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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
08-00000652 Date
462212
1038 HOMESTEAD AVE
06-30-14-3-2-9040-0000-
ELECTRICAL ONLY
6/02/08
RS9 RESDNTL SINGLE FAMILY
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Owner
Contractor
PITT RICHARD J
1034 HOMESTEAD ST
PORT ANGELES
WA 983622731
ELECTRIC SERVICE
82 DRAPER RD
PORT ANGELES
(360) 452-6424
WA 98362
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW
EL. SVC./ SHOP
127548
46.00
6/02/08
11/29/08
RESIDENTIAL
FEED + WIRING
Plan Check Fee
Valuation
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Unit Charge Per
46.0000 ECH EL-R-OUTBD/DTCH GAR SEP
Extension
46.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.00 46.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 46.00 46.00 .00 .00
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TYPE DATE: RESULTS: INSPECTOR:
DITCH
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000956 Date
889596
1038 HOMESTEAD AVE
06-30-14-3-2-9040-0000-
RICHARD & GLENNA PITT
RES DETACHED GARAGE
8/31/07
RS9 RESDNTL SINGLE FAMILY
29076
Owner
Contractor
RICHARD J PITT
1038 HOMESTEAD ST
PORT ANGELES WA 983622731
(360) 457-6234
Structure Information 000 000 1360
NEW VIEW INC.
277 MONROE RD
PORT ANGELES WA 98362
(360) 477-9449
DETACHED RV GARAGE/SHOP
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
ALTER TO EXISTING
109934
40.00 Plan Check Fee
8/31/07 Valuation
2/27/08
.00
29076
Qty Unit Charge Per
BASE FEE
Extension
40.00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40.00 40.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 44.50 44.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180-ClayS 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 constr tion or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Date
T:\Policies\1 J02.1SR [lIDS]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R W. I PWI CONSTRUCTION - R W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1/05]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32\ EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000956 Date
889596
1038 HOMESTEAD AVE
06-30-14-3-2-9040-0000-
RICHARD & GLENNA PITT
RES DETACHED GARAGE
8/31/07
RS9 RESDNTL SINGLE FAMILY
29076
Owner
Contractor
RICHARD J PITT
1038 HOMESTEAD ST
PORT ANGELES WA 983622731
(360) 457-6234
Structure Information 000 000 1360
NEW VIEW INC.
277 MONROE RD
PORT ANGELES WA 98362
(360) 477-9449
DETACHED RV GARAGE/SHOP
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc 1360 SF DET. RV GARAGE/SHOP
Permit pin number 109157
Permit Fee 468.25 Plan Check Fee
Issue Date 8/31/07 Valuation
Expiration Date 2/27/08
187.30
29076
Qty Unit Charge Per
Extension
417.75
50.50
BASE FEE
5.00 10.1000 THOU BL-25,001-50K (10.10 PER K)
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
WATER & SEWER TO GARAGE/SHOP
110262
72.00 Plan Check Fee
8/31/07 Valuation
2/27/08
.00
o
Qty Unit Charge Per
Extension
50.00
7.00
15.00
BASE FEE
1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE
1.00 15.0000 ECH PL- EA. BLDG SEWER
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Other Fees
STATE SURCHARGE
4.50
11
??~
?~ ~
~O
'\P
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- . ----------
Permit Fee Total 540.25 540.25 .00 .00
Plan Check Total 187.30 187.30 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 732.05 732.05 .00 .00
Separate Permits are required for electrical work, SEPA, ';horeline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
T:\PoliciesIlI02_15 building pennit inspection rccord05.wpd [1/4/2005]
o
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICALINSPECTJONS. --.l
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UN LA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WORK BEFORE ..i>
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE. ~
BUll.,DING PERMIT INSPECTION RECORD
INSI'ECTION TYPE DATE ACCEI'TED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA TION DRAlJ-lAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL 0-2.. 2..; O~ DATE f>B ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALUHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL/ FLOOR / CEILING I
MECHANICAL
ROUGH-IN I
HEATPUMY/FURNACE/DUCTS I
GASLlNE FINAL DATE ACCEPTED BY:
WOOD STOVE / PELLET / CHIMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
\
FINAL INSPECT-IONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT. 4\7-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R. W. / PW / CONSTRUCTION - R.W.
ENGlNEERlNG 4 I 7-4807 PW / ENGlNEERlNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 '-1-7_'2 -'08 PB BUILDING
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T:\Policies\1102 \5 buildmg penmt mspectlOn record05.wpd [1/4/2005]
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BUILDING PERMIT - APPLICATION
FOR1>FFICIAL USE ONLY:
I . .
DjfeRec.: ~ - \ '1 - (j 7
I Pl.':"" m~fI1
Approved:
,
ate Issued:
Fill out COMPLETELY and in INK. Your application, prescriptive energy
form, plans, specs, and a 8 W' x 11" site plan MUST BE COMPLETE to be
accepted for review. (360) 417-4815 FAX (360) 417-4711
Residential projects: submit two sets of plans
Commercial projects: submit three sets of plans
Applicant or Agent ~:c ~a.rJ '+- h lel1rla fJ,. /-1-
OwnerJ;ckdC'J + &:.J.en/'Uf p,./f-
Owner's Address IGJ TiT He-t~ 5 t~4./ .Av.c.
ContractorlEngineer H.w V.1Ew'
ContractorlEngineer's Address l~Rt)'4"+ ,f$$ocl..;.s
PROJECT ADDRESS: /~S~ #a~S~ AV'<
LEGAL DESCRIPTION: Lot:~"" Spq/f Block:
CLALLAM COUNTY PARCEL NUMBER: 0' 3 0 liI.1l. ~ "yo
Phone 3'0 ~ Ys- 7 <'" ~ z.~ 9'
Phone ~G.o.. yrl- '2 ~ Y
State License #
Expires
Phone P /7... 0&'"01
ZONING: Ii' ~. 7
Subdivision:
o Residential
o Multi-family
o Commercial
o Repair
TYPE OF WORK
.. New Constr. 0 Re-roof 0 Stove
o Addition 0 Move II Garage
o Remodel 0 Demolition 0 Deck
o Sign 0 Other
SIZEN ALUATION
\~bO SF.@$ 2,.38 /SF.= $ 2. '1\61b, ~O
SF. @ $ /SF. = $ ,
SF. @ $ /SF. = $ .&'
TOTAL VALUATION $ ~J .c;v...J ~ ~
,
BRIEF DE~RIPTION OF THE PIlOJECT: \....".+.", ,.I. _ J
MJLt:ARAr;:.# /$~~" ~~~
t r
~ew'~ I- 1Mtkr J;" j;.r hJ,..s-~'
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
Existing Structure(s) basement ~ Ft. & Proposed Structure(s) basement Sq. Ft.
151 floor 2.~ v- ~,~ Ft. & 151 floor '"3 (, tJ Sq. Ft.
2nd floor . Sq. Ft. & 2nd floor Sq. Ft.
Ao/#- U "'-"c. 3rd floor Sq. Ft. & 3rd floor Sq. Ft.
Cl Access6?y Structures r r7- Sq. Ft. & Accessory Structures Sq. Ft.
Existing Structure(s) TOTAL ~ t15'L Sq. Ft. & Proposed Structure(s) TOTAL Sq. Ft.
TOTAL of existing & proposed structures Sq. Ft.
Maximum Height of Proposed Structure(s) 2'Z. Ft.
LOT COVERAGE
Lot size Sq. Ft. 79 5' C. / >0 FT
Existing Structure(s) Sq. Ft. Footprint
Proposed Structure(s) Sq. Ft. Footprint
TOTAL Structure(s) Sq. Ft. Footprint
Total Lot Coverage ~ ,. %
2..'lrt...
I~ "0
SI~ I z...
~ivide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.)
Are you planning to install a lawn sprinkler system?
V ALUA TlON 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: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are
due at the time of permit issuance.
EXPIRA TION OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 180
days after the date of filing unless such application has been pursued in good faith or a permit has beeri issued; except that the building
official is authorized to grant one or more extensions oftime for additional periods not exceeding 180 days (90 days for commercial
projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006105.3.2)
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, and that I must obtain
,SUCh permits prior to work. . ~ /,,#
lJate Dt'.1 ~ ., Applicant ~
\FORMS\BUILDING DIVISION\BldgPermitAppl.-2006 CODE - backup.wpd .
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CITY OF PORT ANGELES
321 E 5TH STREET
P.O. BOX 1150
PORT ANGELES WA 98362
C E R T I F I CAT E
o F
OCCUPANCY
Issue Date
Expiration Date
Parcel Number .
Property Address
Subdivision Name
Legal Description
Property Zoning
Owner . . .
Contractor
Application number
Description of Work
Construction type
Occupancy type
Flood Zone
Approved
T E M P 0 R A R Y
3/14/07
4/14/07
06-30-14-3-2-9040-0000-
1038 HOMESTEAD AVE
PORT ANGELES WA 98362
PITT SP LT B V31 P51 1.82A FKA
PARCEL A SURV V54 P91
RS9 RESDNTL SINGLE FAMILY
PITT RICHARD J
NEW VIEW INC.
360 477-9449
05-00000927 000 000
RES NEW SFR
VOID UNLESS SIGNED
BUILDING OFFICIAL
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST STH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000927 Date
250618
1038 HOMESTEAD AVE
06-30-14-3-2-9040-0000-
RES NEW SFR
7/10/06
RS9 RESDNTL SINGLE FAMILY
179980
Owner
Contractor
PITT RICHARD J
1034 HOMESTEAD ST
PORT ANGELES
NEW VIEW INC.
277 MONROE RD
WA 983622731 PORT ANGELES
(360) 477-9449
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
Other struct info .
3.70
1. 00
79443.00
2970.00
1. 00
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
EL. SVC./ 3000 SQ FT SFR
81299
ELECTRIC SERVICE
166.60
7/10/06
1/06/07
Plan Check Fee
Valuation
.00
o
~
~
~
Qty
1. 00
4.00
Unit Charge Per
73.0000 ECH
23.4000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
73.00
93.60
~
~
~
~
':.
Special Notes and Comments
09/29/2005 11:35 AM SROBERDS -- The proposal will result
in a new sfr w/attached garage in the RS-9 for total lot
coverage of 4%. No land use issues are noted.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of w~y. An inspection by Public Works
Engineering is required prior to prouring concrete.
~
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
~
~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 166.60 166.60 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Tota~ 1774.50 1774.50 .00 .00
Grand Total 1941.10 1941.10 .00 .00
COMMENTSI ACTION NEEDED
~ "
-'
~
ELECTRICAL PERMIT INSPECTION.RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
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DATE
COMMENTS
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fPORT~
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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:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000927 Date 10/05/05
250618
1038 HOMESTEAD AVE
06-30-14-3-2-0100-1000-
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
179980
Owner
Contractor
PITT RICHARD J
1034 HOMESTEAD ST
PORT ANGELES
NEW VIEW INC.
277 MONROE RD
WA 983622731 PORT ANGELES
(360) 477-9449
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Other struct info .
Permit . . . . .
Additional desc .
Permit pin number
permi t Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
61713
750.00
10/05/05
4/03/06
Plan Check Fee
Valuation
Qty Unit Charge Per
1.00 750.0000 EA PW W/M SFR 3/4"
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
61705
50.00
10/05/05
4/03/06
Plan Check Fee
Valuation
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
SANITARY SEWER HOOK UP
61697
110.00
10/05/05
4/03/06
Plan Check Fee
Valuation
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
WA 98362
3.70
1. 00
79443.00
2970.00
1.00
.00
179980
Extension
750.00
.00
179980
Extension
50.00
.00
179980
Extension
110.00
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
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.
Signature of Contractor or Authorized Agent
Date
T:\Policies\1102.15R [1/05]
PERMIT INSPECTION RECORD
,..
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 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 NO
PW UTILITIES (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEW ALK
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]
1f'fORT~
lO~~....
ha
, ~--
"li~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
. . Application Number . . . . . 05-00000927
Application pin number 250618
Page 2
Date 10/05/05
"'Special Notes and Comments
by Building Department is required prior to backfill.
09/29/2005 11:35 AM SROBERDS -- The proposal will result
in a new sfr w/attached garage in the RS-9 for total lot
coverage of 4%. No land use issues are noted.
Depending on Electric Service Requirements a $410 or $713
. "l::onnect Fee Applies.
09/28/2005 02:05 PM JHEBNER ----------------------------
Electrical load calculations and electrical permits are
"""''''required.A cost estimate for elect service will be created
upon receipt of additional information.
09/28/2005 02:06 PM JHEBNER ----------------------------
Any modifications to the City's electrical facilities will
be at the customer's expense.
09/28/2005 02:08 PM JHEBNER ----------------------------
Sanitary sewer connection inspection is required by
,., '." .P)J.blic Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
'....Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 910.00 910.00 .00 .00
Plan Check Total .00 .00 .00 .00 .
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2684.50 2684.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.15R [l/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 A CCEPTED. 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 / 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 4 I 7-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\11 02.15R [1/05]
ot pORT ~...'
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'ltii:c~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000927 Date 10/05/05
250618
1038 HOMESTEAD AVE
06-30-14-3-2-0100-1000-
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
179980
Owner
Contractor
PITT RICHARD J
1034 HOMESTEAD ST
PORT ANGELES
NEW VIEW INC.
277 MONROE RD
WA 983622731 PORT ANGELES
(360) 477-9449
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Other struct info .
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
61838
1465.25
10/05/05
4/03/06
Plan Check Fee
Va:j.uation
Qty Unit Charge Per
BASE FEE
80.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
WA 98362
3.70
1. 00
79443.00
2970.00
1. 00
586.10
179980
Extension
1017.25
448.00
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 61846
Permit Fee 108.60 Plan Check Fee .00
Issue Date 10/05/05 Valuation 0
Expiration Date 4/03/06
Qty Unit Charge Per Extension
BASE FEE 47.00
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
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
61853
160.00
10/05/05
4/03/06
Plan Check Fee
Valuation
Qty Unit Charge Per
BASE FEE
12.00 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
.00
o
Extension
47.00
84.00
7.00
15.00
7.00
\jJ
c:
-
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.--
7-
1)'
\:)
~
~
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~
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\J
~
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~~
~ /~
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Separate Permits are required for electrical work, SEPA. Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction. 0.
Signature of Contractor or Authorized Agent
Date
T:\Policies\ 11 02_15 building permit inspection record05. wpd (1/412005]
Si
"
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 NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.) .
PLUMBING
UNDER FLOOR! SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF! CEILING
DRYW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB .
WALL 1 FLO~..b2.EILrnI
.,
MECHANICAL .
HEATP~/FdkNACE/DUCTS
..
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMER I ""'0/ DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKINGILIGHTING ESA:
LANDSCAPING 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.! PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005]
cJ pORT ~
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~~~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 05-00000927
Application pin number 250618
Page 2
Date 10/05/05
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
09/29/2005 11:35 AM SROBERDS -- The proposal will result
in a new sfr w/attached garage in the RS-9 for total lot
coverage of 4%. No land use issues are noted.
Depending on Electric Service Requirements a $410 or $713
Connect Fee Applies.
09/28/2005 02:05 PM JHEBNER ----------------------------
Electrical load calculations and electrical permits are
required.A cost estimate for elect service will be created
upon receipt of additional information.
09/28/2005 02:06 PM JHEBNER ----------------------------
Any modifications to the City'S electrical facilities will
be at the customer's expense.
09/28/2005 02:08 PM JHEBNER ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE ..
PW WATER SYSTEM USE FEE' .
745.00
4.. SO .
1025 .'Oo'J -: ;
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1733.85 1733.85 .00 .00
plan Check Total 586.10 586.10 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 4094.45 4094.45 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
r-
.'
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 REHjRE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE I ACCEPTED COMMENTS
I YES NO
FOUNDATION: , F
FOOTINGS jPf;1/6r .5/.-U
WALLY---- ~----- 1/- I (J-().CJ' d J-t-
Fc;>UNnA TION DRAINAGE! DOWN SPOUTS --; ~11'?J1,,6
PIERS ------- \ / 7/Pr(J.ttfj ('(7 (~ '(l,u
POST HOLES (POLE BLDGS.~
PLUMBING
UNDER FLOOR 1 SLAB I
ROUGH-IN
WATER LINE (METER TO BLDG) 7 fi' IDe. '-ftt.
GAS LINE rl\1n\b,'Y\ j Ftna.l I "Z--{7-o1 Jt...L-
BACK FLOW 1 WATER
AIR SEAL
WALLS lc1/e/t>&> J7v
CEILING -\ I I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS .
WALLS 1 ROOF 1 CEILING ( If}. / n-/ ft \1Ut
DRYW ALL (INTERIOR BRACED PANEL ONLY) 'ffWla ;f1-/
T-BAR 'T
INSULATION
SLAB , . ^~
WALL 1 FLOOR 1 CEILING f1 / n- (tit? I.JJv
MECHANICAL " ~-~ q/Iv/CbCJiv
HEAT PUNWI FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY f't'\..-e. c..~6J\'Cl\,l Fi'06..l
COMMERCIAL HOOD 1 DUCTS /<.. -11 -Or JLL
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
P ARKINGILIGHTlNG ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 \2.--\1-01 -:tl,,1..- BUILDING
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T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
<....
BUILDING PERfvHT - APPLlCATIOhl' '-
Dale Issued:
Fill out COMPLETELY and in INK. Your applicatior:: and site plan MUST B
C01\1PLETE to be accepted for review. If you have any questions, caD
PERMITS (360) 417-4815 KA..X(360)417-4711
, O..1...L
Applicant orAgent: ~lc:::~J. r.. L.!.-
O,vner:_R...c.~J. ~++- ~ ~ lE.n#14
Address: lO 3f' ~~ S~e.,/ ~ City:
~ Phone:
nrf /J"jt..ks
Phone: "'0- '157- &,Z'J'/
%()-YS-l- '"2.71'
Zip: 'll/'1
Arcmtect/EllgIDeer:
Contractor -^II; JIti ~ z t: w TNG State License #:
Address: /J;> IfIAI!.:JA-1I vI,~~ IA4v City: ell/J'1~'c,f~
~ '
Ha..c.c. s J.&D! A V'JL
Phone:
Exp:
Phone: f"~z- 96'9'-'
Zip: W'J( 2-
ZONING:
PROJECTADDRESS: /fJ'J<<
..:.._--:..; .",",.. ......-,;.....'''''..,.-..:--.. . ,"-. _ .'; ".---" .......,.., -
. .
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
.QJ.(J~!L 0 ~ ~ 3 '2.g I Q9.! ((POD
Subdivision:
......... ... ..
..___.' ._. ..'_.n"
Credit Card Holder Name:
Billing Address:
Credit Card Type 'VISA
Tl'I'E OF WORK:
o Residential . New Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Move 0 Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
. 0 Repair 0 Sign 0 Other
BRIEF DESClUPTION OF THE PROJECT: ~ t;:vJ '5 f t2- .
City:
Exp. Date:
Me
#
SIZE/V ALUATION:
2., re 3 SF. @ $ 70.:l'- /SF. = $ 1&1 L1?to -
S"'I7 SF. @ $~(' ~&> ISF. = $ \';1, ?,?O-
SF. @$ /SF.=$
TOTAL Viu,UATION $ \ 1 CJ. q ~O
COMMERCIALIRESIDENTIAL: Occupancy Group:
No. of Stories: ./-, Lo(Size: ,;}9 4'8 Fjxisting Sq. Ft.
Total lot coverage 3.1 %
Occupant Load: Construction Type:
& Proposed Sq. Ft '2.Q1o = TOTAL Sq. Ft Zq-rO
1
APl'ROV ALS:
PLAN:
BLDG:
Dl'WU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESAlWetlaud(s): 0 Yes 0 No SEPA Chedc1ist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. TIris figure will be 'reviewed
and may be revised by:the Buildin,g Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECR FEE: IF.a plan che-ckfeeisdueitmusfhe'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 PLA.N REVIEW: lino permit is issued within 180 days of the date of applicatioll, 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 Rl 05.3.2
oithe 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 permH and
understand that if is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work.
T:\Policies\BL-ll02_13.wpd Applicant:
Date:
.. I '..
~yl IH~~~I ~ a
t'I t'I---
1O:U I4J , I4J
HOUESTEAD A\€./' ~ I LOT A I
~ 10.88 ACRES, ~
<0 <0
~, B'~
o Ii) GAR. I 0
~ t'I ~
LJ___
~
1
:: PER AUDI1OR's FILE NUMBER ~202
N 8nrtO. W 530.m-
MONUMENT FOUND
Ytf1HOUT SUR\-f:YOR'S CAP
BUILDING
SETBACK UNE
,
1'>>~
~o
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g~
~ei
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fR SECTION 14
1./ 86-44'44- W 530.18.
, "'T.~ ,
"'" """. '" '"'
,
115.01'
N 8/2r,0. W
Ii) Ii)
C'4 C'4
----
N Bnrl
.35.00'
. .. ~
to':> /
II" ~ 5f~t1 d ,4Ye..
---------
...".
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . INSPECTION REPORT. . . . . . .
REQUEST:
Date 3 - <6 - 0 b
Time 10 AM
Received by /),<--,-,\.1 's 6..- (phone, personl
Location of Work to be inspected 103 8 l-fo~S1-~a...J AJ~.
Name of person requesting inspection De .'. 0'1 ;.s E.
Address of person requesting inspection ~ r->f YDf.,Q (1 Q:- 15 Phone No. Y 17 -I{ f{l/9
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Oth~t<.-.-f e 3
INSPECTION NOTES:
Inspected: Date 3 - '8 -0"- Time 1 ( 1/ WI.
Remarks: F20e..; r .blo'1.l o~ - f>l"feVlA OrfJe.
I I 1
By
a '1.1,,-,/
(
j)e""",-,'s t .
+ro"",- .clvive.. vJo.....:-.J
{
RESTORATION REQUIRED . . . . .. YES
NO )(
A
'\
'2 .. p.1! c. ~"
2~( f)e",~
;!OM.e s+e~ Ave
Z#(JVL -{ '1(-
^
~{f-7'->,
'310
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
[] Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # :go53'L-OD"L
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
('!:r.n~"""".""'.'.- ----
J():PF~'~
a< pORT","
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'toi."'"
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
subdivision Name
Property Use
Property zoning . . .
Application valuation
05-00000927
250618
1038 HOMESTEAD AVE
06-30-14-)-2-0100-1000-
RES NEW SFR
Date
10/05/05
RS9 RESDNTL SINGLE FAMILY
179980 ---
~~~::~~:~:-----------Ot. pd;1;o
NEW VIEW INC. ..-1 ,,?
'277 MONROE RD J..\'- I
PORT ANGELES ~. WA 98362
(360) 477-9449
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
oWner
PITT
"1034
PORT
RICHARD J
HOMESTEAD ST
ANGELES
WA 983622731
Other struct info .
3.70
1. 00
79443.00
2970.00
1. 00
Permit . . . . .
Additional desc .
Permit pin number
'Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
61713
750.00
10/05/05
4/03/06
plan Check Fee
valuation
.00
179980
Qty Unit Charge Per E~te .
1.00 750.0000 EA PW W/M SFR 3/4" 750.00
------------------------------------------------------------------- ----
Permit . . . .. RIGHT OF WAY
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
61705
50.00
10/05/05
4/03/06
Plan Check Fee
Valuation
.00
179980
Qty Unit Charge Per Cn~
1.00 50.0000 ECH RIGHT OF WAY PERMIT 50.00
------------------------------------------------------------------ --- ---
Permit . . . .. SANITARY SEWER HOOK UP
Additional desc .
Permit pin number
Permi t Fee
Issue Date
Expiration Date
61697
11 0.00
10/05/05
4/03/06
Plan Check Fee
Valuation
.00
179980
________=~~~___~~~~=~~~~~~_~:~__:~_:~~ER_~~~~________________~~~~:~~
special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. COrd. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
v~- qc;J7
1<. p~
.;J;uA
l}JoJPV
s~
5ff/Y" /,V~
~
o~ ~ '1
t~~~/D I
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvemenls. 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 Ihis applicalion 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 10 violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Aulhorized Agent
Date
Date
Signalure of Owner (if owner is builder)
T:\Policics\1102.1Slt [1105]
<fr?ORT",-G'
(;,-...~<'(<<'
~~~
",L_--
,~IC~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . . 05-00000927
Application pin number 250618
Page 2
Date 10/05/05
Special Notes and Comments
by Building Department is required prior to backfill.
09/29/2005 11:35 AM SROBERDS -- The proposal will result
in a new sfr w/attached garage in the RS-9 for total lot
coverage of 4%. No land use issues are noted.
Depending on Electric Service Requirements a $410 or $713
'Connect Fee Applies.
09/28/2005 02:05 PM JHEBNER ----------------------------
Electrical load calculations and electrical permits are
", required.A cost estimate for elect service will be created
upon receipt of additional information.
09/28/2005 02:06 PM JHEBNER ----------------------------
Any modifications to the City's electrical facilities will
be at the customer's expense.
09/28/2005 02:08 PM JHEBNER ----------------------------
sanitary sewer connection inspection is required by
...Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
-----~~~~;-;~~~--~-~-~-~-~-~-~-~-~--~;~;~-~~~~;~-~;~;-~~~;---~-
STATE SURCHARGE 4~
PW WATER SYSTEM USE FEE C1025. 00' ~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 910.00 910.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2684.50 2684.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction 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.
Signature of Contractor or Authorized Agent
Date
Date'
Signature of Owner (if owner is buiider)
T:\Policies\1102.15R [1/05]
. . . . .
,
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. .
REQUEST: ,., .:- //1
Date J -Z
Time
9--
Received by
'IF
/ I
(phone, person)
Location of Work to be inspected .I /) 3 ~ xJc~~
Name of person requesting inspection J~ P ~ - P .Aft
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. CJ5-qz 7
Sewer Foundation Framing Chimney Plumbing e>ewer Excav. Othe~ ~
du;r / fttZC41a~ (
Inspected: Date
Remarks:
By
R" ;""5>fed q{.J-<2.,- rQ.pc.;....-s -I:s Po.lI:.A.-'4 -RV
RESTORATION REQUIRED. . . . .. YES NO
JJe~ +<:> V-€-F'"' ,'or- o..~"u4-/r- c..u.-r S oV\. 4-ctO\M.o~~ t",,,,,d. R"€f"'.'"
C'.\f'-o..~ o,-,,-\s"'-e.<?.J..f'Ic...c.~d. i-~ 5'-a.d..Q.) Cc-f'" ;JA..s'!~Jl~d /p/Vf~7
5, B,ow off QV\ J.ioJA.1.7'siec:...d tA.....~d "... ,be...~~f'~.s:d~ CA.0.dd.s
'">-1II.S.......c:..'ka& ..."po........... "'^O-~ be; ..-<2.'}"';I/€.J:./ SloVV' ~()\""E'- nee, r> '.l eM
..j.,.- r- I \ l \ J V' 0./.,; ","( r....u.o~ed by "I T,
<> be s<o:+ +"'" 'J .....0..<::)""'- a. '-"-- p 0.<:.<2.0.. I VI- c... 100,....., D.D ,...l
T .c- f_ .....,--.J ~V'- ",,{- ""o,-,"\:ok e.,,,-d ...."<-~J.s ..-<2.f'o,l".e~
LJ.. <:"l-e..o.vY\.. o v..... , lS'~ ~
l).J:>r't'7 1"; \e \\<>..~> N!."^""".v~c\ ~..-o,v.. (..k.w..es.\..e<td 'R./W
Do~e P....iI Cr\A.s"-e.d 6G..sc:. tAp f.:.,. c;;...spka-lt ed,.ge c..\c'^:3 o,e.uJ o.spko.lt
F ~[).\
'?-,V
OLe.
'U" 01
\"2-"7
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
D COMPLETE
D INCOMPLETE
,.....--...,-..- __ ________ _:..I_:oJ ......___.........\
w_\.J.:tt 5o>4.8-6,l,
APPLICATION FOR WATER
City Water Division
,20
Port Angeles, Washington
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises: T0['<J U I i.krIAC-.
rJ p '-IS;J -'it,.'/b
Name of Applicant:J<.... i c:..1..! A e. 0 ' TT
Address: /{)38 //OJr7FSIEl4rJ /lUF-.
Renewal 0 New Service rtISlk.
Size of Service_ I. x. 3/,/ "
Service Left On 0
Service Left Oft ~
Signed
Installed by
Remarks: PE/ZI/lI-f iL OS _ q ~ I
rki!UL (){P30/,!.3;:l.O/OO/OCXJO
00000.
. Ii
1r/O:JS.OO+ 750.g;;..
('.
N
-~-..,....,--~----._."----------~-.,-----
'..
<i
:p
<::i
\I
~
w
I
\
I
,
s
I
,
l
--' ~--- ~ ------ - ~~'- -----_.:..j~~_..
}lOi"\L<1te44 Ave...
- t" {)"Ie.
2.'1. uf
E
5/ouJ
i.lH
- ,
:;--1
I
I
I
-----_.-- -" ---.--..
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS.
. . . . . . . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date 5/ Z--0> / (J [r .
, /
Time 7: 3 [I #,-v1 Received by lit." ~
(phone, person)
Location of Work to be ~nspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
0eg Foundation Framing Chimney Plumbing
;038 Hc""'r,+-c:od
&?/''"'j R-/~'j.
Phone No. 477- /!?&L
Permit No. 5"- 97- 7
Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date 5' / z-~, ~ &
Remarks: S~C', /;~"p~'L'~hc n
I
;<J~,J
Time I 0 A4'-1
C;h",<' /. I:n,~ .:;;/zs
By F'. I L
..4/ 'MO/, 1: (J,;;t~~ J2/W
RESTORATI9N REQUiRED...... YES NO ,,-/
, z-IE. \ c8 Q. u 1 5,5" I """1 I~
; ,-- , ; 102- --
~
\' A \, I T /0: Fo;'
A e'Z/< vNI? >
I co (0 ,0 _ ~ lv, <-
CD ,/
\r. , 0
,"
0 ),-
i ~l~c
~ An l/ PI{ L I-
V> c~.
r
""
(h tc38'
yt- ~ "":2..
SURFACE RESTORATION:
SURFACE TYPE: o Unimproved o Gravel o Asphalt OPCC o Other
o Repaired by City Work Order #
, o Repaired by Permittee o COMPLETE
[2(No Damage Found' o INCOMPLETE
,,.........:........ .^...............raA, ail'fa., if.,nA~AQ;Ju:a.rv ,.
,>:r'":"T "IIP"RINTI'NDENT_ Un (DATEl
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
.-
6.-?-':> "OV
Date
Time
Received by
fF
!-I () -rn eslea.-d.
Pne.c; T
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
6Foundation Framing Chimney Plumbing
1038
~ Jt€k)
Phone No. . 4'771 <:f~Z
Permit No. C>'5'--9z 7
Sewer Excav. Other
Final
INSPECTION NOTES: J) I /'
Inspected: Date 5.-z..>.....O~ Time By K V
Remarks: rJe..,J - E)t1~k.J. I ~,^e -{.oW'\. Q.,,;.,d,''''3 Q/,., <:::t lo<? l1olUe<;lead
i-C"' Ale.w ,^n~ c;,'k a."t IOsB I-ID~si-eo..&.. r4...lo~c:.;te C-It') E;"2~i,
~l.t.<2. ~~S+
N~ <-10
T "r
, I.:>
>~
RESTORATION REQUiRED...... YES NO
'" t;;eE..Il'/e...oe:J F...dke.-..
7' ~eep
",t :PIt...
-1'h.
SURFACE
SURFACE Y
,
~ 1,
N ~
1fT
~
I, . I
~ -t'A- 2t>
10
it'
~
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9.1
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oft
.;yf
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~"
t#"
~.i I 'I,,;f
"i
pIt...
^",If Cov. t
I '\e.- o..;p
'1 wlP
OGravel o Asphalt OPCC
o Other
ION:
o Rep ired by City
ORe ired by Permittee
o No amage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
o
o
---= .
---.!t-_
q
: I
I I r
.~Homestead,Ave \
.~
D
1033
Cl
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80
Feet
Verri",,'l)"'llm=,"\'tlV/)88
1l"';:Plllllf/)alum =NA/) 8J191
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Area Map
I'll' d 7hiS, map i., 1101 ime",kd /0 he ,,,'ed 115 II h.xu! d':.(L'ripliuII
i.' map ruwmg Is ",(>diKed bv Ihe Cill' Of P A I
Am"ulht:rllseoflhis ~ ,."_ '.I or! "R"",'fi"il.,'o",,"wundl'urpv.,,'.\'
muo rm+mf!_,halflloj be lhe tesCJO,,-ubilin,'o[the Cill~
;;;
~
'(10/29/2007) Trenia Funston -1038 Homestead Ave
Page 11
From:
To:
Date:
Subject:
Roger Vess
Trenia Funston
10/29/2007 3:44 PM
1038 Homestead Ave
Trenia,
The asphalt restoration at the end of Homestead Ave has been completed by Lakeside today. This was for Jeff Priest,
permit #05-927
Thank you,
Roger
J ~ve-
.1 e,s;.h:a.
Li-O""
~~*Y
~etM-Ove..d by
t,revU s- -7
~ '3 ~O I
\'"2,
t{o,...,. e,.s l-<..a.~
~,,0
.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT. . . . . . .
REQUEST:
Date "3 -27 - 0'7
Time
7 I/~
Received by 0.",... '^ ;. s E: -(phone, person)
Location of Work to be inspected 1058 l-/-cJ<vt.c S'{--e.e:cd
Name of person requesting inspection Oe~l 01 ,S t:,
Address of person requesting inspection 4:,,~ ti,\.,-~ f77rB Phone No. <1/7 -'-/8'1'1'
(
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other (!JCCf-e_~
INSPECTION NOTES:
Inspected: Date 3-17 ~ D'7 Time
Remarks: f2 L,O" ' -r 2" B,-o k<.V\ c...+
Z. "';5 lo..,;! o-t!f:. T k hi b LV 0 ff
11'vt.-e.. "'3 (0 0 ~t2..d-rh..-ojk. .
o II ~ By {k",Vl:S E .
Le> utJ I (~ 0 -+:.f or. Te e..-r cr k
~<:s he:<", ~"'. n::7V1<1.C;/e.l ~sT'k
'-
,,;
:f'I
~
z." f!.1f-(,.
.4)
I
I
I
I
RESTORATION REQUiRED...... YES
NO X.
I~
\)
-,...:c
..",
'---,
/(OM.€ ..5+c<xd AVe-.
61t-e..:..k
z' t"S" ~-f
V{_\v'~
r
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 303'-12.. - 133
o . COMPLETE
o INCOMPLETE
I C.nntinIIA.nn.reverse.side .if.necessar.y.)
STREELS,UI'ERINTENDENT
(DATEI
Job wired by
... .~
ELECTRICAL WORK PERMIT APPLICATION \0
~
\
Elcc~al contractor nam0
e--~c- ~.......... L..
purcho~Si:iling It'C~
License number Dnte Expires
R-.L({.t!O J \'J'VT"'
41) (,,'2.-
o New
Cl Altered! Additlon
~
~
\'>
o Owner
escriplion
o Residential
C;?b~
T'lePhon(ju~eL_(" '-12. ~
~o ,O~
.
(
.&'~
PAX num~~
prl"mhep\.ne..r~name
;/61'11
I11ON/11
IdO..5l'h'{J9N
Addris5 Or ~S~IO
City
(iLL.~L~&a~~"~"~ .~
Phone number to schedule Inspectloll:
4-
.':r.G"'
OW'IE!/' CIS df'jilled by RCw'/9,28.26/:(J) On'Ne/ will occupy tile stl'llclltre for two
years after this electrical permit IS finalized. (2) Owner ;.1' required /0 IJire (l.n electrical
contructor if ubove said properlY is for saft!, rent or lease. CJ Cash 0 Check #
After reaJing the above Stlllemcnl, 1 hereby certify that I am 1be owner of the above
named property or a licensed electrical contractor. I am rooking the electrical instal. COarCdr#CditCa,rd _Vi~lsaMas,~d _D.i_.co_ver__
lalion or OIHcrolion in compliance with the elcclricallaws. N,E.C., RCW. Chapter
19.28, WAC. Chapter 296.468, The City or Port Angelcs Municipal Code, and
Utility Specilications,
SIGnatur-c contractor or electrical administrator
X Dote: S-J"3rJ
Electrical Load Additions and or subtractions
CI NO LOAD CHANGES
o Baseboard KW
lJ Furnace KW
CI Heal pump _ Ton _ LAR
o Fan-Wall KW
Expiration Date
of card
Service Information
SAME DAY INSPECTION
o
o
CI
CALL BEFORE 7'00 AM 360-417-4735
Overhead Service
Temp Service
Underground Service
Voltage
PhaseD 103
Service Size:
Feeder Size:
, .c"
/' ROUGH-IN /' THERMOSTAT " SERVICE
h-JWffi ~
D~'" ^flprovel! By Dale Approved By "- D,lle ^I'ProvctJ ay
r FINAL ( DITCH /' FEEDER.
1
t,-lb-{8 ~
Dale Approve Hy "- Dalc ApPl1lvctJny-~ "- Dale Approved By
Inspection Area, Building or Equipment Inspected Electrical
Dale Action Taken Inspector
.
Td'd lTLbL Tb :01 ~ r .. --.
r ,
b~b92~b
3Jlrl0l3" JIOlD3l3:P/00lJ tlST:90 b002-6T-lnr
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
TZ...L. €- L -V-iZ \
IfJQA;:n;;J1'l
0<3 Q(OS''L..
g.... V \ cfL.
OWNER/CONTRACTOR
ADDRESS
03~ Ho"""~~
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . R
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . ~ .
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDED:
(' ",1-1.
0~D0N\>
\-N.
f:,\)1Z, ?Al\te:L.
:
~L-g:..,rJ \.C YL-A~rz..
l2,Mr1 .
-,...,
1rD''----
~ ll\\1K ~
V\J\ <;s'1 D F7
L.l(.,rl~
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
~\
\9
.
ELECTRICAL WORKPERMlT APPLICATION
.
Joh wired by )(Electrical Conttact~r CJ Owner
:Bl~1c~al co~trac~or name ( , license number Date Expires
~n(', )g(Jlt'O f"" FL0("iSP921J7'1
PW"ch~er's mai~iDg addreSSQ . ~ 't" _, /J
8:)... _~ir Va. &Ii ~
Cily P n Sta!e ZIP I.
-tt- \;1) A QR:<:(,,2.
PAX number
Jnstil.llation description
o Commerdal , Re~idcn.ti:al
o Altered! Addition
tNeW
~ () 0 0vvVp
.~ () OtJ 57 0L
,
p'emhet);e'2. p'e
Addreu of Inspection
'Illu)
\--lru j ~ i'Ld /
City
'I~ O.5ZJ
Owner as defl1'Jed by RC .19.28.26J:(I) Owner will OC. py ,he structure for rwo
. years after [111$ t$/SC17kaJ pumil Is f,:"a!i:ed. (1) Own.er li f/o:Yu,rw 10 Mr~ Q" e1e:ctricl%l
COntractor if above said property is for sale, relit or lelUe.
After reading the' aboye statement, 1 hereby certify that.l :un the owner of the above
namod property or 3. licensed electrical contl;'::\ctoT. I 3m m.nking the clcctricalinstal-
latian or "iteration in compliance with the electrical laws, N.E.c'. 'RCW. Chapter
1 ~.28, WAc' Chapter 296-46B, The CilY of POIt AllgelcS Municip31 Code, IInd
Utiht:-, Specific.ations,
Signature a.er,. electrical
x
o Cash (J Check #
~~d:d;lcard Vl~ ~e~~td D:,cover
-t)--ft.-~tt- -lL--- ----
Expiration Date
of card
. .
. .
. f
.:
Electrical oadAdrlitions
o NO LOAD CHANGES
Q Baseboard ~KW
I ~ Q Overtlead SerVicG
o Furnace Id KIN .
O ,,' p "" Ton LAR Cl Temp SeMce
O neat. uml p >.!- KW - 'Z) Und€lrg~ound Service
Fe.nwWal - C.....
SAME DAY INSPECTION, CALL BEFORE 7;00 AM 360-417-4735
"
ROUGIl-lN THERMOSTAT
fh3o-o(. L.4-X
D<ll~ Appnlved E-y Da~e
DITCH
b,f." ~ ~
~ App
. SERVICE
-M:2
API'fOv..d.By
FlN:&2
1+01 .
D~te ;.pprevcd By
FEEDER
D~'" ^P'pl'<lV.,j By
inspection
Date
Area, Building or Equipment Inspec.ted
Action Taken
Electrical
Inspector
7- -Q&,
w
/011")
To POI.-/'-o""';
17/':>.00 Co~~",T" ~
A Meov/.-6
/!.J)tL--
.
'r'
,
v
.
,
;4?t{/
-S~. ~/of:
""'..
f .,-.
-.
.....,_... "
_ 10 39\1d
.
...
PLP9LSP09E
IE:L0 900L/0E/90
A
ELECTRICAL INSPECTION
WIRING REPORT
. 417-4735
'pA-b1t.- / c:;;:: Z-
PERMIT'
~9.,.27
ADDAESS
o
APPROVED NOT APPROVED
o ................... DITCH ................... 0
o .............. ROUGH IN/COVER. .. ... .. . ., .. ;g::-
O .................. SERVICE .................. 0
o ......... 0' . . . . . FINAL. . . . . . . . . . . . . . . . . . .. 0
CORRECTIONS NEEDED: 12.') ,NO) R7PJ'1'7nv~.
. eo~~C-T( (,,)N fi:}~T/Cc..:;:::' (/ l
~~~;);,5:; ~:'
;,4 i? r~ ,<;'/U-O ~A-'F,./ji/ /J4n%~LJ
g'0r?7~,< c.v(~ /,,(/ 77-//.:5 . <;:~~ _
/1~ (.&fTJC .,~~~ ~F)
.#/-kJ7 7fJ /~/~,~ "774r'F @
"'7~ ..M?r 7aA r~ ~u/.3S':;?>,
.s':
4eA 6
li
~~~'fwHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
OLYMPIC PRINTERS, INC. (360) 452.1381
- DO NOT REMOVE -
."-
ELECTRICAL INSPECTION
WIRING REPORT
2-
417-4735
o J!= Z-
ADDRESS
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . .)iil'
D. . . . . .. . . . . . . . . . . . . . SERVICE. . .. . . . . .. . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDE~ 2 ~ :s d.-LtQu/19 ~ ./) 13erw~F,,tJ
.sr>Jo~ ,()~~ AvO Cl.F ~J $,-~
(4DL C/nflu<rr- ~"/)~'7l:'4 5 /,<,.. <A~
t'">/P'. /.1~ h/4-})- /l//>
U"-o:::/""1 c..7P~ S. Ltf :>.5 ~I
C;AR/J-
/~L L.~
/~
/'
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
,
I
'1l !~:ii .
1,1'"
f,th~li
Hn~~~ tl"
hJ~~; __
~.f"lt~l:<. \. .
fc'~Llf J" I
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, ,
; .' I, ~
I'
3604172733 5T OF WA L&I
B8/29/2BB6 12:36 36B4174729
: \.
07:32: 11 a.m. 08-31-2006 2/4
F'(J;IT ANGELES CITY L T PAGE B1
(i
CITY OF PORT ANGELES
LIGHT DIVISION
FAX TRANSMISSION COVER SHEET
Date:
To;
Fax:
Re:
Sender:
8/29/06
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:
Art - Electric Service
460-0333
1038 Homestead - Re-Inspect
Corrections notice Is on the panel.
Thank you,
Kathy
~~~