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Home My WebLink About530 E 7th St - Building ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number 11- 00001394 Date 12/16/11 Application pin number 245158 REPORT SALES TAX Property Address 530 E 7TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 2705 -0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0. Application desc .1 circuit heat pump Owner Contractor \.3 AMY MCINTYRE EXTRA MILE TECH ELECT., LLC 530 E 7TH ST 418 N. RACE ST. PORT ANGELES WA 983626215 PORT ANGELES WA 98362 (360) 457 -0198 c46 t5 -65— n, Permit ELECTRICAL ALTER RESIDENTIAL OV Additional desc Permit Fee 73.50 Plan Check Fee .00 Issue Date 12/16/11 Valuation 0 Expiration Date 6/13/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 Fee summary Charged Paid Credited Due Permit Fee Total 73.50 73.50 .00 .00 ‘..NA Check Total .00 .00 .00 .00 Grand Total 73.50 73.50 .00 .00 DN ,7-4161h ,INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN fZ /G l 1 FINAL tZ11b J l COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE\BUILDING DEC -11 -2011 09:54 PM E.JANSSEN 360 452 2982 P.01 n r� a 5) IT i'-' 1 1' I f ^1 [EC 1 2011 ,11„ your iv 7 V" Crry OF PORT ANGELES PERM17' .APPLICATION ELECTRICAL Banding Division/Electrical Inspections INSPECTIONS fc. l slillir 321 'East fifth Strut -.P.O. Box 1150 1 Port Angeles Washington, 98362 .Ph: (360) 117 -4735 Fax: (360) 117-4711 Date;... ..e. 2 S'ngle Family Dwelling Multi•J-'arnily or Commercial" CommerrO: Addition I Alteration Remodel Repair" Plan Review May Be Required, Fires Complete Electrical Plan Review Information Sheet Job Address: 5 r 2 .7:4z-,-.: Building Squam Footage: Description of above 4'4 r. 1 3rx F_ i Owner Info n adg n Contrac Information Name: i r I t/ 1 ri f•.. i:. Name: )4•7"/ J! c.6 iree+ C l"''- L..1"2r r_.4L Mailing Addmss: .....5.4c) _.5 4 c{ ^c Stale: ';'7'. Mailing Address. /3 Al c -it-e- k 4 1 E. -sr' State: 4-- 7_i:a. !,1 s T City: ,.`i ,19:__ ..1 y i t;.t_. City i�c.s�r�,ct� __6!_ ZIP: ,`�>p 3�_G Phone;hSI .P Fax:- Phone:.'/577 sJ,xJ_ Fax: •46-7 gsi:5 License a f Exp. License* Exp.. 1-07 6 12 4 Unit Charge, Qty Total (Qty Multiplegkr Unit cha► Service /Fender 200 Amp. a......_.._ ServicelFoeder 201.400 Amp. Q :45.50 Service /Feeder 401 .600 Amp 204.60 Service &Feede• 601 -1000 Amp. 262.211 372.50 Service/Feede' over 1000 Arn p Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/0 Service Feeder 13.51) I -._7 Imo. Each Additional Branch Circuit 2.60 Temp. Service! Feeder 200 Amp. 92.70 Temp. Servloe'Feeder 201.400 Amp. 110.30 Temp. ServicerFegder401 -600 Amp. 148.70 'temp Servitx1 Feeder 801-1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 150(1 s i:orrunercial 96.90 Note: $5.)0 for each additional 1500:; Signal Circud) _imitod Energy -1 2 Familt Dwelling :,:1.90 Signal Circuit/ _Imited Energy Multi-Family Dwelling '6'3.90 Manufactured tome Connection 110.90 Renewable F,li9ctrical Energy 5KVA Sysler c or :..ass 1 02.30 Thermostat 5 56.00 CON$TRUCTIQ QKX:_ First 1300 Square Ft. 110 Each Additional 500 Square Ft. or P ortion u 35.20 Each Outbuildirigtr Detached Garage 73.50 Each Swimming Pool or Hot Tub c '10 3(1 7 S c7 Total Owner.as defined by RCW :19,28.261: (1) Owner will occupy the structure for two years after this electrical permit Is finalized. (2) Owner is required =to'hirs an eitntrical contractor if .above said property is for sale. rent or lease. Permit expires after six months of last inspection. After reading the above statement. I hereby certify that i am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation air :alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19 28. WAG. Chapter 29646B, The City of Por Angeles Municipal Code, and Utility Specifications and RAMC 14.05.050 regarding Electrical Permit Anolications. Signature of owner, electrical contractor or electrical administrator, n cash C ;^pr:i. Credit Cord o .tt- �eled: 7 l I 01IU11ZD10 f ELECTRICAL PERMIT i CITY OF PORT ANGELES VA 360 -417 -4735 OQ -■A Application Number 11- 00001389 Date 12/09/11 Application pin number 588093 REPORT SALES TAX Property Address 530 E 7TH ST ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2- 2705 -0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property use (Location Code 0502) Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc T -stat, 2 ton heat pump Owner Contractor KELLER MARILYN A DAVE'S HTG COOLING SRVC INC 530 E 7TH ST PO BOX 413 PORT ANGELES WA 983626215 PORT ANGELES WA 98362 \S1 (360) 452 -0939 Permit ELECTRICAL ALTER RESIDENTIAL ^I Additional desc v Permit Fee 56.00 Plan Check Fee .00 Issue Date 12/09/11 Valuation 0 (VV Expiration Date 6/06/12 Qty Unit Charge Pe'r Extension 1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00 g Fee summary Charged Paid Credited Due C` Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 V Pµ k2bb(t1 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN bi r FINAL tit, l b COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTI -IS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING Dec 08 11 09:56a Dave's Heating Cooling 3604520939 p.1 :r, 1r City of Port Angeles Permit Application�, I 1 GQ Building Division /Electrical Inspections LL 1- r� 321 East Fifth Street- P.O. Box 1150 /iG»' ____s) Port Angeles Washinglon,93362 Ph: (360) 417.47335 Fax. (360) 417-4711 L J 1 Date: (�f gli f ELECTRICAL. ...""iimmor 1 2 Single Family Dwelling INSPECTIONS .111111111110r Mutt- Family or Commercial' Commercial Addition 1 Alteration Remodel Repair' *Plan Review May Be Required, Please Complete Ele :I Plan Review Information Sheet Job Address: 7, 0 a.5 .51-1.--_. 2 Building Square Footage: i 00 Description of above i n a o f f 5 e. o l /AA- -(W, S G rin-- jnr ,2 VC) f W n "r Owner Info matiory, Co tractor Inft� Name: 11 &1 M G�✓ r Nan fcfly S K- e.. a. I,- Mailino Addre :1' a a .6t x2. Mailing Addres i dlIMW- O City- y ,13. C7 Zip: r=te City: e tate: .4 Zip. Phone: :4 Fax X 17 y' Phone az License I Exp. License Exp. 1 V detIMaigifiE G Unit Charge g Total (Qty Multiplied by Unit Charge) S 11 9.90 Service /Feeder 20D Amp. $145.50 5 Service/Feeder 201 400 Amp. 20460 Service/Feeder 401 -600 Amp. 5 262.20 5 Service/Feeder 601 -1000 Amp. 372.50 Service /Feeder over 1000 Amp. 5 2.60 Branch Circuit W/ Service Feeder 5 73.50 Branch Circuit W'0 Service Feeder 5 2.60 5 Each Additional Branch Circa[ 5 92.70 5 1 Temp. Service' Feeder 200 Amp. 5110.30 1 Temp. Servicelfeeder201 -40DAmp. 5140.70 5 1 Temp. ServicelFeeder 401.60D Amp. 5167.90 5' 1 Temp. Service/Feeder 601 -1000 Amp. 95.90 1 Portal to Porta: Hourly 88.20 5 Sgn /Outline Lighting 5 95.90 Signal Circuit/ Limited Energy- Commercial. Additional 1500 55.00 63.90 1 Signal Ca Limited Energy -1 8 2 Family Dwelling 63.90 5 1 SgnatCircuit/ LimitedEnergy Multi- FamityDwelling 5 119.90 5 Manufactured Home Connection 102.30 5 Renewable Electrical Energy- 5:WA System or Less S 110.30 5 First 1300 Square FL 5 35.20 5 Each Addibonaf 500 Square Ft. or Portion of 7150 Each Outbuilding or Detached Garage 5110.30 5 Each Swimmirg Pool or Hot Tub 55.00 5 .QLThemastat .007ota1 i Owner as defined by RC W.19.28.261: (1) Owner will occupy th structure for two years after iris electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or tease. Permit expires a =i months of last inspection. 1 After reading the above statement, I hereby certify that I am th owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. hapter 19-28. WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administ tor Cash Check r Date: a 1 CreditCard/0 J ELECTRICAL PERMIT 3 CITY OF PORT ANGELES W 360- 417 -4735 kro Application Number 11- 00001328 Date 11/28/11 Application pin number 061824 REPORT SALES TAX Property Address 530 E 7TH ST on your excise tax form ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 2705 -0000- Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc 5 circuit remodel Owner Contractor KELLER MARILYN A BLACK DIAMOND ELECTRICAL CONTR 530 E. 7TH ST 502 BLACK DIAMOND RD PORT ANGELES WA 983626215 PORT ANGELES WA 98363 (360) 565-1035 1. Permit ELECTRICAL ALTER RESIDENTIAL \J1 Additional desc Permit Fee 83.90 Plan Check Fee .00 Issue Date 11/28/11 Valuation 0 Expiration Date 5/26/12 (5 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 4.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 10.40 Fee summary Charged Paid Credited Due 0 Permit Fee Total 83.90 83.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 83.90 83.90 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN t.l /2-41//i FINAL 11/217/1/ 40, COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:AEXCHANGE \BUILDING 0\.11.ORr 1 CITY OF PORT ANGELES PERMIT APPLICATION s Building Division/Electrical Inspections 1150 Port Angeles Washington, 98362 N 321 East Fifth Street P.O. Box 11 Angeles b Ph: (360) 417 -4735 Fax: (360) 417 -4711 vov/ -Z3 -1( 3 ��f sate: Ef Errm,, 141 1 2 Single Family Dwelling Multi- Family or Commercial* Commercial,Add�T s Iteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: 530 E 7 Building Square Footage: Description of above R.G.o✓( ic.too3 iv AE. Pi.. 44G4 iv '`"LX Owner Information Contractor Information Name: (A)/N ®Gs- -,•4 -C //e•b. yr44.60..' *&c. T Name: c.. -L iz.- C.4_c_-rxr c ell Mailing Address: Mailing Address: 5b'� RL- -4C6. 'DcA.' "'p City: State: Zip: City: PA State: "AA Zip: WO Phone: Fax: Phone: W 3957 Fax: License Exp. License Exp. &L-('-C- 84Y OZ_ Item -Unit Qty Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 119.90 Service /Feeder 201 -400 Amp. $145.50 Service /Feeder 401 -600 Amp $204.60 Service /Feeder 601 -1000 Amp. 262.20 Service /Feeder over 1000•Amp. 372.50 Branch Circuit W/ Service Feeder 2.60 Branch Circuit W/O Service Feeder 73.50 7 k Each Additional Branch Circuit 2.60 4 2 /0 14 2? Temp. Service/ Feeder 200 Amp. 92.70 10 `f Temp. Service /Feeder 201 -400 Amp. 110.30 Temp. Service /Feeder 401 -600 Amp. 148.70 Temp. Service /Feeder 601/1000 Amp 167;90 Portal to Portal Hourly 95.90 Sign /Outline Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $5.00 for each additional 1500 sf Signal Circuit/ Limited Energy -1 2 Family Dwelling 63.90 Signal Circuit/ Limited Energy Multi- Family Dwelling 63.90 Manufactured Home Connection 119.90 Renewable Electrical Energy 5KVA System or Less 102.30 Thermostat 56.00 NEW CONSTRUCTJON ONLY: First 1300:Square`Ft. 110.30 Each Additional 500 Square Ft. or Portion of 35.20 Each Outbuilding or Detached Garage 73.50 Each Swimr ling Pool or Hot Tub 110.30 3 L Total Owner as defined by'RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to tire an electrical contractorif above said property is for sale, rent or lease. Permit expires after six months of last>inspection. After reading the above statement, I hereby certify:that I am the owner of the above named property or alicensed electrical contractor. I am making the electrical installation or alteration in compliance 'the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal 'Code, and Utility Specifications •and.PAMC 14.05.050 regarding Electrical•Permit Applications. Signature of owner, electrical contractor or electrical administrator: Cash 1 Check I D Credit Card Dat t 0110112010 X 4110 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001386 Date 12/12/11 Application pin number 464844 Property Address 530 E 7TH ST REPORT SALES TAX. ASSESSOR PARCEL NUMBER: 06-30-00-0-2- 2705 -0000- Application type description MECHANICAL APPL. PERMIT on your state excise tax form Subdivision Name to the City of Port Angeles Property Use y g Property Zoning RESIDENTIAL HIGH DENSITY (Location Code 0502) Application valuation 7860 Application desc HEAT PUMP Owner Contractor AMY MCINTYRE DAVE'S HTG COOLING SRVC INC 530 E 7TH ST PO BOX 413 PORT ANGELES WA 983626215 PORT ANGELES WA 98362 (360) 452 -0939 Permit MECHANICAL PERMIT Additional desc HEAT PUMP Permit Fee 64.80 Plan Check Fee .00 Issue Date 12/12/11 Valuation 0 Expiration Date 6/09/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 Fee summary Charged Paid Credited Due Permit Fee Total 64.80 64.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 ft v1-a 12 ILP tl Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction.. 1 ■0 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD C.)\\ PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS i Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwal I Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs' Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Stab L !'L Wall Floor Ceiling MECHANICAL: 1/ Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping _SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 f l6"/// �u- s H o vroon% n ro 3D 0 0 ro >Z00 H2 3D H r C r o 0 H 0 r (A 0 0 H 0 0 w 0 0 m 0 0 0 H 0 21 2 0 no 0 0 0 H 0 0 r H "G HO t=1 in m m 0 0 0 r 01 y w [00 i G <0 0 H 33 3 00 0 0 r H 00td 0 0 0 0 000 o 00) 0 O 0 H -.1 [n r oo'3D0 0 w H H x 4 21 H m 0 0 a i1 M H 01 2 U1 OJ r m z 0 0 0 3 0 00 0 r ro 0 -1 O n) n w H V n x o 0 C H H H z 21 (3 3 00 H n o 0 al (I) 0 0 3 D (fl 0 0 0 m x 0 0 r o ro F g r 0 c D H H ro n (D H 0 0 ro O 4 N 0 �H r H o v. q n H HH 3 N o 0 z ro n 0 0 t o- o 3 [+1 ro ro H w N 2 2 0 0 0 [n io o y H r H H rr (n H 0 3D r z O co 4 H 3D r yo H H 000 P 2 w 0 0 0 Cr) 0 to r 000 H 0 0 H C 0 0 r w K H 01 H- 0 (1) a 3 D N O w 0 ro -3 0 H 0 0 H no H H N PREPARED 7/22/11 9 59 30 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/22/11 ADDRESS 530 E 7TH ST SUBDIV CONTRACTOR LARRY S ROOFING PHONE (360) 452 2215 OWNER KELLER MARILYN A PHONE PARCEL 06 30 00 0 2 2705 0000 APPL NUMBER 11 00000729 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 7/22/11 BLDG FINAL July 22 2011 8 10 54 AM pbarthol Tom 460 0517 COMMENTS AND NOTES Date Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc TEAR OFF /INSTALL COMP Owner KELLER MARILYN A 530 E 7TH ST PORT ANGELES Permit BUILDING PERMIT Additional desc TEAR OFF /INSTALL Permit pin number 189217 Permit Fee 137 75 Issue Date 7/18/11 Expiration Date 1/14/12 Qty Unit Charge Per 3 00 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T:Forms /Building Division /Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983626215 Charged Paid 11 00000729 267535 530 E 7TH ST 06 30 00 0 2 2705 0000 RE ROOF RESIDENTIAL HIGH DENSITY 4425 137 75 137 75 00 00 4 50 4 50 142 25 142 25 Contractor LARRY S ROOFING 352 AVIS ST PORT ANGELES (360) 452 2215 NO PR FEE COMP BASE FEE 14 0000 THOU BL -2001 25K (14 PER K) STATE SURCHARGE Plan Check Fee 00 Valuation 4425 Credited last inspection. I hereby certify that I have read and examined this applica of laws and ordinances governing this type of work will be compli -d with w not presume to give authority to violet ry'lo cancel the provisions construction. 00 00 00 00 Date 7/18/11 WA 98362 Extension 95 75 42 00 4 50 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 has commenced, or if required inspections have not been requested within 180 days from the and know the same to be true and correct. All provisions specified herein or not. The granting of a permit does cal law regulating construction or the performance of REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Print Name Signature of Contractor or Authorized Agent �6ignature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water I FINAL Date Accepted by AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION* Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts 'FINAL Date Accepted by MANUFACTURED HOMES Footing Stab 1 Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting ESA. Landscaping 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 'rG.,rmc�R� ilriinn nivisinn /Ruildino Permit Date Accepted By c 4 Applicant (ow\ Property Owner tin Arun Property O ner's AgclreA 1 RI Contractor g1(ryl5 d Contractor's Address „sz, nj„ License PROJECT ADDRESS Parcel Number Project Type Brief Des Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (35Q) 417 -4815 fax (360) 417 -4711 to Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? I have read and completed this application a kno that it is my responsibility to determine w permits Date IR Print Name OM T Forms /Building Division /Building permit application _Expires. For City Use Only Date Received i 1 Permit 1 7Z Date Approved 7 ib-1 Phone Phone L ea, 3C,LS b Ph r' mo --E -mail Lot Zoning criotion. Ni Residential Multi- family Commercial Industrial kormi e, +rt House garage other Heat pump wood burning stove Existing (sq. ft.) Proposed (lg. ft.) ft. +gym Ih5 cil Occupancy group Occupant load Construction type tear off re -roof lay over one layer gas fireplace pellet stove other to be true and correct. I am authorize requ ed, and to obtain permits prior to per sq ft. TOTAL VALUATION d W Total footprint of structures sq ft. T Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage Signature of bedrooms of full baths of If baths apply f ing on it and understand 1_ —os e dx -44- _Al 4 c) I A 7U. 0 --21 --2 11 (1 vn\)loy A- .41