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III ~ .01 '" '" ZO III III 0 E-< .s 01"- Ul -U ..... <>:0 UlE-<~ ..:lZ E-< a 0 ~ ~~~f:jrJ..:l H Ul "';.. ~ '- OlE-< OZZZ~'" '" ..... ~H ~0l03:~'" ;.. ..:l ",U E-<UO"'~ '" E-< III CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner STEVENSON ROBERT W. JR. PO BOX 3163 PORT ANGELES WA 98362 Other struct info . . . . . Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 06-00000788 Date 621544 1429 E 4TH ST 06-30-00-5-6-0051-0000- STEVENSON RES. RES ADDITION RS7 RESDNTL SINGLE FAMILY 62615 Contractor BONNIE VIEW CONSTRUCTION 283 GARLING RD. PORT ANGELES, WA PORT ANGELES (360) 452-0181 TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT -RESIDENTIAL 82933 761. 25 8/22/06 2/18/07 Qty Unit Charge Per Plan Check Fee Valuation BASE FEE 13.00 7.0000 THOU BL-50,001-100K (7.00 PER K) Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date MECHANICAL PERMIT 84269 57.25 Plan Check Fee 8/22/06 Valuation 2/18/07 Qty Unit Charge Per BASE FEE 1.00 7.2500 ECH ME-VENT FAN Permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 84277 71.00 8/22/06 2/18/07 Qty Unit Charge Per Plan Check Fee Valuation BASE FEE 3.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP Special Notes and Comments The Fire Department has reviewed the lication and 8/22/06 FltlAte-o /2/;1 /0(" ~ I ~ \S\ WA 98362 25.70 2.00 1401. 00 7000.00 403.00 1804.00 1. 00 304.50 62615 Extension 670.25 91.00 .00 o ~~ ~~ ..~,\l ~ t!1\ ~~ ~ 1~ ~Y) } Extension 50.00 7.25 .00 o Extension 50.00 21.00 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. Ihereby-certifythat-ll1ave 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 presu e to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of cons ction. T:\Policies\1102_15 building permit inspection record05.wpd [1/412005] Signature of Owner (if owner is builder) Date 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 UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS I CEILING I I FRAMING JOISTS / GIRDERS SHEAR W ALUHOLD DOWNS WALLS / ROOF / CEILING DRYWALL(INTE~ORBRACEDPANELONLn T-BAR INSULATION .. "'. '# I SLAB .. WALL / FLOOR / CEILING I MECHANICAL HEATPUNW/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING - PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECT~CAL .I LIGHT DEPT C~~:UCTION R.W. / PW/ CONSTRUCTION - R.W. EN EERlNG 417-4807 PW / ENGINEERING #: 417-4653 FIRE DEPT, FJRE ,pLANNING DEPT, 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1 102_15 building permit inspection record05.wpd [1/4/2005] oQ L~ ~ "l<t,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 06-00000788 Application pin number 621544 Page 2 Date 8/22/06 Special Notes and Comments has no comments_ . 07 /25!2U'?6: 04?2~5 ,::'FM ,'SROB~RI?~'j~ :.'l1p.e. proposal is for a remodel ln the RS-7 ~one for total ~ot coverage of 26%. No land issues are noted. Electri~al load ~alculations and elctrical permits are . ......,.. .. ~ '\, ., .. requlr_li'd:, ",-,", <.: ". .:'-"" .1"",': Public Works Utility Engineering has'no~requirements for this plan review. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 889.50 889.50 .00 .00 Plan Check Total 304.50 304.50 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 1198.50 1198.50 .00 .00 ........ . ~ (..& '. .", \ .I .f i 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. l-hereby-certifythaH 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_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 NO FOUNDATION: Wywttt lOft/a:, ~ FOOTINGS (;/1"1 /~ <:TVv SHEAR WALLS / WALLS I ~tJl>ll'w.IO;4/"" Wv FOUNDATION DRAINAGE / DOWN SPOUTS t/f Ilf I~ v(/v PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB , /' ROUGH-IN rv/lf/tOb · \JZ^-' WATER LINE (METER TO BLDG) I FINAL I ').;Jr /0, GAS LINE DATE~ ACCEPTED BY: BACK FLOW / WATER AIR SEAL I I . WALLS (1)tll/1[001 /.T2u CEILING I FRAMING JOISTS / GIRDERS SHEAR WALLlHOLD DOWNS \/~/Ob J?U WALLS / ROOF I CEILING r 'ill /00 '.::171 J DRYWALL (INTERIOR BRACED PANEL ONLY) ~ '7L'(( ()&;> Jl.v T-BAR INSULATION SLAB L_/ WALL I FLOOR I CEILING I VI - /1~1. 7k/ MECHANICAL HEAT PUNW I FURNACE I DUCTS GAS LINE FINAL I ~ ;6~ WOOD STOVE I PELLET I CHIMNEY DATE \7w ACCEPTED BY: . COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKlRTING - PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 .. / J PLANNING DEPT. BUILDING 417-4815 , 'V/,-/ IN'__ ~/f/V BUILDING T:\Policies\ 1102 15 buildin nnit inspection record05. [f 14/2e05] ~ . ~ \3\ ~~ . N ~~ ~~ ~ i~ ~ ~ gpe wpd BUILDING PERMIT - APPLICATION Date Approve Date Issued: Fill out COMPLETELY and III INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call I'ERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: ~M(A.s ~ ' C Ie.. r-t.. Owner: 1<otn.A- ..... SkHYY\ Sk/)so~ Address: /11.9 EL/~ '5f. City: 7o-rf /}u~.ple0 Architect/Engineer: jo..c k !'fo.1 u(!.'I/Ic;e;.:, '/ 5R/7..-5aI5' 7Jeq~t:J11 Contractor '&/111,'(1/ UJM ftJJ71~felli-..State License #: (;0/.371. Ita? Address: 283 GCvr-/,~ 7<J City: 'Rr:1-Auf(je/~ PROJECT ADDRESS: /92..9 E. tj11 <5-1-, J "P.-h/-t At:fi~ LEG.t\.L DESCRIPTION: Lot: . '7 Block: JD2- Subdivision: CLALLAM COUNTY PARCEL NUMBER: () b'3DOD 5'6tX>57 cooo Phone: C3~) CfS-z -o/FJ Phone:G'W) ~S-7 -02 8Fs Zip: f83GZ ,/~L - 7378 Exp: N IA- Phonef3ro tlS'z..ol'i'l , Zip: tf8?1o Z. ZONING: ? "- KS 7 L1 ,.-1 e-r '5 J '7ltoMo..3 Ir0 St.t b J ,'v ;),)h... , Phone: SIZE/V ALUATION: if?,l),$" SF. @$ gO /SF. = $ tf01.. ,., SF. @ $ ?O /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ le,-z,tt, I 5' ~ o-P Ne...v Fo..,.,;/" '7k,:"YI Q.. Me;..-S'fer-~~ vi I~-tu. ,..lae.n t:l"./ ~)f e7-. /~--/.,;..j hL!7'1-1p, '3'1/ I/~/)'~ 2.8117~~ TYPE OF WORK: o Residential ~ew Constr. D Re-roof 0 Stove D Multi-family Addition D MoveD Garage o Commercial D Remo el D Demolition 0 Deck o Repair D Sign D Other BRIEF DESCRIPTION OF THE PROJECT: -10 ~___)( I~j,~ tlD-/V11? . V~ AJ~;hl"J1 -.. l #VI11l,~ Construction Type: S'-n<:.J::. 'is...,'If- 40J = TOTAL Sq. Ft. ;/tJ&1- COMMERCIALfRESIDENTIAL: Qpcupancy Group: "'),j)~ ~...:I'r' Occupant Load: ~7 . -1Pd'V. ' .'JAc/,J~5{;..~ No. of Stories: ~ Lot Size: '$""7< /'10 Existing Sq. Ft. 1'111' J(- & Proposed Sq. Ft. Total lot coverage 2..<:;'. 7e:t % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESA/Wetland(s): DYes 0 No SEP A Checklist required? DYes D No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Hno 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 RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it.' my responsibilit 0 etermine what permits are required, not the City's, and that I must obtain such permits prior to work. Date: ~ / z.. - p& T:\FORMS\BldgPermitform.v,pd Applicant: F::' ~.....~-:-:- ~.::::;O::'~ ~.' ~ ..-!i A~l( . ~..c:r', ,.--............- '..,,'. "'0 c.J t:4 .'..\, :~ I ..' . , . j '.,: "'j ':.'~ :"." ;!.f, ~"'I.\~;(,,~ . . ",",,, ;' . . ,y~i ". .. ,,::~,,~: '.. .... ~ . '~~~41~~~~ '-'-. ,"~ , .,~ . -~" . ' . " . . "" . . . :~j'~""c~:"L;.;.'~!:l/'"~f~ . -',' ~.' ---' ..-......... ' -.- "-'''. .",'. ~.":,-",,,~~~'-"7~:~~,,;...~.,.... . "-"'-'\:-"~;"'.--"::~;:;:;:.~ ,.... . .. '" ". A'W~~~~_ ':1 .11.... ~':~ ~T- ", -,",' ~. . -, '.. \ .' -''''.,' ..' -'",~ -' " -. - . .'. . '0- ......... :'! .~ .-t.... i." :'~ , l~ ~:..; ;~. . ~~;. IJ. ~ ",::".~ .... .'. :;:.:-if ~ ....~-~.;.;, "/iJ " '#i', i.- #~,-,- ~.:. . .. .... ~"" .... ." ',.~. '~ Vi! CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 Lasered CEO Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Application type description Subdlvision Name Property Use Property zoning Application valuation 06-00000788 Date 10/11/06 621544 1429 E 4TH ST 06-30-00-5-6-0051-0000- STEVENSON RES. RES ADDITION RS7 RESDNTL SINGLE FAMILY 62615 Owner Contractor STEVENSON ROBERT W PO BOX 3163 PORT ANGELES JR BONNIE VIEW CONSTRUCTION 283 GARLING RD WA 98362 PORT ANGELES, WA PORT ANGELES WA 98362 (360) 452-0181 TOTAL % LOT COVERAGE 25.70 NUMBER OF STORIES 2.00 EXISTING LOT COVERAGE 1401 00 LOT SIZE 7000 00 PROPOSED LOT COVERAGE 403.00 TOTAL LOT COVERAGE 1804.00 NUMBER OF UNITS 1.00 Other struct info Permit Additional desc Permit pln number Sub Contractor Permlt Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL BOB'S / REMODEL 88807 BOB'S ELECTRIC INC 78 70 10/11/06 4/Q9/07 '-. ~ ~ Plan Check Fee Valuation 00 o '" Qty 1. 00 Unit Charge Per 78.7000 ECH EL-RM-0-200 '1ST SRV FEEDER Extension 78.70 ~ ,~ Special Notes and Comments The Fire Department has reviewed the project application and has no comments 07/25/2006 04.25 PM SROBERDS -- The proposal is for a remodel in the RS-7 zone for total lot coverage of 26%. No land issues are noted Electrical load calculations and elctrical permits are required. Public Works Utility Engineering has no requirements for this plan review. (A ;\ Other Fees STATE SURCHARGE-'~~ 4 50 Fee summary Charged Paid Credlted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 78 70 78.70 00 00 Plan Check Total 00 00 00 .00 Other Fee Total 4 50 4 50 .00 .00 Grand Total 83 20 83 20 00 .00 pi , ('!1"'("}: tre'>.t:o COMMENTS/ACTION NEEDED ,. I ~~:J ,_,t ELECfRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COYER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-1I02.J514I96J ". .;r....:;.". ,....J ~_. J",:..:~.~tV;(':.:~!'?)/? ~I y:),.,'} :,. :,.... ". ..,' 'I' -. -.,'. -,. ;.' _"_ ,,:,' " '-.'. ' . BUlLl>IN(lPERMIT INSPECTION RECORD (1'.);0... r 8~ .-' ..... .:: '.-" ."'" ' . ':",'.::-,:"" ", _....:..:..'..:... .:.-...::...,:,'::.,:.':.:.:...:..... ':." CALL 417-4815' FO~ BUILDING INSPECTIONS:' pL?ASEPROVIDE A MINIMUM 24 HOUR NOTICE; 11;,(8 .UNLA Jf'FU~'1'O.c.i)~R, lN~ULA[E;..gg..~ONC~AL.1;lVY1"()MB!JFO~i,rt~~~C~~D AND ACCEPTEI?:.J.>>~!l'PERM!~IN ~..~2~~~!S'1~BS,'~~~TI~~: KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE . .l, '-'}k "';",~:i-} :"-' ~,u~,:2,(> -':,.:rrt~;Y~f;' ~'A~;t:::s::}/:: INSPECTION TYPE DATE I ACCEPTED ,', .' < ...\ . hiVEs I NO: .....',,.' '<",. ,.,.' - '."~ '0, "~'?l'L y . FOUNDATION: '. "~, ..' , ',.- '"'' ..... .... '.' < FOOTINGS .- .' ".,., WALLS ,.,) FOUNDATION DRAINAGE .. . . '. ,. . ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: II ."} .:. ...... , . .., . ROUGH-IN .... I ...., '.' , - . PLUMBING . . . ....... '. . - UNDER FLOOR I SLAB '. 1,-,'.' ROUGH.IN .'.'" WATER LINE ( ..(, GAS LINE ...' BACK FLOW I WATER .;x' ......;,. ..- . .' .i'::. AIR SEAL . .' ....... . WALLS '.' , CEILING . .. . . . FRAMING ." '.. '.c; .) ,',' c./ JOISTS I GIRDERS SHEAR WALL . . WALLS I ROOF I CEILING DRYWALL T-BAR . .... INSULATION SLAB WALL I FLOOR! CEILING . ,. I I . . .. MECHANICAL ~- " HEAT PUMP WOOD STOVE I PELLET! CHIMNEY HOOD I DUCTS , PW UTILITIES! SITE WORK (Engineering Division) SEP ARA TE PERMIT #'s: , WATERLINE I METER SEWER CONNECTION SANITARY . STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: . . .. .... lye , .!: ',F!~~LINSP~(IT!()I'1I!-JlEQUlRED PRIOR TO oc<;.urA~~Y~~c:,,;,'i5J.ilJ,.ii:;!; . ',hr.,; (;,'r.'; j,,' ..... '.' -. " RESID'ENTIAL " ;) .'(D'ATE YES 'NO 1m, i 'COMMERCIAC"YI-':;.) 'DArE;i~ . '?i"S,(CC~PiI'ED . i. ., ..'.' .,Ii YES: 'Nv.' ,. 417J735. , , ,0,: ,. ,.. "'.'.';" 'c.'V'" . " '.' , ",. ELECTRlC;AL,r;LIGHT DEPT. ELECTRICAL", : )". LIGHT'DEPr .... ", , ..' , .,..".......-....." .-",o.-,.,....., . ,. , , CONSTRUCTION R.W.! PWI CONSTRUCTION - R.W. ENGINEERING 417.4807 PW I ENGINEERING ... . . FIRE 417.4653 FIRE DEPT. -), \"1 /\.......... PLANNING DEPT. 1 417.47SIl'!' PLANNING DE,PT., ~'1 ;:$,; :. i' ..,>j. i,'.",;, iif:>, BUILDING ., 417,,4815, in"J/'__1) ~. .J,I J... . BUILDING , ., " . ./ T:\PLANNlNG\FORMS\1 102.15 [412002] PREPARED 10/16/03, 12:49:12 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY 1429 E 4TH ST EVERWARM PATRICIA LARUE ET AL 06-30-00-5-6-0051-0000- 03-00000983 FIREPLACE/ INSERTS/FREESTANDING SUBDIV: PHONE PHONE (360) 452-3366 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 10/16/03 ~ PAGE DATE 10 10/16/03 MECHANICAL FINAL * OVERRIDE TAKEN BY RVESS DATE: 10/15/03 TIME: 13:23:17 Final fire place insert Inspection was requested by the contractor, I dont know if occupant knows that you are coming. I called and left Patricia a message that you would be coming. You may want to call again before you go. Pat 457-8009 ,,' -------------------------------------- COMMENTS AND NOTES -------------------------------------- ~ " _. -...~ '-'1."'11'"11'" .llNr:;;~L~::::Jo .-0CT 03 .~03 11:38AM EVERWARM ~. .... w,.~ BUILDING PERMIT. APPLICATION FOR OFFIC1.'.L USE ON:...l Dale p#..:lO- 3-0 3 P~il j; 9B.:$ Oar&: Approvc:d: D 11.1& lllucd; FlU out COMPUTELY and in INK. Your application and sUepla~ MU~:r BE COMPLETE to be accepted for revIew. If you have any questions, caD (360) 417-4815 ~ Phone: ~CcO '4'52- ~~6 b Phone: 3 Co 0 L...\ 6 7- -=0 oo~ .~ Zip: C\ ~ ~Go ~~ - Phone: ArchitC(;tlEDgineer: - Contractor ~~euIA-\i2J..1. State License #:~~~,.j\""E~P:..:~.J,..,' ~ Address: '2 51 'S I ~"-t \0 \ City: 'Po... . . PROJECf ADDRESS: ( l..{'Z.. ~ E'. 4 ..,-l-{- . , LEGAL DESCRIPTION: Lot: Block: . Subdivision: . CLAl..LAM COUNTY PARCEL NUMBER: 6 ~ "3 (X)O' ~boa'~,IO 00 c) Phone: ~ ~ 2 .~3bb Zip: q"6'3~2- . ZONING: Credit Card Holder Name: BlWD, Add,..: Credit ClI'dT)'pe VISA TYPE OF WORK: . 0 Ra~ 0 New Const['. CJ Rc.roof C Stove C MWti..tmD1y CJ Addition C Move CJ Garage o Comu-ciIl [J Remodel CJ Demolition 0 Deck o Repair 0 S~ [J Other BRIEf DESCRIPTION OF THE PROJECT~ ~QJO c. C'(;_~SmENTIAL: Occupancy Group; No. ofStDrieI: _ Lot Size: ExistiDg Sq. Ft. Exiatiq lot covens., % & Proposed lot coverage Me SIZEIV ALUATION: . SF~ @$ ISF. "" S SF.@'S ISF. - $ SF~@S ISF. ... S \. ; ~~AWU~ ~900.~O Occupant Lo~cl;'; & Pr()posed Sq. Ft. % - Total lot coverage:! Construction Type: . "" TOTAL Sq.Ft. % - - g- APPROY ALS: I PLAN: PLANNING USE ONLY: ~ BiDC: DFWU: SEPA Checldiat required? 0 Yes CJ No Other; FIRE: BSAJW~.): [J Yes 0 No OTHER:_ . BUILDING PERMIT APPLICATION SUBMlTrAL: The Building Division can provide you with intonnation on the application and plm IUbmibl requiRltlenfl if you have quettiOIla. .. .... VALUATION OF CONSTRUCTION; In aU cases, a valu.ation Ilmount mUlItbe entered by the applicant. This figure will be r~view~d'- aDd may be reviled by the Building Division to comply with curr~nt fee schedules' Con~ct the Permit Coord mator at 417 -4815 for assistance. P1..AN CHECK FEE: IF a plan check fee is due it must be submitted at the time .thebuildmg permit application and construction plans are submidlld.. All other pamitfea are due at the t:im: of permit issuance. '.' . . i:XPlJtAnON OF 'I:AN REVIEW: IfIlg pemrit i:3 issued wilhin 180 day'ofthe.ds.t~.ofapp~ic"atiqn, the application will expire. The . an\)diD& O~lIJ l"lln f'!Xterid the..time..far.ad:io.n.hy_the .applicant up. to 18()..da-yS-l1pan.~ne~'request bythe-1pplicaut (set:Sct.1ionl 07.4 of the UnirormBuilding Code, CWTeut editiou). No application can be cxtendcdmClrc than i:mce. I hMlby C8Itify that I hsw I8ld and examined thIs applic6fion gnd know the same to be tfIJ~8rd correct. lamauthorizad to apply for this permit and undsn1Mdthlt' 1$ my r!tpol1s1bUIty to detetmlne what permits are required ,not the Clty'~. ilnd that I must obtsin such p"rmits prior to work TIl'OKMS\Am>u'ld;n""",i,.,d APP~~';';~ ... ~.. ... .... pat.. /0/..5 / .t?~ ELECTRICAL WORK PERMIT APPLICATION D Request Inspection ~ IJ Electrical Contractelr a 0..- .. o Annual Permit 0 Al~rm 0 Carnival 0 Commercial , o Residential 0 Residential MaJDt. CJ Signs 0 Thermostat 0 Telecom. I I I I hereby certify that I ami the owner of the above named propeny or i.I licensed cJccuicaJ contnlctoT (or th~ finn's authorized agent) and am malting the electrical installation or alteration inlcompliance with the electrical law, Chapter 19.28 RCW. Slgna1u f owner, C!:lcct.-ical contractor or elec(ric:11 admiD Istl'2tor I x I W.4.LLS I Insulation Onl~ I I O~le AppfClved By CQver~ I-P-/~-Pb ,. D3111 Awrove(lay I I;,I~ctrlcBI Load Additio~s and or subtractions o NO LOAD CHANGES I o 6a.aboard KW o Furnace _ KW o Heat Pump _ Ton...:..- L.&\R a Fan~Wall KW ' CillJNG Insulation Only ArJlTlWM By rf,J) ^pprovlld D)' l1*lt . ~ovel' /t!}-/..2--L'> !:late Inslall"dlion description 1t~7ffultf a Cash 0 Check # a Credit Card ~ Mastercard Discover C~#~~_~___~ ExpirationDate. ct2~) . _ '...... f d nspe~~e' 7'-' o car $ /1)'- THERMOSTAT SERVICE 'p-/;L-CJb A/./) Ol\tC . Approvoo Bt O""ll Approved Bt DITOJ fl%Uf..K ~, ApproYed H.) On, Service Information o Overhead Service Cl Temp Service o Underground Service Voltage PhaseD 1 03 Service Size: _ reader Size: Jnspcclion , Electrical Dale Area, Building or Equipment 1nspected Action Taken Inspector ! /;/# AI NA-t-- d/1 41. ) I , I , , , I 7/itJ7 ~tJ 1~ 06 !d WdGP:~~~D! '+80 I [p66 GSP 09[ ! 'ON XtU 8 l-lP"13 5 .aoa WOd.:J