HomeMy WebLinkAbout401 Vista View Dr - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
10kw furnace 2 ton heat pump
Owner
RENNIE TTE CLAYTON W /FAY L
401 VISTA VIEW ST
PORT ANGELES WA 983623749
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
Permit Fee Total
Plan Check Total
Grand Total
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
ELECTRICAL HEATPUMP
143842
59 50
4/06/09
10/03/09
Charged
59 50
00
59 50
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
09 00000295
698825
401 VISTA VIEW DR
06 30 15 5 5 0100 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
SHAMP ELECTRICAL CONTRACTING
PO BOX 383
PORT ANGELES
(360) 452 1689
59 50
00
59 50
Plan Check Fee
Valuation
Qty Unit Charge Per
1 00 57 5000 ECH EL BRANCH CIRCUIT W0 /FEEDER
1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT
Paid Credited Due
les M
z-1k3 -b?
00
00
00
Date 4/06/09
WA 98362
DATE RESULTS
00
00
00
00
0
Extension
57 50
2 00
Signature of owner or Electrical Contractor X Date
INSPECTOR.
*k
QrAps
0
04/03/2009 10 15 FAX
City of Port Angeles Permit Application
Building DlvielonlElactrical Inspections
321 East Fifth Street P,0. Box 1150
Port Angeles Washington, 98362
Ph: (360) 417.4735 Fax: (360) 417
Date:
1 2 Single Family Dwelling
Multi- Family or Commercial"
Commercial Addition Alteration Remodel Repair`
Plan Review May Be R ui d, PI e,Coq�plat ectfic I n R Infer nation Sheet
Job Address: 1.6 j C(�
Budding Square Pootage
D= scripti•n of a
J
Owner Info -ti n 0
Name: ti
Mailin. A S" =sAllealM
City r .aL
Phon
License Exp
Unit Charog Q�t
93 75
$113 75
$160.00
5205.00
$291.25
2.00
57 50
2 00
72 50
86.25
$116 25
$131 25
75 00
69 00
75 00
50.00
50 00
S 93 75
80.00
86.25
27.50
57.50
86,25
43.75
Signature of owner electrical contractor or electrical administrator
RECEIVED
APR 6 2009
LIGHT DEPT
Contractor
Name
Malin Addr;�•
City'
Phon
License
V i
z
Exp
s.
Cash
Check
Credit Card
Pct •ri ctJ Carr)
/VA State: 1"
5Q F -x:
_.s .1 G1, fI i
Total (Qty Multiplied by Unit Charge1
Service /Feeder 200 Amp.
ServicelFeeder 201 -400 Amp.
Service /Feeder 401 -600 Amp.
Service /Feeder 601 1000 Amp.
Service /Feeder over 1000 Amp.
Branch Circuit W/ Service Feeder
Spa Branch Circuit W/O Service Feeder
S oG Each Additional Branch Circuit
Temp Service) Feeder 200 Amp
Temp Service /Feeder 201 Amp.
Temp. Service /Feeder 401 600 Amp.
Temp. Service/Feeder 601 1000 Amp.
Portal to Portal Hourly
Sign /Outline Lighting
Signal Circuit/ Limited Energy Commercial
Signal Circuit Limited Energy 1 2 Family Dwelling
Signal Circuit/ Limited Energy Multi Family Dwelling
Manufactured Home Connection
Renewable Electrical Energy 5KVA System or Less
First 1300 Square FL
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
SD, Cr) Total
clii
I?j001/002
Owner as defined by RCW.19.28.261 (1) Owner will occupy the structure for two years after this electrical permit Is finalized. (2) Owner is required to hire an
electrical contractor if above said property is for sale, rent or lease.
After reading the above statement, I hereby certify that I am the owner of the, above named property or a licensed alsctrlcal contractor I am making the electrical
Installation or alteration in compliance with the electrical laws, N.E.C., RCN/. Chapter 19,28, WAC. Chapter 296-468, The City of Port Angeles Municipal Coda, and
Utility Specification
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Application desc
10 kw furnace 2 ton HP
Owner
RENNIE TTE CLAYTON W /FAY L
401 VISTA VIEW ST
PORT ANGELES
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Fee summary
INSPECTION TYPE
DITCH
SERVICE
ROUGH IN
FINAL
COMMENTS
WA 983623749
ELECTRICAL ALTER RESIDENTIAL
143313
43 75
3/24/09
9/20/09
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 417 -4735
09 00000259
914236
401 VISTA VIEW DR
06 30 15 5 5 0100 0000
ELECTRICAL ONLY
RS7 RESDNTL SINGLE FAMILY
0
Contractor
Qty Unit Charge Per
1 00 43 7500 ECH EL LVT THERMOSTAT
Charged Paid Credited
AIR FLO HEATING CO INC
221 W CEDAR
SEQUIM WA 98382
(360) 683 3901 brei
Permit Fee Total 43 75 43 75 00
Plan Check Total 00 00 00
Grand Total 43 75 43 75 00
DATE RESULTS
Plan Check Fee
Valuation
Date 3/24/09
Due
Extension
43 75
00
00
00
00
0
Signature of owner or Electrical Contractor X Date
INSPECTOR.
TAP
Application Number 09 00000255 Date 3/20/09
Application pin number 685455
Property Address 401 VISTA VIEW DR
ASSESSOR PARCEL NUMBER 06 30 15 5 5 0100 0000
Tenant nbr name CLAYTON W /FAY RENNIE TTE
Application type description MECHANICAL APPL PERMIT
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 11717
Application desc
INSTALL HEAT PUMP
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Owner Contractor
CLAYTON W /FAY L RENNIE TTE AIR FLO HEATING CO INC
401 VISTA VIEW ST 221 W CEDAR
PORT ANGELES WA 983623749 SEQUIM WA 98382
(360) 452 9847 (360) 683 3901
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 143271
Permit Fee 64 80 Plan Check Fee 00
Issue Date 3/20/09 Valuation 0
Expiration Date 9/16/09
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 14 8000 EA ME FURN /HP /FAU c OR 5 TON 14 80
Fee summary Charged Paid Credited Due
Permit Fee Total 64 80 64 80 00 00
Plan Check Total 00 00 00 00
Grand Total 64 80 64 80 00 00
5 -S -0°1
T:FormsBuilding Division/Building Permit
'be v)
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days
after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
state or local law regulating construction or the perforrpa ice of construction.
Date PrIn Name Signatu of Contractor or Authorized Agent Signature of Owner (if owner is builder)
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
BUILDING PERMIT INSPECTION RECORD
Inspection Type Date Accepted By Comments
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION
Slab
Wall Floor Ceiling
MECHANICAL.
Heat PumF Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
FINAL Date
FINAL Date
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting 1 ESA.
Landscaping SHORELINE.
T:Forms /Building Division /Building Permit
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Electrical 417 -4735
Construction R.W PW Engineering 417 -4831
Fire 417 -4653
Planning 417 -4750
Building 417 -4815
Accepted by
Accepted by
Date Accepted By
projec
Date
Y ro.krA
ff 1 60206
w
\N.
Applicant or Agent
Owner IJ t E
Owner's Address 40 I 'It Si 11/4 t.VJ b12 Po R.1
Contractor /Engineer -i pt_o E feT tN
Contractor/Engineer's Address tat u) CE bA-11. sr
License tk1Rf L fit c
PROJECT ADDRESS
Parcel Number
Proiect Time Brief Des
Check all that apply
New Construction
o Addition
o Remodel
Repair
Re -roof
Demolition
o Sign
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
TForms /building Div sion dg. Permit Appl. -2006 Code.doc
i d ILGE E89 09E
BUILDING PERMIT APPLICATIO Print i
CITY OF PORT ANGELES
Atin Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
(360) 417 4815 fax (360) 417 -4711
1 61 v∎s46 D e" .P �e I
1 t w �Iler, a'� �k �(o
criotion. 'esidential Commercial
wall- mounted projecting o freestanding
Total sign area sa. ft. Maximum allowed sign
Heat pump wood burning stove o gas fireplace o pellet stove othe
Existing (sq. ft) dosed (sq. ft.)
Total footprint of structures sq. ft. Lot size
Max. height of proposed structures ft Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
I have read and completed this application and know if to be Prue and correct. I am
understand that it is my responsibility to determine what permits are required, an
1 b Print Name A &5 Signature
For City Use Onto:
Date Received 3 Za _Q
Permit (3c --Z55 1
Date Approved 1
Phone
Phone yr'S gI4
tc,$4 L-SS WIN
Phone (p 1i3 m 01 I
SEQuttA
Expires
Lot Zoning
TOTAL VALUATION
0 2J I b
of bedrooms
of full baths
of half baths
Multi family Indust ia/
sq. ft. Lot coverage
authorized to apply for this permit and
obt in permits prior to working on
141:18t' 8 8002 02 JeW
City of Port Angeles Permit Application
Building Division/Electrical Inspections
321 East Fifth Street P.O. Box 1150
Port Angeles Washington, 98362
Ph: (360) 4174735 Fax: (360) 4174711
Date: 31 I q kl)
1 2 Single Family Dwelling
Multi- Family or Commercial'
Commercial Addition I Alteration Remodel 1 Repair'
Plan Review May Be ired Please Compi Electrical Plan Review Information Sheet
41 Job Address: 'V �P 4 t 2 yt1 %4 e
Building Square Footage:
Description of above
Owner Information Contractor I fo�rrmh�ation
Name: PAY_ RS-014 l lc. Name: ft[ R tik i1J 6-
Mail' Address: 01 E%II D& WE Mailing Address: 2(
City G State: 1�1 Zip: 4 3— City &U1& state: 11i�J Zip; TS
Phone: 57- 9 Phone: 3(ceo iE3 O1
License 1 Exp. License d Exp. Ai it. Ft-0 P b Ol C
Unit Charge
93.75
$113.75
$160.00
$205.00
$291.25
2.00
57.50
2.00
72.50
86.25
$116.25
$131.25
75.00
69.00
75.00
50.00
$50.00
93.75
80.00
86.25
27.50
57.50
86.25
43.75
1 ✓.r��•, n 7 :11 2 %1l
RECEIVED
MAR 2 0 2009
Total (fir Multiolied bv_Vnit Charge/
Service/Feeder 200 Amp.
Service/Feeder 201 -400 Amp.
Service/Feeder 401 -600 Amp.
Service/Feeder 601 1000 Amp.
Service/Feeder over 1000 Amp.
Branch Circuit WI Service Feeder
Branch Circuit W/0 Service Feeder
Each Additional Branch Circuit
Temp. Service/ Feeder 200 Amp.
Temp. Service/Feeder 201.400 Amp.
Temp. ServioelFeeder 401-600 Amp.
Temp. Service/Feeder 601 -1000 Amp.
Portal to Portal Hourly
Sign/Outline Lighting
Signal Circuit! Umited Energy Commercial
Signal Circuit/ Limited Energy 16 2 Family Dwelling
Signal Circuit/ Umited Energy Multi- Family Dwelling
Manufactured Horne Connection
Renewable Electrical Energy- 5KVA System or Less
First 1300 Square Ft.
Each Additional 500 Square Ft. or Portion of
Each Outbuilding or Detached Garage
Each Swimming Pool or Hot Tub
Thermostat
Total
Sig re dormer, electrical contractor or electrical administrator
gate: 31I t io`t
LIGHT DEPT
Ib KtJ cult r4 8A•CC_ 2 -rcy4 HT.
Owner as defined by RCW.19.28261 (1) Owner will occupy the structure for two yews after this electrical penult is finalized. (2) Owner Is required to hire an
electrical contractor if above said property is for sale, rent or lease.
After reading the above statement, l hereby certify that 1 am the owner of the above named property or a licensed electrical contractor. I am making the electrical
installation or *aeration in compliance with the electrical laws, N.E.C. RCW. Chapter 19.28, WAC. Chapter 296.468, The City of Port Angeles Mani dpal Code, and
Utility Speel ications.
2 d I LSE 689 096 01J 81 El W1381s 8 6002 02 -eW
ti F poRr q4 n
:mo d j ELECTRICAL PERMIT APPLICATION DatcJR cFtC1ALUSEQ *!LY
gf
VI Pernut N:
g �,_.y �u� Date Approved:
a�F Date Issued
oar The Electrical Permit Application must be filled out completely.
AN
Please type or reprint in ink. If you have any questions, please call (360) 417 -4735
Fax number: (360) 417 -4711
Owner or Elec. Contractor Agent: (i my TON a Fq y I E N N I� Phone: r4.Jr., qR Li 7 Fax:
Property Owner: A Ft /v) E Phone:
Address: 40 J js rA J t EL(' City: PO IC'.T AAIGEL.ES Zip: -f �y
3 G;.
Electrical Contractor: License Exp: Phone:
Address: City: Zip:
INSTALLATION WIRED BY: CWO WNER ELECTRICAL CONTRACTOR
Credit Card Holder Name: �iqy /E ks t.i i F
Billing Address: 40 1 c, A u /Cur" C i t y F O R T AII; G E U)A Zip: `7 .3 (G,
Credit Card Number:
t. 44 -60ab
PROJECT ADDRESS: f`fC► V .S%:'9 Lit 8 J1 I ZT A AI E LEC5 1,V4 /g f 2,
TYPE OF WORK: Check all that apply: New Alteration /Addition
®Residential Multi- family Commercial Mobile Home Sq. Ft
Remote Meter Detached garage Hot Tub Swim Pool Septic Pump Low Voltage Telecom. Sig!
Number of Circuits added or altered: 3 G
DESCRIPTION OF THE ELECTRICAL PROJECT: to /R/ A1� N E w A n b i T1 61,0
Electrical Heat Load Additions and or Subtractions Service Information
Baseboard KW Voltage: 2.2- 0 A
Furnace KW Overhead Service Phase: v1 3
at Pump TON LRA Temp Service Service Size: 2. Cc 4
IWFan-Wall 5 KW Underground Service Feeder Size: 2 4
7 1-5-72 /�d 664-a e lLeCi`" t 6 4 4/ '(41>c4(
I hereby certify that l have read and examined this application and know that same to be true and correct, and an
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
Credit Card Holder's Signature: j L.,. A, 1 ✓vL. Date: 11_3 0 3
1
Owner or Elec. Cont. Signature: Date: 3 e 3
r
vl
1 PERMIT FEE: 0
C: /ELECTRICALPERMITAPPLICATION
ELECTRICAL PERMIT SUBMITTAL REQUIREMENTS
INSPECTOR OFFICE HOURS 8 9am AND 1 2pm
NO INSPECTIONS WILL BE MADE UNTIL PLANS HAVE BEEN
APPROVED AND A PERMIT HAS BEEN ISSUED!
EN IS AN ELECTRICAL PERMIT REQUIRED?
BEFORE ANY ELECTRICAL ADDITIONS OR ALTERATIONS HAVE BEEN STARTED
IO MAY APPLY FOR AN ELECTRICAL PERMIT?
1.) ELECTRICAL CONTRACTORS OR THEIR REPRESENTATIVES
2.) OWNER OF A BUILDING; UNLESS THE BUILDING IS NEW AND FOR RENT OR SALE
WIEN ARE PLANS REQUIRED?
1.) ALL NEW SINGLE AND MULTI FAMILY RESIDENTIAL PROJECTS.
2.) ADDITIONS AND REMODELS WITH ANY NEW ELECTRICAL WIRING, REQUIRING MO
THAN FOUR BRANCH CIRCUITS
3.) ALL COMMERCIAL AND INDUSTRIAL PROJECTS.
4.) PROPERTY OWNERS PERFORMING THEIR OWN WIRING
v!#IAT IS REQUIRED FOR A COMPLETE ELECTRICAL PERMIT SUBMITTAL?
1.) AN APPLICATION FILLED OUT IN ITS ENTIRETY
2.) FEE PAYMENT IN FULL
3.) PLANS MUST CONTAIN THE FOLLOWING:
a.) WIRING PLAN (SHOWING THE LIGHTING, RECEPTACLES, PANEL
DISCONNECT LOCATIONS, SERVICE LOCATION SIZE)
b.) PHASE(S), VOLTAGE, AMPERAGE
c.) LOAD CALCULATIONS PANEL SCHEDULES (COMMERCIAL, INDUSTRIAL
RESIDENTIAL REMODEL AND ADDITIONS)
d.) DETAILED RISER DIAGRAM (COMMERCIAL INDUSTRIAL) SHOWING
BREAKER, CONDUIT WIRE SIZE AND TYPE
WHEN ARE PLANS REQUIRED TO BE PREPARED BY AN ELECTRICAL ENGINEER?
1.) EDUCATIONAL, INSTITUTIONAL, OR HEALTH CARE FACILITIES AND OTHER
BUILDINGS PER WAC 296 -46A -140
2.) COMPLEX INSTALLATIONS AND /OR LARGE FACILITIES, AS REQUIRED BY INSPECTO
!VW MUCH DOES AN ELECTRICAL PERMIT COST?
REFER TO THE ELECTRICAL PERMIT FEE SCHEDULE FOR APPROPRIATE FEES FOR YOU
PROJECT. COSTS FOR PERMITS VARY DEPENDING ON THE SCOPE OF WORK.
HOW LONG DOES IT TAKE TO GET AN ELECTRICAL PERMIT?
IF PLANS ARE REQUIRED, PERIVIIT ISSUANCE FOR MOST RESIDENTIAL PROJECTS WI"
NORMALLY TAKE LESS THAN THREE WORKING DAYS. COMMERCIAL PROJECTS MA
TAKE LONGER DEPENDING ON THE COMPLEXITY OF THE PROPOSED INSTALLATION.
WHEN AND HOW ARE ELECTRICAL INSPECTION SCHEDULED?
1.) BEFORE COVER AND AGAIN WHEN ALL DEVICES AND EQUIPMENT ARE INSTALLED,
2.) INSPECTIONS ARE SCHEDULED BY CALLING 360 417 4735 BY 7:OOam
p i ■A 1,
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
7/29/03
03-00000731 Date
401 VISTA VIEW DR
06-30-15-5-5-0100-0000-
RES ADDITION
12320
[=iNAlfO
?/llo4
Owner
Contractor
RENNIE TTE CLAYTON W/FAY L
401 VISTA VIEW ST
PORT ANGELES
Structure Information
Construction Type
Occupancy Type . . . . .
Other struct info . . . .
GARY EVENS CONTRACTING
PO BOX 1535
PORT ANGELES
(360) 460-6715
1965F ADDITION & 252SF DCK
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
NUMBER OF UNITS
1. 00
WA 98362
WA 983623749
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
1965F ADDITION & 252SF DECK
246.75 Plan Check Fee
7/29/03 Valuation
1/26/04
98.70
12320
Qty Unit Charge Per
Extension
92.75
154.00
BASE FEE
11.00 14.0000 THOU BL-2001-25K (14 PER K)
Other Fees STATE SURCHARGE 4.50
Fee swnmary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 246.75 246.75 .00 .00
Plan Check Total 98.70 98.70 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 349.95 349.95 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnv nd public Improvements. This permit becomes
null and void if work or construction authonzed IS not commenced within 180 days, If construction or work is suspended or abandoned
for a penod 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 authonty to violate or cancel the provisions of any state or local law regulating construction or the performan ,of
constru 'on
~ 8-0'1-03
"'V'
nature of Contractor or Authonzed Agent Date
Signature of Owner (If owner IS builder)
T \PLANNrNG\FORMS\1102 15 [4/2002]
Date
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I BUILDING PERMIT INSPECTION RECORD
CALL 417-48151 FOR BUILDING 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 LOCA nON
I
I
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
I~SPECTION TYPE DATE ACCEPTED COMMENTS
j I
I YES NO
FOUNDATION: I
,
FOOTINGS I 5r---b-03 J. .I.
WALLS I 1 IlK!""" _\. L.
I
FOUNDATION I DRAINAGE (
ELECTRICAL I (LIGHT DEPT) SEPARATE PERMIT #
i
ROUGH-IN I
PLUMBING [
UNDER FLOOR! / SLAB
I
ROUGH-IN I
WATERLINE I
GAS LINE I
BACK FLOW / ~ATER
AIR SEAL I
WALLS I I , 1_ , I (A-z. II. .1
CEILING I ' 'I ' t-...... ~
FRAMING I
JOISTS / GI~ERS
SHEAR W ALLI
WALLS / ROOF / CEILING n- q - o~ .J..L.
I
DRYWALL I
T-BAR I
INSULATION I
SLAB I Iq -ltL- 0 "') J.L
I i I /Z'l/Ie> ~ I~) LL
WALL / FLOOR / CEILING
MECHANICAL[ -.-
HEAT PUMP I
WOOD STOV$ / PELLET / CHIMNEY
HOOD / DUCts
PW UTILITIESj; SITE WORK (EngmeerIng DIVISIOn) SEPARATE PERMIT #'s
WATERLINE 7 METER
I
SEWER CONJj1ECTION
SANITARY [
STORM I
PLANNING DEPT SEPARATE PERMIT #'s SEPA
I
I
PARKING/LIGHTING ESA
I
I
LANDSCAPI~G SHORELINE
I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
I RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL j LIGHT DEPT 417-4735 ELECTRJCAL
LIGHT DEPT
I
CONSTRUCTI0N R W / PW/ CONSTRUCTION - R W
ENGINEERING 417-4807 PW / ENGINEERJNG
I
FIRE I 417-4653 FIRE DEPT
,
I
PLANNING DEPT 417-4750 PLANNING DEPT
I
, '~-I-bH .J. Lf
BUILDING 417-4815 BUILDING
I
T \PLANNING\FPRMS\1102 15 [4/2002]
I
I
PREPARED 3/01/04, 12.27 32
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
3/01/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
401 VISTA VIEW DR
GARY EVENS CONTRACTING
RENNIE TTE CLAYTON W/FAY L
06-30-15-5-5-0100-0000-
03-00000731 RES ADDITION
SUBDIV
PHONE
PHONE
(360) 460-6715
PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
8/06/03 JLL
8/07/03 AP
9/12/03 JLL
9/12/03 AP
10/09/03 JLL
10/09/03 AP
11/24/03 JLL
11/24/03 AP
11/24/03 JLL
11/24/03 AP
~:::_::__~~~~~__~______~~::~:N:o:::::s AND NOTES ______________________________________
BL1
01
BUILDING FOUNDATION FOOTING
Slmple foundatlon for deck and small addltlon
BUILDING INSULATION/SLAB
BLIS 01
BL3
01
BUILDING FRAMING
gary evans 460-6715
BUILDING AIR SEAL
BAIR 01
BLI
01
BUILDING INSULATION
tJ
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST: ( ,
Date B (, L (!:)~
--------
Time
r~
Received by
IT
e~~
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
sewec~ Framing Chimney
INSPECTION NOTES: \ ~
Inspected: Date r \1 1)?
Remarks:
. .
L{ 0 { " ( ~.\.,.e VlfAJ
~Iht-~eu~ ,-
Phone No. ~S
73/
Permit No.
Plumbing Final Sewer Excav. Other
Time
~VV\.
By
~
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)
PREPARED 11/24/03, 12 49 27
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
401 VISTA VIEW DR
GARY EVENS CONTRACTING
RENNIE TTE CLAYTON W/FAY L
06-30-15-5-5-0100-0000-
03-00000731 RES ADDITION
SUBDIV
PHONE
PHONE
(360) 460-6715
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLI 01 8/06/03 JLL BUILDING FOUNDATION FOOTING
8/07/03 AP S1mple foundat1on for deck and small add1t1on
BLIS 01 9/12/03 JLL BUILDING INSULATION/SLAB
9/12/03 AP
BL3 01 10/09/03 JLL BUILDING FRAMING
10/09/03 1= gary evans 460-6715
BAIR 01 11/24/03 BUILDING AIR SEAL
BLI 01 11/24/03 BUILDING INSULATION
PAGE
DATE
5
11/24/03
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 10/09/03, 12-37 14
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER,
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
401 VISTA VIEW DR
GARY EVENS CONTRACTING
RENNIE TTE CLAYTON W/FAY L
06-30-15-5-5-0100-0000-
03-00000731 RES ADDITION
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01
a/06/03
a/07/03
9/12/03
9/12/03
10/09/03
BLIS 01
~.
BL3 01
SUBDIV
PHONE
PHONE
(360) 460-6715
PAGE
DATE
JLL BUILDING FOUNDATION FOOTING
AP Slmp1e foundatlon for deck and small addltlon
JLL BUILDING INSULATION/SLAB
AP
-~--_:::~~:~::::::::~:::
2
10/09/03
NOTES --------------------------------------
PREPARED 9/12/03, 12 15 07
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
401 VISTA VIEW DR
GARY EVENS CONTRACTING
RENNIE TTE CLAYTON W/FAY L
06-30-15-5-5-0100-0000-
03-00000731 RES ADDITION
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
SUBDIV
PHONE
PHONE
(360) 460-6715
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
S/06/03 JLL
S/07/03 AP
9/12/03 ~
---------------------~!sr-------------
BL1
01
BLIS 01
BUILDING FOUNDATION FOOTING
Slmple foundatlon for deck and small addltlon
BUILDING INSULATION/SLAB
PAGE
DATE
2
9/12/03
COMMENTS AND NOTES --------------------------------------
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST:
Date $l5 ~ I 4 '- cJ5
Time
Received by
Rv
(phone, person)
Location of Work to be inspected J-j 0 / VI'S fG V " e u.)
Name of person requesting inspection G o..y~" y
Address of person requesting inspection
Type of Insp- (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
L.<J~II.5
Phone No. L70-Q~ S-
? 11
I
Permit No.
INSPECTION NOTES:
Inspected: Date
Remarks:
&~~ Time
frf
{JM
By ~ \. /'
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
HI CUSTOMER RECEIPT ***
Opel": SEDGINGT Type: CT Drawer: 1
Date: 7/29/03 01 Receipt no: 54817
Description aty
2003 731
BP BUILDING PERMITS 1
Trans nu.ber:
EIJANS, GARY
GARY EVANS
401 VISTA VIEW
A.ount
$349. 95
6't389
Tender detail
CK CHECK
Total tendered
Total payunt
Trans date: 7/29/03
1535 $349.95
$349.95
$349.95
Tile: 12:28:49
HI THANK YOU FOR YOUR PAYJlENT HI
FOR INQUIRIES PLEASE CALL 360-457-0411
~ .r->l/
" ""''<. 1'-' <-
BUILDING PERMIT - A~ICATION
- .' ,
Fill out COMPLETELY and in INK. Your application and site plan MUST~
COMPLETE to be accepted for review. If you have any questions, cal
(360) 417-4815 ,
FOR OFFICIAL USE ONLY
Date Rec.'''' - I b - b 3
permlt#.~_
Date Approved ~
Date Issued
Applicant or Agent: {J A 12 1 Ci/ rm 5 - tC-r:>,z -II" A-c- {, .."", Phone: ~ ~ 6 C>) ~ ~ " - 6 7 / ~-
Owner: c/ At/Ion /' -en /7 /e. Phone:@tt>) $/6';;- ~ f e& ~7
I ' r
Address: 4'01 t//~fA II/ew 01<, City: fb/2.-f ~gek) Zip: 111362-
Architect/Engineer: Phone:
Contractor 6',.fdy CVtff'r corl/Aefl/7 State License #:611.e.; .G'~olvc6Exp: 3/19/"5
Address: 1:S7 IV. PA/l1L Ac/e. City: 1f>~1- h?/~k ~
PROJECT ADDRESS: <:/0/ V /5'14 t/ /ew If) a. .
LEGAL DESCRIPTION: Lot: Block:
Phone: ~.o - t 7/ >
Zip: fl~ 3 ~ z--
ZONING:
Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA
TYPE OF WORK:
~ Residential 0 New Constr. 0 Re-roof 0 Stove
o Multi-family pg Addition 0 Move 0 Garage
o Commercial 0 Remodel . ; O'Demolition 'j1J Deck
o Repair 0 ,~Jgn .' ,'" 0 Other
BRIEF DESCRIPTION OF THE PROJEGT: -':'1 {)() EIJ-I/lv
'0 'IicvSe. Ii 15~1 /Le'~I.4~ ..; 'c~.;" po>,-r w / 1Je~
/ , f
> 'v '....,
COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: _ Lot Size: ,:s I 4 S Existing Sq. Ft. Z 2~ 4 & Proposed Sq. Ft. , q 6 = TOTAL Sq.Ft. 2L.f eo
Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage I A I ~ %
City:
MC
#
Exp. Date:
SIZEN ALUATION:
/ <16 SF. @ $ 5- 0 /SF. = $
;L 5:4. SF. @ $ / ,0 /SF. = $
SF. @$ . T " . /SF. = $
TOT AL VALUATION $
4 14t1 ~; /I- ql!:i! ;ti/e4.- fo
.
01'[ ':;.o"f"" ,"""'"
f80D
;l. S-:L (:)
/2."3 2. 0
s c.J Cl>Otey, o-f-
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER: ----.:...
PLANNING USE ONLY:
ESAlWetIand(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building DiviSIOn can provide you with information on the apphcation and
plan submittal requirements If you have questions.
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
subrmtted. All other permit fees are due at the time of permit issuance. ,
EXPIRATION OF PLAN REVIEW: Ifno permIt is Issued withIn 180 days of the date of application, the application will expire. The
Building Official can extend the time for actlon by the applicant up to 180 days upon wntten request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No apphcation 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,IFORMSlAPPSIB""dmgp~( wpd Apphcant ,~ .f.~ Date' b - /6 - 0.3
//
./
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'.
DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION
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November 1992
San Diego Area Chapter. ICBO . Chapter Policy 221
Page 3 of 4
94Q:.
Level backfill
---4"
I~" OL
'--foP
66a..@
VI"
,.
izontalsreel
(See Section VIII
for applications.)
-....~., l...~.......,
.~ fI- ~o.
Wall thickness
6" for Type III wall
8" for Type IV wall
, "
8-0
H
2" clear
1
"A" bars
40-bar-diameter
lap minimum
"
~ ft1 @) I~ D.G
.
20
~L
Wall
drain
Gravel backfill
12" wide
Mortar key
(See Section V.)
"B" bars "'It=- i !.o e
"
(", a.
.-
Key size, K-n.
W
\ "
,-8
12" minimum concrete
depth, 12" minimum into
natural ground or approved
compacted fill
Note:A minimum of 7 feet must be provided horizontally from the leading edge of the footing
to daylight where the ground slopes away from the base of the wall.
Page 1 of 4 San Diego Area Chapter. ICBO . Chapter Policy 221
F,Lre 2/Type V retaining wall w~h level backfill
November 1992
,
..
I
H
I
Level backfill
Concrete
block
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(See S-estion ~Ir
for applications.) .
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maximum
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->> 12': block
Wall drain
"A" bars
40-bar-diameter
lap minimum
21; "'clear
2 .~~.
....
Gravel backfill
12" wide
Mortar key
(See Section V.)
"B" bars
Not less than
32", See Table
B, Footnote S.
,., :.
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..
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Note: A minimum of 7 feet must be provided horiiont~lI{irom the leading edge of the f6otr~g J.\,,!
to daylight where the ground slopes away from the base of the wall.
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71,.'o~ IF
.
MINIMUM REQUIREMENTS FOR
Retaining Wall/Level Backfill
San Diego Area Chapter
International Conference of Building Officials
Carlsbad. Chula VISta. Corooado. Del Mar. EI Cajon. EI Centro, Endnilas, Esconchdo. IrrpenaJ Beach. La Mesa. Lemon Grove,
NalIonaICiIy. Oc:san&lde. PoNay, San DiegoC~y.SanOiegoCounly. San Marcos. Santee. Solana Beach. Temec:ula. VISta
Construction of retaining walls, except those less
than three feet high and not supporting surcharge,
requires a permit and is regulated by local building
codes.
This chapter policy outlines requirements for re-
tairung wa s Wl eve ac 1. a .
covers retaining walls with sloping backfill.
Contact your local building department for infor-
mation on how to obtain a permit for a retaining wall.
I. INSPECTIONS
Inspections must be performed during several
phases of construction. Please call for inspections at
the following times:
A When the footing has been dug with the steel
tied securely in its final position, and the site is ready
for the concrete to be placed, a footing inspection is
needed.
B. Amasonrypregroutinspectionisrequired when
the block has been laid and the steel is in place, but
before the grout has been placed.
1. If cleanout holes are used, block may be laid to
the full height of the grout pour before calling
for the pregroutinspection. Grout shall be placed
in a continuous pour in grout lifts not exceeding
6 feet.
2. If cleanout holes are not used, a masonry
pregrout inspection is required prior to each
grout pour. Block cannot be laid higher than the
grout pour. Note thatcleanouts are required for
all grout pours over 5 feet in height.
C. After grouting is completed and rock or rubble
wall drains are in place, but before earth backfill is
placed, call for a backfilVdrainage inspection.
D. When all work has been completed call for a
final inspection.
ll. WALL HEIGHT
Wall height is measured from the top of the footing
to the top of the wall.
Walls not shown in Table A on page 2 must be
designed specifically for existing conditions. The walls
shown here are'designed to retain earth banks with
level backfill. No building foundation, driveway, or
other loading on the upper level is allowed within a
distance equal to the height of the wall.
CHAPTER
POLICY
221
November
1992
....
m. BLOCK
All block must be Type "N" grouted solid with
f 'Ill = 1,500 psi.
IV. MIX REQumEMENTS
retaining walls located in Seismic Zone No.3 or 4.
A The concrete mix for footings must meet a
compressive strength off'c = 2,000 psi minimum, or
the following proportions by volume:
1 part Portland cement
21f2 parts sand
31/2 parts 3/4-inch maximum-size gravel
7 gallons of water maximum per sack of cement
B. The mortar mix must have a compressive
strength equal to 1,800 psi minimum. One possible
mix contains the following proportions by volume:
1 part Portland cement
31/2 parts sand
1/4 part hydrated lime or lime putty
C. Grout must have a compressive strength equal
to 2,000 psi minimum. One possible mix contains the
following proportions by volume:
1 part Portland cement
3 parts sand
2 parts pea gravel (3/.-inch aggregate)
Add water until pouring consistency is achieved
without segregation of the grout constituents. Rod or
vibrate immediately. Rerod or revibrate grout about
10 minutes after pouring to ensure solid consolida-
tion. Stop grout 2 inches from top of masonry units
when grouting of second lift is to be continued at
another time.
Note: All cells must be filled solid with grout.
V. MORTAR KEY
To insure proper bonding between the footing and
the first course of block, a mortar key must be formed
by embedding a flat 2x4 flush with and at the top of
the freshly placed footing. It should be removed after
the concrete has started to harden (about 1 hour). A
mortar key may be omitted if the first course of block
is set into the fresh concrete when the footingis placed
and a good bond is obtained.
(~
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Page 2 of 4
I
VI. I WALL DRAINS from the leading edge of the footing to daylight where
VI'Iall drains (four-inch-diameter) must be placed at the ground slopes away from the base of the wall.
6-foot intervals along the length of the wall and Footing sizes given in Table A are based on a 1,000
locafudjust above the level of the soil or paving on the psf maximum soil bearing value; use of a larger
fron~ face of the wall. The drains may be formed by bearing value will require design by a licensed archi-
placi'ng a block on its side at 6-foot intervals, by teet or civil engineer specifically for the existing
._._____ m __._. lp.J'lv;:ng out the mortarin the vertical spaces betwee!l. __ _ conditions. A soils report, compiled by a licensed civil
all the blocks in the first course above the soil or engineer, may be required. .____u --.-.-------- __HH _n.__. -- h --
pavihg (head joint) on the front face of the wall or by
any bther acceptable equivalent method. Backfill be.
hind wall drains or open head joints must be loose
rub1:l1e or gravel 12 inches wide and extending from
the toD of the wall to the top of the footing.
I
VII.I SOIL
All footings must extend at least 12 inches into
undisturbed natural soil or compacted fill which has
beed compacted to at least 90 percent density. Soil
sh04ld be dampened prior to placing concrete in
footings. A soils report, compiled by a licensed civil
en~neer, may be required.
.A minimum of7 feet must be provided horizontally
San Diego Area Chapter" ICBO . Chapter Policy 221
November 1992
"
vm. REINFORCING STEEL
Reinforcing steel must be deformed and comply
with ASTM specification A615-S5, Grade 40 or 60.
When one continuous bar cannot be used, a lap or
splIce or 4U-bar diameters IS requlrea.
Two #3 bars must be placed longitudinally in the
footing as shown in Fiures 1 and 2.
For 6-inch or 8-inch blocks one #3 reinforcing bar
must be placed longitudinally in the center of the wall
in a mortar joint every 16 inches as the the blocks are
laid up. For 12-inch blocks one #4 reinforcing bar
must be placed longitudinally in the center of the wall
in a mortar joint every 16 inches as the blocks are laid
up.
~~
I
T~ble A I Requirements for Various Wall Heights 1,2,3
W~II Wall Toe Footing Key '4A" "B"
height type Dimension width size bars bars
(~) (L) (W) (K)
I 1'-3" None #35 @ 24" O.c
1'-4" III 2" None
I
2'-{)" III 2" 1'-6" None #35 @ 24" o.c. None
I
2'-S" III 3" 1'-10" None #35 @ 24" O.C. #35 @ 48" o.C.
3'-4" III 4" 2'-1" None #35 @ 24" O.C. #35 @ 48" o.C.
I
4'-0" IV 6" 2'-6" None #45 @ 24" O.C. #35 @ 32" o.c.
I
4'-S" IV 11" 2'-11" None #45 @ 24" O.C. #45@ 24" o.C.
s'-k" IV 12" 3'-2" 6" x 6" #4s @ 16" O.C. #45 @ 24" o.c.
I
6'-0" V 16" 3'-10" S"xS" #45 @ 16" O.C. #45 @ 24" o.C.
I
6'-8" V 16" 4'-4" S"x S" #45 @ 16" c.c. #4s @ 16" o.C.
7'-~" V 16" 5'-0" 12" x 12" #55 @ 16" O.C. #45 @ 16" o.c.
I
8'-0. V 20" 5'-8" 12" x 12" #65 @ 16" o.C. #4s @ 16" o.C.
I
Footnotes
1 Footing sizes are based on 1,000 psi maximum soil bearing value. The resultant is within the middle third of the fooling.
2 Walls not shown in Table A above must be designed specifically for the actual condition.
3 All construction must comply with the specifications shown in this infonnation bulletin.
4 When Wall Type V is required the first 32 inches of block, regardless of wall height, must be 12-inch-wide masonry
units.
~
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- Sill and bottom plate anchor requirements for seismic zone #3. As per the 97 UBC Section (1806)
2- Standard wall bracing is required as per section (2320.5.1) - (2320.11.3) of the 97 UBC. If the wall
bracing methods cannot be met, then refer to "Alternate Braced wall panel" Section (2320.11.4) of
the 97 UBC. If any of the aforementioned methods cannot be met, engineering design will be
required for the "SHEAR WALL" design.
3- Stairs and landings must be a min. of 36" finished width. Handrails guard rails, half walls, stairs,
knewl post, and balusters must meet Section (509 & 1003) of the 97 UBC.
4- Ventilation required as per 2000 Washington State Ventilation & Indoor Air Quality code.
5- Insulation, Heating, Air conditioning, Lighting, Windows and Appliances to meet 2000
Washington State Energy code.
6- 5/8" type "X" sheets rock in the usable space under stairs and area separation between the garage
(Group "U") and habitable area of main structure (group "R") if attached, to meet the rating
requirement. The rating of the sheet rock & nail pattern must be visible to the inspector.
7- Gas fuel water heaters are required to have combustible air as per the UPC and UMC. And shall
not be located with in any sleeping area, pop off valve to be directed to the exterior and 90 degree
turn downward 12" above finish grade.
8- 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. 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.
9- Attic access is required where there is 30" of headroom in attic area.
10- Safety glazed tempered glass required within 24" of any doorway edge, along with other
requirements as per chapter 24 in the 97 UBC.
11- All spans - Rafter, floor and ceiling joists must meet the requirements in the 97 UBC chapter 23
with a deflection of L=240.
12- an approved sprinkler system is required, if the total square feet under roof, of the structure,
exceed 5,999 S.F.
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"
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CITY 0' PORT ANGELES - Con8tructfon Plans
The Issuance of fills permit based upon these plans, specifi.
cations and other data shall not prever{~ the bUilding officIal
from there:lfter requiring the correcHon of errors in saId
pl?ps, spentlcatlOns and other data, or trom preventing
bu'ld; 19 operations being camed on thereunder when In
vlOlat;un of all codes and ordinances of this JUriSdIctIon.
(SECT/ON 303(c) . Umt rm ~UI/dlng COd~
Approval Date ,- {.b\b~ By ~c....
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000589 Date 6/17/03
401 VISTA VIEW DR
06-30-15-5-5-0100-0000-
FIRE ABANDON TANK INSPECTION
Rf-fA(-w
0;2-7 j1J 3
100
Owner
Contractor
RENNIE TTE CLAYTON W/FAY L
401 VISTA VIEW ST
PORT ANGELES WA 983623749
GARY EVENS CONTRACTING
PO BOX 1535
PORT ANGELES WA 98362
(360) 460-6715
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
UNDERGROUND TANK RES
15.00
6/17/03
12/14/03
Plan Check Fee
Valuation
.00
100
Qty Unit Charge Per
Extension
15.00
BASE FEE
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 15.00 15.00 .00 .00
Plan Check Total .00 .00 .00 .00 ~
Grand Total 15.00 15.00 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public Improvements. "[ is permit becomes
null and void If work or construction authorized is not commenced within 180 days, if construction or work is suspen ed or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 ays from the last
inspection I hereby certify that I have read and examined this application and know the same to be true and correct. II provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a ermit does not
presume to give authOrity to violate or cancel the provisions of any state or local law regulating construction or the p ormance of
constru
~_ ~ b~/7-05
f Contractor or AuthOrized Agent Date
Signature of Owner (If owner is builder)
T IPLANNINGIFORMSI] 10215 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 4I7-4Sq FOR BUILDlNG 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
I1SPECTION TYPE DATE I ACCEPTED COMMENTS
YES NO
FOUNDATION: I ^'
FOOTINGS I ,
WALLS I
FOUNDATION I DRAINAGE
ELECTRICAL I (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I I
PLUMBING I
UNDER FLOOR / SLAB
ROUGH-IN I
WATERLINE I
GAS LINE I
I
BACK FLOW /jWATER
AIR SEAL I
WALLS I
CEILING I I
FRAMING I
I
JOISTS / GIRDERS
I
SHEAR W ALd
I
WALLS / ROOF / CEILING
I
DRYW ALL I
T-BAR I
INSULATION I
SLAB I
WALL / FLOOR / CEILING
MECHANICALI
HEAT PUMP I
I
WOOD STOVE / PELLET / CHIMNEY
I
HOOD / DUC~S
PW UTlLlTIESj; SITE WORK (Engmeenng DIVISIOn) SEPARATE PERMIT #'s:
WATERLINE 1/ METER
I
I
SEWER CON!j'ECTION
SANITARY I
STORM I
PLANNING VEPT SEPARATE PERMIT #'s SEPA
I
I
PARKING/L1pHTlNG ESA-
I
LANDSCAPIfG SHORELINE
I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
I RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL j LIGHT DEPT 417-4735 ELECTRICAL
LIGHT DEPT
I
CONSTRUCTI0N R W / PW/ CONSTRUCTION - R W
ENGINEERING 417-4807 PW / ENGINEERING
I
FIRE I 417-4653 FIRE DEPT
I
PLANNING DEPT 417-4750 PLANNING DEPT
I
BUILDING I 417-4815 (",-27-0.5 K-PO BUILDING
I
T \PLANNING\FORMS\1102 15 [4/2002]
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY.
Date Rec b --/7~ 0 "S
Penntt#. 581
Date Approved
Date Issued:
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
(3,60) 417-4815
Applicant or Agent: &;frL'I /t;/H?5,... c-t:rnl..YAc.f'},d
Owner: C fA '1i6)1 l? e.Y1 n ; e..
Address: </0/ t/;SIA L/~tA/ f)R City: P A.
Phone:
~6o-67;~
Phone: '75"2- - 98 ~7
Zip: '} 836 '2-
Archltect/Engineer: Phone:
Contractor6.At-..c-y t!!?c.//f"YI) - c_+dA::-I'k} State License #".bAlf liEc:..-~c>IY:Gxp: .7 -/9 - t:>5
Address: i?,""1 ,-,. ~;C .4n2..~&'& /5""2'- City: 111 ,
PROJECT ADDRESS: ~ol C/i,.!A vie""; D{L,
Phone:
Zip: f'l936"Z.-
.
ZONING:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
o Multi-fanuly 0 Addition 0 Move
o Commercial 0 Remodel, !J ,DemohtIOn
, 0 Repair " ,0. SIgn
BRIEF DESCRIPTION OF Tlq:~~PROJE~T:
City:
Exp. Date:
o Stove
o Garage
o Deck
'll""'5ther
Il.e J?J t>v..e-
SIZEN ALUATION:
SF. @ $ /SF. = $
SF. @ $ . /SF. = $
SF. @$ , /SF. = $
TOTAL VALUATION $ /c)O 00
(!)" J -r,4-yJ ii:.: , '
, "
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
Construction Type:
= TOTAL Sq.Ft.
%
No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft.
Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist requITed? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Budding DIvision can provide you witlt information on tlte application and
plan subrmttal requirements if you have questions.
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 tlte Building DIvision to comply with current fee schedules. Contact tlte 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 tlte time of perrmt issuance.
EXPIRATION OF PLAN REVIEW: If no permit IS issued witltin 180 days of the date of application, tlte application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon wntten request by tlte applicant (see Section 107.4 of
the Uniform Building Code, current editIon). 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-IFORMSlAPPSlBm]dmgp_' wpd Apphcant: ,~ /. ~ Date: 6 - / '7 -?J 'i
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000731 Date 11/14/03
401 VISTA VIEW DR
06-30-15-5-5-0100-0000-
RES ADDITION
RS7 RESDNTL SINGLE FAMILY
12320
Owner
Contractor
RENNIE TTE CLAYTON W/FAY L
401 VISTA VIEW ST
PORT ANGELES
Structure Information
Construction Type
Occupancy Type . . . . .
Other struct info . . . .
GARY EVENS CONTRACTING
PO BOX 1535
PORT ANGELES
(360) 460-6715
1965F ADDITION & 252SF DCK
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
NUMBER OF UNITS
1.00
WA 983623749
WA 98362
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
46.70
11/14/03
5/13/04
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
46.70
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.70 46.70 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 51. 20 51. 20 .00 .00
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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 speclfled'herein or not The granting of a ermlt does not
presume to give authority to Violate or cancel the proviSions of any state or local law regulating construction or the p ormance of
construction
Signature of Contractor or AuthOrized Agent
Date
Signature of Owner (If owner IS builder)
T \PLANNING\FORMS\1102 15 [4/2002J
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING 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 LOCA nON
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION-
FOOTINGS
WALLS
FOUNDA TlON DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL
WALLS 1 ROOF 1 CEILING
DRYW ALL
T-BAR
[NSULA TlON
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEA T PUMP
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engmecnng DIVISIOn) SEPARATE PERMlT #'s
W A TERL[NE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA
PARKING/LlGHTlNG ESA
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT 4 [7-4735 ~hAJOc{ At!O ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R W 1 PWI , ,
CONSTRUCTION - R W
ENGINEERING 417-4807 PW 1 ENGINEERlNG
FIRE 4[7-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 4[7-48[5 BUILDING
T \PLANNING\FORMS\l102 15 [4/2002]
/3S
'.CITY OF PORT .ANGELES.
. . DEPARTMENT OF LIGHT
APPLICATION AND ELECTRICAL PERMIT
A
7)1./
PERMIT NUMBER
FEE A GEIPT NUMBER
e;
/r;,. 00 ()/111ft( "Q,
; TOTAL:-FEE , , .
CONT. Lie. NO. TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY
-,
ELECTRICAL PERMIT ONLY NO OCCUPANCy OR USE ESTABLISHED UNDER THIS PERMIT
SiteAddress4Cl E U/S'T.4t./lEk/. PR. Wf) ,
. CORRECT ADDR~S~~ RESPONS~BILlTY OF APPLICANT _.. P,ERMITS WITH. WRONG ADDRESSES A~<;:NCELLED .....
Owner [7 w. RENA! It:' Installation By aiJ. f(:..clJ#lb
Owner'sAddress qOI.E ()(57/Jd/EW.. Installers Address t.jO/ EUI57/JtI/Ek/
DaYPhOhe'/OZ.- "l f' C/7. . Installers Phone __L/~2- ?rcl?
Application is hereby made forP,ermit to installElectrica; Equipment as foliows: 'I c"L tS"c7R ICI1~ (7/<t? CC///<;
t?~4
Wiring Meth.od
.;
NUMBER AMP 120V -. 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PEA 100R FEE USE OF CIRCUIT PEA 100R FEE
CIRCUITS CIA 10 30 CIRCUITS CIA 10 30
LIGHT L/- SIGN
LIGHT , 50 VOL T5
OR LESS
CONVENIENCE MOTOR
CONVENIENCE - MOTOR --
APPLIANCE . . . MOTOR
D'SHW~SHER FIRE ALARMS
DISPOSAL BURGLAR ALARM
AANGe MISC.
OVEN
WATElt HEATER
LAUN[:)RY
DRYEF! REINSTALLATION LIGHT FIXTURE #
FURNACE S~B TOTAL FEE
GAS-,:)IL
FURNACE ENERGY FEE
ELEC1RIC BASIC FEE
ELEC1~'UC HEAT . . . ..
TOTAL FEE
ELEC1;RIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER .
-
A.C. U'~JIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
-
SERVICE A.W.G.
.. I SUB-TOTAL
SIZE OF GROUND SIZE OF ENTRANCE SWITCH
ectrical Code.
1- certify that the work to be performed under this permit will be done by the installer and in confo
Date A'pplication made
"\
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,19
By
OR OR OWNER {O UTHORIZED AGENT}
Permission is hereby given to do the above gescribed. work, according to the condition ereo and according to the approved plans and,
specific:ations pertaining thereto, subject to compliance with the Ordinances.of the Cityf Port Angeles.
, .. .. _ ..' DIRECTOR OF CITY LIGHT . .
By"~d ~ ~
PLANS APPROVED . .
-.
Date P~rmit Issued
?/{7-CJ /lr.b
~RNING I
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in
Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report
~ OLYMPIC PRINTERS, INC.
",
REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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.:0 O.K. TO CONNECT SERVICE
4/;;'/ /17 ''fU . FINAL O.K. '.
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FEE RSCEJPT NUMBER
., " CITY OF PORT. ANGELES
DEPARTMENT OF LIGHT
., APPLICATION AND ELECTRICAL PERMIT
A
3SG::>
PERMIT NUMBER
.
I~OO .' , . .
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TO'!'AL FEE ,
, ,. , ,co NT. L1C.t'lO.\ TIME TO COMPLET~. .NO. STORIES LEGAL OCCUPANCY
.. . ,
ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
401 6,:\/;;;;7-;:" VIeW
CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONG ADDRESSES ARE CANCELLED
Owner C ,W'- 12e/i,J/J fe- . . Installation By . CMifJeR..'
Owner'sAddress -41.9/ e, V'STA \/'f?,W Installers Address "SAME
Day Phone -152- - ""'! 617, ' . Installers Phone SAME
Application is herebY,made for Permit to install E~ctric~1 Equipment as follows: I A.1c.Re:46E 0106 pA-AJE:L-
E?'1 10 !'MP'!" Ff2.0":,, IbD A 'TO IbOA, (JNSTALUtJG HoT WATt-R..
t+eATER ')
Site Address
Wiri.ng M.ethod
.'
NUMBER AMP 120V 240V NUMBER AMP 120V 240V
USE OF CIRCUIT PER 100R FEE USE OF CIRCUIT PER 112l0R FEE
CIRCUITS CIR 10 30 CIRCUITS CIR 10 30
LIGHT SIGN
, 50 VOL:TS ..
LIGHT OR LESS
CONvENIENCE Mo'TOR .' . -
,
CONV~NIENCE MOTOR .,
APPLIANCE . MOTOR
DtSHWASHER FIRE ALARMS , ..
- .
DISPOSAL BURGLAR ALARM
RANGE MISC,
..
OVEN
WATER HEATER
LAUNORY . .. .
DRYEFr - 'REINSTALLATION LIGHT FIXTURE # . .
FURN~CE SUB TOTAL FEE
GAS -OIL
FURNACE ENERGY FEE
ELECTRIC ..
BASIC FEE
ELECTRIC HEAT . ..
TOTAL FEE
ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER
.
A.C. UNIT AMP PHASE
FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS
. , ..
SERVICE AW.G.
I sUB. to'!' AL SIZE OF GROUND SIZE OF ENTRANCE SWiTCH
I certif~' that the work to be performed under this permit will be done by the installer and in,conformance with the N.E.C. Electrical Code.
Date Application made
,9 -2..3-~
,198s By
CONTRACTOA OR OWNER (OR AUTHORIZED AGENT)
Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and
s'pecifi~ations pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles.. - '. - ,.... .7'
DIREC'!'OR.OF crn LIGHT
/WARNING
By UN,,-
PLANS APPROVED
Notify Department of City Light by Street Address and Permit Number when ready for inspection. Work must not
be covered or current turned on before inspection and O.K. for covering or service has been given.by Inspector in
Writing on Permit Placard. A. . Permits Phone: 457-0411 Ext. 158.
PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _
.
Date Permit Issued
WHITE. Original CANAAY. Duplicate PINK. Triplicate WHITE CARD - Inspector's Report
OLYMPIC PRINTERS, INC,
".4." or
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REPORT OF INSPECTOR
DATE OF VISIT MADE BY REMARKS
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". -- O.K. TO CONNECT SERVICE
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
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15201
ELECTRICAL PERMIT
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'7- 3 u ?Y
Port Angeles, WaSWngtOnhmh_.!.___h_hh__n____m____m___m__nhm_n_m' 19nooo___
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment in, on, or about any building or other structure in the City of Port Angeles, per-
mission is hereby granted to do electrical work as listed below.
Address __m!:.~:/t:.0-?!:hht?_<!._~~m__m___ooo_ooo___nooo_:oooh_______ Occupancy_h._:.~:'!._:~_::____nmnnn_________h__
. --:f 1:1-.) ,
Owner hL.:.::.f!':::'J.-1..__f-::.:-:.::~u~.)u~~.::.:~:~~___.___u___ Tenant__________._u............um__._____mhou____u_..dh_nmuoh..
Wiring Contract~r m,'t{.~~_'::::~:".-:'__:_:_::_:_n______ooo_____hnm_n_ Byn__hh_n_n_h_n_nooo_nooo_ooon______n__n___n__ooo_h_:_nn
Ligbt OuUetS..n...._nnn...................._.....
Receptacle Outlets........___.............___..__
Dryer, KWI___nn_m_nnm_mnmm__n_m_n
Range, KW..._m_
Water Heater:
KW_mmn mn_nn_n_m__ _ nmnmn _nn_
Heat: RW .___.i?.__~..t.f:..~:..{.....::!:.d'.ng...e.
I -
Motors: sIze, volts and phase:
Total Load__................__....___..
Service, volts __/-':.?.9./:...?...!.~_:.:...n__.
3'
No. wires ..__..unn..._nn_...........______.
Size wires...;;:.(C.:l,'_;,_,,-.f~&.j
,~ . d',C1
Main fuse _..__~~___..~.:'-.m.._____.______
c..Ti~
Enclosure ______nmmnm_......._n_____....
Type of wiring:
Entrance Cable .............00_____..___....
Rigid Conduit ...nm__......mn______....
Metallic Tubing .____._______..............
Current transformers:
No. & Size.................n......__.....__.....
Ser. NO.n._n........n..._....................._...
Ser. No. ..............................__...__........
Ser. NO.........__..__..._..........n____....._....
Ser. NO..........n..__..............................
Type of Wiring:
Armored Cable
Non.Metallic ____........._..__...__..........
Knob & Tube..................._.....___......
RIgid Conduit mn___mn..___...___..___..
Metallic Tubing __..m........___.........
Raceway .......__...________.00.______..___......
Circuits. Light.....__.........................._..___
Utility ____..00..__.....__.__________..__.._____.00.
Heat
Range .........._..................................
Water Heater ..____.........................
~Iotor ......._...._..............................._
Dryer ...00.__....______.........._......._..........___
Furnace .........................._.....
Total .....00.____________.____......00__....
Remarks: ..u.._.:'"J._L.d_~...~.c::::':I....::q._n_n_..__n.nu..n_...n.._..uuu_n___u___.U_U.Uh..n_hn_._nun._dh_n_n.n...____u..nn.UUhn_
.n_...nnudhhnnn_n__.nnn.nnnnnn_...uhOhn_n__n.n._nnn.n_n.u.h.n_n_....__._n__u.hUnnun._n.nnuuu.hO_n_.n_..n___n.n.nun_
i~_:_~~"-_~~~-:_~-_-_~-_--_-:_-_~-_~~-n~m--nni~~_~~:~~~~_~_~~~_~~~-_-:_~~~--nn-n--m----:~-~l:~Z!.:::[::~:4;.:=:=~:2::::~::~
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work is to be cono
cealed due noUce must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
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15201.
Datecalledfor~h8~tctiO~I:.~/.~!;:!1:y.....I!~~.~........_._..............._.........................__......._.........__....u........_.....__......_..............__....
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PrelimlnarylnSpeC~i?ndat~:(7...;.;:..............-.-.-.~........................_...................._........................................_........................._._.....................
. ~.,:1' ' ,_ ~") !...4...:-1......_
Inspectioncompleted..._.....~_.........._.........................................__...._.................................._........_......___........_...__._...........___._.._......._......._
Total Load
\
1M 3.72 Olympic Printers, Inc.
..................................n................................................._........._..._._