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Home My WebLink About407 E 11th St - BuildingPREPARED 10/09/08 9 46 05 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/09/08 ADDRESS 407 E 11TH ST SUBDIV TENANT NBR DAVID KATHLEEN THOMSON CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452 4641 OWNER KATHLEEN R DAVID F THOMSON PHONE (661) 816 7984 PARCEL 06 30 00 0 3 3160 0000 APPL NUMBER 08 00000513 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 10/09/68 JL q PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLDG FINAL TIME 02 00 October 9 2008 8 32 43 AM 1pangrle DENNIS 461 2733 BLDG FINAL PER TRENT PEPPARD PLEASE DO YOUR INSPECTION AFTER 1 30 PM ME6 01 7/08/08 PB MECHANICAL GAS LINE 7/09/08 AP July 8 2008 8 37 13 AM 1pangrle TODD 808 0668 GAS LINE July 9 2008 8 18 30 AM pbarthol ME99 01 10/ 9/08 JLL MECHANICAL FINAL TIME 02 00 October 9 2008 8 34 15 AM 1pangrle l� DENNIS 461 2733 MECHANICAL FINAL PER TRENT PEPPARD PLEASE DO YOUR INSPECTION AFTER 1 30 PM PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL6 01 6/05/08 JLL PLUMBING WATER SUPPLY TIME 01 00 6/05/08 AP June 5 2008 8 28 51 AM 1pangrle DENNIS 461 2733 WATER SUPPLY FROM METER TO HOUSE PLEASE INSPECT AS CLOSE TO 1 00 PM AS POSSIBLE June 5 2008 5 13 35 PM jlierly PL1 01 6/09/08 JLL PLUMBING UNDER SLAB 6/10/08 AP June 9 2008 9 04 28 AM 1pangrle TODD 808 0668 UNDERSLAB PLUMBING June 10 2008 8 57 07 AM jlierly PL2 01 7/08/08 PB PLUMBING ROUGH IN 7/09/08 AP July 8 2008 8 34 24 AM 1pangrle TODD 808 0668 ROUGH IN PLUMBING July 9 2008 8 18 30 AM pbarthol PL99 01 x10/.9/08 JLL PLUMBING FINAL TIME 02 00 October 9 2008 8 34 41 AM 1pangrle DENNIS 461 2733 PLUMBING FINAL PER TRENT PEPPARD PLEASE DO YOUR INSPECTION AFTER 1 30 PM COMMENTS AND NOTES PREPARED 7/28/08 8 40 18 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/28/08 ADDRESS 407 E 11TH ST SUBDIV TENANT NBR DAVID KATHLEEN THOMSON CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452 4641 OWNER KATHLEEN R DAVID F THOMSON PHONE (661) 816 7984 PARCEL 06 30 00 0 3 3160 0000 APPL NUMBER 08 00000513 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 5/23/08 JLL BLDG FOUNDATION FOOTING TIME 09 00 5/23/08 AP May 23 2008 8 35 19 AM 1pangrle ALAN 670 9451 MORNING May 23 2008 2 53 21 PM jlierly BL2 01 5/29/08 PB BLDG FOUNDATION STEM WALL TIME 01 00 5/29/08 AP May 29 2008 8 20 26 AM 1pangrle ALAN REQUESTED THE INSPECTION BUT SAID TO CALL DENNIS AT 461 2733 IF YOU NEED TO TALK TO SOMEONE FOUNDATION WALL AFTERNOON May 29 2008 4 40 17 PM pbarthol BLFD 01 6/05/08 JLL BLDG FOUNDATION DRAINAGE TIME 01 00 6/05/08 AP June 5 2008 8 28 09 AM 1pangrle DENNIS 461 2733 FOOTING DRAINS PLEASE INSPECT AS CLOSE TO 1 00 PM AS POSSIBLE June 5 2008 5 13 35 PM jlierly DSD 01 6/05/08 JLL BLDG DOWN SPOUT DRAINS TIME 01 00 6/05/08 AP June 5 2008 8 27 08 AM 1pangrle DENNIS 461 2733 DOWNSPOUT DRAINS PLEASE INSPECT AS CLOSE TO 1 00 PM AS POSSIBLE June 5 2008 5 13 35 PM jlierly BLI 01 7/03/08 JLL BLDG INSULATION TIME 01 00 7/03/08 AP July 3 2008 8 32 56 AM 1pangrle DENNIS 461 2733 INSULATION 4 X 4 AREA AFTERNOON July 3 2008 3 53 18 PM jlierly BAIR 01 7/24/08 JLL BLDG AIR SEAL TIME 01 00 7/24/08 AP July 24 2008 9 02 43 AM 1pangrle DENNIS 461 2733 AIRSEAL AFTERNOON July 24 2008 4 57 05 PM jlierly BL3 01 7/24/08 JLL BLDG FRAMING TIME 01 00 7/24/08 AP July 24 2008 9 03 20 AM 1pangrle DENNIS 461 2733 FRAMING AFTERNOON July 24 2008 4 57 05 PM jlierly BLI 02 7/ 8/08 JLL BLDG INSULATION July 28 2008 8 19 54 AM 1pangrle DENNIS 461 2733 INSULATION COMMENTS AND NOTES PREPARED 7/24/08 10 17 36 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/24/08 ADDRESS 407 E 11TH ST TENANT NBR DAVID KATHLEEN THOMSON CONTRACTOR ANDERSON HOMES LLC OWNER KATHLEEN R DAVID F THOMSON PARCEL 06 30 00 0 3 3160 0000 APPL NUMBER 08 00000513 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 5/23/08 JLL BLDG FOUNDATION FOOTING TIME 09 00 5/23/08 AP May 23 2008 8 35 19 AM 1pangrle ALAN 670 9451 MORNING May 23 2008 2 53 21 PM jlierly BL2 01 5/29/08 PB BLDG FOUNDATION STEM WALL TIME 01 00 5/29/08 AP May 29 2008 8 20 26 AM 1pangrle ALAN REQUESTED THE INSPECTION BUT SAID TO CALL DENNIS AT 461 2733 IF YOU NEED TO TALK TO SOMEONE FOUNDATION WALL AFTERNOON May 29 2008 4 40 17 PM pbarthol BLFD 01 6/05/08 JLL BLDG FOUNDATION DRAINAGE TIME 01 00 6/05/08 AP June 5 2008 8 28 09 AM 1pangrle DENNIS 461 2733 FOOTING DRAINS PLEASE INSPECT AS CLOSE TO 1 00 PM AS POSSIBLE June 5 2008 5 13 35 PM jlierly DSD 01 6/05/08 JLL BLDG DOWN SPOUT DRAINS TIME 01 00 6/05/08 AP June 5 2008 8 27 08 AM 1pangrle DENNIS 461 2733 DOWNSPOUT DRAINS PLEASE INSPECT AS CLOSE TO 1 00 PM AS POSSIBLE June 5 2008 5 13 35 PM jlierly BLI 01 7/03/08 JLL BLDG INSULATION TIME 01 00 7/03/08 AP July 3 2008 8 32 56 AM 1pangrle DENNIS 461 2733 INSULATION 4 X 4 AREA AFTERNOON July 3 2008 3 53 18 PM jlierly BAIR 01 7/24/08 BLDG AIR SEAL TIME 01 00 July 24 2008 9 02 43 AM 1pangrle DENNIS 461 2733 AIRSEAL AFTERNOON BL3 01 7/ JJL BLDG FRAMING TIME 01 00 July 24 2008 9 03 20 AM 1pangrle DENNIS 461 2733 FRAMING AFTERNOON i mec SUBDIV COMMENTS AND NOTES PHONE (360) 452 4641 PHONE (661) 816 7984 UtA Application Number 08 00000836 Application pin number 970288 Property Address 407 E 11TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 3160 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc New home 1560sgft Owner Contractor Thomson David 407 E 11TH ST PORT ANGELES WA 983627933 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 Date 7/21/08 WA 98363 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 130054 Permit Fee 91 00 Plan Check Fee 00 Issue Date 7/21/08 Valuation 0 Expiration Date 1/17/09 Qty Unit Charge Per Extension 1 00 69 0000 ECH EL R SQFT FIRST 1300 69 00 1 00 22 0000 5C EL -R SQFT ADDITIONAL 500 22 00 Fee summary Charged Paid Credited Due Permit Fee Total 91 00 91 00 00 00 Plan Check Total 00 00 00 00 Grand Total 91 00 91 00 00 00 0 1 INSPECTION TYPE DATE DITCH SERVICE ROUGH IN FED AL COMMENTS: 6/ lam scAti 7/zi-i( cs )9/al l ELECTRICAL RESULTS IN SPECTOR Application Number 08 00000827 Application pin number 347572 Property Address 407 E 11TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 3160 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor ANDERSON HOMES PENINSULA HEAT 411 E 11TH ST 782 KITCHEN DICK RD PORT ANGELES WA 983627933 SEQUIM WA 98382 (360) 681 3333 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc PEN HT T STAT Permit pin number 129924 Permit Fee 35 00 Plan Check Fee 00 Issue Date 7/15/08 Valuation 0 Expiration Date 1/11/09 Qty Unit Charge Per 1 00 35 0000 ECH EL LVT FIRST THERMOSTAT Fee summary Permit Fee Total Plan Check Total Grand Total Charged Paid Credited 35 00 35 00 00 00 00 00 35 00 35 00 00 Date 7/15/08 Due Extension 35 00 00 00 00 SPECTION TYPE DATE DITCH SERVICE ROUGH III FD AL COMMENTS: 7/vi/c15 -err 4 °mks P ELECTRICAL RESULTS III SPECTOR PREPARED 7/08/08 9 11 39 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/08/08 ADDRESS 407 E 11TH ST SUBDIV TENANT NBR DAVID KATHLEEN THOMSON CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452 4641 OWNER KATHLEEN R DAVID F THOMSON PHONE (661) 816 7984 PARCEL 06 30 00 0 3 3160 0000 APPL NUMBER 08 00000513 RES NEW SFR PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL6 01 6/05/08 JLL PLUMBING WATER SUPPLY TIME 01 00 6/05/08 AP June 5 2008 8 28 51 AM 1pangrle DENNIS 461 2733 WATER SUPPLY FROM METER TO HOUSE PLEASE INSPECT AS CLOSE TO 1 00 PM AS POSSIBLE June 5 2008 5 13 35 PM jlierly PL1 01 6/09/08 JLL PLUMBING UNDER SLAB 6/10/08 AP June 9 2008 9 04 28 AM 1pangrle TODD 808 0668 UNDERSLAB PLUMBING June 10 2008 8 57 07 AM jlierly PL2 01 7//68/08 JL PLUMBING ROUGH IN July 8 2008 8 34 24 AM 1pangrle TODD 808 0668 ROUGH IN PLUMBING MECHANICAL'GAS LINE July 8 2008 8 37 13 AM 1pangrle TODD 808 0668 GAS LINE COMMENTS AND NOTES PREPARED 7/03/08 8 38 09 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 407 E 11TH ST TENANT NBA DAVID KATHLEEN THOMSON CONTRACTOR ANDERSON HOMES LLC OWNER KATHLEEN R DAVID F THOMSON PARCEL 06 30 00 0 3 3160 0000 APPL NUMBER 08 00000513 RES NEW SFR PERMIT BPR 00 BUILDING PE RMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 5/23/08 JLL BLDG FOUNDATION FOOTING TIME 09 00 5/23/08 AP May 23 2008 8 35 19 AM 1pangrle ALAN 670 9451 MORNING May 23 2008 2 53 21 PM jlierly BL2 01 5/29/08 PB BLDG FOUNDATION STEM WALL TIME 01 00 5/29/08 AP May 29 2008 8 20 26 AM 1pangrle ALAN REQUESTED THE INSPECTION BUT SAID TO CALL DENNIS AT 461 2733 IF YOU NEED TO TALK TO SOMEONE FOUNDATION WALL AFTERNOON May 29 2008 4 40 17 PM pbarthol BLFD 01 6/05/08 JLL BLDG FOUNDATION DRAINAGE TIME 01 00 6/05/08 AP June 5 2008 8 28 09 AM 1pangrle DENNIS 461 2733 FOOTING DRAINS PLEASE INSPECT AS CLOSE TO 1 00 PM AS POSSIBLE June 5 2008 5 13 35 PM jlierly DSD 01 6/05/08 JLL BLDG DOWN SPOUT DRAINS TIME 01 00 6/05/08 AP June 5 2008 8 27 08 AM 1pangrle DENNIS 461 2733 DOWNSPOUT DRAINS PLEASE INSPECT AS CLOSE TO 1 00 PM AS POSSIBLE June 5 2008 5 13 35 PM jlierly BLI O1 7/03/08 Ar BLDG INSULATION TIME 01 00 July 3 2008 8 32 56 AM 1pangrle DENNIS 461 2733 INSULATION 4 X 4 AREA AFTERNOON SUBDIV COMMENTS AND NOTES PHONE (360) 452 4641 PHONE (661) 816 7984 PAGE 5 DATE 7/03/08 Dojo s Cv, a�� PREPARED 6/09/08 10 46 41 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP TYP /SQ COMPLETED RESULT PL6 01 6/05/08 JLL 6/05/08 AP PL1 01 6/09/08 407 E 11TH ST DAVID KATHLEEN THOMSON ANDERSON HOMES LLC KATHLEEN R DAVID F THOMSON 06 30 00 0 3 3160 0000 08 00000513 RES NEW SFR DESCRIPTION RESULTS /COMMENTS PLUMBING WATER SUPPLY June 5 2008 8 28 51 AM DENNIS 461 2733 WATER SUPPLY FROM METER PLEASE INSPECT AS CLOSE June 5 2008 5 13 35 PM PLUMBING UNDER SLAB June 9 2008 9 04 28 AM TODD 808 0668 UNDERSLAB PLUMBING SUBDIV PHONE PHONE COMMENTS AND NOTES TIME 01 00 1pangrle TO HOUSE TO 1 00 PM AS POSSIBLE jlierly 1pangrle (360) 452 4641 (661) 816 7984 PAGE 14 DATE 6/09/08 PREPARED 6/05/08 8 47 26 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/05/08 ADDRESS 407 E 11TH ST SUBDIV TENANT NBR DAVID KATHLEEN THOMSON CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452 4641 OWNER KATHLEEN R DAVID F THOMSON PHONE (661) 816 7984 PARCEL 06 30 00 0 3 3160 0000 APPL NUMBER 08 00000513 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 5/23/08 JLL BLDG FOUNDATION FOOTING TIME 09 00 5/23/08 AP May 23 2008 8 35 19 AM 1pangrle ALAN 670 9451 MORNING May 23 2008 2 53 21 PM jlierly BL2 01 5/29/08 PB BLDG FOUNDATION STEM WALL TIME 01 00 5/29/08 AP May 29 2008 8 20 26 AM 1pangrle ALAN REQUESTED THE INSPECTION BUT SAID TO CALL DENNIS AT 461 2733 IF YOU NEED TO TALK TO SOMEONE FOUNDATION WALL AFTERNOON May 29 2008 4 40 17 PM pbarthol BLFD 01 6/05/08 JLL BLDG FOUNDATION DRAINAGE TIME 01 00 June 5 2008 8 28 09 AM 1pangrle DENNIS 461 2733 FOOTING DRAINS PLEASE INSPECT AS CLOSE TO 1 00 PM AS POSSIBLE DSD 01 6/05/08 JLL BLDG DOWN SPOUT DRAINS TIME 01 00 June 5 2008 8 27 08 AM 1pangrle DENNIS 461 2733 DOWNSPOUT DRAINS PLEASE INSPECT AS CLOSE TO 1 00 PM AS POSSIBLE PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL6 01 6/05/08 PLUMBING WATER SUPPLY TIME 01 00 June 5 2008 8 28 51 AM 1pangrle DENNIS 461 2733 WATER SUPPLY FROM METER TO HOUSE PLEASE INSPECT AS CLOSE TO 1 00 PM AS POSSIBLE COMMENTS AND NOTES PREPARED 5/29/08 9 19 39 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/29/08 ADDRESS 407 E 11TH ST SUBDIV TENANT NBR DAVID KATHLEEN THOMSON CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452 4641 OWNER KATHLEEN R DAVID F THOMSON PHONE (661) 816 7984 PARCEL 06 30 00 0 3 3160 0000 APPL NUMBER 08 00000513 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 5/23/08 JLL BLDG FOUNDATION FOOTING TIME 09 00 5/23/06 AP May 23 2008 8 35 19 AM 1pangrle ALAN 670 9451 MORNING May 23 2008 2 53 21 PM jlierly BL2 01 S/29/08 JILL BLDG FOUNDATION STEM WALL TIME 01 00 May 29 2008 8 20 26 AM 1pangrle ;�/i 0 ALAN REQUESTED THE INSPECTION BUT SAID TO CALL DENNIS AT 461 2733 IF YOU NEED TO TALK TO SOMEONE FOUNDATION WALL AFTERNOON COMMENTS AND NOTES Application Number 08 00000615 Date 5/23/08 Application pin number 802075 Property Address 407 E 11TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 3160 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Temp Pole Owner Contractor Thomson David 407 E 11th st PORT ANGELES WA 983627933 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 WA 98363 Permit ELECTRICAL TEMPORARY SERVICE Additional desc Permit pin number 127092 Permit Fee 40 00 Plan Check Fee 00 Issue Date 5/23/08 Valuation 0 Expiration Date 11/19/08 Qty Unit Charge Per Extension 1 00 40 0000 ECH EL TEMP SRV 0 60 SRV FDR 40 00 Fee summary Charged Paid Credited Due Permit Fee Total 40 00 40 00 00 00 Plan Check Total 00 00 00 00 Grand Total 40 00 40 00 00 00 INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS: ELECTRICAL DATE RESULTS INSPECTOR PREPARED 5/23/08 8 50 48 INSPECTION TICKET PAGE 21 CITY OF PORT ANGELES ADDRESS 407 E 11TH ST SUBDIV TENANT NBR DAVID KATHLEEN THOMSON CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452 4641 OWNER KATHLEEN R DAVID F THOMSON PHONE (661) 816 7984 PARCEL 06 30 00 0 3 3160 0000 APPL NUMBER 08 00000513 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 /33,08 JL BLDG FOUNDATION FOOTING TIME 09 00 INSPECTOR JAMES LIERLY DATE 5/23/08 May 23 2008 8 35 19 AM 1pangrle ALAN 670 9451 MORNING COMMENTS AND NOTES ‘)1' Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 1 508 SF SFR 156 SF COVERED PORCH Owner KATHLEEN R DAVID F THOMSON ANDERSON HOMES LLC 411 E 11TH ST 618 SOUTH PEABODY STE H PORT ANGELES WA 98362 PORT ANGELES WA 98362 (661) 816 7984 (360) 452 4641 Structure Information 000 000 1 508 SF SFR 156 COVERED PORCH Other struct info TOTAL W LOT COVERAGE 13 30 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T\Policies \1 102.15R [1/05] Qty Unit Charge Per 1 00 770 0000 EA PW W/M 1 SERV 5/8 METER Qty Unit Charge 1 00 50 0000 Permit Additional desc Permit pin number Permit Fee RIGHT OF WAY CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00000513 Date 5/14/08 358482 407 E 11TH ST 06 30 00 0 3 3160 0000 DAVID KATHLEEN THOMSON RES NEW SFR RS7 RESDNTL SINGLE FAMILY 130052 Contractor CONSTRUCTION TYPE V B FIRE SPRINKLERS REQUIRED NO NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS PUBLIC WORKS RES WATER SERV .1 00 7000 00 936 00 936 00 1 00 126508 770 00 Plan Check Fee 00 5/14/08 Valuation 130052 11/10/08 126490 50 00 Plan Check Fee 00 5/14/08 Valuation 130052 11/10/08 Per Extension ECH RIGHT OF WAY PERMIT 50 00 STREET ALLEY RESTORATION Extension 770 00 126524 290 00 Plan Check Fee 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 governin• this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority .relate or cancel the provisions of any state or local law regulating construction or the performance of constu�ctixln Sigrtture of Contracti or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T•\Policies \1102.15R 1/05] RESIDENTIAL CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE :ACCEPTED YES i NO I I I I I I I I I CONSTRUCTION RW PW ENGINEERING I FIRE DEPT. I PLANNING DEPT BUILDING Application Number 08 00000513 Application pin number 358482 Issue Date 5/14/08 Valuation Expiration Date 11 /10 /08 Qty Unit Charge Per 1 00 290 0000 ECH STREET ALLEY RESTORATION Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 126516 Permit Fee 120 00 Plan Check Fee 00 Issue Date 5/14/08 Valuation 130052 Expiration Date 11/10/08 Qty Unit Charge Per 1 00 120 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 May 9 2008 3 43 50 PM sroberds The proposal will result in a new sfr in the RS 7 for total lot coverage of 13% No land use issues anticipated May 6 2008 3 49 09 PM rlarson Bob Larson 417 4706 Need to know where they want to install electric meter and where to strike house with overhead service conductors Electrical load calculations and electrical permits are required MAINTAIN CLEARANCES FROM SERVICE WIRES Any modifications to the City s electrical facilities will be at the customer s expense May 12 2008 7 33 44 AM rlarson Bob Larson 417 4706 Approved overhead strike location is on a mast extended 3 feet above the roof no further than 5 feet from the north roof overhang along the east wall Any other location will require a pole or underground service both 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 Other Fees Fee summary CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 RES OVERHEAD SERVICE FEE 410 00 SEWER SYSTEM DELV CHARGE 1125 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1265 00 Charged Paid Credited Due Page 2 Date 5/14/08 130052 Extension 290 00 Permit Fee Total 1230 00 1230 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2804 50 2804 50 00 00 Grand Total 4034 50 4034 50 00 00 Extension 120 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 I80 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 [1105] PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T•\Policies \1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING Application Number 08 00000513 Application pin number 358482 Property Address 407 E 11TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 3160 0000 Tenant nbr name DAVID KATHLEEN Application type description RES NEW SFR Subdivision Name Property Use Property Zoning Application valuation Application desc 1 508 SF SFR 156 SF COVERED PORCH Owner KATHLEEN R DAVID F THOMSON 411 E 11TH ST PORT ANGELES WA 98362 (661) 816 7984 Structure Information 000 000 1 508 Other struct info TOTAL Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per BASE FEE 31 00 5 6000 THOU BL -100 001 500K (5 60 PER Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 4 00 2 00 1 00 14 8000 ECH 7 2500 ECH 10 6500 ECH 10 6500 ECH MECHANICAL PERMIT T.Forms /Building Division/Building Permit (I0 /0l /07),wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 RS7 RESDNTL SINGLE FAMILY 130052 Contractor ANDERSON HOMES LLC 618 SOUTH PEABODY PORT ANGELES (360) 452 4641 SF SFR 156 COVERED LOT COVERAGE CONSTRUCTION TYPE FIRE SPRINKLERS REQUIRED NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL 1 508 SF SFR 156 SF PORCH 125732 1193 85 Plan Check Fee 477 54 5/14/08 Valuation 130052 11/10/08 126375 125 75 Plan Check Fee 5/14/08 Valuation 11/10/08 BASE FEE ME INSTALL 100- FAU ME VENT FAN ME OTHER APPL N/R ME GAS PIPE 1 TO 5 K) Date THOMSON 5/14/08 STE H WA 98362 PORCH 13 30 V B NO 1 00 7000 00 936 00 936 00 1 00 Extension 1020 25 173 60 00 0 Extension 50 00 14 80 29 00 21 30 10 65 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 has 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 whet pecified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of a or I• al law regulating construction or the performance of construction. Date Print Name Signature of Contractor jr Authorized Agent Signature of Owner (if owner is builder) CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED I COMMENTS FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT Is PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 I I PLANNING DEPT 7 -4750, I I BUILDING 417 -4815 I T Forms /Building Division /Building Permit (I0 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD YES NO SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE I ACCEPTED I YES I NO 417 -4735 ELECTRICAL LIGHT DEPT FINAL FINAL DATE ACCEPTED BY. CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. Application Number Application pin number Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 9 00 1 00 1 00 1 00 Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background May 9 2008 3 43 50 PM sroberds The proposal will result in a new sfr in the RS 7 for total lot coverage of 13% No land use issues anticipated May 6 2008 3 49 09 PM rlarson Bob Larson 417 4706 Need to know where they want to install electric meter and where to strike house with overhead service conductors Electrical load calculations and electrical permits are required MAINTAIN CLEARANCES FROM SERVICE WIRES Any modifications to the City s electrical facilities will be at the customer s expense May 12 2008 7 33 44 AM rlarson Bob Larson 417 4706 Approved overhead strike location is on a mast extended 3 feet above the roof no further than 5 feet from the north roof overhang along the east wall Any other location will require a pole or underground service both 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 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total PLUMBING PERMIT 126367 142 00 5/14/08 11/10/08 Unit Charge Per Extension BASE FEE 50 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 63 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 15 0000 ECH PL- EA BLDG SEWER 15 00 7 0000 ECH PL- EA WATER HEATER 7 00 Charged 1461 60 477 54 2804 50 4743 64 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 has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T Forms /Building Division/Building Permit (10 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00000513 358482 RES OVERHEAD SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1461 60 477 54 2804 50 4743 64 Plan Check Fee Valuation Paid Credited 00 00 00 00 Page 2 Date 5/14/08 410 00 1125 00 4 50 1265 00 Due 00 00 00 00 00 0 CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. 0 INSPECTION TYPE FOUNDATION• FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT N's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING FIRE PLANNING DEPT I BUILDING T Forms /Building Division /Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD DATE ACCEPTED YES I NO 7-3-03 1- S PS SEPA. ESA. I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT 417 -4807 417 -4653 I 417 -4759 I r Q 417 -4815 I i0'-a 1 -0Q I PP, FINAL i6---9-0$ DATE P 15 7—'Z8 —o 0 qb fue- honic;zt Ra�H 1 1-Z4- b&3( t- FINAL 1n-1 -VD CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING COMMENTS DATE Re' DATE ACCEPTED BY. ACCEPTED BY. ACCEPTED YES I NO 1 V 1 4 Pet- Project Tvoe Brief Descriotion. Check all that apply New Construction Addition Remodel Repair Re -roof Demolition Heat System Other Floor Areas Basement 1St Floor 2nd Floor M 3 Floor Garage cl Carport Covered Porch Deck Shed Other yyy Total footprint of structures ex-- fess— a .,-mss L 1(1 6e_ 4ol L (4 St, BUILDING PERMIT APPLICATION Print in ink Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent R Phone Property Owner 7)091.16 ,JSI J C„ 'Thr cm--) Phone Property Owner's Address L/-/ H ai, 4, Z Contractor /Engineer A ti /46) 1 Phone ?6_41 Contractor /Engineer's Address h f -eA 4ad S f License ati6 Expires /Z PROJECT ADDRESS f l /L y,P, Parcel Number O(o ?D UOS'? So UDUOO Lot 1/ Zoning S S F Nd 6a►rti A U T:Forms /Building Division /Bldg Permit Appl. 2006 Code.doc Residential Commercial Multi family Industrial )(,Heat pump wood- burning stove gas fireplace pellet stove other Existing (sq. ft.) Pro osed (sq. ft.) t‘ c)Plr'_(L �jv" 1 q% s sq ft. Lot size Occupancy group Occupant load Construction type For City Use Only: Date Received 40 S- I `08' Permit 0 -K1'2) ate Approved 6`( per sq. ft. sq ft. Lot coverage of bedrooms of full baths of half baths TOTAL VALUATION 13 3% I have read and completed this application and know it to be true and correct. am authorized to apply for this per. =nd understand that it is my responsibility to determine what permits are required, and too ain permits prior to w on projects. DatS— -0 0 Print Name 1�-r' Nz1 Cl� Signature t* rLp roe. Oh 01.0110 ARGIL. W ND M ygrw+o� MAIR4 1 P NUM u o y, A RO o O q A TM[ c vv+T R+ /iNN* ,o C \Planning \08 513 \layout.dwg r r I Nok7N Elevasnod 'J' MAST Mint EAST ELEVATIonl P umr 0 8 5 1 3 (L E I 1 T ST) Option III PRESCRIPTIVE APPROACH SIMPLE FORM For the Washington State Energy Code (2006 Edition) Climate Zone 1 Site Information Building Department Use Only Lot: l T i Address. City 7 4/vci e c s State (A/A Zip Contact. A,t„n i A_c Wm Phone eSZ ci Phone 2 FAX C IS Type of Heat Source: Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) Glaiin Door Wahl Wall Wall o g Glazing U F actor vaulted. Interior '.E terior ArFloor�f Vertical Overhead :^Factor Ceiling Ceiling' Grade Below 'Below. Grade Unlimited Group Occupancy R 30 R 21 0 40 0 58 0.20 C R 3 Only /T Co 7 i Permit 0 g 5 Notes. Floor, This Project complies with the following' The project is a single family residence or duplex. The project is a wood frame OR all of the insulation is interior or exterior of the framing. J All building components meet the requirements listed in Table 6 -1 Option III A/ The project will meet all other provisions of the WSEC and VIAQ The Project will take advantage of the following exceptions to the prescriptive option. 602.6 Exception 1 One door that is 24 ft. or less, that does not meet the standards allowed. Location of the door taking this exception R30 R10 602.6 Exception 2. Doors with a U Factor of 0 40 allowed without calculations, Option III only Location of the door(s) taking exception :Slab. on »Concrete Please complete and return to Public Works Engineering Department Applicant Information Permanent service. Name and address of party responsible for permanent service billing? Contact Information (if other than above) Site contact: Contractor Electrician Excavator Project Type }c.Single- family residence Commercial Overhead service Underground service Street address lot number Nearest cross street: Desired connection date Total square footage Voltage Check all that apply Applicant's Signature Name I Street: Name. I Daytime Phone 'Name. A I Daytime Phone I Name: I Daytime Phone Information form N \PWKS\ LIGHT \ENGR\ #Originals \Information form c_ !14 F J l f City I State ZIP 7 6 %°�ti�t i t Daytime Phone. (obi g/b '7 1 A s46 Y-5 Company Name: 7,c/, NJl e2 A/ Daytime Phone. 15 D i sq ft. 120/240 1ph 0120/240 3ph Electrical Service Information Form Title n./s0e4ZS'r‘. Company Company' Home Phone: ❑Multi-family residence, of units ❑Subdivision of lots ❑General service ❑Other Public Works Engineering Department (360) 417 -4700 Project Information 16 1 R/ 77 7e. Electrical transformer serving property is on a pole Electrical Load on the ground Main disconnect size amps 0120/208 3ph 0277/480 3ph 0480 3W 3ph Other Standard residential loads (Lighting refrigerator dishwasher washer) .A/C FLA) X Range /Oven Al Hot Tub IR Clothes Dryer Heating Pumps Hp) Water Heater Elevator Hp) Other Supporting Documentation Please provide a copy of the following *Detailed plot plan (dwg or .dxf format mandatory for subdivisions) *Electrical one -line drawing showing the service entrance panel and location *Connected load data. `Size and locked rotor amps of all motors oyQr 50hp Date -OA S r- 67C e'1R-! r✓ MAIL OR DELIVER COMPLETED FORM TO 321 E 5TH STREET PORT ANGELES WA 98362 FAX TO 360- 417 -4709 EMAIL. rlarson @cityofpa.us WS 2-00 .5 Revised 4 -17 -08 t ofpDRT~ ~t>"~""'(.., .,~" . ;r..... L~ ~ ...."~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 08- 5/3 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property zoning Application valuation 08-00000513 Date 5/14/08 358482 407 E 11TH ST' 06-30-00-0-3-3160-0000- DAVID &" KATHLEEN THOMSON RES NEW SFR RS7 RESDNTL SINGLE FAMILY 130052 1(. --rTinrYl~ Application desc 1,508 SF SFR, 156 SF COVERED PORCH 4D1 E I {iJJ Owner Contractor KATHLEEN R / DAVID F THOMSON 411 E 11TH ST PORT ANGELES WA 98362 (661) 816-7984 Structure Information 000 000 Other struct info ANDERSON HOMES LLC 618 SOUTH PEABODY, FORT ANGELES ()60) 452-4641 1,508 SF SFR, 156 COVERED TOTAL % LOT COVERAGE CONSTRUCTION TYPE FIRE SPRINKLERS REQUIRED NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS STE. H WA 98362 PORCH 13.30 V-B NO 1. 00 7000.00 936.00 936.00 1. 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 126508 770.00 5/14/08 11/10/08 plan Check Fee Valuation .00 130052 ________=~~~___un'?:~~~~~~_~:er__p~_~:~_=:_SERV_::::_~ETER_______~~ RIGHT OF WAY Permit Additional Permit pin Permit Fee Issue Date Expiration desc number 126490 50.00 5/14/08 11/10/08 Plan Check Fee Valuation .00 130052 (\;.J-lo A)'l ,0 1-f Date Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT ~xt~' 50.00 --------- --- --- Permit Additional desc Permit pin number Permit Fee STREET ALLEY RESTORATION 126524 290.00 Plan Check Fee .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 01' 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 conslruclio'n 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} cfl'ORr~ lt~~ .~ ,-- -- .~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Issue Date Expiration Date 08-00000513 358482 5/14/08 Valuation 11/10/08 Page Date 2 5/14/08 130052 Qty Unit Charge Per Extension ---~---_:~~~-----_:~~~~~~~-~~~--_:=~~~=-~~~~=-~:=~~=:~~-~--------~ Permit . . . . . . SANITARY SEWER HOOK UP Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . 126516 120.00 5/14/08 11/10/08 Plan Check Fee valuation .00 130052 Qty Unit Charge Per 1.00 120.0000 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. May 9, 2008 3:43:50 PM sroberds. The proposal will result in a new sfr in the RS-7 for total lot coverage of 13%. No land use issues anticipated. May 6, 2008 3:49:09 PM rlarson. Bob Larson 417-4706. Need to know where they want to install electric meter and where to strike house with overhead service conductors. Electrical load calculations and electrical permits are required. MAINTAIN CLEARANCES FROM SERVICE WIRES Any modifications to the City's electrical facilities will be at the customer's expense. May 12, 2008 7:33:44 AM rlarson. Bob Larson 417-4706 Approved overhead strike location is on a mast extended 3 feet above the roof no further than 5 feet from the north roof overhang along the east wall. Any other location will require a pole or underground service, both 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. Other Fees RES OVERHEAD SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ~--------- Permit Fee Total 1230.00 1230.00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 2804.50 2804.50 .00 .00 Grand Total 4034.50 4034.50 .00 .00 Separate Permits are requiredfore[ectrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized [s not commenced within 180 days, if construction or work is suspended or abandoned fora period of180 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 iaws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\II02.15R [1/05} CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . INSPECTION REPORT. . . . . . -/ REQUEST: Date 6- b- 08 Time Received by f2 Y (phone. person) location of Work to be inspected '107 E I/-;lh Name of person requesting inspection TDdd lJo,7UQ,f vt Address of person requesting inspection Type of Inspection (circle appropriate one): ~ Phone No. LJ6,I-:1>9B9 Permit No. 06 -5F~ Final ~er E:c~~ther Sewer Foundation Framing Chimney Plumbing INSPECTION NOTES: Inspected: Date (" ~ ~- 68 Time By Remarks: Ne,1.LJ Se...uc-V' ~C>~Vldt'::'h'cvt- +a e~I's.",'''':3 7-0 n~De;-7 II;"'p. ~/'/ ?tle.- ~ Aovs e..- , , I KV ,., //' 7)V" WU e.. 10 1:::.._'- I / ,.v" rhd'Q l ~' ><'/1' RESTORATION REQUiRED...... YES X NO ~1s.t.I",.s LU).!-<Z.. N ., II -{. l' /<..jSl i }..~p A. ~.A 6';r;.:tI,~ /2 CMCI"" C 0 -(:., \ ~5" 'Z 2iG> AII-e.f p..)'i!...,J r;' I>>lc. ~ CI -'~ n.' /,/7 , f d .."... ~ I~/ ---'> f I JV'!..,.) "," 8Z -'-I" pv<..... ,\a5'^ eft" t \ , SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel / I!a Asphalt '1 OPCC o Other o Repaired by City Work Order # CI Repaired by Permittee Q COMPLETE ~ f! rt-! O~ o No Damage Found 0 INCOMPLETE ';;;Sjreq- 1/~1~ r:V/TF (Continue on reverse side if necessary) ~TR~~T ~IIPFRINTFNnFNT InA TF\ ) , , }" (>.. i\ Q..., APPLICATION FOR W\TER V~ {CfOV , City Water Division, Port Angeles, WA Is,ued date:~ -/'1--06 Instailcd by & date: 71t<'C!c,:"/1: . ; '~;ln. 05-5/3 1 hereby apply for water to be furnished in accordance with ratc~ and rules of the City for the followmg premises. Applieant ~ame & Phone: DM/ D ~ k If-TI-JL.En.J. TIIo/>1SD)Ij SneAddress: 407 E II ~ MaihngAddress --111 E ))'0 Blk: ML Lot )) Add iFA- Parcel. O//50:::c033/IoO Svc: ON!lV Meter#'s C W/O#:Y,YJ 'I't-'!c.nJ J; II Svc: SIze Restoration Requm;d: Signature: Remarks: N r;ii1 L-J /,!1/1 p>>)4 -/ :, w ;/';,.:5 T E ~ ~ ~ S "'.... CITY OF PORT ANGELES fD 5Poi DEPARTMENT OF PUBLIC WORKS{prl-(~ . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date (., -"3 - 0"3 Time 7: cnJ A/'YI. Received by I ({ (phone, ~ii}) Location of Work to be inspected c.; 0 7 F / / T t..... Name of person requesting inspection l./tl..J.. r tt:/;v. Address of person requesting inspection ,7() 3. <;a..[j> sf Phone No. Cfl7 -'1<3'17 Type of Inspection (circle appropriate one): Permit No. 5.-6/3 Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. ~ <:A./c.: '<? y INSPECTION NOTES: Inspected: Date t:, -.5 -O~ Remarks: Time /0 ; (.fI) A;rt By 7 I 7 /lb,/ h"h ,5e'i/'~.e; C-VrU/{ list/kiT Yell/hi ,-vv~ 7'Y6\ , RESTORATION REQUiRED...... YES -X . , NO' ~ 1I f 'IS"' ~ ';'\\(,..,f;. ~ I~ Ilf "- <::. ! ~ 1 '. '-!l ~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel ~Asphalt OPCC o Other " Work Order # ?()~'I/f- '{<TO ~ COMPLETE t/a, ~ ,'KT INCOMPLETE I J (p ICeI D81F o Repaired by City D Repaired by Permittee o No Damage Found ,fvj+(~ (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . ,/ REQUEST: Date b- b- 08 Time Received by f2 )( (phone, person) . ih Location of Work to be inspected .yO 7 E 1/ Name of person requesting inspection Todd )Jo,7UQ,f vt Address of person requesting inspection Type of Inspection (circle appropriate one): Phone No. Lf61--s9A9 Permit No, 08 - 5'($ Final~er E!c~ther . , Sewer Foundation Framing Chimney Plumbing INSPECTION NOTES: Inspected: Date ~ ~ 0- 08 Time By Remarks: Ne./,LJ s,oaLA:-o<.... e..ov>vtf!1.ct,'c{/L. fo e~'<'5.-f.-"':S/ TD ?:>iZ:>De/'?, /I:"P .J..j/'/ lye... fr. ;161./5 e..- , , I KV <Due.. k// PVc.... / I ;v'" ?t/.<!)f~ l i",')( II ' RESTORATION REQUIRED . . . . .. YES X. NO (> I '-IS'- -~" '<lI.ls1.'....s 1>'7"'2.- i ),..<:.1" ,. ,-so;.. Z 2~C. , t\A..-d,..^ , d J 6-')(..:;;1, "!y /2 c",.cI<:Te rJ l' ,...,~."J f/' ~\ic.. i1.' A/(-e..f -,' I 5<1, . , ~ is --? 1 . f "e.- 8Z "--yl' pil'-- t o'cl-\ \,\a5"'\O r \ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Repaired by City o Repaired by Permittee o No Damage Found ~alt OPCC o Other Work Order # o COMPLETE o INCOMPLETE "r;;_ Sire if t("'",n+in,ulo nn r""vprc;:;,p, <::iop. if nAcessarv) . f !/~ f' /~ 7< ~/ji= CTDE:I:T CllDCDll\lTCl\lnl:l\.lT In.aT~1 / , CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: v Date If} - ~-Og Time Received by -;;::- I I (phone. person) Location of Work to be inspected 4IJ 2 II Name of person requesting inspection n';~/Jfi(}~ 'X1-n~ ~ . Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): ~ Permit No. o,R- Sfl ' Sewer Foundation Framing Chimney Plumbing ~ewer Excav. Other INSPECTION NOTES: Inspected: Date / p- 6 -tt5 Time Remarks: -?t~:.- : - b -0 9 1>.-::::~o. ::;'A;;;'v to ('...l\ \\,'~Lvt lo-&o~ r BykV 5t~1 , RESTORATION REQUiRED...... YES NO J SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC . 0 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) 07/13/2008 22:03 4579270 SIMPSON ELECTRIC . I?AGE 81 DB -083~ . ELECTRICAL WORKPI':RMJT AP.PLJCA'l1ON JII6 "",.,., )f EIe hU eoBb -.. Cl o.o.r EI~""" ............ ..... Llcmoe _ On> ~ Si. 19'/1 E h!./I' t-L(' 'PS'Gt '17 '3 ....m..._ . \ '-g . OJ LV City. i,\ l!l"lle ZIP ~ J- ...J::1L&.+ /--rr~ e I eS W f.l Cj 03",-5 Teleph.... n."'.... C;? PAX __ ..J- 5'7--,?- 0 ~~ 14' ""-lIIbel ..~~" ...e _', _ " J.JiJ:IUr;/ IQ ~S 014 AiMJ'ft. 0' ."JM:Cdaa _ i!J q.o~ /Z. /lu CIIT /J I ~ far /"'()'R.--r- €-/,=> pr-_It a1lmbl!f' .. .elae_It...... .: - " 0...... '" dof/olld by RClI'.t~.lB.l'I:(t) 0..- _ __ ~._ "" ...... -"_'/Ih",""""",_",~ (2) 0-"""",*,,,.._.._ C411l__' 1f~"""JI"'lIPIlIf1'".for""''''' orl<<>>tt. "'llor -loa IIle _ -. IIloRby cettilY _I 1m tile _ or Ihe ....... nIIbOd.........., or. 11eeIIaod........ ~.at.~ 1 .........11III eIccIriaaI........ ~~ 01' ..tendo.: in coatpu.tee .... CIte eIeecriotl mn. N.ac.. JtCW. 0a8pter 19.28. WAC. ~ ~_6B. TIle all' ..,. 'oft ",...,.. M....cipo' CoI.. ond U s,.clfle_. 8118.' ...1- _...- o c. ....eW jd...... .... )11- OAlloll'lllll.u.lllloD J) .5 b 0 ~~ il-. S/n.3)'6 fi:1m,' Iy If f1SI'd -I'.A1 c. 0 25t \ 2 ~ 1) 7-f:.O "''2...e ~V:ED JUL 1 4 2008 UQHT m:PT Due: Cl Cash J;:t-CIeok # lICreditOml @ Ma_~..d Ditoowr cq#_-~~~---~---- BIqb..Iiu.. o.ee - foc lIfl!8l'd $ ~ 9' C NO LOAD CHANGES o. ~~ _KW 'iF...... J..Q ICW ~~ -.. . HelII f'uInp ..d.. T... _ LAR Q Temp SeMc:8 F..-w". _ICW C ~_ SAME DAY tNSnCTlON. CALL BEFORE 7:110 AM 3Ci0-417-473S II!vP IIIfnnnd8IIr VcIIage _O,Oa !lerYIclI8IliI: ~tI'~ ~ SIoo: ~ " ~T 5EIn'ICE e It lee ~ .... ~.. - -... .... ~P)' r J1NAL DDaI ~~ IOf.r~ -wP' ...... .... "'J .... ~ "- ..- InepecUon ......... BuiIdiJlB at Equiprl\Cllt '1IIpeClIld 1l_..1 D... Aclloe Tak,," h'SfH'C!lor 7-1(,.08 F'tzEu'."SL y AN',e",,~ STft,/f.o I!",..,r IS -liE &;WFl, DF HowsE. gX i'lf) ;,f;6'J.. c'f,:'~f FFF (, tGU1vro fO,t ~.~ '-1"'08) ~/iWFh / . -"'" AflZ7 .. . ., ~ ..- . ELECTRICAL INSPECTION WIRING REPORT 417-4735 PERMIT # INSPECTOR 08 -c:f63 c, ~'''''? 'iDr iN. ~uc-cTfZ-\. II ""'-t ADDRESS APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . .)&.. D. . . . .. . . .. . . . . .. . . . . . FINAL. . . . . . . . . . .. . . . . .. . . 0 CORRECTIONS NEEDED: C"NI\101 V9L klL~R. t5J>,s.~ AS- A J2,J>Lfi.. W""'L? uJAc.. 2..'71:, -'1b"5 - Z s 0 1=012- ~ ~"'\2."tL.... \2,VN ON -G.Ug:F"A-c.~ oJ!... DOH t> A- "r W~l'iTH E IZ. 1-1 ril\ D W rn-! u<;n<,p 9'?'-IC:~ ON c?nr7JZ.. ~lD-s;'" DF' rl')NN'li:..-Tr0N ?o"...rT. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 OS/21/2008 20:02 4579270 SIMPSON ELECTRIC PAGE 01 . C>6 - (bl S- . ELECTRICAL WORK PERMIT APPLICATION JDb wired by )4 Electrical Contraetor DOwner ~~tricDI contracto1" 'Dpmc License ",nnber Dntc EJfes .:L/.mO.9m b Ie.cln t. SJ:!'r1 1:'./;15L '1''7 3 If "+L Pureb;;;Fs mallln~ 8ddre~'J d.4J{J,~b t,t\t.t1.<1 /-0/ LA) C;'y ;) f\ I V ~..\': Zlr rorcl Hrt.q€.le.J ()J,4 q [3103 1'clephone r'lumber . FAX 1I\lMber -.4-. 'is,?' o/:;J.. '7 () r Premh:~ owner', tulme of _ ------'d:.f'\.d.~ /~ DA",t> 1"ltllM-<V>...I Addrell$ "f ht.prdio1'll ~ '10'7 E. Ii '.... Clry 0 I ~ l I oft.". f/ -e5 PhOD!! humber to Icbedal Rlpattloa: to hU,tlll111tiofl descrlpt;on a Commerdal ):( R..I.....tlaI a New a Altered/Addition ~~ ~~vtc~ ,;lev t>>VL. '-10 . n ~ j ~ /1.kJ ~ @ ( ~ \f\ IRlIECIE~V[E/O) MAY 2 2 2008 OWller os dc(iftt!d by RCw'J9.28.261:(J) Qw'llU' wUl DCCllp)' the SfrwctllTE'jor two yea",~ qfre,. oils elf!!clrical puma Lt .fJnali:ed. (1) QwHu tI ~uirt:d trJ hire d1I electrical cnllfJ'O.ct",. if above JDld P"CP~ t.r fir .Jalt!, I'ml ",. lease. A ner reading the Ibo\le stetcmc:nt; r hereby certify thai t am the (twnCf of the: above named property or a licensed clccnical contmctor. 1 11m rho.klng the c1eetritnl ia,tal- lation Of a1tcrBlion in compliance with th~ ch:etrica! laws. N.E.C.. RCW. Chapter 19.28. WAC. Chnptcf 296-46a, The City of Port Angeles! MURicil'DI Coe)e, and Utility Specification!!. Slgut,e 1 owner, eleetrlea ntr$lUor or electrical admln'lIInlor Date~ );u.!tJf L1UH I UE;PT. o Cash 0 ChecU o Credit CBTd (~ Masteteanl Discover --;;: I~, CW#__~~~__~____ Expir:ltion Dote L/ eo of card I IF d 10 a NO LOAD CHANGES o Baseboard KW o Fumi!lce KW a Heat Pump _ Ton _ tAR a Fan.Wan _ KW Service Information o Overhead SeMce ~T9mp Service o Underground SeMce Voltage Phase a 1 a 3 Service 5I%e;_ Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGR-lN , THERMOSTAT SERVICE 5/A"b/rld ~ 0." ApJWlWed By b.. .Appmvl:Cl By o.le . 1'1NA.T. orren ~ u..vh<. ~ {?;3'hR ~-, D_lf A~",vedS:y Vile Appn'JWd 8y./ Inspection Area, Building or Equipment IlI6pected Electrical Date Action T<1ken Jn5pcc;tor f'boDe number t~b ul ~t7~ O~w'~r a.r defined by Rcrv'/9.2B,26/:(J) Owner will QCClJP.r die Slruclurefor two years aft(~ ,his clecfn'cal permiJ ir ji"alctlJ!. (2) Owner is n:qu;red /c1 hirt (In elcct,.icaJ. CQn'rucror if abnve ~aid property i.s for sale. renl or leasf:. After T'ClIdiDg the above ~tcmcnl, 1 here.b)' CC"ify that I am the owner of the 3bovc named ptopcl't)' or 3. licensed eleclricill contnlctor. I am making me electrical in.tt!ll- I'nian or alteration in compliance with the electricill laws, N.E.C., RCW. ChapleT 19.28. W C. Ch3ptcr 296-468. The Cily of Port Anseles MllDicipill Code. and Utilit)' c:ifi atiens. Si a r >,'Of ow , Job Hlired by ~ ~, -... P ,*. iZvt"" IT /' ELECTIUCAL WORK PERMIT APPLICATION& DOwner Jnslllllul10n lIescriptioll o Commercial c!lldeatlo.1 CD }:J o New o Allered/Addltion :;;:n s Ufl4/~ JUL 14 2008 LICHT D&:PT. o Cash 0 Check # ~Card ~ Mastercard Discover c~#_~~_~/LE___~___ Expiration Date of card ~nsP~3c~ Service Information Electrical Load Addl!lons and or subtrBcllons I:J NO LOAD CHANGeS I:J Baseboen1 't<:>N Q Furnace KW ~at Pump ;;J. Ton _ LAA I:J Fen-Wall 't<:>N Voltage Po..e I:J 1 I:J 3 Service Size; Feeder Size: o Overhead Service o Temp Service a Underground Service SAME DAY INSPECTION CALL BEFORE 7.00 AM 360-417-4735 - , ROUGH-IN '\ THERMOSTAT SERVICE ~ ^"roo..o, ./ Ol.le Apprv"t\J 8,. Oll'~ Appfoved Ely FINAL 1 DITCR r FEEDER ) hJb!og Uf,/ U~IC App:',y"" Ry-"; [l~I" Approved Dy Inspection Area, Building or Equipment Inspected Action Taken Electric<ll DElle Inspectol 7-tr-08 # ~ /Ql/S 'n \\. '~rRl ~ u ="=" JUlU 2( 08 LIGHT DEPjI'. e€"3b f(]fCi ~ )'B8H BTn9UTU3d 990ZTS909r. XYd 9t: 90 901lI/.'.0 FROM FAX NO. 2 2010 9:45AM P1 r DEC f 14 CITY OF POUT ANGELES PERMT APPLICATION LLECTRICAL Building Division/Electrical Inspections INSPECTIONS � 321 East Fifth Street— P.O, Box 1X501 Port Angeles Wnshington, 9$362 Ph: (360) 174735 Fax: (360) 4174711 Date; 2 Single Family Dwelling " Plan Review May 8o Roqufred, Pi Complete Electrical Plan RiMew lnforrnatlon Sheet :kOb Address: Sullding Square Footage: Resaiptim o(abwe ` Owner Infoinatfo n N Ma[IN bAaplr�: t o City Zip; Phone' tl*46 L0MW#1Exp hin Unk CMW �� TOW (01v Muitielisd ht MO-4 Charaa) SwAcefeeder200Arne. $120.00 $ \� ServicelFeWer 201400 Amp, $146.00 $� Service/Feeder 40100 Amp $ 205,00 ServicoFeeder 601 -1000 Amp. $ 282.00 $ ServloslFeeder over 1000 Amp. $ 313.00 Branch Grcult W1 Service Feeder S 546 �_ S Branch Circull W/O Service Feeder $ 8100 Each Additional Branch Circuit $ 5.00 $ Branch CimuNs 1-4 S 75.00 $ TeW. Service) Feeder 200 Amp. $ 93.00 Temp. SehvicelF'eeder 241 400 Amp, $110,00 $ Temp, ServirelFeeder40140 p. $149.00 $ Temp. 5enr1ceJFeeder 6014 Amp : $168.00 $ Portal to Portal Hourly $ *a $_ Signal Circuit) Limited Energy -1 &2 kp* Dwelling $ 64.00 $� Manufactured Hume Connedon $120.00 $ Renewable Vocal; orgy - SKYA SyWo or Lass $10200 - Tharmostat $ 56.00 $ Note: $5.00 for each addhlohal T-Stat NEW CANSTRUMON ONLY: First 1300 Square Ft $12000 $ Each Additional 590 Square Ft or Portia► of $ 40.00 $___. Each Oulbulidlag or Detwhed Garage Each Swimmlrtg Pool orKotTub $ 74.00 $110 -00 �-_ fP Tott�lOwner Eal� as defined by RCM9,26, 261: (1) OMmer will oocWy the stn *n for two years after ft decbical pemAi (2) Owner is requiter# to hire an de&W contractor I above said property Is W sale, rant or lease. Permit expires ft six monft of last imspedion. After reading the above staternent, I hereby certify that 1 am the owner of the above named properly or a tcensed eledr9ad conlr dN. I am making the slecb[cal instgtlation or alter?Uon in compfiaow with the decVxd laws, KE.C., RCW. Chapter 19.28, WAG, Chapter 298-488, The City of Port Angeles Wnicipal Code, and Utility Spec5oations and PAMC 14.05.050 regarding Ele&W Permit Appiications, Signature of own , el I cvrrtracW or electrical admhhlstraw, ❑ c,NtGrdo 0110118612 ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . , , . 14- 00001494 Date 12/12/14 Application pin number , , , 314952 INSPECTOR: Property Address . , . , 407 F 11TH ST 2 / y ASSESSOR PARCEL NUMEER; 06- 30,00 -0 -3- 3160 -0000- SERVICE Application type description ELECTRICAL ONLY subdivision Name . . . . . . ROUGH -IN Property Use property Zoning . . . . . . . R37 RESIDNTL SINGIE FAMILY 1 Application valuation , , 0 COMMENTS: --- -- -- -------------------------------------------------------------------- Application desc Service and new garage -------------------------------------------------- --------------- .__.- __ - -._ Owner Contractor TERRY G AND SHERYL WEED ELECTRIC SERVICE 411 E 11TH ST 82 DRAPER RD PORT ANGELES WA 963627933 PORT ANGELES WA 98362 (360) 460 -1881 (360) 452 -6424 Permit , , . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc , , Permit Fee 135.00 Plan Check Fee .00 Issue pate 12/12/14 Valuation , . . . 0 Expiration Date 6/10/15 Qty Unit Charge Per Extension 3,00 5.0000 ECH 'EL- BRANCH CIRCUIT W /FEEDER 15.00 1.00 120,0000 E'CH EL -0-200 SRV FEEDER 120,00 Fee summary Charged Paid Credited Due Permit Fee Total 135.00 135,00 .00 00 Plan Check Total .00 ,00 D0 0-0 Grand Total 13.5.00 135.00 .00 OD REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH 2 / y SERVICE l2 1 t�r ROUGH -IN J/ , 1 FINAL 1 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contra_ ctor X Date: G:IEXCHANGEIBUILDING