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HomeMy WebLinkAbout1345 E 7th St - Building CITY OF PORT ANGELES DEPARTMENT O COMM UNITY ECONOMIC DEVELOPMENT BUILDING DIVISION m 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000263 Date 3/09/12 Application pin number 099142 Property Address 1345 E 7TH ST ASSESSOR PARCEL NUMBER: 06- 30- 11 -5 -5 -0550 -0000- REPORT SALES TAX. Application type description MECHANICAL APPL. PERMIT on your state excise tax foam Subdivision Name Property Use to the City of Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 2000 Application desc HEAT PUMP Owner Contractor RALSTON JOHN M /GAIL T ALL WEATHER HTG COOLING INC PO BOX 1405 302 KEMP ST PORT ANGELES WA 983620259 PORT ANGELES WA 98362 (360) 452 -9813 Permit MECHANICAL PERMIT Additional desc HEAT PUMP Permit Fee 64.80 Plan Check Fee .00 Issue Date 3/09/12 Valuation 0 Expiration Date 9/05/12 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 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. IF -w- Date Print Name Sign re of Contractor or orized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit 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 1 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 FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Dywall (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 DateL• S' i 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 Inspection Type Date Accepted By 1 Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Building Permit H I a o w w C7 E w q I ri H CO I I I 0 O 1 N M L 1) U rO H H a H w w 1 co H qzz <m m w m moo al w X 4 o x x H< 1 V) I O o 1.11 H a l N d z H h n N Z 0 z 1 N Z o 1 a H o t H H 1 a N F 11 U H F I 1) F U U (0 1 z 1 z 0 N F w W 1 w H 1 0 3 z W 0.1 1 w E I W O w c1) Q. 1 z 0 1 ry ,1 g 2 z z 1 U 1 0 o I a ri 0 H H z H U 1 a a 0 H a 1 H H o U a 1 H CLI m H n 3 z I O U 0 a a 1 (1) V) U S-I a o f 0 U J I E Q a E£ h U a 0 H I H rry H W 0 O 1 0 En 1 aJ 0 (0o W 1 a (0 0 o i Fx E 1 U) 11 Z V1 1 zU) a I H w a to x w 0 ul u) 1 H F x h N 1 1 (1) 1 r ortio w 1 w W 0 1 0 1 p� 00 W 1 (n c0 rn o i Epp Cal 0 O U0 1 11 a a0 1 1 1 (1) w (11 O g 10 o O 1 0 Ill 0 o o 1 wo x 1 x 1 a u o x w 1 X 0. O x 1 E 1 w 1 (f) 0 q 1 0 0 l (0 a z 1 F 0 wF 1 gz2OA g a (00 1 w03 FC0. i W w P. U 1 FC U 0 F E I V E MAR -8 2012 BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT r -.4 i- 0 i Y OF PORT ANGELES (To be used for projects that do not require plan review.) BUILDING DIVISION Date Received 1a. Permit* �r City of Port Angeles Please print in ink. Date Approved 1 Attn: Building Permit Technician Approved by._ KC 321 E. 5'" St., Port Angeles, WA 98362 360- 417 -4815 fax: 360 -417 -4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8 :30 -4 pm Fri 8:30 -12:30 pm 0 .1 t •er.•n: o e: t i. Lit, .Cad_,lIA 1) Al •_lr 'ri1 0 Proppgr; w ei PC Phone: D e s glaaditn Prop erty o „to tR ill E L •e4 Contractor's business name: v- 1 Phv b20�t3 3 (or property owner's name if he /see i doing /overseeing the wor Contractor m -il'n6 address: III Ao 0 I ari-- A t:� 0 0a(1.2 VI Cont t is L &I I' ee umber: Exral l�te: Project Address: 1 -free 5 Project Type: *Residential D Commercial o Industrial o Multi- family Project Business Name: (for commercial, industrial, or multi- family projects) The following permits are usually issued over the counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re -roof: in house garage ID other a tear off re -roof o lay over one layer Licensed contractor: Submit a copy of your re -roof bid. Project Valuation (labor materials, not including sales tax) Re -side: a house o garage o other Project Valuation (labor materials, not including sales tax) Repair: (explain the project) Project Valuation awe *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the li P cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation INJ RECEIVED cie T:Forms /Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised 2011; Page 1 of 2 MAR 8 2012 f V) 'ctTY OF PORT Aids BJ1LD!NG Il $fO i V0/60 39Vd 9NIIV3H a31-L127/3M 11C LLTSZSb09ET 8Z :ST ZTOZ /80/80 Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa pro /acts tl gt do not require Alen review: Obtain the City of PA handout entitled "Pools Spas" follow the requirements. Project Valuation Demolition: A demolition permit Is needed when an entire building gets demolished. What will be demolished? 0 house Q garage ra other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. Agree to ensure that all utilities are /will be properly turned off (and capped off if needed) prior to demolition. Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic Region Clean Alt Agency (ORCAA) Demolition Permit Application. Contact ORCAA at 360 -417 -1466 to discuss whether or not an ORCAA Demolltlon Permit will also be needed. o yes in no VVill the debris be going to the Regional Transfer Station in Port Angeles? c y ca No If yes, will a ticensed contractor be It there? if yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later If asbestos testing Is needed). al Plumbing Permit: jexolaln the proLect) Project Valuation Mechanical Permit: f explaln the project) Installation of Heat Pump 'r''''�llElilt'lik Project Valuation OW2 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, and to obtain permits prior to working on p Jects. Data j Signature Cl -1 -7 1j Print Name ani-K Page 2 of 2 17121/t70 39Vd 9NI.L 3H �13HLV3M 77v LLZ5Z5b09£Z 8Z Si ZTOZ /80/E0 ELECTRICAL PERMIT CITY OF PORT ANGELES 0 360 417 -4735 Application Number 12- 00000265 Date 3/09/12 V Application pin number 691620 Property Address 1345 E 7TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-11-5-5- 0550 -0000- Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning R57 RESDNTL SINGLE FAMILY Application valuation 0 Application desc T -stat 4 ton heat pump Owner Contractor RALSTON JOHN M /GAIL T ALL WEATHER HTG COOLING INC PO BOX 1405 302 KEMP ST PORT ANGELES WA 983620259 PORT ANGELES WA 98362 (360) 452 -9813 Permit ELECTRICAL ALTER RESIDENTIAL �J Additional desc Permit Fee 56.00 Plan Check Fee .00 Issue Date 3/09/12 Valuation 0 Expiration Date 9/05/12 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00 Fee summary Charged Paid Credited Due Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN J r FINAL 511 Z COMMENTS: 6„iia, At,- t 6H PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor 4 4 A Date: Z. G: \EXCHANGE \BUILDING 1 0 N CITY OF PORT ANGELES PERMIT APPLICATION IS` Building Division /Electrical Inspections ilik ``a 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 El EBU]iri Ph: (360) 417 -4735 Fax: (360) 417 -4711 Ili 12. IfVSPECu��,.:. Date: _41 2 Single Family Dwelling Multi Family or Commercial" Commercial Addition Alteration Remodel Repair* Plan ReviclorAlki B t ase mpl_ete Electrical Plan Review Information Sheet Job Address: 1`)-rD to 1J BuNding Square Footage: f Description of abo 11JU.1kartl miffarmi 1I6 illittiaral eil►O[tL NiMs OwnerInf :ti.: r Cont •r •f.r :tion y. 1 Name: A '4 I J r' ti l 4 Nam e: al Mallln! •dd Fiai tt iliM 1lG�1r, Maili!! Ad. oss: C *7� :1� City: kI state: t!1yi zip: °W ttt' Cry. 1 A L .i Zip: r!1U/ Phone.' n d %III 1 Fax: Phone: 0X`iV L A License Exp. License Exp. ill. VP d i�tligi L It?m Unit Charge Q y Total (Qty Multiplied by Unit Charctel ServicelFeeder 200 Amp. 119.90 ServicelFeeder 201.400 Amp. 145.50 ServicelFeeder 401 -600 Amp 204.60 ServicelFeeder 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 Each Additional Branch Circuit 2.60 Temp. Service/ Feeder 200 Amp. 92.70 Temp. ServicelFeeder 201-400 Amp. 110.30 Temp. ServicelFeeder 401.600 Amp. 148.70 Temp. Service/Feeder 601 -1000 Amp 167.90 Portal to Portal Hourly 95.90 Sign /Outline LighUng 68.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95.90 Note: $6.00 for each additional 1500 sf Signal CircuiV 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 1 NEW CONSTRUCTION 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 Swimming Pool or Hot Tub 110.30 8—Etna—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 hire an electrical 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 or alteration in compliance with 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: D Cash Chuck ,1 R L 7 1 I Credit Card x ^Y 1 /l Oated: I� 1 01/01/2010 b0 /Z0 39Cd ONI.L H 213H1v3M 17v LLTSZ5b09ET 8Z :5T ZTOZ /80/E0 :rr~OR"'~ $~O~~~ ,. ...~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ , ., Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000703 Date .418909 1345 E 7TH ST 06-30-11-5-5-0550-0000- RES REMODEL 9/30/04 RS7 RESDNTL SINGLE FAMILY 30000 Owner Contractor RALSTON JQHN M/GAIL T PO BOX 1405 PORT ANGELES WA 983620259 J & J CONSTRUCTION 233 ALICE RD. PORT ANGELES PORT ANGELES WA 98363 (360) 457-1809 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit Fee 42.20 Plan Check Fee Issue Date 9/30/04 Valuation Expiration Date 3/30/05 .00 o ~ ~ ~ V\ Qty Unit Charge Per 1.00 42.2000 EL-LOW VOLT SYS <=2500 SQFT Extension 42.20 Special Notes and Comments The proposal will add a caregiver's space to the basement of a sf res. No second kitchen to be installed but handicapped accessibility will be added. No land use issues are noted as no second unit is being created. f\\\ Other Fees STATE SURCHARGE 4.50 '-.\ \~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42.20 42.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 46.70 46.70 .00 .00 (j\ ~1 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD , CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. ; .J'. 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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAlNAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH.IN I I PLUMBING UNDER FLOOR { SLAB ROUGH-IN WATER LINE (METER TO BLDG) G';\S LINE BACK FLOW { WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS { GIRDERS SHEAR W ALLIHOLD DOWNS WALLS { ROOF { CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL {FLOOR {CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE { PELLET {CHIMNEY HOOD { DUCTS PW UTILITIES { SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE { METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 q-;2'ltJ~ ,keD ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. {PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPLANNlNG\FORMSI1102.15[11/14/2003] ~0~ ~/SE?! "2.3./:'.:~ ~.:: j~; AM CITY OF PM BLDG JEPT Fp.:.~ N~. 35C; ~:~ ~I!l Sep. 29 2004 10: 41RM pi' ,0 '" O~ ?, ~G ~ ~~~M : HI-TECH ELECTRONICS FRX NO. : 360 452 8560 i .- . '." .. . . . , '''', .. "O"runl":.,.......\)SJ;C,:~v~ ELECTRICAL PERMIT APPlICAT:ON ..l>n\.~I<..., ::;-,:':..::.::' '::"-=,~ .~_. - .- .-.- -......- .-"""'":"'".~_...~ . - ,... .....- --~.~ -.-:--------.-:-- ...-..- ._-.. - . ..";' -...---:~.... :'&...~~,.'~~:.i ~_~_ ....._...T.~~.El~c:rl~a~~er~".~.pPIlC~U.O~~~.~llrlll~d.o\J~~o",~I..~eIV.. ". _. ~"',h,u.~ ......---:::-- , . PiaaS6 lJ'pe "r r,$prinl ir: ink., IfyoU,MvB any QIJAt:tio"s, p19~1iI call (~60) ~1'..4'i'!6 . I=.li "umber: (36D) 417-4711 , . . .. ....-.... - . ... ....._.....- --.,.... --- -- ........- - -..... -_.. - _OJ, ...~_._ . 'Ownilr~r Elec;, Cor.!t.aCIOf AgQl)t; G EtIZR E:T M (J6LITU~fl' ~non6;3/dJ.:.qj':.(-J.1J.7r.8X;.3{PO -~S ~~. ?f5~() ?rQ".llfttO!'d'cr:~TO\-t~I. .RPrL.C:rotJ '. . ._ .._ ..' Phon55L"'{)"'~7S1~.~, 1'700 Addrr.ss;J3'-l-S E 7i-'" ST . . CllY-.Pa/<..7'fJ-N &.EL€.s . wl7 . Zip: q 93 C? 2- E,g;;Jrt.:.al CCll'l:raClI)r:j~ 1- TE.CH- ELE c.:r Ro Iv I c:..s" UCQn~u~ hkif-t l.v~I~~k tl.:t -c9-u,e; p~.Oi\S:3faJ -'-IS :(~.i1J:;..-'1 ~ddr~s; 7~3-tE.'r~ON''''t'. SOT ......'r...... .': ._~...:.~;;;;-ftJ~T7J;';:6id.s-"-"t;:JYj' ---'-''';;;>~'f3 ~';z '1 NSTAt;.1,A'l',QN WIREO"SY; ._, . --0 OWNeR. ..:-..- '-'--~Et.ECT~ICA:;:CONTAAC1'OR" ~- - ...--.---. Cr~dit Card Holder Namfl;h~12 gET. 11.1 ~-L'TIIC-Jtf . .... . BlIffngAddr~sj~8 f ~o"~~7- 6/ '~ti;:J1g/ AAJ i:iElE...~ Cradit Card Number. ~ ; E:qJ:pate: wlj.... ., Zip: 193~.z , VJSA:~ Me: _ Cj Reijdential 0 Multi-family o Commercial ~. f2. r /J iJ {.. €.--l:.E.s oJ ft: q 83 '" ~ '~ . ~ AJteratlon/Addilion'" .' o Mobile Homs Sq. Ft . ~ ."(jOG \j J:::.. ) -J b uJ F'RCJ~ AnDRESS; \ 34 5 . ~ 7 j-h ,,5 7 TYPE OF WORK, Check all mat apply: 0 NGW ." . I:;J Remote Mater [J Detached gerage 0 Hot Tub.O Sw1r:' Pool . D Sep~i6 'Pump ~. " OLow VOltage 0 Telecom. Cl Sign _. _._ "'... ._._ _. .. ..._._.. .._ _. _._....._.... ..._,....~.-........._..._-.._-.----.._~....~.~:--'7:".--. _-:-_...._..--:'.--_....~.-..~----.. -:-_....._w ----......~.. ..._...~.............,., Numbsr of Cjr~it); added Or attered; OeSCR.lF'TJON OF THE iI..ECTRlCAl.. PROJeCT:. ~. E r!...u. 12.J711 .' ,4. . , . . E c;al Haat l..oad Additions and or SUbtnietions' .. I Sal)li~.lnform:!tion. D.Overhe&d Seivice . DTemp Service Cl Undergr?Und ServiCE! Voltage: Phase: 0 1 0 a ServIce StZIi: Feeder Sli-a: :J 61iS~PQ;Hd ] Furn~ce J Heat Pump J Fan-WaU _KW tt:;-.N iON LR.A =KW- .. .. hereby oertify that I .1ave r6Bd and examinad thiFJ appllcgtjon and know that same to be trLie and oorrec:t.. and J am wthorizs~ to apply for thf$ psrmlt ! IJndfirstanc it is not the City's /egalresponsibUJry to determine what permits .. il'ft requIred; !t remains the alpp/lcanis responsibIlity to ds Ins what permits roqL1ired and to obtain such. Credit Cz.rd' H"gld~$ S~gnllbn;; . D21te:-M ?;09f OWner or E1ec. Cent. SIgnature: Oat,,; o~f~ ~ :' pE~JV1iT'FE.E; $ ,,1~2-c'L6 :IELECTRICAl.PERMITA~!"LlCATION .' f ~ORT ~ t4.0~~~ ". "-~ ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000703 Date .418909 1345 E 7TH ST 06-30-11-5-5-0550-0000- RES REMODEL 9/03/04 RS7 RESDNTL SINGLE FAMILY 30000 Owner Contractor RALSTON JOHN M/GAIL T PO BOX 1405 PORT ANGELES WA 983620259 J & J CONSTRUCTION 233 ALICE RD. PORT ANGELES PORT ANGELES (360) 457-1809 WA 98363 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL ALL WEATHER, 36.40 9/01/04 3/01/05 HEATING & COOLING Plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 36.4000 EC EL-LOW VOLTAGE Extensibn 36.40 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date MECHANICAL PERMIT HEAT PUMP & DUCTS ALL WEATHER, HEATING & COOLING 61.70 Plan Check Fee 9/01/04 Valuation 3/01/05 .00 o -. :..;J " ...:t. 0'. .z- I r \'t. . I ,) .) ,. l,,? 'i Qty Unit Charge Per 1. 00 BASE FEE 14.7000 ECH ME- INSTALL 100- FAU Extension 47.00 14.70 Special Notes and Comments The proposal will add a caregiver's space to the basement of a sf res. No second kitchen to be installed but handicapped accessibility will be added. No land use issues are noted as no second unit is being created. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credi ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 98.10 98.10 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 102.60 102.60 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from he last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provis ns of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit do not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performan of construction. of\) F I L-~ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\ 1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4 17-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH. IN I I PLUMBING ~ I vt<,< I / -/1 -0 ) - J. L.. UNDER FLOOR / SLAB Iq -q_ nJ i L ROUGH-IN 1<7-1 lr_r)U t f WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS I iJ..I ~ - C1 Jf;/ j,L CEILING , I FRAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF / CEILING vO - 1/-0 1-/ Ij i L DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING Ii,., -/7, -O.J J.L MECHANICAL f, '1 A I I -I Jy - (7)'- i, I-, HEA T PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANIT AR Y STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION, R.W. ENGINEERJNG 417-4807 PW I ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. 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Water and Sewer is currently cut off waiting for an inspection. Consider this a priority please. PL99 01 1'14/)5 JLL PLUMBING FINAL TIME: 17:00 COMMENTS AND NOTES BUILDING PERMIT. APPLICATION _ Th. Building Pmn.it . In-applicotkm .rut be JllId .., CO~=- ~ Pleue type or print in ink. If you bave any questions, please c:all417-4815 Applicant or Agent: C,\\ \~ U^~\.lY- ~{O,~hf~~. 0 DO\', \I\~ Phone: .~ 00, YS 1..- -- '1 rl3 Owner:)'*'0 Kc,\~~{1 Phone: "J,(p(J- YSI -- 110(0 Addrcaa: \2.,<--\S ~ - 'ltb S-h-,u--\- City:~(lI'\ {\\'\C\8 \-{c1 \ \,Jt-\ Zip: ~<(3(PL-- ArchitectlBngincer:~ A Phone: Contractor (l t \ -J ~uful( ~ {ll-hv'~ License #: {\ \ \ w 't-,K t\ CjJ(JExP:...1j I ! D ~ Phone: 1(P0' Y"5 2- - c7 2'1 '3 A.ddrcM; '?61.t'erv'f~A;vG-e..-' City: V(\-(\ ~~t.\tJ ,l0f\ Zip: ~'t3Co2- . -\- ~ '~4PPI~N; \.~ L\~ ~ . 'l :h. ~~u:--\- . . . . ZONING: LEGAL DJ:SCJUPTION: Lot: Block: SubdivlSlon: CJ.,"'J.J .W COUNTY PARCEL ~R: Credit Card Bolder Name: BIWa& AddNl: City: Credit Card .: Exp. Date: r/.POIU, . F 11 VISA MC TYPE OF WORK: SIZE/V ALUATION: c Retidlnyial -p"New Cons1r. C R.c-roof C Woodstove SF. @ S /SF. = $ C Multi-family C Addition C Move [J Garage SF.,@S /SF. = $ C Commercial C R.cmodcl [J Demolition [J Deck SF.@"S- - /SF. = $ C Repair 0 Sign [J TOTAL V ALUA nON $ \ ~\ ~() '-{ ~ BRlP'DESClUPTJON OFTBE PROJECT: '\=-' (l '(' \-\ P : \')', ~0..?-t\ Or) o..s. S; (~\ \r,\~<:"" :. \-\ ~ ',(\s~Cf....\ t . wi L- Y WI If \ u\~ ~y '\ 'S'rA,) due't< COMMER~SII)ENTlAL: Occupancy Group: Occupant Load: Construction Type: No. of StoricI: _ Lot Size: % Lot Coverage: % Existing Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. ft. = TOTAL LOT COVERAGE: /sq.ft PL4NNJNG USE ONLY: APPROVALS: PLAN Nota: BLDG. DPW FIRE ESAlWct1and(I): 0 Yes 0 No SBPA Checklist required? 0 Y~ [J No Other: OTHER . . ." BUILDING PERMIT APPLICATION SUBMITTAL: F.,II' tlppUcllllDlllllld slt~ plllll."., bejlllMl .,IItCIJryl.ulyltl be IICCqttlllfo, ,niew. 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. V ALUA110N OF CONSTRUcnO~: In all cua,a valuation amount must be entered by the applicant 'Ibis 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 CllECKFEE : Your plan check fee is due at the time the building permit application and construction plans an: submitted. All other permit fees arc due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this .appUcation..m 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 UnifolDl Building Code, current edition). No application can be extended more than once. 1 hereby certify that 1 have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. J understand it is not the City's legal responsibility" to determine what permits are required; it remains the applicant's .....poMbillty .. determin. what permits an ""luired and .. abtal"/ich. . Applicant: Ua~ )) ~ H'~ Date: a 1\ { 01 I T:\FORMS\APPS\BllildinlPC"llil . t4 --.If CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000703 Date .418909 1345 E 7TH ST 06-30-11-5-5-0550-0000- RES REMODEL 9/03/04 -- c , ..s:- '0 --L: \ "'-J. ~ ~ $ w i ~ "-. W f0.J -r \ Ul .~ <:) M ~ ~ ,.... ~ RS7 RESDNTL SINGLE FAMILY 30000 Owner Contractor RALSTON JOHN M/GAIL T PO BOX 1405 PORT ANGELES WA 983620259 J & J CONSTRUCTION 233 ALICE RD. PORT ANGELES PORT ANGELES (360) 457-1809 WA 98363 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL ALL WEATHER, 36.40 9/01/04 3/01/05 HEATING & COOLING Plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 36.4000 EC EL-LOW VOLTAGE Extension 36.40 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date MECHANICAL PERMIT HEAT PUMP & DUCTS ALL WEATHER, HEATING & COOLING 61.70 Plan Check Fee 9/01/04 Valuation 3/01/05 .00 o 1. 00 BASE FEE 14.7000 ECH ME- INSTALL 100- FAU Extension 47.00 14.70 Qty Unit Charge Per Special Notes and Comments The proposal will add a caregiver's space to the basement of a sf res. No second kitchen to be installed but handicapped accessibility will be added. No land use issues are noted as no second unit is being created. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 98.10 98.10 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 102.60 102.60 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date ~ T:\PLANNING\FORMS\1102.15 [11114/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BU1LDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK B.EFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS A T JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL I WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DR YW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEA T PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 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 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/14/20031 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000703 Date .418909 1345 E 7TH ST 06-30-11-5-5-0550-0000- RES REMODEL 9/03/04 RS7 RESDNTL SINGLE FAMILY 30000 Owner Contractor RALSTON JOHN M/GAIL T PO BOX 1405 PORT ANGELES WA 983620259 J & J CONSTRUCTION 233 ALICE RD. PORT ANGELES PORT ANGELES (360) 457-1809 WA 98363 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 12 CIRCUITS/ BASEMENT ELECTRIC SERVICE 90.50 Plan Check Fee 9/03/04 Valuation 3/03/05 .00 o <0 ~ l ~ < ----J " 0 ~ \JJ t -...... "" W l ~ - V\ w () M \J1 .J ~ ~ Qty 1. 00 8.00 Unit Charge Per 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS 5.3000 ECH EL-R OR RM ALT ADDNT CIRCUITS Extension 48.10 42.40 Special Notes and Comments The proposal will add a caregiver'S space to the basement of a sf res. No second kitchen to be installed but handicapped accessibility will be added. No land use issues are noted as no second unit is being created. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 90.50 90.50 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 95.00 95.00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 4] 7-4815 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS. 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 I NO FOUNDATION: FOOTINGS WALLS FOUNDA TlON DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # I) .. .'1_ ,t oK. C./L,~j '- - 11'-' -5-0(( It'(. (( ; . ..A ROUGH-IN ; 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 DR YW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 1 .. , '3 ~O5 12/(, ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION, R.W. ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003] ~ VORT ~ l"O~~~ ha L~ ~ 'l<O:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Appllcatlon Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Applicatlon valuation 04-00000703 Date .418909 1345 E 7TH ST 06-30-11-5-5-0550-0000- RES REMODEL 8/11/04 Owner Contractor Mi~~ VI4(O[ RS7 RESDNTL SINGLE FAMILY 30000 RALSTON JOHN M/GAIL T PO BOX 1405 PORT ANGELES WA 983620259 J & J CONSTRUCTION 233 ALICE RD. PORT ANGELES PORT ANGELES WA 98363 (360) 457-1809 Permit Additlonal desc Permit Fee Issue Date Explration Date BUILDING PERMIT -RESIDENTIAL INTERIOR REMODEL 465.25 Plan Check Fee 8/11/04 Valuatlon 2/08/05 186.10 30000 Qty Unit Charge Per Extension 414.75 50.50 BASE FEE 5.00 10.1000 THOU BL-25,001-50K (10.10 PER K) Permit MECHANICAL PERMIT Additional desc Permit Fee 68.75 Plan Check Fee Issue Date 8/11/04 Valuatlon Expiratlon Date 2/08/05 Qty Unit Charge Per BASE FEE 3.00 7.2500 ECH ME-VENT FAN .00 o -. Extension 47.00 21.75 Fe Ul .:t. ~ Permit Additional desc Permlt Fee Issue Date Expiration Date PLUMBING PERMIT 1t1 110.00 8/11/04 2/08/05 Plan Check Fee Valuatlon .00 o ""1' 1 fI) ~ Qty Unit Charge Per Extension 47.00 56.00 7.00 BASE FEE 8.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP 1.00 7.0000 ECH PL- EA.WATER HEATER Special Notes and Comments The proposal will add a caregiver's space to the basement of a sf res. No second kitchen to be installed but handicapped accessibility will be added. No land use issues are noted as no second unlt is belng created. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Pald Credited Due Separate Permits are required for electncal work, SEPA, Shoreline, ESA, utilities, private and public improvements. ThiS permit becomes null and void If work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All proVIsions of laws and ordinances governing this type of work will be complied With whether specified herein or not. The granting of a permit does not presume Ive authonty to violate or cancel the provisions of any state 0 law regulating nstru tlon or the performance of constr. ctio Date ?-If -2JtJOtfl Date T \PLANNlNG\FORMS\1102 15 [11/14/2003] ... ~9'ORT~ l'O~~~ ,. ...~ ~ "'~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Applicatlon Number pin number Permlt Fee Total Plan Check Total Other Fee Total Grand Total 04-00000703 . .418909 644.00 186.10 4.50 834.60 Page 2 Date 8/11/04 644.00 186.10 4.50 834.60 .00 .00 .00 .00 .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void If work or construction authorized is not commenced within 180 days, If construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing thiS type of work Will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the proviSions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner IS bUilder) Date Signature of Contractor or Authorized Agent Date T'\PLANNING\FORMS\1102 15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS CALL 417-4735 FOR ELECTRICAL INSPECTIONS. 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 I YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB 1~.,q~H J LJ ROUGH-IN ~_/~'- O/.J -/ LL WATER LINE (METER TO BLDG) I' GAS LINE BACK FLOW / WATER AIR SEAL WALLS l/o~lI-oJ./ J...l CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING 10-1/-00-/ J, L DRYW ALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING Lo ._, "?l-,t),.' I J.. L MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVISion) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM 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 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T.\PLANNINGIFORMS\1102 15 [11/14/2003] PREPARED 10/13/04, 12 40.30 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER: 1345 E 7TH ST J & J CONSTRUCTION RALSTON JOHN M/GAIL T 06-30-11-5-5-0550-0000- 04-00000703 RES REMODEL SUBDIV PHONE PHONE (360) 457-1809 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BAIR 01 10/11/04 10/12/04 10/11/04 10/11/04 BUILDING FRAMING TIME. 17.00 scott 461-4724 key under rock or brlck by basement door alr seal approved on thlS date also/]ll BUILDING INSULATION SCOTT 461-4724 JLL AP JLL AP BUILDING AIR SEAL BL3 01 BLI 01 w( ~ -------------------------------------- COMMENTS 9 10/13/04 AND NOTES -------------------------------------- PREPARED 10/12/04, 8 42 34 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1345 E 7TH ST J & J CONSTRUCTION RALSTON JOHN M/GAIL T 06-30-11-5-5-0550-0000- 04-00000703 RES REMODEL SUBDIV PHONE PHONE (360) 457-1809 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BAIR 01 BUILDING FRAMING TIME 17 00 scott 461-4724 key under rock or brlck by basement door alr seal approved on thlS date also/]ll :p JLI; AP BUILDING AIR SEAL BL3 01 2 10/11/04 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 10/11/04, 12 30 58 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1345 E 7TH ST J & J CONSTRUCTION RALSTON JOHN M/GAIL T 06-30-11-5-5-0550-0000- 04-00000703 RES REMODEL PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS SUBDIV- PHONE _ (360) 457-1809 PHONE PAGE DATE 7 10/11/04 '"'__"'__~;;:i';~~'(~___:~:~':::::~::~::, ~:::,;:,~"o<_o:::'_o'_o.':m::'_'o:<_________ ~Lrv So b"9- } o~ ~:\$ c5SJ ~ ,J<w~ PREPARED 9/15/04, 13 17 59 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1345 E 7TH ST J & J CONSTRUCTION RALSTON JOHN M/GAIL T 06-30-11-5-5-0550-0000- 04-00000703 RES REMODEL PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT PL1 8/09/04 JLL 8/11/04 AP ~~ 01 PL2 01 INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 9/15/04 -------------------------------------- COMMENTS AND NOTES -------------------------------------- SUBDIV: PHONE (360) 457-1809 PHONE DESCRIPTION RESULTS/COMMENTS PLUMBING UNDER SLAB Jerry 461-4725 PLUMBING ROUGH-IN TIME 17 00 Steve 461-2259 Th1S 1S the Ralston house be1ng for the Parapaleg1c Son Water off wa1t1ng for an 1nspect1on please TIME 17 00 remodeled 1n the basement and Sewer 18 currently cut Cons1der th1S a pr1or1ty r/ I BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 ApplIcant or Agent. Owner: :[0"'''' ::r-iI LOf'QS+~-\-\"N 0F"?..4- 1:'~t. ~\S~f\.. . ""2 J:' +4 Address: I J~5 ~ '7- ArchItect/Engmeer:-ADApt~o VI'> Contractor-:r-tt (., ^"'> +- Address: 2 ~"3 ..A \ ~'-~ ~J.. PROJECT ADDRESS: \ 'S ~ 5 E 7 ffi Phone: 3<00''''' S7-180~ Phone: 3w - '1 r;7-/7O(p City: !/;tLI A.,r:;l kS W"'- ZIp: <J 9s~ z... J ,.!>L.. Phone: 425- 7q6-l2 2..7 State LIcense #;:J:SlO~D'i9~p' r%l!2:Ji>5 Phone:3(.,'i)-L{S7-1~/ CIty: ~;:)..t-A"")r \(\\ WA.. ZIp: '785k3 ZONING: LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: SubdivisIOn: Credit Card Holder Name: Billing Address: Credit CardType VISA TYPE OF WORK: I.Pf- ResIdenual 0 New Constr 0 Re-roof 0 Stove o MultI-farmly 0 AddIuon 0 Move 0 Garage o CommerCIal &!- Remodel 0 DemohtlOn 0 Deck o Reparr 0 SIgn 0 Ohher BRIEF DESCRIPTION OF THE PROJECT. te....,,,cfe,, I lAX.....".... f- City: Exp. Date: MC # SIZEN ALUATlON: ;3.3"} SF. @ $ /SF. = $ 5~ (}iJO , SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VAU}ATION $ +or /)ec-J,(, /!.cc-~ sibil' 000 - COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft. ConstructlOn Type: r!-v.J",'1 &,,>.J.,.,,, = TOTAL Sq. Ft. /331 - No. of Stones: Lot Size. EXlstmg Sq. Ft. Total lot coverage % ESA/Wetland(s): 0 Yes 0 No SEPA ChecklIst reqUIred? 0 Yes 0 No Other. APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: BUILDING PERMIT APPLICATION SUBMITTAL: The BUIldmg DlVlSlOn can provIde you wIth informatIOn on the applIcatIOn and plan subrmttal requirements if you have questlOns. 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 Bmldmg DIVISIOn to comply '?11th current fee schedules Contact the Penmt Coordmator at 41 7 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee IS due It must be subrmtted at the trme the bUIldmg penmt applIcatIOn and constructIOn plans are subrmtted All other pemnt fees .are due at the tIme of penmt Issuance EXPIRATION OF Pl;AN REVIEW: If no penmt IS Issued wIthm 180 days of the date ofapplIcatlOn, the application will expire. The BUlldmg OffiCIal can extend the time for actlOn by the applIcant up to 180 days upon wntten request by the applIcant (see SectlOn 107.4 of the Umform Bmlding 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 tf: and correct I am authonzed to apply for this permit and understand that it is my responslbJ/ity to determme what permits are required ,n t th Itl J and at I must obtam such permits pnor to work. Date' ;;/zAr I Applicant. T \FORMS\APPS\BUJldmgpenmt wpd \, , Washington State Energy Code Plan Review Checklist Applicant please Check, WrIte in N/ A. or fill in value on boxes or lines. Project Address: (SY 5 t 7 "1-" r.s.. M'lM l- -Iy. Compliance Approach:(check one) 0 Systems analYSIS o Component performance ftI>rescriptive path HEATING SYSTEM OZone Heatmg o Electric Furnace tn1eat Pump FOUNDA TlON PHASE o Slab R-_ Extenor down to frostlme/slab bottom, Intenor 24" honzontal or vertical; or, Ifradlant under entrre slab o Below grade extenor wall msulatlOn' R-_ (Ifmtenor -see InsulatlOn Phase) FRAMING PHASE ~tandard 0 Intermediate 0 Advanced cEt"standard mr seal sole plate/sub floor; rllll]Olst, window & door frames, wrres, plumbmg, ducts, hght fixtures ~ Source specIfic exhaust fans' bath & laundry(50 cfrn) latchen(lOO cfrn) xJj.4l Whole house exhaust fan _ cfrn mtenmttent system has manual & auto controls' Outdoor air supply reg for habitable rooms or ~Integrated forced -aIr system, fan --t: cfm, outSIde arr duct(wlth motor damper) allowmg 35 and .5 ACH 71,/0..., ~ 11,4:.1- A.-r" >ysJc........... INSULATION PHASE ~R-R Wall msulatlOn(above glade) A I / '1 ., tG' 0./ Ii6 R- IV Wall msulatlOn(below grade)' Intenor wall msulatlOn€.6,j.l" /..J.IILl... "'ItA,;oJ} - l " o RI-Floor msulatlOn o R Cellmg msulatlOn Includmg attic hatch o R- Vaulted Cellmg msulatlOn gj Vapor retarders. Walls, Cellmg. 0 4 lllll poly ~erm rated pamt Dkraft faced batts IIfJo Vapor retarders Floors 04 lllll poly Dkraft faced batts JJI/fJ Ground cover: 611111 Black polyethylene, 12" lap atjomts & extendmg to foundation wall T \ROGER\BLDG-FORMS-BROCHURES\ENERGYPLANREVIEW Over: FIll in back side also. r WINDOW GLAZING Please fill out window information, inclued skylights, glass doors, and all other glazing on this form Use rough opening area for calculations SIZE I QUANTITY I AREA I U-VALUE & MANUFACTURER IRt.......JL '1 ~S to I jq 35 - ~S...I'JL AdJ S")L SO I i .~ J; - .I ~S<A.\..~ ()P-O'>(... ~o,Ll.\'" 2> F... ....1.'_ S,_k "11."7-/1"",,, .LL\'\ ~()ol.4\P L..- J Z.!; . ~; , - I.fo.><;u 1~ k. I . , ~ ..." :~.c . ~.; J"'l <t.... ")J'l .. ... . t ,. Total glazmg area. Total conditioned floor area: Percentage of glazing: 2LL ~ DOORS List doors by type(solid core, Insulated, Etc )quantity, U-value, and Manufacture. i S,.J".J.0 r,..,s..\.JJ SIZE QUANTITY AREA U-VALUE & MANUFACTURER 2,1_//' J'... b ~81' { 24.S . '(t:) - -r~lt/V"'.....- fkv... 04 {Q.J~.j L{ ;_0'1 " (",:B" I l-B ..'-Ie:) - n {".......co _ h..... -L <> r c,J..../ T \ROGERIBLDG-FORMS-BROCHURESIENERGYPLANREVIEW-2 2000 EDITION TABLE 6-1 PRESCRIPTIVE REQUIREMENTS'** FOR GROUP R OCCUPANCY CLIMATE ZONE 1 . HEATING BY ELECTRIC RESISTANCE Glazing Glazing U-Factor Wall Wall- Wall- SIab4 Option Area '0; Door 9 Celling2 Vaulted Above Int4 ext4 Floor5 on % of Floor Vertical Overhead' , U-Factor Celling3 Grade Below Below Grade Grade Grade I. 10% 046 0.58 0.40 R-38 R-30 R-21 R-21 R-10 R-30 R-lO II. 12% 0.43 0.58 0.20 R-38 R-30 R-19 R-19 R-lO R-30 R-lO III. 12% 0.40 0.58 0.40 R-38 R-30' R-21 R-21 R-lO R-30 R-10 IV.'" 15% 0.40 0.58 0.20 R-38 R-30 R-19 R-19 R-lO R-30 R-10 V. 18% 0.39 0.58 0.20 R-38 R-30 R-21 R-21 R-lO R-30 R-lO VI. 21 % 0.36 0.58 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-lO VII. 7 25% 0.327 0.58 0.20 R-38 R-30 R-19 R-21 R-lO R-30 R-lO + R-58 VIII.7 30% 0.297 0.58 0.20 R-38 R-30 R-19 R-21 R-lO R-30 R-lO + R-58 * Reference Case ** Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601.1. 1. Minimum requirements for each option listed. For example, If a proposed design has a glazing ratio to the conditioned floor area of 19%, it shall comply with all of the requirements of the 21 % glazing option (or higher). Proposed designs which cannot meet the specific requirements of a listed option above may calculate compliance by Chapters 4 or 5 of this Code. 2. Requirement applies to all ceilings except single rafter or joist vaulted ceIlings. 'Adv' denotes Advanced Framed Ceilmg. 3. Requirement applicable only to single rafter or joist vaulted ceilings. 4. Below grade walls shall be insulated either on the exterior to a minimum level of R-I0, or on the interior to the same level as walls above grade. Exterior msulation installed on below grade walls shall be a water resistant matenal, manufactured for its intended use, and installed according to the manufacturer's specifications. See SectlOn 602.2. 5. Floors over crawl spaces or exposed to ambient air conditions. 6. Required slab perimeter insulation shall be a water resistant material, manufactured for its intended use, and installed according to manufacturer's specificatlOns. See Section 602.4. 7. The following options shall be applicable to buildings less than three stories: 0.35 maximum for glazing areas of 25 % or less, 0.32 maximum for glazing areas of 30% or less. 8. This wall insulation requirement denotes R-19 wall cavity insulation plus R-5 foam sheathing. 9. Doors, including all fire doors, shall be assigned default U- factors from Table 1 0-6C. 10. Where a maximum glazing area is listed, the total glazing area (combined vertical plus overhead) as a percent of gross conditioned floor area shall be less than or equal to that value. Overhead glazmg wIth U-factor of U =0.40 or less is not included in glazing area limitations. 11. Overhead glazing shall have U- factors determined m accordance WIth NFRC 100 or as specified in Section 502.1.5. Effective 7/01/01 37 \^j,II.SHINGTON STATE ENERGY CODE TABLE 6-2 PRESCRIPTIVE REQUIREMENTS' * * FOR GROUP R OCCUPANCY CLIMATE ZONE 1 . HEATING BY OTHER FUELS HV AC9 Glazing Glazing U-Factor Door 10 Vaulted Wall Walle Walle SIab6 Option Equip. Areal': Overhead' U-Factor Celilng2 Celllng3 Above Int4 ext4 Floors on Effic. % of Vertical Grade Below Below Grade 2 Floor Grade Grade I. Med. JO% 0.70 068 040 R-30 R-30 R-J5 R-J5 R-JO R-J9 R-lO II. Med. J2% 0.65 068 0.40 R-30 R-30 R-J5 R-J5 R-lO R-J9 R-lO III. High 21 % 0.75 0.68 040 R-30 R-30 R-19 R-J9 R-lO R-J9 R-lO IV.'" Med. 2J % 0.65 068 040 R-30 R-30 R-19 R-J9 R-I0 R-19 R-JO V. Low 2J % 060 068 040 R-30 R-30 R-19 R-19 R-JO R-J9 R-IO VI.' Med. 25% 045' 0.68 0.40 R-38 R-30 R-J9 R-J9 R-I0 R-25 R-lO VII. ' Med. 30% 040' 068 0.40 R-30 R-30 R-J9 R-19 R-lO R-25 R-lO VIII. Med unlimIted 0.25 0.40 040 R-30 R-30 R-J9 R-J9 R-lO R-25 R-lO * Reference Case ** Nominal R-values are for wood frame assemblies only or assemblies built in accordance with SectIon 601.1. 1. Minimum requirements for each optIOn listed. For example, if a proposed design has a glazing ratio to the conditioned floor area of 19%, it shall comply with all of the requirements of the 21 % glazing option (or higher). Proposed desIgns which cannot meet the specific requirements of a listed option above may calculate complIance by Chapters 4 or 5 of this Code. 2. Requirement applIes to all ceilings except single rafter or joist vaulted ceilings. 'Adv' denotes Advanced Framed Ceiling. 3 Requirement applicable only to single rafter or JOIst vaulted ceilings. 4. Below grade walls shall be insulated either on the extenor to a mmimum level ofR-10, or on the intenor to the same level as walls above grade. Exterior insulation mstalled on below grade walls shall be a water resistant material, manufactured for ItS mtended use, and installed according to the manufacturer's specifications. See SectIOn 602.2. 5. Floors over crawl spaces or exposed to ambient air conditions. 6. ReqUIred slab perimeter insulatIOn shall be a water resistant material, manufactured for its intended use, and installed accordmg to manufacturer's speCIfications. See Section 602.4. 7. The following optIOns shall be applIcable to buildmgs less than three stories: 0.50 maxImum for glazing areas of 25% or less; 0.45 maxImum for glazing areas of 30% or less. 8. Reserved. 9. Mmimum HVAC eqUIpment effiCIency reqUIrement. 'Low' denotes an AFUE of 0.74. 'Med.' denotes an AFUE of 0.78. 'High' denotes an AFUE of 0.88 Mmimum HV AC equipment effiCIency requirement for heat pumps. 'Low' denotes an HSPF of 6.35. 'Med.' denotes an HSPF of 6.8. 'HIgh' an HSPF of7.7. Water and ground source heat pumps shall be considered as medium effiCiency and have a minImum COP as required in Table 5-7. 10. Doors, includmg all fire doors, shall be assigned default U-factors from Table 10-6C. 11. Where a maximum glazing area is listed, the total glazing area (combined vertical plus overhead) as a percent of gross condltlOned floor area shall be less than or equal to that value. Overhead glazmg WIth U-factor ofU=0.40 or less IS not included in glazing area limitations. 12 Overhead glazing shall have U-factors determined in accordance WIth NFRC 100 or as specified in SectlOn 502.1.5. 38 7/01/01 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date 1- 7-CJ~ Time J:~ Received by ~r~ (PhOnea location of Work to be inspected I J Ii::,- F. ~ Name of person requesting inspection ~ Y' ~ ~ Address of person requesting inspection (1- Phone No. 1/" i -I{ 'I ~ Type of Inspection (circle appropriate one): Permit No. D'f '- to?!: Sewer Foundation Framing Sewer Excav. Other VI), INSPECTION NOTES: Inspected: Date Remarks: i I '1 5(2PC?~ I{}V! Time By f~UP-'Bjpd 0( f- <fr'Oc) /). 1'1) &> RESTORATION REQUIRED . . . . .. YES NO ~t?I\O>Jb--o fClwJ 1-1\- IS':7JI:O ye+ SI6)~ Jf okJ_ .l:x>.ll u d ~lodU-~ oU b\t-t; . ~. SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE FROM FAX NO. Sep. 02 2004 07:50AM Pi ',: .'- fj), OR[,~<,o " . ~. ..1 t'~ ~ ELECTRICAL PERMIT APPLICATION FOJl. Ol't"ICl."1.. LSZ;: o:-a y tnl c/l.cc ~ ".I1~tfl ...... D~leJ..ros:fo...(t _.__ o..",I~' w.,._,_____~ l lIe Eleclrfear PcnnitAppHcation must ba fJllad out cOnlDletelv. Please type or reprint in ink. If you have any questIons, please call t360} 0417-4735 Fa. number. (3&0) 417-4711 CJ'I-703 Own.' or EIe.. Contractor Agent: t:~,/ ~("; CL : 1l!&.. Phon.: PropO"yOwn.': J..,hV\ ~_ Addr.....s: t'3'i'~ tt ~ 7- 11'\ City; f' A~ t=l_ ..1.... 0 , l' Eloctrical COntl'aC1Or:~ <.- r ~ 0(' <{ In.-. ...fko_ Addr...:~1. -Ikr&fU- V l\, tl-T @1 City '-16 '}, ~'f~ax: "'J'5';L- ~~2'1 Ph(KIs: Lioo"..,#: Es~~~ ex;> P(!)dAoaJJ.ts Zip: q.S<:3t;> '2 q jJ~~ Phone:'i?"J-"~2/- Zip; <jg3 "2 Billing Address: Credit Card Number: Ll OWNER "rj.ELECTRICAJ.. CONTRACTOR --1ll1-C/~- ~ INSTALLATION WIRED BY; Credit Card Holder Name: Z;p: VISA:_ MC: EJfp. Dale: 13~5 t:=, ry J.i,.. ..- PROJECT ADDRESS: 1YPE OF WORK: Ch"ck;!!! that apply: [, New :J A1leration/AddiUon ~Bsidenlial [l Multi-family :J Remote Mater 0 Detached garage n Hot Tub Cl Swim Pool 1'1- [! Commercial o Mobile Home Sq. Fl [J Septic Pump o Low Voltage 0 ralecom. o Sign Number of Circuits added or altered: . ;' DESCRIPTION OF THE EL.ECTRICAL PROJECT: H, loll) "--ej h~~ Electrical HeRt Load Addition!!. and or Subtractions o BasebOi1(d o Furnace o Heat Pump o Fan-Wall _KW ~KW ..:t- TON_.. LRA _KW o Ovemead Service e) Temp Service ~ Underground Service Servlca Information AQ: ol",.... Phase: ~ Service Siz.: Feeder Size: - I hereby certify that I have read and examined this application and know that same rc be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permjts are required; it remains the applicants responsibility 10 determine what permits are required and to obtain suCh. C"",, C","o""". s._,.' ~~~ D.~, .;Yo br- Owner or Elee. Cont. Signature:~ '__ ___ Date: OJ.:/? j ~ PERMIT FEE: $ 90..s-o =:IELECTR'CALPERM'T APPLICA TIO" p 9/z- lot!