HomeMy WebLinkAbout507 Lopez Ave - BuildingPREPARED 4/22/08 8 51 36
CITY OF PORT ANGELES
ADDRESS 507 LOPEZ AVE SUBDIV
TENANT NBR RAMON VALADEZ
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1608 0000
APPL NUMBER 06 00001242 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
DSD 01 4/12/07 JLL BLDG DOWN SPOUT DRAINS
4/12/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 04 42
04/11/2007 09 04 AM PERMITS
GREG 477 1243
04/12/2007 04 34 PM JLIERLY
BAIR 01 8/24/07 JLL BLDG AIR SEAL
8/24/07 AP 08/24/2007 08 29 AM LPANGRLE
BRUCE 912 0079
AIRSEAL
08/24/2007 04 35 PM JLIERLY
BL3 01 8/24/07 JLL BLDG FRAMING
8/24/07 AP 08/24/2007 08 28 AM LPANGRLE
BRUCE 912 0079
FRAMING
08/24/2007 04 35 PM JLIERLY
BLDR 01 9/12/07 JLL BLDG DRYWALL IBWP
9/12/07 AP 09/11/2007 01 37 PM LPANGRLE
BRUCE 912 0079
DRYWALL IBWP
09/12/2007 04 34 PM JLIERLY
BL9 01 9/12/07 JLL BLDG SHEARWALL
9/12/07 AP 09/11/2007 01 37 PM LPANGRLE
BRUCE 912 0079
SHEARWALL
09/12/2007 04 34 PM JLIERLY
4/2 2./08 JLL BLDG FINAL
BL99 01
April 21 2008 9 22 04 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/,22/08
2Z
JLL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
INSPECTION TICKET
INSPECTOR JAMES LIERLY
MECHANICAL FINAL
April 21 2008 9 22 36 AM 1pangrle
BRUCE MCCOPPEN 912 0079 OR ROGER FETON 477 1243
MECHANICAL FINAL
PL2 01 7/11/07 JLL PLUMBING ROUGH IN
7/11/07 AP 07/11/2007 08 12 AM LPANGRLE
JOHN 460 6902
PLUMBING ROUGH IN
07/11/2007 03 43 PM JLIERLY
4/22/08 JLL PLUMBING FINAL
PL99 01
April 21 2008 9 23 06 AM 1pangrle
CONTINUED ONTO NEXT PAGE
PAGE 5
DATE 4/22/08
PREPARED 9/12/07 8 52 28 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/12/07
ADDRESS 507 LOPEZ AVE SUBDIV
TENANT NBR RAMON VALADEZ
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1608 0000
APPL NUMBER 06 00001242 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
DSD 01 4/12/07 JLL BLDG DOWN SPOUT DRAINS
4/12/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 04 42
04/11/2007 09 04 AM PERMITS
GREG 477 1243
04/12/2007 04 34 PM JLIERLY
BAIR 01 8/24/07 JLL BLDG AIR SEAL
8/24/07 AP 08/24/2007 08 29 AM LPANGRLE
BRUCE 912 0079
AIRSEAL
08/24/2007 04 35 PM JLIERLY
BL3 01 8/24/07 JLL BLDG FRAMING
8/24/07 AP 08/24/2007 08 28 AM LPANGRLE
BRUCE 912 0079
FRAMING
08/24/2007 04 35 PM JLIERLY
BLDR O1 9/12/07 wai
BLDG DRYWALL IBWP
i 09/11/2007 01 37 PM LPANGRLE
I BRUCE 912 0079
DRYWALL IBWP
BL9 01 9/12/07 BLDG SHEARWALL
09/11/2007 01 37 PM LPANGRLE
BRUCE 912 0079
SHEARWALL
COMMENTS AND NOTES
PREPARED 8/30/07 9 38 07 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/30/07
ADDRESS 507 LOPEZ AVE SUBDIV
TENANT NBR RAMON VALADEZ
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1608 0000
APPL NUMBER 06 00001242 RES NEW SFR
PERMIT BPR 04 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 2/26/07 JLL BLDG FOUNDATION FOOTING
2/26/07 AP 02/26/2007 09 18 AM PBARTHOL
02/26/2007 03 18 PM JLIERLY
BL2 01 3/01/07 PB BLDG FOUNDATION STEM WALL
3/01/07 AP 03/01/2007 08 17 AM PBARTHOL
BRUCE 808 3349
03/01/2007 04 52 PM PBARTHOL
BL9 01 4/09/07 JLL BLDG SHEARWALL
4/09/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/06/07 TIME 10 28 14
04/06/2007 10 27 AM PERMITS
GARY 808 3349
DONE
04/09/2007 03 42 PM JLIERLY
BLHD 01 5/02/07 JLL BLDG FRAMING HOLD DOWNS
5/02/07 AP 05/01/2007 02 47 PM LPANGRLE
GREG 477 1243
HOLD DOWN
05/02/2007 04 51 PM JLIERLY
BL9 02 7/06/07 PB BLDG SHEARWALL
7/09/07 AP 07/06/2007 02 18 PM LPANGRLE
BRUCE 912 0079
SHEARWALL
07/09/2007 07 48 AM PBARTHOL
*GARAGE*
BLIS 01 8/30/07 [IJL /1 BLDG INSULATION /SLAB
08/29/2007 04 48 PM LPANGRLE
BRUCE 912 0079
'UNDERSLAB INSULATION'
BLWS 01 8/30/07 JJgL J BLDG INSULATION WALL /FLOOR
08/29/2007 04 49 PM LPANGRLE
BRUCE 912 0079
WALL INSULATION
COMMENTS AND NOTES
PREPARED 8/24/07 8 42 16 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/24/07
ADDRESS 507 LOPEZ AVE SUBDIV
TENANT NBR RAMON VALADEZ
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1608 0000
APPL NUMBER 06 00001242 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
DSD 01 4/12/07 JLL
4/12/07 AP
BAIR 01 8/24/07
BL3 01 8/24/07
BLDG DOWN SPOUT DRAINS
OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 04 42
04/11/2007 09 04 AM PERMITS
GREG 477 1243
04/12/2007 04 34 PM JLIERLY
BLDG AIR SEAL
08/24/2007 08 29 AM LPANGRLE
BRUCE 912 0079
AIRSEAL
BLDG FRAMING
08/24/2007 08 28 AM LPANGRLE
BRUCE 912 0079
FRAMING
COMMENTS AND NOTES
PREPARED 7/11/07 10 25 54 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/11/07
ADDRESS 507 LOPEZ AVE SUBDIV
TENANT NBA RAMON VALADEZ
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1608 0000
APPL NUMBER 06 00001242 RES NEW SFR
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 7/11107 J•L j PLUMBING ROUGH IN
07/11/2007 08 12 AM LPANGRLE
JOHN 460 6902
PLUMBING ROUGH IN
COMMENTS AND NOTES
PREPARED 7/06/07 17 01 36 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/06/07
ADDRESS 507 LOPEZ AVE SUBDIV
TENANT NBR RAMON VALADEZ
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1608 0000
APPL NUMBER 06 00001242 RES NEW SFR
PERMIT BPR 04 BUIL DING PERMI T RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 2/26/07 JLL BLDG FOUNDATION FOOTING
2/26/07 AP 02/26/2007 09 18 AM PBARTHOL
02/26/2007 03 18 PM JLIERLY
BL2 01 3/01/07 PB BLDG FOUNDATION STEM WALL
3/01/07 AP 03/01/2007 08 17 AM PBARTHOL
BRUCE 808 3349
03/01/2007 04 52 PM PBARTHOL
BL9 01 4/09/07 JLL BLDG SHEARWALL
4/09/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/06/07 TIME 10 28 14
04/06/2007 10 27 AM PERMITS
GARY 808 3349
DONE
04/09/2007 03 42 PM JLIERLY
BLHD 01 5/02/07 JLL BLDG FRAMING HOLD DOWNS
5/02/07 AP 05/01/2007 02 47 PM LPANGRLE
GREG 477 1243
HOLD DOWN
05/02/2007 04 51 PM JLIERLY
BL9 02 7/ 16/07 JLL BLDG SHEARWALL
4 BRUCE 912 0079
07/06/ 2007 02 18 PM LPANGRLE
A w/f� B
SHEARWALL
COMMENTS AND NOTES
,11/Ivz4-7 At,
PREPARED 5/02/07 8 20 37 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/02/07
ADDRESS 507 LOPEZ AVE SUBDIV
TENANT NBR RAMON VALADEZ
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1608 0000
APPL NUMBER 06 00001242 RES NEW SFR
PERMIT BPR 04 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 2/26/07 JLL BLDG FOUNDATION FOOTING
2/26/07 AP 02/26/2007 09 18 AM PBARTHOL
02/26/2007 03 18 PM JLIERLY
BL2 01 3/01/07 PB BLDG FOUNDATION STEM WALL
3/01/07 AP 03/01/2007 08 17 AM PBARTHOL
BRUCE 808 3349
03/01/2007 04 52 PM PBARTHOL
BL9 01 4/09/07 JLL BLDG SHEARWALL
4/09/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/06/07 TIME 10 28 14
04/06/2007 10 27 AM PERMITS
GARY 808 3349
DONE
04/09/2007 03 42 PM JLIERLY
BLHD 01 5/02/07 JLL BLDG FRAMING HOLD DOWNS
iA�°cF /1/ 05/01/2007 02 47 PM LPANGRLE
GREG 477 1243
HOLD DOWN
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
Sub Contractor
Permit Fee
Issue Date
Expiration Date
WA 98362
COMMENTS/ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
121 EAST 5TH STREET PORT ANGELES, WA 98362
06 00001242
925208
507 LOPEZ AVE
06 30 10 5 0 1608 0000
RAMON VALADEZ
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
101998
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
97501
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 53 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
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
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
Date 4/18/07
17 00
1 00
7712 00
1321 00
1321 00
1 00
00
0
Extension
75 00
22 00
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
INSPECTION TYPE DATE ACCEPTED
YES I NO
DITCH I. I I
ROUGH -IN COVER L I I
SERVICE I I I
FINAL I 1 I
1 .I I
I I I
I I I
I I I
COW CENTS
Pw -T un.IS I4
1.
Application Number
Application pin number
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
06 00001242
925208
SEWER SYSTEM DELV CHARGE 870 00
STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE 1200 00
Charged Paid Credited Due
97 00 97 00 00
00 00 00
2074 50 2074 50 00
2171 50 2171 50 00
Page 2
Date 4/18/07
00
00
00
00
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COYER
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DITCH
ROUGH -IN COVER
SERVICE
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
DATE
(C7 I I
E7Ro7 I A I
/Wi I Wit_.. I
ACCEPTED
YES I NO
FINAL I 4,4 1/07 .I `"TiV
I I 1
I I I
I 1 :I
I I I
COMMENTS
PW- 1102.1514/961
PREPARED 4/12/07 11 25 25 INSPECTION TICKET PAGE 15
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/12/07
ADDRESS 507 LOPEZ AVE SUBDIV
TENANT NBR RAMON VALADEZ
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1608 0000
APPL NUMBER 06 00001242 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
DSD 01 4/12/07
JLL
BUILDING DOWN SPOUT DRAINS
OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 04 42
04/11/2007 09 04 AM PERMITS
GREG 477 1243
COMMENTS AND NOTES
PREPARED 4/09/07 8 26 20 INSPECTION TICKET
CITY OF PORT ANGELES
ADDRESS 507 LOPEZ AVE
TENANT NBR RAMON VALADEZ
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
PERMIT BPR 04 BUILDING PERMIT
REQUESTED INSP
TYP /SQ COMPLETED RESULT
BL1 01 2/26/07 JLL
2/26/07 AP
BL2 01 3/01/07 PB
3/01/07 AP
BL9 01 4/09/07 gjLL
HOUSING AUTHORITY OF CLALLAM
06 30 10 5 0 1608 0000
06 00001242 RES NEW SFR
RESIDENTIAL
DESCRIPTION
RESULTS /COMMENTS
INSPECTOR JAMES L LIERLY
BUILDING FOUNDATION FOOTING
02/26/2007 09 18 AM PBARTHOL
02/26/2007 03 18 PM JLIERLY
BUILDING FOUNDATION WALL
03/01/2007 08 17 AM PBARTHOL
BRUCE 808 3349
03/01/2007 04 52 PM
BUILDING SHEARWALL
OVERRIDE TAKEN BY PERMITS DATE
04/06/2007 10 27 AM PERMITS
GARY 808 3349
DONE
COMMENTS AND NOTES
cix-(
SUBDIV
PHONE
PHONE
PBARTHOL
PAGE 2
DATE 4/09/07
04/06/07 TIME 10 28 14
PREPARED 3/01/07 11 21 35 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/01/07
ADDRESS 507 LOPEZ AVE SUBDIV
TENANT NBR RAMON VALADEZ
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1608 0000
APPL NUMBER 06 00001242 RES NEW SFR
PERMIT BPR 04 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 2/26/07 JLL BUILDING FOUNDATION FOOTING
2/26/07 AP 02/26/2007 09 18 AM PBARTHOL
02/26/2007 03 18 PM JLIERLY
BL2 01 3/01/07 JLL BUILDING FOUNDATION WALL
03/01/2007 08 17 AM PBARTHOL
77 6 BRUCE 808 3349
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 into
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
BUILDING PERMIT RESIDENTIAL
1152 SF SFR 169 SF PORCH
90746
950 25
1/25/07 Valuation
8/25/07
Qty Unit Charge Per
BASE FEE
40 00 7 0000 THOU BL 50 001 100K (7 00 PER K)
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
90878
89 65 Plan Check Fee
1/25/07 Valuation
8/25/07
Qty Unit Charge Per
BASE FEE
4 00 ME VENT FAN
1 00 ME VENT SYSTEM OTHER
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
7 2500 ECH
10 6500 ECH
7 0000 ECH
7 0000 ECH
PLUMBING PERMIT
06 00001242
925208
507 LOPEZ AVE
06 30 10 5 0 1608 0000
RAMON VALADEZ
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
101998
Contractor
OWNER
TOTAL LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Plan Check Fee
Qty Unit Charge Per
BASE FEE
7 00 PL- EA FIXTURE ON ONE TRAP
1 00 PL- EA INSTALL WATER PIPE
Date 3/01/07
17 00
1 00
7712 00
1321 00
1321 00
1 00
00
89684
Extension
670 25
280 00
00
0
Extension
50 00
29 00
10 65
90886
128 00 Plan Check Fee 00
1/25/07 Valuation 0
8/25/07
Extension
50 00
49 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 as commenced or if required inspections have not been requested within 180 days from the last
inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T \Policies \1102_I5 building permit inspection record05 wpd [1/4/2005]
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 FUL 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
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDG S.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -1N
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
I CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
I INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
ROUGH -IN
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
I FIRE 417 -4653 I
I PLANNING DEPT 417 -4750 I
I BUILDING 417 -4815
T Policies \1102 15 building permit inspection record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
YES I NO
FINAL
FINAL
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
DATE ACCEPTED BY.
DATE ACCEPTED BY.
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT It's SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING I I SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
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 53 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
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
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
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Page 2
06 00001242 Date 3/01/07
925208
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
Charged Paid Credited
1167 90 1167 90
00 00
2074 50 2074 50
3242 40 3242 40
T \Policies \1102_15 building permit inspection record05 wpd 11/4/2005]
00
00
00
00
Extension
15 00
7 00
870 00
4 50
1200 00
Due
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
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
I WALL FLOOR CEILING
MECHANICAL
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 UNLA N FUL 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
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/ 417-4807
ENGINEERING
I FIRE 417 -4653 I
I PLANNING DEPT 417 -4750 I
I BUILDING 417 -4815
T' \Policies \1102 15 building permit inspection record05 wpd (1/4/20051
BUILDING PERMIT INSPECTION RECORD
FINAL DATE ACCEPTED BY.
FINAL
SEPA.
ESA.
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
DATE ACCEPTED BY.
DATE I ACCEPTED
I YES I NO
PREPARED 2/26/07 10 30 29 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/26/07
ADDRESS 507 LOPEZ AVE SUBDIV
TENANT NBR RAMON VALADEZ
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1608 0000
APPL NUMBER 06 00001242 RES NEW SFR
PERMIT BPR 04 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 2/26/07
BUILDING FOUNDATION FOOTING
02/26/2007 09 18 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
Other Fees
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
WA 98362
06 00001242
925208
507 LOPEZ AVE
06 30 10 5 0 1608 0000
RAMON VALADEZ
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
101998
Contractor
OWNER
TOTAL t LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Qty Unit Charge Per
BASE FEE
11 00 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 53 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
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 tip 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
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
Date
Date 2/14/07
17 00
1 00
7712 00
1321 00
1321 00
1 00
BUILDING PERMIT RESIDENTIAL
576 SF DETACHED GARAGE
94532
249 75 Plan Check Fee 00
2/14/07 Valuation 12314
8/13/07
Extension
95 75
154 00
SEWER SYSTEM DELV CHARGE 870 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 cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Owner (if owner is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD A ND 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
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
I 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
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
1
FINAL
FINAL
SEPA.
ESA.
SHORELINE:
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ I CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
I FIRE 417 -4653 I I I I FIRE DEPT
PLANNING DEPT 417 -4750 I I I I PLANNING DEPT
I BUILDING 417 -4815 I I I I BUILDING
T \Policies \l 102 15 building permit inspection record05.wpd [1/4/2005]
Application Number
Application pin number
06 00001242
925208
Other Fees STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE 1200 00
Fee summary Charged Paid Credited Due
Permit Fee Total 249 75 249 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 2074 50 2074 50 00 00
Grand Total 2324 25 2324 25 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
constructio
Signature of Coractor or uthorized Agent 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
Page 2
Date 2/14/07
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
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 -1N
HEAT PUMP FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
ELECTRICAL LIGHT DEPT
CONSTRUCTION ILW PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
I BUILDING 417 -4815 I
T \Policies \1102 15 building permit inspection record05.wpd [I/4/2005)
BUILDING PERMIT INSPECTION RECORD
YES NO
FINAL
FINAL
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW 1 ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
DATE ACCEPTED BY.
DATE ACCEP 1 ED BY.
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING I l SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
I I I
I I I
I I I
PREPARED 2/02/07, 11 02 34 PAYMENTS DUE RECEIPT
CITY OF PORT ANGELES PROGRAM BP820L
APPLICATION NUMBER 06- 00001242 507 LOPEZ AVE
FEE DESCRIPTION AMOUNT DUE
BUILDING PERMIT RESIDENTIAL
BUILDING PERMIT RESIDENTIAL
TOTAL DUE
950 25
249 75
1200 00
Please present this receipt to the cashier with full payment
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 Unit Charge Per
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
T\Policies \1102.15R [1/05]
WA 98362
Qty Unit Charge Per
1 00 110 0000 EA SAN SEWER HOOKUP
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00001242
925208
507 LOPEZ AVE
06 30 10 5 0 1608 0000
HOUSING AUTHORITY
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
89684
Contractor
OWNER
TOTAL LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
PUBLIC WORKS RES WATER SERV
5/8 DROP IN METER
91421
175 00 Plan Check Fee
1/25/07 Valuation
7/24/07
BASE FEE
SANITARY SEWER HOOK UP
91413
110 00 Plan Check Fee
1/25/07 Valuation
7/24/07
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 53 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
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
Date 1/25/07
17 00
1 00
7712 00
1321 00
1321 00
i 00
0 0
89684
Extension
175 00
0 0
89684
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 vi te or cancel the provisions of any state or local law regulating construction or the performance of
constructlgn.
P -5N-6
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
PW UTILITIES (Engineering Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
RESIDENTIAL
CONSTRUCTION RW PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
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
I
I I
I I
I I
I
I I
I
I I
I I
I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
YES I NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION !LW
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
BUILDING
I I I
I I I
I I
I I
OF pORT,k,
Application Number
Application pin number
Special Notes and Comments
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
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
Other Fees
Fee summary
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00001242
925208
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
Charged Paid Credited
Page 2
Date 1/25/07
870 00
4 50
1200 00
Due
Permit Fee Total 285 00 285 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 2074 50 2074 50 00 00
Grand Total 2359 50 2359 50 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T•\Policies \1102.1511 [1/05)
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 I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815
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
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
I I I
I I I
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 CLALLAMI
2603 S FRANCIS STREET
PORT ANGELES WA
PORT ANGELES WA 98362
Other struct info
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
40 00 7 0000 THOU
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
4 00
1 00
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
7 00
1 00
7 2500 ECH
10 6500 ECH
7 0000 ECH
7 0000 ECH
PLUMBING PERMIT
T•1Policies \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 00001242
925208
507 LOPEZ AVE
06 30 10 5 0 1608 0000
HOUSING AUTHORITY
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
89684
Contractor
OWNER
TOTAL LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
BUILDING PERMIT RESIDENTIAL
90746
950 25 Plan Check Fee
1/25/07 Valuation
7/24/07
BASE FEE
BL 50 001 100K (7 00 PER K)
MECHANICAL PERMIT
90878
89 65 }Y Plan Check Fee
1/25/07 Valuation
7/24/07
BASE FEE
ME VENT FAN
ME VENT SYSTEM OTHER
90886 ;f
128 00 Plan Check Fee
1/25/07 Valuation
7/24/07
BASE FEE
PL EA FIXTURE ON ONE TRAP
PL- EA INSTALL WATER PIPE
Date 1/25/07
17 00
1 00
7712 00
1321 00
1321 00
1 00
00
89684
Extension
670 25
280 00
0 0
0
Extension
50 00
29 00
10 65
00
0
Extension
50 00
49 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 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
.,e(4/0 /0 04/ 5 7
Signature of Contractor 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 FUL 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
AIR SEAL
WALLS
CEILING
FRAMING
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BI?DFS.)
PLUMBING
UNDERFLOOR SLAB yr
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
r 1� `s
JOISTS GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS ROOF CEILING. 4\
DRYWALL (INTERIOR BR.SCEDANEL 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
BUILDING PERMIT INSPECTION RECORD
CONSTRUCTION R.W PW/ 417 4807 I
ENGINEERING
FIRE 417 -4653 I I I
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
T• \Policies \1102 15 building permit inspection record05.wpd [1/4/2005]
FINAL
FINAL DATE ACCEPTED BY.
SEPA.
ESA.
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
4I 7 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
DATE ACCEPTED BY.
I I l
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 53 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
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
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
Other Fees
Fee summary
06 00001242
925208
T' \Policies \1102_15 building permit inspection record05.wpd f1/4/2005]
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
Page 2
Date 1/25/07
Permit Fee Total 1167 90 1167 90 00 00
Plan Check Total 00 00 00 00
Other Fee Total 2074 50 2074 50 00 00
Grand Total 3242 40 3242 40 00 00
Extension
15 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 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
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAG DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
I AIR SEAL
I WALLS
I CEILING
FRAMING
JOISTS GIRDERS
SHEAR WAL€IOLD DOWN))
I WALLS ROOF CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T -BAR
'INSULATION
SLAB
WALL FLOOR CEILING
MECHANICAL
I ROUGH -IN
HEAT PUMP /FURNACE /DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
MANUFACTURED HOMES
ELECTRICAL LIGHT DEPT
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT /1's
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
FIRE 417 -4653 I
I PLANNING DEPT 417 -4750 I
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
IO/ 6 /91 I J)-�
t3 //o7 Li1-L-
4f i2 /07 lu-
I
9- -I1 -ol I r w
91 30101
417 -4735 ELECTRICAL
LIGHT DEPT
I
I I
2 L 4
I BUILDING 417 -4815 I O 4 d LV
T \Policies \1102 15 building permit inspection record05.wpd [1/4/2005]
Carole_
S64r W 0 0`t /u9 /(7 TLt—
CONSTRUCTIONR.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 I PW ENGINEERING
FINAL( 12- DATE JL- v ACCEPTED BY.
5 ZkAANIA g/o f of 31-4
FINAL O 2 -2 DATE ACCEPTED BY.
SEPA.
ESA.
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
FIRE DEPT.
I PLANNING DEPT
BUILDING
I I I V
I I I 3
I I I
Applicant or Agent: PA 1.t ii`Nc, Au 4 wr', O el el l do t Phone: 3 yb Oh 3/
nn j9
Owner ethk j l49-4di Phone: /p 75'6/6
Address: qJ 2. Aki. S 0,2_ Cit PP r 1 Alc:a e 5 WA Zip: 4 P 36 Architect/Engineer Wv 11 L PIN .pia/ Phone: b— 1 117 v�777
Contractor DLv Nen, &t t (c&,Z. State License Exp: Phone:
Address: City
PROJECT ADDRESS: Vol DL2
LEGAL DESCRIPTION Lot: Block: AA Subdivision:
aki4 oX -040 A-/A) V AX. I187g
CLALLAM COUNTY PARCEL NUMBER. O
TPE OF WORK.
tr Residential if New Constr Re- r f Stove
Multi- family Addition Move Garage__
(I
Commercial Remodel Demolition Deck
Repair Sign Other
BRIEF DESCRIPTION OF THE PROJECT Sndel
COMMERCIAL/RESIDENTIAL. Occupancy Group:
No. of Stories: I Lot Size: Rl I le ill Existing Sq. Ft.
Total lot coverage 9
PLANNING USE ONLY
ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other
T wpd Applicant:
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
G
Zip:
ZONING
A' /A
FOR OFFNIA
Date Rec.
Permit
Date Approved:
'Date Issued:
ONLY
SIZE/VALUATION �,q!
-J /b2 a
SF UQ /SF S_ IL 6 g y 'J
cff 4 SF ot/ 38' /SF 3 Y '2 a
16c( SF 4 by /SF Aa_. h d2 0
TOTAL VALUATION '2/ �/Y. r
Occupant Load: Construction Type:
Proposed Sq. Ft 1 f19 77 TOTAL Sq. Ft_ G. (3 7
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. l 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 permits prior to work.
6.*t. WfV cu Date: I 7 o6
7t x/S
�JI,2 e)67 t Le//
APPROVALS:
PLAN-
BLDG:
DPWU
FIRE.
OTHER.
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Description: Delabarre Residence
Analysis by Zenovic Associates, June 2006
Structure Type Building
Basic Wind Speed (V) 100 mph
Struc Category (I, II, Ill, or IV) II
Exposure (B, C, or D)
Struc Nat Frequency (n1) 1 Hz
Slope of Roof (Theta) 26 57 Deg
Type of Roof Gabled
Kd (Directonality Factor) 0 85
Eave Height (Eht) 9 00 ft
Ridge Height (RHt) 14 00 ft
Mean Roof Height (Ht) 12.00 ft
Width Perp. To Wind Dir (B) 48 00 ft
Width Paral. To Wind Dir (L) 24 00 ft
Damping Ratio (beta) 0 01
Red values should be changed only through 'Main Menu'
Calldtilated
Type of Structure
Height/Least Horizontal Dim 1 0.50
Flexible Structure I No
s ,Gustfactor Category_ft Algid Structures,- SimplffiedAethod
Gust1 1For rigid structures (Nat Freq 1 Hz) use 0.85
Gust factor,Category'll: Rigid Structu
Zm
lzm
Lzm
Q
Gust2
WINDO2 v1-02
Detailed Wind Load Design (Method 2) per ASCE 7-02
1Zmin
1 Cc (33/z)"0.167
11*(zm/33)^Epsilon
1(1 /(1 +0.63 *((Min(B,L) +Ht) /Lzm) ^0.63))"0.5
10.925*((1+1 7*Izm*3.4*Q)/(1+1 7*3.4*Izm))
G /Since this is not a flexible structure the lessor of Gust1 or Gust2 are used
Copyright 2002 MECA Enterprises, Inc. www.rnecaconsulting.com
T 771
importance Factor 1 1 I
Non-Hurricane, Hurricane (v=85-100 mph) Alaska
Table 6-2 Values
Alpha 1 9.5001
zg 1 900 0001
At
Bt
Am
Bm
Cc
I
Epsilon
Zmin
l'Girst
0.1051
1 0001
0.1541
0.6501
0.2001
500.001ft
0.2001
15.00Ift
0.851
15.001ft
0.22811
427 061ft
0.93961
0.89321
0.851
6/30/2006
Page No. 1 of 5
WINDO2 v1-02
Detailed Wind Load Design (Method 2) per ASCE 7 -02
S- 5 -12.2.1 Desian Wind Pressute Buildings of An Heiahts
Fia 6-5 Internal Pressure Coefficients for Buildings. Gcpi
Elev Kz Kzt qz Pressure (Iblft^2)
Windward Wall*
ft IbIFM2 +GCpi I -GCpi
15 I 0.85 I 100 1 18.47 I 9.24 I 15.89
Condition
Open Buildings
Partially Enclosed Buildings
Enclosed Buildings
Enclosed Buildings
Copyright 2002 MECA Enterprises, Inc.
Gcpi
Max I Max
0.00 0.00
0.55 -0.55
0.18 -0 18
0.18 I -0.18 I
6/30/2006
www.mecaconsuipng.com Page No. 2 of 5
B
WINDO2 v1-02
Detailed Wind Load Design (Method 2) per ASCE 7-02
Figure 6-6 External Pressure Coefficients. Cp
Loads on Main Wind-Force Resisting Systems (Method 2)
Vatia010
Kh
Kht
Oh
Khcc
Qhcc
I
2.01*(15/zg)^(2/Alpha)
Topographic factor (Fig 6-4)
.00256*(V)A2*I*Kh*Kht*Kd
Comp Clad: Table 6-3 Case 1
00256*VA2*I*Khcc*Kht*Kd
Calcidatintin VVind Nonnal3048 frFace:
61.doitioi*Hii,*
Leeward Walls (Wind Dir Normal to 48 ft wall)
Leeward Walls (Wind Dir Normal to 24 ft wall)
Side Walls
Roof Wind Normal to Ridge (Theta>=10)
Windward Min 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)
Dist from Windward Edge: 0 ft to 24 ft Max Cp
Dist from Windward Edge: 0 ft to 6 ft Min Cp
Dist from Windward Edge: 6 ft to 12 ft Min Cp
Dist from Windward Edge: 12 ft to 24 ft Min Cp
Dist from Windward Edge: 24 ft
Horizontal distance from windward edge
0.85
1.00
18.47
0.85
18.47
-0.90
-0.90
-0.50
0.30
Copyright 2002 MECA Enterprises, Inc. www.mecaconsulting.com
7 011fall
Surface Cp
Windward Wall (See Figure 6.5.12.2.1 for Pressures) 0.8
Roof Area (sg. ft.) 1 1,152
Reduction Factor l 0.80
,:freseurei(psfYH
+GC
-0.50 -11 18 -4.53'
-0.30 -8.04 1.39
-0.70 14.32 7.67
for Wind Normal to 48 ft face
-0.27 -7.54 -0.89
0.20 -0.18 6.47
-0.60 -12.75 -6.10
0.27 -4.22 -4.22
-0.60 -9.42 -9 42
0.80 12.56 12.56
for Wind Normal to 24 ft face
-0.18 -6.15
-1746
-1746
-11 18
-8.04
0.50
10.81
-10.81
-4.53
-1.39
6/30/2006
Page No 3 of 5
-
.....
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
-,;~4M
<!,ORT~
t~~
".
L ~-
,",cid"
Application Number
Application pin number
Property AddresS
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
subdivision Name
proper1:y Use
property zoning . . .
Application valuation
06-00001242 Date
925208
507 LOPEZ AVE
06_30_10_5_0_1608-0000-
HOUSING AUTHORITY
RES NEW SFR
1/25/07
50/ UJpe~ '
RS7 RESDNTL SINGLE FAMILY
89684
Contractor
Owner
-------------------
Other struct info .
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
17.00
1. 00
7712.00
1321.00
1321.00
1. 00
01 z;t
-11
------------------------
OWNER
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS STREET
PORT ANGELES, WA.
PORT P~GELES WA 98362
-------------------
-----------------
----------------------
----------,----
Permit
Additional desc .
Permit pin number
Permit Fee
Issue Date
EXpil~ation Date
PUBLIC WORKS
5/8" DROP IN
91421
175.00
1/25/07
7/24/07
RES WATER SERV
METER
plan Check Fee
valuation
.00
89684
Qty
unit Charge Per
~xtension
175.00
BASE FEE
------------------
--------------
------------------
--------------
-----------
Permit
Additional desc .
permit pin number
permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
91413
110.00
1/25/07
7/24/07
plan Check Fee
valuation
.00
89684
o (l q1>~OB
Qty unit charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
Extension
110.00
--------------
----------
---------------
---------------
----------
special Notes and Comments
AddresS numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background.
11/20/2006 03:53 PM SROBERDS -New SFR in the RS-7 - Lot
coverage 17%. No land use issues noted.
Ml\INTAIN CLEARANCES FROM SERVICE WIRES
Electrical load calculations and elctrical permits are
required.
~lY modifications to the City'S electrical facilities will
be at the customer's expense.
sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Separate Permits are required for electrical work, SEPA, Shoreiine, ESA, utilities, private and pubiic 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 appiication and know the same to be true and correct. All provisions of
iaws and ordinances governing this type of work wiil be compiied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancei the provisions of any state or iocal law regulating construction or the performance of
construction.
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T;\policies\1102.l5R[1/05]
,~
c1'ORr~.
~..~
0,____
I' '&!II
. --
'lO:.;;?
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
.
Application Number
Application pin number
06-00001242
925208
Page 2
Date 1/25/07
special Notes and Comments
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.
when roof gutters are installed, drains wi"Il 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.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
870.00
4.50
1200.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 285.00 285.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 2359.50 2359.50 .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 reguiating constructi"n or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T;\Policies\lI02.ISR {l/OS]
--
APPLICATION FOR WATER
City Water Division, Port Angeles, WA
Issued date: 1-;p5-o1 Installed by & date: 7/5 - (,,,-:}..07 Permit # DiP - J z.. '-l Z-
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises:
Applicant Name & Phone: f4v1-l<;lhCf,4..tI..~( oFdL-A-tLAYnOoUI'\T1 2--7(;3/
Site Address: '507 L.oFe-b MailingAddress: P,o. SD} II \ PA-
Blk: Lot:~ Add:8~l?",ti!(z.tJ8 Parcel#: ()W,?tJ/D?o/IPO,P,
SVC:ON/@ FO/CI06hO! w/o#: JoJ'I~-'3~;l.
Svc: Size $/ ZPO qJ2. Restoration Required: ;.)0
Signature:
Remarks:
/.. II )1- -I-v be ei~ea i'rd.__ope-d~t:m~y-ad
~ W l'
WI fh $I/$e;fr1O!T _wlfitX.. :5 vc.:s OFF Ale- IV mAi n
N
w C. L of2..7- (~to'/' E
.i
::3
~
s
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . INSPECTION REPORT . .
.;
~-'~
. . . .
REQUEST:
Date '1-25-09
Time
Received by
w
{phone. personl
Location o'f Work to be inspected 5"07 Lopez- Ave..-
?
Name of person requesting inspection l>,u.<:-e /
Address 01' person requesting inspection phone No.
Type of Inspection (circle appropriate onel: Permit No. &.- /2"'::z..
Sewer Foundation Framing Chimney Plumbing Qin~)sewer Excav. Other
INSPECTION NOTES:
Inspected: Date tj-ZG-D8
Remarks:. <;iel.OP,..-- lj-.5'-07
Time
By
R~
0(<-
RESTORATION REQUiRED...... YES
NO 'I---
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel 0 Asphalt 0 PCC
o Other
o Repaired by City
[] Repaired by Permittee
[] No Damage Found
Work Order #
[] COMPLETE
[] INCOMPLETE
,.....__..:_..^...n r~\IJ",r~p. side if necessary)
STREET SUPERINTENDENT
(DATE)
MAR-19-2007 02:45P FROM:OLYMPIC WIRING
(360)692-3580
TO: 13604174711
P.3
li(Electrlcs\ Contractor lnstallBtion description
Job wired by I:J Owner l:I Commercial g'Resldential
Electrical contractor name License number Dale Expires Il( New o Altered! Addition
QI 'D"'- OL "'~'.lPWr3'O~LI S-?! -0'1
~g'<' f Ir,~.L"" .
Purch seT' ma~g address Zoo A ~"'~l\(;..(.
'1tool f'WCSr
City State ZIP W / ZaoA FUJlr- .
S:lv~J,J" wA- ~?5l3
Telephone number ) t./ FAX number
("5l.c) 1.'12-01"3 (3&;) &'12- 3t.fD
ptej2;u owner', name //i'"L
A~ f)A/Ad~Z-
Address or In.pecHon 51?
~o.7 Lo pe,- A-.i e III ..u
CIlyp.,A A-v..)tLes1vJlt /72-8
Phone number to schedule Inspection:
Ownt,. as deli/fed by RCW./9.28.26J:(J) Owner will occupy the slrllclurefor two
yeQrs after this electrical pcrmit is finalized. (2) Owner is required 10 hire all electrical
con/raCIOr if above said properly is for sale. rent or lease. I:J Cash I:J Check #
After rending the Dbove stntement, I hereby certify thot I om the owner of the above @~slerca~
named property or D licensed electrical conlructor. I 11m making the electrical instal. I:J Credit Card VIsa Discover
hnion or alteration in complillnce with the electrical laws, N.E,C" RCW. Chapter ~.:b:~
19.28, WAC. Chapter 296-468, The City or Port Angeles Municipal Code, and Card #
Utility Specifications.
VSI&oatu~r owni\leetrl'DI contra't.r or elee'rl'.1 .dmlnl,'r..or Expirdtion Date
\.X '1 J. L. ^ Date: 03-'''.07 of card ( $nsp~t1: ~O
\.
$
.......
ELECTRICAL WORK PERMIT APPLICATIdN
Electrical LllBd Addltlllns and llr subtractlllnB
CJ NO LOAD CHANGES
o Baseboard _ KW
a Furnace KW
Q Heal Pump _ Ton _ LAR
Q Fan-Well _ KW
or Overhead Service
o Temp Service
CJ Underground Service
Service Information
Vollage /2C/2</t>
Pllase 1lI'1 0.3
Service Size: ~
Feeder Size: ".tmA
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT
51 Ad)
.. j\ppTll~cd By O.lc AppJo~1Cll &y
AL D~
-;pg? ~
AfIJII'ovtd It)' 0.. . "PflI'Ovtd By
SERVICE
~
FEEDER
OlIO
Allprovcd Dy
Inspection
Date
Area, Building or Equipment Inspected
Aclion Taken
Eleclricnl
Inspector
S-l'3.o7
"'110..0 C",.J,.>&r ~
#/f!.. vEiJ
iJd-<
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,
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2 0 2 07
FROM :
FAX NO. :
Oct. 3 2010 2:42PM F1
CITY OF PORT ANGELE5 PERMIT APPLTCAMN " "•• =5 �•..,��
Building Division/Electrical Inspections
321 Bast Fifth Street — P.O. Sox 11501 pout Angeles Washington, 98362 JAN 9 2015
Ph: (360) 417-4735 Fax: (360) 417 -4711 � �� ELECTRICAL
pate: - ,t 2 Single Family Dwelling
" Plan Review May 8e aired, P 09te Electrical- --
�a� j�ln"don stied
Job Address:
6uliding Square F00%ga: s ti ( - •_•_ --
Dexdpdon of aWve --
Owner Information
Name �Ltita � lti��l.t I�'^"`ti^N`4l
Cofatr�rt4or
C rfuCr s'e.p-1/taL
.
Hlaflln "r9 X 10-7
1+1ama L.:
y '� O l D
r
cv, V & Sidle W*' Zip;
+-r 5ta0ec ap Q 3 CL
Phow.`360. 9'�r- a2rFauc
Phone a ^Co ? ac
License #llcxp,
Lkwm# /tarp~ 1 gPA, t '1, %,,, °"4. °
bm
unit em!gg
Y Total MU 99Wdlod by UnitUnit ChjMQ
8enr1WXeeder200 Amp,
$120.00
$
Sewloe/Feeder201.400Amp,
$ ~46.00
$
Se ee/Feeder 401 -690 Amp
$ 205.00
$- .
SeMoaeeder 601 -1000 Amp.
$282.00
$�
SeMoNFeeder over 1000 Amp.
$ 373.00
$
Branch Clrouit W/ service Feeder
$ 5100
;
Branch Circuit W/O Service Feeder
$ 63,00
$
Each Additional branch Circul
$ 50
$
Branch Circuits 1-4
$ 75,00
l $ -r—
'femp, SwikelFeeder ZOO Amp.
$ 93.00
S
Temp. ServicelFeeder 201.400 Amp.
$110.00
Tomp. Swicefeeder 4D1-6WmWp.
$149.00
$
Temp. ServiCeEd¢t 601.10Q i Amp .
$16$.00
$
Portal to Portat Hourly
$ 96A0
$
SlgAd Cirmrit/ Limited En5W -1 & 2 Fa* 17weling
$ 64.00
$
Manufactured Home Coimecfion
$120,00
$
Renewable Ele kkA Et4�W . 5KVA System or less
$10200
$—
Themmstat 1
$ 56.00
$,
Note: $5.00 for eadh adds ichal T-SW
NEW g N4SMCTl0N ONLY,
First 1300 Squaw Ft.
$120.00
$
Each Additional 500 Squsm Ft orPordon of
$ 40.00
S.
Each WW WW or Detach Garage
$ 74.00
$
Each SvrimmN Pod or Hot Tub
S 110.00
S
Owner as defined by RCWA 9.28. 261: (1) Owtw will o=py the strurctuts for two years otter ft decbical permit is final x (2) Owner' In required
to hire eA etecblcal Contractor if above saw property
is for sale, rent or lease. Permit expires alter six months of last h specWn.
After reading the above stalemenf, I hereby certify that i am the owner of the above named prop ft or a Ilcer> W ekWcai coroacicx. I am m king
the electrical installation or dWraWn In txlmpliarm with the elecdricall laws, N.E.C., RCW. Chapter 1918, WAC. Chapter 2964M, The Ctly of Port
Angeles Munlcipal Coda, and Udtty Spocficadws and PAMC 14.05.050 regarding EleOtal Permit Applkadora
Signatdrt of own , e ot, elecbiol adminisWor: 0 a� . =� cnadc n
wed: _ -- .. elfefr2042
MA.
O'
Q
i�
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number 15- 00000023 Date .1/12/15
Application pin number 126505
Property Address . . . , , , 507 LOPEZ AVE
ASSESSOR PARCEL NUMBER: 06-30-10-5-0- 1606 -0000-
Application type description ELECTRICAL
Subdivision Name . . . . , .
Property Use
Property Zoning . . . , , , . RS7 RESDNTT,, SINGLE FAMILY
Application valuation , 0
Application desc
Ductless heat pump
Owner Contractor
-------- ---------- - - - - -- -------------------------
Brenda Kitchen ELECTRIC SERVICE
507 Lopez Avenue $2 DRAPER RD
PORT ANGELES, WA, PORT ANGELES WA 98362
PORT ANGELES WA 98362 (360) 452 -6424
Permit , . . , . , ELECTRICAL, ALTER RESIDENTIAL
Additional dose 1 -4 CIRCUITS
Permit Fee 75.00 Plan Chec)c Fee 00
Issue Date 1/12/15 Valuation . . . . 0
Expiration Date 7/11/15
Qty Unit Charge Per Extension
BASE FEE 75.00
Pee summary Charged Paid Credited Due
Permit Fee Total 75,00 75.00
Plan Check Total 00 00 U•0 00
Grand Total 75,00 75.00 'Co .00
REP6, R; SALES TAX
on-your excise. tax form
to the pity of Port Angeles
(U ion Code 0502)
4k,
1-
�tin
INSPECTIONTYPE
DATE:
RESULTS:
INSPECTOR:
DITCH
SERVICE
ROUGH -IN
'.. ..
FINAL
9 �,
COMMENTS:
PERMIT WILL EXPaE SIX (6) MONTIiS FROM LAST INSPECTION
Signature of owner or Electrical Contra_ ctor X
G:TXC$ANGEIBUILDING
Date:
t