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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
nl EAST 5TH STREET. PORT ANGELES. WA 98~62
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00001011 Date
792172
2614 APPLE TREE LN A
06-30-00-1-0-6705-0000-
PAUL CRONAUER
RES NEW MULTI 3 & 4 FAMILY
9/14/07
PLANNED RESDNTL DEVLPMENT
316493
Owner
Contractor
CRONAUER PAUL P
PO BOX 282
PORT ANGELES
OWNER
WA 983620048
Other struct info .
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
2.50
2.00
30600.00
4386.00
4.00
N
\)'
--
-t
1
1
permi t . . . . .
Additional desc .
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
N. PEN. EL./ 600A+4-FEEDER
109603
PENINSULA ELECTRIC
216.00 Plan Check Fee
9/14/07 Valuation
3/12/08
.00
o
~
('
~
~\
~
Qty
4.00
1. 00
Unit Charge Per
22.0000 ECH EL-RM-0-200 ADD SRV FEEDER
128.0000 ECH EL-RM-401-600 1ST SRV FEEDER
Extension
88.00
128.00
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.
This project will require seperate permit and fire
sprinkler plans for review.
Call for cover inspection for all sprinkler installations.. A
full acceptance test will be required for all fire alarm
systems.
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Other Fees
MILW DRIVE ASSESSMENT
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
960.00
3480.00
4.50
4800.00
\:
~
Fee summary
Charged
Paid
Credited
Due
COMMENTSI ACTION NEEDED
,
ELECfRICAL PERMIT INSPECfIONRECORD
CALLt 17-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE 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
YES NO
)I 'f'~
lHlIUyl-l_IN / CUVbK
SbRVICE
FrN AT I I
GENERAL COMMENTS:
PW-II02.1S 14'961
'~
YJ!
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
]21 EAST 5TH STREET. PORT ANGELES. WA 98362
Application Number
Application pin number
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
216.00
.00
9244.50
9460.50
COMMENTS/ACTION NEEDED
06-00001011
792172
216.00
.00
9244.50
9460.50
Page
Date
2
9/14/07
.00
.00
.00
.00
.00
.00
.00
.00
ELECfRICAL PERMIT INSPECfION.RECORD
CALI.,417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE 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
COMMENTS
NO
#I
GENERAL COMMENTS:
PW-II02.15 (4'96)
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CITY OF PORT ANGELES
FIRE DEPARTMENT PERMIT
321 East 51h Street, Port Angeles, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
06-00001011 Date
792172
2614 APPLE TREE LN A
06-30-00-1-0-6705-0000-
PAUL CRONAUER
RES NEW MULTI 3 & 4 FAMILY
1/23/07
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PLANNED RESDNTL DEVLPMENT
316493
Owner
Contractor
CRONAUER PAUL P
PO BOX 282
PORT ANGELES
OWNER
WA 983620048
Other struct info .
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
2.50
1
1
2.00
30600.00
4386.00
4.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date .
FIRE SPRINKLER RESID
93310
.00
1/23/07
7/22/07
Plan Check Fee
Valuation
.00
o
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.
This project will require seperate permit and fire
sprinkler plans for review. .. .
Call for cover inspection for all spr~nkler ~nstallat~ons. A
full acceptance test will be required for all fire alarm
systems. . .
Electrical load calculations and elctr~cal perm~ts are
required.
Sanitary sewer connection inspection is required by
public Works prior to back fill of ditch. 24 hour advance
notice is required.
-----------~----------------------------------------------------------------
Other Fees
MILW DRIVE ASSESSMENT
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
960.00
3480.00
4.50
4800.00
~
~
-
~
~
~ ~
f'
~ ~
OcP f
~ r
~ ..:s.
,,~
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 9244.50 9244.50 .00 .00
Grand Total 9244.50 9244.50 .00 .00
This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examimrl this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work wiJl be com pled
wi whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
th r vision ofa tate or local law regulating the work specified in the permit.
Date
Signature of Owner (if Owner is builder)
Date
~
Signature of Contractor or Authorized Agen
I
FIRE PERMIT INSPECTION RECORD
Call 360-417-4655 for fire 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
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final ~/J~I/~~~~
FIRE ALARM
Rough-in inspection
--
Alarm final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test Test #1
Above ground piping inspection/pressure test Piping pressure test pSI
Tank (container) inspection Time initiated
Test #2
Appliance inspection Piping pressure test pSI
Time initiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final
Inspection Type
I Date Passed I
Comments
GENERAL COMMENTS:
2/15/00
PORT ANGELES FIRE DEPARTMENT
102 East Fifth Street, Port Angeles, Washington 98362
(360) 417-4650 FAX (360) 417-4659
Fire Sprinkler System Plan Review
Project Name: Cronauer 4-Plex Address: 2614 Apple Tree Lane
Installer: Knight Fire Protection Installer Telephone: 415-0505
Type of System: Closed 13 D 13RrgJ 13DD
Date: 1.19.2007 P AFD Permit #: 07 -02
We have checked this plan and find that it conforms to the requirements of the code.
Additional Comments:
All systems, including underground mains, shall be installed by a state licensed and certified
company. Systems shall be installed per the applicable NFP A Standard.
All electrical components shall be compatible with the fire alarm system.
All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire
Department PRIOR to being covered. A witnessed flush of the underground piping is required.
A design sprinkler flow test and alarm test are required for all 13DRsystems.
Before final acceptance of the system, an inspection will be conducted to ensure that the
installation complies with the applicable NFPA Standard. This 13R system will require a
measured flow test.
Contractor
Reviewed by: ~Fi:) 0
Date: l. l '\.. ~ 07
D
~
D
Building Department
Fire Department
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FIRE DEPARTMENT
PLANNING DEPARTMENT
PUBLIC WORKS/ENGINEERING DIVISION
LIGHT DIVISION
o ENERGY
o
ENGINEERING
POLICE DEPARTMENT
..
ADMINISTRATION
o CITY CLERK
o
RISK MANAGEMENT
I FROM: PUBLIC WORKSIBUlLDING DIVISION I
RE: ADDRESS: ..e.
NAME/CONTACT:
PHONE: J
PERMIT NUMBER: OfP -/0 J J
PROJECT DESCRIPTION:_flt'~ _ :5QJrIVl k.le.- ~-J-.J
f3f NEW CONSTRUCTION
o ADDITiON/ALTERNATION
COMMENTS/CONDITIONS:
5j REVIEW /RETURN
o FILE
07-02:.
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.: ,II (, (0 '1
Perrnd Or;, - f:t),
Date Approved: I ( () 7
Date Issued:
Fill out COMPLETELY and in INK. Your 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
Applicant or Agent:
Owner: V~ (" ~VL-
Address: ~tJ ~ ~e2--
Phone: ?/A'J lfli- t>10r-
Phone:
City:Y~AMMW> Wo- Zip:~~~
Phone:
ExP:~ Phone: 411-a\t'r"
LAh- Zir8~ '" :s
ArchitectlEngineer:
ContractorJ4v&\.\-'I h~ ~ State License #: tlVl~~l..i.-.
Address: '"ZSZ:4 11...),"^, )t:1 h, ~1 City: 'f/o-z.-r ~')
PROJECT ADDRESS: ~lRl'1' A-Pf\.(..~.ut- (gv,L
LEGAL DESCRIPTION: Lot:
ZONING:
Block:
Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK:
D Residential D New Constr. D Re-roof D Stove
D Multi-family D Addition D MoveD Garage
D Commercial D Remodel D Demolition D Deck
D Repair D Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT:
~'~4-L- ~\~ S~~)
SIZE/VALUATION:
SF. @$ /SF. = $
SF. @ $ /SF. = $
SF. @$ /SF. = $
TOTAL VALUATION $
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size: Existing Sq. Ft.
Total lot coverage %
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
PLANNING USE ONLY: APPROVALS:
PLAN:
BLDG:
DPWU:
ESAlWetland(s): DYes D No SEPA Checklist required? 0 Yes 0 No Other: FIRE:
OTHER: -
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417-4815 for assistance. .
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section
R105.3.2 of the IntemationalBuilding/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and e amined this application and know the same to be true and correct. I am authorized to
apply for this permit and understand tIt it is my respon,sibi/ity to determine what permits are required ,not the City's, and that I
must obtain such permits prior to wor:
Date: jWO')
T:\FORMS\BldgPennitform.wpd Applicant:
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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
06-00001011 Date 10/04/06
792172
2614 APPLE TREE LN A
06-30-00-1-0~6705-0000-
PAUL CRONAUER
RES NEW MULTI 3 & 4 FAMILY
PLANNED RESDNTL DEVLPMENT
316493
Owner
Contractor
CRONAUER PAUL P
PO BOX 282
PORT ANGELES
OWNER
WA 983620048
Other struct info .
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
2.50
1
1
2.00
30600.00
4386.00
4.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PUBLIC WORKS RES WATER SERV
4 - 5/8" DROP IN METERS
87643
700.00 Plan Check Fee
10/04/06 Valuation
4/02/07
.00
316493
Qty Unit Charge Per
BASE FEE
Extension
700.00
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
87635
134.00
10/04/06
4/02/07
Plan Check Fee
Valuation
.00
316493
Qty
1. 00
3.00
Unit Charge Per
110.0000 EA SAN SEWER HOOKUP
8.0000 EA SAN SEW HOOKUP ADD/UT
Extension
110.00
24.00
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.
This project will require seperate permit and fire
sprinkler plans for review.
Call for cover inspection for all sprinkler installations. "A
full acceptance test will be required for all fire alarm
systems.
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
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. "
, ~ I::~ CJL-t-q ''XJO~
Signature of Contractor or Authorized Agent Date
Signature of Owner (if owner is builder)" "
Date
T:\Policics\1102.ISR (1/05]
PERMIT INSPECTION RECORD
. -
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOC^ TION.
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
BACK-FLOW DEVICE I
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
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\1102.15R [1105]
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . .. 06-00001011
Application pin number 792172
Page 2
Date 10/04/06
Special Notes and Comments
notice is required.
Other Fees
MILW DRIVE ASSESSMENT
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
960.00
3480.00
4.50
4800.00
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 834.00 834.00 .00. .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 9244.50 9244.50 .00 .00
Grand Total 10078.50 10078.50 .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 atter 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 goveming 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
Date
Signature of Owner (if owner is builder). .
T:\Policies\11 02.1 SR [1105]
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
INSPECfION TYPE DATE ACCEPTED COMMENTS
I 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 I
FINAL INSPECfIONS REQUIRED PRIOR TO OCCUPANCYIUSE
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\1102.l5R [1105]
0(- pORT ~
,~~c..;.
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----
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDThlG DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
06-00001011 Date 10/04/06
792172
2614 APPLE TREE LN A
06-30-00-1-0-6705-0000-
PAUL CRONAUER
RES NEW MULTI 3 & 4 FAMILY
~
<S"-
(
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
CRONAUER PAUL P
PO BOX 282
PORT ANGELES
Other struct info .
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
-
"
-
'-
PLANNED RESDNTL DEVLPMENT
316493
Contractor
OWNER
WA 983620048
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
2.50
1
1
2.00
30600.00
4386.00
4.00
BUILDING PERMIT -RESIDENTIAL
~
~
86967
2235.45
10/04/06
'-4;02/07
.00
316493
-
~
Plan Check Fee
Valuation
Qty Unit Charge Per
Extension
1020.25
1215.20
~
"0
~
r
~
~
r-
BASE FEE
217.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
87981
215.40 Plan Check Fee
10/04/06 Valuation
4/02/07
.00
o
Qty Unit Charge Per
BASE FEE
14.00 7.2500 ECH ME-VENT FAN
4.00 10.6500 ECH ME-VENT SYSTEM OTHER
2.00 10.6500 ECH ME-GAS PIPE 1 TO 5
Extension
50.00
101.50
42.60
21.30
1>
c& ?o/
~~
"-
~
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
PLUMBING PERMIT
87999
320.00
10/04/06
4/02/07
Plan Check Fee
Valuation
.00
o
Qty Unit Charge Per
Extension
50.00
154.00
BASE FEE
22.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP
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.
- \ -=L- ~ C>yi- W ?Oob
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder)
Date
T:\PoJiciesIJ 102_15 building pennit inspection record05.wpd [J 14/2005J
L
I--
I
BUlLDING 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 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
FOUNDATION:
FOOTINGS
SHEAR WALLS / WALLS
FOUNDA TION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE SLOGS.)
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLOG)
SHOWER PAN FINAL DATE ACCEPTED BY:
MEDICAL GAS LINE
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIIlDERS
SHEAR WALLIHOLD DOWNS
WALLS / ROOF / CEILING
DRYW ALL (rNTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP / FURNACE / DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING [)EPT. 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
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W.
ENGINEERING 4] 7-4807 PW / ENGINEERING
FIRE 4 17-4653 '. FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
. .
T:\Policies\II02_15 bUlldmg pel1nJl mspectlOn record05.wpd [1/4/2005]
~ pORT ~
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~~~
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~
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
06-00001011
792172
Page 2
Date 10/04/06
Qty
4.00
4.00
4.00
Unit Charge
(~.OO~'
~..j';- '....,
15.000
7.0000
Per
EfE",'-' J:L" A...J:,1\ifrALL WATER PIPE
~dH PL~;EA~~LDG'SEWER
ECH PL- EA.WATER HEATER
Extension
28.00
60.00
28.00
"
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.
This project will require seperate permit and fire
sprinkler plans for review.
Call for cover inspection for all sprinkler instailations. A
full acceptance test will be required for all fire alarm
systems.
Electrical load calculations and elctrical permits are
required.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
,
Other Fees
MILW DRIVE ASSESSMENT
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
960.00
3480.00
4.50
4800.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 2770.85 2770.85 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 9244.50 9244.50 .00 .00
Grand Total 12015.35 12015.35 .00 .00
.. .
.
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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.
. ,
~ l
064).~
.,
Date
Signature of Owner (if owner is builder)
Date
\~~~
Signature of Contractor or Authorized Agent
T:\Policies\II02_15 building permit inspection record05.wpd [1/4/2005]
I
I
Blill.,DING 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, INSULA TE OR CONCEAL AN}' 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
FOUNDATION: .... .~~:~; ~ 'O/{lIj~ -Fb
FOOTINGS Illf'1/ ~ 0'W r-:jX - JlrJtrP7. ~ J..L--
SHEAR WALLS (WALlV !/';'/~J 6G. cr~ 19l.7l't ~ ~ f/ '!~ 0'7 J J..L,-
FOUNDA TION 6RAINAG~OWN SPOUTS) /,1' hI'..' 'At;. ~1t.L-- - P~'P"v"ls }/I'It n J ~'-'
PIERS ,.
POST HOLES (POLE BLOGS.)
PLUMIlING
UNDER FLOOR / SLAB
ROUGH-IN J?4lr/C7-( '\1"U - Roo~-,~ ~hll,^bh...; 5top" ol~u..
WATER LINE (METER TO BLDG) '1../., / n 7 ILl FINA~8-25"-Og DATE JI-L-
SHOWER PAN I
ACCEPTED BY:
MEDICAL GAS LINE
AIR SEAL 31z7Jcn 3L'-
WALLS \ 9/z'-l/ol ""Tl-L
CEILING 1 f I f'Q.. Sto p
FRAMING q J " /01 :rL-'-
,-
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS n I. L jJ-t
WALLS / ROOF / CEILING ' "I
DR YW ALL (fNTERIOR BRACED PANEL ONL Y) '1\ T;'j 1('\'1 \t.,.L..
T-BAR . 'J
INSULATION IOI{)Cb/Ot --;ru.-
SLAB I .
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP / FURNACE / DUCTS
GAS LINE
WOOD STOVE / PELLET / CHIMNEY FINAL()~-lS-""DgDATE -;jLL.... ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT#'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W./ PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERJNG
FIRE 4 I 7-4653 " FIRE DEPT. '
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 2;-7.~{')~ I-;\'-/..- BUILDING
T:\Policies\l102_15 building permit inspectIon record05.wpd [1/4/2005]
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BUILDING PERMIT - APPLICATION
.; ennir #:
Fill out COMPLETELY and in lNK. Your application and site plan MUST BE6i' 'Date Approved:
COMPLETE to be accepted for review. If you have any questions, call l
PERMITS (360) 417-4815 FiI.X(360)417-4711 att lssutd:
Applicant or Agent: c.r 0 n~Po eLf Phone: (?Yo()) AI 17 - 0 IS "2
Owner: (1.V'""() nfA 11 bl(, P 0 lA I - Phone:
Address: 1>.0. Bot< 202- City:POY IES Zip: qB~t.o2
ArchitectlEnweer: 'Tr.eCLt ~. T r ^, 'Z .,vl D V ). Phone: ~ i I - D 50 j
Contracto0(D nLLU--tV Cl-h' C. State License #: l!.C RON c...x q 5DJffxp: 4/26( D7 Phone: 4/7 -0 152
Address: -PI O. O~ '2tt3Z- . City:j)DVt A-rqel-PS Zip:' cr 'D~~2
PROJECT ADDRESS 2/p f ~ ~ ~ f11tpp.k" 'f,ree I f,1 J 2fo 1<; (J,,:t11 aWNING: .N1 b !:
LEGAL DESCRJPTION: Lot: to / Block: SubdlVislOn:'
,
CLALLAM COUNTY PARCEL NUMBER: oro - y...J - 00 . - 1- () -- W 7 () S -- 000 D
TIJlE OF WORK: SIZENALUATION:
IVResidential ~ew Constr. D Re-roof D Stove 4:3 8~ SF. @$ 1 z..J}2../SF. = $
o Multi-family D AddiTion 0 MoveD Garage SF. @ $ /SF. = $
o Commercial D Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $
o Repair D Sign 0 Other 4 TOTAL VALUATION $
BRIEF DESCRIPTION OF THE PROJECT: . :::: IP L~X;- >-
) ,
?, '\ lt; . 40,. -::;
f
COMMERCIAL/RESIDENTlAL: Occupancy Group:,
No. of Stories: ~ L01 Size: Existing Sq. Ft.
Total lot coverage '2 . ~ %
ccupant Load:
& Proposed Sq. Ft.
Construction Type: D ,rn ft l\.
")/-1<3'
= TOTAL Sq. Ft. G-<.p c
APPROVALS:
PLAN:
BLDG:
DP\VO:
FIRE:
OTHER:
PLANNING USE ONLY:
ESAlWetland(s): DYes 0 No SEPA Checklist required? 0 Yes D No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit
Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: ff 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: Ifno 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 applicantup 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 itis my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permfts prior to work. ·
T:\FORMS\BldgPermitform.wpd APPliC~ ~ Date: q f ILJ I'D ~
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ELECTRICAL WORK PERMIT APPLICATION
Job wired by
Electrical Contractor 0 Owner
Installation descriptio~ ~
D Commercial J,d"'""Residential
Electrical contractor 1l:J1llC
License number
Date Expires
o New
o Altered/Addition
\..PI'\-h 'f'",-~ ^.&', ,J~ E\e<"'l....c: ~, NOt'l,-h'fe_ 9301>\
Purchaser's mailing address
tL:,O ~e s.~~ '(/f\,L
City State ZIP
'f 0<-\ f\.(\be.\e..~ \}Jf\ ~ '2, 3~ 2..,
Telephone number FAX number
~\ ,\.0
toC'D
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P,~f E;er\.),'.
\~l~ ~~~~(J'~'
Premises owner's name ()
C-\. -\ \ . c" a l. 00.. & c....r 0 r-. O..\0..~ ,"
Address of inspection
~\.{( \~ . 'f\~,\,\E:- -, \\Ee- CA~_
~\ ~'f\L-,e.'e... ~
Phone number to schedule inspection: \. \
- \ ~
Oh'l/er as defined by.RCW/9.28.26/:(/) Owner will occ1Ipy the SlrUC!Ilre for two
years (ifter this electrical permil is finalized. (2) Owner is rcqllirecllo hire WI electrical
collfrac/or if above said properly is filr sale. rent or lease.
After reading the above statement, I hereby certify that] am the owner of the above
named property or a licensed electrical contractor. I am llmking the electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapler
19.28. WAC. Chapter 296-46B. The City of PorI Angelcs Municipal Code, and
Utility Specifications.
Signature of owner, electrical contractor or electrical administrator
o Cash 0 Check #
o Credit Card
Card #
Visa
Mastercard
Discover
x~,
l-O\
Expiration Date
of card
(C
-
Electrical Load Additions and or subtractions
D NO LOAD CHANGES
o Baseboard KW
o Furnace KW
CJ Heat Pump Ton LAR
o Fan-Wall KW
Service Information
CJ Overhead Service
o Temp Service
o Underground Service
Voltage __
PhaseD 1 D 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
THERMOSTAT
SERVICE
Dale
Approvcd l3y
[Ji\IC
Approvcd By
Jlli~
W
Approved By
boJ;AL
e ~
, Dnte ' Approved By
DITCH
FEEDER
tl/z~7 . ~ By
Date Approved By
Inspection
Dale
Area, Building or Equipment Inspected
Action Taken
Electrical
I.nspector
A,~=
V
A-'Z7-/J7
Or
-
A?? i2.o{lS
.A ~ ~j)
f~ORT.<l~
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4-0RKS !o ~
ADDRESS
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
IN~
N ~I~L
A-Vf~ "T~
L-4'.."'i~
APPROVED NOT APPROVED
o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0
D.. . . . .. . . .. . . ... ROUGH IN/COVER. . . . . .. . . . . .. . . 0
D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0
k . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0
CORRECTIONS NEEDED:
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NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
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