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Home My WebLink About1305 Forest Trail - Building Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation f~ORT~ tO~~~ .~ 11:.. -- 'I.iii:",w;.<" Owner MERIDETH MICHAEL A PO BOX 1004 PORT ANGELES (360) 461-7363 Other struct info Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 3 I 07-00000443 Date 286819 1305 FOREST TR 06-30-14-6-7-0150-0000- MICHAEL MERIDETH RES NEW SFR 5/15/07 -C L vJ RS9 RESDNTL SINGLE FAMILY 161803 Contractor OWNER WA 98362 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 29.50 V-N 1. 00 9168.00 2706.00 2706.00 1. 00 - \)J o V\ BUILDING PERMIT -RESIDENTIAL 1900 SF SFR & ATT. GARAGE 100347 1367.45 Plan Check Fee 5/15/07 Valuation 11/11/07 546.98 161803 d1 ~ ~ 62.00 Qty Unit Charge Per BASE FEE 5.6000 THOU BL-100,001-500K (5.60 PER K) Extension 1020.25 347.20 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT -\ 7V 101972 115.00 Plan Check Fee 5/15/07 Valuation 11/11/07 .00 o Qty Unit Charge Per BASE FEE 1. 00 14.7000 ECH ME- INSTALL 100- FAU 4.00 7.2500 ECH ME-VENT FAN 2.00 10.6500 ECH ME-OTHER APPL. N/R Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Extension 50.00 14.70 29.00 21. 30 ~ ? ~~ ~~ '- ~ z t V) 11 PLUMBING PERMIT 101964 154.00 5/15/07 11/11/07 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 50.00 70.00 BASE FEE 10.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 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. Y3~ 113 (~1(~ I Signature of Contractor or Authorized fj.gent T:\Polieics\ II 02 _15 bllildi';g Dennil illSI'Oei;OIl reeord05. wpd II (.1I2005J 5 - I 5 -(/' l Date Signature of Owner (if owner is builder) Date BUll..,DING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTJONS. CALL417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UN LA WFUL TO COVER, INSULATE OR CONCEAL AN}' WORK BEFORE' IiVSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TJON. KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE. ". INSPECTJON TYPE DATE ACCEPTED COMMENTS YES NO FOUNIlA TION: . FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRAINAGE / DOWN SPOUTS I PIERS POST HOLES (POLE BLDGS.l rLuMntNG UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDGl GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALlJHOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (rnTERlOR BRACED PANEL ONL Yl T-BAR INSULATION SLAB WALL I FLOOR I CEILING MECHANICAL ROUGH-IN fffiATPUMF/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPT oeD BY: WOOD STOVE / PELLET I CHIMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCYJNG & HOLD DOWNS SIURTTNG PLANNING DEPT. SEPARATE PERMIT /I's SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED )'ES NO ELECTRlCAL - LlGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEI'T CONSTRUCTION R.W./I'WI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERfNG FIRE 4J7-4653 FIRE DEPT. i I , i PLANNING DEPT. 4J7~4750 PLANNING DEPT. Inu::,orNG 417-48\5 , BUILDING 'I I I ! T:IPoliclcslJ 102 15 budding ;'"'"11! 1JlspeCllOll record05.wpd (1/4/2005] f~ORT~ CJf;:...J..O~~~ , h,s... iif~ "-~ ~ 'tt\1C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number 07-00000443 286819 Page Date 2 5/15/07 Qty 1. 00 1. 00 1. 00 1. 00 Unit Charge 7.0000 15.0000 7.0000 5.0000 Per ECH ECH ECH ECH PL- PL- PL- PL- EA. INSTALL WATER EA. BLDG SEWER EA. WATER HEATER EA. GAS PIPE 1-5 PIPE Extension 7.00 15.00 7.00 5.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. 05/02/2007 05:13 PM SROBERDS - The application will result in a new sfr w/attached garage in the RS-9 for total lot coverage of 30%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Ditches & 8" culverts will be installed to City Stanards. See Public Works Engineering for Standards. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. EROSION & SEDIMENT CONTROL PER CITY STANDARDS OR APPROVED ENGINEER DESIGN PRIOR TO START OF WORK. 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 1636.45 1636.45 .00 .00 Plan Check Total 546.98 546.98 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 4417.93 4417.93 .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 Dale Signature of Owner (if ov.:ner is builder) Date T:\Policics\1 !02_15 building pennil inspccliolllC'Cl',d05.wpd [1/4/2005J BlJILDING PERMIT INSPECTION RECORD CALL 417-48J5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA II'FUL TO COVER. INSULATE OR CONCEAL A.NY WOFJ( EEFORE' v: INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATJON. .-.....! KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE. \ ,L 4: ~ INSI'ECTlON TYPE UATE ACCEPTED COMMENTS YES NO FOUNDATION: FOUNDATION PIERS DRAINAGE I DOWN SPOUTS , / 5/2.1 107 5'/2/107 ~'/JPI/ 07 I " I ,-dl ~ . 'fZ.L...- FOOTINGS SHEAR WALLS I WALLS POST HOLES (POLE BLDGS.l PLUMIlING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDGl GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALUHOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION '2} ( 21107 -;)"LL WA~RLIN~ (y::rlof1 tJ1 :ru... ~/).5 /0 l- ::Jl)...., c;(/7, olD -, -;r LL I I ?1 I z II 0 7 -:r (...L FINAL 3--( 0.... 08 DATE -;)l.L.. ACCEPTED BY: 'OJ 2?[(){ -:rLL I \ riD I en Fr7>..t'Y\ I Vlj :ru... ~ o \j7 1\-'2.0-0'1 (~ln5 T'-c..- d1 ~ ~ --r SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH-IN HEATPUMF/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY -4 ~ FINAL3-(O,O& DATE '0{,....L- ACCEPTED BY: MANUFACTURED HOMES FOOTING / SLAB BLOCKING &. HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMlT II's PARKING/LIGHTING LANDSCAPING SEPA: ESA: SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE . ... RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO 7- S ifl ~ ELECTRJC^L - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W./ PW/ ENGINEERING ! ]'!J(S 417-4807 CONSTRUCT10N - R.W. PW / ENGINEERING BUILDING 417-4750 m-4815 ~ - Hv.OX ! "::)LL- FIRE DEPT. I PLANNING DE1T BUILDING 1 ~ 417-4653 PLANNING f:EPT. T\l'olicies\l102 15 building pr:llIlil inspcclio" ,"con:flS .\'/I'd [1/4/2005] CD CD , , 0 , , ...... , , 0 , , .... , , ...... , , M , , , , , , .., .., , , oj oj , , [iI [iI[iI , , ., ., 00 Cll-< , , <l <l ~ ..:..: , , ..... ..... 0 "0 , , .... .... :x: , , , , Ul Ul [iI , , oj oj :x: , , 0> 0> I-< , , , , ~ ~ f>. M , , ., ., 0 \D , , .... .... Z M , , ..... ..... Z 0 ~ r- , , H H [iI , , , .., .., ;;'i I-< ~ .... , , 'U ., 'U U \D , , >.., .... >.., 0 [iI 0 .,. , , ......, ... ......, .. 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'" '-- '^ - ~ ~ ., \.).,a . \~ E-< i~ ~~ ~ ~ o o ~ E-< i '" ~ r-- - -=--:::-=: --- - = = - - --=-- ---- - - '--------- ------------ - -- -- -- r- -- - ---- ------- I fl ~ TRACY'S INSULATION ! I "Insulating your Community" I I PO. BOX 567 I PORT ANGELES, W A 98362 - - . -, r=""I -=-~ --=---,U ~ --- 10-1 - - --'ror~ L:..:1111 : ; I J I II I' INSULATION CERTIFICATE THE INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENTTHERMALPERFORMANCESTANDARDS0NASHINGTON STATE ENERGY CODE) OR PER APPROVED PLANS, AT THE ADDRESS LOCATED BELOW. ADDRESS /30:) .Fo~-s;- r;t..,+-~L Po/lT ~Ce--s ~,4 . I SUB- CONTRACTOR: TRACY'S INSULATION CONTRACTOR'S REG. NO. TRACYI*942DF I I /l-3r I : II I i I I I I FLOORS Y /;Z -/0/-7 III! DATE _ __ _. "l L.!J MANUFACTURER I I EXTERIOR WALLS ~ I : I Type of material: Fiberglass /C 10 AuF I I' FLAT CEILINGS BATTS 'I , Type of material: Fiberglass ~I'kAF I : I I I I SLOPENAULTED CEILINGS 1 Type of material: Fiberglass ).)/;- THICKNESS 6: .s- '" /~ " FLOORS I Type of material: Fiberglass I CEILING BLOW II Type of material: Fiberglass ~~p I I ,~~~ o~~::al: Fiberglass YES Y ! ' I I VAPOR BARRIERS CEILING ~~ ~ 1 Z~TURE ~L_ __ . "'IL - I~~,k..t p /0 ,,. / 3 // NO WALLS C/t'#~7L TITLE -- - R-VALUES /lZ/ IZ3lr ~30 r I III I I I I I . I I I I I i III II I I ~ :, II I : I : I I II I I II . I I ., _ _ :.._~ r ~ u ""r- o , o N , .-< .-< , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ><, 0-'1' Po: , ~ I .. H , :> .:I , H '0 :~ '00 , , , , , , , , MM l'J" <1;<1; 0.0 "" '" "" r- , .-< '" "" o '" "" MM ZZ 00 :x::x: 0.0. 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NN " lfllfl r-r- 00 " .-<.-< NN " coco r-r- 00 " r-co NN " coco r-r- 00 " r-co NN " coco o 00 , 0. >< " .-< o "" o .-< o .-< o r-i o .-< o N o N o Po: H <I; <Xl r-i .:I <Xl N .:I <Xl "" ..:l <Xl H .:I <Xl "" .:I <Xl H .:I <Xl "" .:I <Xl M Po: M :x: " ::J o >< " 01 M :<: ~ U M :x: o 00 M :<: H " 0. o 00 M " o Z o ~ ~ M ~ 00 " Z 01 :<: :<: o U ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 y~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000443 Date 10/23/07 286819 13 0 5 FOREST TR 06-30-14-6-7-0150-0000- MICHAEL MERIDETH RES NEW SFR RS9 RESDNTL SINGLE FAMILY 161803 Owner Contractor MERIDETH MICHAEL A PO BOX 1004 PORT ANGELES (360) 461-7363 Other struct info OWNER WA 98362 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 29.50 V-N 1. 00 9168.00 2706.00 2706.00 1. 00 permi t . . . . . Additional desc c Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL JEDI/ 1900 SQ SFR 105734 JEDI ELECTRIC 113.00 10/23/07 4/20/08 r-- Plan Check Fee Valuation .00 o vJ a VI 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 J\ ~ ~ U'l Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall. be a minimum of six inches high and be of contrasting color from the background. 05/02/2007 05:13 PM SROBERDS - The application will result in a new sfr w/attached garage in the RS-9 for total lot coverage of 30%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Ditches & 8" culverts will be installed to City Stanards. See Public Works Engineering for Standards. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch, 24 hour advance notice is required. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. EROSION & SEDIMENT CONTROL PER CITY STANDARDS OR APPROVED ENGINEER DESIGN PRIOR TO START OF WORK. ~ INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH - IN FINAL COMMENTS: ,--- ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 ~ r Application Number . . . . . 07-00000443 Application pin number 286819 Page 2 Date 10/23/07 Other Fees RES UNDERGRND SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 713.00 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 113.00 113.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2947.50 2947.50 .00 .00 Grand Total 3060.50 3060.50 .00 .00 ,----- , I 1 SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: -, 2. zl e>P Jyp A f\L ~ co.... 0 ...... 0 M ...... CO W WW 00 e>E-< ::> <(<( 0 0.0 :x: W :x: E-< t<. 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Application valuation 07-00000443 Date 286819 1305 FOREST TR 06-30-14-6-7-0150-0000- MICHAEL MERIDETH RES NEW SFR 6/28/07 RS9 RESDNTL SINGLE FAMILY 161803 Owner Contractor MERIDETH MICHAEL A PO BOX 1004 PORT ANGELES (360) 461-7363 Other struct info OWNER WA 98362 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 29.50 V-N 1. 00 9168.00 2706.00 2706.00 1. 00 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL PEN. EL./ T-STAT 105197 PENINSULA HEAT 35.00 Plan Check Fee 6/28/07 Valuation 12/25/07 .00 o (pi a 0't Qty Unit Charge Per 1.00 35.0000 ECH EL-LVT-FIRST THERMOSTAT Extension 35.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. 05/02/2007 05:13 PM SROBERDS - The application will result in a new sfr w/attached garage in the RS-9 for total lot coverage of 30%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. . Any modifications to the City's electrical facilities will be at the customer's expense. Ditches & 8" culverts will be installed to City Stanards. See Public Works Engineering for Standards. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. EROSION & SEDIMENT CONTROL PER CITY STANDARDS' OR APPROVED ENGINEER DESIGN PRIOR TO START OF WORK. 1\ ,0 f'S ~ ~ ~ Other Fees SEWER SYSTEM DELV CHARGE 1000.00 COMMENTS/ACTION NEEDED ELECfRlCAL PERMIT INSPECfION.RECORD r- ... '. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, \,; INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. ~. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-1102.15 (.4'96] ~ - ~tit ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRIC;'L DIVISION 121 EAST 5TH STREET. PORT ANGELES. W ^ 911362 , Application Number Application pin number 07-00000443 286819 Page 2 Date 6/28/07 Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 2269.50 2269.50 .00 .00 COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION ,RECORD w- , " CALL 417-4735 FOR ELECTRICAL INSPECTIONS. pLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, I INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO 7 2. 61 kL GENERAL COMMENTS: PW-1102.l5 (4'96] .-<e- '-<0 '- 0 '" '- '" 0101 t?E-< <(<( 0.0 M '" M Z e- H , <( .-< <>: '" 0 .,. U <>: 0 01 '" 0. >< M 01 ...:I ...:I '" <>: <>: 01 t? 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H 00 <>: ::r:..,.o ~ ul 0..:1 E-<....o r<1 "'r<1 r<1 '0 HQQ H -..:I ~ Qoo Or<1r<1 C'-C'- C'-r<1 Lll::r: H,.,O ~E-<E-< 00 0" oU <>: , , Ulr<1 " :;;~ ,.,H r<1<DC'- Or<1..:1 ........ ....:E :Eoo 0::>0. NN N O:E " 'E-< r<10 LllLll Lll<>: <>: <>: P:<>:U 0 "'" <>: "r<1 0. 0. ZO '" '" Q E-< "?5 r<1'" ul -U .... .... <>:0 UlE-<~ ..:IZ E-< 0 0 0 ,0: ~~~&ltJ..:I H ul 0.>< ~ , r<1E-< QZZZ<>:o. 0. .... N <>:H ~r<103:~0. >< ..:I ..:I o.U E-< UO 0.,0: 0. E-< '" <Il d").'~ ~ .~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :12\ EAST 5TH STREET. PORT ANGELES. WA 98~62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000553 Date 304726 13 0 5 FOREST TR 06-30-14-6-7-0150-0000- ELECTRICAL ONLY 5/22/07 RS9 RESDNTL SINGLE FAMILY o Owner Contractor WERIDETH, MIKE 1305 FOREST TRAIL PORT ANGELES WA 98362 JEDI ELECTRIC 331 FORS RD. PORT ANGELES (360) 460-0556 WA 98362 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE JEDI/ 60A TEMP 102038 JEDI ELECTRIC 40.00 Plan Check Fee 5/22/07 Valuation 11/18/07 .00 o ~ \) ~ Qty Unit Charge Per 1.00 40.0000 ECH EL-TEMP SRV - 0-60 SRVFDR Extension 40.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.00 40.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40.00 40.00 .00 .00 ~ , ~ (' I !..I ~ COMMENTS/ACTION NEEDED ELECfRlCAL PERMIT INSPECfIONRECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO 6 t/'L GENERAL COMMENTS: PW.II02.15 (4'96] ~ .. r-r- 0 --.. .... N --.. '" r>lr>l C-'E-< <(<( 0.0 M '" M r- 0 .... '" .,. 0 '" >< M r>l ..:l ..:l 0: 0: r>l C-' H :> ~ ..:l H r>lr>l E-< 0 ZZ 0. 00 r>lOO gJ 00 ..:l r>l :<:r>l :r::>: C-' E-< ~~ 00 0.0. Z 0 ~~ Z E-<t-:l 0 0 Z .. 0 ~ 00: o.r- HO 00 N E-<E-< E-< Z .. N 00 UU Z 0"'''' E-< r>lr>l ~ r>l HOO Z 0.0. :E E-< '" r>l UJOO , HZ:E <( , :E ~~ ffioO Or-o :E HU 5or- 0 E-<--.. 0'" U 00.00 ON C-' HHE-< o.--..ZZ UJO:..:l ....OH '0: ~U::> c..')NcnE-4 00. 0000 O..........HO 000 r>lr>l H1.I'IHO 0 100: O~o. O~ <( .r>l E-< oZ H :r: ..:l'" ~o.~ E-< r>l....oo .,. O:r>l <(Or>l 0 E-<O :>: 00: Po< 00::> H Ur- ZOO r- E-<O: H 'M ~Hr>l 0 OOr>l :E"'''' :z: 0: r>l:E ,.,. H M 0: :>:.,.0 ~ ....00 'O..:l E-<....O r>l o.r>l r>l .0 1-<00 -..:l <( 000 ::>r>lr>l r- r-r>l "';I: HMO l%lE-<E-< 0 0C-' oU 0: . . OOr>l --.. ~~ MH r>l",r- or>l..:l .... ....:E :Eoo 0::>0. N N O:E --.. --..E-< r>l0 '" "'0: 0: 0: t>:o:U 0 . <Il 0: .r>l Po< 0. ZO <Il l%l 0 E-< '?; r>lo. 00 -U .... 0:0 OOE-<<( ..:lZ f.- 0 0 <( ~~~&itJ..:l I-< 00 0.>< ~ --.. r>lE-< OZZZO:Po< 0. .... O:H 0r>l0~<(0. >< ..:l o.U <(E-<UOo.<( Po< E-< <Il ~ pORT ~ tO~f(~ 'r1l.1ii "- -=-:or ~ 'l.,;[",~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 3 I 5/15/07 -C .....c. \N Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner MERIDETH MICHAEL A PO BOX 1004 PORT ANGELES (360) 461-7363 Other struct info Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 07-00000443 Date 286819 1305 FOREST TR 06-30-14-6-7-0150-0000- MICHAEL MERIDETH RES NEW SFR RS9 RESDNTL SINGLE FAMILY 161803 Contractor OWNER WA 98362 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 29.50 V-N 1. 00 9168.00 2706.00 2706.00 1. 00 - \)J o \Jl BUILDING PERMIT -RESIDENTIAL 1900 SF SFR & ATT. GARAGE 100347 1367.45 Plan Check Fee 5/15/07 Valuation 11/11/07 546.98 161803 d1 ~ \P -t- 62.00 Qty Unit Charge Per BASE FEE 5.6000 THOU BL-100,001-500K (5.60 PER K) Extension 1020.25 347.20 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT -\ TV 101972 115.00 Plan Check Fee 5/15/07 Valuation 11/11/07 .00 o Qty Unit Charge Per BASE FEE 1. 00 14.7000 ECH ME- INSTALL 100- FAU 4.00 7.2500 ECH ME-VENT FAN 2.00 10.6500 ECH ME-OTHER APPL. N/R Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Extension 50.00 14.70 29.00 21. 30 ~ ? ~~ ~V ... ~ z g \f) ~ ., PLUMBING PERMIT 101964 154.00 5/15/07 11/11/07 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE 10.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP Extension 50.00 70.00 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. ~~ 113 (~ Signature of Contractor or Authorized Agent 5 - I 5 -0 l Date Signature of Owner (if owner is builder) Date T:\Policies\l102_15 building pennil inspection rccord05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UN LA WFUL TO COVER. INSULATE OR CONCEAL AN}' WORK BEFORE' I.NSPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. -- INSPECTION TYPE OATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDA TJON DRAINAGE / DOWN SPOUTS PIERS I I POST HOLES (POLE BLDGS.) PLUMUlNG UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL Vi ALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL ROUGH-IN HEATPUMP/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE / PELLET / CillMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCYJNG & HOLD DOWNS SKlRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. /PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102 15 building permit inspection record05.wpd [1/4/2005] I f 90RT "4-. .....-I..O~~t<' .c}~" iir~ 'L ~ ~ 'tOl1C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number 07-00000443 286819 Page Date 2 5/15/07 Qty 1. 00 1. 00 1. 00 1. 00 Unit Charge 7.0000 15.0000 7.0000 5.0000 Per ECH ECH ECH ECH PL- PL- PL- PL- EA. INSTALL WATER EA. BLDG SEWER EA. WATER HEATER EA. GAS PIPE 1-5 PIPE Extension 7.00 15.00 7.00 5.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. 05/02/2007 05:13 PM SROBERDS - The application will result in a new sfr w/attached garage in the RS-9 for total lot coverage of 30%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. Ditches & 8" culverts will be installed to City Stanards. See Public Works Engineering for Standards. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. EROSION & SEDIMENT CONTROL PER CITY STANDARDS OR APPROVED ENGINEER DESIGN PRIOR TO START OF WORK. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credi ted ' . Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1636.45 1636.45 .00 .00 ~ Plan Check Total 546.98 546.98 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 4417.93 4417.93 .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:IPolicies\l 102_15 building pennit inspection rccord05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD . INSI'ECTlON TYPE IJATE ACCEPTED COMMENTS YES NO FOUNOA TION: / FOOTINGS ~/U/CT7 '-ILL SHEAR WALLS 1 WALLS 1/21/07 .JU., FOUNDA TJON DRAfNAGE 1 DOWN SPOUTS ~IfJQIj 07 " Jl.L-- PIERS I- POST HOLES (POLE BLDGS.) PLUMUlNG WA~RLINt 6-=1'10 fJ/~1 J1L UNDER FLOOR 1 SLAB ROUGH-IN ~/J.SI 0"1- ~ WATER LINE (METER TO BLDG) GAS LINE ~/7, 0 I () -, J"LC FINAL 3---( 0... 08 DATE ~ ACCEPTED BY: BACK FLOW 1 WATER I I AIR SEAL <"f, I z " 0 "7 :n..L WALLS CEILING FRAMING \ 911 27/t1 -:rLL I'/wlcn (J'at'Y\(Vlj :rL-L JOISTS 1 GIRDERS . SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION 15(21107 -:\L-L i\-Zo-D'1 l~"", I "'S TL(.... SLAB WALL 1 FLOOR 1 CEILING MECHANICAL ROUGH-IN HEAT PUMP I FURNACE 1 DUCTS GAS LINE FTNAL3-lo,Og DATE :){,L- ACCEPTED BY: WOOD STOVE 1 PELLET 1 CHIMNEY MANUFACTURED HOMES FOOTING 1 SLAB BLOCYJNG & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL. LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. IPWI CONSTRUCTION - R.W. ENGINEERJNG 417.4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4]7-4750 PLANNING DEPT. BUILDING 417-4815 ':4 - \1)....05< :\LL- BUILDING . . CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECT10NS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. IT IS UN LA WFfJL TO COVER, INSULATE OR CONCEAL AiV}' WOFJ{ EEFORE' 0 LNSPECTED AND ACCEPTED. POST PERMIT 11'\ A CONSPICUOUS LOCA TJON. .-.J KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. , .-C 4"-" ~ ~ o I.fl d' ~ ~ '\ -1 ~ :?- g V> ~, '-, T:\Po1JCles\1102 15 bUlldmg penmt mspecllon record05.wpd [1/4/2005] Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name I Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000443 Date 286819 1305 FOREST TR 06-30-14-6-7-0150-0000- MICHAEL MERIDETH RES NEW SFR 5/15/07 o --l 1 L ..L \N . c/'-~. l~ ~ "1!..-- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 RS9 RESDNTL SINGLE FAMILY 161803 Owner Contractor MERIDETH MICHAEL A PO BOX 1004 PORT ANGELES (360) 461-7363 Other struct info OWNER WA 98362 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 29.50 V-N 1. 00 9168.00 2706.00 2706.00 1. 00 Permit PUBLIC WORKS RES WATER SERV Additional desc 5/8" DROP IN WATER METER Permit pin number 101931 Permit Fee 200.00 Plan Check Fee Issue Date 5/15/07 Valuation Expiration Date 11/11/07 vJ o V1 .00 161803 101949 50.00 5/15/07 11/11/07 Plan Check Fee Valuation .00 161803 d' (6" ~ 71 Qty Unit Charge Per BASE FEE Extension 200.00 Permit . . . " . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Extension 50.00 Permit . . . . . Additional desc . Permit pin number Permi t Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 101956 120.00 5/15/07 11/11/07 Plan Check Fee Valuation .00 161803 Qty Unit Charge Per 1.00 120.0000 EA SAN SEWER HOOKUP " Ex~ension 120.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. 2- ~ rj) ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned for a period 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. 0~~~ S-/~-()7 Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder)" " T:\Policies\1102.15R [1105] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO CqVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. . " . KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE , SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH , BACK-FLOW DEVICE I . . FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W./ PW/ CONSTRUCTION. R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-46S3 FIRE DEPT. PLANNING DEPT. 417-47S0 PLANNING DEPT. BUILDING 417-48IS BUILDING - T:\Policies\11 02.1 SR [1I0S] I 0"0IIT~. ~~~ ~r--.: . ,. 'E!iI . ~:;.- CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TI:lSTREET, PORT ANGELES, WA 98362 Application Number . . . . . 07-00000443 Application pin number 286819 Page Date 2 5/15/07 Special Notes and Comments 05/02/2007 05:13 PM SROBERDS - The application will result in a new sfr w/attached garage in the RS-9 for total lot coverage of 30%. ,No land use issues anticipated. Electrical load calculations and elctrical permits are required. Any mod~fications to the City's electrical facilities will be at the customer's expense. Ditches & 8" culverts will be installed to City Stanards. See Public Works Engineering for Standards. Sanitary sewer connection inspection is required by . Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. EROSION & SEDIMENT CONTROL PER CITY STANDARDS OR APPROVED ENGINEER DESIGN PRIOR TO START OF WORK. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 ,1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 370.00 370.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 ,00 Grand Total 2604.50 2604.50 .00 .00 i 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. Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\Policies\II02.ISR [1/05] PERMIT INSPECTION RECORD . ...~ ,. . CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA.TION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I I YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE , SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH I I , BACK-FLOW DEVICE , I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING . T:\Policics\1102.15R [1105] . The City of Port Angeles Building inspections Dept. Upon reviewing the single-family residential plans submitted for permit, the following are some of the items that will need to be taken in to consideration. .. 1- Foundation Footing. The minimum size of ~l footing in Seismic zone D2 are as follows. (1 Story }2" W/6" min. thick) (2 story 15" WI 7" min. thick) (3 story 23" V\'I 8" min. thick) (Load bearing value of soil 1,500 (pst). With 2 # 4 bars horizontal continuous 3" off the bottom of footing. The minimum specified compressive strength of concrete in basement walls, foundation walls, exterior walls and other vertical concrete work exposed to weather in moderate weathering table R402.2 of the IRC is 3000lbs with a min. of 5% air entrained, but not more that 7%. Foundations in seismic categories D2 that exceed 50'-0" in either direction are required to have a continuous footing per section R403.1.2 including support of an interior braced wall line. Locating and marking the property boundary is required for a footing inspection. Tables in chapter 4 of the IRe. Will be applied for soils that are heavy in moisture (hydraulic) in nature or foundation wall over 5'-0" in height. Verify site conditions and unbalanced back fill at time of application. Foundations Drains are required as per section R 405.1 (see exception for soil classification) -' r 2- Foundation walls. Vertical steel in foundation walls as of July 1st 2004. Vertical bar reqd to be Yo" #4 bar with a hook and tied to the footing steel in place at 4'-0" O.e. at footing inspection. One #4 bar horizontal within the top 12"of the wall. Yo" anchor bolt with a 3" x 3" x W' steel washer is required at 6'-0"OC for a 1 story and 4'-0"OC for a 2 story, along and within 12" of each end the pressure treated sill plate. Crawl space ventilation is required at (1') s.L of vent per (150') s.L of area per sec. R408.2. 2003 IRC. 6mill black poly is required in crawl space as a below grade moisture barrier per section R406.3.2 2003 IRe. Finish grade shall be a 6" slope away from foundation within 10'-0" of the foundation wall measured horizontally as per sec. R406.3 2003 IRC. 3- Framing. All connections from a pier to a post and beam are required to have positive connection per code. In addition any connectorsl fasteners in contact with treaded wood are req'd to be hot dipped zinc/gah': (See manufacture details.) All floor joist are required to be blocked with 2x material at the beam support. 7/16" OSB sheathing is required to be nailed to pressure treated sill plate and bottom plate or sole plate of wall. (or other approved hold down's). Attic ventilation is required at (1') s.L of vent per (150') s.f. Of area with an allowable 50% of ventilation can be located in the upper portion of the ridge if applicable per 2003 mc. Truss design and calculations are required upon submitting an application, lateral connections are required to end walls where truss / rafters are perpendicular to end walls. A truss /rafter tie shall be required to prevent uplift per code. " 4- Braced Wall Lines. In Seismic category D2 exterior and interior braced wall lines cannot exceed 25'-0". v-.'all bracing must start within 8'-0" of a transverse wall or a designed collector. Standard wall bracing methods are required as per section R602.10.3 of the 2003 me. If the wall bracing methods cannot be met, then refer to "Alternate Braced wall pariel" Section 602.10.6 of the 2003 mc. If any of the aforementioned methods cannot be met, engineering design will be required for the "SHEAR WALL" design. Section R602.10.9 for interior braced wall line support for 1 and 2 story buildings require a continuous footing supporting a braced wall line, interior and exterior not to exceed 50'-0"intervals. 311~ S.lo'ln 5- Egress. Rooms used for sleeping are required to have one window with 5.TS.F. of openable space and a sill height of not more the 44" above finished floor for emergency escape per 2003 mc. .-' 6- Energy and Air Quality. Insulation, Heating, Air conditioning, Lighting, Windows and Appliances to meet 2003 \VSEC & VIAQ. New single family structures are required to have a whole house exhaust fan with a 24hr timer per table 3-1, 3-2, 3-3 of the 2003 VIAQ. Mechanical fresh air intake (FA!) is required to have a 24 hr timer or windows in all bedrooms and living, dining area may have intake ports for fresh air per 2003 VIAQ if zone heat is applicable. 7- Dry Wall. (Gypsum wall board) 5/8" type "X" sheets rock is required in the accessible usable space under stairs and on ceiling of a garage only if a habitable area is located above the garage. The rating of the sheet rock & nail pattern must be visible to the inspector. Nail pattern for all sheet rock 'li" and 5/8" to be 8" on center and 12" OC if drywall screws are used. Per table 702.3.5 of the 2003 mc. Interior braced wall panels are to be inspected prior to tape, bed and texture. Moisture resistant wallboard is required around w/e. A cementuous backer board is required for tiled areas at tub and showers. Vapor barrier is required. A perm rated paint may be substituted for a poly vapor barrier on the warm in winter side. 8- Plumbing. Water heaters are required to have two approved seismic straps in the upper and lower 1/3rd of the tank per UPC. T &P valve to be W' I.D and directed to the exterior and turned 90 degree downward not less that 6"-12" above finish grade. Water heater s are required to have a 26 ga. Pan of other approved drain pan with a 0/." drain line from pan to exterior. Impact protection for wlh and mechanical equip are required to resist 6,000lbs impact iflocated in the garage area. All DWV are req'd. to be tested under water pressure per 2003 UPC or air test (consult manufacture recommendations for air test) Min. test pressure in Residential LPG is 30 lbs. 9- Smoke detectors. shall be located in each sleeping room and in the hall leading to each sleeping area. One smoke detector is required at the top of each stairs, and at least one smoke detector is required on every floor level. Smoke detectors must be within 6" to 12"from the ceiling if mounted on wall. Smoke detector shall not be less than 36" from any air return. Power supply for smoke detectors shall be from the main house supply that is not switched and required to be battery back up. Smoke detectors to be inter-connected so that if one smoke detector alarm will start a chain reaction to all other smoke detectors as per code. 10- Maximum building height allowable is 30'-0" based on an average grade plain per 2003 IRC. Property pins shall be located and marked for a footing inspection to verify zoning set back requirements. 11- Safety glazed tempered glass required within 24" of any doorway edge, along with other requirements as per 2003 IRC. 12- All water, sewer, gas, electrical, drywells, downspouts and footing drains are required to be inspected before cover. This letter is not intended to cover all items required by the City of Port Angeles, but is to serve as a guide to help you understand frequently asked questions, "ALL WORK IS SUBJECT TO FIELD APPROVAL" 4/05. .. BUILDING PERMIT - APPLICATION FOR OFF1ClAL USE ONLY: Date Rec.: 0 ~ - ?'-5-0/ pennit#:~- ttt.t Date Approved: 7 Date Issued: - 7 Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 ~::~~ ~r,~~ Address: /914 W~\v~(W D t'~L1{, Phone: Phone: .~(,o 'I(PI 73G3 .~(,(J'I~l 7f~C.3 Zip: 9Y3c. z.. City: ~Ot~ f:\~~l 00 ArchitectlEngineer: Contractor Phone: State License #: Exp: Phone: Address: City: 13o~ ~()t"~ ~ ~ ...,. rc,..:' l)f'~ Iy'<, i~ . Block: Zip: ZONING: ~ Subdivision: it \~ cl "If. ~~ I( ~ Y:>/4 G 70iSO <XJ:X) PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: H uSe. \ CIoO s{,.f+ SIZE/VALUA1JON: ~~e 'Oo(g s~f+- SF. @$ 76. 0 q /SF. = $ SF. @$ 2.1 ,3~/SF. = $ SF. @ $ /SF. = $ TOT~VALU~TIO~ $ I <Ol)303 , \ A;.ov (L TYPE OF WORK: ~ Residential )..New Constr. D Re-roof D Stove D Multi-family D Addition D MoveD Garage D Commercial D Remodel D Demolition D Deck D Repair D Sign D Other BRIEF DESCRIPTION OF THE PROJECT: COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: -L Lot Size: 9/ ~~ Existing Sq. Ft. Total lot coverage ;. C) ^ 5" % Occupant Load: Construction Type: JO & Proposed Sq. Ft. ) JO("'n = TOTAL Sq. Ft. J 7cJ:o APPROVALS: PLAN: BLDG: DPWU: FillE: OTHER: PLANNING USE ONLY: ESAJWetland(s): DYes D No SEPA Checklist required? DYes D No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: 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 RI05.3.2 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 permfts prior to work. (). T:\FORMS\BldgPennitform.wpd Applicant: ~ ~ Date: 1./- ).5 -() '1 Prescriptive Approach-Simple Fom1 For the Washington State Energy Code (2003 Edition) Climate Zone 1 Site Information Building Department Use Only: Lot: Address: /30,<;"" fOred '} 1'&:\ ~\': ~ City: ?or~ A.I\:] (.~~ State: ( ;J 1 Zip: 9'8'!-G 2 Contact: .K ~ <:J, (AA \ H 0\ ~9 ~ "'- Phone: :~ GO - 4G/ - 7.1 G3 Pemlit # () l-4-ti "3 Notes: Phone 2: FAX: Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 n mute azmg JptlOn ny Option Glazing Glazing U-Factor Door Wall Wall Wall Slab Area % ,U- Vaulted Above Interior Exterior on of Floor Vertical Overhead Factor Ceiling Ceiling Grade Below Below Floor Grade Grade Grade - Unlimited III Group R-3 0.40 0.58 0.20 R-38 R-30 R21 R-21 R-10 R-30 R-IO Occupancy Only (U r ' d GI ' 0 ' 0 I This Project complies with the following: .I The Project is a single family residence or duplex. .I The Project is wood frame OR all of the insulation is interior or exterior of the framing. .I All building components meet the requirements listed in Table 6-1, Option III. .I The Project will meet all other provisions of the WSEC and VIAQ. The Project will take advantage of the following exceptions to the prescriptive option. o 602.6 Exception 1. One door, that is 24ft. Or less, that does not meet the standards allowed. Location of the door taking this exception o 602.6 Exception 2. Doors with a U-Factor of 0.40 allowed without calculations, Option III only. Location of the Door (s) taking exception Type of Heat Source: ~ .{ 0-....\ ?, )"^r EXHIBIT A I I 1 I 1 1 1 1 I I I: 1 I' ......_~:__,'__ I' ., " l-----I :::r -I - " ~ ~z <J 1 ~ l [ Ii ../ T)~ . ,'" -1---j[ ~ n "'c 0;/'..... < O'LZ~ .,...+-1 I - " o o IX ~O <ON W'" IX~ ,,- ~ Ilj I =~ :-..'? ,\, 1 -- ,,; '1;i -<J ,,~ .r 3 ..> c::. ~: '1': ~.... " '" J a: f~ t>o ~. ~ UI I i 100-0 iu-----J j =, 1 O-LZ ~ , :3 :;, -c o -<:> '- .j. -\- C o Il I . I ---'I 0<1 -..9 i- I I~ l~ I .e It- I I~ l~ I ,I ~'ORT~. '*-...~ 0,___ ,. 'E!!I L~ ~ ~:;,;;<' CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANdELES, W A 98362 [) "7~ 443 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . Application valuation 07-00000443 Date 286819 1305 FOREST TR 06-30-14-6-7-0150-0000- MICHAEL MERIDETH RES NEW SFR 5/15/07 ~. .,.-- / SfJ01-v }/es1: IV, RS9 RESDNTL SINGLE FAMILY 161803 Owner Contractor me 1/ L 1X1fh MERIDETH MICHAEL A PO BOX 1004 PORT ANGELES (360) 461-7363 Other struct info OWNER , WA 98362 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 29.50 V-N 1. 00 9168.00 2706.00 2706.00 1. 00 Permit PUBLIC WORKS RES WATER SERV Additional desc 5/8" DROP IN WATER METER Permit pin number 101931 Permit Fee 200.00 Plan Check Fee .00 Issue Date 5/15/07 Valuation 161803 Expiration Date 11/11/07 Qty Unit Charge Per E*tension _________________________________~~:~_~~~______________________~ ~oo.oo~ Permit . . . .. RIGHT OF WAY Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 101949 , 50.00 5/15/07 11/11/07 Plan Check Fee Valuation .00 161803 \l\J A/00 1/}"1 . Qty Unit Charge Per Extension --------=~~~-------=~~~~~~-~~~---~=~~=-~~-~~=-~~~==------------~~ Permit . . . . . . SANITARY SEWER HOOK UP Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 101956 120.00 5/15/07 11/11/07 plan check Fee Valuation .00 161803 Qty Unit Charge per Exte~ 1.00 120.0000 EA SAN SEWER HOOKUp. ~ ..) ----------------------------------------------------------------~ Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. Separate Permits are required for electrical work, SEPA, Shoreline, ESA, uliiities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if conslruclion or work is suspended or abandoned for a period of 180 days after Ihe 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 Ihis type of work will be compiied wilh whether specified herein or not. The granting of a permit does not presume to give aulhority to vioiate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Aulhorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\IIOZ.15R [1/05] ~,ORT~_ ~...O~"t, 0,_ ;' 'E!iiI L~ -=- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA98362 Application Number . . . . . 07-00000443 Application pin number 286819 Page 2 Date ,5/15/07 special Notes and Comments 05/02/2007 05:13 PM SROBERDS - The application will result in a new sfr w/attached garage in the RS-9 for total lot coverage of 30%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. Apy modifications to the City's electrical facilities will be at the customer's expense. Ditches & 8" culverts will be installed to City Stanards. See Public Works Engineering for Standards. Sanitary sewer connection inspection is required by Public works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. EROSION & SEDIMENT CONTROL PER CITY STANDARDS OR APPROVED ENGINEER DESIGN PRIOR TO START OF WORK. -----~~~~~-;~~~--~-~-~-~-~-~-~-~-~--~~~;~-~~~;~~-~~~;-~~;~~- STATE SURCHARGE ~ PW WATER SYSTEM USE FEE~1230.00~ -----------------------------------------------------------~._~----------- Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Other Fee Total Grand Total 370.00 .00 2234.50 2604.50 370.00 .00 2234.50 2604.50 .00 .00 .00 .00 .00 .00 ".00 .00 , Separate Permits are required foreiectrical 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 vioiate or cancel the provisions of any state or local law regulating constructio.n or the performance of construction. . Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102.15R [1/05] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT. . . REQUEST: Date 7- 5~D 7 Time Received by 1r (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): ~oundation Framing Chimney Plumbing , l~oS ~Yes.T TVt2Il rn I K() In e..Y' n d~ Phone No. 4ljl- 7::iJ~~ Permit No. 07- 413 Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date 7 ! L.,,"u..f 4, l I Jt?<le/~r:hb -'- ~. ("e \~ o~-- <c, 2-&4' "'>>i'-<tJ-( i7' (''''' t"J. ('e>. \ I l05 ~ ~~ ~ S('MI-i :t ~ ,'" " I ci s ~f.'\i/'-.lJ , 0 t J. SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE. o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ," L"" "",-" '- -~ -" ' APPLICATION FOR WATER City Water Division, Port Angeles, WA Issued date: 05-1'5-67 Installedby&date: 71' 7-/8-07Perrnit# 07- 4'13 I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: Applicant Name & Phone: /l7/fI--I.lh.J 1n.I:7.Hfddh- 1u/-7:3~3 Site Address: 1.s0~ fOyeSr r,;A'I.....MailingAddr~ss: /qt</ J1;esrvteLu by B1k: Lot: 1"'5 Add:J(~I11- !LfHr"Parcel #: t:{p~/)J4v 7{7 /::,-wn Svc: ON e Meter #'5 C F 070 O(..,l-,o , WIO #: 3o:p{& -.> i I Svc: Size f$t:::i:eestf:~I;::!J"J.. Restoration Required: f'Jo Slgnature: ~_ !/?;_ _~ _ Remarks: N , w J v /"\ ~ 2'Z.' 2" 4 E I-cr~t Trc;.'ll l Q ~ ~ s All CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . INSPECTION REPORT. . . . . . j REQUEST: /- q- oB 1~ Location of Work to be inspected 13 D~ ~ ('eof- Yr<:it'! Name of person requesting inspection WIlson ELl 5~ Address of person requesting inspection Phone No. I/; 7D- 'R'{)f.e,z Type of Inspection (circle appropriate one): Permit No. Q? - tf'f.s Sewer Foundation Framing Chimney PIUmbingG~0 Sewer Excav. Other 7 Date Time Received by -7t::' / / (phone, person) 477-11 '~C; INSPECTION NOTES: Inspected: Date j- / {)- t13 Remarks: i-ll-o'O Ok ;,e......G r- -, - 6'- Cl7 Time -!-o ?a t-\, Y' By ;?V r:t;Ua. J 1- 2 tj'<J8 RESTORATION REQUIRED. . . . .. YES NO ~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) !:TRI'I'T !:IIPI'RINTI'NnI'NT /DATEI -- May 16 07 07:28a Jed Kimzey (360) 565-1178 p.1 \\~ \ (rfe,1 )f.Electrical Cootractor o Annual Permit 0 Alarm S a Owner ..........~ o Carnival 0 Commerci:J1 j(Residential 0 Residentiall\laint. 0 Signs 0 Thermostal Cl Telecom. ELECTRICAL WORK PERMIT APPLICATION J'{-Request Inspection Job wired by Electrical Contractor 0 Owner Installation dc:scription Electrical con[J3clor name ,~Dl elf'LTric.. PUfRlaser's mp.!ling addr~ss \-'d9. [:SO>, 3Sg City . .:=:Pc,r-"'- A,^:>el e-.s Tele~h9n.e number . "1, - {p Prernise~ o\fner's name d 'n ---PI I Ke. tYler, e Address of inspection 1.30..s h?re.ff 1l'" ,i 01-1 Atle/e License llumbc-r ~EDIt:-E* q57~2 (,0 ~WI;:> Ie ~11 ? State ZIP G~ iA )C~ qQ, '6C)- FAX number 7 0(\. City o Cosh 0 Check # r hereby certif). that I am the owner of the above named property or a licensed eleclrical contractor (or the firm's authorized agent) and O'lm making the electrical imlallation or alteTJ.tian in complianc.e with Ihe electrical law, Chapter \9.28 ReW. o Credit Card Visa Mastercard Discover Card # . . ---------------- x olltractor or eleclrical admini~lralor ~ Expiration Dale of card WALLS Insulalion Only CEJLING Insulation Only TIlERMOSTAT SER"lCE D~le ^Pi"<D,.:;d By D,tc Ar:="'all)y Ollie Appro\'.d B) O~I. ,\ppTo.ccl8y DITCH FEEDER Cover Cover Dall; Aprro\ell By O..I~ _'\r.p'D~cd By Dale APr"D,-al3y Oar. Appro....dDy Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW Service Information o Overhead Service CJ Temp Service - o Underground Service Vdtage PhaseD1D3 Service Size: Feeder Size: Inspec,ion D31~ Area, Building or Equipment Jnspc:cted Action Taken Electril::al Inspeclor >-Z2-07 ~ " , ..f. LlbH I Ut:r-1. UGHI oi",''f, C- -Co~ -- I. \.J Q: W -... ELECTRICAL WORK PERMIT APPLICATI()N ?Electrical Contract()r a Owner Insta.l'alion~ description Job wired by o Commercial )J' Rcsideo'ial Elc~tTical contl";1ctor name License number Dllle Expires JlI New ~\-: \) \ (= If'( Tr Ie.. ~~'()i~E~ 4S7GZ- o AlleredJAdditiOD . Purchaser's mailing addrcs..; j50C - \>.0, .~O~ ]5k i:f- City State ZIP , ? orl fn,,?rJd , 'i.rll:;)" GJ&... Tdephone number FAX number (;/00 .,;,'5< & [..[17-'40' Premises owner's name J1J C.l.e. (f\e ,\d~1I-. Address of inspection i1,05 !="orcsT ~ '\ I <C" City ~",rT A>'\~~e\e<;; Phone number 10 schedule inspection: Owner as defined by RCW.19.28.26/:(J) Owner .....ill occupy the structure for two yean after rlJis electrical permit is finalized. (2) o.mi!r is required 10 !lire an electrical COflfracror if abol't! said properly ;s for sate, rem or leu...e. a Cash a Check # After reading the above statement, 1 her.:by certify that I am the o.....ncr Df thc above named property or 3 licensed electrical ;:ontraclor. I am making the electrical instal- ::J Credit Card visa Mastercard Discover lation or alteration in' compliance with the electrical laws. N.E.C., RC\\'. Chilpler 19.28. WAC. Chapter 296~46B, The City of Port Angele~ Municipal Code, and Card ~ - - Utilil~ Specifications. ---------------- Signature of O~T, eJeclrical tDntl"aC1Dl" or electrical administrator Expiration Date (~n'/J~ ~edO X ./7'"/2-11"-:::: Date: (; - ;)J--()7 of card " .) "'lectrica'A oad Ad.:iitioni and or subtractions Service Information o NO LdAD CHANGES o Baseboard o Furnace o Heat Pump o Fan-Wall iWI iWI Ton i<:oI'J LAR o Overhead Service Q Temp Service o Underground Service Voltage PhaseD 1 03 SeNiee Size; Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4 3S THER'II~ 7. O~l'" 7 Ap"rl,,~d B} Do, Inspection Dalc 117-1.-"1-07 7) ,_ Vo S'd --- SERVICE nal" App'c"",;) By DITCH FEEDER ^'P;lI'O"~d By D~te Appm,,<I par ELECTRICAL INSPECTION WIRING REPORT 417-4735 3 .::I 'TZ-I... e. C.,r1..1 C ADDRESS /30f? Forz..-E~ """'~""\<-- APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D..................... FINAL...................~ CORRECTIONS NEEDED: (" f c..\ ~~C- I'lZ,U\E~ (~I'Ia..l"\c","ft- l"ll}"\t..'LTS Z 1 () .R A- ",{2. ~~c.":,,"'notJ #- 2- ~ rLOO/Z ~\111 ET e.r:......... ("-0010:(;> 1\ J.Go.c- 31'-/. z. 7 c- -.6ErF./J\fJ iC.Ft: I ! /)...,T.$l D&: , ~C.l I.J l'Ai<J'\l..LE<.. FyL N.l!:C- '210.<5'2.. r'J'\)TL.~\ -5",AC'NG NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PAINTERS, INC. (360) 452-1381 ~ j G'0~ - ',' @ ELECTRICAL WORK PERMIT APPLICATION Job wired by ~ Electrical Contractor 0 Owner E:1~QlI conlraCtOr ",me I / License number Date EXp'ircs H?nlJJ (UL4 Y-/Prz.-f ~/II//Jl/t/tJUJ Pucchase,' mail,os .pd'']' ../1 I" /) J 7S;J. g,c!l::.!:2tm-Vl~_ &:" ci!t'1 ' , Sta,e ZIP QP4Wn--J U//I- ~ Tc:lephoji(numbet FAX number ',1- II pr."..'" .r....' ':f~ _ _ j - /J JVI / K e... !"ff'~"nz...... AdjP:" .r In' - a /' / City lnslallilLiun dc:scriptiun a Commercial ~esideDtial ~... Cl Altered/Addition J~u/ YI/f-tfI4C ~7 , oJ 7h~5 #/ P / , O";n~r as dcjirutd by Rcn':J9.J.J,161:(I) (Jwlle-I' will occupy ,he slroCfllrl" fur 1'I1'() .. )'CClr:i ()fier this electrical permit iJ firralcE:u. (1) Owner iJ I't!t/Wred t(J Jlire an electrical C(Jfllrru;,o,. ff ab(JW! .raid property is fur sate. r(!m 0" Ie/Hi!. After ruding the above statement. l hereby certify lha\ I :un the OWner of the abcl'lc mimed property OT ~ licensed electrical contractor, I am J1\aking the electrical instai- 0 Credit Card Jat;ofl or alteration in compliance wim the ckc:rriC:31 laws, KE.C., RCW. Cb<spler 19.2B. WAC, Ch3plCr 296-468, The City of Pori Angeles Municipal Code, and Card # Utili1Y S Hi alions. Sitn u o Cash 0 Check # Visa __~U_F/L~______ Mastercard Dis.cover x Expiration Date of card ~ll!ctrica' load Additions Bn~or subtractions Cl NO LOAD CHANGES D Baseboard KYV D Furnace 't<:N D Overhoad Service )iF--HeatPump :;J, Ton _LAA 0 TempService D I=an.waa _ J<YII 0 Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 Voltage Phase Cl 1 Cl 3 Servico Size: _ Feeder Size: ROUGH-IN THERMOSTAT SERVICE 01lr .~FpnI"n1 By lJ:uc Appruvc<! Or D:l.'~ ^l1l1l<;lvC,J By " " HNAL DITCH FEEDER D~\~ ^ppmv~d By ./ O.lc ^Pflr"v~dBy / lJlur AppltlYft\ D,. In...pcelion Arc..-a.. Buildins or Equipnu:nt Inspected Action T"Jccn Electric:al Dale InspecLor (,.2/-07 #/,q,IIG'l! y.?- lrrEc 1Ii'. ~ ~ . ~ID) .II/M n i) ? . ., - " ..-.- I '^ "" lll"H "lnSulu"d 980.r8909C XYd L1:80 LO/0./90