HomeMy WebLinkAbout1625 W 12th St - BuildingPREPARED 7/24/07 8 40 16 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/24/07
ADDRESS 1625 W 12TH ST SUBDIV
TENANT NBR ALMADEN ENTERPRISES LLC
CONTRACTOR RENOVATE INC PHONE (360) 457 7465
OWNER Almaden Enterprises PHONE
PARCEL 06 30 00 0 3 5942 0000
APPL NUMBER 06 00000381 RES NEW SFR
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
3/14/07 AP 03/13/2007 03 48 PM PERMITS
JIM ALMADEN 461 4346
03/14/2007 04 23 PM JLIERLY
BAIR 03 3/15/07 JLL BLDG AIR SEAL
3/15/07 AP JIM 461 4346
03/15/2007 02 35 PM JLIERLY
BLI 01 3/19/07 JLL BLDG INSULATION
3/19/07 AP 03/16/2007 01 11 PM PBARTHOL
ALLEN 461 5089
03/19/2007 10 11 AM JLIERLY
BL99 01 6/22/07 JLL BLDG FINAL
6/22/07 DA 06/22/2007 08 34 AM PBARTHOL
MARK 460 8339
06/22/2007 04 34 PM JLIERLY
hand rail to return to wall or post /raise exterior hand
rail up for grasp per code /fur out around abd dwv pipe in
garage w 5/8 x gwb /5/8 x under stairs/j11
BL99 02 7/24/07 JLL BLDG FINAL
MARK 460 8339
07/23/2007 09 40 AM LPANGRLE
1111 l BLDG FINAL
CALL FIRST
COMMENTS AND NOTES
PREPARED 6/22/07 8 48 19 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/22/07
ADDRESS 1625 W 12TH ST SUBDIV
TENANT NBR ALMADEN ENTERPRISES LLC
CONTRACTOR RENOVATE INC PHONE (360) 457 7465
OWNER Almaden Enterprises PHONE
PARCEL 06 30 00 0 3 5942 0000
APPL NUMBER 06 00000381 RES NEW SFR
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
3/14/07 AP 03/13/2007 03 48 PM PERMITS
JIM ALMADEN 461 4346
03/14/2007 04 23 PM JLIERLY
3/15/07 JLL BLDG AIR SEAL
3/15/07 AP JIM 461 4346
03/15/2007 02 35 PM JLIERLY
BLDG INSULATION
03/16/2007 01 11 PM PBARTHOL
ALLEN 461 5089
03/19/2007 10 11 AM JLIERLY
BL99 01 6/22/07 j A BLDG FINAL
06/22/2007 08 34 AM PBARTHOL
BAIR 03
BLI 01
3/19/07 JLL
3/19/07 AP
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 3/22/07
3/22/07
ME99 01 6/22/07
PERMIT
TYP /SQ
PL99 01
JLL
AP
PL 00 PLUMB G
REQUESTED
COMPLETED
IN
RESULT
6/22/07 JL
1
IT
MECHANICAL GAS LINE
03/21/2007 04 40 PM PERMITS
JIM 461 4346
03/22/2007 04 05 PM JLIERLY
MECHANICAL FINAL
06/22/2007 08 35 AM PBARTHOL
DESCRIPTION
RESULTS /COMMENTS
PLUMBING FINAL
06/22/2007 08 35 AM PBARTHOL
COMMENTS AND NOTES
MARK 460 8339
PAGE 10
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Lc i jAL t e
‘yf//te,t„
PREPARED 3/22/07 10 19 51 INSPECTION TICKET PAGE 1
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/22/07
ADDRESS 1625 W 12TH ST SUBDIV
TENANT NBR ALMADEN ENTERPRISES LLC
CONTRACTOR RENOVATE INC PHONE (360) 457 7465
OWNER Almaden Enterprises PHONE
PARCEL 06 30 00 0 3 5942 0000
APPL NUMBER 06 00000381 RES NEW SFR
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME6 01 3/22/07 JLL MECHANICAL GAS LINE
J I M 2146107 04 40 PM PERMITS
IM 461 4346
COMMENTS AND NOTES
PREPARED 3/19/07 8 27 38 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/19/07
ADDRESS 1625 W 12TH ST SUBDIV
TENANT NBR ALMADEN ENTERPRISES LLC
CONTRACTOR RENOVATE INC PHONE (360) 457 7465
OWNER Almaden Enterprises PHONE
PARCEL 06 30 00 0 3 5942 0000
APPL NUMBER 06 00000381 RES NEW SFR
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
3/14/07 AP 03/13/2007 03 48 PM PERMITS
JIM ALMADEN 461 4346
03/14/2007 04 23 PM JLIERLY
BUILDING AIR SEAL
JIM 461 4346
03/15/2007 02 35 PM JLIERLY
BLI 01 3/19/07 LL BUILDING INSULATION
1/1 03/16/2007 01 11 PM PBARTHOL
V j 11W ALLEN 461 5089
BAIR 03 3/15/07 JLL
3/15/07 AP
COMMENTS AND NOTES
PREPARED 3/15/07 8 32 01 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/15/07
ADDRESS 1625 W 12TH ST SUBDIV
TENANT NBR ALMADEN ENTERPRISES LLC
CONTRACTOR RENOVATE INC PHONE (360) 457 7465
OWNER Almaden Enterprises PHONE
PARCEL 06 30 00 0 3 5942 0000
APPL NUMBER 06 00000381 RES NEW SFR
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
3/14/07 AP 03/13/2007 03 48 PM PERMITS
JIM ALMADEN 461 4346
03/14/2007 04 23 PM JLIERLY
BAIR 03i/07 A BUILDING AIR SEAL
a¢ JIM 461 4346
COMMENTS AND NOTES
PREPARED 3/14/07 8 23 26 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/14/07
ADDRESS 1625 W 12TH ST SUBDIV
TENANT NBR ALMADEN ENTERPRISES LLC
CONTRACTOR RENOVATE INC PHONE (360) 457 7465
OWNER Almaden Enterprises PHONE
PARCEL 06 30 00 0 3 5942 0000
APPL NUMBER 06 00000381 RES NEW SFR
PERMIT BPR 01 BU ILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 7/26/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
7/26/06 AP JOHN 461 3220
07/26/2006 08 01 AM DYASUMUR
07/26/2006 04 26 PM JLIERLY
20 ground ok
BL2 01 8/07/06 JLL BUILDING FOUNDATION WALL
8/07/06 AP 08/07/2006 08 50 AM PERMITS
461 3220
AM inspection
08/07/2006 04 50 PM JLIERLY
BLFD 01 1/09/07 JLL BUILDING FOUNDATION DRAINAGE
1/09/07 AP 01/08/2007 03 44 PM PBARTHOL
AL 602 7740 1325
01/09/2007 03 12 PM JLIERLY
DRW 01 2/02/07 JLL BUILDING DRYWELL
2/02/07 AP 02/01/2007 03 30 PM PERMITS
02/02/2007 03 44 PM JLIERLY
DSD 01 2/02/07 JLL BUILDING DOWN SPOUT DRAINS
2/02/07 AP 02/01/2007 03 30 PM PERMITS
RICK 460 1170
02/02/2007 03 44 PM JLIERLY
BL9 01 2/16/07 JLL BUILDING SHEARWALL
2/16/07 DA 02/15/2007 02 51 PM PERMITS
JIM 461 4346
02/16/2007 03 30 PM JLIERLY
tie sheathing from both floors per code or strap per
standard eng practice/j11
BL9 02 2/20/07 JLL BUILDING SHEARWALL
2/20/07 AP 02/20/2007 11 16 AM PERMITS
JASON 461 9135
02/20/2007 03 56 PM JLIERLY
BAIR 01 3/13/07 JLL BUILDING AIR SEAL
3/13/07 DA 03/13/2007 09 15 AM PERMITS
ALMADEN 461 4346
03/13/2007 04 39 PM JLIERLY
finish air seal in basement and block all plit panels on
north side brace wall panels /fire block chase at top plate
and floor ceiling assembly/j11
BL3 01 3/13/07 JLL BUILDING FRAMING
3/13/07 DA 03/13/2007 09 14 AM PERMITS
ALMADEN 461 4346
03/13/2007 04 39 PM JLIERLY
finish air seal in basement and block all plit panels on
north side brace wall panels /fire block chase at top plate
and floor ceiling assembly /j11
BAIR 02 3/14/07 BUILDING AIR SEAL
Jh 03/13/2007 03 47 PM PERMITS
JIM ALMADEN 461 4346
3/14/07 JL BUILDING FRAMING
BL3 02
03/13/2007 03 48 PM PERMITS
CONTINUED ONTO NEXT PAGE
PREPARED 3/13/07 9 35 46 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/13/07
ADDRESS 1625 W 12TH ST SUBDIV
TENANT NBR ALMADEN ENTERPRISES LLC
CONTRACTOR RENOVATE INC PHONE (360) 457 7465
OWNER Almaden Enterprises PHONE
PARCEL 06 30 00 0 3 5942 0000
APPL NUMBER 06 00000381 RES NEW SFR
PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 7/26/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
7/26/06 AP JOHN 461 3220
07/26/2006 08 01 AM DYASUMUR
07/26/2006 04 26 PM JLIERLY
20 ground ok
BL2 01 8/07/06 JLL BUILDING FOUNDATION WALL
8/07/06 AP 08/07/2006 08 50 AM PERMITS
461 3220
AM inspection
08/07/2006 04 50 PM JLIERLY
BLFD 01 1/09/07 JLL BUILDING FOUNDATION DRAINAGE
1/09/07 AP 01/08/2007 03 44 PM PBARTHOL
AL 602 7740 1325
01/09/2007 03 12 PM JLIERLY
DRW 01 2/02/07 JLL BUILDING DRYWELL
2/02/07 AP 02/01/2007 03 30 PM PERMITS
02/02/2007 03 44 PM JLIERLY
DSD 01 2/02/07 JLL BUILDING DOWN SPOUT DRAINS
2/02/07 AP 02/01/2007 03 30 PM PERMITS
RICK 460 1170
02/02/2007 03 44 PM JLIERLY
BL9 01 2/16/07 JLL BUILDING SHEARWALL
2/16/07 DA 02/15/2007 02 51 PM PERMITS
JIM 461 4346
02/16/2007 03 30 PM JLIERLY
tie sheathing from both floors per code or strap per
standard eng practice/j11
BL9 02 2/20/07 JLL BUILDING SHEARWALL
2/20/07 AP 02/20/2007 11 16 AM PERMITS
JASON 461 9135
02/20/2007 03 56 PM JLIERLY
BAIR 01 3/13/07 JLL BUILDING AIR SEAL
03/13/2007 09 15 AM PERMITS
ALMADEN 461 4346 1 1 tt S( 1 ci 02 5
BL3 01 3/13/07 JLL BUILDING FRAMING
03/13/2007 09 14 AM PERMITS
ALMADEN 461 4346 t�y��
COMMENTS AND NOTES 4°1- M.j y 1
Application Number 06 00000381 Date 3/01/07
Application pin number 862649
Property Address 1625 W 12TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 5942 0000
Tenant nbr name ALMADEN ENTERPRISES LLC
Application type description RES NEW SFR
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 195455
Owner
Almaden Enterprises
PO Box 1075
PORT ANGELES
Other struct info
Contractor
RENOVATE INC
P 0 BOX 1075
WA 983639307 PORT ANGELES
(360) 457 7465
TOTAL LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 76067
Sub Contractor ALL WEATHER HTG COOLING INC
Permit Fee 36 40 Plan Check Fee
Issue Date 5/02/06 Valuation
Expiration Date 8/19/07
Qty Unit Charge Per
1 00 36 4000 ECH EL LVT FIRST THERMOSTAT
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
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
A residential fire sprinkler system installed per NFPA
13D will be required
2nd option is to install an outside alarm bell that is
inter connected to the residence s smoke detectors
The alarm bell will be painted red in color and identified
as. Fire alarm
05/01/2006 03 33 PM SROBERDS The proposal will result
in a new sfr w /attached garage in the RS 7 zone for total
lot coverage of 24% No land use issues are noted
Electrical load calculations and elctrical permits are
required
Customer has been sent est cost for line extension
Connection fee of $410 00 also required
04/26/2006 08 36 AM GMCLAIN
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
Other Fees
COMMENTS /ACTION NEEDED
RES OVERHEAD SERVICE FEE
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
WA 98362
29 00
2. 0 0
700.0' 00
2052 00
1 00
410 00
870 00
4 50
00
0
Extension
36 40
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
DI TCH
ROUGH -IN COVER
SERVICE
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
COMMENTS
PW -I Io2.15I+/96]
Application Number
Application pin number
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
121 EAST 5TH STREET PORT ANGELES. WA 98362
06 00000381
862649
Page 2
Date 3/01/07
PW WATER SYSTEM USE FEE 1200 00
Charged Paid Credited Due
36 40 36 40 00 00
00 00 00 00
2484 50 2484 50 00 00
2520 90 2520 90 00 00
DI I'CH
ROUGH -IN COVER
SERVIC$
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
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
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
3 -D7
o7 I
PW- 1102.15I4/961
PREPARED 2/20/07 11 37 48 INSPECTION TICKET PAGE 5
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/20/07
ADDRESS 1625 W 12TH ST SUBDIV
TENANT NBR ALMADEN ENTERPRISES LLC
CONTRACTOR RENOVATE INC PHONE (360) 457 7465
OWNER Almaden Enterprises PHONE
PARCEL 06 30 00 0 3 5942 0000
APPL NUMBER 06 00000381 RES NEW SFR
PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 7/26/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
7/26/06 AP JOHN 461 3220
07/26/2006 08 01 AM DYASUMUR
07/26/2006 04 26 PM JLIERLY
20 ground ok
BL2 01 8/07/06 JLL BUILDING FOUNDATION WALL
8/07/06 AP 08/07/2006 08 50 AM PERMITS
461 3220
AM inspection
08/07/2006 04 50 PM JLIERLY
BLFD 01 1/09/07 JLL BUILDING FOUNDATION DRAINAGE
1/09/07 AP 01/08/2007 03 44 PM PBARTHOL
AL 602 7740 1325
01/09/2007 03 12 PM JLIERLY
DRW 01 2/02/07 JLL BUILDING DRYWELL
2/02/07 AP 02/01/2007 03 30 PM PERMITS
02/02/2007 03 44 PM JLIERLY
DSD 01 2/02/07 JLL BUILDING DOWN SPOUT DRAINS
2/02/07 AP 02/01/2007 03 30 PM PERMITS
RICK 460 1170
02/02/2007 03 44 PM JLIERLY
8L9 01 2/16/07 JLL BUILDING SHEARWALL
2/16/07 DA 02/15/2007 02 51 PM PERMITS
JIM 461 4346
02/16/2007 03 30 PM JLIERLY
tie sheathing from both floors per code or strap per
standard eng practice/j11
BL9 02 •:s 07 LL BUILDING SHEARWALL
02/20/2007 11 16 AM PERMITS
JASON 461 9135
COMMENTS AND NOTES
PREPARED 2/16/07 9 32 27 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY
ADDRESS 1625 W 12TH ST SUBDIV
TENANT NBR ALMADEN ENTERPRISES LLC
CONTRACTOR RENOVATE INC PHONE (360) 457 7465
OWNER Almaden Enterprises PHONE
PARCEL 06 30 00 0 3 5942 0000
APPL NUMBER 06 00000381 RES NEW SFR
PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 7/26/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
7/26/06 AP JOHN 461 3220
07/26/2006 08 01 AM DYASUMUR
07/26/2006 04 26 PM JLIERLY
20 ground ok
BL2 01 8/07/06 JLL BUILDING FOUNDATION WALL
8/07/06 AP 08/07/2006 08 50 AM PERMITS
461 3220
AM inspection
08/07/2006 04 50 PM JLIERLY
BLFD 01 1/09/07 JLL BUILDING FOUNDATION DRAINAGE
1/09/07 AP 01/08/2007 03 44 PM PBARTHOL
AL 602 7740 1325
01/09/2007 03 12 PM JLIERLY
DRW 01 2/02/07 JLL BUILDING DRYWELL
2/02/07 AP 02/01/2007 03 30 PM PERMITS
02/02/2007 03 44 PM JLIERLY
DSD 01 2/02/07 JLL BUILDING DOWN SPOUT DRAINS
2/02/07 AP 02/01/2007 03 30 PM PERMITS
RICK 460 1170
02/02/2007 03 44 PM JLIERLY
BL9 01 2/16/07 BUILDING SHEARWALL
02/15/2007 02 51 PM PERMITS
JIM 461 4346
COMMENTS AND NOTES
1
PAGE 3
DATE 2/16/07
r
PREPARED 2/02/07 15 42 19 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/02/07
ADDRESS 1625 W 12TH ST SUBDIV
TENANT NBR ALMADEN ENTERPRISES LLC
CONTRACTOR RENOVATE INC PHONE (360) 457 7465
OWNER Almaden Enterprises PHONE
PARCEL 06 30 00 0 3 5942 0000
APPL NUMBER 06 00000381 RES NEW SFR
PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 7/26/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
7/26/06 AP JOHN 461 3220
07/26/2006 08 01 AM DYASUMUR
07/26/2006 04 26 PM JLIERLY
20 ground ok
BL2 01 8/07/06 JLL BUILDING FOUNDATION WALL
8/07/06 AP 08/07/2006 08 50 AM PERMITS
461 3220
AM inspection
08/07/2006 04 50 PM JLIERLY
BLFD 01 1/09/07 JLL BUILDING FOUNDATION DRAINAGE
1/09/07 AP 01/08/2007 03 44 PM PBARTHOL
AL 602 7740 1325
01/09/2007 03 12 PM JLIERLY
DRW 01 2/02[07 BUILDING DRYWELL
l 02/01/2007 03 30 PM PERMITS
DSD 01 2/02/07 JLL BUILDING DOWN SPOUT DRAINS
02/01/2007 03 30 PM PERMITS
RICK 460 1170
COMMENTS AND NOTES
PREPARED 1/09/07 12 52 17 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/09/07
ADDRESS 1625 W 12TH ST SUBDIV
TENANT NBR ALMADEN ENTERPRISES LLC
CONTRACTOR RENOVATE INC PHONE (360) 457 7465
OWNER Almaden Enterprises PHONE
PARCEL 06 30 00 0 3 5942 0000
APPL NUMBER 06 00000381 RES NEW SFR
PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 7/26/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
7/26/06 AP JOHN 461 3220
07/26/2006 08 01 AM DYASUMUR
07/26/2006 04 26 PM JLIERLY
20 ground ok
BL2 01 8/07/06 JLL BUILDING FOUNDATION WALL
8/07/06 AP 08/07/2006 08 50 AM PERMITS
461 3220
AM inspection
08/07/2006 04 50 PM JLIERLY
BLFD 01 1/09/07 JLL BUILDING FOUNDATION DRAINAGE
6L 01/08/2007 03 44 PM PBARTHOL
AL 602 7740 1325
COMMENTS AND NOTES
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
Application Number 06 00000861
Application pin number 792755
Property Address 1625 W 12TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 5942 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owner
ALMADEN ENTERPRISES
1625 W 12TH ST
PORT ANGELES
(360) 452 6753
WA 983639307
Contractor
APS ELECTRIC
546 BENSON RD
PORT ANGELES
PORT ANGELES
(360) 452 6753
Date 8/09/06
WA 98363
Permit ELECTRICAL TEMPORARY SERVICE
Additional desc APS/ 60A TEMP
Permit pin number 84442
Sub Contractor APS ELECTRIC
Permit Fee 42 20 Plan Check Fee 00
Issue Date 8/09/06 Valuation 0
Expiration Date 2/05/07
Qty Unit Charge Per Extension
1 00 42 2000 ECH EL TEMP SRV 0 60 SRV FDR 42 20
Fee summary Charged Paid Credited Due
Permit Fee Total 42 20 42 20 00 00
Plan Check Total 00 00 00 00
Grand Total 42 20 42 20 00 00
COMMENTS /ACTION NEEDED
DITCI4
ROUGH -IN COVER
SERVIC
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
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
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FINAL I F oLI,41rX)
I I I
I I I
I I I
I I I
csr7
P 4102.15 (4961
PREPARED 8/07/06 11 20 09 INSPECTION TICKET PAGE 11
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/07/06
ADDRESS 1625 W 12TH ST SUBDIV
TENANT NBR ALMADEN ENTERPRISES LLC
CONTRACTOR RENOVATE INC PHONE (360) 457 7465
OWNER Almaden Enterprises PHONE
PARCEL 06 30 00 0 3 5942 0000
APPL NUMBER 06 00000381 RES NEW SFR
PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 7/26/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00
7/26/06 AP JOHN 461 3220
07/26/2006 08 01 AM DYASUMUR
07/26/2006 04 26 PM JLIERLY
20 ground ok
BL2 01 8/07/06 JLL BUILDING FOUNDATION WALL
08/07/2006 08 50 AM PERMITS
461 3220
AM inspection
COMMENTS AND NOTES
PREPARED 7/26/06 11 14 34 INSPECTION TICKET PAGE 12
CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/26/06
ADDRESS 1625 W 12TH ST SUBDIV
TENANT NBR ALMADEN ENTERPRISES LLC
CONTRACTOR RENOVATE INC PHONE (360) 457 7465
OWNER Almaden Enterprises PHONE
PARCEL 06 30 00 0 3 5942 0000
APPL NUMBER 06 00000381 RES NEW SFR
PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL1 01 7/26/06 BUILDING FOUNDATION FOOTING TIME 13 00
i;q? JOHN 461 3220
07/26/2006 08 01 AM DYASUMUR
COMMENTS AND NOTES
ou c1:2(a
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 Contractor
Almaden Enterprises
PO Box 1075
PORT ANGELES
Other struct info
Other Fees
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
06 00000381 Date 5/08/06
862649
1625 W 12TH ST
06 30 00 0 3 5942 0000
ALMADEN ENTERPRISES LLC
RES NEW SFR
RS7 RESDNTL SINGLE FAMILY
195455
RENOVATE INC
P 0 BOX 1075
WA 983639307 PORT ANGELES
(360) 457 7465
TOTAL LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc APS/ 2392 SQ FT SFR
Permit pin number 76315
Sub Contractor APS ELECTRIC
Permit Fee 143 20 Plan Check Fee 00
Issue Date 5/05/06 Valuation 0
Expiration Date 11/01/06
Qty Unit Charge Per Extension
1 00 73 0000 ECH EL R SQFT FIRST 1300 73 00
3 00 23 4000 5C EL R SQFT ADDITIONAL 500 70 20
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
A residential fire sprinkler system installed per NFPA
13D will be required
2nd option is to install an outside alarm bell that is
inter connected to the residence s smoke detectors
The alarm bell will be painted red in color and identified
as Fire alarm
05/01/2006 03 33 PM SROBERDS The proposal will result
in a new sfr w /attached garage in the RS 7 zone for total
lot coverage of 24% No land use issues are noted
Electrical load calculations and elctrical permits are
required
Customer has been sent est cost for line extension
Connection fee of $410 00 also required
04/26/2006 08 36 AM GMCLAIN
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch 24 hour advance
notice is required
WA 98362
29 00
2 00
7000 00
2052 00
1 00
SEWER SYSTEM DELV CHARGE 870 00
STATE SURCHARGE 4 50
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.
DITCfl
ROUGH -IN COVER
SERVIC
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED
YES I NO
COMMENTS
PW- 1102.1314,961
Application Number
Application pin number
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
COMMENTS /ACTION NEEDED
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
06 00000381
862649
Page 2
Date 5/08/06
PW WATER SYSTEM USE FEE 1200 00
Charged Paid Credited Due
143 20 143 20 00 00
00 00 00 00
2074 50 2074 50 00 00
2217 70 2217 70 00 00
s
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A M NI vILJM 24 HOUR NOTICE. IT IS UNLAWFUL TO COYER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
INSPECTION TYPE
DATE
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
ACCEPTED
YES I NO
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
DITCI- .0-15-.0 7
ROUGH —IN COVEk 4 0, I
SERVICE
FINAL I b"l .0v0'7 I ..046;
I I
1 I
I I
I I
COMMENTS
PW- 1102.15 (4196)
T•\Policies \1102.15R 11/05]
Owner
Almaden Enterprises
PO Box 1075
PORT ANGELES
Other struct info
Application Number 06 00000381 Date 5/03/06
Application pin number 862649
Property Address 1625 W 12TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3.5942 0000
Tenant nbr name ALMADEN ENTERPRISES LLC
Application type description RES NEW SFR
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 195455
Signature of Contractor or Authorized Agent
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST' 5TH STREET PORT ANGELES, WA 98362
Contractor
RENOVATE INC
P 0 BOX 1075
WA 983639307 PORT ANGELES
(360) 457 7465
TOTAL LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98362
29 00
2 00
7000 00
2052 00
1 00
Permit PUBLIC WORKS RES WATER SERV
Additional desc
Permit pin number 75994
Permit Fee 715 00 Plan Check Fee 00
Issue Date 5/02/06 Valuation 195455
Expiration Date 10/29/06
Qty Unit Charge Per
1 00 715 0000 EA PW W/M 1 SERV 5/8 METER
Extension
715 00
Permit SANITARY SEWER HOOK UP
Additional desc
Permit pin number 75986
Permit Fee 110 00 Plan Check Fee 00
Issue Date 5/02/06 Valuation 195455
Expiration Date 10/29/06
Qty Unit Charge Per
1 00 110 0000 EA SAN SEWER HOOKUP
Special Notes and Comments
Address numbers shall be plainly visible from the street
Address numbers shall be a minimum of six inches high and be
of contrasting color from the background
A residential fire sprinkler system installed per NFPA
13D will be required
2nd option is to install an outside alarm bell that is
inter connected to the residence s smoke detectors
The alarm bell will be painted red in color and identified
as Fire alarm
05/01/2006 03 33 PM SROBERDS The proposal will result
in a new sfr w /attached garage in the RS 7 zone for total
lot coverage of 24% No land use issues are noted
Electrical load calculations and elctrical permits are
required
Customer has been sent est cost for line extension
Extension
110 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Lwit Zgzaz
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.
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]
INSPECTION TYPE DATE ACCEPTED
YES I NO
RESIDENTIAL
CONSTRUCTION LW PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
PERMIT INSPECTION RECORD
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
I I
I I
I I
I I
I I
I I I
I I I
I I 1
I I
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I I I
I I I
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I I I
I 1 I
I I I
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FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
I I
I 1
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I I
CONSTRUCTION RW
PW ENGINEERING
I FIRE DEPT I
1 PLANNING DEPT I
BUILDING
COMMENTS
1 I
I I
I I
I I
Application Number
Application pin number
CITY OF PORT ANGELES
PUBLIC WORKS UTILITIES DIVISION
321 EAST` 5TH STREET PORT ANGELES, WA 98362
Special Notes and Comments
Connection fee of $410 00 also required
04/26/2006 08 36 AM GMCLAIN
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
06 00000381
862649
Page 2
Date 5/03/06
SEWER SYSTEM DELV CHARGE 870 00
STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE 1200 00
Charged Paid Credited Due
Permit Fee Total 825 00 825 00 00 00
Plan Check Total 00 00 00 00
Other Fee Total 2074 50 2074 50 00 00
Grand Total 2899 50 2899 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)
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
PW UTILITIES (End:.._._:ng Division)
WATERLINE METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB GUTTER
DRIVEWAY APPROACH
BACK -FLOW DEVICE
CONSTRUCTION R.W PW/ 417 -4807
ENGINEERING
FIRE 417 -4653
PLANNING DEPT 417 -4750
BUILDING 417 -4815
T•\Policies\I IO2.15R [1 /05J
INSPECTION TYPE DATE ACCEPTED
YES I NO
RESIDENTIAL
I I
I I
I I
1 I
I I
1 1
I I
1 I
I I
I 1
1 I
PERMIT INSPECTION RECORD
1 I
I I
1 I
I 1
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M I
1 I
1 1
I
1 I
1 1
I 1
I I
I I
COMMENTS
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
I I
I I
I
I I
CONSTRUCTION kW
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
BUILDING
Application Number 06 00000381 Date 5/03/06
Application pin number 862649
Property Address 1625 W 12TH ST
ASSESSOR PARCEL NUMBER 06 30 00 0 3 5942 0000
Tenant nbr name ALMADEN ENTERPRISES LLC
Application type description RES NEW SFR
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 195455
Owner
Almaden Enterprises
PO Box 1075
PORT ANGELES
Other struct info
Qty Unit Charge Per
Permit PLUMBING PERMIT
Additional desc
Signature of Contractor or Authorized Agent
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362 6�
Contractor
RENOVATE INC
P 0 BOX 1075
WA 983639307 PORT ANGELES
(360) 457 7465
TOTAL LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Permit BUILDING PERMIT RESIDENTIAL
Additional desc
Permit pin number 75333
Pe Fee 1020 25 Plan Check Fee 00
Issue Date 5/02/06 Valuation 195455
Expiration Date 10/29/06
Qty Unit Charge Per Extension
BASE FEE 1020 25
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 76067
Permit Fee 36 40 Plan Check Fee 00
Issue Date 5/02/06 Valuation 0
Expiration Date 10/29/06
Qty Unit Charge Per
1 00 36 4000 ECH EL LVT FIRST THERMOSTAT
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 76042
Permit Fee 115 00
Issue Date 5/02/06
Expiration Date 10/29/06
Va luation
BASE FEE
1 00 14 7000 ECH ME INSTALL 100- FAU
4 00 7 2500 ECH ME VENT FAN
1 00 10 6500 ECH ME -OTHER APPL N/R
1 00 10 6500 ECH ME -GAS PIPE 1 TO 5
T• \Policies \1102 15 building permit inspection record05 wpd [1/4/2005]
WA 98362
29 00
2 00
7000 00
2052 00
1 00
Extension
36 40
Plan Check Fee 00
0
Extension
50 00
14 70
29 00
10 65
10 65
Date Signature of Owner (if owner is builder)
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.
z
1
S -3z�
Date
-I
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLPGS.)
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 #'s
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT 417 -4750 I
BUILDING 417 -4815 I
T• \Policies\] 102_15 building permit inspection record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
I I
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I I
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I I
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FINAL
FINAL
SEPA.
ESA.
SHORELINE.
DATE ACCEPTED BY.
DATE ACCEPTED BY.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
I I I
I I I
I I I
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Page 2
Application Number 06 00000381 Date 5/03/06
Application pin number 862649
Permit pin number 76059
Permit Fee 142 00 Plan Check Fee 00
Issue Date 5/02/06 Valuation 0
Expiration Date 10/29/06
Qty Unit Charge Per Extension
BASE FEE 50 00
9 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 63 00
1 00 7 0000 ECH PL EA INSTALL WATER PIPE 7 00
1 00 15 0000 ECH PL- EA BLDG SEWER 15 00
1 00 7 0000 ECH PL- EA WATER HEATER 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
A residential fire sprinkler system, installed per NFPA
13D will be required
2nd option is to install an outside alarm bell that is
inter connected to the residence s smoke detectors
The alarm bell will be painted red in color and identified
as Fire alarm
05/01/2006 03 33 PM SROBERDS The proposal will result
in a new sfr w /attached garage in the RS 7 zone for total
lot coverage of 24% No land use issues are noted
Electrical load calculations and elctrical permits are
required
Customer has been sent est cost for line extension
Connection fee of $410 00 also required
04/26/2006 08 36 AM GMCLAIN
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
Signature of Contractor or Authorized Agent Date
T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005]
SEWER SYSTEM DELV CHARGE 870 00
STATE SURCHARGE 4 50
PW WATER SYSTEM USE FEE .1200 00
Charged Paid Credited Due
Permit Fee Total 1313 65 1313 65 00 00
Plan Check Total 00 00 00 00
Other Fee Total 2074 50 2074 50 00 00
Grand Total 3388 15 3388 15 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 Owner (if owner is builder) Date
CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE
FOUNDATION:
FOOTINGS
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 #'s
PARKING/LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653
PLANNING DEPT
BUILDING
DATE
T•\Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
ACCEPTED
YES I NO
COMMENTS
I
8=z1, I (724- I
I I
I I
I FINAL V 6 I a 67 DATE ACCEPTED BY.
o6 J i
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I I
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FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES I NO
SEPA.
ESA.
SHORELINE:
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
417 -4750 I J I I PLANNING DEPT
417 -4815 1 4 I W I I BUILDING
I I I
I I I
I I I
•a
Fill out COMPLETELY and in INK. Your application and site plan MUST
COMPLETE to be accepted for review if you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
Applicant or Agent: Almaden Rnternrises LLC_
Owner
Almaden Enterprises LLC
Address P. O. Box 1075
Architect /Engineer Zenovic
Contractor Renovate Inc
TYPE OF WORK.
Residential New Coast Re -roof Stove
Multi family Addition Move Garage
Commercial Remodel Demolition Deck
Repair Sign Other
No of Stones. g- Lot Size. i /de
Total lot coverage aG/
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
FOR OFFICIAL USE L\
Date Rec. 7
rmit #'1 T
I
are Approved.
ate Lssued
D.
Phone 360 457 -5907
Phon 457 5907
City Port .Angeles. WA Zip 98362
Associates phone 360- 417 -0501
State License 36 t5Exp 8-31-0 6Phone: 457-7465
Address: p n RoNr ij City Port Angeles,
PROJECT ADDRESS I. C9: _W V2- St
LEGAL DESCRIPTION Lot: Block:
CLALLAM COUNTY PARCEL NUMBER.
BRIEF DESCRIPTIONOF THE PROJECT Single Family Residential Nnma
COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load.
Subdivision.
Existing Sq Pt. fv1lt Proposed Sq Ft.
WA Zip 98 -h2
ZONING RS7
STZE/VALUATION
SF /SF 4 2/
SF /SF
SF /SF
TOTAL VALUATION
Construction Type.
TOTAL Sq Ft. c.20 '�a
APPROVALS
PLAN
BLDG
DPWU
FIRE
OTRP.R.
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 REVTFW 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 wntten request by the applicant (see Section
RI 05.3.2 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. l am authorized to
apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I
must obtain such permits prior to work.
TAFORMS\BIdgPermitform.wpd Applicant: 7//1 Date:
c/ePi
1639
40
1632
1704
1633
1626
Vertical Datum NA! P 88
Feet t;nnud Datum NAD 83/91
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J.OG I 51468
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The map of intended to be used as legal de epti n.
This ap /dra ring is produ ed to the City of Port Angeles for its own use and purposes.
An other use of this map /drawing shall not be the responsibility of the City. 4
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Prescriptive Approach Simple Form
For the Washington State Energy Code 2003 Edition
Climate Zone 1
Site Information Building Dep�ainnent Use Only-
Lot: Permit l 1' M
Address. 1,_... k y- Notes.
City Pe2_, ri
State Le 9A Zip 9 a
Contact: Y l G,t I't Z 1 /�GLtQ. V k7
Phone: �DJ
Phone 2. 4
FAX.
Table 6 -1
PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY
CLIMATE ZONE 1
Unlimited Glazing Option Only
Option Glazing Glazing U- Factor Door Wall Wall Wall Slab
Area U- Vaulted Above Interior Exterior on
of Floor Vertical Overhead Factor Ceilmg Ceiling Grade Below Below Floor Grade
Grade Grade
Unlimited
III Group R 3 0 40 0.58 0.20 R 38 R 30 R21 R 21 R 10 R 30 R 10
Occupancy
Only
This Project complies with the following:
The Project is a single family residence or duplex.
The Project is wood frame OR all of the insulation is interior or exterior of the framing.
✓All building components meet the requirements listed in Table 6 -1 Option III.
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 24ft. Or less, that does not meet the standards allowed.
Location of the door taking tins exception
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
Type of Heat Source: /---lea 2/14_
EXHIBIT A
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so
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r? of)
h-p
Q 11 PS'
vkit
Ai
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C
„.4tyrVV
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c' 9 °Q7
4 1 c40?
6 0A. i'1
g
0 3
S
4 4 ID (3
2,8/1Z
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type' description
Subdivision Name'
Property Use
Property Zoning
Application valuation
..-~
.l~
,.~
~
~;;;oo
Owner
Almaden Enterprises
PO Box 1075
PORT ANGELES
Other struct info .
Permit
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DNISION
321 EAST 5TH STREET, .PORT ANGELES, WA 98362
Ou~3S/
06-00000381 Date 5/03/06
862649
1625 W 12TH ST
06-30-00-0-3-5942-0000-
ALMADEN ENTERPRISES LLC
RES NEW SFR
/&Z ~/ItJ {z'th
RS7 RESDNTL SINGLE FAMILY
195455
Contractor
RENOVATE INC.
P. O. BOX 1075
WA 983639307 PORT ANGELES
(360) 457-7465
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Oim~
WA 98362
29.00
2.00
7000.00
2052.00
1. 00
PUBLIC WORKS RES WATER SERV
75994
715.00
5/02/06
10/29/06
Plan Check Fee
Valuation
.00
195455
Qty Unit Charge Per Extension
--------=~~~------~==~~~~~-~~----~~-~~~-=:_~~~~-~~~:_~~=~~--------~'~
Permit . . . . .
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
SANITARY SEWER HOOK UP
J~
75986
110.00
5/02/06
10/29/06
plan Check Fee
Valuation
.00
195455
q/7/oi
________'~~~___~~~~=~~~~~~_~;::__:~_:~~~~_~OOKUP_________________~
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.
A residential fire sprinkler system, installed per NFPA
13D, will be required.
2nd option is to install an outside alarm bell that is
inter-connected to the residence's smoke detectors.
The alarm bell will be painted red in color and identified
as "Fire alarm"
05/01/2006 03:33 PM SROBERDS -- The proposal will result
in a new sfr wlattached garage in the RS-7 zone for total
lot coverage of 24%. No land use issues are noted.
Electrical load calculations and elctrical permits are
required.
Cust,omer has been sent est. cost for line extension.
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:\Polictes\lI02.15R {I/OS}
""",,~.
.t,~
,.~
..... --
~~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST5THSTREET, PORT ANGELES, WA 98362
Application Number
Application pin number
06-00000381
862649
Page 2
Date 5/03/06
Special Notes and Comments
Connection fee of $410.00 also required.
04/26/2006 08:36 AM GMCLAIN ----------------------------
Sanitary sewer connection inspection is required by
Public works prior to back fill of ditch. 24 hour advance
notice is required.
-------------------------------------------------------------,------~---
Other Fees . _ . . . : . .. SEWER SYSTEM DELV CHARGE ~ 870. 00 ~
STATE SURCHARGE ___4,..~~
PW WATER SYSTEM USE FE~ ~1200.00~
------------------------------------------------------------- -----
Fee sununary charged Paid Credited Due
----------------- ---------- ---------- ---------- -------- -
Permit Fee Total 825.00 825.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 2074.50 2074.50 .00 .00
Grand Total 2899.50 2899.50 .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 goveming this type of work will be complied with whether specified herein or not. The granting of a permit does nol
presume to give authority to violate or cancel the provisions of any state or local law regulating constructio'n or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\11 02.15R (1/05]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . INSPECTION REPORT. . . . . . . . . .
/
REQUEST:
Date I ~3-l-01
Time
Received by -r r:
(phone. person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate onel:
~oundation Framing Chimney Plumbing
INSPECTION NOTES: ~ # /Jf'n
Inspected: Date ;!.,.. z..- -0 7 Time
Remarks: N<2W '1// PVc..' 'c.a<1Mecf-/O') -to
1&1-5 w \ z-t:b
A-l YY\a.d~~
Phone No. 4-&0- 833']
Permit No. 0(; -381
Final Sewer Excav. Other
E";'E>-I,~
By RV
711/J>V~ Icd<-r-o..l
RESTORATION REQUIRED . . . . .. YES
'f'JL ,',It. ~"-:;l
/ ,~~~:1"'~'~2 ~
'f
I
"
NO '^
- tlo
. \,...
?,'<(7~~dI'
-t..
t
Ne.v..J '.J"PVC-
I
7,t;
I
~...~
,
:\'16.1
"1'~c.. \"
i> , '"'
"2.:l-'/1:; . ~I~~
~~,,"
~
p
<4'
"-rye?
.
PIt.-
SURFACE RESTORATION: /2H >f~~-e'f.
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt q 0 pec
.
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 /.- 2. '5- D,
Time
Received by
12V
(phone. person)
Location of Work to be inspected J bZ5:' W
Name of person requesting inspection ~
Address of person requesting inspection
Type of Inspection (circle appropriate one): Permit No. ()"{,. -58 (
Sewer Foundation Framing Chimney Plumbing @ Sewer Excav. Other
1'2. -f k..
AJ 1111\...-1. c-\ ~ V\.
Phone No. <Y6o - <2I3:51
INSPECTION NOTES:
Inspected: Date 1 - 2..S - 6, Time
Remarks:
Seu..)Q..-- t-Z -07
])...y we.lls ~ or lkwlAspt'>u.j.5
f2V
Uk '8__g_('
'v
By
RESTORATION REQUiRED...... YES NO X.
Re\M.G>v~ rack t,- ~c>,^cf"~Te ~...o""'- 'R/Wj /l\.c,t-,..k..S:;de.c-t
A tl~y I \
"T1A6-1-.1l1 6V-:VQ. oc.c.e.s: S +0 Ilo2.<1 W 12-t-l,.,..) .suare.o-.
b...~u-e.,uJo-y lA.o1- C>..l~cUJ~c\.. Uj( ~~7-07 R.V
SURFACE RESTORATION:
SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC
D Other
D Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
D COMPLETE
D INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
~JY
APPLICATION FOR WATER.
City Waler Division
s--<f
,20~
Port Angeles, Washington
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises: 4/?'7- 6907
.FI! J. r /, 1";'0. I!i' ~ 7
. Name of Applicant: /?7t?dt'/7 t::::/77[Orprl,StoS CLc- I07!:
Address: / ~ z 6 tV /;;z. !ltl :5 r
.
'Renewal 0 New servic~k,-3&q Lot /1 Md oe>:3ClX03S'7.~
Size of service~ y' ~/; Meter ~er o,~ 0 .
Service Left On 0 Service Left ~ Signed V~A. ~
Installed by
Remarks: PeP/mil'#. tJ6-3t3;
1>'7/5 ~ + ~1rz.D()-
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Job wired by
~Electrical Contr:ictor 0 Owner
Electrical contractor name I License number Date Expires
A,~:~._ fleetl'\l"dt. r....,cttQt.tO,,"I -t1\("~
Purchiber smalling adllrcs$ .
5.:Uo Be.n L;,O l'\ . R.&.
~ -eJ. Slale ZIP
Tele~~:~mbe~ 1\3 ~ ~A~mC
~t.O -l}5;)..-/"/'5
Premises owner's Dame
A1I'I'I.Q&~'I\ G"'t-el'~tl'.,-e.{
Afdres,!;,of lospeetlon l" t'- .c-J, -l
IbOlS l.Je.<..-t oI.~ C\Tl'€-~
City P' . A .
CfBb3
. ""Y>\~
Ow"e,. a.; deflYu!.d fly RCW.19.211.261_"(J) Owner will occupy the slrucJuntfor two
Yl'AT.t nfl(!l" tilL'!: e1er:trit:a1 pennit if finalized. (2) Owner ;:;; required Iu hire an ;:u:t'tru.~CJI
confr'rJdor if "hove ~"jid prop<!rfy is for sale~ rell/ 01' lease,
After reading the :l.bavc st::l.ten1ent, I;,hcreby certify that 1 3m the owner of the above
named properly Ot a licensed electriCal CQntr3.ctOT. I am Ul3,1(in8 the electrical iustlll-
l.adon or al1el'atioll in' compliance with the electricl1I1awI>, N.E.C., RCW. Chapter
19.28. WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and
Utility Spc:~iflcations,
Sil;n3ture of WDer, electrical contractor or C!:Ier:trir:31 adminl$,tr:ltnr
X..::::::::' ~~ Date:5-3-:(co"
Electrical Load Ad . ons and or subtractions
Q NO LOIID CHANGES
o Baseboa,d KW
o Furnace KW
o Heat Pump Ton
o ~an-WalJ KW
ELECTRICAL WORK PERMIT APPLICATION.
Installation description
a Commercial ~Residelllial
'tii(New
a Altered! Addition
:43'1 ~ _')~ _ F+
r-e $' f ,.j ~ f\Ce.. ~
pI::) I€-- +" he-
4.\ ':::J )
VIe.. W
Y)e.. w
~e..-f i 1'\
,.
o C..,h 0 Check#
CvL~
o Credit Card VISa
Card #
Mastercard
Discover
ExpiraLionDate
of c(lrd
LAR
CJ Overhead Service
CJ Temp Service
~UndQrground Service
Voltaga <<).40
Phaselli(103
Service Size: ~
Feeder Size:
1'0 Be.-
SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN THERMOST.U
3 113/07 ~
. / rhA: Appl'Ovedt\y
0..
L
DITCH
0",
"'L~
7 ~ -
^P11f(>v~d .!;Iy
Al'fll'tlved Hy
SERVICE
3/:::107 ^'~
FErnER
DAte A.PC>I'OVC~ By
InspectiO!l
Date
Area,. Building or Equipment Inspected
1)lIte i\.l'ProvcdIly
Action Taken
Electrical
Ln~llector
g /c~--rd.
\
?li:!l S/~~b. .
Td Wtl'3S:0T 90 c >:0 'new
>:S1.9 CSt> 09>:
fl? u':l:Je U)
r-
'ON XtI.i
WOCl.i /
ClOIJtlCllNOJ ltlJIClIJ3l3 'S'd.tI
r)
/
~etlbY o Electrical Contraclor o Owner Inet3llatioll description
o Commercial ~ Residcmlial
EI"",lri,;~1 contructor n:lme Li=n.." nwnt,,:r Date Expi(Cll
11.\\ W'().l.w,,""",*,,^~Czn\;^. 11.\1 h)l:,\\c..\~t'"l'....\ <\.1\10"1- IJ New a Altorlld/Addiliun
Purchaser's muililll;: Ilddn::tlll ..)
"?'Oa 'Iv ""~ ~-\- L\!- -\- - "'h\-a..:r
.
City State ZIP
\lor\- AMM,..\-<t"-, \^ ) A- '\~ q,l.ad.
Tc;:/cphonc numbel' ~ FAX IIwr:lber ,
1..l~'J .q"i(\~ I..\~a -":"I"T-1-
Premist'li UWJltlr's RlImtl
~\fV-A~ 'A G \,d..,.c \' f' .. <, p ."}
Address ul" inspudil.n
-~ \ \..,;)'S \,U . \~~
~
-\- A,-,.";/~-e "-,
PbUD~ "ulubul' to sdu::dullJ inspcctiullr~lpO)l.{~ 1- ~ ~Y loS
Owner w; lJefinuJ by J~CW.J9.28.16J:(1) Ow",:r wjll UC;CIIPY ihl: .Jtrllctllrr:jor twu
year:)' ajt~,. this electrical pe,rmit is jl/UJleed. (1) OW,ler i5 require.d (0 hire all elue/rica!
c(JIllracrol' if above .raid property i,)' jor .rale. rem or few!/!. o Cash o Cheuk #
After ceadil\~ UIC OIbove S!41lement. I l1ereby cel1ify th.:l.t L :un the owner of the above ~CrtdilCard
lIumed properly or i1 lict:llSOO c1I1lCldcal COlllractor. I aln making lhi) l,)jl;ctrical instal- Visa Mastercard Discover
liltioll or altt:rd.lion in ct.:lIupliilni:e with the electrical laws, N.E.C.. RCW. Chapter
19.28. WAC. Ch.olpter 296.465. Tht; City of Port Angeles Municipal Code, IInu Card # . . .
Utility Specifica.tions. --------~-------
Sign::ltul'e or owner, electl'ical cuutractur ue electrical adlllllll51r:.tOI' Expiroition Date C ~nSJlcctiQn fee
X Date: of card
S'
l
~. r --'J'..'i
...,...
ELECTRICAL WORK PERMIT APPLICATION
Electrical Load Additions and or subtraetions
a NO LOAD CHANGES
Cl BaS0board '-- .wv
Cl Fumac~ 'KW
a Heal Pump _ Ton _ LAA
o Fan.Wall t<:W
Service Information
o Overhead Service
o Temp SelVice
o Underground Service
Voltage
Phase 0 1 a 3
Service Size: _
Feeder Size:
SAME DAY INSPECTION. CALL BEl10RE 7:00 AM 360-417-4735
3h'f/:OUC,HJfl THERMOSTAT SERVICE
1)"1.. i\pprllvlILllly DlIlo APlllllWIlDl'
J IJllU ^j\I>rtlv~t1~)'
/ FINAL DITCH FEF.DER
/,. A dn
le>fIM1n7 [hll~ AOllfov.:d 8y./ Ulil~ ApJltov..d By
ll"lt; Apprvvull ay '-
lnspC:CliOIl Area, BuiluinJ; or Equipment (nspcc~u Actiou Taken Electrical
Dille lnspcctor
J.d3CJ Jian
LOOG l.t ~\fW
(JI ~JU ':II 1~~llJl
--=
..
E0/E0 38\1d
8NI1\l3H ~3Hl\l3M ll\l
LL TSZ:SP09n
EZ::Z:Z: 900Z:/SZ:/S0
!
e
ELECTRICAL WORKPERMlT APPLICATION.
Job wired by
ilJ{Electrical Contractor CJ Owner
lnstaUl1tion dC$criplioll
Q Commercial ~ Residential
Ele~e~~~:"ao61;"d,..j C-Al
P~ser's mailing address ~
'0110 ~
Cil~ocb- ~
T'l,p~b om~"LJ 6 d- ~& ., 1Q:;AX number
License number Date Hxpircs
M'56 LCL<f'j1. <4N
~ew
o Allered/AddilioD
rJ4:
Cf~~b3
Sa:m 'e...-
loa A TI,~~
~~
.
I're~'l'M~.:..\e 6I'\-h/"pr'f~.e:S'
Addr"f ;; i~Pg"O' W . I d- ~ f:J' ~
Clly .R,,,--t- 4nq.eh S
Phooe numbtt S "~t~ J:~ee IOlj bo - 193.
Owner as defined by RCHt../9.28.26/:(l) Owner will nccupy the Structure' for two
yeor.~ afte:~ this elecldral po-nIi! j~' finalized. (2) Owner is required rn flirf!. an electrical
COfltractor if abo~e ,~aid pl'Opcrfy ~ fCJr sale. rent or lease,
After re..uling the above statement, I hereby ccnity 1hat I am the owner of the above
named property or a licensed electrical contractor. I am making the electrical instal-
lation or altcmtion in co.npliance with the electdcal Jaws, N.I::.C., RCW. Chapter
19.28, WAC. Chapter 296-468, The City of Pan Angeles Municipal Code, and
Utility Specifications.
Sign~tll
Q Cash 0 Check #
Q Credil Card Visa
Card #
~"M
Mastercard
Discover
----------------
x
Expiration Date
of card
electrical load Addlti
o NO LOAD CHANGES
Q Baseboard KW
o Fumacla KW
Q Heat Pump Ton
o Fan"Wall tM
and or subtractions
Service Information
LAR
Q Overhead Service
'l(Temp Service
Q Ul"lderground Service
Voltage
Phase 0 , CJ 3
Service Size: _
Feeder Size:
SAME nAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGIi-JN
'fHERl'\10S1Af
SERVICE
D~(c
Approved B)'
D;a.te
APPhlV(;ij By
D..
Apf'll>>'e4 By
FINAL
~)jO/' .'PP~''''y
DITCH
FEEDER
[hIe ^"proved Dr
D:..t~ ApJll'O"ed By
TnspeClion
Dat~~
Area, Building 01" Equipment rn~l'ectcd
Action Ti\ken
Elccrric31
Inspector
~"n
1d W~01:60 900G 80 "5n~
>:SL9 GS~ 09>:
"ON XI:J.oJ
d01JI:JdlNOJ lI:JJldlJ3l3 .S"d"1:J
WOd.oJ
..
~)L
!~
"",'."""".
..-
"'~ =~
't'1IIQM~"
lob wired by ~Iectrical Contractor 0 Owner
EI~;~~lr"c6i~C/t6' (t4/ L;ccn^~'st;L c.J.qZ:t~
5!f'bmaiJi~1\ ~ad
~rk 4l\~-U~5 SIWZ~ 4'l3f3
1~O n"~~~ a :7 6 'J~X n\l~b~ WI'L.,
l'reJnises ownerJs name
ELECTRICAL WORK PERMIT APPLICATION
.J
InstalJatioll description
o Cummercial ')( Residential
~New 0 Altered/Additiun
. ,
ICQ 4 ~n1.AAl
~
1
I{;,~ IA) /1ti 6'r
OWIW' as defined by RCw'J9.18.261 ;(1) Owner will occupy the SP"tlctljre for two
yean after this electrical permir i!.'jinalized. (2) Owner is requir~'d 10 !lire WI clr:ct,icul
C.'Onfrac/ur if abuve !.'aiJ pruperly is Jor sale. rent or lease.
Aftcr rcadin,g the a.bove statemenl. I hereby cel'tify that I am the owner of the above
named propel'ty or a licensed electrical contractor. I am making thc electrical instal-
lalion or alteration in' compliance wlth the electrical laws. N.H.C" RCW. Chaptcr
19_28, WAC. Ch;~pter 296-46B, The City of Port Angelcs Municipal Coot:, and
Utility Specificaliom:i.
~g~WDer. elee
E sctrieal Loael A T
[J NO LOAD CHANGES
[J Baseboard KW
o Furnace KW
[J Heat Pump Ton
[J Fan-Wall KW
o Cash
o Check #
M
~
o Credit Card
Card #
Visa
Mastercard
Discover
-~--------------
kal contr:actor or electric.lIl administrator
~~ate:5-';(;) 0
Expiration Date
of card
JnSPICJion fee
$ I~ ;)0
Servlge Infor.mation
and or subtracti=
LAR
~ Overhead Service
CJ Tamp Service
o Underground Service
Voltage
Phase 0 1 [J 3
Service Size;
Feeder Size:
SAME DAY INSPECTION CALL BEFORE 7'00 AM 360-417-4735
. - -
ROUCH-IN '--- r TIlERMOSTAT ( SERVICE
)
I.
D~I~ ..I,.pplovlalBy ) \.. 11::\11.: Apjli'ovt(l Hy ./ '- D;atc: APClIOv,:,j By
,r ,,-
,~t" FINAL DITCH FEEDER
W'e.. !;!;l.y ./
S':2.'5-D~
[)~1e '- D.:ate ^pprov~d By ./ D;l.te ^rflfOvd By
lnspeclion Area, Building or Equipment Inspected Eledriclll
Date Action T4t..en I]spectof
6!ttZ./X. r. \!i\ ItJhB4-I'~F b 41 () $L- A90(lotj~L:l ~~7)
\ - .
r----.
\ '\
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,
......... \ "\ ... .,.." .- -. .'_n.
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\
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