HomeMy WebLinkAbout436 E Ahlvers Rd - BuildingApplication Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner Contractor
CORY AMBER GAGNON
436 E AHLVERS RD
PORT ANGELES
(360) 457 0833
Other struct info
WA 98362
Qty Unit Charge Per
1 00 75 0000 ECH EL RM 0 200 1ST SRV FEEDER
Other Fees
Fee summary
COMMLNTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
07 00000289
234771
436 E AHLVERS RD
06 30 15 3 1 9020 0000
CORY GAGNON
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
141540
Date 6/14/07
HI LINE HOMES
11306 62ND AVE E
PUYALLUP WA 98373
(253) 840 1849
TOTAL LOT COVERAGE 16 40
CONSTRUCTION TYPE V N
NUMBER OF STORIES 1 00
LOT SIZE 16097 00
PROPOSED LOT COVERAGE 2640 00
TOTAL LOT COVERAGE 2640 00
NUMBER OF UNITS 1 00
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc OWNER/ SERVICE DITCH ONLY
Permit pin number 103986
Permit Fee 75 00 Plan Check Fee 00
Issue Date 6/14/07 Valuation 0
Expiration Date 12/11/07
Special Notes and Comments
Address numbers shall be plainly visible from the street
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background
04/04/2007 12 25 PM SROBERDS The proposal will result
in a new sfr w /attached garage in the RS 9 zone No land
use issues are anticipated
Electrical load calculations and elctrical permits are
required
Any modifications to the City s electrical facilities will
be at the customer s expense
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required Supply copy of easement for sewer
Charged Paid Credited Due
Permit Fee Total 75 00 75 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 2234 50 2234 50 00 00
Extension
75 00
SEWER SYSTEM DELV CHARGE 1000 00
STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE 1230 00
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM- .24.HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANYWORKBEFORE IT IS INSPEG [ED AND ACCEPTED.
DITCH
ROUGH =IN COVER
SERVICE
FINAL
,GENERAL COMMENTS:
ELECTRICAL. PERMIT INSPECTION RECORD
KEEP PERMIT CARD. AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
I
COMMENTS
Piv- iioi.tsl�I
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Page 2
Application Number 07 00000289 Date 6/14/07
Application pin number 234771
Grand Total 2309 50 2309 50 00 00
COMMENTS /ACTION NEEDED
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE:PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK.BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD :AND °APPROVED PLANS AT JOB SITE
DITCH
ROUGH -IN COVER
SERVICE
FINAL
INSPECTION TYPE
GENERALCOMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
DATE
ACCEPTED COMMENTS
YES I NO
11.- 0 f3 I r.47 I
rw -i 102.1514961
Job wired by Electrical Contractor lg Owner
Electrical contractor name
Purchaser's mailing address
City
Telephone number
Inspection
Date
(p o
Date
7
R CEI
JUN 0 F ?dm
LIGHT DEf.
State ZIP
FAX number
Premises owner's name
Coc 64
2(.0 I vFr
Address of inspection
City p� 411&es
Phone number to schedule inspection /I
O wner as defined by RCWI9.28.261 (I) Owner will occupy the structure for two
years after this electrical permit is finalized. (2) Owner is required to hire an electrical
contractor if above said property is for sale, rent or lease. Cash Check
Credit Card Visa Mastercard Discover
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 electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter
19.28, WAC Chapter 296 -46B, The City of Port Angeles Municipal Code, and
Utility Specificatiolts.
/Signature of oylner electdical contractor or electrical administrator Expiration Date
Inspection fee
/�f card 75 p-(. /CP
X �l� Date
Electrical Load ons ar4or subtractions
NO LOAD CHANGES
Baseboard KW
Furnace KW
Heat Pump Ton LAR
Fan -Wall KW
SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360- 417 -4735
ROUGH -IN THERMOSTAT
Approved By
FINAL
1 -.1 o a Tom'
Date Appr ed By
License number Date Expires
Date
7
Overhead Service
Temp Service
Underground Service
DITCH
Date Appr ed By
Area, Building or Equipment Inspected
G,1S /o /32. ,jfs5'131 /O/ X 713 0 O C.,✓Ner FEE
ELECTRICAL WORK PERMIT APPLICATIO1
/Installation description
Commercial Residential
New Altered/Addition
vt=r rov,A SFr V' i ce
c II
tt(:1i I S
Card
Date
Voltage
Phase 1 3
Service Size.
Feeder Size:
SERVICE
Appr ed By Date Appr ed By
FEEDER
Appr ed By
Action Taken
Electrical
Inspector
Service Information
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ELECTRICAL PERMIT AND INSPECTION RECORD ·
CITY OF PORT ANGELES'
360-417-4735
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
CORY & AMBER GAGNON
436 E. AHLVERS RD
PORT ANGELES
(360) 457-0833
Other. struct info
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
07-00000289 Date 10/24/07
234771
436 E AHLVERS RD
06-30-15-3-1-9020-0000-
CORY GAGNON
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
141540
Contractor
HI-LINE HOMES
11306 62ND AVE E
WA 98362 PUYALLUP
(253) 840-1849
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98373
16.40
V-N
1. 00
16097.00
2640.00
2640.00
1. 00
ELECTRICAL NEW RESIDENTIAL
DOUBLE D / 2640 SQ FT SFR
111153
DOUBLE D ELECTRICAL
135.00
10/24/07
4/21/08
Plan Check Fee
Valuation
.00
o
~
v.i
0'
Qty
1. 00
3.00
Unit Charge Per
69.0000 ECH
22.0000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
69.00
66.00
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.
04/04/2007 12:25 PM SROBERDS --The proposal will result
in a new sfr w/attached garage in the RS-9 zone. No land
use issues are anticipated.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City'S electrical facilities will
be at the customer's expense.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required. Supply copy of easement for sewer.
Other Fees
\1\
~
--
.c..
~
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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 135.00 135.00 .00 .00
[NSPECTION ELECTRICAL
TYPE DA TE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH -' IN
1/'-/1 b"" ~? ~
FINAL
COMMENTS:
l
ELECTRICAL PERMIT AND INSPECTION RECORD.
CITY OF PORT ANGELES
360-417-4735 '
Application Number . . . . .
Application pin number . . .
Plan Check Total .00
Other Fee Total 2234.50
Grand Total 2369.50
07-00000289
234771
Page 2
Date 10/24/07
.00
2234.50
2369.50
.00 .00
.00 .00
.00 .00
INSPECTION ELECTRICAL
TYPE DATE: RESUL TS: INSPECTOR:
DITCH
SERVICE
ROUGH - IN
Il&.Jlo7 ~ ~
FINAL
COMMENTS:
ELECTRICAL PERMIT AND INSPECTION RECORD
CITY OF PORT ANGELES
360-417-4735
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Applrcation valuation
Owner
CORY & AMBER GAGNON
436 E. AHLVERS RD
PORT ANGELES
(360) 457-0833
Other struct info
Permit . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
07-00000289 Date 10/24/07
234771
436 E AHLVERS RD
06-30-15-3-1-9020-0000-
CORY GAGNON
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
141540
Contractor
HI-LINE HOMES
11306 62ND AVE E
WA 98362 PUYALLUP
(253) 840-1849
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98373
16.40
V-N
1. 00
16097.00
2640.00
2640.00
1. 00
ELECTRICAL NEW RESIDENTIAL
CHEHALIS SHT MTL/ T-STAT
111864
CHEHALIS SHEET
35.00
10/24/07
4/21/08
.00
o
J='
'.}
6'
MTL / RFG CO. I
Plan Check Fee
Valuation
Qty
1. 00
Unit Charge Per
35.0000 ECH EL-LVT-FIRST THERMOSTAT
Extension
35.00
(t)
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.
04/04/2007 12:25 PM SROBERDS --The proposal will result
in a new sfr w/attached garage in the RS-9 zone. No land
use issues are anticipated.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required. Supply copy of easement for sewer.
Other Fees
:P
~
-
<
~
\;I
~
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 35.00 35.00 .00 .00
Plan Check 1'otal .00 .00 .00 .00
OCNSPECTION ELECTRICAL
TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH - IN
I 12. lOB ~ ~
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r/ ,ORT "'-\I:
l~"~
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11::.--
~-~
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
CORY & AMBER GAGNON
436 E. AHLVERS RD
PORT ANGELES
(360) 457-0833
Other struct info
Permit . . . . .
Additional desc .
Permit pin number
permi t Fee
Issue Date
Expiration Date
4/16/07
07-00000289 Date
234771
436 E AHLVERS RD
06-30-15-3-1-9020-0000-
CORY GAGNON
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
141540
Contractor
HI-LINE HOMES
11306 62ND AVE E
WA 98362 PUYALLUP
(253) 840-1849
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98373
16.40
V-N
1. 00
16097.00
2640.00
2640.00
1. 00
PUBLIC WORKS RES WATER SERV
98699
770.00
4/16/07
10/13/07
Plan Check Fee
Valuation
.00
141540
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
RIGHT OF WAY
98681
50.00
4/16/07
10/13/07
Plan Check Fee
Valuation
.00
141540
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Extension
50.00
SANITARY SEWER HOOK UP
98707
120.00
4/16/07
10/13/07
Plan Check Fee
Valuation
.00
141540
Qty Unit Charge Per
1.00 120.0000 EA SAN SEWER HOOKUP
Extension
120.00
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.
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 t give auth rity to violate or cancel the provisions of any state or local law regulating construction or the performance of
constructi n.
T:\Policies\1102.15R [1/05]
~-( Co-o~
Date
Signature of Owner (if owner is builder)
Date
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL 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 I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRlVEW A Y APPROACH I
BACK-FLOW DEVICE 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
FIR.E 417-4653 FIR.E DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1/05)
c1 "ORT A.\rQ
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . . 07-00000289
Application pin number 234771
Page
Date
2
4/16/07
Special Notes and Comments
04/04/2007 12:25 PM SROBERDS --The proposal will result
in a new sfr w/attached garage in the RS-9 zone. No land
use issues are anticipated.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required. Supply copy of easement for sewer.
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 940.00 940.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 3174.50 3174.50 .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 [1/05]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT J08 SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
PW UTILITIES (Engineering Division)
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRlVEWAY APPROACH
BACK.FLOW DEVICE I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R.W. 1 PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1/05]
CITY OF PORT ANGELES
DEPARTMENT 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
07-00000289 Date
234771
436 E AHLVERS RD
06-30-15-3-1-9020-0000-
CORY GAGNON
RES NEW SFR
4/16/07
RS9 RESDNTL SINGLE FAMILY
141540
Owner
Contractor
CORY & AMBER GAGNON
436 E. AHLVERS RD
PORT ANGELES
(360) 457-0833
Other struct info
HI-LINE HOMES
11306 62ND AVE E
WA 98362 PUYALLUP
(253) 840-1849
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98373
16.40
V-N
1. 00
16097.00
2640.00
2640.00
1. 00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
2112 SF SFR w/ 528 ATT GAR
97477
1255.45 Plan Check Fee
4/16/07 Valuation
10/13/07
502.18
141540
Qty Unit Charge Per
Extension
1020.25
235.20
BASE FEE
42.00 5.6000 THOU BL-l00,001-500K (5.60 PER K)
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 99119
Permit Fee 100.95 Plan Check Fee .00
Issue Date 4/16/07 Valuation 0
Expiration Date 10/13/07
Qty Unit Charge Per Extension
BASE FEE 50.00
1.00 ' 14.7000 ECH ME- INSTALL 100- FAU 14.70
5.00 7.2500 ECH ME-VENT FAN 36.25
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
99127
142.00
4/16/07
10/13/07
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
Extension
50.00
63.00
7.00
BASE FEE
9.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP
1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE
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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 I cal law re ulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
T:\Policies\l102_15 building penni! inspection record05.wpd [1/4/2005]
4~ f..-cf)
Date
BUILDING PERMIT INSPECTION RECORD
CALL 41/'-4815 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOT1CE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TJON.
[(EEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNllA nON:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA T10N DRAINAGE/ DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMIllNG
UNDER FLOOR / SLAB
ROUGH.fN
WATER LINE (METER TO BLDG)
GAS LlNE FINAL DATE ACCEPTED BY:
BACK FLOW / WATER
AIR SEAL
WALLS
CEILlNG
FRAMING
JOISTS / GIRDERS
SHEAR W ALlJHOLD DOWNS
WALLS / ROOF / CEILfNG
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
ROUGH-fN
HEATPUMYlFURNACE/DUCTS
GAS LINE FINAL DATE ACCEPTED BY:
WOOD STOVE / PELLET / CHIMNEY
MANUFACTURED HOMES
FOOTfNG / SLAB
BLOCKJNG & HOLD DOWNS
SKIRTING
!'LANNING DEPT. SEPARATE PERMIT II's SErA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417.4735 ELECTRICAL
, LIGHT DEPT
CONSTRUCTION R.W. /PW/ CONSTRUCTION - R.W.
ENGINEERlNG 417-4807 PW / ENGINEERfNG
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 4J7-4750 PLANNING DEPT.
BUILDING 417.4815 BUILDlNG
T:IPoliciesl] 102 15 buildmg rennlt mspectlon record05.wpd [1/4/20051
CITY OF P0RT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number
Application pin number
07-00000289
234771
Page
Date
2
4/16/07
Qty
1. 00
1. 00
Unit Charge Per
15.0000 ECH PL- EA. BLDG SEWER
7.0000 ECH PL- EA. WATER HEATER
Extension
15.00
7.00
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.
04/04/2007 12:25 PM SROBERDS --The proposal will result
in a new sfr w/attached garage in the RS-9 zone. No land
use issues are anticipated.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required. Supply copy of easement for sewer.
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 1498.40 1498.40 .00 .00
Plan Check Total 502.18 502.18 .00 .00
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 4235.08 4235.08 .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:IPoliciesllI02_15 building pennit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MIN1MUM 24 HOUR NOTlCE. IT is UNLA WFUL TO COVER, INSULATE OR CONCEAL AN}' WOIU, BEFORE_\J1
IIVSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TJON. -.......J
KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE.
~
-n
INSI'ECTION TYPE DATE ACCEI'TED COMMENTS
YES NO
FOUNIJATlON: Si:ttl'\ W ~vt.. T / Y3 /O=r :r (..L.
FOOTINGS 61: /(1.., /O-:r \J1.,1.
SHEAR WALLS / WALLS
FOUNDA T10N DRAINAGE / DOWN SPOUTS .'/u, I () I J IA__
PIERS I
POST HOLES (POLE BLDGS.)
PLUMIllNG
UNDER FLOOR / SLAB
ROUGH-IN -q - rl.-Oi -:ru.-
WATER LINE (METER TO BLDG) i I Win, :ft. L-
GAS LINE I FINALOI-O"l-o& DATE ':JLL
ACCEPTED BY:
BACK FLOW I WATER
AIR SEAL In b~-U()I -rLL--
. ,
WALLS
CEILING
FRAMING '81'0 lOr :TU- iolu-I07 JU..-
JOISTS / GIRDERS
SHEAR W ALLlHOLD DOWNS lli/?.,J", -rU
WALLS / ROOF / CEILING
DRYW ALL (INTERJOR BRACED PANEL ONLY) II/n7Jni "'JLL
T-BAR T ,
INSULATION 10 J ?J:,.IrJi :Jt.L
SLAB f ,
WALL / FLOOR / CEILING
MECHANICAL
ROUGH-IN
rlliATPUMY/FURNACE/DUCTS -
GAS LINE FINALID\-04-o<6)~TE 3LL ACCEPTED BY:
WOOD STOVE / PELLET / CHIMNEY
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & 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 - LlGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W. /PW/ CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEEJUNG
FIRE 4J7-4653 FIRE DEPT.
PLANNING DEPT. 4]7-4750 PLANNING DEPT.
BUlLDING 417-4815 61-o4:-0g '11.1/ BUILDING
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T:\Po1icies\I102 15 buildmg permit mspeclJon record05.wpd (1/4/2005]
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The City of Port Angeles
Building inspections Dept.
Iltt
Upon reviewing the single-family residential plans submitted for permit, the
following are some of the items that will need to be taken in to consideration.
1- FOllndatioll Footing. The minimum size of:l footing in Seismic zone D2 are as follows.
(1 Story 12" WI 6" min. thick) (2 story IS" WI 7" min. thick) (3 story 23" WI 8" min. thick)
(Load bearing value of soil 1,500 (psi). With 2 # 4 bars horizontal continuous 3" off the
bottom of footing. The minimum specified compressive strength of concrete in basement
walls, foundation walls, exterior walls and other vertical concrete work exposed to weather
in moderate weathering table R402.2 of the mc is 30001bs with a min. of 5(10 air entrained,
but not more that 7(i'0. Foundations in seismic categories D2 that exceed 50'-0" in either
direction are required to have a continuous footing per section R403.1.2 including support of
an interior braced wall line. Locating and marldng the property boundary is required for a
footing inspection. Tables in chapter 4 of the IRe. Will be applied for soils that are heavy in
moisture (hydraulic) in nature or foundation wall over 5'-0" in height. Verify site conditions
and unbalanced back fill at time of application. Foundations Drains are required as per
section R 405.1 (see exception for soil classification)
2- Foundation walls. Vertical steel in foundation walls as of July 1st 2004. Vertical bar reqd
to be Yo" #4 bar with a hook and tied to the footing steel in place at 4'-0" O.C. at footing
inspection. One #4 bar horizontal within the top 12"of the wall. Yo" anchor bolt with a 3" x
3" x '/.." steel washer is required at 6'-0"OC for a 1 story and 4'-0"OC for a 2 story, along
and within 12" of each end the pressure treated sill plate. Crawl space ventilation is required
at (1') s.L of vent per (150') s.L of area per sec. R408.2. 2003 mc. 6 mill black poly is
required in crawl space as a below grade moisture barrier per section R406.3.2 2003 IRC.
Finish grade shall be a 6" slope away from foundation within 10'-0" of the foundation wall
measured horizontally as per sec. R406.3 2003 IRe.
3- Framing. All connections from a pier to a post and beam are required to have positive
connection per code. In addition any connectorsl fasteners in contact with treaded wood a~e
req'd to be hot dipped zinc/gah': (See manufacture details.) All floor joist are required to be
blocked with 2x material at the beam support. 7/16" OSB sheathing is required to be nailed
to pressure treated sill plate and bottom plate or sole plate of wall. (or other approved hold
down's). Attic ventilation is required at (1') s.L of vent per (150') s.L Of area with an
allowable 50% of ventilation can be located in the upper portion of the ridge if applicable
per 2003 IRC. Truss design and calculations are required upon submitting an application,
lateral connections are required to end walls where truss I rafters are perpendicular to end
walls. A truss Irafter tie shall be required to prevent uplift per code.
4- Braced Wall Lines. In Seismic category D2 exterior and interior braced wall lines
cannot exceed 25'-0". VITalI bracing must start within 8'-0" of a transverse wall or a desiuned
collector. Standard wall bracing methods are required as per section R602.10.3 of the 20'03
IRC. If the wall bracing methods cannot be met, then refer to "Alternate Braced wall panel"
Section 602.10.6 of the 2003 IRe. If any of the aforementioned methods cannot be met,
engineering design will be required for the "SHEAR WALL" design. Section R602.10.9 for
interior braced wall line support for 1 and 2 story buildings require a continuous footing
supporting a braced wall line, interior and exterior not to exceed 50'-O"intervals.
I~
5- Egress. Rooms used for sleeping are required to have one window with 5.7'S.F. of openable
space and a sill height of not more the 44" above finished floor for emergency escape per
2003 IRe.
6- Energy and Air Quality. Insulation, Heating, Air conditioning, Lighting, Windows and
Appliances to meet 2003 '''SEC & VlA.Q. New single family structures are required to have
a whole house exhaust fan with a 24hr timer per table 3-1, 3-2, 3-3 of the 2003 VlAQ.
Mechanical fresh air intake (FAI) is required to have a 24 hr timer or windows in all
bedrooms and living, dining area may have intake ports for fresh air per 2003 VIAQ if zone
heat is applicable.
7- Dry \Vall. (Gypsum wall board) 5/8" type "X" sheets rock is required in the accessible
usable space under stairs and on ceiling of a garage only if a habitable area is located above
the garage. The rating of the sheet rock & nail pattern must be visible to the inspector. Nail
pattern for all sheet rock 1,1," and 5/8" to be 8" on center and 12" OC if drywall screws are
used. Per table 702.3.5 of the 2003 IRe. Interior braced wall panels are to be inspected prior
to tape, bed and texture. Moisture resistant wallboard is required around w/e. A cementuous
backer board is required for tiled areas at tub and showers. Vapor barrier is required. A
perm rated paint may be substituted for a poly vapor barrier on the warm in winter side.
8- Plumbing. Water heaters are required to have two approved seismic straps in the upper
and lower 1/3rd of the tank per me. T&P valve to be 3;''' I.D and directed to the exterior and
turned 90 degree downward not less that 6"-12" above finish grade. Water heater s are
required to have a 26 ga. Pan of other approved drain pan with a 0/." drain line from pan to
exterior. Impact protection for wlh and mechanical equip are required to resist 6,000lbs
impact if located in the garage area. All DWV are req'd. to be tested under water pressure
per 2003 UPC or air test (consult manufacture recommendations for air test) Min. test
pressure in Residential LPG is 30 Ibs.
9- Smoke detectors. shall be located in each sleeping room and in the hall leading to each
sleeping area. One smoke detector is required at the top of each stairs, and at least one
smoke detector is required on every floor level. Smoke detectors must be within 6" to
12"from the ceiling if mounted on wall. Smoke detector shall not be less than 36" from any
air return. Power supply for smoke detectors shall be from the main house supply that is not
switched and required to be battery back up. Smoke detectors to be inter-connected so that
if one smoke detector alarm will start a chain reaction to all other smoke detectors as per
code.
10- Maximum building height allowable is 30'-0" based on an average grade plain per 2003
IRC. Property pins shall be located and marked for a footing inspection to verify zoning set
back requirements.
11- Safety glazed tempered glass required within 24" of any doorway edge, along with other
requirements as per 2003 IRC.
12- All water, sewer, gas, electrical, drywells, downspouts and footing drains are required to be
inspected before cover.
This letter is not intended to cover all items required by the City of Port Angeles, but is to serve
as a guide to help you understand frequently asked questions, "ALL WORK IS SUBJECT TO
FIELD APPROVAL" 4/05.
Fill out COMPLETELY and ill INK. Y Ollr application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
FOR OFFIClAL USE ONLY:
Date ReC$:
Permit #: 0 -
Date Approved: )l
te Issued:
BUILDING PERMIT - APPLICATION
Applicant or Agent: COI:':J
Owner: Cat<.>., Gc.S;' 0 '"
,..) II II
Address: dl~ f1C-lV'1i'ot"l1€
Architect/Engineer: ~ ~ I ~ n€
Contractor \-\~ \~ht~ClN\
Address: t~ l~ Lo ~ QcA I
_\ .
PROJECT ADDRESS: 'i],<a
C;"ShO.'\
i
Phone:
'3G,o- Ljl~l -~T16
~.
PhOlle:
City:
p+ . A~f Ic~\
AI\ I Ve(\
Zip:
ZONING:
Zip: G.J It
'3Go- 174~fI'11
Phone: J(,O -311 -1717
13.:)3 )
Q-5~
hC\^I-GS
Phone:
State License #: ~1 L M H ~81 rrr Exp:
City: C ~1 I',J :, Lv ,4-
R~t.
LEGAL DESCRlPTION: Lot:
Block:
Subdivision:
CLALLAMCOUNTYPARCELNUMBER: O~ ")0\ ~""") I C)O~ 00000
TYPE OF WORK: ;f,v<L- SIZE/V ALUATION:
9QResidential f:JNewConstr. oRe-roof o Stove .9111. SF.@$ /SF.=$ l<<il,sqO
o Multi-family D Addition D MoveD Garage 6"'1-" .5 ~~ SF. @$ /SF. = $ J
o Commercial D Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $
o Repair D Sign 0 Other TOTAL VALUATION $ J HI oJ-lV
BRIEF DESCRIPTION OF THE PROJECT: ~~'M~' (0;'.,-+ rvd \0'"' "
Occupant Load: - Construction Type: vi - AI
& Proposed Sq. Ft.~ttQ. = TOTAL Sq. Ft. ;2-6 Jf12..
COMMERClAL/RESIDENTlAL: Occupancy Group: tf. 3
No. of Stories: ~ Lot Size: _, 60 tt 'K Existing Sq. Ft.
Total lot coverage-J C7 ' J-(D %
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
ESA/Wetland(s):DYesONo SEPAChecklistrequired?O YesD No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amollnt must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417 -4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
Rl05.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once.
I hereby certify that J have read and examined this application and know the same to be true and correct. J am authorized to
apply for this permit and understand tha it is my responsibility to determine what permits are required ,not the City's, and that J
must obtain such permits prior to work.
Date: -:?,- )o~ 0.11
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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:
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00000600 Date
110200
436 E AHLVERS RD
06-30-15-3-1-9020-0000-
PUBLIC WORKS UTI LITES
6/07/06
o
Owner
Contractor
OLYMPIC LAND DEVELOPMENT
POBOX 595
CARLS BORG WA 98324
(360) 457-7222
OWNER
79657
110.00
Plan Check Fee
Valuation
.00
o
~
~
\
~
~
,~
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
12/04/06
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
Extension
110.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 110.00 110.00 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 110.00 110.00 .00 .00
~I
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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 [1/05]
v-
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 I 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 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:\Policies\1102.15R [1105]
~pC""'A..I<
lO~<'(<i"
,..~
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"""""'"
.,
4/16/07
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
CORY & AMBER GAGNON
436 E. AHLVERS RD
PORT ANGELES
(360) 457-0833
Other struct info
Permit
Additional desc .
Permit pin number
pe rmi t Fee
Issue Date
Expiration Date
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
07-Z8'J
07-00000289 Date
234771
436 E AHLVERS RD
06-30-15-3-1-9020-0000-
CORY GAGNON
RES NEW SFR
tf7~ &~Ef
RS9 RESDNTL SINGLE FAMILY
141540
6tiF^-
Contractor
HI-LINE HOMES
11306 62ND AVE E
WA 98362 PUYALLUP
(253) 840-1849
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98373
16.40
V-N
1. 00
16097.00
2640.00
2640.00
1. 00
0~cJ
PUBLIC WORKS RES WATER SERV
98.699
770.00
4/16/07
10/13/07
Plan Check Fee
Valuation
.00
141540
Qty
1. 00
Unit charge Per
770.0000 EA
\~
Qty Unit charge Per ~xte
1.00 50.0000 ECH RIGHT OF WAY PERMIT 50.00
-----------------------------------------------------~------------ -~------
Permit SANITARY SEWER HOOK UP
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
RIGHT
PW W/M 1" SERV 5/8" METER ~
---------------------------------
OF WAY
98681
50.00
4/16/07
10/13/07
Plan Check Fee
Valuation
.00
141540
98707
120.00
4/16/07
10/13/07
Plan Check Fee
Valuation
.00
141540
Qty
1. 00
Unit Charge Per
120.0000 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.
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 dQes not
presume to give authority to violate or cancel the provisions of any state or local law reguiating 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]
'':..
..
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
07-00000289
234771
Page
Date
2
4/16/07
Special Notes and Comments
04/04/2007 12:25 PM SROBERDS --The proposal will result
in a new sfr w/attached garage in the RS-9 zone. No land
use issues are anticipated.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City's electrical facilities will
be at the customer's expense.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour adva~ce
notice is required. Supply copy of easement for sewer'.
-----~~~~~-;~~~--:-:-:-:-:-:-:-:-:--~;~;;-~~~~~~~~;-;~;~~-~~
PW WATER SYSTEM USE FEE C 1230.0~
------------------------------------------------------------- - ----
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ---------
Permit Fee Total 940.00 940.00 .00 .00
Plan Check Total .00 .00 .00 .00 .
Other Fee Total 2234.50 2234.50 .00 .00
Grand Total 3174.50 3174.50 .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 constructi6n or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\IIOZ.15R [1/05J
J ..... '1::\ I( (-
)1 f ,.
,- iC~~ (\ i
, )
APPLICATION FOR WATER
City Water Division, Port Angeles, WA
Installed by & date: 7' 5 7 -2.0 -u",ermit # D, - Z 'e:II
Issued date: l(-{(" -0'7
r hereby apply for water to be furnished in accordance with rates and rules of the City for the
fcllowing premises:
. Applicant Name & Phone: Lov,! t;itl1 hOv-, 4&/- 2.';7/2,
Site Address: 4;// A.tt Ivw5. III Mailing Address: ZJfb Ll.A llH-horh'f>
Blk: Lot: Add: Parcel#: O~-30163Iq{)t:..D()
SVc:ON/e9 Meter#'sC FD7045D07w/o#: 3034j-3'f'-l
I Mees: ff/77IJ .)1 Z-~/) -
I 1\
L01^ cj l~
o --
Svc: Size
Restoration Required: Yes; If~tl(...,h
I ,
Signature:
Remarks:
N
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w
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
0&-&00
Application Number
Application pin number
Property Address
AS~~SSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning . .
Application valuation
06-00000600 Date 6/07/06
110200
436 E AHLVERS RD
06-30-15-3-1-9020-0000-
PUBLIC WORKS UTI LITES
o
43UE~
DJ1r LwJ /lw
Owner
Contractor
OLYMPIC LAND DEVELOPMENT
,p..o BOX 595
CARLS BORG WA 98324
(360) 457-7222
OWNER
Permit
Additional desc .
Permit pin number
Permit Fee
Is'sue Date
Expiration Date
SANITARY SEWER HOOK UP
79657
110.00
plan Check Fee
Valuation
.00
o
12/04/06
Qty
. 1.00
Unit Charge Per
110.0000 EA SAN SEWER HOOKUP
Extension
110.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 110.00 110.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total no.oo 110.00 .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, jf 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
--I- cAU<PVLIl f4fo-f-
Sign~ture ~wner (if owner is builder)
G -7 -0 0
Date
T:\Policies\1102.15R [1/05]
05/12/2006 10:38 FAX 360 452 8480
CLALLAM TITLE ESCROW PA
I4J 001/002
,~
., !':-
.~.
CLALLAM TITLE COMPANY
Tale Planl Since 1890
4~v .e:;4-h lv~.:s
O~-u;OD ,
Experience that guarantees quality
. Service that guarantees a smile
Title Insurance and Escrow Services
--.-
To: I rt~
L{ f 7- L(?rJq
# of pages Z-
From: Shellie L. Baskins
limited Practice Officer
Date/ Time
Phone: (360)457-2000
l'ax: (360) 452-8480
shellie@clallamtitle.com
~/nLfty ~ LJPI
L lfU
f~UzaYLLLPj({)t
I
Specify CLALLAM TITLE COMPANY for fast and reliable Title Insurance
and Escrow Service --- Thank you!
204 S. Lincoln Street
P.O. Box 248
Port Angeles, Wa 98362
. ..., ..
05/12/2006 .1.0: 38 FAX 360 452 8480
CLALLAM TITLE ESCROW PA
f"JLEO FO" Je'ECORQ /l.T lI-n: ~lIJUE5T
[1i:J 002/002
\
. .
CLALLAM TITLE CO.
OF
~ECOROEP m r:~CO;o-'_"3fCL^LL"'K co
AFTER RECORDfNG MAIL TO ,
OLympic Land Development, mc.
Suzann Pilot
1435 Finn Hall Road
Part Angeles, Wa. 98362
IIIIIIIIIIIIIIIII~IIIIIIIIIIIIIIIIIIIIIII!IIIIIIIIIIIIIIII111111111~1I111111
2006 1180148
lOOG MAY II PH 3: 30
Cl.llam
CDUnty
C0
Recorded at the reauest of:
CLALLAM TITLE COMPANY
QUIT CLAIM DEED
Assessors Tax Parcel ID# 063015-319000
THE GRANTOR, GEORGE W. ZINK and GILDA G. ZINK, Trustees of the GEORGE & GILDA
ZINK LIVING TRUST
for and in consideration of TO CREATE AN EASEMENT ONLY
in hand paid, conveys and quit claims to OLYMPIC LAND DEVELOPMENT. INC., a Washington
corporation, its successors and assigns
the following described real estate, situated in the County ofClallam, State of Washington;
together with <ill after acquired title ofthc grantor therein:
An Easement for the purpose of installing and maintaining a sewer line over under and
across that portion of the East 10 feet of Lot I of Short Plat No. 77-11-9 recorded in
Volume 4 of Short Plats, page 12 beginning at its Southeast corner and running Northerly
along its East line to a point 10 feet North of tbe Southwest COTner of Lot 1 of Canyonedge,'
as recorded in Volume 7 of~lats, page 30, records ofClallam County, Washington.
Said easement is to be appurtenant to and for tbe benefit at Lot 2 of said Short Plat No. 77-
11-9.
DA TED~ May 8,2006
THE GEORGE & GILDA ZINK LIVfNG TRUST
ByJ~~~
By~~rnK~~i~ A
/ A. l, 7f tee
STATE OF WASHINGTON. )
) 55.
County of c... L AL..'--A~
I certify that I know or have satisfactory evidence that George W. Zink and Gilda G. Zink is the person
who appeared before me, and said person acknowledged that he/she signed this instnunent. on oath stated that
he/she was authorized to execute the instrument and acknowledged it as the Trustees of The George & Gilda Zink
Living Trust to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument.
GIVEN under my hand and official seal this 10 day of tyyo.,. 't
, 20 Q \0
/'~
"...4, r2Q.(-~
OFFICIAL SEAL
BEULAH P. ADAMS
NOTARY PUBLI~ATE OF WASHINGTON
My CommissIon Exp\reS Dec. 10, 2008
No~~ PUb~ and for ~te~gton,
resldmg at g..-1.-
My appointment expires J;;""'- '\ '" - 0 -:8
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. .. .. INSPECTION REPORT. . . . . . . .
REQUEST:
Date 12-'27- 6r
Time
Received by
I2V
(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. 67 - Z~ 9
Sewer Foundation Framing Chimney Plumbing ~ Sewer Excav. Other
1136 Ah/veV^s KA
INSPECTION NOTES:
Inspected: Date /2 -:27- Ot Time By RV
Remarks:
])0 IAJ "'--->f>CX,;f<...+D JJ,"a;"'~e.. ]),'k!'" /2-2.7- 01 31<
~....:>e..,- <1 - 5 -07 _~_
RESTORATION REQUiRED...... YES
NO 'f.-
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
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . INSPECTION REPORT.
REQUEST:
Date 1 '~~07 Time Received by IF- (phone. person)
Location of Work to be inspected 4ft?: ~-e,~ ~I (&tp.J? )
Name of person requesting inspection j);.I-t.IJ~f (?tJ.t~/LU-!tf)-
Address of person requesting inspection Phone No. c;/~O- ~~
~nspection (circle appropriate one): Permit No. 07-..?l!!If'
~ Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES: 1O.-.{2//
a ~ J. 00 'VV
Inspected: Date -/ - ..J ~ 07 Time '0 - By ~
Remarks: Neu-l Se.w",,,, c.oV1v<ec.;r ;0", .(~O.M ex\~c,+:-1--.5 Iv.../ J.! 10~""teJ 0.+ +lte. .so....~kwest
o~ JSDb (",,,,"ycV\ed'l-€.. tl... ,/'1 f>vc ~~OM ^" H':VI &..a.-e""e.",-r 0.,+ 7'3'( 4Ldveu
Rdsr '" e.o.-<<V.?b ~ vev-s d. 5,,-<- Aflc..ci-eJ G s IVto.
RESTORATION REQUiRED...... YES
Ald"""5 'R,}- 1(. _, t;'>f~
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved
\ 'a..o(>
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w~e.
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l'~
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-', Al<lve1~ I
o Gravel 0 Asphalt
OPCC
o Other
o Repaired by City
[] Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
!DATEl
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This map is flot intended 10 be used as a legal description.
This map/dra.....ing is produred by the City a/Port Angeles for ils own use and purposes.
Any olher!LIe of this map/dra.....ing shall not be the responsibility of the City.
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Legend
.~ORTANGELES
WAS H I N G TON, U. S. A.
PUBLIC WORKS & UTILITIES DEPARTMENT
November 16, 2004
Curtis & Teresa Rodocker
1150 Grant Av.
. Port Angeles, W A. 98362
Subject: 436 East Ahlvers Road - New Service
Job# 9845
Dear Mr. & Mrs. Rodocker:
~u
(G (~0. f'])Y{
\ \ .' I
\:::::........ lJ
.2t..
(JJ
(0
. .
With additional information provided by Suzcmn Pilot, this estimate was created.
The estimated cost of labor and materials supplied by the City to provide
electrical service' for your property is $667.29. This quote is good for 180 days.
The City will be responsible for the following:
1) Providing and installing the cable and conduit from the transformer to
the pedestal.
2) Providing and installing the pedestal.
3) Providing and installing the 120/240v meter.
The owner/contractor will be responsible for the following:
IT\
~
r
-
c
(V . I
"1
\I)
1) Providing, installing and future maintenance of the underground
.service wires in conduit from the pedestal to the house and/or meter
base. (Ref: Trenching SpeCifications UM 0 01-S)
2) A signed notarized easement agreement(enclosed).
3) All Required Permits. (Building, Electrical, etc.)
4) Payment of $667.29. . .
If the actual cost of construction exceeds the estimated amount, there will be no
further billing. If the actual cost is less than the estimate, the difference will be
refunded to you.
321 EAST FiFTH STREET · P. O. BOX 1150 · PORT ANGELES, WA 98362-0217
PHONE: 360-417-4805 · FAX: 360-417-4542 · TTY: 360-417-4645
. .
E-MAIL: publicworks@cityofpa.us
.~ ~
'\..." ~
,."
...
L
\
I
,-
,,..,.
Payment of the estimated amount will authorize the City to schedule the work. If
you have any questions or concerns, feel free to contact me.
'Jo G. Hebner
Electrical Engineering Specialist
ihebner@citvofoa.us
360.417.4706
Cc: James Harper, Electrical Engineering Manager
AI Oman, Electrical Inspector
Roger Vess, Permit Tech
Suzanne Pilot
Attachments: 5
Ref: WF26276101 '
n.o.r ]~Tj A lNrG.. . ;EILE;S
L~ 'J.t,,:.H. .. -" C_J I,:..'. ~
WAS H I N G TON, U. S. A.
(C(Q)[P))f
PUBLIC WORKS & UTILITIES DEPARTMENT
Curtis & Teresa Rodocker
1150 Grant Av
Port Angeles, W A. 98362
Subject: 436 East Ahlvers Road
Job# 9845
Dear Mr. & Mrs. Rodocker:
The estimated cost of labor and materials supplied by the City to provide electrical
service for your property is $244.97. This estimate was based on the data you provided
and is subject to review. This quote is good for 180 days. .
The City will be responsible for the following:
1) Providing and installing the O/H service wire to the service pole / meter base.
2) Providing and installing the ,120/240v meter.
-:J::.
\.}J
~
The owner/contractor will be responsible for the .following:
1) Payment of $244.97.
\\\
If the actual cost of construction exceeds the estimated amount, there will be no further
billing. If the actual cost is less than the estimate, the difference will be refunded to you.
~
).....
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t'>
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\jl
Payment of the estimated amount will authorize the City to schedule the work. If you
have any questions or concerns, feel free to contact me at 360-417-4706. '
10
(L
ohn G. Hebner
Electrical Engineering Specialist
ihebner@citvofpa.us
360.417.4 706
Cc: James Harper, Electrical Engineering Manager
AI Oman, Electrical Inspector
Roger Vess, Permit Tech
Suzanne Pilot
Attachments: 3
Ref: WF26276/01
321 EAST FIFTH STREET · P. O. BOX 1150 · PORT ANGELES, WA 98362-0217
PHON E: 360-417-4805 · FAX: 360-.417-4542 · TTY: 360-417-4645
E-MAIL: publicworks@cityofpa.us
Sep
17 07 05:59p
Double D Electrical
1nc
3603855761
p. 1
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IJJ D H J1Vnl
foy,.3/ro -'-//7 -(f7) J
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ELECTRICAL WORK PERMIT APPLICAtION
Job wired by
)il{.EJectrical Contractor a Owner
Installation description
o Commercial a Residential
~.w
a AlteredlAddUion
,
~+
hD~
lA'
re
~II~ 5~
II
Slate ZIP /')
WD-- 9<:5 337-
FAX number b /
3 bD- 7
S2R
,261{)
P"ml... own.." ~m. . ~
(' n r. lVIb p 'f IL~
Ad"'" ~rf"r R
43/0 j, \Jer-s 0-1..
CI~ f\ e.l
f.. H-7fl es
Phone numbel" to chcdule 'nspullon: 3bD -tj/'I ......;)37 t'
Owner os defined by RCIf'./9.18.16/:(J) Owner will OCI;IIPY Ihe slrucrureJor IWQ
yenrs ufier ,Ili~ electrical P"lIIi1 is finalized. (2) OHmer is required to hire an el/Xlrical
cOllt,.ac/nr if abut'e said propert)' ;s for solc. Tenl or lease.
Afler Telllding the above slalemcnt, I hereby cer1ify thai I am the owner of Ihe above
named property or a licensed electrical contractor. 1 am making the ele<<:trieal instal-
lalion or 3Jteralion in compliance with the electrical laws, N.S.C.. RCW. Chapter
19.28, WAC. Chapler 296-468. Tll1: City of Pori Angelcs Municipal Code. and
Utility Specificalions.
Signature of owner, ,el
o Cash 0 Check"
'1ilcredit Card (Q
Card"
Mastercard
Discover
x
Expiration Date !
of card () ~ /
Electrical Load Addlti
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton
o Fan.Wall KW
btr tlcn
LAR
Q Overhead Service
a Temp Service
a Underground Service
Voltage
Phase (J 1 Cl 3
Service Size: _
Feeder Size;
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
1. 0 ;OUGH-i& D'~O::~.,
SERVI~
'\cp.ftv.lI By
Do<
FINAL
.~,
DITCH
FEEDER
Dftl~ Appmud By
0". Appro,.,." By
Inspection
Date
Area, Building or Equipment Inspected
o
Aclion Taken
ElcclTic:al
Inspector
q -1'0 .07
tf 10. DO {fl.JvRr
At'
eI~
'F'IUC-
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.
.-
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ELECTRICAL IrfSPECTION
WIRING REPORT
417-4735
ADDRESS
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0
D. . . . . ... . . . . . . . ... . . SERVICE. . .. . . . . .. . . . . . .. . . 0
D..................... FINAL....................~
CORRECTIONS NEEDED:
;;MD g~ 'Pt€.TIE <::T"6~ 5-
~Vt-.J'D
i1: LL 5HtJ\)~
,
~8~ SH 'E..1L '9
~.20
1~/....i\Nt> l)U~l:5
() OT L.El
C) \IT LEt
I)J~HDT
CON~eJ~T\[)}l. ;pU~
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PAINTERS, INC. (360) 452-1381
(,- -L, 7
r/-"~
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ELECTRICAL WORK PERMIT APPLICATION
~ Owner Installation description
Job wired by D Electrical Coo tractor o Commercial 0 Residential
Electrical contractor name License number Date Expires ~Ncw
0 Altered/Addition
Purchaser's m:Jiling address Tef"lpOr4rj SfV-V,'CC- 011Ci fy .
J rov,d
City State ZIP
"
Telephone number FAX number
'-remises ownet~~amc G",\no.,
Addmlfi OSPCcliO~
RJ
.4h{Vfd
City Pf, A~/f~
Phone number to schedule inspection: Ifr.:, I-JJ18
Owner as dejined by.RCW/9.28.26J:(I) OWller will oCClIpy the strucrureFJr two
years after this electrical permit is finalized. (2) Owner i.~ reqllired to hire 01/ electrical
con/raclor if above said property is for sale. rent or lease. D Cash D Check #
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 electrir::al instal- D Credit Card Visa Mastercard Discover
lalion or alteration in compliance with the electrical laws. N.E.C.. RCW. Chapter
19.28. WAC. Chapter 296-468. The City of Port Angelcs Municipal Codc, and Card # - - -
Utility Specifications. ----------------
;gnatn" "If; 'd iral contractor or electrical administrator Expiration Date
Ir.J, Date: G-S-Ol of card (~nsp:/(~n fe~o
"-
Electrical Load (o.rulitions a'!l'd or subtractions Service Information
o NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton
o Fan-Wall KW
LAR
o Overhead Service
~ Temp Service
o Underground Service
Voltage
PhaseD 10 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOSTAT '\
SERVICE
Dale
Approved By
Date
Approved By
Dale
Appro,'ed By
FINAL
DrrCH
FEEDER
Dale
Approved By
Dale
Approved By
Dale
Approved By
Inspcction
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector
t,-'6-a7
INS 101Jl- WF5S 13 01
Nt.
,Z-
Sep 25 07 09:51a Chehalis Sheet Metal
hiw- 3GD- '-t 17 -'-{ II \
3607484950
p. I,
G-.~ 7
~
W
I
ELECTRICAL WORK PERMIT APPLICATION
Job wired by
"F( Electrical Contractor 0 Owner
Installation dcscriplion
o CommCTclal ~ Resideodal
Electrical contrilclor name License number
thEHAli5Si-\Eff i'\ETl'lL C\-IEtlfr::..-"C)<f3K L
Purcbaser's maili.ng add~ ---.. D
3r,C ,..", .j r-Y><' () - ,..,
U::> .::>'-'-' \'o-IU",,,,,)l c. "-
City State ZIP
C- \"e\;-PlLI <, LOri 9<)$53':2.
Telephone number
3~c- ~V/)-::t I
Premischowner's name
LDi~'l (\-,'IIJI\CJ\U
Address .of inspetlioll _ ..J ~ .
'-f3,1" E" A tt\vE.'R~':, '<.0-.
CHy";:) ~ nO"~1 ,',
XCI<. \ rr\\)'1t:::l.L.S 1.1' \'\ -I ~ ~'" "'-
Phone number to $(:hed~rc inspectioll:
D- '?';J :;l~ \
Owner as defineJ by RCW.J9.1B.161:{J) Owner 'will occupy ,he structlJrt! for two
years after thr~ electrical permit is finalized.. (1) Dw,rel j)' requind to hire an eteClrical
contractor if abol'f: said property is for Jale, re"t or leasC'.
After reading che aboyc statement, I hereby ccnify Ihat I am thc owner or the above
named ptoperty or a licensed electrical contractDT. I am ml!lking the electrical instal_
lation or alteration in compliance with the electrical laws, N.E.C.. RCW. Chapter
19.28, WAC. Chapter 296-46B, The: Cily 01" Porl Angeles Municipal Code, and
Ulility Specifications
S~Dre ;r o~Der. electrical conlractor or electrical lIdministralor
X,u.J::h". 't Date: l 2'0; vi"-
I ctri . ition and or" tractio
o NO lOAD CHANGES
isaseboard _ KW
Furnace 1Q KW
. Heal Pump .21.. Ton...3l LAA
Fan-Wall _ KW
Date Exp;res
5-'1-08
rill New
a Altered! AdditiOD
1\)E0
C.D\\SI
t-hUl\F
FAX number
31..0- 1--/,-
\-tt.''Y\E
.
I N~.,T11LLIII!(~ TR..'1IJf. \-\-fI'IT PliY>'Y
o Cash 0 Check #
I;llCredilCanI @
Car
Mastercard
Discover
Service Information
o Overhead Service
o Temp Service
Q UndergrOUncl service
Voltage
Phase CJ 1 0 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
[pJ
ROUGHM TIlERMOSfAT / SERVICE
/hleJp:? A'V 1
>>..1: Appwvcd OJ< o~c AMW"cd B~ "- Do. ApprandSy
FlNAL DITCH FEEDER
1/'2./(1"0 tl:f' I
'0:11" App......e.l8y Dale Appn>'<'Cd By "- Do. A~By
Inspeclion Area, Building or Equ.ipment Inspected Action Taken Electrical
Dutc InspectQf
9. u."<'{ ,41 P-.
-- I_
~~Ir:UW~ ~I!JI
SEP 9. 5 7n07
UGHT DEPT.