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Home My WebLink About1628 E 4th St - Building " ! . ,. -'- " '.. .' ....!,,;i~!. ""..' .... ,C..':i..... '. '.' INSPECTION TYPE -,::- " DATE ACCEPTED ,;i' I ; '. '." .' ;;".COMMENTS J'\ '....:.Ui. '. tl . YES I NO . 1..<.", ! i; . i ....... '.' ,> . ,;ceii; 'F()IJ~DATION: .i'.' ..~ ..,... I' .' -.; S; .' '.'> .' '- ,\. . <- ..... ,', FOOTINGS '. . , -, I,'., .." ".' I .',.' " .. WALLS " --:-" .....-- ---- ,'. '.' I ".' FOUNDATION 'DRAINAGE . , , > ','. '.' EI.ECTIUCAL (LIGHT DEPT) SEPARATE PERMIT: # '. --:- '.' ,... "", .. I ;.", .' ROUGH-IN . , . PI.VMBING ." , .'.. -, ;r"" UNDER FLOOR I SLAB I ROUGH.IN I -,- I -WATERLINE . , I , GAS LINE , . BACK FLOW I WATER . .. " " AIR SEAL ,. , ,.,+ I, . WALLS I " I '.' ;:-'-- CEILING , J , I ".' , " .., FRAMING , , JOISTS I GIRDERS ' , "7 . SHEAR WALL , ." WALLS I ROOF I CEILING ,'.' DRYWALL " , T-BAR ... INSULA TJON , , "'. SLAB . , WAlL I FLOOR I CEILING I "" .' MECHANICAL / HEAT PUMP . . , " WOOD STOVE I PELLJ,!T I CHIMNEY \ ,........ HOOD I DUCTS -, .,' -,- -, PW UTILITIES t SITE WORK (Engineering,. Division) SEPARATE PERMIT #'s: j W ATERLlNEl METER . . SEWER CONNECTION . ......',. ! .', SANITARY . i '. . .. , , I STORM '. . ., .. J i PLANNING DEPT. SEPARATE PERMIT #'~ I , SEPA: ..... I P ARKlNGILIGHTING ' . ESA: J LANDSCAPING SHORELINE: .\ ,', I ,.' . . . ',. FIN~IN~P~CTlq~S ,RE9lJlRED PRl()RTOOCcv.r~91U,sE;; ~--" , -:1 RESIDENTIAL DATE , YES NO',. I? 77COMMERCIAL .' rJATE ACCEP!rED - , " ' ':' J " '.:". "'. I., -'; ! ;0" ' J, YES ' NO , . 417-4735 ' ' . f....'"'.,' ,~ --c"- : ELECTRICAL - LIGHT DEPT. 'ELECTRICAL I LIGHTDEPT' , CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. i , ENGINEERING 417-4807 ... PW I ENGINEERING .' ". ' ." FIRE 417-4653 FIRE DEPT. ,( PLANNING DEPT. .' . . ,', . , , 417~750:..; ,_:, .', .' PLANNINGpEPT. . BUILDING 417-4815 ;, -Z7...oL, JLl.- " BUILDING , '" '" ".'f T:\PLANNlNO\FORMS\1102.15 [412002} I . ...." ',", , '.' " '", ." ' . . '-; ~~~~'~/f;.:J;::~-:~-r~ :'?~!~~(:>!'?~r '~L~::~?<~~ ",;__"""II:,h_ ~::::;~i;_,t>,-; '~Yf']!~:;~i"i_~W~;:tf:~'~:~-7'tf:'-';i1:"'.>:;~~'~' :;.:;;~~ 1-"'<,' ~,""\ ">^{',-,;., <;- _ .-"P,-',,,! 1."t,_ ".;,--:" .;':';),~; ._;":"\:.~-' "-" . ," -';""-~-{--"- I' , ! BlJILDINGPERMll'INSPECTIONRECORD " l!- '-;e :,--..0;' ' . ' ,", ;"-",',", CALL 417.4815 FOR BUILDING INSPECTIO!"lS., PLEAsE PROVIDE' A MrNIMUM24 HOUR NOTICRITIS UNLAWFUL TO/COVER, INSULATE OR CONCEAL ANY WORK BE.F0R/11NSPECTED AND ACCEPTED, POST ,PERMIT IN A CON~PI<;lIOU~ LOC1T10N.. KEEP PERMIT CARD AND APPROVED PLANS, AT JOB SITE r., NOV-10-2003 08:17 AM 2D673A53.737S4237 " 360 582 9029 P.01 '",/ s ,,,:,.:.:~..)tt -.r ':ti~:-Tt.;:.~~~~:" ,.,. .:~, n" "1" BUILDING PERMIT.. APPLICATION 'OR OffICIAL US B ONt.. Y. 01... bJ.: /I" 1l.{-t:)3 . Pml j: 10 q <0 Oat. Appru 'tlld: Dt...~: FW out COI\lPLETJtL\' and In INK. Your appl1UtioD IInd .It. pi'" MlJST BE COMPLETE to be aCtepted for f\Wlnt'. It you bave any qlleltloll'l call (360) 417-4815 Applicant or Agent;AFR~'-iJ~ SflfO I(OS Phooe: 3/lO f:,f!J3 -q /:;;'IC/, Owner: 12()~ (+- <Jt'DSP~ ~Phone: (./5.1 '7b!J3 Address: I(~Z.~ G Lj~~~~City: PoY+ ffi(j'-'~R.fs LV~Zip:t\A0~{;Z ArchitcctlF.nginecr: < Phone: - A::~C::O(L~0ItJ50~ , .. Connctor~'i 6. KekJ\VJv\ StattLicense#:_~_.--=HxP: 'vieD .phQne:~"E~4 Address: 2sr)(~6.=-) f:IW'f I()UJL~_ . ~ity; 5<<0' I JfV1 IAl A- Zip:qPJ~'--1'-kf; PROJEcr ADDRESS:_/ltJ 2,,~) (;S. I Y ~ sf - ZOMNG: ~OAL DESCR.IPTION: Lot: Block:_ Subdivision: CLALLAM COUNTY P ARCHL NUMBER: _....___ . CrBd!t Card Kllldel' Naa.:~ ff:.' ~ k /11 l t1ll. BiI&s Acldruar Z '5~~ H- iJU I.{ j D~~!j . , aty: :5~ i 11' itA Wfr q 05'0 < - 7t..J ;?L'; = Credle Cardryp. VIS ~c _ N all ~ I I eo, - t~. Datel .. !:J Ruld.entla.l C New Camr. ~roof Cl Stavr;:' SP, @ S ISP." S tJ Multi.fimty Cl Addition t:l Move 0 Gange SF. @ S ISP, _ $ Cl ~ c Ilcsmodcl C DamoUtioo Q'Deck SF, @$ 1SP..a:I S . o Repair C Sign 0 Other rOTALVALUATION $' l'YX)t.u BRIEF DESCRIPTION OIl' THE PROJECT: .r f? Cl..V' () ~ I ~ (:t-' / (OY"n(J ~ f ' COMNERClAIJIlESIDENTIAL: Occupancy Group: OCcupll..Ut Low: No, or Stories: _ Lot Size: Existing Sq. }It. & Proposed Sq. Ft:. Existing lot CCIVeAp _ % & PropcaeQ lot covmJgc _ % - TOTillot covCRge CQlulnlctio.n Type: - TOTAL Sq.Pt. 'fR ESAlWotW.d(a): CJ Yet C No SEPA Checklist required? 0 YCi I:J No 0thQ-; ArPROV AUl: PLANa BLOG; DPWuI JJRJ:: - 01'Hlm1_ PLANNING USE ONL Yl _. JlUD...DING PERMIT APPLICA nON SUBMffT AL: The Buildini Division can provide you with UUbrmation on tbe .pplkation and plan aubmitW I'eltUUamenb it you have questioDl. V ALUA nON OF CONSTRVCnON; hi aU cues, , valuation lUDOunt rw.ue be lIIlt.ered by the appllc&tlt, Thia flpro wUJ bo micwed and maybe rcvlJod byd1e BuiIdiq Division to comply wi1h CUttent rc" schcd.uJca. Colltactthe Permrt CooIdiutout 417-4815 tor .ltJtmce. PLAN CHECK FEE; Jll. plm ~ l't:c: is due It mwt be submitted a1 the timD lbD buildiasJ permit applicatiou IUd CoutructiOll pq arc lIUbuUttod. All ou. permit fHlll are due at the time of pmuit ia,,~c. EXPIRATION Oll'PLANllEVIIWI lho pmnit I. t.Nued within ISO day. of tho dAte ofapplicllUon. the IppUC.ttOD win uplr.. Th.~ Building 0fJiei&l can extend tb. time for action by the appllc~t up to 180 lla)'1 upon wnltel1 request by tho Ipplli:1l1t (1lOD Section 107.4 of the Uniform BuUdiDg Code, CWI'Ct edition). No appLicll.tiol1 can be el'.tImded more than ODCeI, I f1tf9by C6I1try hit I hM 1Nd 8na examined thif application 8f1d know thB asm!! to be trve end ~. 1117I lItAhorlzed to .pptt (of rNs plrmi! I/7d 4llde.d Ihm ~ J~ my ~biJify 10 deltlrmJne what petmlts are Tiquisd ,not tiI. Qy", .1Id that 1 must obtsJn 8uah P&/ml, lJrior 10 It'OIt l:\f01'.MSWI'S'3UII4\t1pmrtLwpd Applicant: 9/"1 ~ L _ . Date: --1. l- '--0 3 _ -' 1 PREPARED 1/26/04, 12:13:13 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 1/26/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1628 E 4TH ST AFFORDABLE SERVICES JENSEN, TTE ROBERT C 06-30-00-0-1-8310-0000- 03-00001098 RE-ROOF SUBDIV: PHONE PHONE : (360) 452-5264 i PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------~--- --------------------------------------------------------------------- BL99 01 1/26/04 L BUILDING FINAL . robert 457-7603 ------------------------- ----------- COMMENTS AND NOTES -------------------------------------- 16948 Port Angeles. wasbJngtonmm_L::L_..___m__m__m___m__....___hm_. 19?~ CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N'! In accordance with the City Ordinance to regulate the installation. extension. or repair of elec- trical equipment in. on. or about any building or other structure in the City of Port Angeles. per- :~:::s: i:_~~2 _~_~~:_~f~J!!2~__~:_li:t_e~__~e_lO:~cupancy_____~_11._4____________________________ ~:~:~~-~~::~c.:~~m-~::~~~;::::::::::::::.:--:-~::::::::::=::::::::::::::::=::::::::::::::::::::: Light Outlets..._._.............___........______... Service, volts ..................._.................. No. wires ....................................... Receptacle Outlets________....................... Dryer, KW __unu_______dU....n_uh.____.n.___ Size wlres._____..........____.__............_.. Range, KW.u.n__.m...'. Main fuse __..___m.....__...___m...........__ Water Heater: Enclosure __.....m__.....________...__________. KW._.....___________,_____ Type of wiring: Entrance Cable __"mo... Heat; KW............____....nnn....____...___.... Motors: size, volts and phase: Rigid Conduit .......dn.........____....... Metalllc Tubing __n............. Current transformers: No. & Size..___...________________...__ Ser. No.__...__.__.......______...___u....______._.. Ser. No.._......___................................... Ser. No..._......__.__............................._.. Type of Wiring: Armored Cable ..__._._________..d........_ Non-Metallic .......__...__................... Knob & Tube____..____.....__......__........ Rigid Conduit .______________......_...__.___ Metallic Tubing ___.............___..__.._. Raceway .___._._______..._....n......._......_ Circuits, Light................____....____._..._..... Utility............._.......__......______.......... Heat ___________.................................._ Range ......................._____..._._.._.__..... Water Heater ....__......................... Motor ..._......_....________.__...__............. Dryer _u.__________....__.............................. Furnace ____..................._.'_._...._._._.___.__. Total Load...______.u................. Ser. No._____.__________...........___............... Total .___.__..______________................ Remarks: --------i~::t:,1--~.".'m______tl.___G____,~ea..~~_--------------------------------m__m______ -:~-:-~~--~~~--~~~~~~--~--~~~~~~---~-------.-::~-~~:~~~~-~-~~.~~..-.~.-.~.------------------:~--:-~Zl~:=~2e::=~-- NOTICE-Current must not be turned on unt11 Certificate of Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. , /J NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION '\ ELECTRICAL PERMIT N? 16948 Address___.__.___............_......___...__.............._.....___.....__.___________..___.............._......_..__.______...................Date..._........_....._.._.........._......_......_....____. r i :~:: ~~L~~:~:::::::::::::::~::::::~::~::::::~::::::~::~:::::::::::::::::::::::::::::::::::::::::::::::-::::::::::..~::~~t.:;:::::':::::::::::::::.:::::::::::.::::::::::::::::~:::::::::: ~I~E-CUrrent must not be turned on ~ntll Certlflcate of Inspection has been issued. It work ~ to he con- cealed due noUce must be given the Inspector so that work may be inspected before concealment. ' ,.., t. . 1M Olvmn;e Pdn'.". Inc. (