Loading...
HomeMy WebLinkAbout225 E 9th St - BuildingPREPARED 2/23/09 8 32 24 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/23/09 ADDRESS 225 E 9TH ST SUBDIV TENANT NBR ERIC TRACY HEDIN CONTRACTOR ALL WEATHER HTG COOLING INC PHONE (360) 452 9813 OWNER TRACIE M BRODHUN PHONE (360) 417 8097 PARCEL 06 30 00 0 2 6970 0000 APPL NUMBER 08 00000382 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 2/23/09 JLL MECHANICAL FINAL TIME 01 00 h February 9 2009 1 34 32 PM 1pangrle TRACY 452 4403 MECHANICAL FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc INSTALL HEAT PUMP Owner TRACIE M BRODHUN 225 E 9TH ST PORT ANGELES (360) 417 8097 Qty Unit Charge Per 1 00 14 8000 ECH Fee summary Charged Permit Fee Total Plan Check Total Grand Total T Forms /Building Division/Building Permit (l0 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983627831 Permit MECHANICAL PERMIT Additional desc HEAT PUMP INSTALLATION Permit pin number 123810 Permit Fee 64 80 Issue Date 3/28/08 Expiration Date 9/24/08 64 80 00 64 80 08 00000382 536774 225 E 9TH ST 06 30 00 0 2 6970 0000 ERIC TRACY HEDIN MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 11269 Contractor BASE FEE ME INSTALL 100- FAU Date 3/28/08 ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 Plan Check Fee Valuation Paid Credited 64 80 00 00 00 64 80 00 Due Extension 50 00 14 80 00 00 00 00 11269 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 0/(60 CAJ/L) itriL...0 Date Print Name Signature of Contractor or'ethorized Agent Signature of Owner (if owner is builder) CALL 417 -4815 FOR BUILDING INSPEC CALL 417 -4807 PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT INSPECTED AND ACCEPTED. KEEP PERMIT CARD INSPECTION TYPE DATE FOUNDATION• FOOTINGS SHEAR WALLS 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 N's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 BUILDING PERMIT INSPECTION RECORD TIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS FOR PUBLIC WORKS UTILITIES IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE POST PERMIT IN A CONSPICUOUS LOCATION AND APPROVED PLANS AT JOB SITE. ACCEPTED COMMENTS YES NO CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 IQ2 09 I3LC— I T Forms /Building Division /Building Permit (I0 /01 /07).wpd FINAL DATE FINAL DATE SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. ACCEPTED BY. ACCEPTED YES I NO N V Cook,, n "r 4ti r BUILDING PERMIT APPLICATION Print in ink Mar 27 08 09:24a C©ur" W' 9 4e p 1 n i e i s 'Tract e 6 odAwi Q c,,,khor4le_fyDyy t w e Of IL-, Ur IF CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent 1 U t,' {'(S W\ ev 4(ati (ley? Phone *Owner y c ti Mt 0 Phone Owner's Address 7c E. 01 tv- St Contractor /Engineer A t (A 1()amP tr tkrrrt\t1G (cO Phone Contractor /Engineer's Address �('}Z Le one St License A(LO)F C601e-« PROJECT ADDRESS z,2, '5 E hn Parcel Number Project Type Brief Description. Check all that apply New Construction o Addition Remodel o Repair Re -roof o Demolition Sign *eat System o Other Floor Areas Basement 1 Floor 2nd Floor 3` Floor Garage Carport Covered Porch Deck Shed Other X Residentia! Commercial EJ i nS alcrn o ir1 Existing (sq. ft.) dosed (sq. ft.) Total footprint of structures sq. ft. T Lot size Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type Expires Lot For City Use Only Date Received b3 2 —O' Permit 3 8 z Date Approved Zoning Multi- family o Industrial wall- mounted projecting freestanding awning other Total sign area sq. ft. Maximum allowed sign area sq. ft. X Heat pump o wood burning stove o gas fireplace pellet stove o other per sq ft. TOTAL VALUATION 1 1 7 sq ft. Lot coverage of bedrooms of full baths of half baths GC I have read and completed this application and know it 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, argil to obtain permi prior to working on projects. /�l p �P 'C a Date 4-1-1 Vt Print Name CalO n ILO- l 1") ide_OSignature T Forms /Building Division /Bldg Permit Appl. -2006 Code.doc Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Hedin Tracy 225 E 9TH ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 WA 983627831 Charged 46 00 00 46 00 08 00000406 730502 225 E 9TH ST 06 30 00 0 2 6970 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 ELECTRICAL ALTER RESIDENTIAL Qty Unit Charge Per 1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS Paid Credited 46 00 00 46 00 00 00 00 Date 4/07/08 WA 98363 124115 46 00 Plan Check Fee 00 4/07/08 Valuation 0 10/04/08 Extension 46 00 Due 00 00 00 a INSPECTION TYPE DATE. RESULTS DITCH SERVICE ROUGH IN FINAL COMMENTS Yholoe, Ll` /2/08 7 EL hCTRICAL INSPECTOR Application Number 08 00000384 Date 4/01/08 Application pin number 804096 Property Address 225 E 9TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 6970 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor HEDIN TRACIE M 225 E 9TH ST PORT ANGELES WA 983627831 ALL WEATHER HEATING COOLING 302 KEMP RD PORT ANGELES WA 98362 (360) 9813 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 123760 Permit Fee 35 00 Plan Check Fee 00 Issue Date 4/01/08 Valuation 0 Expiration Date 9/28/08 Qty Unit Charge Per Extension 1 00 35 0000 EC EL LOW VOLTAGE 35 00 Fee summary Charged Paid Credited Due Permit Fee Total 35 00 35 00 00 00 Plan Check Total 00 00 00 00 Grand Total 35 00 35 00 00 00 SPECTIOI\ TYPE DITCH S F,RVICE ROUGH III FINAL COMMEN TS: ELECTRICAL DATE RESULTS INSPECTOR Iiigke 7P Application Number 06 00000967 Application pin number 364582 Property Address 225 E 9TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 6970 0000 Tenant nbr name HEDIN RES Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 7742 Owner BRODHUN TRACIE M 225 E 9TH ST PORT ANGELES WA 983627831 Permit BUILDING PERMIT NO PR FEE Additional desc Permit pin number 86132 Permit Fee 179 75 Plan Check Fee 00 Issue Date 9/05/06 Valuation 7742 Expiration Date 3/04/07 Qty Unit Charge Per Extension BASE FEE 95 75 6 00 14 0000 THOU BL -2001 25K (14 PER K) 84 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 179 75 179 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 184 25 184 25 00 00 Separate Permits are required forelectrical 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 .0 presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. nature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T•\Policies \l 102_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 Contractor EMERALD ROOFING INC P 0 BOX 879 PORT ANGELES (360) 452 4681 Date 9/05/06 WA 98362 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 FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ 417 4807 ENGINEERING FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T• \Policies \I 102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD YES I NO I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I FINAL FINAL SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION ILW PW ENGINEERING I FIRE DEPT. I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. I I I I I I I I I 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 PERMITS (360) 417-4815 FAX(360)417 -4711 Applicant or Agent: �2.A -1A5 l t tFl/� Phone: Lib 14L1 7 Owner. t �2. (L i e y }{C' V Phone 0 3 Address: e-57 9i' City P'C AN6)C -6S Zip 183 6Z Architect/Engineer N/A Phone: Contractor MM b iZ.vc I NC State License pie/LW- q- Exp /947 07 Phone: Z Address:) &9k F 7 Cit �—F. hpkte2W5 Zip ��b2 PROJECT ADDRESS 2? S FACT ZONING LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. STZF/VALUATION *Residential New Constr Re roof Stove SF /SF Multi family Addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Other ,TOTAL VALUATION 7 4 2 BRIEF DESCRIPTION OF THE PROJECT RE" 5�/ R-c r Mf 39 Ms` 30 COMMERCIAL/RESIDENTIAL. Occupancy Group No of Stories. Lot Size: Existing Sq Ft. Total lot coverage PLANNING USE ONLY OA ESA/Wetland(s) Yes No SEPA Checklist required? Yes 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 Buildmg 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 buildmg permit application and construction plans are submitted. All other permit 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 R105.3.2 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 is my responsibility to determine what permits are required not the City's, and that I must obtain such permits prior to work. K. TAFORMS\BldgPernitform.Wpd Applicant BUILDING PERMIT APPLICATION Subdivision. FOR OFFIC Date Rec. Permit Date Approve Date Issued: Occupant Load. Construction Type. Proposed Sq Ft. TOTAL Sq Ft. Date: APPROVALS PLAN BLDG DPWU FIRE. OTHER. CITY OEP0R:r~ANGELES DEPARTMENT OF q)~I)E;YE~QPMENT - BUILQINGDI\{lSION 321 EAST 5TH STREET, 'PORTANGELES,':WA 98362 ",:/,,:. s ~~ l:SulLDING PERMn OWNER/APPLICANT ERIC HEDIN 225 E.9TH ST Port Angeles, W A 98362 360/452-4403 T: CONTRACTOR OWNER VARIOUS Port Angeles, W A 99360 206/000-0000 PROJECT INFO .,projegtYCilue: $15,600.00 Project Type: GARAGE NEW Occupancy Type: RESIDENTIAL Occupancy Group: . Construction. Type: Zoning Use: RS7 ~,.' -"';' - , """-'io. "."',,', : '\" ;- ,\" PERMIT NO: S: l~l1.ED:,>. ~/0,~/2002 PROPER;pt.;LOCATION 2259TH ST E Lot: 16 "'" Block: 269 O'L:.ong Legal '~~ -........- 'SubdiVision: TP/f P~rCeI No: 063000026970000." 13672 .. PROJECT NOTES DEMO Ol.D GARAGE REPLACE WITHNEVV.24X25DEfACHED'GARAGE $265.25 $106.10 $4.50 $<).00 $0.00 $0.00 $0.00 $0.00 $0.00 Signature of Contractor pr Auth()rl~ed Agent o 0.... .600 Ixl....... .\.'d..; V) f1f -0 + )"' ., ." 98360-0000 360/000-0000 ...~Fp'Un,i!~.: S.FD ~9 . FT: 1 624 Commercial: """'." Industrial: . ~' .: Garage: l.:,"'-"",'",>, . .t:;'<~.tiL;-:2_'~'<~ ....;:-.,"""" RECEIPT#9644 FEE$ASSESSMENT ..Building permit: Plan Check: ....State Surcharge: House Moving; Manufactured Home: Sign: Plumbing: "'Mechanical: Radon: MFDUnits: MFDSQ FT: o o . , . '.' Separate PermitS are required for electrical work. SEPA.Shoreline, EsA:'utiliti~$; private and public irnp1'Qve.men~;tJii~PI~I~I;TI'~ null ahdvold if wo.rk orconstruction authorized Is notcommencedwithin 180 days; If construction orwork Is s~~d.cti;) ':':"'. .oneCi fora periOd ()M 80 days afterttl.e work as commenced; or If required Inspections have not been reqllestedYlitlJirl'180daYl\... r' 'elast inspe~r~n;""1 hereby Certify mat I have read. and examined thisappncatibh.and know ttm'same to l5e'thlaal\~:f9rr~.Cl-S~~~~'6'~~''6f laws and ordinances governing this type of work will be complied with whetherspecifled he In or not . e gFl:i~tl~11'9f.a'R~1t~oesnot presume to give authority to violate or cancel the provisions of any state or localla r ulating struction,'-orthe~rforrnance:-of construction. . '. ,\. '; . ..' r..c; . ...e: ' "" T:\PLANNING\FORMS\1102.1S [412002] Misc Fee 1: MlscFee 2: Misc.JF=~l;!, 3: $9..00. $0;00" $0.00 TOTAL FEE: AMOUNT PAID: ~AI,.ANCE [)lJE:. $375.85 $375.85 $0.00 -* ~lgl'!<il,t(J,(~.of Owner (if(jwneri~builder), I I ~~""',' - c(""' ~'~_; -:f'!>;' '\':':'~~.~;t;',~, BUILDING PERMIT INSPECTION. RECORD ., " CALL 417-4815 FOR BUILDING INSPECTIONS.' PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TOtOVE}l, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPf{OVED PLANS AT JOB SITE i " . ".. . INSPECTION TYPE pATE ACCEPTED 'COMMENTs ""'., .''" ~~~.; . I .. ,< YES NO , '" ...; 'FOUJIIDATION: .' '<(" F09T1NGS 'CI ~J 2..-oi:.. uzW /';ftJ}J() WALLS ,; " FOUNDA nON DRAINAGE ,,,....,'f..')\ ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # , ROUGH-IN I PLUMBING ." "'. '... UNDER FLOOR I SLAB ROUGH-IN WATER LINE GAS LINE r. BACK FLOW I WATER ..' .f " r ';'., '.; "., ,"" ; AIR SEAL ; d ' . .. '0 >', WALLS " CEILING '. I .'. ". FRAMING f ' I" " JOISTS I GIRDERS SHEAR WALL WALLS I ROOF I CEILING ,,' DRYWALL :< . ! :! . , , T-BAR , INSULATION SLAB WALL I FLOOR I CEILING I MECHANICAL 7' HEAT PUMP. \ .,'}. ":, .... , WOOD STOVE I PELLET I C~ HOOD I DUCTS Y'i r'~ ,,'." >- :." '\:.;., " : ". PW UTILITIES I SITE WORK (Engine~~g ~,,!,si,~n) SEPARATE PERMIT #'s: .. ;..,!. , '0"'" -.,".,", WATERLINE I METER ....-YP, SEWER CONNECTION ,,,,; , . SANITARY " ',l. '.. STORM ... :) U'.! ,,: , PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKlNGILIGHTING ESA: LANDSCAPING SHORELINE: ,j ., ", 'n' " FIN1JrtJ~SPECTlq~S,~qU~RED PIUOR TO. OC;:CUPANqroSE .." ',. ,: '. .RESIDENTIAL 'I ,; DATE" YES NO , COMMERCIAL D"-TE A(:CEPTED :, -YES' " 'NO , w " ,: ". ,; , ELE~C# - LIGHT DE.PT" 417-4735 ELEtTJuC~ LIGHT DEPT' '. , ccc . .'" CONSTRUCTION R W.I PWI CONSTRUCTION - R W. ENGINEERING 417-4807 PW I ENGINEERING FIRE. "" 417-4653.. _..~._" FIRE DEPT. ! .....,-.."'.,.. F ._.__.'"._n_l>. ~:~_:." ...l -piANNIN~ DE,:?"." ,;: ,I .. .... '. PLANNING DEPT. , 417-475.0 .. .' ,,; :. ". .' '. BUILDING 417-4815 d':~ -~~ RV BUILDING '.' rq ..... , _1 T:\PLANNlNG\FORMS\II02.15 [412002] ""~~ BUILDING PERMIT - APPLICATIO,N The Building Permit application must be filled out completely. Please type or print in ink. If you have any questions, please call 4174815 Applicant or Agent: G (..( , \+~ ~ ~- t"'\ Owner: cr/G WeJ.;() Address: :;;../lS ~ 11J.;;g- Phone: Phone: :5 0(} L/S2. - LN6 3 City: fhrr f}11el&~ Zip: 9l!t'.:~(d::J. Phone: Architect/Engineer: $P\-mc Contractor s..Pr'(T'lc License #: Exp: Phone: Address: City: PROJECT ADDRESS~~~ e 9 fA ~ LEGAL DESCRIPTION: Lot: i \n Block: ').\A Subdivision: CLALLAM COUNTY PARCEL NUMBER: l~~ ~-OO- O~I Credit Card Holder Name: Billing Address: O"~OOOUC::;7 ()(.)()() City: Credit Card #: Exp. Date: Zip: ZONING: f4P~ VISA MC TYPE OF WORK: ~ Residential )l New Constr. o Multi-family 0 Addition o Commercial 0 Remodel o Repair ORe-roof o Move w... Demolition o Sign o Wood-stove 'It. Garage o Deck o SIZEN ALUA TION: L:2.1-o\ SF. @ $ ~s: /SF. = $-1 '$ ~OO SF. @ $ /SF. = $ I SF. @ $ /SF. = $ TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: Df!1170 t1/d hl1l"~e +- l3u;/rI r1~W B~e... COMME~CIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: - . _ No. of Stories: .. - I Lot Size: ?!!()() ~ / % Lot Coverage: '15., if % _ -- _. Existing Lot Coverage!-: ~:2.." sq. ft. + Pr posed Lot Coverage: ~~C ~ /sq. ft. = TOTAL LOT COVERAGE: iI2~.Y... /sq. ft. PLANNING USE ONLY:~ ~ ' APPROVALS: _ PLAN Notes: BLDG. DPW FIRE ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted/or review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. 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 sche?ules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: Your plan check fee is due 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: Ifno permit is issued within 180 days of the date of application, this 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 I have read and examined this application and know the same to be true a 'd correct, and 1 am authorized to apply for this permit. I understand it is not the City's legal responsibility to deter. lfik what p!!r . its are required; it remains the applicant's responsibility to determine what permits are required and to obtain such.' --.... Applicant: -Date: g -:21-0)... T:\FORMS\APPSIBuildingpennit f" DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION APPLICANT: ~n'c 1Verl-;'n PROJECT/DEVELOPMENT ADDRESS: d;2:::: f: PHONE: \.~~() LfSd. t('Io,-~ 9~~T .u See Page 4 for instructions on completing the site plan. For more information, caJl 417-4815. \ <:...c:. ~,l.i:-- '\U_",'>I'_\"Ilt.'~"I'~.;n,'~~l:~~~~ ~- <<I -- -"'~ - " I 'If lilt' , ~ (,; ....., 'S" 1- j JtJl ,.~ ~ .~ ~ I ,'". / tj - ~ I' J < po '. - ,-"" ~ .~ ,., III ~ 0 1 , . l -,- - -: ./ ,~ t ~ /1 ~'1~ ,,' , . -, , , g l~ ;-" " I ... , I, . ,. - " f - ,. . " <\'~ dj." .,~ "1" r"t r-f rn '''L. "" I '" ~J l ~ " -- ,. l C ." ....... II"C /'\ I It (( >J ~.. c, t: , :2' ~ .... ~ A- Il' ."'''' ~ ,... . " Ii 4 \ J ) Ii h. }" .,t " , ; 1 in , Itl:!! '! " I , 'j ~ l'd' i i' ' ',i I .~ " $. ; ii P t I' t ,;' ,V ; ~ .' f 7.j,. r~ ~' , l ') .~ ", ~\ ~ 11M \' .,- ~ ' '. (Ii! .... I,i~ " _: 'i' I, " " ' , , ; , I .J ,1 , ;'; i , I l' ~ , \ - I - ,--~ . -, .~_... '''''"'".,,,,,,,,,. '" ........'....,,....., j. -,' IJ" '2~ f~ f !j - ~ IJ - "1 , , " ,-~~ t,,~>u,J ,.- ...- """"''''' ,;~~ ~c~.... ..",' , ., 't.P''';''~ ~..-;.#);I~;i '" '."""~"'i,,,,\ '"",."... ~,""'t'lj~,~'ll~~~~~.....~" / ,,~ - So %. r ~ CJ 'CIU~ H':Ma ClIlNM.L'taf& CICClMIo~ I8WW tiilLVW . r: tr'J me t/IffI ..-.. T1't' . tlCIUS iI'8DCI saul fMtI Sill.".. "... .AY . . J.AS '70.'.~.. SCI\L~ . ~ ~ '.A.~ H':Ma ":TO .. . IIIClloN:7.J .. 1M NaL..... 'CBC1Tl't' IJilM:Il:TIOH ~Ql Q.L HCIlJ,~ ........ .fio OJ. .K J.Y W.GN '~1I1H tOQSS t'H tIM:lCJ at CNI-~ ~ JI- -'r 81l1H.1M 1lV .r:II tlI'1ClH '"" "101 .,-"'""',,-""-~....~-- . <. ----...., ,,---, "\ ,_"'" CI3.LON Ii'" ':r1V?S " (.~-...,_ . liNVd lNIV~lSi~ lV~ilVl wnw~/~ -""''''''''-.. --~""-'"_.'" -,""'.--- '-~-~-*,-~~..-....,~_o.J.~~~':'--'--~- ;;u.WIQL,.., ~ ')."WtN TILl t.1IIO'T1'n 18UD"." .~ OFIV M4CJIa """ CBL"108 'CIlM711V M4CJIa at ~ OJ. NOU.~ 'aNd .910 OJ. .K J.Y .... .~ WCIf NQWooIlti CHQU.~ ~7I'oftMollIIiW 'IV .""J.'iNl ---- ........... 'IlQCrW J.AH IH>>I c:&&II. 'Waa ~ \ ICMQIW 'tI<<IlI tIN ..,.... CIOClM.\'" Oft sa."DI --....".,..-_...~' J' fIInQNI TMtI CIOClM.\'" "1iIMI ~ QN NQU,YGIW fi8M1a181lWllH WlCJW Y ... 1fIlIQ4IPI 9TM4 CHI ~ HI iI8I aIQlI/ 1J10N / -i 'cIlCiI OIH: 'IonouH!H.9JS ,.. SNJK.l.\1af5 cru...... Y.N 1:1" 'I' "" Ii" I: . J.I' H. ,:,: '"L I, ---~~ .---------~------- r';'-r~~,.... . ---------------- ~ JJCBI.1i5 ... .K 3cnnO NOll:>nlllSNO:) 'Ml.Nacom 1IiJCMIf i.LV1ai,dOJ. ~ . r""} \, ,'. ..,...~;:::.,~,~:. CITY OF Po The ISSuance R~ ANGELES _ cation of thIS Permit Constructj from t~ and other data shall based uPon these On Plans Plans, /;::;,er ,reqUiring t,::ot prevent the b::;?S, sPecifi. bUilding ~tions and oth C{Jrrection of e~ mg. official ViOlation OPerations bein ~r data, Or fro roTS In said (SECTIOll ;~;~) ~; a~~ ;:::n:~ r:;~~;e~Z;::N~g ,Approval Oats -2 ~~ng~, BY~ ~ o z S ~ c;I) ~ 't.J I fa i ; " \ \ \ " I' i ~!~~.. '. I' , , i '~;~!I;i:iiil ih t , III 1~lii;IIII.M, !I!~ 'I' 11,!lii!l'.~a illt li'l _ 5 , , !! I~~I; ~11.!i~ 1;;1 iI' , II iill,-itlllli !~II~' ili ~llil!BI~il~; lil~ ~I . I~~ .1111 rji.ll~ ~ I <, ~II liJI~!I~r !ri ';It!~ ~III 11;111111111'1 1111; i~ i~~. ~!lltl;;111 ~ ;!~il il .... ,'B~D i B i U) -' au Z ~ A. -' -' ~. ~ Q 1&1 U ~ a= aD 1&1 ~ ~ I~ 1&1 - ~~ ~~ ;..~ f_".. -) U" I \l, I .fj 0 l)- V) C') ~~ / PlTGH " "I It.RRIGNE STRN>5 REGlJlRED AT EACH &Do &ai mJSSo 1'-0" WiD. i \ !! \, ~ \. <:J ~ ~~ INTERIOR SPAGE AHEATED} " II I ( It :;.X~ t(P DC. ) ... ~ - I U ~ TYP. FOOTINS GONSmuGTION l . . J ~~II=::;~~T. FOR HlNlI-U1 -- TYP. WALL SECTION (SLABIMONOLlTtflc.. FOOTIN5) SGALE,II2"=I'-o' ~Hl I. I" RESIDENTIAL CONSTRUCTION GUIDE I I I I , Hi 12' I-?TORY '" 2-5TORY . SLAB OM 6RN:lE ~ eoL 1'5 . 6'-<)' OL.o loll 2' x 2' x !Si\6' sea. ~ ...... AB.'S RJ:QJIRED IoInllN 1:2' OF AU. Sill. PlAT!: ElC:lS ...... MIN. C2J AB.'S PER EAGIi PlAT!:. PReSSlJOlE lReAn:P flU PlAT!: PER Lee; SEC.r :806.4. I'\N/5tE) 6R.IDE ~ ~ - (3) PIEGCS GaWTINJOUS CJ HAll. se:;.... FT6. r- G)FOOTING DETAIL " 'CIUTU:lOK' RN"T'eRS-- T'T1"lGAI.. ROOF SI-E"lHlNlS PER , __1-__ __ Rl~I-__ -- ------- .'C,' . '~'t --1----- , :1 :~ I -t1 I I I I L x "-----' 22' x ~' M~IH.t1 'Rx::illEiH OI"ENINI5' FCR ATTlG ~ PER UBG. 5EGT. I505J I~ ~ -------11.-- ..........." __L____ __ _;-~ ~ ,--~2' RAFT1:R TAIL ~OM. PORGH ROOF FRAMING PLAN -- --,--- ~- i <v~ --1-- ~ l M!l 12' RN='TBl T ,,1\.5 TY'P. - UND. RESIDENTIAL CONSTRUCTION GUIDE - - - - - - - - -jl! ...-"' I / I ~ 1 ~. t I. Ifl'I I I. I!>IZ!: & SP,AGI I I ~ I III : : 5LOf'I!) ! I I I ---- I 1 ..J I ~ ! II 1 I _AM" 1 I I - - --~ ['\, ~ NOTEI I. TR1ISS ENI5lIEERIN6 ~RED TO BE ctI SITE AT TIME OF ~ 1H5!f'EC. TIONS, 2. RCUSl+-IN B.!!GTRIGAl. INSPeGTlOI ~ BE N"f"flDVf!D F'RlOR TO ~ FlIW... POSITIVE GONEGTlON REQD A AU. POSTAEAM GONEGTlQN!; ~ U.BL., ~T. :2!5W, c:J SG~I 1/4' = 1'-0" ,'. , f-: ~;~~-~----'--1(f--7/i7'-' -' Q/ --!~.. ~. . . '\.. . .-_____1-- j'. .;;2..L/ / --~-1 r--'~'_. .--.- ..~ i: ; , ;~ I; j!. . if II II ~ ~ . J?' ; ------ - --.-----,...- _.~.---_.- CITY OFPORTiANGElES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date-.9-- 12-07/ Time Received by RV (ph()ne, person) Location of Work to be inspected Name of person requesting inspection Address of. person requesting inspection Type of Inspection (circle appropriate one): Sewer raming Chimney Plumbing E r1c.. I V\... Phone No. ~51- Permit No. } 3(" 7 2.- Final Sewer Excav. Other Time By R Inspected: Remarks: ('). j/ RESTORATION REQUIRED.. . . . .. YES NO Call ~~rs' SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee D No Damage Found Work Order # o COMPLETE o INCOMPLETE (c:~mtinue.on reverselOide if necessary) STRE.ET SUp,ERINTENDEI\JI (Q~!~) s ~~ CITY, O.F".ePR11ANQELES DEPARTMENT OF COMMUNlTY[>EvELOPMENT - BUILDING DNISION .321 EAST 5THSTREETt'POR1ANGELES. WA98362 .,":'\. BUILtJfNG PERMIT , ". . -....; CONtRACTOR OWNER VARIOUS Port Angeles. W A 99360 2061000-0000 PROJECT INFO Project Value: $500.00 Project Type: DEMOLITION O?Cupancy}"ype: RESIDENTIAL Occupancy Group: Construction Type: Zoning Use: RS7 OWNER/APPLICANT TRACIE HEDIN 225 E.9TH ST Port Angeles. W A 98362 360/452-4403 T: S: ISSUED; :al2212()()2 PERMIT NO: 13644 PRQPERt\' LOCATION 225 9THST E lot: 16 .. Block: 269 0 long legal Subtllvision: TPA "Parcel' No: '063g9002~~700.00 ....... ARCHITECT N/A ....98360-Q00q.. 360/()QO,-QOQO . . . SFD' Units: SFDSQFT: Commercial: Industrial: Garage: o o o o o <.3-. MFD Units: MFbSQ FT: o o PROJECT NOTES DEMO GARAGE RECEIPT#9578 FEES ASSESSMENT Building Permit: Plan Check: State:Surcharge: House Moving: Manufactured Home: Sign: ,plumbing: Mechanical: Radon: 117"; . ..i""\............. ~i':> ....1............. 7"';\ ~.'" ~," SeparCitlt Permi~are required tor electrical w9rk. SEPA, Sh()r~lir1e;~Sp;,utilities,priy~~e. and public improvements.. This pel'JJ1lt becomes null ancfvold It work or construction authorized. Is not commenced within 180 days, if construction or work Is 5uspendE1tt:.or abandoned tor aperiod'of180 days after the work as commenced,or it requl,.,dinspections have not b~,enr~questedwi!pin 1~~daYSfrorn the last inspe~~I'l.; I hereby certify that I have read and examlned.th!~riPpllcation and'kilOW the s-a!ne to M'tru . 'an(fcorrecttAU'PrpVi~lons of laws and'Ofpinances governing this type ot workWlII be complied with whether specified rein or not e grantingof~/p'eri'nlt does not presume, to give authority to violate or cancel the,provislonsot .any state or local regulating nstructionorth~ perfqnnanceot construction. . ". ." $23.50 $0.00 $4.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Mise Fee 1: Misc' Fee 2: Mise Fee 3: $28.00 $28.00 $0.00 TOTAL FEE: AMOUNT PAID: BALANCE DUE: Signature ot Contractor or Authorized p,gent T:\PI.ANNING\FORMS\II02.IS (412002] Date Signat re of O\vPer. (if oWri~t .I.s b.uilder) \__"J BUllJDING PERMIT INSPECTION RECORD , ~ CALL 417-4815 FOR BUILDING INSPECTIONS. P4:.EASE,PROVIDEA MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. ,,0 KEEP PERMIJC4.RD ,t'-ND APPROVED PLANS AT JOB SITE Iv INSPECTION TYPE li;;1 !oQA:rE. '" ACCEPTED COMMENTS " I YES I NO FOUNDATION: " " " FOOTINGS '" " : WALLS '" " ,..--. , FOUNDATION DRAINAGE , (LIGHT DEPT> 'SEPAAATEPBRMIT:# ,,' ,-.! _.,~~, ELECTRICAL , ROUGH-IN - 1 ' , ,,1 , ," ", ,', PLUMBING " UNDER FLOOR I SLAB ROUGH-IN > i WATER LINE ,,,~'; ,0 iv"" I,"': GAS LINE '.. BACK FLOW I WATER I AIR SEAL . " " WALLS I , CEILING ; I ,,', ,. " FRAMING JOISTS I GIRDERS , , SHEAR WALL .. WALLS I ROOF I CEILING DRYWALL T-BAR , , INSULATION , SLAB " WALL lFLooR I CEILING I MECHANICAL , , REA T PUMP WOOD STOVE I PELLET I CHlMNEyl HOOD I DUCTS U PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT II's: '" ';' .. , WATERLINE I METER " " SEWER CONNECTION SANITARY , STORM ~, ' ,",0 PLANNING DEPT. SEPARATE PERMrr II's -; , SEPA, P ARKlNGlLlGHTING ESA: LANDSCAPING " SHORELINE: , FI~*:~~~()NS ~UlRED PRIOR TO OCCUP~~Il1SE '., , ;', ), RESIDENTIAL .- " DATE ".. " YES NO COMMERCIAL ", DATE' ACCEfflD ~ '.- r. '" " YES "'~O " ~. '.,,' ,'" " "" W,w' " ELECTRlC~3LIGHT DEPT. 417-473L I"'c,:, ELECTRICAL: ", < ' i" ~ LIGHT DEPT .. " ',", ,.",,a CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING . FIRE . . 417-4653";; ;":. FIRE DEPT. .. .. " , <_.~~ 'e" ~.. -d -.~- . PLANNING DEPT. : 417-1750 "i PLANNING DEP.T., , " " r .,,'" BUILDING 417-4815 .Jo.' I _F __ J)l/ .~ BUILDING Ci tJ L__\ f! (L. .+ T:\PLANNING\FORMS\J J02.} 5 [412oo2J . CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. 3.3.':<:<... /D - //-9/ ELECTRICAL PERMIT DATE Installed By: ?~S-- S o READY FOR INSPECTION License Number: XWILL CALL FOR INSPECTION Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ~ Residential 0 Heat KW ..;;1... o Baseboard ~ Fllr-- n/Boiler o Heatpump ~her o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair o Overhead o Underground Voltage 01.0 03.0 Service size o Temporary o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) Amps Detai Is/Description: ,4-jJ , .::uJ e~ ~('I&<. /II! tf) f4 C~ ~cy.? 7) . ~v-e W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. o Rough-in/cover O.K. o O.K. to connect service o Final O.K. Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pendi ng lnstaller:s r4 c:~ Permit/Receipt No. 3 J 0l2.... New Meters Date: '(rllfl Site Address: . Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 0 ()-i) In~ Am~paid - WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLVMPIC PRINTERS. INC. /ZlJf3 FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A ~s~ PERMIT NUMBER . ~ fLEe. T.:.~ '3 Y p<'"L._ _ TOTAL FEE YJ '3<iOCn . CONT. Lie, NO. TIMETO COMPLETE NO. ~TORIES LEGAL OCCUPANCY <; ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address 7"'111 PERMITS WITH WRONG ADDRESSES ARE CANCELLED Owner r Installation By r=1..e:AYI~ ~V"'''(/-'' ,iV"lCl- Owner'sAddress do 1'1..~I,. A:/Ii',on ~",2 ~ (P~ Installers Address II t-. <;if hoI.+ PL.D '4"...t Rtf Day Phone ? ') \ t, q l"'1 Installers Phone ..., ., '2 -~ 'i~y, Application is hereby made for Permit to install Electrical Equipment as follows: J 00 ~ V""\ "P S ~ V-../ \ '('~ \r~v\.l\~~ c:;vt-l.d.'S.. L'jht< J.'/Hr.1[ fI..'/...ft !u,...sf... Wiring Method V"h""f'Y . NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT CIRCUITS PER 10 100R FEE USE OF CIRCUIT CIRCUITS PER 10 100R FEE CIR 30 CIR 30 LIGHT l.j \<;' SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE MOTOR CONVENIENCE MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS . DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER i .3D LAUNDRy 1 ')(\ DRYER REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE GAS. OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEA T TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER A.C. UNIT ~D AMP \ PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS SERVICE 'if (0 AW.G. I SUB-TOTAL SIZE OF GROUND It:, SIZE OF ENTRANCE SWITCH I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made A U;::j ') ~ .19 g b By (jQrt~ '2J ~1'" CONTRACTOR OR OWNE~ (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining :eret::bjectft~omPllance with the O:yinances of t::/J :JfT~n~~'~SCI~IGHT_ Date Permit Issued / / v<'j )c> J!!L ~_ _ ! : PLANS APPRQh'ED Notify Department of City light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspectron and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ WARNING WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report , ,\ DATE OF VISIT fjJZ,/9 C. '/ I . , , q'~ '(1. t( /7., t i 'l MADE BY Md- , AAJr? \\.11 ,', : . ~ ' . . fV\ tf' l7\F .- , . REPORT OF INSPECTOR REMARKS .' . -,.. .....'l I. Pfro ClA-GL G~~ .- 7. J(V'lOVf "lei.' V/o'.;.r, l 'Wl/c.,:"'" i~htL- '3. (PL.<.t 1!oJ j.~ ,^~h AI. w ao:"'t/L.J.-I S7>>/{t.t 'f.YhJa.T .... --;- llN. ""l.~JS Cfi.v...,:J,...... d d/t, h" ~< ti", J.-.+-n h-l'-'f.) ; '. I ' S. uJl'{~ ~I J UfrJr .....o,(.l: Sf---<--+-oj- "",,t~(.(. "+ I '\Avtr u,.J., +- '.AJ)~ l~ vvflJ. f. . "'J" 13 !IX" C-l> '" 'i.JL f.J L{ .!. L J . , , , ' fJd/r.l I,., ((D /; /l1'>t<.'{te..~.J ~V41(,.7 stI,d ,4(( ~I'l i?/tlr. , , O.K. FOR COVERING O.K. TO CONNECT SERVICE /.Y'1: J bhk, i"', -fJ!.~ ..., . ,. z Cl II: <C ::E ~ ::t: I- Z W l- . I- o , z o c 04/02/2008 23:25 4579270 SIMPSON ELECTRIC PAGE 01 I. " \ ~ . EU:CI'RICALWORK PERMIT APPLICATION \ JoIJ "'inti ~, ~ledrtc.1 Contnll:CllI' t:I OWner rka 92~ tJ 9 !i3fd * pr,'C;i;''C:'' ~"r~J1'~ /J-.e ~'h AM.... a"..,..,ll.. r:-.IL.r.;1 . 0, :J..5 &. - ..,."t!Z ..;;,T CUr p(jt<..t f+rLtl'e/~ nStan..IOft deletlp'ioft a Ol_rcIn1 flUrUadal a N... IJ i\lfered'AUllllln PIIOhC' ntllDber III ~~h 'eetloo: '"Z; Owllb' n.t drifltlH by RCw'/9.26.26J."(I) Ow,n,,. 'l4/1/1~, ,lie ,t"'~"'rwr lor' two yelfS Iffttlr rld8 elec""t:l2l pNJII1J iff ft~, (2) OIMtl!t' I., I'r.qtdml tr~ /Jirrr 1M eleCIHcal ctM''''CfD,. {( ~ ,r.jd p~ i,1t Jor .ftllt!, f'tJItf or 1e4ft. After fU.ding dte above SlIIC:ment, I _b)' cClnl1Y Iht l .m the OlMler oC lhe lbon Mthld property ClI' . UCltn80d elettriall c:ontrllCtOl'. I IIIYl. IQa,kNtt the el<<rrlctl irm.8.I~ I_.IM or .altetRdOft in cnmpli."ce: "'flh Ille el~rielll JIlW., N.B.C" RCW. ChApter 19.28. WAC. Chapte.. 29-6--468, The ty of Por' AnaClIOfll ....nnieipl\.l Codel and VtlJiI)' SPllC I tlnn" 8111:1IU_ 0 ft" Itr, 111I .etooe. or electrical .d~hlJtlrrdfu' Date: ~ /3 ) ~ 8' o Cash 0 Chock II o Credit Cord Q ~SIOn:Ord Diacovcr ~ro#__~__~~___ Bxpindion Dale (If card El~ IltmIdk!.oI c NO ~OAO CI1ANGES a ll.Jlll'llloard "'" KWKW at'tjlltlllllG ~ 0 o...,tload Senllce ~t P,""p .;2..Ton _ ~Afl IJ Temp Service a Fon-W... _KW 0 Unclorgmund Service SAME DAY INSPECTION. CALL BEFORE 7-00 AM 360-417-4735 VoItQgtl _C1t03 Service SI2e: _ Foeller Size: / ROUGIJ:IN , .~!tO!~ ~) n- ~ / Ii1NAL ~1;~/l(!J ~y TJIl:RMOSTAT / Sl:RVJo: "\ D"''' ^rIl"l\;9lf 8y J D..u. AI\M'M~fI)' orrcu r Jl' IlllUlI:R ~ft AII1IM\'ftl Ily./ DRIC" l:\ Inapectioll Da:t(! Are.. Building ...llqu;pmea,'nsp",,"'" AetiOll Taken 81llctrla.l bllpcclor q -'- ~-o ~e.<7 Mar 27 08 09:24a p.2 > ELECTRICAL WORKPERWT APPLICATION ~ Job wired bJ' )( Electrical Contractor 0 Owner Ins1allation dcscriPli\~ o Commercial X Residential Electrical contmcl0r name License number Dale Expires All \l\rn\\l\rvrlznti()r'7)~((")(1\II:]fl Pi (lli~H)I-lOI-"Ut\HI q-\-oV\ Purchase:'s mailing <:ddrcss ~. li7 let l/VIp ~A. 11\' (,V\- Av11.iJ pI f) Tcleph ne number -0 o New o Altered/Addition Stale ZIP EJ lAl~ 0\ '!-,G7 FAX number 1-\/ \V\ 1- strJ\t (^ )\v\ og t1n \ \ lAIC\( 1 Premise:; owner's name ~.' '\ Address of inspection laCS r:=:. 0\ n,., ""V1" ~ Aif\C)~\fS Pho,lle numb~r 10 <;Chc~~spection: OU-II('/' u:s defined by RCWJ9.2C'.26J:(J) Owner wili occupy the Mruclurefor two J't"W'S ':Ifter this e1ec:rrical pi?rmir i.1 finalizr!d. f!/ O~\.-r.(''' is requirel!lo hire 011 decrric:al COIlfI"Qclnr if uhm'<! .wid property is for .~all!. rCII/ or JeaJt:. After rcadbg the above Slar.emcnt, ] hereby certify thaI I am the owner of the above named properly or a licells:d elec,rical contractor. I 3m :TIaking the electrical instal- lation or al~erati~n in compli,lnce with the electrical laws, N.D.C., ReW, Chapter 19.2E, WAC. Chflptcr 296-468: The City or Porl Angeles Municipal Code, and Utility Specifications. Sign rc of owner, electrical co r:3clor or electrical administrator o Cash 0 Check I' ~reditCard Visa Card # Mastercard Discover ~~-------------- -Z7-(jB Expiration Date of card c 00 X Electrical Load Additions and or subtractions D NO LOAD CHANGES Oll.. ~OI....lILlZ. D Baseboard _ KW -r.. ':~c:::TlZ.l C- D Fumace 10.. KW o Heat Pump 2-- Ton'.)&2LAR o Fan-Wall KW Service In1ormation o Overhead Service :J Temp Service o Underground Service Voltage PhaseD' D 3 Service Size: _ Feeder Size: SAME DAY INSPECTlOl\ CALL BEFORE 7:00 AVI 360-417-4735 , . t' ROUGH-IN '" /' THERMOSTAT ( SERVICE I q/JO/CfO ~ J~I" ArT"""''''' By D;I.1~ I\Pllrol'cll By ( D3lC Al'pro\'edBy -< / I FINAL DITCH FEEDERAeo"H' By j \ 1/d/~e ~ "- Calc Afll'rO\.c<.l8)~ l D::alc " pal.: A;>flrl,,~ll By ..... Inspection I I Electrical Date Area, Building or Equipmenllnspccted Action Taken Inspector ;J->I~o~ ~ Pti2. .\0. &JI.Q II If; IrP Ez.. - - --.- -------+----- ~ --------_._-~ . , I .".' //", (,'r' . " ( , , I . - ' / , ,'Cn ''', ~'P', "'" ,\ " r;, ,~..>,~ c1' ~~ "; ~~'~' \4'J'~' ~,." ~ ,1...."\;. I. ' ) ... ...\ ,,'~ I ' '- r~ ......'\ .. ,.' , , Q" j "~:'fi" ~,'j::b /.., / . -';1: ':' r..:p~;-;~' ~~~" I 'J~ ,/1 ~~~ ,o,,~t:: ".\ ;.,i.........,''-,. ; Ij " '.' ~~'~..1'j~."-.~~~i.:..I~~~.I~ ;~~'~/,', ~'-? f{i -' ~~.;.' ".~/."- / r/ 1 '~ ,.......: ,-r /'. I : :,,:,.). I '., ;' '-',,- ~~ ~:. . ... ' 1/ :( "':~ :Il,' ,:';. 0 Ii ""'-. -' t ,~... , i "'-. 'I ' (/' ~ o~' ,e% I'~~'/,! : ;' ""-.,,, ~ ,"" ? ~. "" ' ,",.", J~ '. ~.~ ~.~. ,# I '~'I . ... " ~l t' ...-, . I ~ .r. ~ 'i.... . ' .' f t; ~ : '. ..;" '".' ~_;..:. '...' I .....~. ~,.i_. ~ ~ <o-r::;,z\. .". ~ ... ','~f.'; ..1.$',..Lb '3 s"n "'-",;,,) <> o . <;;:": '" -f.i:~ ,\;-r-_ '.. fi.... , fP.?;: "" '/~~(.. .~/ 'tl'/ ~~>, , ~.}I 1":;~~Z;"..t:':-. ..' :t; ~ : " ~!',,;~ . . J ~ ",", ";' -! I,~ \;'-\;,' t / 0 .' ..:-'i~>_~~!'I;' . ^' . "". 1;.1.' 9": "i"~O I ',"',:, >~.~ ' . ,,,, " ',ij"... . :1'.:....,. 1/1. '.....,. . '~~;f :, ;~-,'f' ....,m~ "':'... . ........ , , .6;J~' , , ,. '~'." .' , , , . ~, -' f' ,1 ....",,;:. ." \ -v o' '. " 'A.... o'':::~ I . , , fi I, , , o '~ , o C ld pt: ~':'. . / (0 _.J' ~ .,. . '<Y ,~ ...."'(.,r , J. ' ~ 0~ ''--.., ' "';\) ,I '<,. ..:}.,. ~ '. "" '",- 'i.. ' .. " ~')' ~;''''' ~... ...... <' " "'.. '. ~ .J>' , . .~l'....-::'.l'"); ;-...<.1..( (s'._ if?7,~ ~ ~,'V\ _ "-, /,I't.{ ~'ft? . ~l.. ' .,;r~.<t.Qt; .,~""~. , ~';" ....., "',,'~ . " ~ :- 0!<~ ' fl ". ". tv/. 'I!"- Ci' I / '%"'.s'" ~ h/I 0 ,)' i' , 'fit ''::'. IJ J ":' o ; '"/~ , /e Ll '....;, 1-- ~ ) { 1 i ' ~ '''' oJ ~ ~ ~l ~i ~ ~ ~ ~ ~ l:l!;j ~ 3 ~ '" ~ ~ ~ i I ~j ~~, ~ F::" t1 ~ ~,~ , '6: ~ ~ ~ ~ ';t~ ~ <. ~k %\:'@ t! \;)1 \U ~ ~ ~ ~'-J ~ ~ "'3 i~?o I I I\.; ;: to'- I I 1./)' tJ 1'1 .~. '-'-' . '. -" -~~';".~'~. .- ::":-~ ~~:;";' ~;I-.:,~, ..-~>_~~~; ~-'" '. -';'.l' ,') ,'~; . --, , '\ ~,:"~ 'Zj~..J';t1,/. t'lt ('.2: f,,: "'~f!}:Q"'fPi 1,. " ~. "~I'Y '_ ;;,~~..:c ' ~f{.,., It) '" '" i,.. ',......;,,, ~~ l',,~\. "Y v ,~I~;;~1~' /' .. ,. r " "~',~, "".1 I ~,.~ t~(t{r~.;~:A{~..:~'(.~. /' ~tl".~ ~i'-t..~, :;.~ ~~~,:, rY. &~_._ :, ~''4:J'~..!;'''ti_:'.~'', , _"-<.,/~. ~~, t:'~,.""J, '-:..:c- _'<, : 'f : f' ~').~ ;;fI~: f ";. - . '''''~"r.-' . <', ::\: "0' ~"~~ .' _ ' .~. - .... 4t~..~ V.J;-.__ V'. ~ J -,J '.~......; .., ...., ': \ :....~'\lj / ~-" ..~ ~'4;j;':w' -," ''Vfl;'_...,:,,! .., ~-,' ~, If .2/"'l -I--..:/I1' Q ?"-'-~,~'.J ~' ~ , ~. ~"'~'t;""~- ( ~,~ ., if:.... . (h- 4 II ~ >^ I " v I ,II III ,'-;ill!ill :ih,I'i' I ;:: '!: ~ 1 j j !: .. ~,I .,-~" '/ 'of " "'-'~~""I / . -, ,I // .... <, ....:1 ' 'vi' i i , i '-\-', t " 1 ) 1 .,./ ./ ,'.' . - ] ~..5j -._'-:-~' --,J .' ~'1 -~~~ =- .;...."'. ,l .-........'...v;>.." '11'llli,f. Ii '! l'il' tj t I II' I '. I 'Ill' I! 1 ,,~ i'I,! /'.:1:" Iii' 1111' i.l'll iil: II~ "I Iii! ill lirlillll' :'1l ~iL ,1' l!it ifl! ;., , ~ ' t ~ ,. --,.,==~-'. , ~ - c~';_, r I. 'c_, -iq- , I~;J), > . j:W __i. ~ ~,. ~~-..,--. 'j 1