HomeMy WebLinkAbout508 Lopez Ave - BuildingPREPARED 4/22/08 8 51 36 INSPECTION TICKET PAGE 8
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/22/08
ADDRESS 508 LOPEZ AVE SUBDIV
TENANT NBR HOUSING AUTHORITY
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1109 0000
APPL NUMBER 06 00001243 RES NEW SFR
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 4/22/08 J MECHANICAL FINAL
April 21 2008 9 21 05 AM 1pangrle
BRUCE MCCOPPEN 912 0079 OR ROGER FETON 477 1243
MECHANICAL FINAL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYPJSQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 11/05/07 PB PLUMBING ROUGH IN
11/05/07 AP November 5 2007 8 09 18 AM 1pangrle
ROGER 477 1243
ROUGH IN PLUMBING
PL99 01 4/22/08 JLL PLUMBING FINAL
April 21 2008 9 21 27 AM 1pangrle
BRUCE MCCOPPEN 912 0079 OR ROGER FETON 477 1243
PLUMBING FINAL
COMMENTS AND NOTES
PREPARED 4/22/08 8 51 36 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/22/08
ADDRESS 508 LOPEZ AVE SUBDIV
TENANT NBR HOUSING AUTHORITY
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1109 0000
APPL NUMBER 06 00001243 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/08/07 PB BLDG FOUNDATION FOOTING TIME 13 00
3/08/07 AP 03/08/2007 08 35 AM PERMITS
BRUCE 808 3349
03/08/2007 05 00 PM PBARTHOL
ground rod ok
BL2 01 3/19/07 JLL BLDG FOUNDATION STEM WALL
3/19/07 AP 03/16/2007 03 20 PM PBARTHOL
BRUCE 808 3349
03/19/2007 10 11 AM JLIERLY
DSD 01 4/12/07 JLL BLDG DOWN SPOUT DRAINS
4/12/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 06 10
04/11/2007 09 05 AM PERMITS
GREG 477 1243
04/12/2007 04 34 PM JLIERLY
BL9 01 11/05/07 PB BLDG SHEARWALL
11/05/07 AP November 5 2007 8 10 28 AM 1pangrle
ROGER 477 1243
SHEARWALL
BAIR 01 12/13/07 PB BLDG AIR SEAL
12/13/07 DA December 12 2007 4 53 58 PM 1pangrle
BRUCE 912 0079
AIRSEAL
December 13 2007 3 44 48 PM pbarthol
electrical boxes not sealed
BL3 01 12/13/07 PB BLDG FRAMING
12/13/07 AP December 12 2007 4 53 23 PM 1pangrle
BRUCE 912 0079
FRAMING
December 13 2007 3 45 14 PM pbarthol
BAIR 02 12/14/07 JLL BLDG AIR SEAL TIME 01 00
12/14/07 DA December 14 2007 8 22 03 AM 1pangrle
BRUCE 912 0079
AIRSEAL
AFTERNOON
December 14 2007 3 47 57 PM jlierly
finish and recall/111
BAIR 03 12/19/07 JLL BLDG AIR SEAL
12/19/07 AP December 19 2007 8 27 17 AM 1pangrle
BRUCE 912 0079
AIRSEAL
BLWS 01 12/28/07 PB BLDG INSULATION WALL /FLOOR
12/31/07 AP December 27 2007 4 25 10 PM 1pangrle
BRUCE 912 0079
INSULATION WALLS FLOORS
December 31 2007 8 02 46 AM pbarthol
check fan duct insulation at final
BL99 01 4/22/08 JL4 BLDG FINAL
April 21 2008 9 20 47 AM 1pangrle
BRUCE MCCOPPEN 912 0079 OR ROGER FETON 477 1243
BLDG FINAL
PERMIT ME 00 MECHANICAL PERMIT
DATE
OWNER /CONTRACTOR
-fit ol-S- M7I f. V4114,(ct
ADDRESS
APPROVED
0
0
0
0
OLYMPIC PRINTERS, INC. (360) 452 -1381
ELECTRICAL INSPECTION
WIRING REPORT
417 -4735
PERMIT 8
DITCH
ROUGH IN /COVER
SERVICE
FINAL
C1,rv cp
DO NOT REMOVE
IN
50b 5 cl 6
Lo?---
CORRECTIONS NEEDED'
b 6 CLOT" 29 C T3 Z 2 u Li S
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
NOT APPROVED
0
PREPARED 12/28/07 9 45 08 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/28/07
ADDRESS 508 LOPEZ AVE SUBDIV
TENANT NBR HOUSING AUTHORITY
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1109 0000
APPL NUMBER 06 00001243 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/08/07 PB BLDG FOUNDATION FOOTING TIME 13 00
3/08/07 AP 03/08/2007 08 35 AM PERMITS
BRUCE 808 3349
03/08/2007 05 00 PM PBARTHOL
ground rod ok
BL2 01 3/19/07 JLL BLDG FOUNDATION STEM WALL
3/19/07 AP 03/16/2007 03 20 PM PBARTHOL
BRUCE 808 3349
03/19/2007 10 11 AM JLIERLY
DSD 01 4/12/07 JLL BLDG DOWN SPOUT DRAINS
4/12/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 06 10
04/11/2007 09 05 AM PERMITS
GREG 477 1243
04/12/2007 04 34 PM JLIERLY
BL9 01 11/05/07 PB BLDG SHEARWALL
11/05/07 AP November 5 2007 8 10 28 AM 1pangrle
ROGER 477 1243
SHEARWALL
BAIR 01 12/13/07 PB BLDG AIR SEAL
12/13/07 DA December 12 2007 4 53 58 PM 1pangrle
BRUCE 912 0079
AIRSEAL
December 13 2007 3 44 48 PM pbarthol
electrical boxes not sealed
BL3 01 12/13/07 PB BLDG FRAMING
12/13/07 AP December 12 2007 4 53 23 PM 1pangrle
BRUCE 912 0079
FRAMING
December 13 2007 3 45 14 PM pbarthol
BAIR 02 12/14/07 JLL BLDG AIR SEAL TIME 01 00
12/14/07 DA December 14 2007 8 22 03 AM 1pangrle
BRUCE 912 0079
AIRSEAL
AFTERNOON
December 14 2007 3 47 57 PM jlierly
finish and recall/j11
BLDG AIR SEAL
December 19 2007 8 27 17 AM 1pangrle
BRUCE 912 0079
AIRSEAL
BLWS 01 12/2 /07 JLL BLDG INSULATION WALL /FLOOR
J'7 4J JLL
December 27 2007 4 25 10 PM 1pangrle
L. .�lY BRUCE 912 0079
INSULATION WALLS FLOORS
BAIR 03 12/19/07 JLL
12/19/07 AP
COMMENTS AND NOTES
r
.,i•,r -7.
Ci Pi tA/14471-
PREPARED 12/19/07 9 10 07 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/19/07
ADDRESS 508 LOPEZ AVE SUBDIV
TENANT NBR HOUSING AUTHORITY
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1109 0000
APPL NUMBER 06 00001243 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/08/07 PB
3/08/07 AP
BL2 01 3/19/07 JLL
3/19/07 AP
DSD 01 4/12/07 JLL
4/12/07 AP
BL9 01 11/05/07 PB
11/05/07 AP
BAIR 01 12/13/07 PB
12/13/07 DA
BL3 01 12/13/07 PB
12/13/07 AP
BAIR 02 12/14/07 JLL
12/14/07 DA
BAIR 03 12/19/07
b�—
LL
BLDG FOUNDATION FOOTING TIME 13 00
03/00/2007 08 35 AM PERMITS
BRUCE 808 3349
03/08/2007 05 00 PM PBARTHOL
ground rod ok
BLDG FOUNDATION STEM WALL
03/16/2007 03 20 PM PBARTHOL
BRUCE 808 3349
03/19/2007 10 11 AM JLIERLY
BLDG DOWN SPOUT DRAINS
OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 06 10
04/11/2007 09 05 AM PERMITS
GREG 477 1243
04/12/2007 04 34 PM JLIERLY
BLDG SHEARWALL
November 5 2007 8 10 28 AM 1pangrle
ROGER 477 1243
SHEARWALL
BLDG AIR SEAL
December 12 2007 4 53 58 PM 1pangrle
BRUCE 912 0079
AIRSEAL
December 13 2007 3 44 48 PM pbarthol
electrical boxes not sealed
BLDG FRAMING
December 12 2007 4 53 23 PM 1pangrle
BRUCE 912 0079
FRAMING
December 13 2007 3 45 14 PM pbarthol
BLDG AIR SEAL TIME 01 00
December 14 2007 8 22 03 AM 1pangrle
BRUCE 912 0079
AIRSEAL
AFTERNOON
December 14 2007 3 47 57 PM jlierly
finish and recall/j11
BLDG AIR SEAL
December 19 2007 8 27 17 AM 1pangrle
BRUCE 912 0079
AIRSEAL
COMMENTS AND NOTES
PREPARED 12/14/07 8 33 07 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/14/07
ADDRESS 508 LOPEZ AVE SUBDIV
TENANT NBR HOUSING AUTHORITY
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1109 0000
APPL NUMBER 06 00001243 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/08/07 PB BLDG FOUNDATION FOOTING TIME 13 00
3/08/07 AP 03/08/2007 08 35 AM PERMITS
BRUCE 808 3349
03/08/2007 05 00 PM PBARTHOL
ground rod ok
BL2 01 3/19/07 JLL BLDG FOUNDATION STEM WALL
3/19/07 AP 03/16/2007 03 20 PM PBARTHOL
BRUCE 808 3349
03/19/2007 10 11 AM JLIERLY
DSD 01 4/12/07 JLL BLDG DOWN SPOUT DRAINS
4/12/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 06 10
04/11/2007 09 05 AM PERMITS
GREG 477 1243
04/12/2007 04 34 PM JLIERLY
BL9 01 11/05/07 PB BLDG SHEARWALL
11/05/07 AP November 5 2007 8 10 28 AM 1pangrle
ROGER 477 1243
SHEARWALL
BAIR 01 12/13/07 PB BLDG AIR SEAL
12/13/07 DA December 12 2007 4 53 58 PM 1pangrle
BRUCE 912 0079
AIRSEAL
December 13 2007 3 44 48 PM pbarthol
electrical boxes not sealed
BL3 01 12/13/07 PB BLDG FRAMING
12/13/07 AP December 12 2007 4 53 23 PM 1pangrle
BRUCE 912 0079
FRAMING
December 13 2007 3 45 14 PM pbarthol
BAIR 02 12/14/07 1 LL� BLDG AIR SEAL TIME 01 00
December 14 2007 8 22 03 AM 1pangrle
BRUCE 912 0079
AIRSEAL
AFTERNOON
COMMENTS AND NOTES
PREPARED 12/13/07 11 15 16 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY
ADDRESS 508 LOPEZ AVE SUBDIV
TENANT NOR HOUSING AUTHORITY
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1109 0000
APPL NUMBER 06 00001243 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/08/07 PB BLDG FOUNDATION FOOTING TIME 13 00
3/08/07 AP 03/08/2007 08 35 AM PERMITS
BRUCE 808 3349
03/08/2007 05 00 PM PBARTHOL
ground rod ok
BL2 01 3/19/07 JLL BLDG FOUNDATION STEM WALL
3/19/07 AP 03/16/2007 03 20 PM PBARTHOL
BRUCE 808 3349
03/19/2007 10 11 AM JLIERLY
DSD 01 4/12/07 JLL BLDG DOWN SPOUT DRAINS
4/12/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 06 10
04/11/2007 09 05 AM PERMITS
GREG 477 1243
04/12/2007 04 34 PM JLIERLY
BL9 01 11/05/07 PB BLDG SHEARWALL
11/05/07 AP November 5 2007 8 10 28 AM 1pangrle
ROGER 477 1243
SHEARWALL
12/1„3/07 JLL BLDG AIR SEAL
December 12 2007 4 53 58 PM 1pangrle
BRUCE 912 0079
AIRSEAL
BL3 0 12/13/07 JLL BLDG FRAMING
December 12 2007 4 53 23 PM 1pangrle
BAIR 01
BRUCE 912 0079
FRAMING
COMMENTS AND NOTES
PAGE 6
DATE 12/13/07
g 0 Lit" �d�� th7-
PREPARED 11/05/07 12 02 39 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/05/07
ADDRESS 508 LOPEZ AVE SUBDIV
TENANT NBR HOUSING AUTHORITY
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1109 0000
APPL NUMBER 06 00001243 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/08/07 PB BLDG FOUNDATION FOOTING TIME 13 00
3/08/07 AP 03/08/2007 08 35 AM PERMITS
BRUCE 808 3349
03/08/2007 05 00 PM PBARTHOL
ground rod ok
BL2 01 3/19/07 JLL BLDG FOUNDATION STEM WALL
3/19/07 AP 03/16/2007 03 20 PM PBARTHOL
BRUCE 808 3349
03/19/2007 10 11 AM JLIERLY
DSD 01 4/12/07 JLL BLDG DOWN SPOUT DRAINS
4/12/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 06 10
04/11/2007 09 05 AM PERMITS
GREG 477 1243
04/12/2007 04 34 PM JLIERLY
13L9 01 11/05/07 JLL BLDG SHEARWALL
November 5 2007 8 10 28 AM 1pangrle
///S
ROGER 477 1243
SHEARWALL
PL2 01 1 5/07
l
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
JLL
PLUMBING ROUGH IN
November 5 2007 8 09 18 AM 1pangrle
ROGER 477 1243
ROUGH IN PLUMBING
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 98363
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
06 00001243
078932
508 LOPEZ AVE
06 30 10 5 0 1109 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
ELECTRICAL NEW RESIDENTIAL
OLY WIRRNG/ 200A SVC +FEEDER
97535
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
19 00
2 00
7728 00
1469 00
1469 00
1 00
00
0
Extension
75 00
22 00
ELECTRICAL PERMIT INSPECTION RECORD
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.
DITCH
CH
ROUGH -IN COVER
SERVICE
FINAL
GENERAL COMMENTS:
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
I
I I
I I
1 1
I. I
I 1
I I'
1 I
COMMENTS
PW- 1102.15 [4516]
4
r
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 00001243
078932
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
97 00 97 00 00
00 00 00
2074 50 2074 50 00
2171 50 2171 50 00
00
00
00
00
INSPECTION TYPE
DITCH
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 WORKBEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DATE
,L rr.oep
I .1:
I.
I
t.
ACCEPTED COMMENTS
YES I NO
141-1102.1i
J
PREPARED 4/12/07 11 25 25 INSPECTION TICKET PAGE 16
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/12/07
ADDRESS 508 LOPEZ AVE SUBDIV
TENANT NBR HOUSING AUTHORITY
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1109 0000
APPL NUMBER 06 00001243 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/08/07 PB BUILDING FOUNDATION FOOTING TIME 13 00
3/08/07 AP 03/08/2007 08 35 AM PERMITS
BRUCE 808 3349
03/08/2007 05 00 PM PBARTHOL
ground rod ok
BL2 01 3/19/07 JLL BUILDING FOUNDATION WALL
3/19/07 AP 03/16/2007 03 20 PM PBARTHOL
BRUCE 808 3349
03/19/2007 10 11 AM JLIERLY
DSD 01 4/12/07 L -BUILDING DOWN SPOUT DRAINS
OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 06 10
04/11/2007 09 05 AM PERMITS
GREG 477 1243
COMMENTS AND NOTES
PREPARED 4/06/07 9 22 03 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/06/07
ADDRESS 508 LOPEZ AVE SUBDIV
TENANT NBR HOUSING AUTHORITY
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1109 0000
APPL NUMBER 06 00001243 RES NEW SFR
PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLM 01 4/06/07 LL BUILDING FOUNDATION MONO SLAB
NI OVERRIDE TAKEN BY PERMITS DATE 04/06/07 TIME 09 03 18
04/06/2007 09 02 AM PERMITS
BRUCE 808 3349
GARAGE
PERMIT IS IN UNLOCKED TRAILER
COMMENTS AND NOTES
PREPARED 3/19/07 8 27 38 INSPECTION TICKET PAGE 7
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/19/07
ADDRESS 508 LOPEZ AVE SUBDIV
TENANT NBR HOUSING AUTHORITY
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1109 0000
APPL NUMBER 06 00001243 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/08/07 PB BUILDING FOUNDATION FOOTING TIME 13 00
3/08/07 AP 03/08/2007 08 35 AM PERMITS
BRUCE 808 3349
03/08/2007 05 00 PM PBARTHOL
ground rod ok
BL2 01 3/19/07 L BUILDING FOUNDATION WALL
1,1 03/16/2007 03 20 PM PBARTHOL
BRUCE 808 3349
COMMENTS AND NOTES
PREPARED 3/08/07 10 20 02 INSPECTION TICKET PAGE 10
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/08/07
ADDRESS 508 LOPEZ AVE SUBDIV
TENANT NBR HOUSING AUTHORITY
CONTRACTOR PHONE
OWNER HOUSING AUTHORITY OF CLALLAM PHONE
PARCEL 06 30 10 5 0 1109 0000
APPL NUMBER 06 00001243 RES NEW SFR
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 3/08/07
3
JLL
114'
s•
P
BUILDING FOUNDATION FOOTING TIME 13 00
03/08/2007 08 35 AM PERMITS
BRUCE 808 3349
COMMENTS AND NOTES
6aJtiP/J &k-
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
1 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 54 PM SROBERDS New SFR in the RS 7 Lot
coverage 17'k 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
TOTAL LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Unit Charge Per
BASE FEE
14 0000 THOU BL -2001 25K (14 PER K)
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.
WA 98363
Signature of contractor or Authorized 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
06 00001243
078932
508 LOPEZ AVE
06 30 10 5 0 1109 0000
HOUSING AUTHORITY
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
97228
Contractor
OWNER
Date 2/14/07
19 00
2 00
7728 00
1469 00
1469 00
1 00
BUILDING PERMIT RESIDENTIAL
576 SF DETACHED GARAGE
94698
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
Signature of Owner (if owner is builder) Date
ELECTRICAL LIGHT DEPT
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
INSPECTION TYPE DATE
FOUNDATION:
I FOOTINGS
I SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
I POST HOLES (POLE BLDGS.)
I 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
'FIRE 417 -4653 I
PLANNING DEPT 417 -4750 I
I BUILDING 417 -4815
T \Policies \1 102 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 ANT WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
ACCEPTED
YES I NO
FINAL
417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 I PW ENGINEERING
COMMENTS
DATE ACCEPTED BY.
FINAL DATE ACCEPTED BY,
PLANNING DEPT SEPARATE PERMIT #'s. SEPA.
PARKING /LIGHTING ESA.
I LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
I YES I NO
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I 1 1
1 1 1 1
I I I I
I I I I
OF pORT�Q CITY OF PORT ANGELES
1ffi DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number
Application pin number
Other Fees
Fee summary
06 00001243
078932
STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE 1200 00
Charged Paid Credited Due
Page 2
Date 2/14/07
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
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T- \Policies \I 102_15 building permit inspection record05.wpd [1/4/2005]
ELECTRICAL LIGHT DEPT
INSPECTION TYPE 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 I WATER
1 AIR SEAL
I 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
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
I FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T-1Policies11102 IS 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 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.
YES
ACCEPTED
NO
FINAL
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
FIRE DEPT
I PLANNING DEPT
BUILDING
COMMENTS
DATE
DATE ACCEPTED BY,
DATE ACCEPTED BY.
ACCEPTED
YES I NO I
I I I 1
I I I 1
1 I I I
f pony
u�
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 \l 102.1512 [1 /05]
WA 98363
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00001243
078932
508 LOPEZ AVE
06 30 10 5 0 1109 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
PUBLIC WORKS RES WATER SERV
5/8 DROP IN METER
91488
175 00 Plan Check Fee
1/25/07 Valuation
7/24/07
BASE FEE
SANITARY SEWER HOOK UP
91470
110 00 Plan Check Fee
1/25/07 Valuation
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
19 00
2 00
7728 00
1469 00
1469 00
1 00
0 0
97228
Extension
175 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
construc
or
,r4/14) �rv1 ors'z�
Signature of Contrtactor 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 NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
I I
I I
I
I I
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
Application Number
Application pin number
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 Fees
Fee summary
T•\Policies \1102.15R [1/05]
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
06 00001243
078932
Page 2
Date 1/25/07
SEWER SYSTEM DELV CHARGE 870 00
STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE 1200 00
Charged Paid Credited Due
Permit Fee Total 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
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 11/051
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 I NO
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
CONSTRUCTION RW
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
BUILDING
O p PORr
ATAPP
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
48 00
Permit
Additional desc
Permit pin. number
Permit Fee
Issue Date
Expiration Date
4 00
1 00
10 00
1 00
WA 98363
BUILDING PERMIT RESIDENTIAL
Unit Charge Per
BASE FEE
7 0000 THOU BL -50 001 100K (7 00 PER K)
Qty Unit Charge Per
7 2500 ECH
10 6500 ECH
MECHANICAL PERMIT
Permit
Additional desc
Permit pin number 90902
Permit Fee 149 00
Issue Date 1/25/07
Expiration Date 7/24/07
Qty Unit Charge Per
7 0000 ECH
7 0000 ECH
PLUMBING PERMIT
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 Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T \Policies 102_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 00001243
078932
508 LOPEZ AVE
06 30 10 5 0 1109 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
90753
1006 25 Plan Check Fee
1/25/07 Valuation
7/24/07
90894
89 65 Plan Check Fee
1/25/07 Valuation
7/24/07
BASE FEE
ME VENT FAN
ME VENT SYSTEM OTHER
Valuation
BASE FEE
PL EA FIXTURE ON ONE TRAP
PL EA INSTALL WATER PIPE
Date 1/25/07
19 00
2 00
7728 00
1469 00
1469 00
1 00
00
97228
Extension
670 25
336 00
00
0
Extension
50 00
29 00
10 65
Plan Check Fee 00
0
Extension
50 00
70 00
7 00
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 I COMMENTS
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
I PIERS
I POST HOLES (POLE BLDGS.)
PLUMBING
UNDERFLOOR /SLAB
ROUGH -IN'
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL/HOLD DOW4
WALLS ROOF CEILING v
DRYWALL (INTERIOR BRACED ONLY)
T -BAR M
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 KW PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
I PLANNING DEPT 417 -4750 I
I BUILDING 417 -4815 I
T \Policies \l 102 15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
I YES I NO I
I 1
I I
I I I
I I
1 I I
I
I I
I I
I
I I FINAL DATE ACCEPTED BY.
I I I
I I
I I
I I
1 I
I I
I I
I I
I I
I I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE I ACCEPTED
I YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
FINAL
SEPA.
ESA.
SHORELINE:
CONSTRUCTION ILW
PW ENGINEERING
I FIRE DEPT.
PLANNING DEPT
I BUILDING
DATE ACCEPTED BY,
I I I
I I I I
I I I I
pORT
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number
Application pin number
Other Fees
Fee summary
06 00001243
078932
Qty Unit Charge ]3er
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 17t 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
Charged Paid Credited Due
Page 2
Date 1/25/07
Extension
15 00
7 00
SEWER SYSTEM DELV CHARGE 870 00
STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE 1200 00
Permit Fee Total 1244 90 1244 90 00 00
Plan Check Total 00 00 00 00
Other Fee Total 2074 50 2074 50 00 00
Grand Total 3319 40 3319 40 00 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
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.
k
1
INSPECTION TYPE DATE ACCEPTED
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 FLOO13Y 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
3 /Y I J J-
'li 119/6.7 1.414
4112107 I .TLL
I( -5 -o7
1
7 L.L.
1Z-- t G--o 7 7u
1 Z 1 3- o7 L-
1
YES I NO
Mono 510.1 64/0647 7 ILL
s�neavwa,tl 11- 5 -o-°7 �u
FINAL G I 22-1 ACCEPTED BY.
FINAL 61
SEPA.
ESA.
SHORELINE:
COMMENTS
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 I I PW ENGINEERING
FIRE 417-4653 I I I I FIRE DEPT. I I
PLANNING DEPT 417 -4750 10q-2-2-0.1? I I PLANNING DEPT I I I
BUILDING 417 -4815 1 I r) �Z" 1 1 BUILDING I I I
T•\Policies \1102 15 building permit inspection record05 wpd [1/4/2005]
ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE I ACCEPTED
I YES I NO
O
oci
P
FOR OFFICIA
BUILDING PERMIT APPLICATION Date Rec. f►
Permit
Fill out COMPLETELY and in INK. Your application and site plan MUST BE Approved:
p i Date A roved:
COMPLETE to be accepted for review If you have any questions, call y r_
PERMITS (360) 417 -4815 FAX(360)417 -4711 /vale Issued:
Applicant or Agent: tit) u 51 Ne 1-U Awe, lei 1W /YIv1(dO t Phone: .3 Al6 Oh
�14 3
Owner /Th'i m Vt 7
Phone: hi -vhr40
Address: q /2. W i rh 5 t Cit 5,--1 Avc4 km Zip: 3C 2.
5
Architect/Engmeer ht14t4 T. Rot J N ilLA/ Phone: its- 4a
Contractor Otv iVti2 A State License Exp: Phone:
Address: City Zip:
PROJECT ADDRESS: Lo P 54 ZONING
LEGAL DESCRIPTION Lot: r Block: NA Subdivision: u/i4
akA- 0.6-cx, A aoct, ll .o9
CLALLAM COUNTY PARCEL NUMBER. 6/e i n /h g bf l Oq
TE OF WORK. SIZE/VALUATION
Ili' Residential WORK? Constr Re -roof Stove /a'u1. SF Q6 SF 9I/5 7
Multi- family Addition MoveeGarage G SF ®1,,,z1 3s' /SF $_/3,3134, gr
Commercial Remodel Demolition lt} Deck �-1 SF t O /SF 7I D 6 4 4
Repair Sign Other TOTAL VALUATION e si 95'.Z
BRIEF DESCRIPTION OF THE PROJECT Sn✓ il: Prq-m1 dy t-srn ;.,c3,' FLt u. 4.)49 4-
G r4-r 1,.a.R
COMMERCIAL/RESIDENTIAL. Occupancy Group: ICS- 3 Occupant Load: Construction Type: it
No. of Stories: e2 Lot Size: 7floabbG Existing Sq. Ft. C7 Proposed Sq. Etr rr f 5 TOTAL Sq. Fl,1
Total lot coverage r ge 4Ar p' z*5
P-
PLANNING USE ONLY
ESA/Wetland(s): Yes No SEPA Checklist required? Yes No Other
VALUATION OF CONSTRUCTION• In all cases, a valuation amount must be entered by the applicant
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -48 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. I am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits prior to work.
T wpd Applicant:
76 X t�
Q/2- 0679- eef
Date:
SE •NLY
00
APPROVALS:
PLAN
BLDG:
DPWU
FIRE.
OTHER.
I
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WINDO2 v1 -02
Detailed Wind Load Design (Method 2) per ASCE 7 -02
Description: Olympic Vista Development 1242sf 2 story
Analysis by Zenovic Associates, July 2006
User Input Data
Structure Type
Basic Wind Speed (V)
Struc Category (I, II, Ill, 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 (Ht)
Width Perp. To Wind Dir (B)
Width Paral. To Wind Dir (L)
Damping Ratio (beta)
Building
100
C
1
36 87
Gabled
0 85
19 50
26 00
22 75
16 00
36 00
001
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
Copyright 2002 MECA Enterprises, Inc.
mph
Hz
Deg
ft
ft
ft
ft
ft
Calculated Parameters
Importance Factor 1 1 I
Non- Hurricane Hum icane (v =85 -100 mph) 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 15.00Ift
Gust Factor Category 1: Rigid Structures Simplified Method
Gust1 (For rigid structures (Nat Freq 1 Hz) use 0.85 1 0.851
Gust Factor Category II: Rigid Structures Complete Analysis
Zm IZmin 15.001ft
lzm 1Cc (33/z) "0.167 0.22811
Lzm 11 *(zm/33) ^Epsilon 427.061ft
Q 1(1/(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
G ISince this is not a flexible structure the lessor of Gust1 or Gust2 are used I 0.851
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 Heiahts
Fia 6-5 Internal Pressure Coefficients for Buildings. Gcui
Condition
Open Buildings
Partially Enclosed Buildings
Enclosed Buildings
Enclosed Buildings
Copyright 2002 MECA Enterprises, Inc.
Elev Kz Kzt qz Pressure (Ib/ft ^2)
Windward Wall*
ft Ib/ft ^2 +GCpi -GCpi
26 I 0.95 1 00 20.74 10.47 17 73
22.75 1 0.93 1 00 20.16 10.08 17.34
20 1 0 90 1 00 19.63 9.72 16.97
19.5 1 0 90 1 00 19.52 9.64 16.90
15 1 0.85 1 00 18.47 8.93 16.19
Gcpi
Max I 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
Roof Area (sq. ft.)
Reduction Factor
WINDO2 v1-02
Detailed Wind Load Design (Method 2) per ASCE 7 -02
Fiaure 6 -6 External Pressure Coefficients, Co
Loads on Main Wind -Force Resisting Systems (Method 2)
I
z
Variable )Formula
Kh 12.01 *(Ht /zg) ^(2/Alpha)
Kht Topographic factor (Fig 6-4)
Qh 100256 *(V) ^2 *I *Kh *Kht *Kd
Khcc 1Comp Clad: Table 6-3 Case 1
Qhcc 100256*V ^2 *I *Khcc *Kht *Kd
Wall Pressure Coefficients, Cp
Surface
Windward Wall (See Figure 6.5.12.2.1 for Pressures)
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 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) 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 Cp
Horizontal distance from windward edge
Copyright 2002 MECA Enterprises, Inc. www.mecaconsulting.com
L
Value Units
0.93
1 00
20.16 psf
0.93
20.16 psf
Cp
0.8
576
0.86
Cp Pressure (psf)
+GCp1 -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
-016 -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
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
0&--
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name . . J
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00001243 Date 1/25/07
078932
508 LOPEZ AVE
06-30-10-5-0-1109-0000-
HOUSING AUTHORITY
RES NEW SFR
508upe.:e
RS7 RESDNTL SINGLE FAMILY
97228
Owner
Contractor
xh tt5/~q
HOUSING AUTHORITY OF CLALLAM
2603 S FRANCIS STREET
PORT ANGELES, WA.
PORT ANGELES WA 98363
OWNER
Other struct info .
TOTAL t LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
19.00
2.00
7728.00
1469.00
1469.00
1. 00
t/l
172.:
1 .
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS
5/8" DROP IN
91488
175.00
1/25/07
7/24/07
RES WATER SERV
METER
plan Check Fee
valuation
.00
97228
Qty
Unit Charge Per
BASE FEE
Extension
175.00
Permit
Additional dese .
Permit pin number
permi t Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
91470
110.00
1/25/07
7/24/07
Plan Check Fee
valuation
.00
97228
pin*-IJB
Qty
1. 00
Unit Charge Per
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 03:54 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.
~1y 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
Separate Permits are required for electrical work, SEPA. Shoreilne, 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 appilcation and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be compiled 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 iaw regulating construction or the pertormance of
construction.
Date
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
T:\Policies\J J02.15R (I/OS)
.
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CITY OF PORT ANGELES
PUBLIC WORKS -UTILITIBS DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number'
Application pin number
06-00001243
078932
Page
Date
2
1/251.07
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.
,I
Other Fees
S~WER 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 orwork is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that i have read and examined this application and know the same to be true and correct. AU provisions of
laws and ordinances governing this type of work wiU 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 constructio"n or the performance of
construction.
Date
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
T:\Policies\II02.ISR [lIDS]
APPLICATION FOR WATER
City Water Division, Port Angeles, WA
Issued date: j-J}j-07 Installed by & date: ~ 715" (,-5-iJ7 Permit#()(p-rZJ.{3
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises:
iln k+t. /l "~-7,,j
Applicant Name & Phone: , W; (VJ?; oerry I?F c;L..4-U...4m CLJIA h
Site Address: :5()8LoJ7e~ MailingAddress:j.'D Boi 1\\ fA,
~ 1 btkOfrOf/
Blk:_ Lot: . Add: ?'J'>I7I.-IP,1'Z()P, Parcel#:(')(P7!?/0".'7DJ/O?f
Svc: ON I e Meter #'s C Fq{"''''It!: 7~ WIO #: 303'1<6 - '3,,4 <;
::;:/1i:!;:fJil~~I~:~. "'"'"'""~-' Ua
(/1 yV k -/-0 be- e~ t8f'adeJ /n L-ope~ U20;-f-l rCLd.oy)
e~e:NI- 'tV l'<-Te-tZ- 5Vc..'S oFF N~1iJ 1"'J*lN
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT. . . . . . .
./
REQUEST:
Date L/ -25 -O~
Time
Received by
72:v
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. C/o-I Z 4 '=?
Sewer Foundation Framing Chimney Plumbing @)sewer Excav. Other
So~ L:.,De2
,
g,.t..LC- €:.-
Ave...
INSPECTION NOTES:
Inspected: Date '7 - 25- O~ Time
Remarks: S<G~.)(Gr 4- s-- 0 '7
By !?V
Of<
I
RESTORATION REQUIRED. . . . .. YES
NO >t-
,
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
IC.o!1tinue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
MRR-19-2007 02:47P FROM:OLYMPIC WIRING
(350)692-3680
TO: 13604174711
P.6
S"
s; .
,: --~!
""'...
ELECTRICAL WORK PERMIT APPLICATION
.
Job wired by
Qr"Electrlcal Contractor 0 Owner .
Installation description
D Commercial 111 Resideotial
Electrical contrector nanle
QI'1"""p.'<' W.....:"j,tw
Purchaser's maill"A8ddress
&)~O/ ruvMr
City
S:llIerJtt~
Telephone number
3~Dl Z -0/3<1
License number
OLy.v. PWnloRll
Dale Expires
'3~r-D1
~.w
a Altered! Addition
Stale ZIP
uM 1 t5 f3
FAX. number
3lfo &'72. -3!J,B-D
26D A-
Wl ZOtJA
~r~ Ice
Furli."'-
Premllu owner's. name ~ . ~
--Jtl.~I""N "",-,
Addrcu of Inllpectlon
~ 8" 1-" ~'Z.. M.( V\ w..
elly Pc",! ,4,..~&5,' tAlA
Phone number to schedule fnlpectJop:
/ :PI 'Z--
,
570
/tJ/8
Owner os (lcfinCil by RCW/9.28.26/:(1) Owner will occuPY tile structure/or two
years after this electrical pcnnit (s fina/ucd. (2) OWller is required to hire an e/t!clrkal
contractor if above said property is for sale, rent or lease.
After reading the above statement, I hereby certify thai I am the owner of Ihe above
named property or a licensed electrical contrilctor. I am making the electrical instal-
lation or alteration in compliance wich the electrical laws, N.S.C., RCW. Chapler
19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Specifications.
SIEDatur. of owner, e cctrlcal contractor or electrical admlnlstralor
o Cash
o Check #
o Credit Card
Card #
Visa
(!>faStercard:)
OLA ,(;.i...lt.
Discover
x
Expiration Date
of card
Date:~1-1'_()
Electrical Load Additions and or subtractions
1;;1 NO LOAD CHANGES
CJ Baseboard KW
o Fumace _ KW
[J Heat Pump _ Ton _ LAR
CJ Fan-Wall KW
fII( Overheed Service
IJ Temp Service
o Underground Service
Service Information
Voltege IV /1. LJD
Pha.ellif~
Service Size: .wA-
Feeder Size: '1J\7')A.
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
I' ROUGH-IN THERMOSTAT ,r SERVICE
aJ'/07 '1W 1?{?/o7 ~
'- "ue "I'Pf'rlVcd Oy DDlll "ppto"cdll)' '- " Appro"~~ By
FlNAL ,r FEEDER
DITCH
t1/~~/~ -m-P I,Ihl / FJ7 L 4-:J;
Arpro~cd By ',( .. "'...provdBy OllIe Appnlved Uy
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Dare [nspector
3-U,07 $'1/0.00 Ov,JAi(.>.r ~y k/,20v{:tJ .tU-<
li5Irc::~~O\l) I~~
..,..,-
MAR Z 0 ZU JI
.. ,. ..
UGHTut:r .
.
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
OAT INSPECTOR
~ "21 'Dgp ~
OWNER/CONTRACTOR
OL~ M. "rl C- W \ lel f'/. Co
ADDRESS
~N5 L6?~'Z- f>.-V~
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . .. . . .. . . . . . . ROUGH IN/COVER. . .. . . . . . . . . .. . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . )l<t.
CORRECTIONS NEEDED:
L..cr:hTZ-.- C::ONN~c:.-nDN j.....l ~~C~'?l'J'\-L~
60x ~()G, '0 I ~~ (~c>"Q ):..'fi=.~ t-J/ ,~0
;'
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452-1381
"," ~ ,'..
CITY OF PORT ANGELES
LIGHT DIVISION
FAX TRANSMISSION COVER SHEET
Date:
To:
Fax:
Re:
Sender:
4/10/07
Labor & Industries
417-2733
Inspections
Kathy Trainor
Phone: 417-4724
Fax: 417-4729
YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS COVER SHEET.
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (360) 417-4724.
Please inspect for:
Jerry Peterson, Olympic Wiring
360-692-0134
508 Lopez (Housing Authority; Olympic Vista)
Ditch
All permits at job shack.
D / I vt-l - 6r/2.,r)
tUJo S
Thank you,
Kathy
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TRANSMISSION VERIFICATION IlEPORT I
DATE, TIME
FAX NO./NAME
DURATION
PAGE(S)
RESULT
MODE
04'10 12: 06
94172733
00,00:19
01
OK
STi\NDARD
ECI.1
TIME
04, 0 ~0e7 12: 06
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36041 72733
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ST OF WA L&I
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4/6
1___
PORT ANGEliS CITY L T
I (iE el
94/1e/2ee7 12:e6 36e4174729
(j
CITY OF PORT ANGELES
LIGHT DIVISION
FAX TRANSMISSION COVER SHEET
Date:
To:
Fax:
Re:
Sender:
4/10/07
Labor & Industries
417-2733
Inspections
Kathy Trainor
Phone: 4174724
Fax: 417-4729
()'7-3. ~ __
YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS COVER SHEET.
IF YOU DO NOT RECEIVE ALL THE PAGES, PLEAS!' CALL (360) 417-4724.
Please inspect for:
Jerry peters~p~~
360-692-0134
~OUSing Authority; Olympic Vista)
All permits at job shack.
Th,,, yo" 1(rI&7 )r1C{f ~~
Kathy r a~t{p}p ~}
C{ r;:- /'
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(t70 - 1l-7~ ~
(" ?-Il(
k,~ ?2JVJ /'
C 1 ,/:V
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60
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor
G:IEXCHANGEWILDING Date:_
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360 -417 -4735
Application Number , . . . .
16- 0p000436 Date 3/29/16
Application pin number . , ,
543040
Property Address . , . . . .
508 LOPEZ AVE
ASSESSOR PARCEL NUMEZR:
06- 30- 10 -5 -D -1109 -0000-
REPORT SALES FAX
Application type description
ELECTRICAL ONLY
an tax
Subdivision Name . . , , ,
your eXCISG form
Property use ,
to the City of Port Angeles
Property Zoning. , . , , . . .
Application
RS7 RESDNTL SINGLR FAMILY
(Location Code 0502]
valuation , . . .
0
Application desc
---------------------------------------
Ductless heat pump
Owner
Contractor
JASON DOUGLAS
ELECTRIC SERVICE
C/O MANDY TREADWAY PAA
503 RHODES RD
2603 S FRANCIS ST
PORT ANGELES GSA 98362
PORT ANGELES WA 98363
(360) 452 -6424
(360) 582 -7832
Permit ELECTRICAL
ALTER RESIDENTIAI T -JF " `-
Additional desc 1 -4 CIRCUITS
Permit Fee , . , 75.00
Plan Check Fee
Issue Date 3/29/16
Valuation . . . , D
Expiration Date 9/25/16
Qty Unit Charge Per •
Extension
SASE FEE 75.00
Fee summary Charged
___---.----------------------------
Paid Credited Due
Permit Fee Total 751D0
75.00 1 00 - 00
Plan Check. Total 00
00 .0D 00
Grand Total 75,00
'75.00 .00 .00
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor
G:IEXCHANGEWILDING Date:_
FROM : FAX No. : Mar. 28 2016 8:04AM P1
R st
L"'I"
CITY OF FORT ANGELES PERMIT APPLICATION HAR 2 8 2016 ft Ouilding Division/ lectrical Inspections �► °"
321 ,Bast Fifth Street — P.O. Box 1150 / Part Angeles Washington, 98362 Ll.FURICAL
Ph: (360) 417-4735 Fax: (360) 417 -4711 YiUSI'i Cf10tis
Date: `.0 /!G,
— y- .– �,.•_. _X '# & 2 Singh Farni(y Dwelling
" Plan Review I Be Req irsd, please Complete Electrical Plan Review Information Sheet
Jots Address:
BuJldirrg Sgeare Footage;
Desadpdon of above
Omer inform ion
Name J lft '
Mailing Addrrrss: o
.
ikon c1 • � Fes:
License #1 Exp.
Rem
Unit Charae
Senrire/Feeder 200 Amp,
$ 120.00
Seivloe/Feeder 201400 Amp,
$146.00
;aervlcelFeeder 401.800 Amp
$ 205.00
Service/Feeder 501 -1000 Amp,
$ 262,00
$aivfce/Feeder over 1000 Amp.
$ 973,00
13ranoh Circuit W/ Service Feeder
$ 5.00
Branch Circuit WIG Service Feeder
$ 63.00
F-ach Addiuonat Basch Circuit
$ 5 -00
Branch Circuits 1.4
$ 75.00
Temp. Ser riuJ Feeder 240 Amp,
$ 93.00
Temp. ServicelFeeder201 -400 Amp_
$1 MOO
Temp. ServicelFeeder401 -600 Amp.
$149.00
Temp. Servicefeeder 60f.1000 Amp ,
$168.00
Portal to Portal Hourly
$ S6,00
Signal Circuit/ Urnfted Energy -1 & 2 Farnity Dwelling
$ 64.00
Manufactumd ]-lame Connedon
$120.00
Renewable Electrical Energy, 5KVA System or Los
$102,00
Thermostat
$ 56,00
Note: $5.00 for ®acre a 090rtvi T• 5tat
NEW CO
TRUCalON ONLY:
First 1300 Square Ft
$120,00
Each Additional 500 Square Ft, or Pw6vrt of
$ 40.04
Each Outbuilding or Detachrad Garagp
$ 74,00
Each Swimming Pool or Hot Tub
$110.00
Contra y�forYn tfon
Marne; �� )V-2c
MilifincAddress 2i (3 -75
City: State: zp:
Rune: a fl. 2it Yox:
Uom%e # l Exp C
Rix Total. Iki lied b Unit Charge)
$
$
ILI 6Total
Owner as dafined by RCW_19.28,261; (1) fawner will occupy the structure for two years aftr this electrical permit is finalized. (2) Owner is required
to hire an electrical contractor if above sold property Is for sale, rent or base. Permit expires after six months of fast inspection.
After reading the above statement. I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making.
the electdoal insWation or a49ra&m in cornpllance with the electrical laws, bl.E.C., RCW. Chapter 19.2$, VAC, Chapter 296.40$, The City of Port
Angeles Municipal Code, and utility Specifications and PANIC 14,05,050 regerdfng Electrical Permit Applications,
Signature of owner, electrical contractor-or electrical admivkistraton d can 0 chWk
- - 21::-_� - —
Dated: _ _,. 01101!'L, 012
1
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