HomeMy WebLinkAbout2316 S Cherry St - BuildingOF pONT,k,O CITY OF PORT ANGELES
w" DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 07 00001400
Application pin number 248000
Property Address 2316 S CHERRY ST
ASSESSOR PARCEL NUMBER 06 30 09 5 2 2390 0000
Tenant nbr name GERALD SCOTT
Application type description PLUMBING REPAIR
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
GERALD J SCOTT
PO BOX 2541
PORT ANGELES
(360) 460 0083
Fee summary
WA 98362
T Forms /Building Division/Building Permit (10 /01 /07).wpd
OWNER
Charged Paid Credited
Date 11/29/07
Permit PLUMBING PERMIT
Additional desc LAWN SPRINKLER BACKFLOW VLV
Permit pin number 116608
Permit Fee 57 00 Plan Check Fee 00
Issue Date 11/29/07 Valuation 0
Expiration Date 5/27/08
Qty Unit Charge Per Extension
BASE FEE 50 00
1 00 7 0000 ECH PL- EA LAWN BACKFLOW 7 00
Due
Permit Fee Total 57 00 57 00 00 00
Plan Check Total 00 00 00 00
Grand Total 57 00 57 00 00 00
:A 0
Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes
null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the
last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
25k NG,, (fl
Date Print Name Signature of Contractor or Authorized Agent Signature of Owner
owner is builder)
FOUNDATION-
FOOTINGS
I SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
I ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
I MECHANICAL
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT N's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES 1 NO
FIRE 417 -4653 I 1 1
PLANNING DEPT 417 -4750 I I I
xlID
I BUILDING 417 -4815 I t •-I r e4.. 1 I 1 10 1
T Forms /Building Division/Building Permit (10 /01 /07).wpd
1 FINAL DATE ACCEPTED BY.
I
FINAL
SEPA.
ESA.
SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE DEPT
PLANNING DEPT
BUILDING
DATE ACCEPTED BY.
DATE
ACCEPTED
YES 1 NO
0
rJ
0
Applicant or Agent
Owner LS S �o
Owner's Address 2.3
Contractor /Engineer
Contractor /Engineer's Address
License
PROJECT ADDRESS 23 co S Ck1/4
Parcel Number p(, 30 -.e S -2 -2_3(V3 c�ooC
Project Type Brief Description.
Check all that apply
i New Construction
Addition
Remodel
Repair
Re -roof
Demolition
Sign
Heat System
Other
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Max. height of proposed structures
Will a lawn sprinkler system be installed?
Will a fire sprinkler system be installed?
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
'Residential Commercial
AC KF n: 2'c. �,TZ
wall- mounted projecting freestanding awning other
Total sign area sq ft. Maximum allowed sign area sa ft.
Heat pump wood burning stove gas fireplace pellet stove other
Existing (sq. ft.) Proposed (sq. ft.)
Total footprint of structures sq ft. Lot size
ft
projects.
Date 2q c■.10■.) Cal Print Name c
T Forrns /Builcling Division /Bldg Permit Appl. -2006 Code doc
Occupancy group
Occupant load
Construction type
Phone
Expires
Lot
per sq ft.
TOTAL VALUATION
For City Use Only
Date Received f 2 4 07
Permit b7 ea
Date Approved
Phone
Phone
Zoning p.,S
Multi- family Industrial
LRw
\<-‘LE- a.1
l
sq ft. Lot coverage
of bedrooms
of full baths
of half baths
I have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required and to obtain permits for to working on
Signature
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Ofticial1u.se Only
Assem.# . {, A
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Received
NAME OF PREMISES:
Backtlow Assembly Test Report
City of Port Angeles
Public Works and Utilities Department
WaterIWastewater Collection Division
J p I? r<. Y :5 !. (J T T
~ 3/ to Ct-/t I?J? y' 5TJ<EET
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SERVICE ADDRESS:
LOCA nON OF DEVICE:
ME" TiX
ASSEMBLY:
;;1. !r Y- /0 Cf-3
.
Manufacturer Model Size
IS THIS AN APPROVED ASSEMBLY? YES 1fI~ 0 IS ASSEMBLY rNST ALLED CORRECTLY)
DATE OF INSTALLATION () Ec. #VV]uNKNOWNO
Serial No.
YES I9-"NO 0
REDUCED PRESSURE PRINCIPLE ASSEMBLY RP 0 RPDA 0
DC IEI/ DCDA 0
PVB 0 Air Gap 0
DOUBLE CHECK VALVE ASSEMBL Y SVB 0 AVB 0
CHECK VALVE#I CHECK VALVE #2 RELIEF VALVE PVB/SVB
Initial Leaked 0 Leaked 0 Did Not Open 0 AIR INLET
Held at U psi Closed Tight 0 Did Not Open 0
Test Held at J . 'i( psi Opened at _ pSI
Opened at _ pSI
Repairs Cleaned 0 Cleaned 0 Cleaned 0 CHECK VALVE
Leaked 0 Held at pSI
Replaced 0 Replaced 0 Replaced 0
REPAIRS
Cleaned 0
Details
Replaced 0
3 psi Buffer YES 0 NO 0
Final Closed ;right 0 AIR INLET Opened at _ pSI
Held at~ psi Held at I. f psi CHECK VALVE Held at _pSI
Test Opened at _ psi BACK PRESSURE NO 0 YES 0
AIR GAP INSPECTION:
REQUIRED MINIMUM SEPARATION: YES 0 NO 0 TYPE OF HAZARD L A tAr Ai
COMMENTS Line Pressure 9/ psi
...1. AI) pee (E r) ref7El) '-f f.A f'SEI Held Backpressure YES G-""'No 0
#2 Shutoff Held YES O/NO 0
Relief Valve Exercised YESO NO 0
Date/Time Tester Signature Cert. # Test Kit Passed Failed
Initial " ;J 1 ,- (J
Test I J ~it'. t .., f? . iJ f r:/Ckf< ,/ t.t',., ;)kfe<il, I),J- C/ p 'I-- I/J I J1 bYeS ,- 13- 0
Repairs 0 0
Final II rJ Eel' t J( \ t!i~~ !l rJt/yc iii.........
Test ~/t-r;J ;e. ;Jt;,,, 111 //lWeJ'-r 0
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WHITE - CUSTOMER COpy
YELLOW - PURVEYOR COpy
PINK - TESTER COpy
ELECTRICAL PERMIT AND. INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
Application Number
Application pin number
Property Addres~
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000192 Date 10/24/07
502080
2316 S CHERRY ST
06-30-09-5-2-2390-0000-
GERALD SCOTT
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
148075
Owner
Contractor
SCOTT, GERALD
433 DUNGENESS
SEQUIM. WA.
SEQUIM
OWNER
J.
MEADOWS
WA 98382
Other struct info .
TOTAL % LOT COVERAGE
.CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
29.70
V-N
2.00
6250.00
1855.75
1855.75
1. 00
Permit
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
DAVE'S H&C/ T-STAT
102020
DAVE'S HTG
35.00
10/24/07
4/21/08
& COOLING SRVC INC
plan Check Fee
Valuation
.00
o
Qty
1. 00
Unit Charge Per
35.0000 ECH EL-LVT-FIRST THERMOSTAT
Extension
35.00
---------------------------------------------------------------------------- I
Special Notes and Comments I
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.
03/05/2007 10 :.11 AM SROBERDS - - The proposal will result
in a new sfr in the RS-7. No land use issues are
anticipated.
03/09/2007 04:39 PM SROBERDS ---The site plan as
revised. identifies appropriate setbacks. No further
issues anticipated. .
Electrical load calculations and ~lctrical permits are
required. Connection fee $410.00.
02/28/2007 04:51 PM GMCLAIN ----------------------------
Servce will be from pole on Ch~rry Street.
02/28/2007 04:51 PM GMCLAIN -------------~--------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Other Fees
RES OVERHEAD SERVICE .FEE
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
410.00
1000.00
4.50
~
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~
~
~
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~
~f..:
SPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
OUGH - IN
PINAL
. OMMENTS:
{, i 67
<J>\-Y
~
A-'-
ELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
'.
"
Application Number . . . . .
Application pin number
07-00000192
502080
Page
Date
2
10/24/07
Other Fees
PW WATER SYSTEM USE FEE
1230.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Pe rmi t Fee Total 35.00 35.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2'644.50 2644.50 .00 .00
Grand Total 2679.50 2679.50 .00 .00
~
.
SPECTION . ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
OUGH - IN
PINAL
. OMMENTS:
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PREPARED 6/18/07, 10:50:24 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/18/07
ADDRESS 2316 S CHERRY ST SUBDIV:
TENANT, NBA: GERALD SCOTT
CONTRACTOR PHONE
OWNER SCOTT, GERALD J. PHONE
PARCEL 06-30-09-5-2- 2390 -0000-
APPL NUMBER: 07- 00000192 RES NEW SFR
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 6/18/07
MECHANICAL GAS LINE
06/18/2007 08:55 AM LPANGRLE
JERRY 460 -0083
GASLINE FOR FIREPLACE, NORTHWEST CORNER OF GARAGE
COMMENTS AND NOTES
'''.,~.
${id~~
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.....~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
121 EAST 5TH STREET, PORT ANGELES. WA 98162
Application Number
Application pin number ".
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr. name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000192 Date
502080
2316 S CHERRY ST
06-30-09-5-2-2390-0000-
GERALD SCOTT
RES NEW SFR
6/06/07
RS7 RESDNTL SINGLE FAMILY
148075
Owner
Contractor
SCOTT. GERALD J.
433 DUNGENESS MEADOWS
SEQUIM, WA.
SEQUIM WA 98382
OWNER
Other struct info .
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
29.70
V-N
2.00
6250.00
1855.75
1855.75
1. 00
~
VJ
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
PEN. EL./ 2581 SQ FT SFR.
103101
PENINSULA ELECTRIC
135.00
6/06/07
12/03/07
.,...,.
Plan Check Fee
Valuation
.00
o
6'
Qty
1. 00
.3.00
Unit Charge Per
69.0000 ECH
22.0000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
69.00
66.00
\f\
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.
03/05/2007 10:11 AM SROBERDS -- The proposal will result
in a new sfr in.the RS-7. No land use issues are
anticipated.
03/09/2007 04:39 PM SROBERDS ---The site plan as
revised, identifies appropriate setbacks. No further
issues anticipated.
Electrical load"calculations and elctrical permits are
required. Connection fee $410.00.
02/28/2007 04:51 PM GMCLAIN ----------------------------
Servce will be from pole on Cherry Street.
02/28/2007 04:51 PM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works p~ior to back fill of ditch. 24 hour advance
notice is required.
\'
;t.
~
1<1
-{,
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
1000.00
4.50
COMMENTS! ACTION NEEDED
ELECfRICALPERMl;r INSPEqlONRECORD
( .t~
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. <PLEASEPRO:vIDEA~24 HOUR NpnCE. IT IS UNLA WFUL TO COVE~..
INSULATE'OR CONCEAL ANYWORK'lJEFoRIt'rtIs INSPECTED AND'ACCEPTED. . ,,0
, - "",'~'AA:,~:j!~~~: ~!i:~~~,~:l~~~:~~i::~::~_: -- ;~;:. ,': ..: ~~~~. .~.~~~t~~~itf~'~~' ..~l;.~'~ '''c~~,.~:~~.::~_ ;, t~> ::~,~:" k" 7' ';' , - ,: ~.. ;':: ~::~'7-"i':' ..,~ ;' . . -'."'~:'"'": .-,:-
KEEPPERMITCARD1>JID APPROVED'PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
. GiNERAbroMMtNTS:\.
.-"~:,,., !'".;:~<;}' ,,;;,.'-,; . \,<",~~'f.i"""" : ,:-~""
:~~: '..,~
.,A-.
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
"121 EAST 5TH STREET. PORT ANGELES. WA 9R362
Application Number . . . . . 07-00000192
Application pin number 502080
Page
Date
2
6/06/07
Other Fees
PW WATER SYSTEM USE FEE
1230.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 135.00 135.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 2369.50 2369.50 .00 .00
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COMMENTS! ACTION NEEDED
!
ELECflRICAL PERMIT INSPECTION RECORD
",'::: ?-'~",..,~.. .,: ~ ~
...'.....
CALL 417 -4735 FOR ELECTRICAL !N'SPECTIONS,,'P.LEASE PRO\'IDE A MINIMuM 24 HOUR NOTICE. IT IS UNLA WFUL TO cOVER.
INSUHTE.JJR:CONCEAL At'lY WOR/{'IJEFORE, ITIS 1NSPECTED AND)icCEPTED. "
, 4~:':"~~;:':~'f~:"~~2~-'f.1~.r:~1~~'~~:~~~~" ....>;. c.:' :: ~:: :-: ~~'~'~~~~'\'~2t~~~~ii,;~;,i~S .;~ ;.;,~:' f.'-,;2;<';.::~"",:~ :~~~;.;'J ':-~ ~. ':; , ' ". '~~.'. ~'::'::-.~.::~ ......:' .:- . .-.-. .......,~ ,'. -, ';' -. -'", -;.
KEEP,'PERMrr CARD AN6]J>PROVED'PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
.b~Dt AL
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CITY OF PORT ANGELES
PUBLIC WORKS . ELECTRICAL DIVISION
:Q1 EAST 5TH STREET. PORT ANGELES. WA 98]62
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning..
Application valuation
07-00000192' Date
502080
2316 S CHER.RY ST
06c30-09-5-2-2390-0000c
GERl',LD SCOTT
RES NEW SFR:
3/30/07
RS7 RESDNTL SINGLE FAMILY
148075
Owner
Contractor
SCOTT, GERALD
433 DUNGENESS
SEQUIM, WA.
SEQUIM
J.
MEADOWS
OWNER
WA 98382
Other struct info .
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE .
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF ,,uNITS
29.70
V~N"
2.00
6250.00
1855.75
1855.75
1. 00
Plan Check Fee
Valuation
.00
o
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Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL TEMPORARY
60AMP TEMP PEN ELEC
98293
PENINSULA ELECTRIC
40.00
3/30/07
9/26/07
SERVICE
Qty
1. 00
Unit Charge Per
40.0000 ECH EL-TEMP SRV - 0-60 SRV FDR
Extension
40.00
~
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.
03/05/2007 10: 11 AM SROBERDS.- - The proposal will result
in a new sfr in the RS-7. No land use issues are
anticipated.
03/09/2007 04:~9 PM SROBERDS ---The site plan as
revised. identifies appropriate setbacks. No further
issues anticipated.
Electrical load calculations and elctrical permits are
required. Connection fee $410.00.
02/28/2007 04:51 PM GMCLAIN _c__________________________
Servce will be from pole on Cherry Street.
02/28/2007 04:51 PM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
l
u:
~
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Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
1000.00
4.50
1230.00
COMMENTS/ACTION NEEDED
;!
ELECfRICAL PERMIT INSPECfION RECORD
"!
CALL 4) 7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A lvfiNIMUM 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
tNSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW,II02.1' 14'96]
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 91\]62
Page
Date
2
3/30/07
Application Number . . . . . 07-00000192
Application pin number 502080
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
Charged
40.00
.00
2234.50
2274.50
COMMENTS/ACTION NEEDED
Paid
Credited
Due
40.00
.00
2234.50
2274.50
.00
.00
.00
.00
.00
.00
.00
.00
ELECfRlCAL PERMIT INSPECfIONRECORD
" CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PlANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW.l 102.15 (4"J6]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name '
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
3/09/07
07-00000192 . Date
502080
2316 S CHERRY ST
06-30-09-5-2-2390-0000-
GERALD SCOTT
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
148075
Contractor'
SCOTT, GERALD J.
433 DUNGENESS MEADOWS
SEQUIM, WA.
SEQUIM WA 98382
Other struct info .
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
OWNER
'TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
29.70
V-N
2.00
6250.00
1855.75
1855.75
1.00 .
PUBLIC WORKS RES WATER SERV
96958
770.00
3/09/07
9/05/07
Plan Check Fee
Valuatiori
.00
148075
Qty Unit Charge Per
1.00 770.0000 EA PW.w/M 1" SERV 5/8" METER
Permit . . . . .
Additional desc .
Permit pin number
Permit' Fee
Issue Date
Expiration Date
Extension
770.00
RIGHT OF WAY
96941
50.00
3/09/07
9/05/07
Plan Check Fee
Valuation
.00
148075
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Extension
50.00
STREET ALLEY RESTORATION
96966
290.00
3/09/07
9/05/07
Plan Check Fee
Valuation
.00
148075
Qty Unit Charge Per
1.00 290.0000 ECH STREET ALLEY RESTORATION
Permi t . . . . .
Additional desc .
Permit pin number
Extension
290.00
SANITARY SEWER HOOK UP
96933
Separate Permits are requiredfor electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction. . ~ .
~~ ~~. C)~ i'<\f\Q.o'1
Signature of Contractor or Authorized Agent Date Signature of Owner (if'owner is builder) Date
T:\Policies\1102.15R [1/05]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 2,4 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS ,
YES I NO .
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRlVEW A Y APPROACH
I "
BACK-FLOW DEVICE
I I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/vSE
RESIDENTIAL DATE YES NO COM'MERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION RW. / PWI CONSTRUCTION - RW.
ENGINEERING 4 I 7-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\ll 02.15R [1/05]
ff'ORT~
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~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Permit Fee
Issue Date
Expiration Date
. Page
07-00000192 Date
502080
120.00 Plan Check Fee
'3/09/07 Valuation
9/05/07
2
3/09/07
.00
148075
Qty Unit Charge Per
1.00 120.0000 EA SAN SEWER HOOKUP
Extension
120.00
Special Notes and Comments
Address numbers shall be plainly visible from the'street.
Address numbers shall be a minimum of six inches high and be '
of contrasting color from the background.
03/05/2007 10:11 AM SROBERDS -- The proposal will, result
in a new sfr in the RS-7.. No land use issues are
anticipated. .
03/09/2007 04:39 PM 'SROBERDS ---The site plan as
revised, identifies appropriate setbacks. No further
issues anticipated.
Electrical load calculations and elctrical permits are
required. Connection fee $410.00.
02/28/2007 04:51 PM GMCLAIN ----------------------------
Servce will be from pole on Cherry Street.
02/28/2007 04:51 PM GMCLAIN ________________c___________
Sanitary sewer connection inspection is required by
. Public Works prior to back fill of ditch. 24 hour advance
notice is required.
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
---------------~- ---------- .- - -.- - - - - -- ---------- ----------
permi t Fee Total 1230.00 1230.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 3464.50 3464.50 .00 .00
~r
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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\Policies\II02.15R [1/05]
.' \...
PERMIT.INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINHvll)ty124 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
,
YES NO
PW UTILITIES. (Engineering Division)
WATERLINE I METER
SEWER CONNECTION .
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRlVEW A Y APPROACH
,
BACK-FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. I PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1/05]
.' ... o'i- ~OR~~Q
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. CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
~
...J
I
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000192 Date
502080
2316 S CHERRY ST
06-30-09-5-2-2390-0000-
GERALD SCOTT
RES NEW SFR
3/09/07
~,
~
RS7 RESDNTL SINGLE FAMILY
148075
Owner
Contractor
SCOTT, GERALD J.
433 DUNGENESS MEADOWS
'SEQUIM, WA.
SEQUIM WA 98382
OWNER
Other struct info .
. TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
29.70
~"A
\ !
~~ N?]' f""\ .
. _m' /<!/" (:
dl/ "-,-\ u;; ~
V-N
2.00
6250.00
1855.75
1855.75
1.00'
~.~
~C
-....: :J
/?
(.' /
. "
'-----'"
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
2781 SF SFR. 510 ATT GAR.
95992
1294.65 Plan Check Fee
3/09/07 Valuation
9/05/07
517.86
148075
Qty Unit Charge Per
Extension
1020.25
274.40
BASE FEE
49.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
Permit MECHANICAL PERMIT
Additional desc
permi t pin number 96990
Permit Fee 111.60 Plan Check Fee .00
Issue Date 3/09/07 Valuation 0
Expiration Date 9/05/07
Qty Unit Charge Per Extension
BASE FEE 50.00
1. 00 14.7000 ECH. ME- INSTALL 100- FAU 14.70
5.00 7.2500 ECH ME-VENT FAN 36.25
1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65
.00 50.0000 ECH ME-WOOD BURNING APPL. .00
-------------------------------------~-~~-----------------------------------
Permit . . . .. PLUMBING PERMIT
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
96982
156.00
3/09/07
9/05/07
Plan Check Fee
Valuation
.00
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.....,..
...
Qty Unit Charge Per
Extension
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating onstructibn or the performance of
. construction.
Signature of Contractor or Authorized Agent
Date
T:\Policies\1102.15 building pennit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
..' ,.t. .. _~
CALL 417-48]5 FOR BUILDING INSPECT]ONS. CALL 4]7-4,73,5FOR ELECTRICAL INSPECTIONS.
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANI' JFORI(BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
.
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA TION DRATNAGE / DOWN SPOUTS
PIERS I
POST HOLES (POLE BLDGS.)
PLUMBING
uNDER FLOOR / SLAB
ROUGH-TN
WATER LINE (METER TO BLDG)
GAS LTNE FTNAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS ,
CEILING I
FRAMING ,
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILTNG
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULA nON
SLAB
WALL I FLOOR / CEILING I
MECHANICAL
ROUGH-TN
HEAT PUMY lFURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY;
WOOD STOVE / PELLET / ClllMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKJRTTNG
PLANNING DEPT. SEPARATE PERMIT #'s . SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL . DATE YES .NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - UGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT .
CONSTRUCTION RW./PWI CONSTRUCTION - RW.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUlLDTNG 417-4815 BUlLDING
T:\Policies\1102 J.5 building pennit Inspection record05.wpd [1/412005]
,I ~ :f'POP~N.
t~O~~~
,.
L --....
~
'tiit1C~
. CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number 07 - 00000192
Application pin number 502080
Qty Unit Charge 'Per
BASE FEE
11.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE
1. 00 15.0000 ECH PL- EA. BLDG SEWER
1. 00 7.0000 ECH PL- EA.WATER HEATER
Page 2
Date 3/09/07
Extension
50.00
77.00
'7.00
15.00
7.00
. .
------------_\_----------------------------------------------------.----------
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
03/05/2007 10:11 AM SROBERDS -- The proposal will result
in a new sfr in the RS-7. No land use issues are
anticipated.
03/09/2007 04:39 PM SROBERDS ---The site plan as
revised, identifies appropriate setbacks. No further
issues anticipated.
Electrical load calculations and elctrical permits are
required. Connection fee $410.00.
02/28/2007 04:51 PM. GMCLAIN ----------------------------
Servce will be from pole on Cherry Street.
02/28/2007 04:51 PM GMCLAIN ------"---------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
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 1562.25 1562.25 .00 .00
Plan Check Total 517.86 517.86 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 4314.61 4314.61 .00 .00
ji
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:IPoliciesIII02_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
-~. ..~..
CALL 417c4815 FOR BUILDING INSPECTIONS. C/-\LL 4] 7-4,73,5 FOR ELECTRICAL INSPECTIONS.
CAI,L 4] 7-4807 FOR PUBLIC WORKS u'TILlTIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER. INSULATE OR CONCEALANl' JVORR BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TlON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
~
-:) ,
I,
INSPECTION TYPE
DATE
ACCEPTED
YES NO
COMMENTS
~
~
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDATION DRAINAGE (DOWN SPOUTS)
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
uNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS I ROOF / CEILING
DRYW ALL (fNTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL'
ROUGH-IN
HEAT PUMY lFURNACE/DUCTS
GAS LINE
WOOD STOVE I PELLET / CffiMNEY
I
3 /11 I - ..B.Y"
") /1).. q / () 7 J )...[..-
~f5 hl'L, tJ'7 ~ LL
I I
I
~/t/ jtJ-'7
~1?'/iJ7
I
-J GL---
5L0
FINALd-(q/O& DATE "dLL
ACCEPTED BY:
/
tJ' I J-o, j 07 ..:JL-0
I
$\-\ E; -ARw Av<..Jl)~Y W l'\1,{.. :f / t"1 /0 r J\A.,
(P/~ len ,)VV
,
q j/fE/o--' S{.J/
t
FINAV< - ( i -08 DATE ::r (., L-
ACCEPTED BY:
~
~
-
~
~
C\
~
~
~
,
u/;r9101 I(TL-V I
MANUFACTURED HOMES
FOOTING I SLAB
BLOCKING & HOLD DOWNS
SlURTING
PLANNING DEFT. SEPARATE PERMIT #'5
PARKING/LIGHTING
LANDSCAPING
SEPA:
ESA:
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL
DATE
. YES
NO
COMMERCIAL
DATE
ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT.
417-4735
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./PW/
ENGINEERING
4 J 7-4807
CONSTRUCTION - RW.
PW / ENGINEERING
FIRE
PLANNING DEPT.
417-4653
FIRE DEPT.
BUILDING
417-4750
417-4815 ()2.. -I q rO<b
PLANNING DEPT.
::T I......l"
BUILDING
"
T:\Policies\] 102 15 buildmg penn It 1I1spectlOn record05.wpd [1/4/2005]
S'8:1 0 \, 'l'l'\.
,
Phone: '~lrl() '" (d<b3 S "'7~2...
Phone: 1>loO-U.CcC::> - OD83 e::i:\...\...
Zip: ~~3~"2..
ate Issued:
BUtbDING PERMIT - APPLICATION
Fill out COMPLETELY and inlNK. Your application and site plan MUST r'E
COMPLETE to be accepted for review. If yon have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent:
Owner: ~~~~L\) ~. S c...C\\
Address: '-\~"3 \)\)~C:E~e:6 t"\~(:)\f06City:
~
Architect/En gin eer:
Contractor C!:JW J1e.y-
Address:
Phone:
State License #:
Exp:
Phone:
IJ. '3 /I/?
2..~
City:
$, derr'~ ~r;
Block: '2..3 Subdivision: ~O~~''l-~()\..~''s
C~'3Da~SL.."2.."3qD
. Zip:
PROJECT ADDRESS:
LEGAL DESCRlPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
ZONING:
'RS7
TYPE OF WORK: \ ~ SIZENALUATION:
~Residential ~NewConstr. 0 Re-roof 0 Stove \~5\ SF.@$ c;c;oo /SF.=$ ,430S.0C
Q ""7 __@d1$ ..,i S' 0 e-
o Multi-family 0 Addition 0 MoveD Garage 1..17\'2-.JU SF. $ ~,,5 /SF.= <0' to O.
o Commercial 0 Remodel 0 Demolition 0 Deck ''5 \ 0 SF. @ $ \1....(.)0 /SF. = $ 1.0', \ 20 . 0 Q
o Repair 0 Sign 0 Other CA~~' TOTAL VALUATION $ \ ~<2. D'S. cl:>
BRIEF DESCRIPTION OF THE PROJECT: N~ ~'5.\'\::)1G~~ ,'N~ ,,:>,c.~ ~('t\.~ - "'\140 cf\Q..
G~~~C,e- .
COMMERClALIRESIDENTlAL: Occupancy Group:
No. of Stories: 2.. Lot Size: b2-50.' Existing Sq. Ft.
Total lot coverage~~., 1- ~ :.
I/-f.(
'0
Occupant Load: Const~ction Type: ~~\ ~ \~ L
~ & Proposed Sq. Ft.'-'j ~~t-7.$TOTAL Sq. Ft.1i333~ 7S-
- .
PLANNING USE ONLY: APPROVALS:
PLAN:
BLDG:
DPWU:
ESA/Wetland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: FIRE:
--
OTHER: -
VALUATION OF CONSTRUCTION: In all cases, a valuation amount mustbe 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 pennit application and construction plans are
submitted. All other pennit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no pernnt 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
R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized tQ
apply for this permit and understand that it is my responsib' 'ty to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
Date: '2..{J ~ ~ l
T:\FORMS\BldgPennitforrn.wpd Applicant:
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"<.;;;>'
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
07-11?
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property zoning
Application valuation
07-00000192 Date
502080
2316 S CHERRY ST
06-30-09-5-2-2390-0000-
GERALD SCOTT
RES NEW SFR
3/09/07
1--?lv5~
RS7 RESDNTL SINGLE FAMILY
148075
Owner
Contractor
'5 c o.:J;:;b
SCOTT, GERALD J.
433 DUNGENESS MEADOWS
SEQUIM, WA.
SEQUIM WA 98382
OWNER
Other struct info .
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
29.70
V-N
2.00
6250.00
1855.75
1855.75
1. 00
Permit
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
96958
770.00
3/09/07
9/05/07
Plan Check Fee
Valuation
.00
148075
Qty Unit Charge Per E~t .
1.00 770.0000 EA PW W/M 1" SERV 5/8" METER 770.00
------------------------------------------------------------------ -------
Permit RIGHT OF WAY
Additional desc
Permit pin number
Permi t Fee
Issue Date
Expiration Date
96941
50.00
3/09/07
9/05/07
Plan Check Fee
valuation
.00
148075
________=~~~___~~:t5~h~~~~_E~~r__RIGHT_~F_~~:_~~~~=:______________E~.
Permit STREET ALLEY RESTORATION
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
g./\
96966
290.00
3/09/07
9/05/07
Plan Check Fee
Valuation
.0'0
148075
________"Q~;___Unl~9~h~~~~_E~~:__::~~~:_~~~~:_~~::~~TION________~
Perml t SANITARY SEWER HOOK UP
Additional desc .
Permit pin number 96933
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 ifrequired inspections have not been requested within 180 days from the last
inspection. I hereby certify Ihat 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 10 give authority to violale or cancel the provisions of any state or local law regulaling construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signalure of Owner (if owner is builder)
Date
Bpolicies\] IOZ.15R [1/05]
...Ofl'ORT~
$~~
~
. --
""'C_
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Permit Fee
Issue Date
Expiration Date
07-00000192
502080
120.00 Plan Check Fee
, 3/09/07 vaiuation
9/05/07
Page
Date
2
3/09/07
.00
148075
Qty Unit Charge Per ~EX
1.00 120.0000 EA SAN SEWER HOOKUP 120.00
---------------------------------~------------------------------- ------ --
S~ecial 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.
03/05/2007 10:11 AM SROBERDS -- The proposal will. result
in a new sfr in the RS-7. No land use issues are
anticipated.
03/09/2007 04:39 PM SROBERDS ---The site plan as
revised, identifies appropriate setbacks. No further
issues anticipated.
Electrical load calculations andelctrical permits are
required. Connection fee $410.00.
02/28/2007 04:51 PM GMCLAIN ----------------------------
Servce will be from pole on Cherry Street.
02/28/2007 04:51 PM GMCLAIN ------------~---------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
-----~~~~~-;~~~--~~~~~-~-~-~-~-~-~--;;~;~-;;;;;~-~;~;~~~;~.o; ~
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE 1230.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ----------
Permit Fee Total 1230.00 1230.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 3464.50 3464.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, jf 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
Date
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
T:\Policies\II02.15R [lIDS}
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . .
.~
REQUEST:
Date / p-I t-tl7
Time
Received by
(phone, person)
Location of Work to be inspected ~ ? I (/ :; ~/I/I...r 1
Name of person requesting inspection ~..en/>.A1 ~ .
Address of person requesting inspection Phone No. ifl;O ~6() 83
Type of Inspection (circle appropriate one): Permit No. 0 - q 2...
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
Inspected: Date
Remarks:
INSPECTION NOTES:
ICl-1 Z-IJ7
Time
By
RV
fZ,-fL!-o-l K to-~ ~
() 0 UY
RESTORATION REQUIRED . . . . .. YES
NO )(
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved 0 Gravel 0 Asphalt [] PCC
[] Other
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
[] COMPLETE
[] INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE I
~
. . . . .
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT . . . . . .
REQUEST:
Date ,z:;- (~o 7
Time
Received by
"V
(phone. person)
Location of Work to be inspected 2.'5 t h So,
Name of person requesting inspection _) 6< "'-
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
eherrY:;1
'( /R,~
V,,-,oV\ I -
Phone No.
Permit No.
Final ~we~. Other
cr7-1 '?Z
INSPECTION NOTES:
Inspected: Date 5- 2...'-1-07
,
Remarks: New Ic>.r tH\ MA,t'^ )
I/Vle) q// :j>y'~ +-0 /'ou-se...
Time
",'/?V~ ~~W\
By RV
/M,a.'", +0 -Pvaperl}'
,
, .
RESTORATION REQUIRED. . . . .. YES NO X
1'/1/ ~t 1\
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
1-"1
"
~
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
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Ipermit Refund I Adjustment
Date: _12-17-07
Cashier 10 _ TOWEN_
Payment Type _CK_
Check# _1019_
Receipt # _27170_
Reciept Date _3-12-07_
Permit Application # _07-192_
Fee Type
_PF
Adjustment
Budget Code _10272303221032_
Budget Code _0_
Budget Code _0_
Amount _$290.00_
Amount
Amount
Refund Amount _$290.00_
Posted Fee $5026.75
New Fee $4736.75
SEND TO: _GERALD SCOTT
_433 DUNGENESS MEADOWS
_SEQUIM, WA 98382
Phone #
Description: _PERMIT REFUND ON ALLEY RESTORATION
-
.--r I / 0 Date /l./tg!o:r
Approval Signature ,,",l"b-l( -
1:\Rvess\BLOG.fonns.brochureslPERMIT REFUND V ' (
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . INSPECTION REPORT. ....
REQUEST:
Date ,:J-7 - 08 Time
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
s
s,
Received by
(phone, person)
INSPECTION NOTE~'l!2 ~ Q A-f T73khoon
Inspected: Date :;:J (;) tJa Time By !<V
Remarks: ~/"t ""I 2 - e.-oS oK
S=",-,e I 5-2'1-0;
D".~"~"""a..>, 12-/4- 67
RESTORATION REQUIRED . . . . .. YES NO X
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 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)
C""TD~~T t'lln~r'Hl\IT-=A.n"'-=l\IT
''''ftTel
May 16 07 0831a
Dave's Heating & Cooling
360-452-0939
p,1
0(\
(fc
5,':-"",
0) -."-
-~
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ELECTRICAL WORK PERMIT APPLICATIQN
Job wired by
[J"'Electrical Contractor 0 Owner
Installation description
Q Commen:ial (!(Residentlal
ElectTical contractor name License number Dille Expires
Dave's H-e.a.-.f1'",'J- X>AI/EsHc'1'1{;),c. :s-lo<J
?u~ha5~r'ii mailing addfess
[0 801e Llt'3
Cit",
POrk A-h.~L...sr
T~lephonc number
3bo--'-f5;;-0'13
I]('New
D Altered/Addition
Stale ZIP
cuA- q':ir3(,;;.
/OUJ va I+a.c:r ~~O~,+ J,'
FAX number
Pnmises owner's name
G. e. .... .... Jl/' 5 Co + +-
Address: or inspec Ion
.?31(P 5. Che..r.-<gt
c;'p, j _ _
o r"\'- ~ cyl2-llI.-S I c..u A
Pllone qDmber 10 schedule inspection:
qg3'~
~ o-C50%3
Owner as dcjiP1ed by RCW./9.28.26J .-(1) QI.'/llcr wifl occupy tilt" slrrlcturo: for IWO
years after Ihi.. electrical penn:1 j!) jit;ali=cd (2) OWller is reqllircd In hire: an dectl'jcol
contractor ~f obo\'e said prop<!r-ty is for sa/e-. ren' or lease.
Afler reading the above stati:mcnl, ! hereby c~rtify that r am the owner of thc abo,'c
named property or a licen.s.cd electrical contractor. 1 am m.aking the electrical instal-
lation or alteration in complianc(; wlth the declrical laws. N.E.C., RC\,,"'. Chapler
19.28. WAC. Chapler 296-46B, The City of POri Angeles Municipal Code. and
Utility Specifications,
Signa rc of owner, electrical conlr:actor or electrical admin"stntor
Q Cash Cl Check #
s&ditCard @
Card #
Mastercard
Discover
----------------
x
Date:
Or
Expiration Date
of card
inspection f~e
$35=
Elect al Loa Add' ions and or subtractions
(J NO OAD CHANGES
(CJ~aseboard~KVV~ ,
.lB' Furnace LE'tf:W ""'------....
Ul'Heal Pump ~ Ton J.:l.. LAR-I!
(J,Fan'Wall - '=KW''"------'
Service Information
o Overhead Service
o Temp Service
D Underground Service
Voltage
PhaseD 1 03
Service Size: _
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-4]7-4735
Jt.A ROUGH-IN ~
6 0 7 ,;iJ1
D;!t" Appr,,"oJ ll~'
THERMOSTAT
SERVICE
I)~.e
Appro'cllO)'
Dale Aprr.Jo"': By
)
zJ~7
FINAL
'lci?'
Al'llfO"Cd ~~.
\.
DITCH
Appro,,'., j
FEEDER
DJIt:
o-.I1C
^~prc>,"Cd lJ~
Inspection
Date
Ara. Building or Equipment Inspected
Action Takcn
EI~ctrical
(nspector
q-
."
007
LIGHT OEPT.
LIGHT DEPT.
ELECTRICAL WORK PERMIT APPLICATION
Job lVirell by
Electrical Contractor"" 0 Owner
Installation description
o Commercial
Or\((:1....
.-
,
EI
] contra~tor ~lamc c.,.1 (). License nl.l..mber
VA \"1\:::>1.0.'" GI.u)'-{ \ (.., feN\,^.k
Pu'~sGt)a;~~~~ \J).Q-i ~c-J\:-
Dale Expires
qQ'OoG
~ew
o Altered/Addition
~~
stat]::
CfCf; 3<.0 "3
l(l)~
-
\-f4
DJa",tiL<:...D
'( (\ \-.Q..
~..tl..v:,
Telephone number
3<.,0 -l(li-\((P\.\
Premises owner's "Ff .-.Ll-
(,,~v;? x..:,~ \
Add"s.~ec,;on<._ r. _A
--:):~ ~Ul{) 'Or
c;~ ~ .J
. l\ J~~..v" \0c....
Phone number to schedule info cti?'V
3t.. - - \ '-\
Owner as defined hy,RCW/9.28.J61:(I) Owner will occupy the strucfllreJor two
years after this electrical permit is jinalized. (2) Owner is required /0 hire an electrical
cun/raetor if above said property is for sale. relit or lease.
After reading the above statement, I hereby certify that I am the owner of the above
namcd property or a licensed clcctrical contractor. I am making the electrical instal.
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapler
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Specific
~gnatu ,Of nw... e'Wxr nr el~t:;:;:;:;~:tnr
FAX number
.-.
,
o Cash 0 Check #
~reditCard Visa
Mastercard
Discover
.Card #
Expiration Date
of card
~nspe4iDfe~
Service Information
Electrical Loa Additions and or subtractions
o NO LOAD CHANGES
o Baseboard KW
a Furnace KW
o HeatPump Ton
o Fan-Wall KW
LAR
o Overhead Service
D Temp Service
o Undergmund Service
Voltage
PhaseD 10 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
( -.. SERVICE "
~_OUGH-IN, ./:V" THERMOSTAT
(}~5XJ::r
"""-'Dale Approved By 'C Dale Approved By Date Approved By
/ FEEDER "
4/':/ I, FINAL Dffal ~
. J') 7 I.. .J.{/;'
at ~ Approved By 'C Date Approv-ed By Date Approved By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Datc Inspector
.
,
1
:"-
{4 ~/\
,.-
Job wired by
~~"t~,
..~#
..~
~~..;
t-~"",,;r-'"
at Electrical Contractor 0 Owner
ELECTRICAL WORK PERMIT APPLICATION,
,
Electrical contractor name
ilt,V\\.WM,\u. 0dv,-<.
License number Date Expires
?LV\~~~ -jf<(4eud c..:n--<.JI.
Installation description
o Commercial g/Residcntial
~ew 0 Altered/Addition
Purchaser's mailing address
'luO hL?I.-~-W'
State ZIP
~'i:.
tv<\.. C(~Co3
.
City
\>u...+ ~..J.....>
Telephone number
~l!i(}-l{l -l (~I.\
FAX number ____
Premises owner's name
~v''''''~ 7c.c,tt
Address of in pecllon
-Z- 'Slll> s c..1...e.v....'j
CH?c.-v \- k~ .J~
Phone number to schedule inspection:
<eO- ,- ~
~hO- ~ S
-
-:,~
tM..
l(~ 3<:.,2..
Owner as defined by.RCIV./9.28.261:(J) Owner will OCCIIPY the structure for two
years after this electrical permit is finalized. (2) Owner is required to hire an electrical
contractor if above said proper~j! is for sale, rent or lease.
After reading the above statement, I hereby certify that I am the owncr of the above
named property or a licensed clcctrical contractor. I am making the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Specifications.
Sig7f owner, electrical contractor or electrical administrator
X (~u.A Date: 5"'-7..1-0,
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
o Cash 0 Check #
~edit Card Visa
Mastercard
Discover
Card #
Expiration Date
of card
Inspection fee
$ 5' ':!P
Service Information
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseO 103
Service Size:
Feeder Size: __
SAME DAY INSrECTlON, CALL BEFORE 7:00 AM 360-417-4735
ROUGII..I~n "
~
THERMOSTAT
SERVICE
Dale
Appro'cd By
Date Approved By
FINAL
ZhJD~ ~dBY
D1TOI
FEEDER
Date ApprovcU Hy
Date Approved By
Inspection
Date
Area, l3uilding or Equipment Inspected
Action Taken
Electrical
Inspector
$
o~
"
....-
"
~{lORTAt\o:
....~O~Q~
a,~-. ~
;' 'IiiiiI
"'01I....-~fI'J
Go 'L IU
~/C'~S
"'ORI(S&o~
ADDRESS
2-;'1
.---.:
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
PERMIT #
INSPECTOR
Dl - lCf 2- T<W?
~L-I'E.CS(C C
~
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . .. . . ... . . . . . . ROUGH IN/COVER. . . . . . . ... . . . . . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D.....................AN~....................D
CORRECTIONS NEEDED Go r-c.. \ <(\2.CTEG fop<.121'1"'E
C>"\.)'II...:lZ:.TS ~~ :S,N t-.t~ OU'\L-\'Z..T
Nt.. c..... 2.\ () 0 8 .J; 2. .yl)(-~'V'\I 2) >4 2.
~Fj fL.\!. S>rl~ I... D
'D1.,.rb~1:? L- OOY.Jl::..
NEe. 3/i..fo ZO
jZ" JJTe.Y
CoII'l'E..J"Z.. ?L..A'i~c...
JIO
-311.L"Z;~~ -""\\)12, {J..C4f:.'77A-'J;?,IL.;~ ~fZ.-
MD'Thrz..-. i~l 01'-1 4B-
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
PREPARED 5/17/07, 13:36:06
CITY OF PORT ANGELES
PAYMENTS DUE RE~EIPT
PROGRAM BP820L
APPLICATION NUMBER: 07-00000192 2316 S CHERRY ST
FEE DESCRIPTION AMOUNT DUE
--------------------------------------------------------------------------- .
RES OVERHEAD SERVICE FEE 410.00
TOTAL DUE 410.00
b t~tf-u. 5~o'l( Lft.o - cae::,
~ease present this receipt to the cashier
NOTIFY ElECTRICAL
INSPECTOR WHEN
RECEIPT IS PAID
411-473S
with full payment.
Chu.-w
5-/7-07
CITY OF PORT ANGELES
... CUSTOMER RECEIPT ...
Doer: CASHC TVDe: CT Draw'r' 1
Date: 7/30/07 03 ReceiDt no: 79959
Descriotion Quantitv
2007 i92.
BP BUILDING PERNITS
1. 00
Hoount
Trans nl!l!ber:
SCOTT, GERRY
2316 S CHERRY ST
Tender d,tail
CC CREDIT CARD
Total tendered
Total paYlent
1410.00
&34331
1410.00
1410.00
$410.00
Trans date: 7/30/07 Ti,e: 13:3&:2&
... THANK YOU FOR YOUR PAYMENT ...
FOR INQUIRIES 360-457-0411 PRESS ZERO
WWW.ClTYOFPA.US
WF0065789 / 001 City of Port Angeles
Il-J.;:Q..'.DATE: 04/03/07
SCHED START: 04/03/07 SCHED COMPLETION:
CREW: Electric Inspections - CX EINS
LOCATION: 2316 S CHERRY ST
SUBDIVISION:
REQ DEPT:
REQUESTOR: SCOTT, GERRY
REQ. USER: CASHC
ELECTRIC METER INSPECTION
04/03/07
PAGE 1
12:14:55
04/03/07
158806
98362
AUTH. USER:
pRIUK.Llt:
ORIGIN:
CASHC
LOC ID:
LOC. ZIP:
lVleOlum
In Person
WORK TYPE:
ROUT
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PRIMARY CONTACT INFORMATION
SCOTT, GERRY
433 DUNGENESS MEADOWS
SEQUIM, WA 98382
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ELECTRIC METER INSPECTION
CATEGORY: CS-Inspections
TASK: ELECTRIC METER INSPECTION
DEPT: FN-Customer Service
SCHED START: 04/03/07
CUSTOMER: SCOTT GERRY
CUST. PHONE: (360j 460-0083
(360)460-0083
INSP
ELMT
FNCS
COMPLETION:
READY
CUSTOMER ID:
04/03/07
797
SCHED
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START TIME: ..
START DATE: ====i====i====
UNIT OF PRODUCTION:
COMPLETION TIME: . .
COMPLETION DATE: ====i====i====
QUANTITY:
---------------------------~----------------~-----------------------------------
----------------------------------~---------~--------------------------~--------
DATE
--------LABOR-------
EMPLOYEE HRS OT
---EQUIPMENT--
NUMBER HRS
ITEM
MATERIAL -------------
QTY COST
36041727,33
5T OF WA L&I
08:21 :54 a.m. 04-04-2007
......
" ,:-, 84/B312BB7 11: B3
36B4174729
PORT ANGELES CITY LT
PAGE B1
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. To: '1 i: -';;':~lfabOr~&' Industries
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Fax: ' 417-2733
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FAx: TRANSMISSION COVER SHEET
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Re:
Sender:
Inspections
Kathy Trainor
Phone: 417-4724
Fax: 417-4729
YOU SHOULD RECENE 1 PAGE, INCLUDING THIS COVER SHEET.
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CAlL (380) 417-4724.
Please inspect for:
T y, Peninsula Electric
47 -
Thank you,
Kathy
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CITY OF PORT ANGELES
LIGHT DIVISION
FAX TRANSMISSION COVER SHEET
Date:
To:
Fax:
Re:
Sender:
3/30/07
Labor & Industries
417-2733
Inspections
Kathy Trainor
Phone: 417-4724
Fax: 417-4729
YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS COVER SHEET.
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (360) 417-4724.
Please inspect for:
Tony, Peninsula Electric
477-1764
2316 S. Cherry
Temporary service, 60 amp overhead
Thank you,
Kathy