Stale ZIP
Po,* A,,~lx..6 WA 4'[.3 6a-
Telephone number I fAX number
'-(-5.9- oq:3 '1
PremiSCi owne,.'s name ~<"- P ~a-'''o .1 va
G. eo n;re- "'-
Address or inspectioll J) r i \.'-e., RECE'VEIDJ
~ 1:3 1)-e ( G <-l L. "Z. i
City(! ~
DI~+ A~ S"I .. MayO Z 299B
rhon~ number to ichedule inSflcction: '8" -;;L
8" 0 - <1 ~
OW1lcr as defined by RCW 19.18.26i:(I) Owner will occupy Inr: slr-uciure for two LIGHT DEPT.
year,)' after this electrical permit is finalized. (2) O.wlcr i.. rcquirt!d 1(1 f,irc all electrical
con/rector if abol'C said property is for saft:, refit or lease. D Cash D Check #
After re.:ading Ihe abo\'e statement, I hereby certiry th.:at r .am the owner of the above g(Credit Card ~
named propert}' or a licensed eleclrical contractor, r am making the electrical inSlal~ Mastercard Discover
lation or Ilteralion in compliance \l,:ith the electrical laws, N.E.C., ReW, Chapter
19.28, \.\.'AC. Chllptcr 296~46B, The Cit), of POrl Angeles Municipal Code. and Card # - - -
Ulility Specificalions. ----------------
~g1~7J;;;;:;;iC.1 co~.ctor or .l~l~;;; 'S~'7~g Expiration Date (~nS3i5~
of card
""
EI.f ricaJ load Add'lions and or subtractions , . Service Information
o NO LOAD CHANGES
D Baseboard KW
:;yfumace J.:2KW
I9"Heat Pump a. Ton 'b~ LAR
o Fan-Wall KW
Q Overhead Service
Cl Temp Service
Cl Underground Service
Voltage
PhaseQ103
Service Size: _
Feeder Size:
~
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-4]7-4735
jj,,l,::UGH-:kn I' THER'10STAT /" SE.RVICE
D Al'pr..~cLl By "- n'lI" Al'pro~-C<.l f1~ "- O~lc Al'l'rt).-~.J fly
FINAL DITCH /" FfEDER
/~/z.llf15 ~
l),lIt; App.o'--ed ay "- 1)nc Approved Oy ;:laiC ....~Pl().-~ Ely
Inspection Area, Building or Equipment lnspected Action Taken Electrical
Date . Jnspector
/
,
!
I
,
,
-0 9&-
~ f~
FROM
HI-TECH ELECTRONICS
FRX NO.
360 452 8560
May. 30 2008 02:36PM Pl
06 -6fo C;9
o El\....:f!'il.';:.i (:ollcnu:lOr
i.:::;~;;'.~\""
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~.'i'
"l.ECTltlCAL \VOHKl'UU,tl1 Al'l'LlCAl'lON
o H.l'L~~t!!~~P~._~.~:~~~l.
o OWllcr
o ,':"'UUlJ;1!l:'I:L"Ulh Q .-\l~nn U Collruivul 0 COll1l.lluci;l! e:rlic.~idC'llti.ul 0 Re.sidellli:ll t\.'bil.lt. 0 Sig.o.s l:J '1'IH~nllUsL.;H 0 "i..;k;,~(hl'"
J<Jb h'hcJ.i hy
CJ ElC:l.:trk.d COll(n~c(Q('" 0 Owner
In:nallutiol\ uc::;..:npLJulI
(,toML
(.,~ozz.\ ~~.
RlECIE~VIEID
o
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tk;l:l.-;;l -:.J1l{11.:tO( n:lme
H' -r~ ~'C.O-lIit.L"'f ~
F-;.l.l..:i,~~.!:', ,','.5.iling <lddre;;s
rAS-'"l"""
~~,
Ckr ~~~ ~:_ZIP 99:5:"2-
3;~n~ '~?2.- 2-:;:.2"1- FAxn3b,o_4~:z_B,*,o
Lic:el15c OUlubc:r
~\'rt.'C:~'S 9s"s-BS.
s",,\ -
~~W\~_.. 1i. ~...A-\ \
t4C~f:.. ...~~~'t-ElL
"7%.>
prc~~~~~~~m~ 1
.o\.ullrc;.s oi lllspe~,iun
(.,\ ~ ~/.-
Cit~
!vIAY ::I 0 ?nnR
o Cash
LIGHT OEP! "'
Cl Check # ~
~ltL
! b.~cby -,;:;nify W[ 1 am th~ mVnet ot the 3bo'r'c named propc.t1y or a Iicc;nSed
~(:,;;;:\;:;!,l ;:n.nau':COt (or the firm's amhud7.cct agc:nt) IUld am makin& the dt;c:lric~1
lns!aH.u:o]l .:If l:ll[~tio.a in compli.mcc with ~ elccuicOil Law, ampler 19.28 RCW.
o Credit Card Visa
Card #
Mllslc:rcard
Discover
" - -
-- --- ---- -_.~.-- ----
x
Expiration Date
of card
lu::.pec.!j.on fee
$ 14'iJ' 20
Cover
DITCH
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SERVICE
Ap~'''H:.I ar
FEEDER
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CEILING
JnSuhl.lion Only
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THli:RMOS1~"-T
WAllS
l:"d~\.lhuion Only
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ApplCl~,d By
Dlle
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':""I:.:::,cJ Ell'
Eiectric~LLoad Additions and or subtt~
a NO LeAD CHANGeS
o 8c.;;.;;ooard KW
o f=umCice J{W
Q t-te:e,t Pump Ton LAA
CJ. F::.n-\"V;:I; KW
Service InformatiQ.Q
,;;,J!
o Overhead Service
o Temp Service
o Undergrol.lnd SErvice
Voltage
Phase 0 1 0 3
SQrvice Si~iil: __
Fetlder Size:
bi?z.:riun Area, Building or Equipment Inspected Action Taken t.kcLric.:l
Dal~ l,,;.p.:;,;tot
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ELECTRICAL WORl PERMIT APPLICATION-(
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Job wired by
fR'flectrlcal CtllJlractor Q OWl/cr
t'iasllllACion liNoription ~ /"
C .C.mmerclal Ill'llcl'; !:atla'
U1ii'~.. 0 AIl.r.!u....ddlll..
electrical conlrlClOr n.mo L1cenll) number Dace 'Ckpll"6s
O/f1""''''~ C===;"'L 1'/7/_ /5lt.Y./l1PEC~" 0/
Pllf;ht$'r~ maUln, Iddre:u
'12 :! /.7 /V,Alfu//'1 rh/1
Cilb Stale: ZIP
ffir-r 1'~"?f U7. 7.:?"J6'z
Telepbone number FAX nJ~~.:r ",,:- r..;..
t/S-7->J'.c:JI Y')-2-,., Y7...r
pr6;o~:.~.r.,~..;:i' ~'"
Addr... .n.,p..lI.. /' :J
__J' _ (L(n?'Z" ///'.
-
City 17_ /J /
ro/"1'- /"7C!.r,";''''-J .
Pb... ....b.r I. "b.d'.I, 1.,p"'lI..'L,0/_ '1'1 If
OWII'I' a d,jI;"d by RCW.J9,28.16J:{I) OWner will occupy tJlt! strllcllI" for two
ytJGn sftu Ihis a<<tn"ctzJ ~I tI JlfUllfz.ed. (2) OwIln' U fWt1IIinJ 10 hln 1m fJ/Crical
COtJlrQClor V dbrow >>Id property II fol' jolt. nIIl 0' IttUl.
Aftcor Tadl':'. the above lltalemcml, I bwcby certify that 111m the OWner or II\e above
DIIItCd propeny or I Iiec:n.cd electrical contractor. I ern makil\; the electrical Inalal-
Illioft or altenUon in complilD,e with the electric-lll.wl. N.E.C., RCW, Chapter
19.28. WAC. Chapl.r 296-468, Th. Cily or P... A.,.I.. Mo.lolpal Cod., and
UliliiY.Sp..ifi.au..L
SlcDt.tvre 0' oJrDer. tlee:rrlul contracror or eleenlell admlnl.trstor """"
~ .?-7A' Date:S-~b/OY
2 ;? /n>../ ~~ pr
1/,-;: / /;(-,p';r:;
. .
o Qoob Q Check 1/
~redit Card Visa M tercard DiScover
Cardll ____-___ _"____"____
Expiration Date
oloud
X?:/ /
,.
o NO LOAD CHANGES
o a_board _ KW
o Fumoce _ KW 0 OVorn"'d Servlco
o Hoal Pump _ Ton _ tAFt 0 romp SeNicle
C F",,"Wall _ KW ar Un~orglOund SolVlce
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROOGB-IN r THERMOSl'AT
&-2/0$ <<
0... ""'ftlvcdEly
/ FINAL
~f)/7;!:/~ ~., /
( Ioap"tion fee
$ //.l~
Service Inform~tlon
Vo go .z '/0
Ph ae1lY1 03
Sa Itoe Size: ...l...ilt2
F.a :lor sao:
!>...
~vNBy
~Jt~1CE
J; ~
/ FEEl iER
/ DrJ'OJ . "
r /'/~Lao -:=!.K J
o..le
J
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lnspoetloa
O.tt
~. Bulldins or BqulpmClllI Wpeoled
A.li.. Tok..
1!1.emeal
Jnspector
5-/'7-08
Co..}N!;t-r ~ : $7/!..""
.l?~
.PIP
"--.''l-I!"-
,100'-1'" Y 11-11.#
MAY 1 6 ,om
UGHT DEPT.
.
ff (~ -~<ify ~
--J - S'1ff'f7
!J1vi-/S II +r _
IElECTR~CAlINSPIECTION
WIRING REPORT
417-4735
IN~
OWNER/CONTRACTOR
",
M9tL
1"3>
\)PE-L
~-nz.
Z-z.'
ADDRESS
APPROVED NOT APPROVED
o """"............ DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . .. . . . . . . . . . ROUGH IN/COVER. . ... . . .. . . .. . . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D..................... FINAL....................~
CORRECTIONS NEEDED:
(2.,n'? L~T1L \)~ IZ "'\?':;.p;;. U-
'NfU" nO
I t--tG\f>rL.l.,~lDff
.....l- 13>0)<- ~~ fQ LJ ~ l"Z-€-D "FD R
~ I c-, H vJ' A-S.H p: _R Nf?'- t' J)O
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
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11/18/2007 15:44
OLYMPIC ELECTRIC
3604523498
PAGE 01
11/18/28e7 15:48
<l6B45234ge
OLVMPIC E~IK!~
t"MJ,:Ic. tlJ.
.......
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.
ELECTRlCALWORK~A1'1'LlCAnON
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.....-... rrallovlJlJd ~ up" "'" '" ,- e ClWI lJ Cb~lc1I
AllEr.1OOd/IIJ ... ._........... lllorRT 0ClII1I' 1110'1 III IlIt ........ 0( IIIc ~ IjII""CnditOl1'd
lIllIIIII """""' or , Ueeud .1c:lIl~ CIIII1lI<'O<. I ... IlIlIkln. fI>O elOOlri<ol 111<101. VIsa Mostllrasid Discover
I. or 'I~ amQ>li..... wldt \Il. .I<<hI..II..... NlLC. II.CW. ~\IW
IP:a. WAC. 296-40. 'rIlo CIty 01 Poft A...I.. MI\II1..,.l ~. ..d OWI____~__~---~---~
t1b1i1l' ~r...d....
6\&.,lIIte .r OWl..; metrl..1 c.o,",'" or $<<rlCll."""lllSlrator Il!lqlh.dl..atllle Gorpcc~';:"h-
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Cl HIlII P\IlIIll _ To/I'_ WI C lemp $GNr~
.1:1 Fan-WI)l _KW 'ffu~ $oMQo
SAME DAY INSPEcnON CALL llEFORE '.00 Al\I3liD041'-4735
V_QU 2,Ald
_1/1109
SeI\IIOO SbOI1I2I2.
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