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Home My WebLink About503 Lopez Ave - Building(9/22/2010) Linda Pangrle Old building plans for the Olympic Vista Development_ Page 11 From:) To Date Subject Hi Sarah Linda Pangrle smartinez @hacc- housing org 9/22/2010 8.53 AM Old building plans for the Olympic Vista Development We have some old building plans for 503 Lopez Ave and 507 Lopez Ave They are from the 2006 Olympic Vista Development for the Housing Authority Do you want to come pick them up or shall I dispose of them? Please let me know Thanks Linda Pangrle Permit Technician City of Port Angeles 321 E 5th St Port Angeles WA 98362 360 417 -4815 360 417 -4711 FAX Ipangrle @cityofpa us o P 1`n5 0°1se bk) co e 0\\?.70\ <Tl 0 0 PREPARED 4/22/08 8 51 36 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/22/08 ADDRESS 503 LOPEZ AVE SUBDIV TENANT NBR HOUSING AUTHORITY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 10 5 0 1609 0000 APPL NUMBER 06 00001240 RES NEW SFR PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/02/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 3/02/07 AP 03/01/2007 03 40 PM PBARTHOL Bruce 808 3349 morning or noon pour 03/02/2007 04 55 PM PBARTHOL BL2 01 3/07/07 JLL BLDG FOUNDATION STEM WALL TIME 13 00 3/07/07 AP 03/07/2007 08 19 AM PERMITS BRUCE 808 3349 03/07/2007 03 29 PM JLIERLY DSD 01 4/12/07 JLL BLDG DOWN SPOUT DRAINS 4/12/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 08 59 45 04/11/2007 08 59 AM PERMITS GREG 477 1243 04/12/2007 04 34 PM JLIERLY BL9 01 11/28/07 JLL BLDG SHEARWALL 11/28/07 AP November 28 2007 8 43 16 AM 1pangrle JOHN 460 6902 SHEARWALL BAIR 01 1/11/08 PB BLDG AIR SEAL 1/11/08 AP January 11 2008 8 25 39 AM 1pangrle BRUCE 912 0079 AIRSEAL January 11 2008 4 24 34 PM pbarthol BL3 01 1/11/08 PB BLDG FRAMING 1/11/08 AP January 11 2008 8 24 54 AM 1pangrle BRUCE 912 0079 FRAMING January 11 2008 4 24 34 PM pbarthol BLWS 01 1/16/08 JLL BLDG INSULATION WALL /FLOOR 1/16/08 AP January 16 2008 9 38 16 AM 1pangrle BRUCE 912 0079 INSULATION WALLS FLOORS January 16 2008 4 39 54 PM jlierly BL99 01 422/0. JLL BLDG FINAL April 21 2008 9 17 16 AM 1pangrle BRUCE MCCOPPEN 912 0079 OR ROGER FETON 477 1243 BLDG FINAL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 4/2 /08 JLL PERMIT PL 0 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS MECHANICAL FINAL April 21 2008 9 18 22 AM 1pangrle BRUCE MCCOPPEN 912 0079 OR ROGER FETON 477 1243 MECHANICAL FINAL PREPARED 4/22/08 8 51 36 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/22/08 ADDRESS 503 LOPEZ AVE SUBDIV TENANT NBR HOUSING AUTHORITY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 10 5 0 1609 0000 APPL NUMBER 06- 00001240 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 11/28/07 JLL PLUMBING ROUGH IN 11/28/07 AP November 27 2007 4 20 38 PM 1pangrle JOHN 460 6902 ROUGH IN PLUMBING PL99 01 4/22108 JLL PLUMBING FINAL April 21 2008 9 18 44 AM 1pangrle BRUCE MCCOPPEN 912 0079 OR ROGER FETON 477 1243 PLUMBING FINAL INSPECTION TICKET PAGE 2 COMMENTS AND NOTES PREPARED 1/16/08 9 50 01 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/16/08 ADDRESS 503 LOPEZ AVE SUBDIV TENANT NBR HOUSING AUTHORITY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 10 5 0 1609 0000 APPL NUMBER 06 00001240 RES NEW SFR PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/02/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 3/02/07 AP 03/01/2007 03 40 PM PBARTHOL Bruce 808 3349 morning or noon pour 03/02/2007 04 55 PM PBARTHOL BL2 01 3/07/07 JLL BLDG FOUNDATION STEM WALL TIME 13 00 3/07/07 AP 03/07/2007 08 19 AM PERMITS BRUCE 808 3349 03/07/2007 03 29 PM JLIERLY DSD 01 4/12/07 JLL BLDG DOWN SPOUT DRAINS 4/12/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 08 59 45 04/11/2007 08 59 AM PERMITS GREG 477 1243 04/12/2007 04 34 PM JLIERLY BL9 01 11/28/07 JLL BLDG SHEARWALL 11/28/07 AP November 28 2007 8 43 16 AM 1pangrle JOHN 460 6902 SHEARWALL BAIR 01 1/11/08 PB BLDG AIR SEAL 1/11/08 AP January 11 2008 8 25 39 AM 1pangrle BRUCE 912 0079 AIRSEAL January 11 2008 4 24 34 PM pbarthol BL3 01 1 /11 /08 PB BLDG FRAMING 1/11/08 AP January 11 2008 8 24 54 AM 1pangrle BRUCE 912 0079 FRAMING January 11 2008 4 24 34 PM pbarthol BLWS 01 1/16/08 BLDG INSULATION WALL /FLOOR AL January 16 2008 9 38 16 AM 1pangrle BRUCE 912 0079 INSULATION WALLS FLOORS COMMENTS AND NOTES PREPARED 1/11/08 8 55 50 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/11/08 ADDRESS 503 LOPEZ AVE SUBDIV TENANT NBR HOUSING AUTHORITY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 10 5 0 1609 0000 APPL NUMBER 06 00001240 RES NEW SFR PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/02/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 3/02/07 AP 03/01/2007 03 40 PM PBARTHOL Bruce 808 3349 morning or noon pour 03/02/2007 04 55 PM PBARTHOL BL2 01 3/07/07 JLL BLDG FOUNDATION STEM WALL TIME 13 00 3/07/07 AP 03/07/2007 08 19 AM PERMITS BRUCE 808 3349 03/07/2007 03 29 PM JLIERLY DSD 01 4/12/07 JLL BLDG DOWN SPOUT DRAINS 4/12/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 08 59 45 04/11/2007 08 59 AM PERMITS GREG 477 1243 04/12/2007 04 34 PM JLIERLY BL9 01 11/28/07 JLL BLDG SHEARWALL 11/28/07 AP November 28 2007 8 43 16 AM 1pangrle JOHN 460 6902 SHEARWALL BAIR 01 1/11/08 JLL n BLDG AIR SEAL January 11 2008 8 25 39 AM 1pangrle BRUCE 912 0079 AIRSEAL BL3 01 1/11/08 JLL BLDG FRAMING January 11 2008 8 24 54 AM 1pangrle BRUCE 912 0079 FRAMING COMMENTS AND NOTES PREPARED 11/28/07 10 27 55 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/28/07 ADDRESS 503 LOPEZ AVE SUBDIV TENANT NBR HOUSING AUTHORITY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 10 5 0 1609 0000 APPL NUMBER 06 00001240 RES NEW SFR PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/02/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 3/02/07 AP 03/01/2007 03 40 PM PBARTHOL Bruce 808 3349 morning or noon pour 03/02/2007 04 55 PM PBARTHOL BL2 01 3/07/07 JLL BLDG FOUNDATION STEM WALL TIME 13 00 3/07/07 AP 03/07/2007 08 19 AM PERMITS BRUCE 808 3349 03/07/2007 03 29 PM JLIERLY DSD 01 4/12/07 JLL BLDG DOWN SPOUT DRAINS 4/12/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 08 59 45 04/11/2007 08 59 AM PERMITS GREG 477 1243 04/12/2007 04 34 PM JLIERLY BL9 01 11/28/07 BLDG SHEARWALL November 28 2007 8 43 16 AM 1pangrle JOHN 460 6902 SHEARWALL PERMIT TYP /SQ PL2 01 11/28/07 PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT` RESULTS /COMMENTS PLUMBING ROUGH IN November 27 2007 4 20 38 PM 1pangrle JOHN 460 6902 ROUGH IN PLUMBING COMMENTS AND NOTES CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000649 Application pin number 573647 Property Address 503 LOPEZ AVE ASSESSOR PARCEL NUMBER 06 30 10 5 0 1609 0000 Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner UNDERWOOD JON 221 N JONES ST PORT ANGELES WA PORT ANGELES WA 98362 Contractor Date 6/05/07 EXCEL UTILITIES CONSTRUCTION 54 MISTY LN PORT ANGELES WA 98362 (360) 452 1110 Permit RIGHT OF WAY Additional desc BURIED PHONE 503 507 511 LOPEZ Permit pin number 103804 Permit Fee 00 Plan Check Fee 00 Issue Date 6/05/07 Valuation 0 Expiration Date 12/02/07 Fee summary T•\Policies\ 1102.15R 1/05] Charged Paid Credited Due Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Grand Total 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 0 70 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T•\Policies\ 1102.15R 1/05] RESIDENTIAL CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 4174750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION RW PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING 1 1 1 1 1 1 I I Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS STREET PORT ANGELES WA PORT ANGELES Other struct info Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date WA 98362 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00001240 617760 503 LOPEZ AVE 06 30 10 5 0 1609 0000 HOUSING AUTHORITY RES NEW SFR RS7 RESDNTL SINGLE FAMILY 109542 Contractor OWNER TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS ELECTRICAL NEW RESIDENTIAL OLY WIRING/ 200A SVC +FEEDER 97493 OLYMPIC WIRING INC 97 00 Plan Check Fee 4/18/07 Valuation 10/15/07 Qty Unit Charge Per 1 00 75 0000 ECH EL -RM 0 200 1ST SRV FEEDER 1 00 22 0000 ECH EL RM 0 200 ADD SRV FEEDER 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 11/20/2006 03 54 PM SROBERDS New SFR in the RS 7 Lot coverage 17% No land use issues noted MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense When roof gutters are installed drains will located in dry wells or piped to approved storm drain location No pressurized or pumping to curbs are allowed An inspection by Building Department is required prior to backfill 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 Date 4/18/07 20 90 1 00 7001 00 1469 00 1469 00 1 00 00 0 Extension 75 00 22 00 DITCH ROUGH —IN COVER SERV ICE CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD 1 1 1 1 1 1 1 1 1 1 1 .1 1 1 N 1 1 1 aw -uoz.I s talk Application Number 06 00001240 Application pin number 617760 Other Fees Fee summary COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Date 4/18/07 SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Charged Paid Credited Due Permit Fee Total 97 00 97 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2074 50 2074 50 00 00 Grand Total 2171 50 2171 50 00 00 DITCH INSPECTION TYPE ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE ACCEPTED YES 1 NO /3/ 0? 1 44 1 17r /of I't A. 1 1 1 1 1 1 1 1 1 1 COMMENTS pw•1102.15I4096] PREPARED 4/12/07 11 25 25 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/12/07 ADDRESS 503 LOPEZ AVE SUBDIV TENANT NBR HOUSING AUTHORITY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 10 5 0 1609 0000 APPL NUMBER 06 00001240 RES NEW SFR PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/02/07 JLL BUILDING FOUNDATION FOOTING TIME 09 00 3/02/07 AP 03/01/2007 03 40 PM PBARTHOL Bruce 808 3349 morning or noon pour 03/02/2007 04 55 PM PBARTHOL BUILDING FOUNDATION WALL TIME 13 00 03/07/2007 08 19 AM PERMITS BRUCE 808 3349 03/07/2007 03 29 PM JLIERLY DSD 01 4/12/07 J L BUILDING DOWN SPOUT DRAINS BL2 01 3/07/07 JLL 3/07/07 AP j,. 9 OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 08 59 45 04/11/2007 08 59 AM PERMITS GREG 477 1243 COMMENTS AND NOTES PREPARED 3/07/07 9 04 31 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/07/07 ADDRESS 503 LOPEZ AVE SUBDIV TENANT NBR HOUSING AUTHORITY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 10 5 0 1609 0000 APPL NUMBER 06 00001240 RES NEW SFR PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/02/07 JLL BUILDING FOUNDATION FOOTING TIME 09 00 3/02/07 AP 03/01/2007 03 40 PM PBARTHOL Bruce 808 3349 morning or noon pour 03/02/2007 04 55 PM PBARTHOL BL2 01 3/07/07 J BUILDING FOUNDATION WALL TIME 13 00 03/07/2007 08 19 AM PERMITS R a BRUCE 808 3349 BL1 01 2/26/07 JLL 2/26/07 DA PERMIT BPR 02 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BUILDING FOUNDATION FOOTING 02/26/2007 09 16 AM PBARTHOL 02/26/2007 03 18 PM JLIERLY verify set backs w/ planning dept jll BLM 01 3/07/07 JLL BUILDING FOUNDATION MONO SLAB TIME 13 00 03/07/2007 08 22 AM PERMITS BRUCE 808 3349 COMMENTS AND NOTES PREPARED 3/02/07 9 43 42 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/02/07 ADDRESS 503 LOPEZ AVE SUBDIV TENANT NBR HOUSING AUTHORITY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 10 5 0 1609 0000 APPL NUMBER 06 00001240 RES NEW SFR PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/7/07 %Z BUILDING FOUNDATION FOOTING TIME 09 00 03/01/2007 03 40 PM PBARTHOL Bruce 808 3349 morning or noon pour COMMENTS AND NOTES PREPARED 2/26/07 10 30 29 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/26/07 ADDRESS 503 LOPEZ AVE SUBDIV TENANT NBR HOUSING AUTHORITY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 10 5 0 1609 0000 APPL NUMBER 06 00001240 RES NEW SFR PERMIT BPR 02 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/26/07 BUILDING FOUNDATION FOOTING 02/26/2007 09 16 AM PBARTHOL COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS STREET PORT ANGELES WA PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 11 00 WA 98362 BUILDING PERMIT 1242 SF SFR 227 94433 1006 25 2/14/07 8/13/07 Qty Unit Charge Per Extension BASE FEE 670 25 48 00 7 0000 THOU BL 50 001 100K (7 00 PER K) 336 00 BUILDING PERMIT RESIDENTIAL 576 SF DET GARAGE 94441 Unit Charge Per BASE FEE 14 0000 THOU BL 2001 25K (14 PER K) 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 11/20/2006 03 54 PM SROBERDS New SFR in the RS 7 Lot coverage 17% No land use issues noted MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense When roof gutters are installed drains will located in dry Separate Permits are required forelectrical 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 fora 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 authority to viola)_gr cancel the provisions of any state or local law regulating construction or the performance of constru1 t n. Signature oJ/ ontractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T• \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00001240 617760 503 LOPEZ AVE 06 30 10 5 0 1609 0000 HOUSING AUTHORITY RES NEW SFR RS7 RESDNTL SINGLE FAMILY 109542 Contractor OWNER TOTAL o LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS RESIDENTIAL SF PORCH Date 2/14/07 20 90 1 00 7001 00 1469 00 1469 00 1 00 Plan Check Fee 402 50 Valuation 97227 249 75 Plan Check Fee 99 90 2/14/07 Valuation 12314 8/13/07 Extension 95 75 154 00 BUILDING PERMIT INSPECTION RECORD CALL 4I7 -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 PE RMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY T \Policies \1102 15 building permit inspection record05.wpd [1 /4/2005] YES 1 NO I FINAL DATE ACCEPTED BY. 1 FINAL DATE ACCEPTED BY. MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING 1 1 PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 1 PW ENGINEERING FIRE 417 -4653 I 1 1 1 FIRE DEPT PLANNING DEPT 417 -4750 I 1 1 1 PLANNING DEPT BUILDING 417 -4815 I 1 1 I BUILDING Application Number 06 00001240 Application pin number 617760 Special Notes and Comments wells or piped to approved storm drain location No pressurized or pumping to curbs are allowed An inspection by Building Department is required prior to backfill 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 Fee summary T \Policies \1102_15 building permit inspection record05.wpd 1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Charged Paid Credited Due Permit Fee Total 1256 00 1256 00 00 00 Plan Check Total 502 40 502 40 00 00 Other Fee Total 2074 50 2074 50 00 00 Grand Total 3832 90 3832 90 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 goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to gjve authority to viol r cancel the provisions of any state or local law regulating construction or the performance of construct Page 2 Date 2/14/07 Signature of Conti or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING I JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL /.FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 1 T \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD 4 a- 3 /74d'7 H FINAL FINAL DATE ACCEPTED BY. SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE I ACCEPTED YES I NO PREPARED 2/01/07, 16 51 12 CITY OF PORT ANGELES APPLICATION NUMBER 06- 00001240 503 LOPEZ AVE FEE DESCRIPTION AMOUNT DUE PLAN CHECK FEES PLAN CHECK FEES BUILDING PERMIT RESIDENTIAL BUILDING PERMIT RESIDENTIAL TOTAL DUE Please present this receipt I L( J 0 5° f a 4� 50 99 90 1006 25 249 -to to X 0 0 c Q q9 O 8 40 the PAYMENTS DUE RECEIPT PROGRAM BP820L FPORT Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS STREET PORT ANGELES WA PORT ANGELES Other struct info T•\Policies \1102.15R (1/05] WA 98362 Qty Unit Charge Per 1 00 715 0000 EA CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00001240, 617760 503 LOPEZ AVE 06 30 10 5 0 1609 0000 HOUSING AUTHORITY RES NEW SFR RS7 RESDNTL SINGLE FAMILY 97228 Contractor OWNER TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit PUBLIC WORKS RES WATER SERV Additional desc Permit pin number 91462 Permit Fee 715 00 Plan Check Fee Issue Date 1/25/07 Valuation Expiration Date 7/24/07 PW W/M 1 SERV 5/8 METER Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 91454 Permit Fee 110 00 Plan Check Fee Issue Date 1/25/07 Valuation Expiration Date 7/24/07 Qty Unit Charge Per 1 00 110 0000 EA SAN SEWER HOOKUP Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background 11/20/2006 03 54 PM SROBERDS New SFR in the RS 7 Lot coverage 17% No land use issues noted MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense When roof gutters are installed drains will located in dry wells or piped to approved storm drain location No pressurized or pumping to curbs are allowed An inspection Date 1/25/07 20 90 1 00 7001 00 1469 00 1469 00 1 00 00 97228 Extension 715 00 00 97228 Extension 110 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 construct' I/ jam Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 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. PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE INSPECTION TYPE DATE ACCEPTED YES I NO RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 TAPolicies \1102.15R [1/05] PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING COMMENTS VOR? Application Number Application pin number CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00001240 617760 Special Notes and Comme4its by Building Department is required prior to backfill 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 Fee summary T•\Policies \1102.15R [1 /05] SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Charged Paid Credited Due Page 2 Date 1/25/07 Permit Fee Total 825 00 825 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2074 50 2074 50 00 00 Grand Total 2899 50 2899 50 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T•\Policies \1102.15R 1/05] RESIDENTIAL PERMIT INSPECTION RECORD YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I I CONSTRUCTION RW PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS STREET PORT ANGELES WA PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 40 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98362 06 00001240 617760 503 LOPEZ AVE 06 30 10 5 0 1609 0000 HOUSING AUTHORITY RES NEW SFR RS7 RESDNTL SINGLE FAMILY 97228 Contractor OWNER TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL 90720 950 25 Plan Check Fee 1/25/07 Valuation 7/24/07 Unit Charge Per BASE FEE 7 0000 THOU BL 50 001 100K (7 00 PER K) MECHANICAL PERMIT 90837 89 65 Plan Check Fee 1/25/07 Valuation 7/24/07 Qty Unit Charge Per BASE FEE 4 00 7 2500 ECH ME VENT FAN 1 00 10 6500 ECH ME VENT SYSTEM OTHER PLUMBING PERMIT 90845 149 00 1/25/07 7/24/07 Valuation Qty Unit Charge Per BASE FEE 10 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE A5 =67 T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] Date 1/25/07 20 90 1 00 7001 00 1469 00 1469 00 1 00 380 10 89684 Extension 670 25 280 00 00 0 Extension 50 00 29 00 10 65 Plan Check Fee 00 0 Extension 50 00 70 00 7 00 Separate Permits are required forelectrical 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 fora 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 trolate or cancel the provisions of any state or local law regulating construction or the performance of construct Signature of C. tractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION iDRAINAGE DOWN SPOUTS PIERS b POST HOLES (POLE BLDGS.) PLUMBING S, UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW W,ATER/ I AIR SEAL is Ai WALLS a t CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP /FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY I MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 I T\Policies \1102 15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD 1 I I I I I I I I I I I 1 I I I I I I I I I I I I 1 I I i I I I I I I I FINAL FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE 417 -4735 ELECTRICAL LIGHT DEPT 1 1 1 I I I I I I CONSTRUCTION RW PW ENGINEERING FIRE DEPT. PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE ACLEP I ED BY. ACCEPTED YES I NO I I 1 I 1 I I I I I I I I I Application Number Application pin number Qty Unit Charge Per 1 00 15 0000 ECH PL- EA BLDG SEWER 1 00 7 0000 ECH PL- EA WATER HEATER 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 11/20/2006 03 54 PM SROBERDS New SFR in the RS 7 Lot coverage 17% No land use issues noted MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense When roof gutters are installed drains will located in dry wells or piped to approved storm drain location No pressurized or pumping to curbs are allowed An inspection by Building Department is required prior to backfill 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 Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid Credited 1188 90 1188 90 380 10 380 10 2074 50 2074 50 3643 50 3643 50 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 06 00001240 Date 1/25/07 617760 SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 00 00 00 00 Due Extension 15 00 7 00 870 00 4 50 1200 00 00 00 00 00 Date Signature of Owner o f owner is builder) Date I PIERS I POST HOLES (POLE BLDGS.1 PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I 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 /CEILDJG MECHANICAL ROUGH -IN HEAT PUMP /FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 T\Policies11102 15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION Q KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: I S /P-. FOOTINGS 7 I v 1_) O SHEAR WALLS WALLS I 67 I,_J1.4. 11- Z2j -o7 5V-wotkt III- FOUNDATION DRAINAGE DOWN SPOLITS 11.4: r f I I I I I- -Ih OS I 21L 1 SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE FINAL 0 ZZO& DATE S 1-1---- ACCEPTED RY. FINAL 69 -2 2-08 DATE 3L`' ACCEPTED BY. DATE YES NO COMMERCIAL DATE ACCEPTED ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT. PLANNING DEPT 417 -4750 I I I I PLANNING DEPT BUILDING 417 -4815 1 2,2'0$ I '1,1.-v I 1 BUILDING YES I NO I- Application Number Application pin number Property Address Owner KAY THOMAS P 0 BOX 111 PORT ANGELES WA PORT ANGELES (452) 2996 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 98362 Qty Unit Charge Per 1 00 46 0000 ECH EL TEMP SRV Fee summary Permit Fee Total Plan Check Total Grand Total Charged 46 00 00 46 00 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 07 00000040 Date 1/19/07 468960 *.TT LOPEZ AVE ASSESSOR PARCEL NUMBER 06 30 10 5 0 1607 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Contractor OWNER ELECTRICAL TE Si HABITAT 0^ P 93385 46 00 Plan Check Fee 1/19/07 Valuation 7/18/07 Paid 46 00 00 46 00 0 100 SRV FDR Credited IMP So 3 00 00 00 00 0 Extension 46 00 Due 00 00 00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO COMMENTS PW- 1102.15 (.961 T 'PE OF WORK. dr Residential (New Constr Multi- family Addition Commercial Remodel a Repair Sign BRIEF DESCRIPTION OF THE FOR OFFICIAL fii Date Rec Permit Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved: COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 f Date Issued: 3624 Oh 3/ BUILDING PERMIT APPLICATION Applicant or Agent: il n U Si °iv, Lu 44lor, 47 7 (rF ekil13v9 I. do t Phone: Owner TO /d uW tb r W Onck. nn Phone: 1 7D— 'f 27 Address: 2 .1 /1), Jn,ve s S f City PD r` ,4tic,ze 5 WA Zip: 9 3 C 2 Architect/Enguteer u1444 1, Po/dwe 4Ei/ Phone: .,b- 4 f17 A777 Contractor OW wee_ &c Lcder( State License Exp: Address: City PROJECT ADDRESS: ft* Lo P/-2. 64 LEGAL DESCRIPTION Lot: D Block: NA Subdivision: 34..A 06 —ai A-/ j lI a 7 o CLALLAM COUNTY PARCEL NUMBER. b(o —3i 2 b`' (l4'/ SIZE/VALUATION Re -roof Stove 1e9Ji2 SF e, (y9' /SF Move(Garage i ZS_ SF 3£' /SF Demolition VDeck o. Zit SF j, 0 v /SF Other TOTAL VALUATION PROJECT Sru ?L; P'4/In i t 1- 1 -rsna :.U7141. Phone: Zip: ZONING qh/5 A uy. 027AH ov ice. dt e COMMERCIAL/RESIDENTIAL. Occupancy Group: k— 3 Occupant Load: Construction Type: L -N No. of Stories: i..p.t,$izP:_ 1 [DU I cO2 Existing Sq. Ft. O Total lot coverage y PLANNING USE ONLY ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other: T•1FORMS\BIdgPermitAppl. wpd Applicant: Q4f am iv5&w /7.5 77 /8 9/2- vo7y eel( Date: SE SNLY D Proposed Sq. Ft,? C'f TOTAL Sq. FL, AU IlfC APPROVALS: PLAN BLDG: DPWU FIRE. OTHER. VALUATION OF CONSTRUCTION• In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 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. lam authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. V/51A. /292 sf f r_p 3 z 7oo 04/ 4 /J ci (3 s 4z /%---1 ‘6e 5 21-\ P i/UGU/C 22 Y Y 4- -r" 135154t 2L y 1 34e C .24-2 11 Li 34 S22 _(34-31) I 74 0, 54 Le (m.5?) 7- '7 4 24-- ESO4+ dr P 2: 4t /4 '3 24 II (00 I geSseo 1- .7 3 3 W.) w t pc 06Th 26?) ZA/L 2 26 tf (7") to 00A 1/2- 7: 13'1 3C,o,f1 (04-1- k iA VaPri -r 33,15 7).1 i 1,(2 I IS. 1\ n172 'k 9 4 cf) O fpfiv Jp 0 py r re_' I ,4q pl. 0 Not traLLS ti--- 1 vi ST (r7/ 2..c- 1,),1,- 1°06 Tb 0 '81 SI 2 ,t)D 4 1 14:-10 1 f nq 1 Yvi) friksiOW-..6 4 ocZ szn 7/z 4_51- s,b" a 7� ss/ Z /sZo) 1) S'Lll »'LJ/ 1 5b /Qb� 0Q '2 C17) z ,7rD-4 Pte) 1 -1 2 009 r zt/ d7l -/Sb/ .L4 s -zl'2O) '1/8 07LL zb v i 'l 9 dcr(Accia)= ez, lb./ Lq1S Z SL a-il `c99 (s)514- D'� ;G ili/d2aL/75 (_;(94-)(Q).Q tAiLL0 Tz- 'ri)-Orria it] nia-c r f 1 t 11 7-17Q 0 IC :-)c) Ie f Ce M,c,901 C 2G 4 (.r .747G3) Qi/ s(P ffL 7,4 F .1 0 6V) 4 0f; s .i, cloi WI l c?' 1 qi V t''' I 1 ;-,7 4 a) i<7- I 1 Gzz ?fa-'M ago. V el r r C er r. 171q, 9'YY E4C..1) .5St... C '1" '7 i 71 7 6 71 ir 47 17 1Ze r.`1"f .4pi..b. Z76)1;--fr t7 1_1,-17 GO 4taricc all 4W\ E.g,_, \AO 01;2,13 02L-I 0, i 4: Z/ 1 I (g) i )7 t)? i ..--17 0-, ro .S? i o ai tfr-Th .1 en 4 C4 1 V-6 a 1 6 r Zi )1_ G GC C 7Thi.! 1'Yr' 74 }e';ii6eC7 e tc..) I r„ r. e I Poi-el„oem 161 4zP f 0 CI1P 4 3c.1 tociz/,./ I I z (4C c\ "3 J. I S 1 c 01 14° Co 1 4 12.. .ez 1 pit! 2 A 3C f(g 1 4 3 21 .1 7 z....„ 4.." 7 il fin 2 -r.T.V1 j 4- 031 (0 (2.(6, L 5\f/ e /Iv 120e- -5-443/ P ‘sb5 1 17 PolV L t bC-L--- 1 tA/131 joq -S 9 r -2a --Ka 4- vti L� 4- et' i 01 0 -149 6 4,, (0)1.3 1 -44 4i (21 z Description: Olympic Vista Development 1242sf 2 story Analysis by Zenovic Associates, July 2006 User Input Data Structure Type 1 Building Basic Wind Speed (V) 100 Struc Category (1,11,111, or IV) Exposure (B, C, or D) Struc Nat Frequency (n1) Slope of Roof (Theta) Type of Roof Kd (Directonality Factor) Eave Height (Eht) Ridge Height (RHt) Mean Roof Height (lit) Width Perp. To Wind Dir (B) Width Paral. To Wind Dir (L) Damping Ratio (beta) WINDO2 v1-02 Detailed Wind Load Design (Method 2) per ASCE 7 -02 11 C 1 3687 Gabled 0 85 19 50 26 00 22 75 16 00 36 00 001 mph Hz Deg ft ft ft ft ft Red values should be changed only through 'Main Menu Calculated Parameters Type of Structure Height/Least Horizontal Dim 1 1 42 Flexible Structure 1 No Gust Factor Category I: Rigid Structures Simplified Method 1 Gust1 (For rigid structures (Nat Freq 1 Hz) use 0.85 1 0.851 Gust Factor Category II: Rigid Structures Complete Analysis Zm (Zmin 15.001ft Izm ICc (33/z)^0.167 0.22811 Lzm 11 *(zm/33) ^Epsilon 427.061ft Q 1(11(1 +0.63 *((Min(B,L) +Ht) /Lzm) "0.63)) ^0.5 0.93701 Gust2 10.925 *((1 +1 7*Izm *3.4 *Q) /(1 +1 7 *3.4 *Izm)) 0.89191 Gust Factor Summary M G ISince this is not a flexible structure the lessor of Gust1 or Gust2 are used 0.851 1 Copyright 2002 MEGA Enterprises, Inc. Calculated Parameters Importance Factor 1 1 I Non Hurricane Hurricane (v=85-100 rnph) Alaska Table 6 -2 Values Alpha 1 9.5001 zg 1 900.0001 At 0.1051 Bt 1.0001 Am 0.1541 Bm 0.6501 Cc 0.2001 I 500.001ft Epsilon 0.2001 Zmin 15.001ft 7/24/2006 www.mecaconsulting.com Page No. 1 of 4 WINDO2 v1-02 Detailed Wind Load Design (Method 2) per ASCE 7 -02 6.5.12.2.1 Design Wind Pressure Buildinas of All Heights Copyright 2002 MEGA Enterprises, Inc. Elev Kz Kzt qz Pressure (Ib /ft ^2) Windward Wall* ft lb/f ^2 +GCpi 26 0.95 1.00 20.74 10.47 22.75 0.93 1.00 20.16 10.08 20 I 0.90 1.00 19.63 9.72 19.5 0.90 1.00 19.52 9.64 15 0.85 1.00 18.47 8.93 Condition Open Buildings Partially Enclosed Buildings Enclosed Buildings Enclosed Buildings -GCpi 17 73 1734 16.97 16.90 16.19 Fla 6 Internal Pressure Coefficients for Buildings. GCDI Gcpi Max Max 0.00 0.00 0.55 -0.55 0.18 -0.18 0.18 I -0.18 7/24/2006 www.mecaconsulting.com Page No. 2 of 4 B WINDO2 v1-02 Detailed Wind Load Design (Method 2) per ASCE 7 -02 Figure 6 -6 External Pressure Coefficients, Co Loads on Main Wind -Force Resisting Systems (Method 2) Roof Area (sq. ft.) Reduction Factor I Variable IFonnula M Value Units .Kh I2A1 *(Ht/zg) ^(2/Alpha) 0.93 Kht (Topographic factor (Fig 6-4) 1.00 Qh 1.00256 *(V)A2 *I *Kh *Kht*Kd 20.16 psf Khcc JComp Clad: Table 6-3 Case 1 0.93 Qhcc I.00256*V ^2 *I *Khcc *Kht *Kd 20.16 psf Wall Pressure Coefficients, Cp Surface Windward Wall (See Figure 6.5.12.2.1 for Pressures) 0.8 Roof Pressure Coefficients, Cp Calculations for Wind Normal to 16 ft Face Additional Runs may be req'd for other wind directions Leeward Walls (Wind Dir Normal to 16 ft wall) Leeward Walls (Wind Dir Normal to 36 ft wall) Side Walls Roof Wind Normal to Ridge (Theta =10) for Windward Mn Cp Windward Max Cp Leeward Normal to Ridge Overhang Top (Windward) Overhang Top (Leeward) Overhang Bottom (Applicable on Windward only) Roof Wind Parallel to Ridge (All Theta) for Dist from Windward Edge: 0 ft to 45.5 ft Max Cp Dist from Windward Edge: 0 ft to 11.375 ft Min Cp Dist from Windward Edge: 11.375 ft to 22.75 ft Min Dist from Windward Edge: 22.75 ft to 16 ft Min Co Horizontal distance from windward edge Copyright 2002 MEGA Enterprises, Inc. www.mecaconsulting.com L Cp 576 0.86 Cp Pressure (psf) +GCpI -GCpi -0.29 -8.56 -1.30 0.50 -12.20 -4.94 -0.70 -15.63 -8.37 Wind Normal to 16 ft face -0.16 -6.42 0.84 0.29 1.38 8.64 -0.60 -13.91 -6.65 -0.16 -2.79 -2.79 -0.60 -10.28 -10.28 0.80 13.27 13.27 Wind Normal to 36 ft face -0.18 -6.71 0.54 111 -22.71 -15.46 -0.70 -15.63 -8.37 0.70 -15.63 -8.37 7/24/2006 Page No. 3 of 4 -- ~,.ORT~ lO~"':,. ,.....~ ~ - ""co;? CITY OF PORT ANGELES PUBLIC WORKS - UTlLITrES DIVISION 321 EAST 5TH STREET, PORT ANdELES, WA 98362 Applicat_ion Number Applicat~ion pin number property AddresS ASSESSOR PARCEL NUMBER: Tenant nbr, name Applica':ion type description Subdivision Name property Use property zoning . Application valuation 06-00001240 Date 617760 503 LOPEZ AVE 06_30_10_5_0_1609-0000- HOUSING AUTHORITY RES NEW SFR 1/25/07 RS7 RESDNTL SINGLE FAMILY 97228 50?[ope6- fhfA5/ntj contractor owner ---------------------- -------------------- OWNER HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS STREET PORT ANGELES, WA. PORT Al'IGELES WA 98362 Other struct info TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 20.90 1. 00 7001.00 1469.00 1469.00 1. 00 LY- 1D04 1/1 ---------- - ---------------- PUBLIC WORKS RES WATER SERV ---------------- ------------- ---------- permi t: Additional desc . permi-: pin number Permit Fee Issue Date Expiration Date 91462 715.00 1/25/07 7/24/07 plan Check Fee valuation .00 97228 City Unit Charge Per 1.00 715.0000 EA PW W/M 1" SERV 5/8" METER ----------------- ---------------------- Exten~ion ____C"5.OO ::::> win! --------------------- Perm:. t Additional desc permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP Qty unit charge Per ~ ...;,;:;;;.;;;;;';;;':~,;. '...''''''.""''"' .. .... .... ...."':"' ~td JI'/~:)'~~ Address numbers shall be pla~nly v~s~ble from the street. fI 11' . Address numbers shall be a m~n~mum of s~x ~nches h~gh and be (I of contrasting color from the background. J 11/20/2006 03:54 PM SROBERDS --New SFR ~n the RS-7 - Lot f/ coverage 17%. No land use lSsues noted. .c:: 40lJO MAINTAIN CLEARANCES FROM SERVICE WIRES -.-J ----- Electrical load calculations and elctrical p~rmits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. when roof gutters are installed, drains will located in dry wells or piped to approved storm drain location. No pl:essurized or pumping to curbs are allowed. An inspection 91454 110.00 1/25/07 7/24/07 plan Check Fee valuation .00 97228 Separate P"rmits 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. Ail provisions of laws and ordinances governing this type of work wiil be complied with whether specified herein or not. The gran1ing of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating constructio"n or the performance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\policies\\ \02.lSR [1/05] r!,,~T~_ ~...~ 0,____ 1''\.i!iiI lI! -- ""'i<i'" CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Applicat.ion Number Application pin number 06-00001240 617760 Page 2 Date ,1/25/07 Special Notes and Comments by Building Department is required prior to backfill. 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 I'ees _ ~-~-~u---~-~--;~~;~-~~~;~~-~;~~-~~~~-C870.0(1~ ~- STATE SURCHARGE ~ PW WATER SYSTEM USE FEE 200.00 ------------------------------------------------------------- -------- ---- Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Other Fee Total Grand Total 825.00 .00 2074.50 2899.50 825.00 .00 2074.50 2899.50 .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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\II02.15R (1105) -- CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT. . . . . . w'" REQUEST: Date '1- 2.5- 08 Time Received by K V (phone. person) Location of Work to be inspected .5D3 /.J:>pe:z A v€...- Name of person requesting inspection E,u..<:..e Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Ob- IZl{6 Sewer Foundation Framing Chimney Plumbing ~ Sewer Excav. Other INSPECTION NOTES: Inspected: Date t;-zS-oe, Remarks:_ Se.l.\..H~r 4- ~ -07 Time By R-V oK RESTORATION REQUiRED...... YES NO '>t. . SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other U:-.........;nIIA.nn.reverse.side if necessary) STREET SUPERINTENDENT (DATE) I I I I I I D Repaired by City D Repaired by Permittee D No Damage Found Work Order # D COMPLETE D INCOMPLETE -- .~i,; APPLICATION FOR WATER City Water Division, Port Angeles, WA [ssueddate: j- 9-5-DI Installed by& date: 7t'5 {,-5-Cn Permit # 00 - I Z.L/D I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: Applicant Name & Phone: J-lOIA. ~lh1 AU.'~hOR.lli OJ: ~ ~I-lh~ 2-71. Site Address: 50? L-oJ?ecc;- Mailing Address: Yo 601- III (?A. '1ll.A- Ol;-or... ,';t< . Blk: Lot: 1) Add: ZDr;(p-/'ii> 11..oPc, ParceI#: ()(;''';)OID5olbcx:j Svc: ON I €J; Meter #'s C. F moo6'o'9t WIO #: 303</f:5' j;. 'i '" ~ d{f~ d QP 1. . J Svc: Size ---.J.-.. ~ j/ F"?')'t./ 75-7- / UJO Restoration ReqUi.red: N 0 Signature:~~'~' .~ '.. ..' Remarks::t>~.tvt Me-k:.v- t ~::"1:~.e~D;~'L :v'I::~A.~,:,..;~t:e:e.p;;- ,..Q.~raTiFp~FY'is;rrA'o/ "I N w r c..- Co(Je. 7... l<-b3~~ E ,i s ~ s .__ _n~._,.,._._ ___ . -- . , [J b () c::( V~rti('Q1 Darum" NAVDfl8 Hori=nntal Dalr.lm .. NAD 83/91 I 6 N I I '" " Foe. ~ .' 507 511 51? j dIP -/2~D .( Ofc.- /"z41- ~b-r2.4S' ,I -- ~- I bb-I1..l./C:, cb-nll? --.- !~ L:opez.::JXve~ - - - - - - - - - __ 62 " I I I fXp"ZW.; I ' I I J I I I I I I I .; ~b-lZ.l-13 / 6f".-(2..4tj ;,. , 604,' ,512 " 510 0'" 00 ' ., , ." ... .... ....... ..... 00 '., "..,.... , ., .. . ". .... ...' . '.' --.., This map is not in/ended 10 be uud os a legal description. This map/drawing i.J produced by Ihe City of Port Angelesfor ils own u.;e and purposn. Any other u.;e oflhis map/drawing sholl nOI be the responsibility of/he City, eb-rZ'I6 . ;4' ~ ". Ei16': 0...'......... .'. ... . Map Legend Waterline Wllneunknown -, WMllin,FlreUne WR~irOrain -- WService,Fire WService,Hydrllnt WTrans,MIIin,<Null JWTl1Ins,Main,Tunn MRR-19-2887 82:45P FROM:OLYMPIC WIRING (358)592-35813 TO: 13584174711 P.2 S. ~~!' '1\~ '.t. ....~. . ELECTRICAL WORK PERMIT APPLICATION Job wired by ~ Electrical Contractor Q Owner lns{allBtlon description o Commertlal . Resldentlal State ZIP uJ* 113f3 FAX number (:s"0) ~ 72 - fA Premlicli owner', name l J / J J ~6 f\. lA Vl~P.v"/llJr:m Addrcl8 of Inspection d ""'2.. .A , .JO....J Lopez.. /-tVe City 17 I ~' rt7vr lL.C, I vJ A- Phone number to schedule lnllrectl n: Electrical contractor name (')/'1"':"1;( t.J;r.l~ .'-If Purchaser's mailing address ?toOl ProvOSt- City s:lvIJ.,.f.., Telephone number ("olli1 -0/3 License number Dllte Expires 0/ 'l'il-I P'w 1. 3/Mu .F31-o' a(New Cl Allered/Addltlon -:2-00 A ~...v I'C e... w / 2.00A Hede- , .. 1.l'l7 57(, - IB I B :: ;-0. Owner as defi"ed by RCW.J9.28.26/:(l) Owner will occupy the structure/or two yeors afle,. this electricol permit is finalized, (1) Owtle,. ;s requl,.ed to hire all electrical conlraClor if above said properly is for sale, rent or lease, After reading the above &talernent, I hereby certify that I II In the owner of the above named property or A licensed electriClll confractor. I am mDking Ihe eJeclrical instal- lation or alteration in compliance with the electrical law&, N.E.C., RCW, Chapter 19.28, WAC. Chuptc:r 296-46B, The City of Port Angeles Municipal Code. and Utility Specificalion9. Slgnatu or owner electric. I contractor or electrical administrator: CI Cash CI Check # :;.0"- "::i;'" Q Credit Card Visa ~oslercR,rl:) Card# ____-_~..P..i& Discover f~{' x Date: 0 Expiration Dale of card c.. I 0 d Q NO LOAD CHANGES Cl Ba.eooord KW Q Furnace KW Q Heat Pump _ Ton _ LAR Q Fan-Wall KW ~ Overhead Service Cl Temp Service lJ Underground Service VOltage /Zo/z.<I() Phase eI' 1 0 3 Service Size: ~ Feeder Size: UlOA . SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN TIlERMOSTAT JIB/E,R1&., 01110 AppfOYfd Dy SERVICE ~ Ad&! FlNAL J./ /1.) lor;, 'vii( Dille ^P9roYed U~ DITCH ~ FEEDER Olle Apploy..d By Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector 3 -"LB -07 1'-110. CP Co,.JrOR, R=r ~(/ro