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Home My WebLink About1222 W 12th St - BuildingPREPARED 10/13/06 10 22 13 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/13/06 ADDRESS 1222 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6815 0000 APPL NUMBER 05 00000404 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 10/05/06 JLL BUILDING FINAL TIME 13 00 10/05/06 DA TOM 460 4240 10/04/2006 04 53 PM DYASUMUR 10/05/2006 04 18 PM JLIERLY hand rail /header height to be 6 8 at stairs/j11 BL99 02 10/13/06 J BUILDING FINAL TIME 13 00 TOM 460 4240 CALL FOR KEY TO GET IN 10/13/2006 08 03 AM DYASUMUR COMMENTS AND NOTES Job Located at Date BUILDING DIVISION CITY OF PORT ANGELES Correction Notice /.%).a.2 u is Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction kt&.0 )(6, i 609,..An These corrections must be made and are not to be covered until reinspection is a Wen c9rxections have been made, please cal for inspection i Inspector for Building Division DO NOT REMOVE THIS TAG PREPARED 10/05/06 11 16 37 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/05/06 ADDRESS 1222 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6815 0000 APPL NUMBER 05 00000404 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 10/05/06 JLL BUILDING FINAL TIME 13 00 TOM 460 4240 10/04/2006 04 53 PM DYASUMUR PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME5 01 3/02/06 JLL MECHANICAL DUCTS TIME 13 00 3/02/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 03/02/06 TIME 07 51 53 03/02/2006 07 51 AM DYASUMUR DAVID LEE 03/02/2006 04 41 PM PBARTHOL ME99 01 10/05/06 JLL MECHANICAL FINAL TIME 13 00 10/04/2006 04 54 PM DYASUMUR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 11/08/05 JLL PLUMBING UNDER SLAB TIME 17 00 11/08/05 AP 11/08/2005 08 13 AM PBARTHOL DAVID 460 7454 11/08/2005 12 51 PM PBARTHOL 11/08/2005 05 02 PM JLIERLY PL6 01 2/10/06 JLL PLUMBING WATER SUPPLY TIME 13 00 2/10/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 02/09/06 TIME 16 33 02 02/09/2006 04 32 PM DYASUMUR DAVID LEE 02/10/2006 04 52 PM PBARTHOL PL2 01 3/02/06 JLL PLUMBING ROUGH IN TIME 13 00 3/02/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 03/02/06 TIME 07 51 53 03/02/2006 07 51 AM DYASUMUR DAVID LEE 03/02/2006 04 41 PM PBARTHOL PL99 01 10/05/06 JLL PLUMBING FINAL TIME 13 00 10/04/2006 04 54 PM DYASUMUR COMMENTS AND NOTES PREPARED 6/22/06 11 03 25 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/22/06 ADDRESS 1222 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6815 0000 APPL NUMBER 05 00000404 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 10/07/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 10/07/05 AP 10/06/2005 03 04 PM PBARTHOL DAVID 460 7454 10/07/2005 04 07 PM JLIERLY BI2 01 10/17/05 JLL BUILDING FOUNDATION WALL 10/17/05 DA 10/17/2005 09 56 AM PBARTHOL DAVID 460 7454 submitt drawings on changes to structure/j11 10/17/2005 04 51 PM JLIERLY BI2 02 10/20/05 JLL BUILDING FOUNDATION WALL TIME 17 00 10/20/05 AP 10/19/2005 01 43 PM PBARTHOL DAVID 460 7454 10/20/2005 04 47 PM PBARTHOL BLFD 01 10/28/05 JLL BUILDING FOUNDATION DRAINAGE 10/28/05 AP 10/27/2005 04 09 PM PBARTHOL TOM 460 4240 10/28/2005 04 45 PM JLIERLY BL1 02 11/01/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 11/01/05 AP 11/01/2005 08 03 AM PBARTHOL 11/01/2005 04 30 PM PBARTHOL BL9 01 12/05/05 JLL BUILDING SHEARWALL TIME 17 00 12/05/05 AP 12/05/2005 08 38 AM PBARTHOL richard 460 2663 12/05/2005 04 35 PM JLIERLY BL3 01 2/15/06 JLL BUILDING FRAMING TIME 13 00 2/15/06 DA OVERRIDE TAKEN BY DYASUMUR DATE 02/14/06 TIME 13 42 31 02/14/2006 01 42 PM DYASUMUR DAVID 460 7454 02/15/2006 04 11 PM JLIERLY stringer reqd to have brace or approved hanger at top /sill reqd to be sealed lower floor /mech exh fans reqd metal duct with three tec screws and seal tap around connections/j11 BAIR 01 3/02/06 JLL BUILDING AIR SEAL TIME 08 00 3/02/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 03/02/06 TIME 07 51 53 03/02/2006 07 49 AM DYASUMUR DAVID LEE INFORM CONTRACTOR HIS LICENSE HAS EXPIRED AND HE HAS OUTSTANDING FEES 03/02/2006 04 41 PM PBARTHOL BL3 02 3/02/06 JLL BUILDING FRAMING TIME 13 00 3/02/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 03/02/06 TIME 07 51 53 03/02/2006 07 50 AM DYASUMUR DAVID LEE 03/02/2006 04 41 PM PBARTHOL PW99 01 6/20/06 RV PUBLIC WORKS FINAL 6/20/06 AP 06/21/2006 10 17 AM RVESS 06/21/2006 10 18 AM RVESS DRW 01 6/ 2/06 J L TOIL4I4YWELL TIME 13 00 TOM 460 0 4240 06/22/2006 08 12 AM DYASUMUR COMMENTS AND NOTES PREPARED 3/02/06 11 42 44 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/02/06 ADDRESS 1222 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6815 0000 APPL NUMBER 05 00000404 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 10/07/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 10/07/05 AP 10/06/2005 03 04 PM PBARTHOL DAVID 460 7454 10/07/2005 04 07 PM JLIERLY BI2 01 10/17/05 JLL BUILDING FOUNDATION WALL 10/17/05 DA 10/17/2005 09 56 AM PBARTHOL DAVID 460 7454 submitt drawings on changes to structure/j11 10/17/2005 04 51 PM JLIERLY BI2 02 10/20/05 JLL BUILDING FOUNDATION WALL TIME 17 00 10/20/05 AP 10/19/2005 01 43 PM PBARTHOL DAVID 460 7454 10/20/2005 04 47 PM PBARTHOL BLFD 01 10/28/05 JLL BUILDING FOUNDATION DRAINAGE 10/28/05 AP 10/27/2005 04 09 PM PBARTHOL TOM 460 4240 10/28/2005 04 45 PM JLIERLY BL1 02 11/01/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 11/01/05 AP 11/01/2005 08 03 AM PBARTHOL 11/01/2005 04 30 PM PBARTHOL BL9 01 12/05/05 JLL BUILDING SHEARWALL TIME 17 00 12/05/05 AP 12/05/2005 08 38 AM PBARTHOL richard 460 2663 12/05/2005 04 35 PM JLIERLY BL3 01 2/15/06 JLL BUILDING FRAMING TIME 13 00 2/15/06 DA OVERRIDE TAKEN BY DYASUMUR DATE 02/14/06 TIME 13 42 31 02/14/2006 01 42 PM DYASUMUR DAVID 460 7454 02/15/2006 04 11 PM JLIERLY stringer reqd to have brace or approved hanger at top /sill reqd to be sealed lower floor /mech exh fans reqd metal duct with three tec screws and seal tap around connections/j11 BAIR O1 3 02/06 J L BUILDING AIR SEAL TIME 08 00 3� Q{Q OVERRIDE TAKEN BY DYASUMUR DATE 03/02/06 TIME 07 51 53 03/02/2006 07 49 AM DYASUMUR DAVID LEE INFORM CONTRACTOR HIS LICENSE HAS EXPIRED AND HE HAS OUTSTANDING FEES BL3 02 3/02/.6 JLL BUILDING FRAMING TIME 13 00 OVERRIDE TAKEN BY DYASUMUR DATE 03/02/06 TIME 07 51 53 03/02/2006 07 50 AM DYASUMUR DAVID LEE PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME5 01 3/ ➢6 JLL MECHANICAL DUCTS TIME 13 00 OVERRIDE TAKEN BY DYASUMUR DATE 03/02/06 TIME 07 51 53 03/02/2006 07 51 AM DYASUMUR DAVID LEE PERMIT PL 00 PLUMBING PERMIT PREPARED 3/02/06 11 42 44 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/02/06 ADDRESS 1222 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6815 0000 APPL NUMBER 05 00000404 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 11/08/05 JLL PLUMBING UNDER SLAB TIME 17 00 11/08/05 AP 11/08/2005 08 13 AM PBARTHOL DAVID 460 7454 11/08/2005 12 51 PM PBARTHOL 11/08/2005 05 02 PM JLIERLY PL6 01 2/10/06 JLL PLUMBING WATER SUPPLY TIME 13 00 2/10/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 02/09/06 TIME 16 33 02 02/09/2006 04 32 PM DYASUMUR DAVID LEE 02/10/2006 04 52 PM PBARTHOL 01 3/02/.06 JLL PLUMBING ROUGH IN TIME 13 00 OVERRIDE TAKEN BY DYASUMUR DATE 03/02/06 TIME 07 51 53 03/02/2006 07 51 AM DYASUMUR PL2 DAVID LEE COMMENTS AND NOTES PREPARED 2/15/06 14 09 59 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 10/07/05 JLL 10/07/05 AP BI2 01 10/17/05 JLL 10/17/05 DA BI2 02 10/20/05 JLL 10/20/05 AP BLFD 01 10/28/05 JLL 10/28/05 AP BL1 02 11/01/05 JLL 11/01/05 AP BL9 01 12/05/05 JLL 12/05/05 AP BL3 01 2/15 06 8 PERMIT TYP /SQ EL1 01 1/27/06 ACO 1/27/06 AP 1222 W 12TH ST COLUMBIA PACIFIC BUILDERS INC THOMAS LUNDERVILLE ETAL 06 30 00 0 3 6815 0000 05 00000404 RES NEW SFR INSPECTOR JAMES L LIERLY BUILDING FOUNDATION FOOTING TIME 17 00 10/06/2005 03 04 PM PBARTHOL DAVID 460 7454 10/07/2005 04 07 PM JLIERLY BUILDING FOUNDATION WALL 10/17/2005 09 56 AM PBARTHOL DAVID 460 7454 submitt drawings on changes to structure /j11 10/17/2005 04 51 PM JLIERLY BUILDING FOUNDATION WALL TIME 17 00 10/19/2005 01 43 PM PBARTHOL DAVID 460 7454 10/20/2005 04 47 PM PBARTHOL BUILDING FOUNDATION DRAINAGE 10/27/2005 04 09 PM PBARTHOL TOM 460 4240 10/28/2005 04 45 PM JLIERLY BUILDING FOUNDATION FOOTING TIME 17 00 11/01/2005 08 03 AM PBARTHOL 11/01/2005 04 30 PM PBARTHOL BUILDING SHEARWALL TIME 17 00 12/05/2005 08 38 AM PBARTHOL richard 460 2663 12/05/2005 04 35 PM JLIERLY BUILDING FRAMING TIME 13 00 OVERRIDE TAKEN BY DYASUMUR DATE 02/14/06 TIME 13 42 31 02/14/2006 01 42 PM DYASUMUR DAVID 460 7454 ELNR 00 ELECTRICAL NEW RESIDENTIAL SUB SHAMP ELECTRICAL CONTRACTING (360)452 1689 REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS PL1 01 11/08/05 JLL 11/08/05 AP PL6 01 2/10/06 JLL 2/10/06 AP ELECTRICAL ROUGH IN 01/27/2006 02 44 PM AOMAN 01/27/2006 02 44 PM AOMAN PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 457 7525 PHONE PAGE 8 DATE 2/15/06 PLUMBING UNDER SLAB TIME 17 00 11/08/2005 08 13 AM PBARTHOL DAVID 460 7454 11/08/2005 12 51 PM PBARTHOL 11/08/2005 05 02 PM JLIERLY PLUMBING WATER SUPPLY TIME 13 00 OVERRIDE TAKEN BY DYASUMUR DATE 02/09/06 TIME 16 33 02 02/09/2006 04 32 PM DYASUMUR DAVID LEE 02/10/2006 04 52 PM PBARTHOL COMMENTS AND NOTES Sure 4-0(( sc l p c 1 L O�/� PREPARED 2/10/06 12 41 47 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER PL1 01 11/08/05 JLL 11/08/05 AP 1222 W 12TH ST COLUMBIA PACIFIC BUILDERS INC THOMAS LUNDERVILLE ETAL 06 30 00 0 3 6815 0000 05 00000404 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP TYP /SQ COMPLETED RESULT PL6 01 2/,0/06 JLL 4 l DESCRIPTION RESULTS /COMMENTS INSPECTION TICKET INSPECTOR JAMES L LIERLY PLUMBING UNDER SLAB TIME 17 00 11/08/2005 08 13 AM PBARTHOL DAVID 460 7454 11/08/2005 12 51 PM PBARTHOL 11/08/2005 05 02 PM JLIERLY PLUMBING WATER SUPPLY TIME 13 00 OVERRIDE TAKEN BY DYASUMUR DATE 02/09/06 TIME 16 33 02 02/09/2006 04 32 PM DYASUMUR DAVID LEE COMMENTS AND NOTES SUBDIV PHONE (360) 457 7525 PHONE PAGE 4 DATE 2/10/06 PREPARED 12/05/05 13 36 04 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/05/05 ADDRESS 1222 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6815 0000 APPL NUMBER 05 00000404 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 10/07/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 10/07/05 AP 10/06/2005 03 04 PM PBARTHOL DAVID 460 7454 10/07/2005 04 07 PM JLIERLY BI2 01 10/17/05 JLL ERROR 10/17/05 DA 10/17/2005 09 56 AM PBARTHOL DAVID 460 7454 submitt drawings on changes to structure /j11 10/17/2005 04 51 PM JLIERLY BI2 02 10/20/05 JLL *ERROR TIME 17 00 10/20/05 AP 10/19/2005 01 43 PM PBARTHOL DAVID 460 7454 10/20/2005 04 47 PM PBARTHOL BLFD 01 10/28/05 JLL BUILDING FOUNDATION DRAINAGE 10/28/05 AP 10/27/2005 04 09 PM PBARTHOL TOM 460 4240 10/28/2005 04 45 PM JLIERLY BUILDING FOUNDATION FOOTING TIME 17 00 11/01/2005 08 03 AM PBARTHOL 11/01/2005 04 30 PM PBARTHOL BL9 01 12/05 05 JLL BUILDING SHEARWALL TIME 17 00 o /h 08 38 AM PBARTHOL richard I /�T7T richard 460 2663 BL1 02 11/01/05 JLL 11/01/05 AP COMMENTS AND NOTES PREPARED 11/08/05 13 03 42 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/08/05 ADDRESS 1222 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6820 0000 APPL NUMBER 05 00000404 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 11 0 /05 JLL PLUMBING UNDER SLAB TIME 17 00 11/08/2005 08 13 AM PBARTHOL DAVID 460 7454 11/08/2005 12 51 PM PBARTHOL COMMENTS AND NOTES PREPARED 11/01/05 12 44 55 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/01/05 ADDRESS 1222 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6820 0000 APPL NUMBER 05 00000404 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 10/07/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 10/07/05 AP 10/06/2005 03 04 PM PBARTHOL DAVID 460 7454 10/07/2005 04 07 PM JLIERLY BI2 01 10/17/05 JLL BUILDING FOUNDATION WALL 10/17/05 DA 10/17/2005 09 56 AM PBARTHOL DAVID 460 7454 submitt drawings on changes to structure /j11 10/17/2005 04 51 PM JLIERLY BI2 02 10/20/05 JLL BUILDING FOUNDATION WALL TIME 17 00 10/20/05 AP 10/19/2005 01 43 PM PBARTHOL DAVID 460 7454 10/20/2005 04 47 PM PBARTHOL BLFD 01 10/28/05 JLL BUILDING FOUNDATION DRAINAGE 10/28/05 AP 10/27/2005 04 09 PM PBARTHOL TOM 460 4240 10/28/2005 04 45 PM JLIERLY BL1 02 /01/05 JLL 1UI01ING 5OUN8A0ION FOOTING TIME 17 00 11/01/2005 08 03 AM PBARTHOL COMMENTS AND NOTES PREPARED 10/28/05 12 59 07 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/28/05 ADDRESS 1222 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6820 0000 APPL NUMBER 05 00000404 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 10/07/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 10/07/05 AP 10/06/2005 03 04 PM PBARTHOL DAVID 460 7454 10/07/2005 04 07 PM JLIERLY BI2 01 10/17/05 JLL BUILDING FOUNDATION WALL 10/17/05 DA 10/17/2005 09 56 AM PBARTHOL DAVID 460 7454 submitt drawings on changes to structure /j11 10/17/2005 04 51 PM JLIERLY BI2 02 10/20/05 JLL BUILDING FOUNDATION WALL TIME 17 00 10/20/05 AP 10/19/2005 01 43 PM PBARTHOL DAVID 460 7454 10/20/2005 04 47 PM PBARTHOL BLFD 01 10 28 05 LL BUILDING FOUNDATION DRAINAGE 10/27/2005 04 09 PM PBARTHOL TOM 460 4240 COMMENTS AND NOTES PREPARED 10/20/05 11 28 30 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES ADDRESS 1222 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6820 0000 APPL NUMBER 05 00000404 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTOR JAMES -L LIERLY BL1 01 10/07/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 10/07/05 AP 10/06/2005 03 04 PM PBARTHOL DAVID 460 7454 10/07/2005 04 07 PM JLIERLY BI2 01 10/17/05 JLL BUILDING FOUNDATION WALL 10/17/05 DA 10/17/2005 09 56 AM PBARTHOL DAVID 460 7454 submitt drawings on changes to structure /j11 10/17/2005 04 51 PM JLIERLY 10/20/0, JL BUILDING FOUNDATION WALL TIME 17 00 BI2 02 10/19/2005 01 43 PM PBARTHOL 6 /j j'�' DAVID 460 7454 COMMENTS AND NOTES DATE 10/20/05 PREPARED 10/17/05 12 21 01 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/17/05 ADDRESS 1222 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6820 0000 APPL NUMBER 05 00000404 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 10/07/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 10/07/05 AP 10/06/2005 03 04 PM PBARTHOL DAVID 460 7454 10/07/2005 04 07 PM JLIERLY BI2 01 10/17/05 JLL BUILDING FOUNDATION WALL 10/17/2005 09 56 AM PBARTHOL DAVID 460 7454 b pcs g S C m.,t(J;; pLe COMMENTS AND NOTES PREPARED 10/07/05 12 44 37 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/07/05 ADDRESS 1222 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6820 0000 APPL NUMBER 05 00000404 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 10 7 05 BUILDING FOUNDATION FOOTING TIME 17 00 10/06/2005 03 04 PM PBARTHOL DAVID 460 7454 COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner THOMAS LUNDERVILLE ETAL 3812 OBRIEN RD PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T \Policies\ 1102.15R [1/05] WA 983627426 RIGHT OF WAY CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000404 997024 1222 W 12TH ST 06 30 00 0 3 6820 0000 RES NEW SFR RS7 RESDNTL SINGLE FAMILY 186058 Contractor COLUMBIA PACIFIC BUILDERS INC P 0 BOX 1750 PORT ANGELES WA 98362 (360) 457 7525 TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS PUBLIC WORKS RES WATER SERV 50559 715 00 Plan Check Fee 9/15/05 Valuation 3/14/06 Qty Unit Charge Per 1 00 715 0000 EA PW W/M 1 SERV 5/8 METER 50567 50 00 Plan Check Fee 9/15/05 Valuation 3/14/06 50 0000 ECH RIGHT OF WAY PERMIT SANITARY SEWER HOOK UP 50542 110 00 Plan Check Fee 9/15/05 Valuation 3/14/06 Qty Unit Charge Per 1 00 110 0000 EA SAN SEWER HOOKUP Special Notes and Comments Building address sign shall not be less than 6 not more than 12 in height Numbers colors must contrast with wall color they are mounted on (Ord 14 36 050 E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations The Fire Department has reviewed the project application and Date 9/15/05 30 00 2 00 7000 00 2100 00 1 00 00 186058 Extension 715 00 00 186058 Extension 50 00 0 0 186058 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 fora period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection 1 hereby certify that 1 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 const 'on. ,vn 40L 1 p e ilir/Os L /L .,t.t//V ?AT /a Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Data CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 10 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 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T\Policies \1102.15R [1/05] RESIDENTIAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES 1 NO COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING I I I I I I I I OF FORT ANC Application Number 05 00000404 Application pin number 997024 Special Notes and Comments has no comments 06/06/2005 11 07 AM SROBERDS Construct s f res w /att garage for a total lot coverage of 30% Setbacks are good No land use issues are noted Electrical load calculations and elctrical permits are required Connection fee under 2004 policy $222 00 05/31/2005 09 59 AM GMCLAIN Sidewalk to City standards required for school walking route Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Charged Paid Credited 875 00 875 00 00 00 00 00 1774 50 1774 50 00 2649 50 2649 50 00 Page 2 Date 9/15/05 745 00 4 50 1025 00 Due 00 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T \Policies \1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL T 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 RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T \Policies \1102.15R [1/05] KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING I I I 1 1 I 1 1 I Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner THOMAS LUNDERVILLE ETAL 3812 OBRIEN RD PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 98362 Qty Unit Charge Per 87 00 5 6000 THOU Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 5 00 7 2500 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 12 00 7 0000 1 00 7 0000 1 00 15 0000 1 00 7 0000 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 MECHANICAL PERMIT Signature of Contractor or Authorized Agent Per BASE FEE ECH ME VENT FAN PLUMBING PERMIT ECH ECH ECH ECH T Policies \1102_15 building permit inspection record05 wpd [1/4/2005] 05 00000404 997024 1222 W 12TH ST 06 30 00 0 3 6820 0000 RES NEW SFR RS7 RESDNTL SINGLE FAMILY 186058 Contractor COLUMBIA PACIFIC BUILDERS INC P 0 BOX 1750 7426 PORT ANGELES WA 98362 (360) 457 7525 TOTAL LOT COVERAGE 30 00 NUMBER OF STORIES 2 00 LOT SIZE 7000 00 TOTAL LOT COVERAGE 2100 00 NUMBER OF UNITS 1 00 BUILDING PERMIT RESIDENTIAL 50575 1504 45 Plan Check Fee 9/15/05 Valuation 3/14/06 BASE FEE BL -100 001 500K (5 60 PER K) 50641 83 25 Plan Check Fee 9/15/05 Valuation 3/14/06 50658 160 00 Plan Check Fee 9/15/05 Valuation 3/14/06 BASE FEE PL- EA FIXTURE ON ONE TRAP PL- EA INSTALL WATER PIPE PL- EA BLDG SEWER PL- EA WATER HEATER 9 //.T' /s Date Date 9/15/05 Extension 1017 25 487 20 fVert /o//VO6 601 78 186058 00 0 Extension 47 00 36 25 0 0 0 Extension 47 00 84 00 7 00 15 00 7 00 Special Notes and Comments Building address sign shall not be less than 6 not more Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of constru Signature of Owner (if owner is builder) Ffo 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 DATE ACCEPTED YES 1 NO 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 Ws PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING FIRE 417 -4807 417 -4653 I PLANNING DEPT 417 -4750 BUILDING 417 -4815 1 T \Policies \1 102 15 building permit inspection record05.wpd 1/4/2005] BUILDING PERMIT INSPECTION RECORD SEPA. ESA. SHORELINE. COMMENTS 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 FIRE DEPT I PLANNING DEPT BUILDING 1 I I I 1 I I I 1 1 O, pORr. AO Application Number Application pin number Special Notes and Comments than 12 in height Numbers colors must contrast with wall color they are mounted on (Ord 14 36 050 E) When roof gutters are installed drains will located in dry wells or piped to approved storm drain locations The Fire Department has reviewed the project application and has no comments 06/06/2005 11 07 AM SROBERDS Construct s f res w /att garage for a total lot coverage of 30% Setbacks are good No land use issues are noted Electrical load calculations and elctrical permits are required Connection fee under 2004 policy $222 00 05/31/2005 09 59 AM GMCLAIN Sidewalk to City standards required for school walking route Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete Other Fees Fee summary Charg ed Pe rmit Fee Total Plan Check Total Other Fee Total Grand Total 1747 70 601 78 1774 50 4123 98 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 \Policies11102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 05 00000404 Date 997024 SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Paid Credited Due 1747 70 601 78 1774 50 4123 98 00 00 00 00 2 9/15/05 745 00 4 50 1025 00 00 00 00 00 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. 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 DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING FIRE PLANNING DEPT BUILDING r. p.-1, <\l ln9 INSPECTION TYPE DATE RESIDENTIAL BUILDING PERMIT INSPECTION RECORD -r- Alp/ I /o -7 -o-S I J J-L to 2o• I L1. 107 YES ACCEPTED NO ree nnq OS' t 23 I J U, 6/w /04 1 1 1 1 1/1- -mss 1d 1-k 1 7A /o6ju. h/( o /OG, I r`li 1 1 1 1 1 1 1 1 I*1 1 1 1' 1 1 1 f 1.ji_L 1 13/2,/cxel 1 1141 1 1 I I I I 417 -4735 ELECTRICAL LIGHT DEPT 417 -4807 PW ENGINEEORING R.W 417 -4653 I 1 1 I FIRE DEPT 417 -4750 i I 1 1 PLANNING DEPT 417 -4815 1 V 4„_---1 1 BUILDING 15 huildine permit inspection record05 wpd 11/4/2005') SEPA. ESA. SHORELINE. COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO Applicant or Agent: T V.ot Lv&cfu\ tfE Owner:C.15 tt.L M ia- Per 6 c =44 1'7 5Z) City kAt Address. p i3� Architect/Engineer E Contractor k, 'in P/k c 1! IA Xu+c•State License ti C;;1(Am Address. t? E3 a c 1 SO City' P4 d A PROJECT ADDRESS. 1 Z ZZ W I2+ LEGAL DESCRIPTION Lot: rc Block: 3G) CLALLAM COUNTY PARCEL NUMBER. 04 3 00 Credit Card Holder Name: Billing Address: Credit CardType VISA TYPE OF WORK. el- Residential mew Constr Multi family Addition CI Commercial Remodel Repair BRIEF DESCRIPTION OF THE PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call (360) 417 -4815 MC is Re -roof Move Demolition Sign PROJECT City- ESA/Wctland(s) Yes No SEPA Checklist required? 0 'es D No Other 12 //O as V al R FOR OFFICIAL USE ONL\ Date Rec..6 /q— e,3 Permit OS 7 I Date Approved. 0 Date issued: Phone 36ne) 'I— !o$� Phone 3 3S r7 a CeS 1 Zip r "3 ra 7 Phone 3(a.0 S+ S} %1J Phone: 3to0 S 6, 6, krA-- Zip 9 S' 3 G ZONING Subdivision '7 P �4 0 ctOO Exp. Date. 60 SIZE/VALUATION: -g �`ja,S s Stove r C7 i, ,P SF L, i Garage h .Zq j 2' SF c 4'?; 6 y 9 1. rai .c i Q k 2 m N sF 7 JfSF Other TOTAL VALUATION Z aire 144?c..-k- COMMERCIAL /RESIDENTIAL. Occupancy Gr ap Occupant Load. Construction Type Woo 1 No. of Stories: 1 Lot Size 1/v,../0 Existing Sq Ft. Pro :,used Sq Ft. A761 A. TOTAL Sq Existing lot coverage Proposed lot coverage i Total lot coverage 30 BUILDING PERMIT APPLICATION SUBMITTAL The Building Division can provide you with information on the application and plan submittal requirements if you have questions 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 cornply with current fee schedules Contact the Permit Coordinator at 417-481s for assistance PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and constriction plans are submitted. All other pemut fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107 4 of the Uniform Building Code, current edition) No application can be extended more than once I hereby certify that t have read and examined this application and know the same to be true and correct. i am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required no the City's, and that t must obtain such permits prior to work. T •\FORMS\APPS\Buildingpermit.wpd Applicant: '1 ate.- ebr.lt 4 Date: S 0 S APPROVALS. PLAN BLDG DPWU FIRE OTHER. 90 Feet Vertical Datum NAVD 88 Horizontal Datum NAD 83/91 Area Map This map is not intended to be used as a legal description. This map /drawing is produced by the City of Port Angeles for its ow use and purposes Any other use of this map /drawing shall not be the responsibility of the City. 50' 1 410 KosAsE X 8' 0# 11 -\E\c-IK-- 7 1/ a COVER, GE W R°t'EfZ Z o' GAR 4. tl cCAL_E I" 2 0' out) WALL MONE 4.1 aaDv4S. 4' MNL LE VE L r -RETAKE sTRuctva ROO; 0 VSIZ EATRIAREA con. st.A _AtilianilL CANT. ROOF. NICAIE 69.49 4' OM. To 6S S. G iV LtN EL ADa_112.4_ DEcA( E :DELETE IDSA-2 WOW, CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . . . REQUEST: Date Ge, - f {.. - of p Time Received by klJ (phone. person) Location of Work to be inspected ~ 7 2'( VJ I "2.. 't-...... Name of person requesting inspection J rH'C" Address of person requesting inspection Phone No. JIM ~2 <)16 Type of Inspection (circle appropriate one): Permit No. 65 - ~ ~~Foundatior Framing Chimney Plumbing ~sewer Excav. Other e.uJ 5er\"<!"~ INSPECTION NOTES: MoV\.. Inspected: Date ~lo Time /O;15AM By Remarks: Jr/..Ii./ C.on (\ e.c..+;<:,,^- {o . e:-L;.s+:"3 y} ,,.'1 ?V( +0 ?.-op<!......{f-I ,'.... e... , ~n~ , . New -7 , Vc. <:"o"",eC':L<:lV\. -Co...,,#\. .:p/L -{,.,. L~ou.,;.'E.. '=:,- ("{-6"- c.."'......,"'c- 10.... .c ..0....... ~~~_ +c. e 1'2..7-11 5-1- RESTORATION REQUIRED. . . . o.o. YES L) '" -2D-6(;" e.o::>t€'c;!-,ov\. {'"-,,IM. NO ~ --- J "'''~''~1'2:+W . nIJ I L.<'~- e't,..p 1-'/'- r__,I_ (lJ a'b" 't 1'~ :s'" J.?' - ./ u Z~ '1'1' . ~ -7 -n',,~ I" b or I d-r"'J...c:..... ~OIaep ./~..PPl.- It>.. ..- "- 10 II _ -z.,'Z.!'tt 1"1. . - . 0 11 C.~..~I.._'~ f lA1.Ct.i"'il A lI~y e,ld<.ep ~ N - E s.l ~ 6 '"'tIH -) ~ ")- Z~!2/ r-- 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 o INCOMPLETE 7,-? (Continue on reverse side if necessary) STREET SUPERIN'(~NDENr IDATEl 01/25/2006 08:32 FAX ~ 002/002 f '" ~ ~ ....... ELECTRICAL WORK PERMIT APPLICATION' Job wired by u Electrical Contractor i:J Owner lnstalllllion dl::sc:riplion / Cl Commercial !f Residenlial Electrical contractor nattte ~ Lict:llsc number Sho.W\.tl CnYl~LOfS 61t1lt-\~E{'1l PurchllSCT-s dlailins address [2,0)<: 3S3 Dare Expires o New o Altered/Addilion Slale ZTP Wt>. "\~3k~ ~ao~- ~, 1mIIlD' P~i,es oWfe(s name n '.1:" ~ U'tt\ tll tL ,OJ', II \ c.. Address of lospeerlon ~(. 01'1 ItJ~S+ l..l...~ sf, j>'Or-t 1\'!'ge<\e~ Phone number to~hedulc 1Q1lpeChon: d'1J2 ~'IO / ;;...:L. :;J.. tJ. 1.~.tJ. .:51 Owner as defined by RCw'J9.18.26/:(I) Owne,. will fJCCUp.y thl! st/'1.lC'Url' fOI" IWt) yearJ aft!!,. this electrical pt'rmi' i~' jinali.:ed. (1) Owner i.r ,.equired TO hirt' em d('c/rica! co,uraclOr if al>(Jve said property is far s(lk n'n' (Jr It-~s(~. After rc.adinS the above statcnlenl,. I hereby certify that I 3m the owner of the above named property or a licensed ~lecrric31 COnU'3CIClr, I am making the electrical instal. lation or uHerlltlon in cilmpliance with Ihe clecIrical laws, N.E.C., RCW. Ch<l.pt~r 19.2.8, WAC. Chapter 296.46B. The Cit)' of !Jort Angeleli Municipal Code, and Utilit)' Specifications, Sil!lDlltUI'"ll Dr Dwnu! elcct.-ical COalnClor or electrlc..1 :admini~trst(].. 'lOrn L-- 1/ .3 :'3 ~~ o Cash IJ Check # ~redi' Card VISa Card # JI:\\- {il.u- _ _ _' Mastercard Discover x Date: Expiration Date of card. Electrical Load Additions and Dr subtractions o NO lOAD CHANGES o Baseboard KW a Fumace _ KW o Heat Pump Ton LAR o Fan-Wall KW Service Information o Overhead Service o Temp Ser'Vice o Underground Service VOllage PhaseO,03 Service Size: _ Feeder Sin: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN /-.;1..7-01::, k2l ^pprc"ccI fly ^rpNVCoJ By -t /,-/" r;, D. SERVICE Au9 THERMOSTAT vJ.fU- I~ O;\le Ollie Appr.lYCcl8:- DITCH ;J.. /1'1/06 / DIII~' Approv~d Dr Fm)ER llMC Allprove.:! ~l' Area, Building or Equipment ]n:::ipl:ct~d Action Tl1k~n EI~clriCll.1 inspcclor a 2.'Z , .. ElECTRICAlINSPECTI0N WIRING REPORT 417-4735 ADDRESS /2..2..... PERMIT II ON ~/uL. t&L- L w I z.::!:. INS;!/C,o APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 O. . . . . . . . . . . .. . . . ROUGH IN/COVER.. . . . . .. . . . .. . . 0 O. . . ;4~;t1' .. . . . . . . . . SERVICE. . . . .. . . . .. . . . . .. . . 0 Ji.. .~~~~~~ FINAL. . . .. . . . . .. . . . . . .. . . 0 ~~~DED: /OPOIZ. .577:>/>':' Nt.-eeJW ~O/L OJ!' N. DOop ,5 C/'U./ r&A-1I'(~.sr tf/,At..l J./~I? . a;i ~~ a...~~ /1/"145 --S(, P::;IL ~/~C> (JJ Btk~J?7F-~ ~./ ~/l :3 ~~ HOI L.// ~ t:-tJ~r/L fl2 gt44ut:: Gor/k rM 'lA.At:~ ~, NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETE,D WITHIN 15 DAYS " - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381