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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
]2\ 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
07-00000269 Date
213273
1735 W 7TH ST
06-30-00-0-1-4955-0000-
STEW KEDISH
RES NEW SFR
8/17/07
RS7 RESDNTL SINGLE FAMILY
281374
Owner
Contractor
STEWART L / MARGIE KEDISH
PO BOX 507
PORT ANGELES
PORT ANGELES WA 98363
OWNER
Other struct info .
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
28.34
V-N
2.00
7000.00
1984.00
1984.00
1. 00
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
SIMPSON EL./ 4254 SFR+REMOTE
108795
SIMPSON ELECTRIC
212.00
8/17/07
2/13/08
Plan Check Fee
Valuation
.00
o
:J
VJ
IJl
Qty Unit Charge
1.00 69.0000
6.00 22.0000
1.00 11.0000
.00 46.0000
Per
ECH EL-R-SQFT FIRST 1300
5C EL-R-SQFT ADDITIONAL 500
ECH EL-METERS REMOTE INSTALL
ECH EL-R-HOT TUB ONLY
Extension
69.00
132.00
11.00
.00
~
Special Notes and Comments
Building Division has no requirements.
Building address sign shall not be less than 6" & not more
than 12" in hei'ght. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
Address numbers shall be plainly visible from the street.
Address numbers shall be a minimum of six inches high and be
of contrasting ~olor from the background.
A residential fire sprinkler system, installed perNFPA
13D, will be required.
2nd option is to install an outside alarm bell that is
inter-connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as "Fire alarmll
03/26/2007 02': 39 PM SROBERDS - -The proposal will result
in a new sfr w/attached garage in the RS-7 w/28% lot
coverage. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required. Electrical connection fee of $413.00 required.
~
~
~
COMMENTS! ACTION NEEDED
ELECfRICAL PERMIT INSPECfIONRECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
t INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW.II02.1S 14'961
g
~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 98362
.
Application Number
Application pin number
07-00000269
213273
Page
Date
2
8/17/07
Special Notes and Comments
03/21/2007 02:49 PM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
1000.00
4.50
1230.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 212.00 212.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 2446.50 2446.50 .00 .00
COMMENTS/ ACTJON NEEDED
'---- .
ELECfRICAL PERMIT INSPECfION .RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
.. INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DATE
COMMENTS
NO
GENERAL COMMENTS:
PW-II02.l' (4'96)
d'''.'~
~
'~
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 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
07-00000269 Date
213273
1735 W 7TH ST
06-30-00-0-1-4955-0000-
STEW KEDISH
RES NEW SFR
8/02/07
RS7 RESDNTL SINGLE FAMILY
281374
Owner
Contractor
STEWART L / MARGIE KEDISH
PO BOX 507
PORT ANGELES
PORT ANGELES WA 98363
OWNER
Other struct info .
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
28.34
V-N
2.00
7000.00
1984.00
1984.00
1. 00
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
DAVE'S HEATING/ T-STAT
108118
DAVE'S HEATING
35.00
8/02/07
1/29/08
& COOLING
Plan Check Fee
Valuation
.00
o
.,,-
-1
.~
U1
Qty
1. 00
Unit Charge Per
35.0000 ECH EL-LVT-FIRST THERMOSTAT
Extension
35.00
Special Notes and Comments
Building Division has no requirements.
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-El
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.
A residential fire sprinkler system, installed per NFPA
13D, will be required.
2nd option is to install an outside alarm bell that is
inter-connecte& to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as IlFire alarm"
03/26/2007 02:39 PM SROBERDS --The proposal will result
in a new sfr w/attached garage in the RS-7 w/28% lot
coverage. No land use issues anticipated.
Electrical loa? calculations and elctrical permits are
required. Electrical connection fee of $413.00 required.
03/21/2007 02:49 PM GMCLAIN -------------~--------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
~
..J
:}
~
COMMENTS/ACTION NEEDED
ELECfRICAL PERMIT INSPECfION .RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
. I YES NO
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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
Owner
4/09/07
07-00000269 Date
213273
1735 W 7TH ST
06-30-00-0-1-4955-0000-
STEW KEDISH
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
281374
Contractor
STEWART L / MARGIE KEDISH
PO BOX 507
PORT ANGELES
PORT ANGELES WA 98363
Other struct info .
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
OWNER
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
28.34
V-N
2.00
7000.00
1984.00
1984.00
1. 00
PUBLIC WORKS RES WATER SERV
98012
770.00
4/09/07
10/06/07
Plan Check 'Fee
Valuation
.00
2813 74
Qty Unit Charge Per
1.00 770.0000 EA PW W/M 1" SERV 5/8" METER
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Extension
770.00
STREET ALLEY RESTORATION
98020
290.00
4/09/07
10/06/07
Plan Check Fee
Valuation
.00
281374
Qty Unit Charge Per
1.00 290.0000 ECH STREET ALLEY RESTORATION
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Extension
290.00
SANITARY SEWER HOOK UP
98004
120.00
4/09/07
10/06/07
Plan Check Fee
Valuation
.00
2813 74
Qty Unit Charge Per
1.00 120.0000 EA SAN SEWER HOOKUP
Extension
120.00
Special Notes and Comments
Building Division has no requirements.
Building address sign shall not be less than 6" & not more
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 c nstruction or the performance of
construct;on. ~ 1_ '1-07
Signature of Contractor or Authorized Agent
T:\Policies\1102.15R [1/05]
Date
Date
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COYER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
I YES I NO
PW UTILITIES (Engineering Division)
WATERLINE I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEW ALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE
I I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PoliciesllI02.15R (1/05]
-
f'VORT.v,;
~~O~~...
(}". ~
~--
~lC~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . . 07-00000269
Application pin number 213273
Page
Date
2
4/09/07
Special Notes and Comments
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
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.
A residential fire sprinkler system, installed per NFPA
13D, will be required.
2nd option is to install an outside alarm bell that is
inter-connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as "Fire alarm"
03/26/2007 02:39 PM SROBERDS --The proposal will result
in a new sfr w/attached garage in the RS-7 w/28% lot
coverage. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required. Electrical connection fee of $413.00 required.
03/21/2007 02:49 PM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
1000.00
4.50
1230.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1180.00 1180.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 3414.50 3414.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.15R [1/051
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. / PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1 102.15R [1/05]
~'P"ur~
c(~~~
".
L -=..:or
;:;
CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 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
07-00000269 Date
213273
1735 W 7TH ST
06-30-00-0-1-4955-0000-
STEW KEDISH
RES NEW SFR
4/09/07
()
-...1
\
~
~
~
RS7 RESDNTL SINGLE FAMILY
281374
Owner
Contractor
STEWART L / MARGIE KEDISH
PO BOX 507
PORT ANGELES
PORT ANGELES WA 98363
OWNER
Other struct info
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
28.34
V-N
2.00
7000.00
1984.00
1984.00
1. 00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
3164 SF SFR, 1090 SF ATT GAR
97303
2039.45 plan Check Fee
4/09/07 Valuation
10/06/07
815.78
281374
.....j
0J
~
t
Qty Unit Charge Per
182.00
BASE FEE
5.6000 THOU BL-100,001-500K (5.60 PER K)
Extension
1020.25
1019.20
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 98863
Permit Fee 122.25 Plan Check Fee
Issue Date 4/09/07 Valuation
Expiration Date 10/06/07
Qty Unit Charge Per
BASE FEE
1. 00 14.7000 ECH ME- INSTALL 100- FAU
5.00 7.2500 ECH ME-VENT FAN
2.00 10.6500 ECH ME-GAS PIPE 1 TO 5
.00
o
~
-4
-S
Extension
50.00
14.70
36.25
21.30
sa
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
98871
163.00
4/09/07
10/06/07
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
BASE FEE
Extension
50.00
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 stat or local law regulating onstruction or the performance of
construction. .
Date
Q-1-o7
Signature of Contractor or Authorized Agent
Date
T:\Policies\l102_15 building pennit inspection record05.wpd [1/4/2005]
'"
BUILDING PERMIT INSPECTION RECORD
CALL 417-48]5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRJCALINSPECTIONS.
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WORK EEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA TION DRAINAGE/ DOWN SPOUTS
PIERS . .
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION ~
SLAB
WALL I FLOOR I CEILING I I
MECHANICAL
ROUGH-IN I
HEATPUMY/FURNACE/DUCTS I
GAS LINE FrNAL DATE ACCEPTED BY:
WOOD STOVE I PELLET / CHIMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKJNG & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION RW. / PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIREDEPT.
PLANNING DEPT. 417-4750 PLANNJNG DEPT.
BUTLDING 4 J 7-48] 5 BUILDING
T:\Policies\] J 02 15 building penTIll IIlspectlOn record05.wpd [1/4/2005]
~ ~"QRT~
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
07-00000269
213273
Page
Date
2
4/09/07
Qty
12.00
1. 00
1. 00
1. 00
Unit Charge
7.0000
7.0000
15.0000
7.0000
Per
ECH
ECH
ECH
ECH
PL-
PL-
PL-
PL-
EA. FIXTURE ON ONE TRAP
EA. INSTALL WATER PIPE
EA. BLDG SEWER
EA. WATER HEATER
Extension
84.00
7.00
15.00
7.00
Special Notes and Comments
Building Division has no requirements.
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. lOrd. 14.36.050-E)
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.
A residential fire sprinkler system, installed per NFPA
13D, will be required.
2nd option is to install an outside alarm bell that is
inter-connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as "Fire alarm"
03/26/2007 02:39 PM SROBERDS --The proposal will result
in a new sfr w/attached garage in the RS-7 w/28% lot
coverage. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required. Electrical connection fee of $413.00 required.
03/21/2007 02:49 PM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
1000.00
4.50
1230.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 2324.70 2324.70 .00 .00
Plan Check Total 815.78 815.78 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 5374.98 5374.98 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Date
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
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 UN LA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
J/\'SPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSI'ECTlON TYPE DATE ACCEPTED COMMENTS
I YES NO
FOUNDA TION: .
FOOTINGS I J.llu 1_- ,_IJ..L
' '.Jrl
SHEAR WALLS / WALLS . . . ~(JhJ.~ W'DvJL '1 ( ~I 0'7 j u...
FOUNDA TION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.J
PLUMBING
UNDER FLOOR / SLAB L11 30 0'1 "'J'U..--
ROUGH-IN =1-1 Q..S 0":1- Jl;L- rov5h- in r \Ut<lb'Y)j a q /OhID7 3LL
WATER LINE (METER TO BLDG) 1"11- 5, 'o;r al,L
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL ~/6Jlo-' -;j LL-
.
WALLS
CEILING I
FRAMING ~ 1(010/ Tu~
JOISTS / GIRDERS 5 hee+iV'l ~ 09,/o~/01'JLL
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION q 1 \ z- Of "J'v-
SLAB
WALL / FLOOR / CEILING
MECHANICAL
ROUGH-IN 0'1 Jfll~ Jo 7 J'iL-
HEATPUMY/FURNACE/DUCTS
GAS LINE 0110la 01 'JL,. L, FINAL DATE ACCEPTED BY:
WOOD STOVE / PELLET / CHIMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCYJNG & HOLD DOWNS
SlURTING
PLANNING DEPT. SEPARATE rERMlT#'s SErA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LlGHT DEPT. 4] 7-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. /PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERJNG
FIRE 4] 7-4653 FIRE DEPT.
PLANNING DEPT. 4]7-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
9
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T:\Po]icies\1102 15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUS B
COMPLETE to be accepted for review. If you have any questions, cal
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: <; TeW /L..€;D I C;;-/-I-
STElO feor;++
t,:2t:> 6VA-;v~
Phone:~~7- 5ot:;5
Phone:
Owner:
Zip: 18'363
ArchitectJEngineer: ~ ~a::::./A-TG~ Phone: 4S7 - '3 (;) I f
Contractor !1p/f(-fC.E:Jj 6vrf::ff~G6 State License #: HAf{~Iq7t>f'1Exp: t)~/r~#7Phone: 1'iFfiocfi
JtJOq City: f6~T ~S Zip: 18363
/735 w. 7~ 9lK f;;E T ZONING: Kg, -1
City:
rCJI<T A!./~~
Address:
Address:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER: t!JtO"3 O<<:;<!:)(!) I H ~*>6
TYPE OF WORK:
J<l"'Residential ;a"New Constr. 0 Re-roof 0 Stove
o Multi-family D Addition 0 MoveD Garage
o Commercial 0 Remodel 0 Demolition D Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT:
SIZENALUATION:
l!otjD SF. @ $. il. ,q,/ ,)F. = $ ~ t{t?../_~'~c;--r-(drA-~~:;)
'PI! b1 SF. @ $. 1,4> .Oq. ISF. = $").40, j't'&:7 ~ H~tGb)
SF. @ $ /SF. = $_ './ _
TOTAL VALUATION $ .~81,37"fIS.A
V{O:;rf P- fAMIL., I "'eM) c~j.,i?:fr(~T't:J^f
1f-5
q
Occupant Load:
& Proposed Sq. Ft.
Construction Type: \J ~
Iqf;1 = TOTAL Sq. Ft. /tCf t;1
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: _ Lot SiZ~ 1J(j D Existing Sq. Ft.
Total lot coverage '2.B>. _ %
APPROVALS:
PLAN:
BLDG:
DPWU:_
FIRE:
OTHER:_
PLANNING USE ONLY:
ESNWetland(s): 0 Yes 0 No SEPA Checklist required? DYes 0 No Other:
V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: 1fno 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
RI05.3.2 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 tOAwo~I~' b, (/J <Pz _ ( / _ --7.-.1
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08/05/2007 20:20
4579270
SIMPSON ELECTRIC
PAGE 01 .
(ft1Y ·
.
s
ELECTRICAL WORK PERMIT APPLICATION
.lob wired by
pd Electrical Contra.tor [J Own.r
Installation description
[J Commercial ;4 Resldea.tlaI
'fJ N.... Cl A.lleredlAdditloo
..
Eptfical cQnrractor name r Licctuit number ~~ EXp;n:R
;::) IlnlJSen [;Ii' cHeJ c. :Srm ;;S EL 7 13/C..rjJ
Ptm:husCf~ moiling Iddres} I . , 1
,21.f~ D,"'5t" MWLlIO/ vu
CitV_ J / J Stale Zit'
!.Jif€r l7nf'e,le.> tV/} 9t'..3c.3
Telephone nllmbc F^~~~ .....tL
"5 - 70' ...."..WUL."....
'Premises owner', Unlit ,..... /
Sra-UI'ffLT ,.f",.d r~
Address or inspection .11 <:"" /
1735u) 7=7-~.
Cily fb,ef- /Mfe.!e..s
Phone: numbeT to !lcbcdulc Inspedlon:
/lIeu} :S/1fk ~;)!J Resid~
~..:J. s- </ Sg j../' .2 Q I. ~
/{.e....,.,,,1,p rn~. /1. qJ2
$j :.it/A. ~
I./ot= /'J.- /J"..,/: ~ L( 10 . ~
258.00
Ownf" DS d6fin~d by RCWJ9.28_16/:(t) OwlI't'r Kill oeellp)' tile $truC1ul'C!for two
yr.r'tl":t QfI~" ,hi~. t!Jl!r.tric:rU ~ril ;s ,finalQ;crJ, (2) Owlll!' it reqld,ed 10 hirt an ~lectricQl
Ch1Urar.t",. if 6"O"t!' s(11d property is /rJr s,:d~. N!'" or 1l!tJS~
After reading the aboye !ltBtemcnt, I hereby certify that I am the owner of the fllbove
narnt:=d property or a licen~ deetriCIII eonM'8ctl)T, I am making the ctcctricul mstal-
llltion or alteration in cOfl'lplianee 'With ttle etectrical laws. N.E.C.. RCW. Chapter
19.28, WAC. Charner 296-46B. The City or Port Angeles MnniciPlll Code, Bod
Utility Speci tlons.
Slpatur af ower. eledrleal r:
aetar D1" eleetrlul admlnlstntor
ate: skltJ7
~ Cash ~ Check #
\iiI' Credit Card @ Mastereard Discover
ExpCard#b' -D-t~~j-2.I2.-,-O ~--
1ra. on ae
of .ard
I;:I~ctrlC!:Bt Load Addh~o"A and or "
IJ NO LOAD CHANGES
o Baseboard KW
. ~ IJYFumace tQN 0 Overhead SeMce
liI1i.al Pump _ Ton _ LAR IJ Temp Servic.
l:J Fan~Wi!l1l KW ,. Underground Servica
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 36ll-417-4735
ROUGIHN nIERMOSTAT
(7 kD
~R1ruvcl By ['I...~ AI'r<f'IfClt BT
Service Information
Voltage
Phase IJ 1 Cl 3
Service Size: ~ IVvf
Feeder Size:
'1.
..
F1NAL
1/ir?7 ~
mOl
FDDIR
Dill.. 1\pt~8y
Dalt ~9y
.
InspeClion
Dale
Arc~, 8uildlng or Equipm~t Inspected
ActiDn nken
Electrical
Inspector
~
(0 e.L
IVED
~
,/
. .
UGHI
Jul 30 07 08:40a
Dave's Heating & Cooling
360-452-0939
p.1
w)/
~Electrica] Contractor Installation description '\
Job wired by a O.mer o Commercial lB"Residential
Electrical contractor name License number Date E~ires IOI"New ,
j>"'IIe. 's K-e",- fl'I'\1 o Altered/Addition
1>A-VESKc"i<1r.;!c- .507
PUfcMs.:r's mailing address I DI.-O
1.0 1>ox <,(/3 vO(+Gl.VL +1-.-erI110S-T<.\.T OJ I r~
Ci~oy-r A>-.~lA.s I State ZIP .
c:.u,A ~~3"d-
Telephone number FAX number \
Lf5;;;>-O" 3 '1
Premis~s owner's name k-eJish
Sfeo.>.> '*' M""""'iri e..
Adfres:. of inspection -(11)- Siree. t
735 Wes+
cUPOr-\- A-.., ~
Phone number to SCh~e inspeclion: 'i? 0 ~-5l <f (
Owner as definr!d by RCJf~J9.28.26f:(J) O",n~r ",'i1/ occupy the ~.lTuc(u'e for two
F.a~ alia this e1eC1rical pl!rmit is finallzed. (1) Owner is required to hir;: an r:1ecrrrcal
contractor if above said properly i.s for sa/(!, relll or lease. a Cash o Check #
Arter reading the above statement, I hereby ce~lify thaI 1 am lhe owner of the above W"Credit Card ~
named property or a licensed electrical contractor. I :un making the elCClriC<!1 instal. Mastercard Discover
lalian or altcr:ltion in compliance with the electrical laws. N.E.C., RCW. ChJ.pter
19.28, WAC. Ch:lpler 296-468, The City of Pori Angeles Municipal Code, and Card # - - -
Ulility Specificlltions, ----------------
~g;~iio:". e~k" ":;'CI., ., e1~I~itC;: ;i;;i:~ Expiration Date ( Inspeclion fee
of card $ 35=
./
Elee: ical load Additions and or subtractions , Service Information
~
~~
.......
ELECTRICAL WORK PERMIT APPLICA;rION
a NO LOAD CHANGES
o Baseboard KW
{!f Furnace L5.... KW
:it'HeatPump L Ton /60LAR
o ran-Wall KW
Cl Overhead Service
o Temp Service
D Underground Service
Vollage
Phase a , a 3
Service Size: .-,
Feeder Size:
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
/ / ROUGH-IN
.~/~.I'J7 ~
..../ Dill" ""ppr,...etlllr
FINAL J
l--~D;;' ~,_
O;Jte
~
,\p;lm'-CdUJ< /
(
I
"
SERVICE ",
)
AW",""dBI' ./
llIERMOSTAT
,,; -0'1
OJl:::-
DITCH
ffiEDlR
(hte
."ppn;lVeU H~ ../
'-
D....
^ppro,.ed By
Inspection
OJI('
Ar~, Building or Equipment Inspected
Action Taken
Elcclrical
Inspector
2- 2J (~<21
/l (J(JfloUI2 ,::;>
~J1
15llE: ~ E: no II!:> 111I
UUI>===U
JUL 3 0 2 07
UGHTDEPT.
~~ORT~
I........O~Q~
i:Jr___ ~ ~
,.~
"'QL-~CIJ
~'- P
('t>~...s<'v
JJ-oRKS!>
DATE
1-3-6 "I
OWNER/CONTRACTOR
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
PERMIT #
Di- 'Z(,. r
INSPECTOR
ADDRESS
~tl'-'\.: 01-\
w
. EL-E<C1i
c.
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . .. . . . .. . . . . . ROUGH IN/COVER. . . . .. . . . . . . .. . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
D. . . . . .. . . . . . . . . . . . . . . FINAL. . . . . .. . . . . .... . . . ..Ii?' .
CORRECTIONS NEEDED:
.....
(?,F'c..l ,,,1 ~g,~\Ctz. \ZCOt'\.. ,,-, "';~'Ec,.
W) bf'C.l bF\?""c..~ \ 1-UJ')iZ-. HEAT ~-f'""Gl
L0u~ \~~\ _ hNI<?~ I'-'-f\5'1?JL ~":a:-L
\
n\]'T~ wi sl'P,Q~ ~H.rz.tl.D'1 ~~17D
XlJp.., C\II,,-~,," -p,f.>)<. 'i'"C""'Ti!D "M"'~R
\
~\f[(_ Lt%.~ L :5?-A~l'Z- DU'L~T f>,N.~ ~1EL\
-Hz.c,I"-. 71-i't'6 IC.>"\L V-AM.P\b:e ~
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (360) 452.1381
rY.;>"r~
.,:"~'".ili;:t~
o,.~.
.. --
"'<~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
07-Z&j
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
07-00000269 Date
213273
1735 W 7TH ST
06-30~00-0-1-4955-0000-
STEW KED ISH
RES NEW SFR
4/09/07
/7 X/!JJ 7-:!;b
RS7 RESDNTL SINGLE FAMILY
281374
/
~K--P-~
Owner
Contractor
STEWART L / MARGIE KED ISH
PO BOX 507
PORT ANGELES
PORT ANGELES WA 98363
OWNER
Other struct info .
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
28.34
V-N
2.00
7000.00
1984.00
1984.00
1. 00
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Exp'iration Date
PUBLIC WORKS RES WATER SERV
98012
770.00
4/09/07
10/06/07
Plan Check Fee
Valuation
.00
281374
J~
~{\ //oft,
1/~~1
Qty Unit Charge Per ~uu':"3\
--------=~~~------~~~~~~~~-~~----~~-~~~-=~_:~~~-=~~~-~~~~~------~--~~~~~~
Permlt STREET ALLEY RESTORATION
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
98020
290.00
4/09/07
10/06/07
Plan Check Fee
Valuation
.00
281374
Qty Unit Charge Per ExtF'n"'~ ~~
________=:~~______290:000~_~:~___::~~~:_~~~~:_~~STORA:=~~_______~:~~:~~~
Permit . . . . . . SANITARY SEWER HOOK UP _
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
98004
120.00
4/09/07
10/06/07
Plan Check Fee
Valuation
.00
281374
Qty Unit charge Per ~xtens'
1.00 120.0000 EA SAN SEWER HOOKUP 120.0
----------------------------~------------------------------------ ----------
Special Notes and Comments
Building Division has no requirements.
Building address sign shall not be less than 6" & not more
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\II02.ISR (1105]
cJ:'flRT~
~...~&<<o
"r1liiii .
'! ~-
""""""
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
32\ EAST 5TH STREET, PORT ANGELES, W A 98362
, .
Application Number . . . .. 07-00000269
Application pin number 213273
Page
Date
2
4/09/07
"
Special Notes and Comments
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-El
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.
A residential fire sprinkler system, installed per NFPA
13D, will be required~
2nd option is to install an outside alarm bell that is
inter-connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as "Fire alarm"
03/26/2007 02:39 PM SROBERDS --The proposal will result
in a new sfr w/attached garage in the RS-7 w/28% lot
coverage. No land use issues anticipated.
Electrical load calculations and elctrical permits are
required. Electrical connection fee of $413.00 required.
03/21/2007 02:49 PM GMCLAIN ------------------------~---
Sanitary sewer connection inspection is required by
Public works prior to back fill of ditch. 24 hour advance
notice is required.
-~~--~~~~~-;~~~--~-~-~-~-~-~-~-~-~--~~~~~-~~~;~~-~~~;-~~~~~~-~~~~~
____________________________________~~~~;:;~~~~~~;;_u:~_:~E___~=~:~~~
Fee summary Charged Paid Credited Due
Permit Fee Total
plan Check Total
Other Fee Total
Grand Total
1180.00
.00
2234.50
3414.50
1180.00
.00
2234.50
3414.50
.00 .00
.00 .00.
.00 .00
.00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction 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. 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\ 11 02.15R [1/05]
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Issued date:
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APPLICATION FOR WATER
City Water Division, Port Angeles, WA
Installed by & date: kw /1-1 i(-b"il,rmit # /") 7-2./4
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises:
Applicant Name & Phone: <GrF.:\AJ kEL>,~H- i- 500&;
SiteAddress:J135 \.v 7:t;f\ Mailing Address: I/ZO t:V~ <;
Blk:_ Lot: Add: Parcel#: ~3DtJt)OI4q65
Svc: ON I/!ZJ Meter #'s C . F 0 7 ~(~"C>6WIO #:3 03 '1g / 3'-1 (
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Svc: Size J '/. I~ Fees:r'170 + /7,::i51? Restoration Required:
Signature: ~ ~~
Remarks:
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . .. ... INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 1- 2.- 09
Time
Received by 7<V
(phone. person)
Location of Work to be inspected 173G W' 7t'-'<- ..sf
Name of person requesting inspection l21a":}<2..- k:.ed Js fA. ~<?\- S I 'j J
Address of person requesting inspection Phone No. 1':57-:S;-(X)~
Type of Inspection (circle appropriate one): Permit No. 67 - 2.(= e;
Sewer Foundation Framing Chimney Plumbing(Fin~ Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date 1- 2 - 0 \?, Time
Remarks: i.V(.Li~r ,- 18":' 07
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By ~V
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RESTORATION REQUIRED...... YES ).< NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel J{AsPhalt OPCC o Other
o Repaired by City Work Order #
o Repaired by Permittee ~ COMPLETE 10 /1':) o( W
o No Damage Found 0 INCOMPLETE
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(Continue on reverse side if necessary) ,
.l?TRJ:I:T SUPERINTi:NDENT
(DATE)