HomeMy WebLinkAbout813 Joshua St - BuildingFinal
Test
Initial
Test
Repairs
Final
Test
NAME OF PREMISES
SERVICE ADDRESS
LOCATION OF DEVICE.
Initial
Test
Repairs
Details
COMMENTS
Leaked
Held at J psi
Cleaned
Replaced
Held at ci psi
Date/Time Tester
5 i 3 ,7,;/
4 /of;4
J/ /4/j
ASSEMBLY (/t/ d• k j .G/ 7
Manufacturer Model Size Serial No
IS THIS AN APPROVED ASSEMBLY? YES la-NO IS ASSEMBLY INSTALLED CORRECTLY YES L NO
DATE OF INSTALLATION iv X L U UNKNOWND
REDUCED PRESSURE PRINCIPLE ASSEMBLY
DOUBLE CHECK VALVE ASSEMBLY
CHECK VALVE #I CHECK VALVE #2
AIR GAP INSPECTION
REQUIRED MINIMUM SEPARATION YES
6 3 1 'ecKc."?
✓S g/c C ti- If
Backflow Assembly Test Report
City of Port Angeles
Public Works and Utilities Department
Water/Wastewater Collection Division
Leaked
Closed Tight
Held at }"psi
Cleaned Cleaned
Replaced Replaced
Closed Tight
t
Held at T psi
NO
TA/ i 9 c "t l f l r I C tov
5G" L 1 I,
RELIEF VALVE
Did Not Open
Opened at
3 psi Buffer YES NO
Opened at
psi
Signature Cert.
r�
.i.. e1 7'4' 4
psi
Test Kit
RP
DC
PVB
SVB
WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY
Official Use Only
Assent#
Received
PVB /SVB
RPDA
DCDA
Air Gap
AVB
AIR INLET
Did Not Open
Opened at psi
CHECK VALVE
Leaked Held at
REPAIRS
Cleaned
Replaced
AIR INLET Opened at psi
CHECK VALVE Held at psi
BACK PRESSURE NO YES
TYPE OF HAZARD /`7 k'//
Line Pressure psi
Held Backpressure YES D NO
#2 Shutoff Held YES EI NO
Relief Valve Exercised YES NO
0` Av&f
Passed Failed
0
0
CIO
psi
C
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
NANCY M POWERS
813 JOSHUA ST
PORT ANGELES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION cf
321 EAST 5T1-1 STREET PORT ANGELES, WA 98362
WA 98363
08 00000565
002865
813 JOSHUA ST
06 30 01 7 6 0140 0000
NANCY M POWERS
PLUMBING REPAIR
RS9 RESDNTL SINGLE FAMILY
3000
Application desc
IRRIGATION SYSTEM DOUBLE CHECK BACKFLOW DEVICE
Owner Contractor
Qty Unit Charge Per
BASE FEE
1 00 7 0000 ECH PL- EA LAWN BACKFLOW
Fee summary Charged Paid Credited
Date 5/12/08
LANDSCAPING BY COCKBURN INC
4950 SEQUIM DUNGENESS WAY
SEQUIM WA 98382
(360) 681 0132
Permit PLUMBING PERMIT
Additional desc IRR DBLE CHK BACKFLOW
Permit pin number 126409
Permit Fee 57 00 Plan Check Fee 00
Issue Date 5/12/08 Valuation 3000
Expiration Date 11 /08 /08
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
Extension
50 00
7 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 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
7 //a /a
Dale Prim Name Signatur Contract�r�or Authorized Agent Signature of Owner Of owner is builder)
T.Forms /Building Division/Building Permit (10 /01 /07).wpd
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Date
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
NANCY M POWERS
813 JOSHUA ST
PORT ANGELES
chalo 8
T.Forms /Building Division/Building Permit (I0 /0I /07).wpd
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98363
0 C u
Prin Name
08 00000565
002865
813 JOSHUA ST
06 30 01 7 6 0140 0000
NANCY M POWERS
PLUMBING REPAIR
RS9 RESDNTL SINGLE FAMILY
3000
Application desc
IRRIGATION SYSTEM DOUBLE CHECK BACKFLOW DEVICE
Owner Contractor
Qty Unit Charge Per
BASE FEE
1 00 7 0000 ECH PL- EA LAWN BACKFLOW
Fee summary Charged Paid Credited
Date 5/12/08
LANDSCAPING BY COCKBURN INC
4950 SEQUIM DUNGENESS WAY
SEQUIM WA 98382
(360) 681 0132
Permit PLUMBING PERMIT
Additional desc IRR DBLE CHK BACKFLOW
Permit pin number 126409
Permit Fee 57 00 Plan Check Fee 00
Issue Date 5/12/08 Valuation 3000
Expiration Date 11/08/08
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
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.
G
Extension
50 00
7 00
Signatury3t'Contract or Authorized Agent Signature of Owner (if owner is builder)
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
FOUNDATION•
FOOTINGS
I 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 ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
INSULATION
SLAB
WALL FLOOR CEILING
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
113
YES NO
FINAL
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
I FINAL DATE ACCEPTED BY.
SEPA.
ESA.
SHORELINE.
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
I FIRE 417 -4653 I 1 1 FIRE DEPT
I PLANNING DEPT 417-4750 1 1 1 1 PLANNING DEPT
1 BUILDING 417 -4815 I 1 1 BUILDING
T Forms /Building Division /Building Permit (10 /01 /07).wpd
DATE ACCEPTED BY.
0
OQ
c-
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p
I i
DATE I ACCEPTED I
1 YES 1 NO 1
S
P.
0
I I I I e-
I I r
cam
Floor Areas
Basement
1 Floor
2 Floor
3 Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
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
Applicant or Agent 461 C ckbutki% Phone
Property Owner olte y L ev s Phone
Property Owner's Address R 3 dos IA 09
Contractor /Engineer w C<DchL,,,,, 1 c
Contractor /Engineer's Address rS� SP Qua, GiCA S u
License �/7NQSC 1 q63 Q Expires
PROJECT ADDRESS j cis S'r
Parcel Number
Project Type Brief Description. APResidential Commercial
Check all that apply
New Construction
Addition
Remodel
Repair
Re -roof
Demolition
Heat System
et Other
�p
.r' y.--,(A \`P-
Heat pump wood burning stove gas fireplace pellet stove other
Existing (sq. ft.) Proposed (sq. ft.)
Total footprint of structures sq ft. Lot size
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
Phone 6J o!
3 49/ cD/ 0
Lot
For City Use Only
Date Received 65 -12 Og
Permit Ofd C,S
Date Approved
Zoning
Multi- family Industrial
per sq ft.
TOTAL VALUATION
sq ft. Lot coverage
of bedrooms
of full baths
of half baths
OA
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required, and to ,pbtain permits prior to working on
projects. 64. l
Dateo /f Print Name ��OCh� Signature X�I
T Forms /Building Division /Bldg Permit Appl.- 200' Code.doc
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CITY OF PORT ANGELES
pUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
0'- b I
APplication Number
APplication pin number
propel:ty AddreSS
ASSES:30R pARCEL NUMBER:
APplication type description
subdivision Name
property use
propertY zoning .
APpl:.cation valuation
07_00000061 Date
209600
613 JOSHUA ST
06_30-01-7-6-0140~0000-
RES NEW SFR'
2/13/07
cg f"7J DS~ \,t~5r
RS9 RESDNTL SINGLE FAMILY
204060
V eJ-~BfV(IT.E
contractor
----------------------
CONSTRUCTION
owner
INC. GARRET DELBARRE
72 WELLMEN RD
WA 963639306 pORT ANGELES
(360) 417-1567
TOTAL % LOT COVERAGE
CONSTRUCTION TyPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT CoVERAGE
NUMBER OF UNITS
2.00
9026.00
1929.00
1929.00
2.00
------------------------
WA 98362
GARRET S DELABARRE,
7 2 'i~ELLMAN RD
pORT ANGELES
(360) 460-2655
Other strUCt info
21.00
V-N
--------------------------------------------
--------------------------------
permit
Additional deSc
permit pin number
permit Fee
IsSue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
3/4" DROP IN METER
95133
230.00 plan Check Fee
2/13/07 valuation
6/12/07
.00
204060
j~
?5-CJ~Dl
Qty unit Charge per
---------------------------------
BASE FEE
-------------------------------
RIGHT OF WAY
.00
204060
permit
Additional deSc
permit pin number
permit Fee
IsSue Date
Expiration Date
95117
50.00
2/13/07
8/12/07
plan Check Fee
valuation
~~~;;,;~::~~O""~;"::::;;i.::;;;;':;:::;::;~:;""~~~~~~~~~~~
Additional deSc
permit pin number
permit Fee
ISSue Date
Expiration Date
95125
120.00
2/13/07
6/12/07
plan Check Fee
Valuation
.<)0
204060
Qty unit charge per ~~-~ ~
~~~~"O' ~"',o,~o~"'~~O""~""'~~"'~~~~~~ ~~.'-- ~"o~
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.
All homeS in neW subdiviSions that are outside of the Fire
",,,... "M'" ". "'"'"',,.,"",,'~". ,,'A. ,",""0'. C',. """"~. ,,,~.. ,," ,."" ;m.ro~m""" ,'" ".,m" -,"
"""""'""" ,""." ~",,_" ""~"""'''""' wm-'" W,." '" ,.,.." w_o'"" "W"~" ,..,~,., M .,.",,,
" . ."" "' ,.. ,.,. .,,, '" ~. ~ ""mm~"" " " ,,,",roO ,",,,."'""' ,,~ om ,~O ,.."~'" ~.'" ,.. ,.,. "m "0 ,
""."'"" ""." ,,'~ .. , ;m~ ,,,", .", ,~m'"" "" .W',,,,," ,," ,- "" ~m' '" ;m ~ ""' ro"'" "' .ro."'"
".. ,"" ",,"""W, ,."m'" ." WO " ~. W,o; ;m Wm.'''' W,. .mo." -.""",, ""," "om ThO ,mO""' " · ".""' ,,'
.""mo " ,,~ "",,,,, " "~.. " ,,"W' '" .'''''''"" " .., ,,,.. "' ~" '"" ,""''''"' ro",,.,,,," """ ".,,--
construction.
Signature of Contractor or Authorized Agent
Date
Signature of owner (if owner is builder)
Oa'
--.-"''''''
rJI'OAT~_
.,:...~
O~
~ --
"'.o;;d'
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
07-00000061
209800
Page
Date
2
~/13/o7
Special Notes and Comments
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
Call for cover inspection for all sprinkler installations. A
full acceptance test will be required for all fire alarm
syst.ems.
02/07/2007 04:09 PM SROBERDS - The proposal will result
in a two story residence in the RS-9 zone for total lot
coverage of 21%. No land use issues noted.
Electrical load calculations and elctrical permits are
required.
Electrical connection fee $222.00 (under old policy)
01/31/2007 09:00 AM GMCLAIN ----------------------------
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 1000.00
STATE SURCHARGE _
PW WATER SYSTEM US.E FEE r-- 1230.00 -
------------------------------------------------------------~
Fee summary Charged Paid Credited Due
Permit Fee Total
plan Check Total
Other Fee Total
Grand Total
400.00
.00
2234.50
2634.50
400.00
.00
2234.50
2634.50
.00
.00
.00
.00
.00
.00
.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.
Date
Date
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder)
T;\Policies\1I02.15R [1/05J
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . INSPECTION REPORT. . . . . .
REQUEST:
Date 9 - q - 0 {
Time
Received by
'KV
(phone. person)
Location of Work to be inspected 815 .Tos k~~
Name of person requesting inspection c,a.... re t
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Phone No. 'I6D -?.~
Permit No. 61>- hi
(finau Sewer Excav. Other
Sewer Foundation Framing Chimney Plumbing
INSPECTION NOTES:
Inspected: Date R~9- Ot Time
Remarks:
br-.'ve w"'15o 5;-29-07) 8~ 7-07
5e-uer 2 -2.0-0,
't;>tI'F" -Jdi.t-:> -h c u..r b
RESTORATION REQUiRED...... YES NO
BYYV
o {<' "--
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel OAsphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue.on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
\S\~A"
APPLICATION FOR WATER
City Water Division, Port Angeles, WA
Issued date: 2- {s-D7 Installed by & date: 2 - 2, - 0, Permit # 0 7-O(P J
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises:
Applicant Name & Phone: IIIlVyd S. be.1tt.baV"~ L./&O-2PJ5S"
Site Address: <; I ~ J/)SJ.,1411 > MailingAddress: 72. Wd/rnd/h P,.(
Blk: Lot: /4 Addlsr@/l7JIwAUhuarceI#: t)u ~OOJ7t,DI1O
Svc:ONIOFF Meter#'sC F~Z.C.~ WIO#: :;'/l'S4~-Z.q\
Svc: Size ~/~ ~~1-IZ3cJ Restoration Required:
Signature: ~ Remarks:
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . INSPECTION REPORT. . . . . .
/ p~
"
REQUEST:
Date ,j- '1. tf- f) 7
Time
Received by
'/~
J-
I'
(phone. person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Z / '3 J aSh fA t:l "'S:f
>d~
Inspected: Date
Remarks:
INSPECTION NOTES:
(i-Zq-07
Time
Phone No. 4410- z8.s-S
Permit No, 07-!# /
Final Sewer Excav. Other du;y-.
I . I f?~ -------- b?
_By _' ~
'::!',. W7 #1 A-~ I t,o"'" /; u I-
Sewer Foundation Framing Chimney Plumbing
o i- +0 t;?l.4r" - O~/"
Yl1 {,( S I- J4 cI t.v "j" '7 'c:,.
RESTORATION REQUIRED. , , , ., YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
---~._----------
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
/
REQUEST:
Date ?-. - 20, oj
Time
Received by
7<v
(phone. person)
Location of Work to be inspected 9l 3 ~skv...a.. c;.t-
Name of person requesting inspection p"'-V\.. K..LD of" r,' So VI
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. 0 { - {, I
Sewer Foundation Framing Chimney Plumbing Final ~er Ex~ Other
INSPECTION NOTES:
Inspected: Date Z - Z 6 - 0 .,
Remarks: N<l.w .;:et.lJ~..- c.o", Vlect I'
'I II?
11t..e. -, ,ke.F' J 4 VC f~o"","
By
b" Pvc-
PfL +e:, UOlA...,e..
kv
o:I~" a.. I Cl+ P~ooe.~1,
RESTORATION REQUIRED. . . . .. YES
NO J.-
:J".".:. Ly....r, 5'
-<
,..,
PIL
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1./ '
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
I
7 M.'r
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
IContinu.e on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
I
I
I
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I
I
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date ~-1-D1
Time
Received by
(phone. person)
Location of Work to be inspected 8' /2:>
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing
<)o~
Phone No. '-1&0- ZBsS'
Permit No. /}7-~/
Final Sewer Excav. Other
INSPECTION NOTES: 1->
Inspected: Date e -7 ~or Time By 1-<:" V
Remarks: ~ r;p~~
. 6j( -to PoU-~/
\
RESTORATION REQUiRED...... YES
NO X: ~
<'
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . . . .
REQUEST:
Date '1'ztJ~/}7
Time
Received by
(phone, person)
<?/ ~:~;-::;;:
INSPECTION NOTES:, I. /~_
Inspected: Date 0/' Z I dL Time By
Remarks:
~ ~~~ ok-1-2I'-o7 ",...J
5:'::'wev- z- -0
bcu.>.... S'f:t<..is. 16 Co'^- r- b
----.!""-do.l ok. 9-'1-0,
RESTORATION REQUIRED . . . . .. YES NO ><.
s-27-a7
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue_on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
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PREPARED 9/12/07, 8 52 28
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
3
9/12/07
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER:
813 JOSHUA ST
GARRET DELBARRE CONSTRUCTION
GARRET S DELABARRE, INC
06-30-01-7-6-0140-0000-
07-00000061 RES NEW SFR
(360) 417-1587
(360) 460-2855
SUBDIV
PHONE
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01
2/13/07 JLL
2/13/07 AP
2/15/07 JLL
2/15/07 AP
2/21/07 JLL
2/21/07 AP
2/21/07 JLL
2/21/07 AP
3/09/07 JLL
3/09/07 AP
4/27/07 PB
4/27/07 AP
5/03/07 JLL
5/03/07 AP
8/09/07 RV
8/09/07 #
9/12/07
BL2 01
BLFD 01
PL6 01
BL9 01
BL3 01
BLI 01
PW99 01
BL99 01
BLDG FOUNDATION FOOTING TIME 09.00
02/13/2007 07 55 AM PERMITS
Garret 460-2855
02/13/2007 03:16 PM JLIERLY ----------------------------
BLDG FOUNDATION STEM WALL
02/15/2007 08:37 AM PERMITS
GARRET 460-2855
02/15/2007 04:33 PM JLIERLY ----------------------------
BLDG FOUNDATION DRAINAGE TIME: 09 00
02/20/2007 03:56 PM PERMITS
GARRETT 460-2855
02/21/2007 03 35 PM
PLUMBING WATER SUPPLY
02/20/2007 03 57 PM
GARRETT 460-2855
02/21/2007 03 35 PM JLIERLY ----------------------------
BLDG SHEARWALL
03/09/2007 08.46
GARRET DELABARRE
03/09/2007 04:24
FIRST FLOOR
BLDG FRAMING
04/26/2007 04:47 PM LPANGRLE
GARRETT 460-2855
04/27/2007 04:49 PM PBARTHOL ---------------------------
BLDG INSULATION
05/03/2007 09,04 AM LPANGRLE
GARRETT 460-2855
05/03/2007 04 35 PM
PUBLIC WORKS FINAL
JLIERLY ----------------------------
TIME 09 00
PERMITS
AM PERMITS
460-2855
PM PBARTHOL
JLIERLY ----------------------------
BLDG FINAL
09/11/2007 01 39 PM LPANGRLE
GERRITT 460-2855
BLDG FINAL
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
JLL MECHANICAL GAS LINE
AP 04/20/2007 03:48 PM LPANGRLE
LAURA 683-4010
INT GAS PIPING
ff 04/23/2007 04:54 PM JLIERLY ----------------------------
, MECHANICAL FINAL
- 09/11/2007 01:40 PM LPANGRLE
, GERRITT 460-2855
, MECHANICAL FINAL
~~-~-- --------------~------------------------------------------------------
ME6 01
4/23/07
4/23/07
ME99 01
9/12/07
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
BUILDING DIVISION
CITY OF PORT ANGELES
* *
Correction Notice
Job Located at ~{~ ~DSU J 4-
~
v&J-
,
tu J-
r~ l-;::Z~~
L-t~+
These corrections must be made and are not to be
covered until reinspection is made. When corre.sawns
have been made, please call Lf 17 - L{ y/ /
for inspection.
Date 9Ir~l'?
DO NOT REMOVE THIS TAG
PREPARED 9/12/07, 8 52 28
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
4
9/12/07
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER:
813 JOSHUA ST
GARRET DELBARRE CONSTRUCTION
GARRET S DELABARRE, INC
06-30-01-7-6-0140-0000-
07-00000061 RES NEW SFR
SUBDIV
PHONE
PHONE
(360) 417-1587
(360) 460-2855
TYP/SQ
REQUESTED
COMPLETED
INSP
RESULT
DESCRIPTION
RESULTS/COMMENTS
PL6 01 2/21/07 JLL PLUMBING WATER SUPPLY
2/21/07 AP 02/20/2007 03.58 PM PERMITS
GARRETT 460-2855
02/21/2007 03:35 PM JLIERLY ----------------------------
PL2 01 4/19/07 JLL PLUMBING ROUGH-IN
4/19/07 AP 04/19/2007 08:09 AM PERMITS
GARRET 461-2259
04/19/2007 04:39 PM JLIERLY ----------------------------
PLSP 01 7/09/07 JLL PLUMBING SHOWER PAN
7/09/07 AP 07/06/2007 09:26 AM LPANGRLE
GARRETT 460-2855
SHOWER PAN FLOOD TEST
07/09/2007 04.32 PM JLIERLY ----------------------------
PL99 01 9/12/07 jtf PLUMBING FINAL
') 09/11/2007 01:40 PM LPANGRLE
. GERRITT 460-2855
PLUMBING FINAL
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 7/09/07, 9 08.45
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
6
7/09/07
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
813 JOSHUA ST
GARRET DELBARRE CONSTRUCTION
GARRET S DELABARRE, INC
06-30-01-7-6-0140-0000-
07-00000061 RES NEW SFR
SUBDIV
PHONE (360) 417-1587
PHONE . (360) 460-2855
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
PL6
01
2/21/07
2/21/07
JLL
AP
PLUMBING WATER SUPPLY
02/20/2007 03 58 PM PERMITS
GARRETT 460-2855
02/21/2007 03.35 PM JLIERLY ----------------------------
PLUMBING ROUGH-IN
04/19/2007 08 09 AM PERMITS
GARRET 461-2259
'""."'....'I"'II(__.~.__~~~1;~~::~i~~o,:::::::,~~~~~~~~~~~~~~~~~~~~~~~~~~~~____.
01
4/19/07
4/19/07
JLL
AP
PL2
PREPARED 5/03/07, 9:42 21
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
7
5/03/07
813 JOSHUA ST
GARRET DELBARRE CONSTRUCTION
GARRET S DELABARRE, INC
06-30-01-7-6-0140-0000-
07-00000061 RES NEW SFR
01
2/13/07
2/13/07
SUBDIV'
PHONE (360) 417-1587
PHONE: (360) 460-2855
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLDG FOUNDATION FOOTING TIME 09:00
02/13/2007 07 55 AM PERMITS
Garret 460-2855
02/13/2007 03 16 PM JLIERLY ----------------------------
BLDG FOUNDATION STEM WALL
02/15/2007 08 37 AM PERMITS
GARRET 460-2855
02/15/2007 04 33 PM JLIERLY ----------------------------
BLDG FOUNDATION DRAINAGE TIME. 09 00
02/20/2007 03 56 PM PERMITS
GARRETT 460-2855
02/21/2007 03 35 PM
PLUMBING WATER SUPPLY
02/20/2007 03 57 PM
GARRETT 460-2855
02/21/2007 03 35 PM JLIERLY ----------------------------
BLDG SHEARWALL
03/09/2007 08 46
GARRET DELABARRE
03/09/2007 04 24
FIRST FLOOR
BLDG FRAMING
04/26/2007 04.47 PM LPANGRLE
GARRETT 460-2855
fY! 04/27/2007 04 49 PM PBARTHOL ---------------------------
L BLDG INSULATION
05/03/2007 09 04 AM LPANGRLE
GARRETT 460-2855
------------------------ ------------ COMMENTS AND NOTES --------------------------------------
BL1
BL2
BLFD 01
PL6
BL9
BL3
BLI
01
2/15/07
2/15/07
2/21/07
2/21/07
01
2/21/07
2/21/07
01
3/09/07
3/09/07
01
4/27/07
4/27/07
01
5/03/07
V{
JLL
AP
JLL
AP
JLL
AP
JLL
AP
JLL
AP
PB
AP
JLIERLY ----------------------------
TIME 09 00
PERMITS
AM PERMITS
460-2855
PM PBARTHOL
,[;
\fJ!
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
l2\ EAST 5TH STREET. PORT ANGELES. WA 98~62
';"
"
~
~
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Applicat~on type description
Subd~v~s~on Name
Property Use
Property Zoning
Application valuation
07-00000061 Date
209800
813 JOSHUA ST
06-30-01-7-6-0140-0000-
RES NEW SFR
4/27/07
~
""
RS9 RESDNTL SINGLE FAMILY
204060
Owner
Contractor
GARRET S DELABARRE,
72 WELLMAN RD
PORT ANGELES
(360) 460-2855
Other struct ~nfo
INC GARRET DELBARRE
72 WELLMEN RD
WA 983639306 PORT ANGELES
(360) 417-1587
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
CONSTRUCTION
WA 98362
21 00
V-N
2 00
9028 00
1929 00
1929.00
2.00
CX)
'-
\.A
Permit
Additional desc .
Perm~t pin number
Sub Contractor
Permit Fee
Issue Date
Exp~ration Date
ELECTRICAL
3,055SQ/FT
99663
EXTRA MILE
157 00
4/27/07
10/24/07
NEW RESIDENTIAL
EXTRA MILE
TECH & ELECT., LLC
Plan Check Fee
Valuation
00
o
k\
lA
:t
~
~
Qty
1 00
4 00
Unit Charge Per
69 0000 ECH
22.0000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
69.00
88 00
Special Notes and Comments
Call for cover inspection for all sprinkler installations A
full acceptance test will be required for all fire alarm
systems
04/16/2007 04.38 PM KDUBUC -----------------------------
Add a sprinkler head over the stairs
Address numbers shall be plainly visible from the street
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background
All homes in new subdivisions that are outside of the Fire
Department four-m~nute response area shall be equipped with
residential fire sprinkler systems that comply with the
Internat~onal Fire Code (IFC) and Nat~onal F~re Protection
Association (NFPA)
Call/for cover inspection for all sprinkler installations A
full acceptance test w~ll be required for all fire alarm
systems
02/07/2007 04 09 PM SROBERDS - The proposal will result
in a two story residence in the RS-9 zone for total lot
coverage of 21% No land use issues noted
Electr~cal load calculations and elctrical permits are
required
Electr~cal connection fee $222.00 (under old policy)
~
"
COMMENTS! ACTION NEEDED
(j
~
ELECTRICAL PERMIT INSPECTION RECORD
CM."L 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
UITCH
~()TTnJ..:r_IN I COVER
:ShK VICE
.I: I I
GENERAL COMMENTS:
PW.II02.1' [4'96)
p->.I~.
Jfid~~
D8
~~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
'21 EAST 5TH STREET. PORT ANGELES. WA 98362
. \
':>
Application Number
Application pin number
07-00000061
209800
Page
Date
2
4/27/07
Special Notes and Comments
01/31/2007 09 00 AM GMCLAIN ----------------------------
Sanitary sewer connection inspection ~s required by
Public Works prio~ to back fill of ditch. 24 hour advance
notice ~s required
Construct driveway and Sidewalks to City Standards
No concrete with exposed aggregate allowed ~n the City
road r~ght of way An inspect~on by Publ~c Works
Eng~neering is required prior to prour~ng concrete
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
1000 00
4 50
1230 00
Fee summary Charged Paid Cred~ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 157 00 157 00 .00 00
Plan Check Total 00 00 00 00
Other Fee Total 2234 50 2234 50 00 00
Grand Total 2391 50 2391 50 .00 .00
COMMENTS! ACTION NEEDED
>;i(
. . ~'t:, ~ ELECfRICAL PERMIT INSPECfION RECORD
.of ;fl.
C~ 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINlMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
~~ INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW -II 02.1 5 [4'96]
PREPARED 4/27/07. 8 39 52
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES LIERLY
PAGE
DATE
2
4/27/07
813 JOSHUA ST
GARRET DELBARRE CONSTRUCTION
GARRET S DELABARRE, INC.
06-30-01-7-6-0140-0000-
07-00000061 RES NEW SFR
(360) 417-1587
(360) 460-2855
SUBDIV
PHONE
PHONE
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLDG FOUNDATION FOOTING TIME: 09 00
02/13/2007 07 55 AM PERMITS
Garret 460-2855
02/13/2007 03 16 PM JLIERLY ----------------------------
BLDG FOUNDATION STEM WALL
02/15/2007 08 37 AM PERMITS
GARRET 460-2855
02/15/2007 04 33 PM JLIERLY ----------------------------
BLDG FOUNDATION DRAINAGE TIME 09 00
02/20/2007 03.56 PM PERMITS
GARRETT 460-2855
02/21/2007 03 35 PM
PLUMBING WATER SUPPLY
02/20/2007 03 57 PM
GARRETT 460-2855
02/21/2007 03 35 PM JLIERLY ----------------------------
BLDG SHEARWALL
03/09/2007 08 46
GARRET DE LABARRE
03/09/2007 04 24
FIRST FLOOR
4/27/07 JLL BLDG FRAMING
~ ~ 04/26/2007 04 47 PM LPANGRLE
Z; t:71 flf GARRETT 460 -2 855
--------- ---------------------------- COMMENTS AND NOTES --------------------------------------
BL1
2/13/07
2/13/07
JLL
AP
01
BL2
2/15/07
2/15/07
JLL
AP
01
BLFD 01
2/21/07
2/21/07
JLL
AP
PL6
2/21/07
2/21/07
JLL
AP
01
BL9
3/09/07
3/09/07
JLL
AP
01
BL3
01
JLIERLY ----------------------------
TIME 09 00
PERMITS
AM PERMITS
460-2855
PM PBARTHOL
PREPARED 4/23/07, 12 23 31
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
4/23/07
813 JOSHUA ST
GARRET DELBARRE CONSTRUCTION
GARRET S DELABARRE, INC
06-30-01-7-6-0140-0000-
07-00000061 RES NEW SFR
SUBDIV
PHONE
PHONE
(360) 417-1587
(360) 460-2855
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED ~ESULT RESULTS/COMMENTS
---------------------------- - ----------------------------------------------------------------
ME6 01 4/23/07 J MECHANICAL GAS LINE
04/20/2007 03.48 PM LPANGRLE
LAURA 683-4010
INT GAS PIPING
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 4/19/07, 9 10 12
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
3
4/19/07
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
813 JOSHUA ST
GARRET DELBARRE CONSTRUCTION
GARRET S DELABARRE, INC
06-30-01-7-6-0140-0000-
07-00000061 RES NEW SFR
SUBDIV,
PHONE
PHONE
(360) 417-1587
(360) 460-2855
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
PL6
01
2/21/07
2/21/07
JLL
AP
PLUMBING WATER SUPPLY
02/20/2007 03 58 PM PERMITS
GARRETT 460-2855
02/21/2007 03 35 PM JLIERLY ----------------------------
'L'__O'____./:;/O'___~____~!l!:;~:::::::::~o'""":~"'-----_________________________.___
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5th Street, Port Angeles, WA 98362
..
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Appl~cat~on type descr~pt~on
Subd~v~s~on Name
Property Use
Property Zoning . . .
Application valuation
07-00000061 Date
209800
813 JOSHUA ST
06-30-01-7-6-0140-0000-
RES NEW SFR
4/18/07
RS9 RESDNTL SINGLE FAMILY
204060
Owner
Contractor
GARRET S DELABARRE,
72 WELLMAN RD
PORT ANGELES
(360) 460-2855
Other struct info
INC. GARRET DELBARRE
72 WELLMEN RD
WA 983639306 PORT ANGELES
(360) 417-1587
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
CONSTRUCTION
WA 98362
21.00
V-N
2.00
9028.00
1929.00
1929.00
2.00
Perm~t . . . . .
Add~tional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date .
FIRE SPRINKLER RESID
FIRE SPRINKLER SYSTEM
99051
.00
4/18/07
10/15/07
Plan Check Fee
Valuation
.00
4244
Special Notes and Comments
Call for cover ~nspection for all spr~nkler installations. A
full acceptance test w~ll be required for all fire alarm
systems.
04/16/2007 04:38 PM KDUBUC -----------------------------
Add a sprinkler head over the stairs.
Address .numbers shall be pla~nly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
All homes ~n new subd~visions that are outside o~ the Fire
Department four-m~nute response area shall be equ~pped w~th
residential f~re spr~nkler systems that comply with the
International F~re Code (IFC) and Nat~onal Fire Protection
Assoc~at~on (NFPA).
Call for cover ~nspect~on for all spr~nkler ~nstallations. A
full acceptance test will be requ~red for all f~re alarm
systems.
02/07/2007 04:09 PM SROBERDS - The proposal will result
~n a two story res~dence ~n the RS-9 zone for total lot
coverage of 21%. No land use issues noted.
Electrical load calculat~ons and elctrical permits are
required.
Electr~cal connect~on fee $222.00 (under old policy)
01/31/2007 09:00 AM GMCLAIN ----------------------------
Sanitary sewer connect~on ~nspect~on ~s requ~red by
Publ~c Works pr~or to back fill of d~tch. 24 hour advance
not~ce ~s requ~red.
Construct dr~veway and Sidewalks to City Standards.
~
fJ<[~
S1';/. -
~
6.>
ThiS permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examinffl this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the rovisions of any state or 10callaw regulating the work specified in the perm it.
;;:::;:J.~, 12> 2 Vr) U U ... .
Date Signature of Owner (if Owner is builder) _ Date
FIRE PERMIT INSPECTION RECORD
'"
Call 360-417-4655 for fire inspectIOns. Please provide a mmimum 24-hour notIce It IS unlawful to cover, msulate'
or conceal any work before inspected and accepted. Post permit m a conspicuous location.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior pIping hydrostatically tested
Interior pipmg inspection
Dry system air tested at 40 pSI (24 hours)
Sprinkler final
FIRE ALARM
Rough-in InspectIOn
Alarm final
,
LP-GAS Completed by Contractor:
Underground pipIng inspection/pressure test Test #1
Above ground piping inspection/pressure test Piping pressure test pSI
Time initiated
Tank (container) Inspection Test #2
ApplIance mspection Piping pressure test pSI
Time InItiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank approprIately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final
Inspection Type
I Date Passed I
Comments
GENERAL COMMENTS:
2/15/00
CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 5th Street, Port Angeles, W A 98362
Appllcatlon Number . . . . . 07-00000061
Application pin number 209800
Page 2
Date 4/18/07
Speclal Notes and Comments
No concrete with exposed aggregate allowed ln the Clty
road rlght of way. An lnspectlon by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
1000.00
4.50
1230.00
Fee summary Charged Pald Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 2234.50 2234.50 .00 .00
.'
.,
..I
This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examiner! this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work wIll be compled
I
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the pr.~vision~?f a~y state or local law regulating the work s~ecifie~ i~ !he l?~r:nit.
~-~*';~.oj ;;
.~
S.ig[~t1}l~ of-Contractor or Authorized Agent -.
Date
....
.~:: ~jgna!ure of Owner (if Owner is buIlder). .
'~~~j.t~":;i :t.~.::
Date
~r
~~
~.~.
~-l~"';b.~-"" .
.~.' ,"'~.
."'-~
.0
FIRE PERMIT INSPECTION RECORD ~:r
~ \ \
Call 360-417-4655 for fire inspections. Please provide a mInImUm 24-hour notice. It is unlawful to cover, Insulate ~'
or conceal any work before inspected and accepted Post permit in a conspIcuoUS location.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
Inspection Type
I Date Passed I
Comments
FIRE SPRINKLER
Underground piping hydrostatically tested
Undergro~nd pipmg flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Spnnkler final 8-1 ~ -o( '-<bt:
FIRE ALARM
Rough-in Inspection
Alann final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test Test #1
Above ground piping inspection/pressure test Pipmg pressure test pSI
Time initiated
Tank (container) inspection Test #2
Appliance mspection Piping pressure test pSI
Time illltiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids 3J
~
Tank appropriately abandoned
c.P
UST abandonment final ~
PERMIT OTHER (specify) --,;-
5
permit final 'J(
~
(/)
c....c
Vl
q--
~
~
\f.)
....-.
Vi
~
\I"
:;-
C
~
~.
.
GENERAL COMMENTS.
2/15/00 L-.
PORT ANGELES FIRE DEPARTMENT
102 East Fifth Street, Port Angeles, Washington 98362
(360) 417-4650 FAX (360) 417-4659
Fire Sprinkler System Plan Review
Project Name: Private Residence Address: 813 Joshua
Installer: Innovated Fire Sprinkler Installer Telephone: 452-7583
Type of System: Open 130 13RO 13D~
Date: 4.16.2007 P AFD Permit #: 07-13
We have checked this plan and find that it conforms to the requirements of the code.
1) Add coverage over the stairs.
Additional Comments:
All systems, including underground mains, shall be installed by a state licensed and certified
company. Systems shall be installed per the applicable NFP A Standard.
All electrical components shall be compatible with the fire alarm system.
All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire
Department PRIOR to being covered. A witnessed flush ofthe underground piping is required.
A design sprinkler flow test and alarm test are required for all13D systems.
Before final acceptance of the system, an inspection will be conducted to ensure that the
installation complies with the applicable NFPA Standard. This 13D system will require a
measured flow test.
Contractor
Reviewed by: \O\,J~
Date: J..t.tfo'01
o
~
o
Building Department
Fire Department
BUILDING PERMIT - APPLICATION
for, OFnCIA)2;~ ONLY
Dale T(ec. ""~ "'~ t) 7
1'cnmt# ~? -b I
D~le ....pplOved Oll -I" -07
Dale Issued D ~- L 8--0"7
Fill out COMPLETELY and in Th'K. Your application and site plan MUST B[
COMPLETL to he accepted for review. If you have any questions, caU
PERMITS (360) 417-4815 FAX(360)417-4711
Address: 8 J IV €!.-t..t..J
PROJECT ADDRESS'
LEGAL DESCRlPTION. Lot.
ApplIcant or Agent C- V'\. +
Owner: '7:) eJ Q 13 C\.. tr vc...... Cc"", r+ ~ . Phone
City. ~ C r .:t- .4 l..-t..-S .e Le..J>
ArchitectlEngmeer Phone
Contractor i AJNIJLlA-Tlb..1J ;::=-/ RE State License #: IIY/fWt:=,f'CJYy1J1l-Exp: 3/.2. ?.k8Phone:(./$'z'-'7,r.8~
, .,. ....)
;:Je....V fl.'a-. '- '-' CIty. Pt3v-f IJ.~ ..e,lR-J> ZIp <7e3 c.. 2
8/3 rn.s~~ ~
Phone
'-/~2-IS83
(Lf~2 -LfJ L{L{
ZIp: 99J62-
Address'
ZONING:
Block:
SubdIVISIOn.
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK:
)(:Resldenual D New COliStr. D Re-roof D Stove
D MultI-family D AddItIOn D MoveD Garage
D Commercial D Remodel D DemolitIOn D Deck
o Reparr D SIgn D Other
BRIEF DESCRIPTION OF THE PROJECT: :r~,f f-eLlI
SIZEIVALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF = $
SF. @ $ /SF = $ rb
TOT~ VALUATION, $"''1:; 4~So
1= ~ 'v (L S (] '.,. , '-' k '.-i(/"- s .s . .....--.
,
COMMERCIAL/RESIDENTIAL: Occupancy Group'
Occupant Load.
& Proposed Sq Ft
Construction Type'
= TOTAL Sq Ft
No. of Stories: Lot Size.
Total lot coverage
Existing Sq Ft
%
PLANNING USE ONLY: APPRO V ALS:
PLAN:
BLDG:
DPWU:
ESAlWetland(s)' DYes 0 No SEP A Checklist requrred? 0 Yes D No Other: FIRE:
OTHER: -
VALUATION OF CONSTRUCTION: In aU cases, a valuation amount must be entered by the applicant.
This figure will be reVIewed and may be revised by the Building DIviSIOn to comply WIth current fee schedules. Contact the Permit
Coordinator at 417-4815 for asSIstance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building peIIDlt application and construction plans are
submitted. All other pennit fees are due at the time of pennit issuance.
EXPffiA nON OF PLAN REVIEW: If no pennit is issued within 180 days of the date of applIcatIOn, the application will expire. The
Building Official can extend the tune for action by the applIcant up to 180 days upon wntten 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 to
apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I
must obtain such pennits prior to wot- , '
T:\FORMS\BldgPermJtform.wpd ApplIcant \)~ 13~!.jfl- Date: 'i) 2./ c::J 7
I DATE:rj~fc,7 I
El
FIRE DEPARTMENT
PLANNING DEPARTMENT
PUBLIC WORKSIENGINEERING DIVISION
LIGHT DIVISION
o ENERGY
o ENGINEERING
o POLICE DEPARTMENT
o ADMINISTRA TI~N
o CITY CLERK
o RISK MANAGEMENT
I FROM: PUBLIC WORKSIBUlLDING DIVISION I
w
o
o
o
RE: ADDRESS: T I '6 J CJ Sh u 0..
NAME/CONTACT: r ) I V1 C ~n t I~ +f-~ V-
PHONE: J-I6"J-- 7~~-E? _-:S
PERMIT NUMBER: 0'7 -6 /
PROJECT DESC~ION: ~ 1:<" 5;i?,..., V] fd <' r- % s -J-." f/V'
KE' s,cl~1 l,c<_ J (.~ ;;~,~ J D~ ".~ (~,rf:":~t~
(?qt:.L' w.p_d -
g NEW CONSTRUCTION
tJ ADDITION/ALTERNATION
COMMENTS/CONDITIONS:
~ REVIEWIRETURN
o FILE
~ffi 07-'3
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CITY OF PORT ANGELES
PUBLIC WORKS . ELECTRICAL DIVISION
l2\ EAST 5TH STREET. PORT ANGELES. WA 98~62
Appllcation Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Application type descrlption
Subdlvlslon Name
Property Use
Property Zoning
Applicatlon valuation
07-00000061 Date
209800
813 JOSHUA ST
06-30-01-7-6-0140-0000-
RES NEW SFR
4/06/07
RS9 RESDNTL SINGLE FAMILY
204060
Owner
Contractor
GARRET S DELABARRE,
72 WELLMAN RD
PORT ANGELES
(360) 460-2855
Other struct info
INC GARRET DELBARRE
72 WELLMEN RD
WA 983639306 PORT ANGELES
(360) 417-1587
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE'
NUMBER OF UNITS
CONSTRUCTION
WA 98362
21 00
V-N
2 00
9028.00
1929 00
1929 00
2 00
Permit
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
AIR FLO / T-STAT
98947 .
AIRFLOW HEATING
35 00
4/06/07
10/03/07
~
'"
<A
Plan Check Fee
Valuatlon
.00
o
Qty
1 00
Unit Charge Per
35 0000 EC EL-LOW VOLTAGE
Extension
35 00
L)
~
f
Special Notes and Comments
Address numbers shall be plainly vislble from the street
Address numbers shall be a mlnimum of SlX inches high and be
of contrasting color from the background
All homes in new subdivislons that are outside of the Fire
Department four-minute response area shall be equlpped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Assoclation (NFPA).
Call for cover inspectlon for all sprinkler installations A
full acceptance test will be required for all fire alarm
systems
02/07/2007 04 09 PM SROBERDS - The proposal will result
in a two story residence in the RS-9 zone for total lot
coverage of 21~ No land use issues noted
Electrical load calculations and elctrical permits are
required
Electrical connectlon fee $222.00 (under old policy)
01/31/2007 09 00 AM GMCLAIN ----------------------------
Sanltary sewer connectlon inspection is required by
Public Works PFior 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
~
COMMENTS/ACTION NEEDED
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ELECfRlCAL PERMIT INSPECfION 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. I
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
Uln...:tl
IH 1I Ie i-H-lN / COVER
:ShR ViCE
FINAL
GENERAL COMMENTS:
PW.II02 15(4'96]
.~
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
,21 EAST 5TH STREET. PORT ANGELES. WA 9R~62
Application Number
Application pin number
07-00000061
209800
Page
Date
2
4/06/07
Special Notes and Comments
road right of way An inspection by Public Works
Engineering is required prior to prouring concrete
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
1000 00
4 50
1230.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 35.00 35 00 00 .00
Plan Check Total 00 00 00 00
Other Fee Total 2234 50 2234 50 00 00
Grand Total 2269 50 2269 50 00 .00
COMMENTS/ACTION NEEDED
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ELECfRICAL PERMIT INSPECfION 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. J
"
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
I I. (.H
---
JH IUUH-LN / CUV nK
:SbK V lCb
FINAL I 7...3/-0'1 ~,J
GENERAL COMMENTS:
PW.II02.13 (4196]
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PREPARED 3/09/07, 10 17.50
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
INSPECTION TICKET
INSPECTOR. JAMES L LIERLY
PAGE
DATE
10
3/09/07
813 JOSHUA ST
GARRET DELBARRE CONSTRUCTION
GARRET S DE LABARRE , INC
06-30-01-7-6-0140-0000-
07-00000061 RES NEW SFR
SUBDIV.
PHONE (360) 417-1587
PHONE, (360) 460-2855
PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BUILDING FOUNDATION FOOTING TIME 09 00
02/13/2007 07 55 AM PERMITS
Garret 460-2855
02/13/2007 03 16 PM JLIERLY ----------------------------
BUILDING FOUNDATION WALL
02/15/2007 08 37 AM PERMITS
GARRET 460-2855
02/15/2007 04 33 PM JLIERLY ----------------------------
BUILDING FOUNDATION DRAINAGE
02/20/2007 03 56 PM PERMITS
GARRETT 460-2855
02/21/2007 03 35 PM
PLUMBING WATER SUPPLY
02/20/2007 03 57 PM
GARRETT 460-2855
02/21/2007 03 35 PM JLIERLY ----------------------------
3/09/07 tfI2 BUILDING SHEARWALL
~ 03/09/2007 08 46 AM PERMITS
-"1--~---- GARRET DELABARRE 460-2855
nu_ mnmmmmnUn CO_'" T '~~n~~~n.;~n k;vL-
4 \J Ii- 'w--
BL1
2/13/07
2/13/07
JLL
AP
01
BL2
2/15/07
2/15/07
JLL
AP
01
BLFD 01
2/21/07
2/21/07
JLL
AP
PL6
2/21/07
2/21/07
JLL
AP
01
BL9
01
TIME
09 00
JLIERLY ----------------------------
TIME 09 00
PERMITS
PREPARED 2/21/07, 12 16 11
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR, JAMES L LIERLY
PAGE
DATE
7
2/21/07
------------------------------------------------------------------------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER,
813 JOSHUA ST
GARRET DELBARRE CONSTRUCTION
GARRET S DELABARRE, INC
06-30-01-7-6-0140-0000-
07-00000061 RES NEW SFR
SUBDIV
PHONE
PHONE
(360) 417-1587
(360) 460-2855
------------------------------------------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1
01
2/13/07
2/13/07
JLL
AP
PL6
BUILDING FOUNDATION FOOTING TIME 09 00
02/13/2007 07 55 AM PERMITS
Garret 460-2855
02/13/2007 03 16 PM JLIERLY ----------------------------
BUILDING FOUNDATION WALL
02/15/2007 08 37 AM PERMITS
GARRET 460-2855
~ 02/15/2007 04 33 PM JLIERLY ----------------------------
L BUILDING FOUNDATION DRAINAGE TIME, 09 00
02/20/2007 03 56 PM PERMITS
GARRETT 460-2855
J PLUMBING WATER SUPPLY TIME 09 00
02/20/2007 03 57 PM PERMITS
GARRETT 460-2855
------------------------ ----------------------------------------------------------------------
01
2/15/07
2/15/07
JLL
AP
BL2
BLFD 01
2/(1]07
01
2/21/07
II
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
PL6
~
-------------------------------------- COMMENTS AND
NOTES --------------------------------------
01
2/2'1/07
( I
PLUMBING WATER SUPPLY
02/20/2007 03 58 PM
GARRETT 460-2855
PERMITS
~
PREPARED 2/15/07, 9 11 48
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
12
2/15/07
------------------------------------------------------------------------------------------------
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
813 JOSHUA ST
GARRET DELBARRE CONSTRUCTION
GARRET S DELABARRE, INC
06-30-01-7-6-0140-0000-
07-00000061 RES NEW SFR
SUBDIV
PHONE
PHONE
(360) 417-1587
(360) 460-2855
-------------------------------~----------------------------------------------------------------
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL1 01
2/13/07
2/13/07
JLL
AP
BUILDING FOUNDATION FOOTING TIME 09:00
02/13/2007 07 55 AM PERMITS
Garret 460-2855
02/13/2007 03 16 PM JLIERLY --------------______________
BUILDING FOUNDATION WALL
02/15/2007 08 37 AM PERMITS
GARRET 460-2855
BL2 01
2/15/07
\l
,
~
-------------------------------------- COMMENTS AND NOTES ----------------------------------____
PREPARED 2/13/07, 9 14'36
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
12
2/13/07
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
813 JOSHUA ST
GARRET DELBARRE CONSTRUCTION
GARRET S DELABARRE, INC
06-30-01-7-6-0140-0000-
07-00000061 RES NEW SFR
SUBDIV
PHONE
PHONE
(360) 417-1587
(360) 460-2855
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
~~~~:~~___~;~~~~~__~~~~~L_ ___~~:~~:~~:~;~~~~~~~~~~~~~~:::;~~~__~;_~~__________._.._.._.____
Garret 460-2855
-------------.-------..---- --------- COMMENTS AND NOTES -------.--------.----------------..---
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32] EAST 5TH STREET, PORT ANGELES, WA 98362
\)
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07-00000061 Date
209800
813 JOSHUA ST
06-30-01-7-6-0140-0000-
RES NEW SFR
2/13/07
Applicatlon Number
Appllcatlon pln number
Property Address
ASSESSOR PARCEL NUMBER:
Appllcation type descrfption
Subdlvision Name
Property Use
Property Zonlng . . .
Applicatlon valuation
RS9 RESDNTL SINGLE FAMILY
204060
Owner
Contractor
GARRET S DE LABARRE ,
72 WELLMAN RD
PORT ANGELES
(360) 460-2855
Other struct lnfo
CONSTRUCTION
INC. GARRET DELBARRE
72 WELLMEN RD
WA 983639306 PORT ANGELES
(360) 417-1587
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
21. 00,
V-N
2.00
9028.00
1929.00
1929.00
2.00
Permit BUILDING PERMIT -RESIDENTIAL
Addltional desc 2 STORY SFR
Permlt pin number 93732
Permlt Fee 1608.25 Plan Check Fee
Issue Date 2/13/07 Valuatlon
Expiratlon Date 8/12/07
643.30
204060
Qty Unit Charge Per
Extension
1020.25
588 00
BASE FEE
105.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
Permlt . . . . .
Addltional desc .
Permit pln number
Permit Fee
Issue Date
Explration Date
MECHANICAL PERMIT
95026
150 95 Plan Check Fee
2/13/07 Valuatlon
8/12/07
.00
o
Qty Unlt Charge Per
BASE FEE
1. 00 14.7000 ECH ME- INSTALL 100- FAU
5.00 7.2500 ECH ME-VENT FAN
1. 00 50.0000 ECH ME-WOOD BURNING APPL.
Extension
50.00
14.70
36.25
50.00
Permlt PLUMBING PERMIT
Addltional desc
Permlt pln number 95034 t
Permlt Fee 170.00 Plan Check Fee .00
Issue Date 2/13/07 Valuation 0
Explration Date 8/12/07
Qty Unlt Charge Per Extenslon
BASE FEE 50.00
13.00 7 0000 ECH PL- EA. FIXTURE ON ONE TRAP 91.00
1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether 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
constructio
T.\Pohcles\1102_15 bUlldmg peomt mspecllOn record05 wpd [1/4/2005]
Signature of Owner (If owner IS builder)
Date
-~
BUILDING PERMIT INSPECTION RECORD
CALL417-4815 FOR BUILDING INSPECT]ONS. CALL417-47~5 FOR ELECTRICALINSPECTIONS
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
'PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL AN}' H"ORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATlON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
,
YES I NO
FOUNDATION
FOOTINGS I
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 FINA..L DATE ACCEPTED BY
BACK FLOW / WA TER
AIR SEAL
,
WALLS
CEILING I I
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (fNTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
ROUGH-IN -
HEAT PUMP I FURNACE / DUCTS
GAS LINE FINAL DATE ACCEPTED BY
WOOD STOVE / PELLET / CHIMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT#'s SEPA.
PARKING/LIGHTING ESA.
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQurRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRlCAL - LIGHT DEPT 417-4735 ELECTRICAL
LlGHTDEPT
CONSTRUCTION R. W. / PW/ CONSTRUCTION - R W
ENGINEERlNG 417-4807 PW I ENGINEERlNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T'\Pohcles\J J02 15 bulldmg penmt mspectJon Tecord05.wpd [1/4/2005J
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Applicatlon Number
Appllcatlon pln number
07-00000061
209800
Page
Date
2
2/13/07
Qty
1. 00
1 00
Unlt Charge 'Per
15.0000 ECH PL- EA. BLDG SEWER
7.0000 ECH PL- EA. WATER HEATER
Extenslon
15.00
7.00
Special Notes and Comments
Address numbers shall be plainly visible from the street.
Address numbers shall be a mlnimum of SlX lnches hlgh and be
of contrastlng color from the background.
All homes in new subdivisions that are outside of the Flre
Department four-minute response area shall be equipped wlth
residential fire sprlnkler systems that comply wlth the
International Fire Code (IFC) and Natlonal Flre Protectlon
Assoclatlon (NFPA).
Call for cover lnspectlon for all sprinkler lnstallations. A
full acceptance test wlII be required for all fire alarm
systems.
02/07/2007 04:09 PM SROBERDS - The proposal will result
in a two story resldence in the RS-9 zone for total lot
coverage of 21%. No land use lssues noted
Electrlcal load calculations and elctrical permlts are
requlred.
Electrlcal connectlon fee $222.00 (under old pollcy)
01/31/2007 09:00 AM GMCLAIN ----------------------------
Sanltary sewer connectlon lnspectlon is requlred by
Public Works prior to back fill of ditch. 24 hour advance
notlce is requlred.
Construct driveway and Sidewalks to Clty Standards
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Publlc Works
Englneerlng lS requlred prlor to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
1000 00
4.50
1230.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permlt Fee Total 1929.20 1929.20 .00 .00
Plan Check Total 643.30 643.30 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 4807.00 4807.00 .00 .00
,..
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public Improvements. This permit becomes
null and void if work or construction authonzed 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 IPohcleslllOZ_15 bUlldmg penml mspeclJon record05 wpd [1/4/2005]
B{ill;DING PERMIT INSPECTION RECORD
CALL417-4815 FOR BUILDING INSPECTIONS. CALL417-47~5 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS l.JTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER. INSULATE OR CONCEAL ANI' WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
~
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-
INSPECTION TYPE DATE ACCEPTED COMMENTS
I
I YE& NO
FOUNDATION.
FOOTINGS JJ~ '0 '7 Jll.
3NEBR !'l/At ~ / WALLS 7/~ ItrJ "./'LL.
FOUNDATION DRAINAGE / DOWN SPOUTS . /^.l, 'n?
I
PIERS
POST HOLES (POLE BLDGS )
PLUMBING 5<<olAB~ VA-N W'foq f 01..:JLL
UNDER FLOOR / SLAB
ROUGH-IN 4 I /'=\ J 01 -Su.-
WATER LINE (METER TO BLDG) 11./'l./ / n7
GAS LINE I FINAL ~ -I z.. - 07 DATE 11..-L
ACCEPTED BY
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS . I '4/z7h7 fYo-V)\; V)j 'J"LL
SHEAR W ALLIHOLD DOWNS 3/9 /~7 JJ.L-
WALLS / ROOF / CEILING
DRYWALL (fNTERlOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I05103ifJ7 ~L-L.
.
MECHANICAL
ROUGH-IN -
HEAT PUMP / FURNACE / DUCTS FINAL 0 ~ - \ l. - 01DATE '"J l- L.-
GAS LINE 4/1..'?/Dl 1-:\ L-L- ACCEPTED BY.
WOOD STOVE / PELLET / CillMNEY T
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
SEPARATE PERMIT#'s SEPA. .
PLANNING DEPT
PARKING/LIGHTING ESA-
LANDSCAPING SHORELINE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - UGHT DEPT. 417-4735 ELECTRlCAL
LIGHT DEPT
CONSTRUCTION R. W / PW / CONSTRUCTION - R. W
ENGINEERlNG 4 J 7-4807 PW / ENGINEERlNG
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT.
BUILDING 417-4815 q--ltl -0"'1 3t.A.- BUILDING
00
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
3,21 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Appllcatlon pln number
Property Address
ASSESSOR PARCEL NUMBER:
Application type descrlptlon
Subdlvision Name
Property Use
Property Zoning . . .
Application valuatlon
Owner
GARRET S DELABARRE,
72 WELLMAN RD
PORT ANGELES
(360) 460-2855
Other struct lnfo
Permlt
Addltional desc .
Permit pln number
Permlt Fee
Issue Date
Expiration Date
2/13/07
07-00000061 Date
209800
813 JOSHUA ST
06-30-01-7-6-0140-0000-
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
204060
Contractor
INC. GARRET DELBARRE
72 WELLMEN RD
WA 983639306 PORT ANGELES
(360) 417-1587
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
CONSTRUCTION
WA 98362
21. 00
V-N
2.00
9028.00
~929.00
1929.00
2.00
PUBLIC WORKS RES WATER SERV
3/4" DROP IN METER
95133
230.00 plan Check Fee
2/13/07 valuati'on
8/12/07
00
204060
Qty Unit Charge Per
BASE FEE
Extension
230.00
Permlt . . . . .
Additlonal desc .
Permit pin number
Permit Fee
Issue Date
Explratlon Date
RIGHT OF WAY
9511 7
50,.00
2/13/07
8/12/07
Plan Check Fee
Valuatlon
.00
204060
Qty Unlt Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
Extension
50.00
Permlt . . . . .
Additlonal desc .
Permlt pin number
Permit Fee
Issue Date
Explratlon Date
SANITARY SEWER HOOK UP
95125
120.00
2/13/07
8/12/07
Plan Check Fee
Va1uatlon
.00
204060
Qty Unlt Charge Per
1.00 120.0000 EA SAN SEWER HOOKUP
Extenslon
120.00
Special Notes and Comments
Address numbers shall be plalnly visible from the street.
Address numbers shall be a minimum of SlX inches hlgh and be
of contrastlng color from the background.
All homes ln new subdivisions that are outside of the Flre
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 t give a thority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construe' n.
T \Pohcles'll 02.lsR [1/05]
Date
Signature of Owner (if owner is builder)
Date
PERMIT INSPECTION RECORD
r
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
, YES NO
PW UTILITIES (Engmeenng DivIsIOn)
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
,
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Pohcies\1 102.15R [1/051
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 07-00000061
Appl~cation pin number 209800
Page
Date
2
2/13/07
Spec~al Notes and Comments
Department four-m~nute response area shall be equipped w~th
residentlal fire sprinkler systems that comply wlth the
Internatlonal Flre Code (IFC) and Natlonal Fire Protection
Assoclatlon (NFPA).
Call for cover inspection for all sprinkler lnstallatlons. A
full acpeptance test will be required for all fire alarm
systems.
02/07/2007 04.09 PM SROBERDS - The proposal will result
ln a two story resldence ln the RS-9 zone for total lot
coverage of 21%. No land use issues noted.
Electrical load calculations and elctrical permits are
required.
Electrical connection fee $222.00 (under old POllCY)
01/31/2007 09:00 AM GMCLAIN ----------------------------
Sanitary sewer connection lnspectlon is requlred by
PubllC Works prlor to back flll of dltch. 24 hour advance
notlce lS requlred.
Construct drlveway and Sidewalks to Clty Standards.
No concrete wlth exposed aggregate allowed in the Clty
road right of way. An inspection by Public Works
Engineering lS required prior to prourlng concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
1000.00
4.50
1230.00
Fee summary Charged Paid Credlted Due
----------------- ---------- ---------- ---------- ----------
Permlt Fee Total 400.00 400.00 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 2634.50 2634.50 .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 perr(lit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
, Date
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T \Pohcles\1102.15R [Jl05]
PERMIT INSPECTION RECORD
" .' .. ...
CALL 417-4807 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS /
I YES NO
PW UTILITIES (Engmeering DiVISIon)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
,
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
I ,
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'\Pohcles\1102.15R [1/05]
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BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
ale Ree /- z.z,..tz:> 7
Pmill" tb7- ~
atc Approved ~ ""}
Date issued
~
Fill oui COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted tor review. It you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
ApphcantorAgent' Gt\rret <;.l)el4h~r('e../ I Jf\(,
Owner: ~~('re! ~. he ["'bOo. rre...
Address:" 7.2 INellW\t{t'\ R. (J ,
Phone' 3&0' 'I" 0 ' 2. CO S-~
ArchItecl/Engmeer
Contractor at( r t" ef De tt b&1. r (' e
Address SAM e: A':> A ~ 00 E
PROJECT ADDRESS 8' 13 -ToSHuA <ST I
ZIp" t:jg3C,3
enO\lIL~ ~SOL, Phone:'3'O.L//7.0SlJ/
State LIcense #. DELA {3Gl-qsl i3bJExp' I S- Phone: Jc.o l{(,{) 2s~~
C~. Z~
LEGAL DESCRIPTION: Lot: / If Block:
CLALLAM COUNTY PARCEL NUMBER: SIIB t6T ? 6,
ZONING:
SubdIVIsion: t$IA1tES 4.1 ft,//W41I.kee
ex 12. \ JV 8fv J.&eSI&'/~(}() Oc..~"OI7~OI'lO
TYPE OF WORK: SIZE/VALUATION:
)( ResIdential '!!.1' New Constr. 0 Re-roof 0 Stove 2 S-3 ~ SF @ $ 7(" "9 /SF = $
o MultI-family 0 AddltIOn 0 MoveD Garage 6M: S-ICf SF @$:2J,j~ /SF.=$
o Commercml 0 Remodel 0 Demol1tIOn 0 Deck SF. @ $ /SF. = $
o RepaIT 0 SIgn 0 Other TOTAL VALUATION $ 2..t!J 4,0 G, 0 I
BRIEF DESCRIPTION OF THE PROJECT Nerv Z STOIL1 3 8012./1 t+oM E
bJ / A-HA-lneJ (;a.Y'C{Je
192 qr,'f ~
/1.'tJq~ ~
,
2....4..-
CO:MMERCIAL/RESIDENTIAL: Occupancy Group
No. of Stones' J.... Lot SIZe q 02.. <6 sr; Existmg Sq. Ft
Total lot coverage 2...1 %
Occupant Load: Construction Type
(/ & Proposed Sq Ft I'l;!~ = TOTAL Sq. Ft t q~9
--/5T- /41rJ <;.F> ., I- v
. 2ND - j /2..(., S F ~53" I II\J~
"- GIJ-t2.. - 01 <=t
PLANNING USE ONLY:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
ESAlWetland(s) 0 Yes 0 No SEPA Checkhst requITed? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant
This figure will be revIewed and may be revIsed by the Buildmg DIVISIOD to comply WIth current fee schedules. Contact the Permit
Coordmator at 417 -4815 for aSSIstance.
PLAN CHECK FEE- IF a plan check fee IS due It must be submitted at the tlme the bUlldmg penmt applicatIOn and constructIOn plans are
subillltted. All other peTIlllt fees are due at the tlille of penmt Issuance
EXPIRATION OF PLAN REVIEW: 1[:10 penmt IS Issued withm 180 days of the date of apphcatIOn, the application will expire. The
Buildmg OffiCIal can extend the tlille for actIOn by the applIcant up to 180 days upon wntten request by the apphcant (see SectIOD
R105.3.2 of the InternatIOnal Buildmg/Resldentlal Code, 2003). No appl1catIOn can be extended more than once.
I hereby certify that I have read and examined thiS application and know the same to be true and correct. I am authorized to
apply for this permit and understand that If is my responsibility to determme what permits are required ,not the Cdy's, and that I
must obtain such permits prior to work . A _~
T\FORMSlBldgPomrtf~wpdAppli",mt ~ Date, / ' 22- '07
~
ADDENDUM
2-7-07
To:
City of Port Angeles
Building Permitting
From:
Garret S. DelaBarre
72 Wellman Rd.
Port Angeles, W A 98363
Cell: 360-460-2855
Regarding
Plot / Site Plan amendment for new residence at 813 Joshua Street
In the interest of establishing an accurate "As Built" of our project; I am attaching an
updated Plot plan for the new residence at 813 Joshua Street in Port Angeles.
Items of Note:
o The Development's Electrical cables are located approximately 11
feet inside the property lines instead of inside the 10' electrical
easement.
o Extension of the driveway to allow safe exit from the garage
parkway for home owner.
These findings are the result of a call for locate on the lot's utilities (accuracy of locations are
dependa upon the system used to mark the lines.)
Garret S. DelaBarre
President, G.S.D., Inc.
DELABC*95IBG
Licensed & Bonded 0 General Contractor 0 GARRESD023LE
~
h
72 Wellman Road 0 Port Angeles. WA 98363 0 Ph/Fx: (360) 452-4144 0 Cell: (360) 460-2855 0 Emad: garrett2044@msn com
Parcel Lookup
Page 1 of 1
Parcel Number 0630017601400000
Site Address 9999 JERI LYNN ST PA
[ Quit 1 I Back I
Taxpayer:
GARRET S DELABARRE, INC 72 WELLMAN RD
PORT ANGELES, WA 98363-9306
Title Owner:
GARRET S DELABARRE, INC 72 WELLMAN RD
PORT ANGELES, WA 98363-9306
Description:
ESTATES AT MILWAUKEE
LOT 14
Value Summary:
Note: Listed values do not reflect adjustments made for exemption programs such as
Senior/Disabled or Current Use programs (except Commercial Forestland properties)
Land Value 56,575
Improvements Value 0
Total Assessed Value 56,575
Property Characteristics:
Note: Use Code IS for Assessor's purposes only Contact the appropnate plannmg or
bUlldmg departments for ZOning and allowable usage of property
Use Code 9100 UNDEVEL LAND
Land Size (acreage) 00
Note Acreage IS not listed for all properties In the
Assessor's records More information about land size
Tax Status Taxable
Tax Code Area 0010
Note Zonmg and zOning codes change constantly Venfy all
zonmg with the appropnate planning or bUilding department
Building Characteristics: (Click on Bldg # for more details)
# Bldg. Type Bldg. Style Total S.F. BD BA
Tax History
Sales History
I Quit I I Back I
http://apps.clallam.net/website/sitis --'p.pgm?parcel=06300 1760 1400000
1/22/2007
r)
Look Up a Contractor, Electrician or Plumber License Detail
Page 1 of2
Topic Indek I (Onlil,-t Info
Search
y
Home
Safety Claims & Insurance
Workplace Rights
""?
Trades & Licensing
Find a Law or Rule Get a Form or Pubhcation
Look Up a Contractor, Electrician or Plumber
Pr:inter Friendly VersiQn
General/Specialty Contractor
A business registered as a construction contractor with Lal to perform construction work within the scope
of its specialty. A General or SpecIalty construction Contractor must mamtain a surety bond or assignment
of account and carry general liability insurance.
License Information
License DELABC*951 BG
Licensee Name DELABARRE CONSTRUCTION
Licensee Type CONSTRUCTION CONTRACTOR
UBI 602458608 YJ~(ify_Wo(lsers_ CQ01P~cero tUI1J
Status
Ind. Ins. Account
Id
Business Type CORPORATION
Address 1 72 WELLMAN RD
Address 2
City PORT ANG ELES
County CLALLAM
State WA
Zip 98363
Phone 3604524144
Status ACTIVE
Specialty 1 GENERAL
Specialty 2 UNUSED
Effective Date 1/7/2005
Expiration Date 1/7/2009
Suspend Date
Separation Date
Parent Company GARRETT S DELABARRE INC
Previous License GARRESD_023LE
Next License
Associated
License
https://fortress.wa.gov/lni/bbip/detail.aspx?License= D ELABC*951 BG
1/22/2007
~
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Look Up a Contractor, Electrician or Plumber License Detail
Page 2 of2
Business Owner Information
Effective Expiration
Name Role Date Date
DELABARRE, GARRET
5 PRESIDENT 01/07/2005
Bond Information
Bond Bond
Company Account Effective Expiration Cancel Impaired Bond Received
Bond Name Number Date Date Date Date Amount Date
UntIl
#1 CBIC 508323 01/01/2005 Cancelled $12,000.00 01/07/2005
Savings Information
No Matching Information
Insurance Information
Company Policy Effective Expiration Cancel Impaired Received
Insurance Name Number Date Oate Date Date Amount Date
#4 CBIC C11508323 06/05/2006 06/05/2007 $300,000.00 04/19/2006
#3 CBIC C11508323 06/05/2005 06/05/2006 $300,000.00 07/08/2005
#2 CBIC C115063657 06/05/2005 06/05/2006 $300,000.00 06/0212005
NORTHFIELO
#1 INS CO CP472231 06/05/2004 06/05/2005 $300,000.00 01/07/2005
Summons / Complaints Information
No Matching Information
Start a New S~ar(h ~riflJer Frien_dly_Y_ession
About Uti I Find a job at LEt! I Informacion on espaho( I Site Feedback I
1-800-547-8367
)\,,1,: (_ \'\',1\)11 "- L'
., -washIngton
I \V~lsh'll~lton S'<ltl...~ [>"1); ~)f LZ'b~) ~)"d lnel stncs U',c ,~. t' J~, "Jtc J:, sd);( ~ t to the 21V<l of :h~~
f\CCC'S5 AQJZ'(>112nt ~)p\'a'_';, ZH1d S~"~,,ll~V s.t?tLmcl'~ I :nterdc.( us("c<t(..l(al (on~ClL Dolley I Vi\lt alLe~~<V{d ~ov
')!<H1 on y' {llik.
https://fortress.wa.gov/lni/bbip/detai1.aspx?License= D ELABC*9 51 BG
1/2212007
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Applicatlon pin number
Property Address
ASSESSOR PARCEL NUMBER:
Applicatlon type descriptlon
Subdivislon Name
Property Use
Property Zonlng . . .
Appllcation valuation
06-00000922 Date 8/23/06
407432
918 JOSHUA ST
06-30-01-7-6~0070-0000-
PUBLIC WORKS UTILITES
Owner
Contractor
~
~
~
~
RS9 RESDNTL SINGLE FAMILY
o
Sarwan Daljlt/Amarjit Seera
331 W 1st St
PORT ANGELES WA 98362
OWNER
Permit
Addltlonal desc .
Permlt pin number
Permit Fee
Issue Date
Expiration Date .
RIGHT OF WAY
REPAIR SEWER
85332
.00
8/23/06
2/19/07
plan Check Fee
valuation
.00
o
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total .00 .00 .00 .00
~
'I\)~
. ~~
E.~
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 V)
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 [1/05]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engmeering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL I
P AR.KING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE I
I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING -
T:\Policies\1102.15R [1I05J
Prescriptive Approach-Simple Foml
For the Washmgton State Energy Code ( 2003 EdItion)
Climate Zone 1
Site Infomlation
Bmldmg Department Use Only-
Lot: itl
Address 8/3 J1J sl, t/ A <; -t
CIty ({If h"e/es / tJA CJK3tz
State PJA- ZIp 1'!~r;, ?-
Contact. ;;1AY'(, if- De/a i34.f ( e-
Phone. 5 ~ 0 . '-/ t. 0 . 2 <6 t;C:;;-
Phone 2 3 (p 0 ,~/ 7 . / 5T57
FAX 3&0' t.(!>-z. . till/If
Penmt #
Notes'
Table 6-1
PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
OptlOn Glazrng Glazrng U-Factor Door Wall Wall Wall Slab
.Area % U- Vaulted Above Intenor Extenor on
of Floor Verucal Overheac Factor Ceilrng Ceilrng Grade Below Below Floor Grade
Grade Grade
Unlmnted
III Group R-3 040 0.58 0.20 R-38 R-30 R2l R-21 R-10 R-30 R-lO
Occupancy
Only
( UnllImted Glazmg OptlOn Only)
Tills Project complIes WIth the followmg:
v' The Project IS a smgle fannly reSIdence or duplex
v' The Project IS wood frame OR all of the msulatlOn IS mtenor or extenor of the fi'aming
v' All bmldrng components meet the requIrements lIsted ill Table 6-1, OptIOn III.
v' The Project WIll meet all other proVIsIons of the WSEC and VIAQ~-'
The ProJ ect WIll take advantage of the followmg exceptlOns to the prescnptIve optlOn .
o 602.6 ExceptlOn 1. One door, that IS 24ft. Or less, that does not meet the standards allowed
Location of the door takrng tins exceptlOn
o 602.6 Exceptlon 2. Doors WIth a U-Factor of OAO allowed WIthout calculatlOns, Optlon III only.
LocatlOn of the Door (s) takrng exception
Type of Heat Source: /I JI /fC-
/
!Jl'otJtll1e 5/zJVe
, I
!2A-OIIfNT I-htoro/\ I L.
EXHIBIT A
#
Plot Plan
813 Joshua St., Port Angeles, WA 98362 /
N
Joshua St.
Estimated Location of utilities
~/ w
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Proposed Residence
t-..
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11'
48'
8'-6" t bl g.
Service Panel
10'
8'
Deck
18'
Setback
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.
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(
84'
/ Property
line to
Line Locate
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Joshua St.
Plot Plan
813 Joshua st" Port Angeles, WA 98362 /
N
Estimated Location of utilities
EJ[]@
b
N
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8'
(
Proposed Residence
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48'
Deck
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Joshua St.
Estimated Location of utilities
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Plot Plan
813 Joshua St., Port Angeles, WA 98362 /
N
b
N
8'
=::
Proposed Residence
r-..
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48'
Deck
25'
84'
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18'
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
:m EAST 5TH STREET. PORT ANGELES. WA 98:\()2
App11cat1on Number
Application pin number
Property Address :
ASSESSOR PARCEL NUMBER:
Application type descr1ption
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
GNL DEVELOPMENT GP
1115 E FRONT ST
PORT ANGELES WA 98362
(360) 452-7861
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
2/07/07
07-00000121 Date
270303
813 JOSHUA ST
06-30-01-7-6-0140-0000-
ELECTRICAL ONLY
RS9 RESDNTL SINGLE FAMILY
o
Contractor
EXTRA MILE TECH & ELECT , LLC
418 N. RACE ST
PORT ANGELES WA 98362
(360) 457-0198
ELECTRICAL TEMPORARY
EXTRA MILE/ TEMP SVC
94656
EXTRA MILE
40 00
2/07(07
8/06/07
SERVICE
TECH & ELECT , LLC
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
1 00 40 0000 ECH EL-TEMP SRV - 0-60 SRV FDR
Extension
40 00
~
--
\N
Fee summary Charged Paid Cre'di ted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 40 00 40 00 .00 00
Plan Check Total 00 00 .00 00
Grand Total 40.00 40 00 .00 00
COMMENTS/ACTION NEEDED
~
(j\
{
~.
~(
ELECfRICAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTeD AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PlANS AT JOB SITE
I INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES NO
lJllt;l1
ROTlnH.IN I (:1 IV....K
~-- -.--
SERVICE
l<INAl I~.&>-~., .Ad'~)1
GENERAL COMMENTS:
PW-I 102.15 14'96J
APR-17-2007 01:16 PM
E.JANSSEN
368 452 2982
P.81
Job H';r~d by
~
~;eetrleal Contractor
ELECTRICAL WORK PERMIT APPLICATION
E\cjetriclIl tonlruelar llome
~/<". . M./..c...
Pur "i)' nlo.;J Pdd'RA
Cil
. Ie. 7 1+~1 -e-l tS
Tcl~ph(t!le nllmb~r
-s",l. 2-
Pt~he' owner's name
~...~.. * '"D oL \ "- <R.....IULE
~n 01 I1Uipectloll
-LS:.15 \)",~l...u 'S.I-....t
~tL+- ~...cA.~
f'h.ne number' 10 ,,~hcdol; Inspel~flon:
EI-tv~;c;::}lJlnb~r
0010' Expire,!;
InSll\lI:nion descriptiol\ J
o Commercial URe8identhd
~ew
IJ Altered/Addltl..
o Ownor
Slate ZIP
vi 4-
f\Jo(,.o.U
l oru~(..J-.o.u.
.u,,,'Z.
$r..r
;2.{.~?
5/ j
8L"J
OM'~'''''' ff,~ clt:finl'J hy RCW.JfJ,18,1(jf'(1) Oll'ff/"I" will O(.'I:"I'Y "It' slrrl('/rll'r: fm' /w"
.n'>'o;;v ~(Ie" IIIt..f I".'('''k(ll Pf!I"t'if is .ji'UIlJud. (1) OII'II('!I' f,~ required to Jrin: all tt!t'r:lI.iclll
oon'!''tIt:fOr if olmv., ,'oM property;" Jm' ,valr!. "em flr l(~rJ.\.('
An~r rl!lIdinEllhe llbo\'c statement. J hC'roby certifY Ihllt I pm .hl:' owner or the abllve
n..~ed f'TOpCt1y or a liceMCld electrical c:rmlr.oC:l(1f. ,I nm milking the dCClrlC:31 insml.
b.\i \~ OT llIhcrntion in eomplillncc wilh the elc:ctr,clIl 18w~. N.F..C., R.CW, Chapter
19, 8. WAC', Chapter 296-469. The City o( Pori ^"I>cle~ Mllll;clPill Code, and
Uti it)' Spi!dfiC:Ulio"s,
Silln.1ut'~ r owner, .10 jtrlnl eOn~B(IOr fir f!lectrh:al IIdlRlnlUt'atnr
~ "---J . Dole: -/1 -01
~c1rlc.1 Loed Addlllal1R.IIIUll!U_~RlliI~
Cl NO LOAD CHANGES
I.J e...board KW
o Fumaca KW (J Overhead Serviee
o ~ea1 Pump Ton LAA U Temp Service
lJ : an-Wall kW ~ Underground Servlee
S4ME DAY INSPECTION, CALL Br:;FORF: 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT
~ D'" A"p'''.''''
o Cash
o Check II
o Cred;tCard
Visa
Mastercard
Discover
Card #
--.--------- ---------
Expiration Date
of card
I !5 7. 00
-'nspecti,," lUll
$ 'Jr-:."
~rvlce Information
VOltago I"ZA> I ~ot...
Phase" 1 [J 3'
S.rvlce Slz.: ,;. OD 4
Feeder Slze~ --"'7~
SERVICE
~~~ -.Q1 ~~
Utile ApflIUVC"l py
DITCH
7'-,?:[-b7 if:l?
FEEDER
n..... ^ppro,,~ll Oy
lnspcClioll
D;,tc
"t-14-1l1
e(J~(M~c-:r;;iOfJ . ~
.$ Z'Z2bO
Eloclrical
Inapcclor,
,
Area, Building or Equipment Inspected
Action Taken
.:
~!Jm.
.-JV
rfl ~~
('
~"""
I
-~
~6'" .i
Z007
APR 1 8 2007
UGbl'ii'
..
04/03/0i TIm 10:25 FAX 360 683 39i1
AIR FLO HEATING
I4i OO_L.._
...
(I"". -
, .
~"iiO;;~l'''
ELECTRlCAL WORK PERMIT APPLICATION . '\
~iCetl$e number Date Cltpil"es:
, t;Put-(l..f)fY1{!f;
Jnstsll.!!fion d~r::riprioll
CJ Commercial W ResJd~llti.9.1
..
Job wired by
Cl ElectTical Contractor [J Owncr
~
o Altered! Addition
wll1~I?1r
F X Itlhet
l}tJ,Vrl11()<;..,-ja.f 'Lkl~
?vP'Q
?
OWl'll.!r as defln~r:/ by RCW:J9.2S.16J:(I) D'l1iller .....iII occupy the ~truCtun: jo,. f1.t'Q
YIMf"J" after this t!'~ict1.l p~lit L~ finalized. (2) Owlle,. is reqwl!J to hire o.n ch:ctr;cal
COttlrac{or if abr,vc: said prvperty is jor .~aIe, rel1r ()r lco:;€..
AfiCT reading the :9.00V1: statement, I nereby certify thst 1 ;Im the Owner of the ~bove
nllmed property or <l Jicen~cd electrical conll'::!(:tGT. J am m~lctns thll electrical tnst:d-
lation or ;).1L~ration ill compliance wllh the electrical laws. N.E.C., RCW. C1litpter
19.28. W Chapter 296-46B, The Cil)' of Pori ^ngclc!l Mllnicipsl Code, and
Ulility cificariorlS.
Sil:' ow rl~c( cal
o Cash 0 Check #
Credit Card V1Sa Mastercard Discover
c~#DW~_~__~___~
ExpirationDate
of card
Electrical Lo Add
~ NO LOAD CHANGES
o Baseboard _ KW
'0 Furnace ill KW
~ Heat Pump e2. iun _ LAR
o Fan~WaJl 'rf'/II
Service Information
CJ Overhead Service
CJ Temp Servlc~
o Underground ServlcriI
VOltage
Phae:e CI , Q :3
SeMce Slze:_
Feeder Size: __
SAME DAY INSPECTION CALL BEFORE 7"00 AM 360-41 i-4i3S
.
;- ROUGH-IN ~ TF.lERMOSTAT I" SERVICE
~~?:.b- 07 .d..-fl I
[lll.le ^ppf'\l~c" [j,)'____, D.\~ "'PPI'll1'eclBy-
-
I" I FINAL DITCH ) }'EEDTcR
~~/
Dlll~ A.~proVed S)' Dill: Appm"';d 9,.-/
Inspection Areo., RuHding or EQLlipment Inspected Action TakeD Ele::mcal
D.a1e Inspector
..
-
- ..L_
FEB-05-2007 10:16 AM
E.JANSSEN
'V'^--
to
e
Job "'Ired by
leelrleol Conlroelor 0 Owner
Eleelrieul conlrlclor n'n'e License number Dale Expires
./rillJ- M,!.t €1.t{h'l.IC M....
I'Uf'C 1e1"~ lnailin~ addrc:!I11
(e tJ. RI1~ F- "flzm
<(ill(A .IOle W'll
-.1::."......t ~wQ~\~." WI\'- qtS'G:.'Z..
Tclc~llOl1C: nllmber I FAX nurnbcr
....1..-- ~ D
Ad ren or lIupecHon
.1'3 005 ~
~<>J ~~~-
rh01lc number- 141 u!hedult. i\.peetlon:
OW I~" tJ.~ dejllH:rl',y RCW.IY.28.161,'(J) OWI/{". will flCCUp.l' tl/t' ~"'j1C(llrl'for 111'0
.1"('01 rifif.J' fllI.f elec'rkul{}Ct'mlr LI; fI"QIi~crl. (1) ~HIC'. j.t n~qliirl!(1 to J,i,.,! tJ" 1//(/(',..1<.'(11
coo~raclol' if ubuvt: sold ,wopBrfY l.J for .ftfk '.l~n' Of' Ica~.f!.
Af\ r l'1:uding the above Slalernel1t, 1l1crcby cenify that I {1m the owner of ,)<Ie above:
Mil cd property or u licCTlsed ekelncul conlrnclor. I 01.111 mnking 11lr: ~lcclrical inSI...l.
lali n ('Ir allerltion in complienc:e with \he elec1rieallaw5, N.E.C.. RCW, Ch:lptcr
19. 8. WAC. Chl\l)tcr 296.46D, The Cily or Pc,rl ^ngcl("~ Mu,licip3\ Codl:. and
Uli ity Spccinc~tioll'.
SlCnatun n owner, .ell!ctrh:
x
~-
IJ 0 I.OAD CHANGES
IJ a.aboard ._ KW
o Furnace _ KW
Cl ea1 Pump _ Ton __ LAR
IJhn-Wan _KW
S~ME DAY INSPECTION,
d 0 lillb!,,"clionl!
Date: ;;."' ~ -07
360 452 2982
P.01
ELECTRICAL WORK PERMIT APPLICATION
InSlllllGtion dellcription
CJ Commercial
o New
.::r< "" \'
o Cash
o Credit Card
Card #
Expir1ltion Date
ofcard
o Overhead SeNlco
o Temp ServIce
o Underground SCl"Vlce
ROUGH-IN
CALL BEFORE 7'00 AM 360-417-4735
~ D~l' Alll'''~n..t Ii)"
.!/~ 1n;INALdfd /
In!lIJ~CliOll
DAle
CRMOS:::,..,." '
CCH ^"'''~I''''
ATta, Building Of" Equipment In~pec'ed
2-6 -0 1
6-JN,,\ t5:::::r(()0_.~
dl '2. '2. '2. - a0
4r-</1 -' / __J~
o AlI.rodl Addition
.
.,-. -
':) -<A.Ai""\ L 0
o Check II
Visa
Mastercard
Discover
---------~---
Voltage
PhasaO,03
Sarviea Slza: _
Feeder Size: _~.~
/
"
SERVICE
>--~~~.~
AI'pN~ed 8y
FEEDF.R
'--_ D.~~
"I'pro"o:lI By
^ctton Taken
Electrical
!nspec.lor
APT.).
/:',- .-11-
~
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360- 417 -4735
Application Number , , , . ,
15- 00001326
Date 10/20/25
Application pin number
548424
Property Address
813 JOSHUA ST
ASSESSOR PARCEL NUMBER;
06- 30-01 -7 -6- 0140 -0000-
Appl.ication type description
ELECTRICAL ONLY
Subdivision Name
Property Use , . , , , , . .
Property Zoning . , , , , , ,
RS9 RESDNTL SINGLE FAMILY
Application valuation , , , ,
0
Application desc
Protect your home
Owner
Contractor
GNL DEVELOPMENT GP
PRQTECT YOUR HOME
1115 E FRONT ST
3750 PRIORITY WAY
SOUTH DRIVE
PORT ANGELES WA 98362
##200
(360) 452 -7$61
INDINAPO.LIS
IN 46240
(317) 810--472.0
-__- -------------------------------°_---------------------------------------
Permit ELECTRICAL
ALTER RESIDENTIAL
Additional desc , .
Permit Fee , . . . 64.00
Plan Check Fee
DO
Iasue Date . . , . 10/20/1.5
Valuation , .
, , 0
Expiration Date 4/I7/I6
Qty Unit Charge Per
Extension
1, 00 64,0000 ECH EL-
SINGLE CTR LIMITED RES
64,00
Fee summary Charged
Paid Credited
Due
Permit Fee Total 04.00
64,00 .00
.00
Flan Check Total 00
.00 .00
.00
Grand Total 64.00
64,00 ,00
00
REPORT SALES TAX
on your excise tax form
to the City of Port Angeles
(Location Code 0502)
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X
G:IEXCHANGEWILDING
Date:
CITY OF PORT ANGLE S PERMIT APPLICATION
13W cling Division/Elvetrical Inspee.flons
321 East Fifth Street — P.O, Box 1150 / Port Angeles Washington, 98362
Ph. (360) 417-4735 Fum (360) 417-4711
Date: 10119Y2015
-- & 2 Single Family Dwelling
n 'R ion She a
Plan Roview May Be Required, Please Complete Elcctri��al Pion Review I fort at I
A Addf%s: —L13 105hua
E&J911 Sqt1afe Foaj,)go: 2350
2, 0 0
flj"'( id ' C
K1.
Owner Infomation
Contractor Information
Name: Nan,, Powers
Matt Adftss: -L13-10-Lhua �6t--
Nne: Protect Your Home
MAI jWd10S5; 3750 Priority Way South Dr
_ROrt angeles
,__ ftto: WA _2.835�_
45240
P' *AD; 3604524729 FaKj
License # I Exp.
_-r-ax, _317-564-2547
Ltmo P I Exp. PRoTEYH 934Rs exp _12/1o/2013
Is
gamhm
2ty Total (Qtv Multiplied
SarvicUffeeduir 200 Anv.
$120,00
ServicefFeedar 201490 AMP,
$ 945,E
Urviceffudor 401,600 Amp
$205,00
&eN1crff,ud6r 601-IOW Amp,
$262.00
Servicell"Wer aym 00 AriV,
$373,00
Dfanch Cirwft W/ Swvkme Feedtv
$ 5.00
Dentich ckruit W0 Service Feeder
$ GUO
Each AdditionM 8(awb Gird
$ 5,M
Branch C�Cults 14
75.00
Temp, Servical Feadef 200 Amp,
S 03,00
Temp, fvic iFearier 201.400 Amp,
S 910,00
Temp. Saivlceffieedw 401.600 Amp.
$149-00
TWP, SvrlicOeedef 601-101 1 Amp.
$1040
poflid 10 Pala *"Y
$ 96,00
Signal CAW W UmOd Energy., I A 2 Fan fly Dwdinq
$ 64.00
1 S 6100
thanufaclurN Rome Connecilua
$120,00
Renewoble NcWcaf energy. %VA System of Lem
$102,00
Tbormosial
$
We: $UR fV each addfioria$ T-Sial
�F-W CONSTRUCTlg"NLY;
Fiat 1U0 Square ft
$120.00
Uch Ad0onsl 500 Scare R, ot Parma of
S 40.O
Each Outbui6ng or Ntachod Gliraga
3 74.00
Each SWmming Pool (Y Hof Tub
3110.00
Total
Owneras defined byRCW,19.28261: (1) Owner ON O=py the strOure for Nvo years after this electrical permit Is finalized. Omer is required
to Wean et trtcal trncdtsr it above saW property is for sale, rant orNase, Permitexpires after six months of last inspection.
Alter reading tht aboves[aternent, I hereby certify that I am the owner of the above named property or a licensed eeieclilr*l contWor, I am making
tk* electrical inStAtilion or aitaration In compliance
with the electrical lows, KU., RCW, Chaplet 19.26, WAC< Chapter 296-468, The City of Port
Angeles Municipal Code, and UtR[ty Speciricallons and PAN40 14.05,050 regarding Electrical Pj rmil Applicallorrs,
Signature of owner, electrical contractor or electrical administrator,
0 CaSh 0 Ch "k
--E/292/0 15