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Home My WebLink About510 Lopez Ave - BuildingPREPARED 4/22/08 8 51 36 CITY OF PORT ANGELES ADDRESS 510 LOPEZ AVE TENANT NBR KEVIN MARY CAMPBELL CONTRACTOR OWNER HOUSING AUTHORITY OF CLALLAM PARCEL 06 30 10 5 0 1108 0000 APPL NUMBER 06 00001244 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 10/31/07 AP PL99 01 4/22/08 JLL INSPECTION TICKET INSPECTOR JAMES LIERLY SUBDIV PHONE PHONE October 31 2007 8 23 37 AM 1pangrle BRUCE 912 0079 ROUGH IN PLUMBING PLUMBING FINAL April 21 2008 9 58 36 AM 1pangrle BRUCE MCCOPPEN 912 0079 OR ROGER FETON 477 1243 PLUMBING FINAL COMMENTS AND NOTES PAGE 10 DATE 4/22/08 PREPARED 4/22/08 8 51 36 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/22/08 ADDRESS 510 LOPEZ AVE SUBDIV TENANT NBR KEVIN MARY CAMPBELL CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 10 5 0 1108 0000 APPL NUMBER 06 00001244 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/19/07 JLL BLDG FOUNDATION FOOTING 3/19/07 AP 03/16/2007 03 26 PM PBARTHOL BRUCE 808 3349 03/19/2007 10 11 AM JLIERLY BL2 01 3/26/07 JLL BLDG FOUNDATION STEM WALL 3/26/07 AP 03/23/2007 04 23 PM PERMITS BRUCE 808 3349 03/26/2007 04 39 PM JLIERLY DSD 01 4/12/07 JLL BLDG DOWN SPOUT DRAINS 4/12/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 07 18 04/11/2007 09 07 AM PERMITS GREG 477 1243 04/12/2007 04 34 PM JLIERLY BL9 01 10/18/07 JLL BLDG SHEARWALL 10/19/07 AP October 18 2007 8 33 16 AM pbarthol bruce 360 912 0079 October 19 2007 11 50 02 AM jlierly BAIR 01 11/27/07 JLL BLDG AIR SEAL 11/28/07 AP November 26 2007 3 38 22 PM 1pangrle BRUCE 912 0079 AIRSEAL BL3 01 11/27/07 JLL BLDG FRAMING 11/28/07 AP November 26 2007 3 37 44 PM 1pangrle i wl� BRUCE 912 0079 ING BL99 01 22/08 QJ. J L BLDG FINAL April 21 2008 9 57 52 AM 1pangrle BRUCE MCCOPPEN 912 0079 OR ROGER FETON 477 1243 ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS PERMIT TYP /SQ ME99 01 4/22/08 BLDG FINAL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS MECHANICAL FINAL April 21 2008 9 58 15 AM 1pangrle BRUCE MCCOPPEN 912 0079 OR ROGER FETON 477 1243 MECHANICAL FINAL CONTINUED ONTO NEXT PAGE JLL PLUMBING ROUGH IN 10/19/07 DA October 18 2007 8 32 12 AM pbarthol bruce 360 912 0079 October 19 2007 11 50 08 AM jlierly unable to tell if the dwv is leaking or rain from roof /floor area is causing drip /dryout and verify/j11 PL2 02 10/31/07 JLL PLUMBING ROUGH IN PREPARED 11/27/07 9 20 55 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/27/07 ADDRESS 510 LOPEZ AVE SUBDIV TENANT NBR KEVIN MARY CAMPBELL CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 10 5 0 1108 0000 APPL NUMBER 06 00001244 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/19/07 JLL BLDG FOUNDATION FOOTING 3/19/07 AP 03/16/2007 03 26 PM PBARTHOL BRUCE 808 3349 03/19/2007 10 11 AM JLIERLY BL2 01 3/26/07 JLL BLDG FOUNDATION STEM WALL 3/26/07 AP 03/23/2007 04 23 PM PERMITS BRUCE 808 3349 03/26/2007 04 39 PM JLIERLY DSD 01 4/12/07 JLL BLDG DOWN SPOUT DRAINS 4/12/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 07 18 04/11/2007 09 07 AM PERMITS GREG 477 1243 04/12/2007 04 34 PM JLIERLY BL9 01 10/18/07 JLL BLDG SHEARWALL 10/19/07 AP October 18 2007 8 33 16 AM pbarthol bruce 360 912 0079 October 19 2007 11 50 02 AM jlierly BAIR 01 11/27/07 JL$ BLDG AIR SEAL November 26 2007 3 38 22 PM 1pangrle BRUCE 912 0079 AIRSEAL BL3 01 11/27/07 �L BLDG FRAMING November 26 2007 3 37 44 PM 1pangrle BRUCE 912 0079 FRAMING COMMENTS AND NOTES PREPARED 10/31/07 9 12 52 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/31/07 ADDRESS 510 LOPEZ AVE SUBDIV TENANT NBR KEVIN MARY CAMPBELL CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 10 5 0 1108 0000 APPL NUMBER 06 00001244 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 10/18/07 JLL PLUMBING ROUGH IN 10/19/07 DA October 18 2007 8 32 12 AM pbarthol bruce 360 912 0079 October 19 2007 11 50 08 AM jlierly unable to tell if the dwv is leaking or rain from roof /floor area is causing drip /dryout and verify/j11 PL2 02 10/31/07 #LI/ I PLUMBING ROUGH IN October 31 2007 8 23 37 AM 1pangrle BRUCE 912 0079 ROUGH IN PLUMBING COMMENTS AND NOTES PREPARED 10/18/07 9 30 17 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/18/07 ADDRESS 510 LOPEZ AVE SUBDIV TENANT NBR KEVIN MARY CAMPBELL CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 10 5 0 1108 0000 APPL NUMBER 06 00001244 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/19/07 JLL BLDG FOUNDATION FOOTING 3/19/07 AP 03/16/2007 03 26 PM PBARTHOL BRUCE 808 3349 03/19/2007 10 11 AM JLIERLY BL2 01 3/26/07 JLL BLDG FOUNDATION STEM WALL 3/26/07 AP 03/23/2007 04 23 PM PERMITS BRUCE 808 3349 03/26/2007 04 39 PM JLIERLY DSD 01 4/12/07 JLL BLDG DOWN SPOUT DRAINS 4/12/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 07 18 04/11/2007 09 07 AM PERMITS GREG 477 1243 04/12/2007 04 34 PM JLIERLY BL9 01 10/18/07 L BLDG SHEARWALL Ok F� October 18 2007 8 33 16 AM pbarthol bruce 360 912 0079 PERMIT PL 00 PLUMBING ERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 10/18/07 PLUMBING ROUGH IN October 18 2007 8 32 12 AM pbarthol bruce 360 912 0079 COMMENTS AND NOTES P Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS STREET PORT ANGELES WA PORT ANGELES Other struct info Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date WA 98362 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 06 00001244 Date 4/18/07 232656 510 LOPEZ AVE 06 30 10 5 0 1108 0000 KEVIN MARY CAMPBELL RES NEW SFR RS7 RESDNTL SINGLE FAMILY 97228 Contractor OWNER TOTAL LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS ELECTRICAL NEW RESIDENTIAL OLY WIRING/ 200A SVC +FEEDER 97543 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 55 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 26 45 V N 2 00 7729 00 2045 00 2045 00 1 00 00 0 Extension 75 00 22 00 ELECTRICAL PERMIT INSPECTION RECORD y CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CO1PER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. GENERAL COMMENTS: KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES NO DITCH I I ROUGH IN COVER I SERVICE I I FINAL I I 1 I I I I I COMMENTS PW -I IO2.I514'96] Application Number Application pin number Special Notes and Comments Engineering is required prior Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total C OMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 06 00001244 232656 to prouring concrete SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Charged Paid Credited 97 00 97 00 00 00 00 00 2074 50 2074 50 00 2171 50 2171 50 00 Page 2 Date 4/18/07 870 00 4 50 1200 00 Due 00 00 00 00 ELECTRICAL PERMIT INSPECTION RECORD s 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. INSPECTION TYPE DITCH ROUGH-IN COVER SERVICE FINAL GENERAL COMMENTS: KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE ACCEPTED YES I NO COMMENTS PW.1102.1S141961 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner CAMPBELL KEVIN MARY 506 E WHIDBY AVE #5 PORT ANGELES WA PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total T \Policies \1102.15R [1/05] WA 98362 RIGHT OF WAY 510 &512 LOPEZ BURIED 99291 00 4/16/07 10/13/07 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00000375 113625 510 LOPEZ AVE 06 30 10 5 0 1108 0000 PUBLIC WORKS UTILITES RS7 RESDNTL SINGLE FAMILY 0 Contractor EXCEL UTILITIES CONSTRUCTION 54 MISTY LN PORT ANGELES (360) 452 1110 PHONE LIN Plan Check Fee Valuation Charged Paid Credited 00 00 00 00 00 00 00 00 00 Date 4/16/07 WA 98362 Due 00 00 00 00 0 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4807 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. INSPECTION TYPE DATE ACCEPTED 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 \I 102.I5R [1/05] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE YES I NO COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING I I I I I I I I PREPARED 4/12/07 11 25 25 INSPECTION TICKET PAGE 17 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/12/07 ADDRESS 510 LOPEZ AVE SUBDIV TENANT NBR KEVIN MARY CAMPBELL CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 10 5 0 1108 0000 APPL NUMBER 06 00001244 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/19/07 JLL BUILDING FOUNDATION FOOTING 3/19/07 AP 03/16/2007 03 26 PM PBARTHOL BRUCE 808 3349 03/19/2007 10 11 AM JLIERLY BL2 01 3/26/07 JLL BUILDING FOUNDATION WALL 3/26/07 AP 03/23/2007 04 23 PM PERMITS BRUCE 808 3349 03/26/2007 04 39 PM JLIERLY DSD 01 4/12/07 JLL BUILDING DOWN SPOUT DRAINS OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 07 18 1 04/11/2007 09 07 AM PERMITS GREG 477 1243 COMMENTS AND NOTES PREPARED 3/26/07 11 56 18 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/26/07 ADDRESS 510 LOPEZ AVE SUBDIV TENANT NBR KEVIN MARY CAMPBELL CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 10 5 0 1108 0000 APPL NUMBER 06 00001244 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/19/07 JLL 3/19/07 AP BL2 01 3/26/07 L BUILDING FOUNDATION FOOTING 03/16/2007 03 26 PM PBARTHOL BRUCE 808 3349 03/19/2007 10 11 AM JLIERLY BUILDING FOUNDATION WALL 03/23/2007 04 23 PM PERMITS BRUCE 808 3349 COMMENTS AND NOTES PREPARED 3/22/07 10 19 51 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/22/07 ADDRESS 510 LOPEZ AVE SUBDIV TENANT NBR KEVIN MARY CAMPBELL CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 10 5 0 1108 0000 APPL NUMBER 06 00001244 RES NEW SFR PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 3/22/07 L L BUILDING FOUNDATION MONO SLAB 03/21/2007 04 54 PM PERMITS BRUCE 808 3349 COMMENTS AND NOTES WU PREPARED 3/19/07 8 27 38 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/19/07 ADDRESS 510 LOPEZ AVE SUBDIV TENANT NBR KEVIN MARY CAMPBELL CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE PARCEL 06 30 10 5 0 1108 0000 APPL NUMBER 06 00001244 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 3/19/07 19 BUILDING FOUNDATION FOOTING 03/16/2007 03 26 PM PBARTHOL 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 WA 98362 T \Policies \I 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 00001244 232656 510 LOPEZ AVE 06 30 10 5 0 1108 0000 KEVIN MARY CAMPBELL RES NEW SFR RS7 RESDNTL SINGLE FAMILY 97228 Contractor OWNER TOTAL LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL 576 SF DETACHED GARAGE 94755 249 75 2/14/07 Valuation 8/13/07 Plan Check Fee 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 55 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 2/14/07 26 45 V N 2 00 7729 00 2045 00 2045 00 1 00 00 12314 Extension 95 75 154 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 ive authority to v or cancel the provisions of any state or local law regulating construction or the performance of constructi 4 /6' Signature of Contactor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL417 -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 FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS 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 I WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \Policies \l 102 15 building permit inspection record05.wpd [1/4 /2005] BUILDING PERMIT INSPECTION RECORD YES NO FINAL FINAL DATE ACCEPTED BY. I 1 I I I SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES l NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT PLANNING DEPT I BUILDING COMMENTS DATE ACCEPTED BY, CITY OF PORT ANGELES IL_ DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number 06 00001244 232656 Other Fees SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Fee summary 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 \1102_15 building permit inspection record05.wpd [1/4/20051 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 .IOB SITE. INSPECTION TYPE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417-4807 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 DATE ACCEPTED YES NO FINAL 417 -4735 ELECTRICAL LIGHT DEPT SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL FINAL DATE ACCEPTED BY. CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING COMMENTS DATE ACCEPTED BY. DATE ACCEPTED YES I NO e PORT,* mo 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 T•\Policies \1102.15R [1/05] WA 98362 Qty Unit Charge Per CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00001244 232656 510 LOPEZ AVE 06 30 10 5 0 1108 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 91504 175 00 Plan Check Fee 1/25/07 Valuation 7/24/07 BASE FEE Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 91496 Permit Fee 110 00 Plan Check Fee Issue Date 1/25/07 Valuation Expiration Date 7/24/07 Qty Unit Charge Per 1 00 110 0000 EA SAN SEWER HOOKUP Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background 11/20/2006 03 55 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 7729 00 1469 00 1469 00 1 00 00 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 constructi it PS -6 7 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T 1102.15R [1/05] PERMIT INSPECTION RECORD 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 NO I I I I I I I I e' FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING I I I I I I I I Application Number Application pin number CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 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 06 00001244 232656 SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Page 2 Date 1/25/07 Fee summary Charged Paid Credited Due 870 00 4 50 1200 00 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 \I 102.15R [1 /05] CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION ILW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T•\Policies \1102.15R 1/05] RESIDENTIAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO 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 I I I I I I I I I I I I I I I I I I I I COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING I I I 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 CLALLAM 2603 S FRANCIS STREET PORT ANGELES WA PORT ANGELES Other struct into 4 00 1 00 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98362 Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 90761 Permit Fee 1006 25 Plan Check Fee Issue Date 1/25/07 Valuation Expiration Date 7/24/07 Qty Unit Charge Per BASE FEE 48 00 7 0000 THOU BL -50 001 100K (7 00 PER K) Permit MECHANICAL PERMIT Additional desc Permit pin number 90910 Permit Fee 89 65 Plan Check Fee Issue Date 1/25/07 Valuation Expiration Date 7/24/07 Qty Unit Charge Per 7 2500 ECH 10 6500 ECH Permit PLUMBING PERMIT Additional desc Permit pin number 90928 Permit Fee 149 00 Issue Date 1/25/07 Expiration Date 7/24/07 Qty Unit Charge Per 10 00 1 00 7 0000 ECH 7 0000 ECH T• \Policies \I IO2_I5 building permit inspection record05.wpd [1/4/20051 06 00001244 232656 510 LOPEZ AVE 06 30 10 5 0 1108 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 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 7729 00 1469 00 1469 00 100 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 0 6 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -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 FOUNDATION: FOOTINGS SHEAR WALLS WALLS I FOUNDATION DRAINAGE DOWN SPOUTS I PIERS I POST HOLES (POLE BLDgS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN 114 t WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS a SHEAR WALL/HOLD DOWNS 11 WALLS ROOF CEILING t F' DRYWALL (INTERIOR BRACED PANEL ONLY) a 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 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \Policies \l 102 15 building permit inspection record05.wpd [1 /4/2005] BUILDING PERMIT INSPECTION RECORD ACCEPTED YES I NO FINAL FINAL DATE ACCEPTED BY. SEPAL ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT. PLANNING DEPT I BUILDING COMMENTS DATE ACCEPTED BY. 1 1 1 I 1 I I 1 1 I I I I fta Page Application Number 06 00001244 Date Application pin number 232656 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 55 PM SROBERDS New SFR in the RS 7 Lot coverage 17% No land use issues noted MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense When roof gutters are installed drains will located in dry wells or piped to approved storm drain location No pressurized or pumping to curbs are allowed An inspection by Building Department is required prior to backfill Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Charged Paid Credited 1244 90 1244 90 00 00 2074 50 2074 50 3319 40 3319 40 T• \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] 00 00 00 00 2 1/25/07 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 PLUMBING FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE (OWN SPOUTS PIERS POST HOLES (POLE BLDGS.) 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 MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 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 1, 111. 3126Ic I LL A') l 1 0 7 I r LL IQ -3k67 YES NO �t w i I -277 -d1 ALL kI- 2.1 -OZ SL.C- t I FINAL I ATE V SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT FIRE 417 -4653 I I I I PLANNING DEPT 417 -4750 I I I I BUILDING 417 -4815 I O�i.'�S' Oki C_V I T\Policies11102 15 building permit inspection record05.wpd [1/4/2005] Gamy plono5(ab 0 '7(4 (.s he to -I s-a a FINAL T 2 �g CONSTRUCTION RW PW ENGINEERING FIRE DEPT. I PLANNING DEPT BUILDING DATE ACCEPTED BY. ACCEPTED BY. ACCEPTED YES I NO Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner SMITH JASMINE 912 W 15TH ST PORT ANGELES WA PORT ANGELES WA 98363 Permit ELECTRICAL TEMPORARY SERVICE Additional desc HABITAT/ 3 100A TEMP Permit pin number 93377 Permit Fee 46 00 Issue Date 1/19/07 Valuation Expiration Date 7/18/07 Qty Unit Charge Per 1 00 46 0000 ECH EL TEMP SRV Fee summary Permit Fee Total Plan Check Total Grand Total Charged 46 00 do 46 00 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 07 00000039 Date 1/19/07 357236 .4568' LOPEZ AVE SOW' 510 06 30 10 5 0 1109 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor OWNER Paid Credited 46 00 00 46 00 Plan Check Fee 0 100 SRV FDR 00 00 00 Due 0 0 0 Extension 46 00 00 00 00 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH I I I ROUGH -IN COVER I I I SERVICE I I I FINAL I z d-i I ..0dtr7J I M I I I I I I I I I 1 I GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMEs YES I NO AV- 1102.1314 FOR OFFIC BUILDING PERMIT APPLICATION DateRec. Permit Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date Approved: COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 pate Issued: Applicant or Agent: /gin u S i IV L U Ayr OF Owner /iviN t /I'1.11)4 1'_iHmPlatt t Address: Sb (a is l likj d d r j 11-4, City Architect/Engineer of r 3 T. pJN 417V Contractor Otv ivei2. rt Icier( State License Address: City PROJECT ADDRESS: OId I-0 P-4-Z 64 LEGAL DESCRIPTION Lot: Cs Block: NA Subdivision. 81.14 ck caCo A Flu G l 1 7 0 8 CLALLAM COUNTY PARCEL NUMBER. ,i O -M 4 R T 'PE OF WORK. SIZE/VALUATION V Residential NewConstr. Re -roof Stove /.Z SF 4c6e1 /SF 9„q67)3,28' Multi- family Addition Move Garage ..594 SF /SF 88 Commercial Remodel Demolition �eck o2, L7 SF /a2( Do /SF 7 co Repair Sign Other TOTAL VALUATION $1 1: Y3 1/9-* BRIEF DESCRIPTION OF THE PROJECT 5 ru te r4- n i l y !-krvi t :,0;111 r) 4 A d /41/ ?l (!ot Phone: 3Gt I 6 L- 0 63/ Phone: 3705 /3 �0 fh1c4 5 t(M Zip: c 3C 2 Phone: "ifab -'ii7 -2 777 Exp: Phone: Zip: ZONING NIA Occupant Load: Construction Type: y_ J•/ No. of Stories: Lot Size: Im as Existing Sq. Ft. Proposed Sq. Ft_9.O XS TOTAL Sq. Ft. -d Total lot coverage d rii Fd.e COMMERCIAL/RESIDENTIAL. Occupancy Group: PLANNING USE ONLY ESA/Wetland(s): Yes No SEPA Checklist required? Yes o 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 -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 pennit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Buildmg Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. lam authorized to apply for this permit and understand that it is my responsibility to dete ine what permits are required ,not the City's, and that I must obtain such permits prior to work. T•\FORMS\BldgPennitAppl. wpd Applicant: J /5; yb3f- /2 9/ 0d7q --ee Date: 7 APPROVALS: PLAN BLDG: DPWU FIRE: OTHER: of~ORT~. ....~~ o,.~ ..... -- "':;;;#1" CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 -/~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property zoning . Application valuation 06-00001244 Date 232656 510 LOPEZ AVE 06-30-10-5-0~1108-0000- HOUSING AUTHORITY RES NEW SFR 1/25/07 51 0 Lo.PCJT:::- RS7 RE$DNTL SINGLE FAMILY 97228 Owner Contractor HOUGING AUTHORITY OF CLALI..AM 2603 S FRANCIS STREET PORT ANGELES, WA. PORT ANGELES WA 98362 OWNER Other struct info TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 19.00 2.00 7729.00 1469.00 1469.00 1. 00 @/1 11 ?;7 Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS 5/8" DROP IN 91504 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 desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 91496 110.00 1/25/07 7/24/07 plan Check Fee Valuation .00 97228 r; (l4 <;~D8 rl ~U 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. ll!20/2006 03:55 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 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utiiities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T;\Policies\II02.15R [1/05] , ~'0fIT~_ t::"'~ O~ ~ -- 'lO:.;;? CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET. PORT ANGELES, WA 98362 Application Number . . . . . 06-00001244 Application pin number 232656 Page Date 2 1/25/07 special Notes and Comments by Building Department is required prior to backfill. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works' Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 870.00 4.50 1200.00 Fee summary charged Paid Credited Oue ----------------- ---------- ---------- ---------- ---------- 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 eiectrical work, SEPA, Shoreline, ESA, ulHilies, private and public improvements. This permit becomes null and void if work or construclion authorized is not commenced wilhin 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 Ihat I have read and examined Ihis application and know the same to be Irue and correct. All provisions of laws and ordinances governing Ihis type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to vioiate or cancel the provisions of any state or local law regulating construclicin or the performance of construction. Date Signalure of Contractor or Authorized Agent Date Signature of Owner (if owner is builder). T:\Policies\1102.15R [1/05] APPLICATION FOR WATER City Water Division, Port Angeles, WA Issuedda'e: /--?-,:>-:n7 Installedby&date: 71~ (,.-">-01 Penni'# t)&-/z-tfq. I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: Applicant Name & Phone .LIOLt:>lI'\,.A-#OI! I ~ OF(!LAUjl/y, Qo Ul\~ 2-1~~ I Site Address: ~ J () L-o E:OC MailingAddress: fO 6D-1 \ \ \ .fA. ~ O~-(Jf/ il8~U6 Blk:_ Lot: + A d: ;!}J1'~" ~~J.I:6'" Parcel#:fX/)?hJO.<?OOllo8 Svc: ON ~ Meter #'s C F D700{,<J'J" w/o#: ::>03%' 330 . 'C/ 'JI1!4 .J po ~ "" . , Svc: Size 'fJ~'f/7:)-- r /ZOO -Restoration Required: NO Signature: Remarks: . (p "wk -f.o be.ef. kndeJ./11 Lope=o L&rd.vad<<) C~e:r+T - Wkic:7e. svds OPF IYewm,.,iH N w C. Lc::>;Je. z. " , 10<7 E .i s c;, ~ S CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . INSPECTION REPORT. . . . . . . . . . . ./ REQUEST: Date l-j - z..s -08 Time Received by -1<. V (phone. person) Location of Work to be inspected ,5;'10 Lo,cez. Name of person requesting inspection --.E~-lA.c.e_ Address of person requesting inspection Type of Inspection (circle appropriate one): Ave-, Phone No. Permit No; Ssewer Excav. Other C6-(l...'tf.{ Sewer Foundation Framing Chimney Plumbing INSPECTION NOTES: Inspected: Date 4 -25-08 Time Remarks: SQ.,,\.) e. \I'- h\ - b - 0 I By 2V (jk,- RESTORATION REQUiRED...... YES NO 'X. SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE IContinue_OIUeverse side if necessary) STREET SUPERINTENDENT (DATE) MAR-19-2007 02:47P FROM:OLYMPIC WIRING (350)692-3580 TO: 13504174711 P.7 ti'-' .1.1 . ". if """., ELECTRICAL WORK PERMIT APPLICATION. Job wired by ~Electrlcal Contractor 0 Owner Ins'tallation description o Commercial i1 Residential Electrical conlrector name ~ ,.\, ~ """" Ir W\lIl~] . Pure aser~ mailing Bddr~ss' 'J~ol Pro.Jf}Sr Cily S; l.JtrlJa t, Telephone number 'SWj /J> -or~" prem.K;. o"",ner" name L \ I /I'A (1Mv.Dot. Addreu of Inspection I S I D L-op>e'Z.. M'< I'\\.\..( City Pori h'Uks I W A Phone number to lehcVdule lospectlon: license number Date Expires O/"'YVI1PwHIDRu ~-3/-o'i !i(New o Alteredl AddUlo. Stale ZIP wit 1 f3 J':3 L.oOA wi W7JA , ,krvl'c.e Feeder . FAX number 3/'0) (.'1Z - 3/, /,;1- '/z. S7(, /9/8 Owner as defined by RCW./9.28.26J:(I) Owner will occupy the structure for two years afler this electrical permit ~f fillalized. (2) Owner ;s reqldred 10 hire an electrical contractor if abow said propc,,)' is for sale, rent or lcasc. After reoding the above statement, ( hereby certify thot 1 am the Owner of the above named property or a licensed eleclrical contractor. I am milking lhe electrical instal- lation or alterAtjon in compliance with the eleclricallaws, N.E.C" RCW. Chapler 19.28. WAC. Chapler 296-4613, The City of Pori Angeles Municipal Code. and Utility Specifications. Signature r owner, e edrlcDI contrador Or electrical Ddmlniltrator o Cash o Check # IJ Credit Card Card # Visa (l.1astercardJ 0"'" ~d( Discover X .:.. Date: 0 Electrical Load AddItions and or subtractions CI NO LOAD CHANGES o Baseboard KW o Furnace KW Cl Heal Pump _ Ton _ lAA o Fen-Well KW Expiration Date of card .. p;r Overhead Service CI Tamp Service [J Underground Service Servl~e Information Voltage /UJh'll) Phaselill Q 3 Service Size: ~A Feeder Size: 2D6A SAME DAY JNSPECTION CALL BEFORE 7-00 AM 360-417-4735 . , ROUGH-IN TIlERMOSTAT /' SERVICE ~ n.t l'Zhtp7 ~ Dale Aiiit~ UAIO Allpmved8)" D , Approved 8)" FINAL , /' FEEDER ,;. J. DITCH ~ !7:l7! c8 ~Y/ h. 1... +-f 01110, ~ EJIo APllrovtd 0)" Om!e Approved By Inspection Area, Building or Equipment Inspected ACli<)n Taken Electrical Date Inspector s-z ~ -07 t'flo.OO (!ofOiNt'?r hy #/}!.,./#) &?.2:, tl/l5!o7 Cf!)0~~ ;,J) ~ ~~~~~~ IY~[) . ...nOno ,n~ U1rtl\ ~ ~ r"' . " . .. 'I /' , , OWNER/CONTRACTOR 0\...-<( hI" Ie ADDRESS ELECTRICAL INSPECTION WIRING REPORT 417-4735 PERMI:l Zy1} vJ \ lZ...\ N !o . APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 o. .. . . . . . . .. . . .. . ROUGH IN/COVER.. . . .. . . .. . . . ..0 o. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 o. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . .:&.. CORRECTIONS NEEDED: M.~7r'1Z-e- ~ Hre.ffl' . l N(5/ ~fL~lN.( I' NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 ELECTRICAL INSPECTION WIRING REPORT 417-4735 PERMIT # 6b-/"Z 5 )" 'IZ- APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D................ ROUGH IN/COVER...............R D. . . . . . . . .. . . .. . . . . . . SERVICE. . . . .. . . . . .. . . . . .. . 0 D. . . . . . . . . .. . . . .. . . . . . FINAL.. . . . .. . . . . ... . . . .. . 0 CORRECTIONS NEEDED: Jl.-h\) O\.J'rCC- (')"-1, I<.rTCJ1f.<- t.j I"tU- '-- ~ r J I N (.. C, I D "E... ~L~ f-J:>rN4, ~ LU \ R-L 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 Petersori, Olympic Wiring 360-692-0134 510 Lopez (Housing Authority; Olympic Vista) Ditch All permits at job shack. /II ' I' ~ 01 o I ..- u-/ - b /U.) /2trl!:J s L J x: Thank you, Kathy ~f~~~:'~': :}6Q41 72733 'it~~]f:.~ 04/16/2607 12:67 (j 51 OF WA L&I - 3604174729 0806,148 m 04-1: J! 5/6 - - ~T ANGELE; CITY LT f ,E 01 CITY OF PORT ANGELES LIGHT DIVISION FPOX TRANSMISSION COVER. SHElrr Date: To: Fax: Re: Sender: 4/10/07 Labor & Industries 417.2733 Inspections Kathy Trainor Phone: 417-4724 Fax: 417-4729 tJb~/;)1q YOU SHOULD RECEIVE 1 PAGE, INCLUDING THI3 COVER SHEET. IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (380) 417-4724. Please Inspect for: , -----......... Jerry Peterson, Iympic Wirin 360-692-0134 510 Lopez (Housing Authority; Olympic Vista) Ditch All pennlts at job shack. Thank you, Kathy J2~/ 1k1 U)~C<~ fM ~f