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630 E 10th St - Building
PREPARED 6/22/06 11 03 25 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/22/06 ADDRESS 630 E 10TH ST SUBDIV CONTRACTOR J P ENTERPRISE PHONE (360) 452 8717 OWNER JOHN H SIMPSON II ETAL PHONE PARCEL 06 30 00 0 3 3305 0000 APPL NUMBER 05 00000238 RES NEW SFR PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLI 01 3/15/06 JLL BUILDING INSULATION TIME 13 00 3/16/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 03/14/06 TIME 09 37 27 03/14/2006 09 37 AM DYASUMUR PAUL 457 8591 03/16/2006 09 32 AM JLIERLY BL99 01 6/22/06 BUIVEIRG EITAL BIME 13 00 OVERRIDE TAKEN BY DYASUMUR DATE 06/21/06 TIME 15 11 07 PAUL 457 8591 06/21/2006 03 10 PM DYASUMUR COMMENTS AND NOTES BUILDING, DIVISION CITY OF PORT ANGELES Correction Notice Job Located at ‘ae Inspection of your work revealed that the following is not in accordance with the codes governing the wor in is ju 4 diction °P 5 1 e t e L L 3 /q 20 r Qp /c& d? put r 2 s e 4 1-14 I Z) I 1-- cvl,c, steps t' dv�4� These corrections must be made and are not to be covered until reinspection is made When corrections have been made, please call L( (7 c"" for inspection Date laal 9 ro 4 pector for Building Division DO NOT REMOVE THIS TAG PREPARED 3/15/06 13 27 26 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/15/06 ADDRESS 630 E 10TH ST SUBDIV CONTRACTOR J P ENTERPRISE PHONE (360) 452 8717 OWNER JOHN H SIMPSON II ETAL PHONE PARCEL 06 30 00 0 3 3305 0000 APPL NUMBER 05 00000238 RES NEW SFR PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLI O1 INSPECTION TICKET PAGE 1 BUILDING INSULATION TIME 13 00 OVERRIDE TAKEN BY DYASUMUR DATE 03/14/06 TIME 09 37 27 03/14/2006 09 37 AM DYASUMUR PAUL 457 8591 COMMENTS AND NOTES PREPARED 3/06/06 14 03 01 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/06/06 ADDRESS 630 E 10TH ST SUBDIV CONTRACTOR J P ENTERPRISE PHONE (360) 452 8717 OWNER JOHN H SIMPSON II ETAL PHONE PARCEL 06 30 00 0 3 3305 0000 APPL NUMBER 05 00000238 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/20/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 6/20/05 AP 06/15/2005 01 06 PM JLIERLY 457 8591 john 06/20/2005 04 26 PM JLIERLY BI2 01 6/24/05 JLL BUILDING FOUNDATION WALL TIME 17 00 6/27/05 CA 06/24/2005 11 23 AM DYASUMUR 06/27/2005 04 21 PM JLIERLY BI2 02 6/27/05 JLL BUILDING FOUNDATION WALL TIME 17 00 6/27/05 AP 06/24/2005 05 04 PM DYASUMUR JOHN 457 8591 06/27/2005 04 18 PM JLIERLY BLFD 01 7/25/05 JLL BUILDING FOUNDATION DRAINAGE 7/25/05 AP 07/25/2005 09 57 AM DYASUMUR JOHN 457 8591 07/25/2005 04 36 PM JLIERLY BLM 01 11/08/05 JLL BUILDING FOUNDATION MONO SLAB 11/08/05 AP 11/07/2005 01 48 PM PBARTHOL JOHN 457 8591 11/08/2005 04 55 PM JLIERLY BAIR O1 3�Oy/06 „�7LL 9 002I AIR SEAL 3 (\Q1[` 03/3/02/2020 27 06 09 27 AM PBARTHOL V JOHN 457 8591 COMMENTS AND NOTES PREPARED 1/10/06 13 54 08 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/10/06 ADDRESS 630 E 10TH ST SUBDIV CONTRACTOR J P ENTERPRISE PHONE (360) 452 8717 OWNER JOHN H SIMPSON II ETAL PHONE PARCEL 06 30 00 0 3 3305 0000 APPL NUMBER 05 00000238 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 11/10/,06 JLL PLUMBING ROUGH IN TIME 17 00 01/10/2006 09 41 AM PBARTHOL COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner JOHN H SIMPSON II ETAL 472 HANSEN RD PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 1 00 00 Permit Additional Permit pin Permit Fee Issue Date Expiration Qty 1 00 Permit Additional Permit pin Permit Fee Issue Date Expiration T• \Policies\ 1102.15R [1/05] WA 98 Structure Information 000 Construction Type Occupancy Type Other struct info Unit Charge Per 50 0000 ECH 40 0000 EA 363 PORT ANGELES (360) 452 8717 000 1440 SF SFR W /DETACHED 576SF GARAGE TYPE V NON RATED SINGLE FAM CONGREGATES TOTAL LOT COVERAGE 28 80 CONSTRUCTION TYPE V -N NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 1 00 LOT SIZE 7000 00 PROPOSED LOT COVERAGE 2016 00 TOTAL LOT COVERAGE 2016 00 NUMBER OF UNITS 1 00 RIGHT OF WAY desc number 68486 270 00 1/06/06 Date 7/05/06 desc number 68502 40 00 1/06/06 Date 7/05/06 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05- 00000238 353998 630 E 10TH ST 06 30 00 0 3 3305 0000 RES NEW SFR RS7 RESDNTL SINGLE FAMILY 66240 Contractor J P ENTERPRISE 472 HANSEN RD 68494 50 00 Plan Check Fee 1/06/06 Valuation 7/05/06 RIGHT OF WAY PERMIT SAN SEW REPAIR STREET ALLEY RESTORATION Plan Check Fee Unit Charge Per 270 0000 ECH STREET ALLEY RESTORATION SANITARY SEWER HOOK UP Date 1/06/06 WA 98362 00 66240 Extension 50 00 00 00 Valuation 66240 Extension 270 00 Plan Check Fee 00 Valuation 66240 Qty Unit Charge Per Extension 1 00 40 0000 EA SAN SEW REPAIR 40 00 Special Notes and Comments ,uil�li.ly a�il�aao .i n snail not a an L e Separate Permits are required for electrical work, 5 §h ore pn e E sA, u 9 i i ies, 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T•\Policies \1102.15R 1/05] PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY 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 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE `I ACCEPTED I YES I NO CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING T \Policies \1102.15R 1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Application Number 05 00000238 Date 1/06/06 Application pin number 353998 Special Notes and Comments than 12 in height Numbers colors must contrast with wall color they are mounted on (Ord 14 36 050 E) No deconstruction of existing residence is permited util testing permits are obtained No final inspection for the new permited SFR until existing SFR is demolished or converted to accessary use with proper permits When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations The proposal will result in a new s f res in the RS 7 for total lot coverage of 29% No land use issues are noted Electrical load calculations and electrical permits are required for the New Construction New Service Connection Fee DOES NOT APPLY 04/20/2005 01 57 PM JHEBNER MAINTAIN GROUND CLEARANCES FROM SERVICE WIRES 04/20/2005 01 59 PM JHEBNER Any modifications to the electrical facilities will be at the customer s expense 04/20/2005 02 00 PM JHEBNER Reconnection of sewer® alley will be required by Public Works prior to back fill of ditch 04/19/2005 03 44 PM RVESS Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 360 00 360 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 364 50 364 50 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 CALL 417 -4807 FOR UTILITY 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T•\Policies \I IO2.15R [1/051 RESIDENTIAL PERMIT INSPECTION RECORD YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I I CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING PREPARED 11/08/05 13 03 42 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/08/05 ADDRESS 630 E 10TH ST SUBDIV CONTRACTOR J P ENTERPRISE PHONE (360) 452 8717 OWNER JOHN H SIMPSON II ETAL PHONE PARCEL 06 30 00 0 3 3305 0000 APPL NUMBER 05 00000238 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/20/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 6/20/05 AP 06/15/2005 01 06 PM JLIERLY 457 8591 john 06/20/2005 04 26 PM JLIERLY BI2 01 6/24/05 JLL BUILDING FOUNDATION WALL TIME 17 00 6/27/05 CA 06/24/2005 11 23 AM DYASUMUR 06/27/2005 04 21 PM JLIERLY BI2 02 6/27/05 JLL BUILDING FOUNDATION WALL TIME 17 00 6/27/05 AP 06/24/2005 05 04 PM DYASUMUR JOHN 457 8591 06/27/2005 04 18 PM JLIERLY BLFD 01 7/25/05 JLL BUILDING FOUNDATION DRAINAGE 7/25/05 AP 07/25/2005 09 57 AM DYASUMUR JOHN 457 8591 07/25/2005 04 36 PM JLIERLY 4 BLM O1 11 08 O5 L BUI07ING FOUNDATION MONO SLAB 11/07/2005 01 48 PM PBARTHOL JOHN 457 8591 COMMENTS AND NOTES PREPARED 7/22/05 12 08 06 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/22/05 ADDRESS 630 E 10TH ST SUBDIV CONTRACTOR J P ENTERPRISE PHONE (360) 452 8717 OWNER JOHN H SIMPSON II ETAL PHONE PARCEL 06 30 00 0 3 3305 0000 APPL NUMBER 05 00000238 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/20/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 6/20/05 AP 06/15/2005 01 06 PM JLIERLY 457 8591 john 06/20/2005 04 26 PM JLIERLY BI2 01 6/24/05 JLL BUILDING FOUNDATION WALL TIME 17 00 6/27/05 CA 06/24/2005 11 23 AM DYASUMUR 06/27/2005 04 21 PM. JLIERLY BI2 02 6/27/05 JLL BUILDING FOUNDATION WALL TIME 17 00 6/27/05 AP 06/24/2005 05 04 PM DYASUMUR JOHN 457 8591 06/27/2005 04 18 PM JLIERLY BLPD O1 7/22/ 5 JLL 0UIL1ING 5ERIMET0R DRAIN 07/21/2005 11 30 AM JLIERLY 457 8591 COMMENTS AND NOTES PREPARED 6/27/05 12 37 33 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES ADDRESS 630 E 10TH ST SUBDIV CONTRACTOR J P ENTERPRISE PHONE (360) 452 8717 OWNER JOHN H SIMPSON II ETAL PHONE PARCEL 06 30 00 0 3 3305 0000 APPL NUMBER 05 00000238 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTOR JAMES L LIERLY DATE 6/27/05 BL1 01 6/20/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 6/20/05 AP 06/15/2005 01 06 PM JLIERLY 457 8591 john 06/20/2005 04 26 PM JLIERLY BI2 01 6/ 4/05 JLL BUILDING FOUNDATION WALL TIME 17 00 06/24/2005 11 23 AM DYASUMUR BI2 02 /0 JLL BUILDING FOUNDATION WALL TIME 17 00 06/24/2005 05 04 PM DYASUMUR /HY -(D� JOHN 457 8591 COMMENTS AND NOTES PREPARED 6/24/05 13 22 56 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/24/05 ADDRESS 630 E 10TH ST SUBDIV CONTRACTOR J P ENTERPRISE PHONE (360) 452 8717 OWNER JOHN H SIMPSON II ETAL PHONE PARCEL 06 30 00 0 3 3305 0000 APPL NUMBER 05 00000238 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/20/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 6/20/05 AP 06/15/2005 01 06 PM JLIERLY 457 8591 john 06/20/2005 04 26 PM JLIERLY BI2 01 6/24 0 LL 0UIL4ING 5OUNDA2ION WALL TIME 17 00 06/24/2005 11 23 AM DYASUMUR COMMENTS AND NOTES PREPARED 6/20/05 13 15 26 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/20/05 ADDRESS 630 E 10TH ST SUBDIV CONTRACTOR J P ENTERPRISE PHONE (360) 452 8717 OWNER JOHN H SIMPSON II ETAL PHONE PARCEL 06 30 00 0 3 3305 0000 APPL NUMBER 05 00000238 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/20/ 4 5 L BUILDING FOUNDATION FOOTING TIME 17 00 I A, 4 5 06/15/2005 01 06 PM JLIERLY 457 8591 john COMMENTS AND NOTES Owner Qty Unit Charge Per 1 00 42 2000 ECH EL TEMP SRV 0 60 SRV FDR Permit Fee Total Plan Check Total Grand Total 42 20 00 42 20 COMMENTS /ACTION NEEDED. CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 121 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000466 008502 630 E 10TH ST 06 30 00 0 3 3305 0000 ELECTRICAL ONLY .Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Contractor JOHN H SIMPSON II ETAL OWNER 472 HANSEN RD PORT ANGELES WA 98363 Permit ELECTRICAL TEMPORARY SERVICE Additional desc OWNER/ TEMP Permit pin number 51722 Permit Fee 42 20 Plan Check Fee 00 Issue Date 6/13/05 Valuation 0 Expiration Date 12/10/05 Fee summary Charged Paid Credited Due 42 20 00 42 20 00 00 00 Date 6/13/05 Extension 42 20 00 00 00 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO COMMENTS S L PWI 102.13 [4961 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner. JOHN H SIMPSON II ETAL 472 HANSEN RD PORT ANGELES Structure Information 000 Construction Type Occupancy Type Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T \Policies \1102.15R [1/05] WA 9 Qty Unit Charge Per 1 00 110 0000 EA SAN SEWER HOOKUP CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000238 353998 630 E 10TH ST 06 30 00 0 3 3305 0000 RES NEW SFR RS7 RESDNTL SINGLE FAMILY 66240 Contractor J P ENTERPRISE 472 HANSEN RD 8363 PORT ANGELES (360) 452 8717 000 1440 SF SFR W /DETACHED 576SF GARAGE TYPE V NON RATED SINGLE FAM CONGREGATES TOTAL LOT COVERAGE 28 80 CONSTRUCTION TYPE V N NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 1 00 LOT SIZE 7000 00 PROPOSED LOT COVERAGE 2016 00 TOTAL LOT COVERAGE 2016 00 NUMBER OF UNITS 1 00 SANITARY SEWER HOOK UP RECONNECT SEWER 47514 110 00 Plan Check Fee 6/06/05 Valuation 12/03/05 Special Notes and Comments Building address sign shall not be less than 6 not more than 12 in height Numbers colors must contrast with wall color they are mounted on (Ord 14 36 050 E) No deconstruction of existing residence is permited util testing permits are obtained No final inspection for the new permited SFR until existing SFR is demolished or converted to accessary use with proper permits When roof gutters are installed drains will located in dry wells or piped to approved storm drain locations The proposal will result in a new s f res in the RS 7 for total lot coverage of 29% No land use issues are noted Electrical load calculations and electrical permits are required for the New Construction New Service Connection Fee DOES NOT APPLY 04/20/2005 01 57 PM JHEBNER MAINTAIN GROUND CLEARANCES FROM SERVICE WIRES 04/20/2005 01 59 PM JHEBNER Any modifications to the electrical facilities will be at the customer s expense 04/20/2005 02 00 PM JHEBNER Date 6/08/05 WA 98362 0 0 66240 Extension 110 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 ction Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4807 FOR UTILITY 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \Policies \1102.15R (1/05] PERMIT INSPECTION RECORD RESIDENTIAL KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I 1 CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING I I I I 1 I I 1 1 I Application Number Application pin number Special Notes and Comments Reconnection of sewer@ alley will be required by Public Works prior to back fill of ditch 04/19/2005 03 44 PM RVESS Other Fees Fee summary T \Policies \1102.15R [1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000238 353998 STATE SURCHARGE 4 50 Charged Paid Credited Page 2 Date 6/08/05 Due Permit Fee Total 110 00 110 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 114 50 114 50 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T \Policies \1102.15R [1/05] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY 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 NO a- FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING Application Number 05 00000238 Application pin number 353998 Property Address 630 E 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 3305 0000 Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 66240 Owner JOHN H SIMPSON II ETAL 472 HANSEN RD PORT ANGELES Structure Information 000 000 1440 SF SFR W /DETACHED 576SF GARAGE Construction Type TYPE V NON RATED Occupancy Type SINGLE FAM CONGREGATES Other struct info TOTAL e LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT RES IDENTIAL 1440 SF SFR 47159 744 25 Plan Check Fee 297 70 6/06/05 Valuation 60480 12/03/05 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 11 00 7 0000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 4 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 98363 Per 14 7000 ECH 7 2500 ECH Qty Unit Charge Per BASE FEE THOU BL -50 001 MECHANICAL PERMIT 47175 90 70 6/06/05 12/03/05 Per PLUMBING PERMIT 47191 132 00 6/06/05 12/03/05 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 ruction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Contractor J P ENTERPRISE 472 HANSEN RD PORT ANGELES (360) 452 8717 100K (7 00 PER BASE FEE ME INSTALL 100- FAD ME VENT FAN Valuation K) Plan Check Fee Valuation Date 6/08/05 WA 98362 28 80 V N 1 00 1 00 7000 00 2016 00 2016 00 1 00 Extension 667 25 77 00 00 0 Extension 47 00 14 70 29 00 Plan Check Fee 00 0 Extension o 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 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 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 a I I I I I I I I I I i I I 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 R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I I I I PLANNING DEPT BUILDING 417 -4815 I I I I BUILDING T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] Application Number Application pin number Qty Unit Charge Per BASE FEE 8 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 1 00 15 0000 ECH PL- EA BLDG SEWER 1 00 7 0000 ECH PL- EA WATER HEATER Special Notes and Comments Building address sign shall not be less than 6 not more than 12 in height Numbers colors must contrast with wall color they are mounted on (Ord 14 36 050 E) No deconstruction of existing residence is permited util testing permits are obtained No final inspection for the new permited SFR until existing SFR is demolished or converted to accessary use with proper permits When roof gutters care" ins drains will located in dry wells or piped tb approved storm drain locations vr� The proposal wil in a new s f res in the RS 7 for total lot coverage of 29e No land use issues are noted Electrical load calculations and electrical permits are required for the New Construction New Service Connection Fee DOES NOT APPLY 04/20/2005 01 57 PM JHEBNER MAINTAIN GROUND CLEARANCES FROM SERVICE WIRES 04/20/2005 01 59 PM JHEBNER Any modifications to the electrical facilities will be at the customer s expense 04/20/2005 02 00 PM JHEBNER Reconnection of sewer@ alley will be required by Public Works prior to back fill of ditch 04/19/2005 03 44 PM RVESS Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 r^ a Charged 05 00000238 353998 T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] STATE SURCHARGE 4 50 Paid Credited Page 2 Date '6/08/05 Due 966 95 966 95 00 00 297 70 297 70 00 00 4 50 4 50 00 00 1269 15 1269 15 00 00 Extension 47 00 56 00 7 00 15 00 7 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 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ BUILDING PERMIT INSPECTION RECORD OS 01.3$' CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED YES I NO FOUNDATION. FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL 14ID /o6 I cT w I 141/2-2/6-s- I J-`e_. 1 1 I I 1 I I I 1 I I I 1 ENGINEERING 417 -4807 FIRE 417 -4653 I /A I PLANNING DEPT 417 -4750 I I I I BUILDING 417 -4815 I1 (9 /O 11 f T•\Policies \1102_15 building permit inspection record05.wpd 1 /4/200$() j/ 7 4 SEPA. I I 1 ESA. I I SHORELINE. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING COMMENTS Mono Sto4? -c'r f,• l Plyrnbt 6t -7O su, I I I I I I I I I Final IMechars Ca l I I 1 1 o7 -zo -ob "Il,[.. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO t, V1 N CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05 00000239 Date 6/08/05 Application pin number 439519 Property Address 630 E 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 3305 0000 Application type description DEMOLITION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 2500 Owner JOHN H SIMPSON II ETAL J P ENTERPRISE 472 HANSEN RD 472 HANSEN RD PORT ANGELES WA 98363 PORT ANGELES (360) 452 8717 Structure Information 000 000 DEMO EXISTING SFR Construction Type TYPE V NON RATED Occupancy Type SINGLE FAM CONGREGATES Permit DEMOLITION Additional desc DEMO EXISTING SFR Permit pin number 48488 Permit Fee 47 00 Issue Date 6/06/05 Expiration Date 12/03/05 Qty Unit Charge Per BASE FEE T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] Contractor WA 98362 Plan Check Fee 00 Valuation Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 47 00 47 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 51 50 51 50 00 00 0 Extension 47 00 Separate Permits are required 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 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 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 ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I BUILDING PERMIT INSPECTION RECORD YES I I 1 I I I I I I I 1 I I I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W PW ENGINEERING NO SEPA. ESA. SHORELINE. FIRE DEPT PLANNING DEPT I BUILDING I I I I I I I I T\Policies \1102_15 building permit inspection record05.wpd [1142005) LEGAL DESCRIPTION Lot: t2 Credit Card Holder Name: Billing Address: Credit Card Type VISA MC TAPE OF WORK. Residential oeNew Constr Multi- family Addition Commercial Remodel Repair PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 F_ X(360)417 -4711 Applicant or Agent: icLt, 4 Owner IaIvK 1 fir• Address _970 CCevt d Architect/Engineer Contractor k �-�v �'S e. Address NOa Kr) PROJECT ADDRESS 6;30 BRIEF DESCRIPTION OF THE PROJECT beet) COMMERCIAL/RESIDENTIAL. Occupancy Group No of Stones: l Lot Size: 7W0 Total lot coverage Phone State License #:3 /!j/4" O!o S Existing Sq. Ft. City Block: Z 3 Subdivision. CLALLAM COUNTY PARCEL NUMBER. n OC) C 3 <3 G O OCJ Re -roof Stove floo Move Jd Garage( Demolition Deck Sign Other City ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other u Phone :3(e-0 `cf52 7( Phone gfc.0 �6 Z 8�5 Zip Date Rec. Permit 2 39 spate Approved. issued. Phone 7 7 Zip ZONING kcn> 7 Exp. Date: SIZE/VALUATION o J C's SF -FL.�O Q-52/SF 5 7 Co SF /SF 7t;oU' SF /SF TOTAL VALUATION 1 0e� i t7 tke'tAg Lu I ,e''- Lik -F_ Cc-t" Pig 14.1 Occupant Load. Construction Type. 0 Proposed Sq Ft. 02° I tP TOTAL Sq Ft. 2 APPROVALS. PLAN BLDG DPWU FIRE OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the tune of permit issuance. EXPIRATION OF PLAN REVIEW If no pernut 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 Buildmg/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 tope ue d cor ct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not th ,E' i s, d that ust obtain such permits pri r to work. T•\RVESS\BLDG- forms- brochuresk2004- Buildingpermit.wpd Applicant: Date: 3 1 `b 6 rf\ -E i 2 0 1 a '----t e-,-, A \z l'' C 7 LI- r RI a,.,. FOR OFFICIAL USE ONLY Credit Card Holder Name: Billing Address. Credit Card Type VISA TYPE OF WORK. Residential New Constr Multi family Addition Commercial Remodel Repair Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: .A r) (.m." i w�Sv Owner leek A so✓` Address 4:7 Architect /Engineer Contractor 2S Address -(Z 1-17+v,sev' d City rely -1 Q,,,p res PROJECT ADDRESS 636 >C /0 rL LEGAL DESCRIPTION Lot: c2 Block: 3 3 CLALLAM COUNTY PARCEL NUMBER. C OOOG 33 3.\ "sc)CO c� MC Re -roof Move .Demolition Sign Stove �ErGarage Deck Other BRIEF DESCRIPTION OF THE PROJECT COMMERCIAL/RESIDENTIAL. Occupancy Group. No. of Stones: f Lot Size. Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION Phone State License :.r►PED3TD 7 1lxp 44 Existing Sq Ft. City. A T•\RVESS\BLDG- forms brochures \2004- Buildingpermit.wpd Applicant: City• SIZE/VALUATION SF SF /SF SF /SF TOTAL VALUATION S Ac, (e >Atrra U v ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Subdivision. Occupant Load. Construction Type: Proposed Sq Ft. TOTAL Sq Ft. D Cl 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 building permit application and construction plans are submitted. All other permit fees are due at the tune 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 th. once. Phone 4 1 5 ,7- S-l Phone Zip C-04 Exp. D Date. `7 q l -off Permit #'DS —2 3 Date •Rec: Date Approved. Date Issued. Phone .2 S—1 f Zip 565' z ZONING 2 7 /SF 2 26 O/ o© APPROVALS. PLAN BLDG DPWU FIRE OTHER. 1 hereby certify that I have read and examined this application and know the same rect. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,no it; andAj, 1 must obtain such permits prior to work. "~ .~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .121 EAST 5TH STREET. PORT ANGELES. WA 98]62 Application Number Application pin number _ Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning _ . . Application valuation 05-00001051 Date 10/30/05 682422 630 E 10TH ST 06-30-00-0-3-3305-0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY o Owner Contractor JOHN H SIMPSON, II ETAL 472 HANSEN RD. PORT ANGELES WA 98363 OWNER Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE OWNER/ 60A TEMP. 63578 42.20 Plan Check Fee 10/30/05 Valuation 4/28/06 .00 o Qty 1. 00 Unit Charge Per 42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 42.20 ~ vj ~a "'$ -b~ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42.20 42.20 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 42.20 42.20 .00 .00 -.... l' \) -, ~. ~ f It\ ~\ COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS, PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE, IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO 111,"'1-4 ~A ROT Tnl-l_IN I CUVhK SERViCE . J<INAI I /f)/'-" /, -I- .",{yF) I / / GENERAL COMMENTS: PW-II02.U (4196) '(I "I4i r ...... CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION l2\ EAST 5TH STREET. PORT ANGELES. WA 911~62 - Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER, Application type description Subdivision Name Property Use Property Zonlng . Appllcatlon valuation 06-00000036 Date 710836 630 E 10TH ST 06-30-00-0-3-3305-0000- ELECTRICAL ONLY 1/13/06 o ()' , ol ~ RS7 RESDNTL SINGLE FAMILY o Owner Contractor JOHN H SIMPSON, II ETAL 472 HANSEN RD PORT ANGELES WA 98363 OWNER Permit Additional desc Permit pin number Sub Contractor Permlt Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL DAVE'S HEATING/ T-STAT 68650 DAVE'S HEATING 36 40 1/13/06 7/12/06 & COOLING Plan Check Fee Valuation 00 o 10' v' o Qty Unlt Charge Per 1 00 36 4000 ECH EL-LVT-FIRST THERMOSTAT Extension 36 40 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 36.40 36.40 00 .00 Plan Check Total 00 ,.00 .00 .00 Grand Total 36 40 36 40 .00 ,00 r'"' - o I): ~ r\ COMMENTS! ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO ... 3..t:,-r:; GENERAL COMMENTS: PW-II02 IS [4196] .. '61 ....."....? -CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 12\ EAST 5TH STREET. PORT ANGELES. WA 98362 .\j V\ ... :Lca :Lon Number Application pin number Property Address ASSESSOR PARCEL NUMBER Applicat:Lon type description Subdiv:Lsion Name Property Use Property Zoning Application valuation 05-00000238 Date 353998 630 E 10TH ST 06-30-00-0-3-3305-0000- RES NEW SFR RS7 RESDNTL SINGLE FAMILY 66240 Owner Contractor JOHN H SIMPSON, II ETAL 472 HANSEN RD PORT ANGELES Structure Information Construction Type Occupancy Type Other struct info J &. P ENTERPRISE 472 HANSEN RD PORT ANGELES (360) 452-8717 000 000 1440 SF SFR W/DETACHED TYPE V NON-RATED SINGLE FAM &. CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98363 2/22/06 \ ~ W ~ 576SF GARAGE WA 98362 Permit Add:Ltional desc Permit pin number Sub Contractor Sub Contractor Perm:Lt Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL APS/ 1440 SQ FT SFR + GARAGE 71340 APS ELECTRIC APS ELECTRIC 126 90 2/22/06 8/21/06 Plan Check Fee Valuation Qty 1. 00 1 00 1 00 Unit Charge 73 0000 23 4000 30 5000 EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 EL-R-OUTBD/DTCH GAR W/SERV Per ECH 5C ECH Spec:Lal Notes and Comments Building address sign shall not be less than 6" &. not more than 12" in height Numbers colors must contrast with wall color they are mounted on (Ord 14 36.050-E) No deconstruction of eX:Lsting residence is permited util test:Lng &. permits are obta:Lned. No final inspection for the new perm:Lted SFR until existing SFR is demolished or converted to accessary use with proper perm:Lts. When roof gutters are installed, drains will located in dry wells or p:Lped to approved storm drain locations. The proposal will result in a new s f reS:Ln the RS-7 for total lot coverage of 29% No land use issues are noted Electrical load calculations and electrical permits are required for tre New Construction > New SerV:Lce Connection Fee DOES NOT APPLY. 04/20/2005 01'57 PM JHEBNER ---------------------------- MAINTAIN GROUND CLEARANCES FROM SERVICE WIRES COMMENTS/ ACTION NEEDED 28.80 V-N 1 00 1 00 7000.00 2016 00 2016 00 1. 00 ~ ~ \J '" 00 o Extension 73 00 23.40 30 50 ~ ~ ~ '~ '\01......-'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin nu~er Page Date 2 2/22/06 05-00000238 353998 Special Notes and Comments 04/20/2005 01 59 PM JHEBNER ---------------------------- Any modifications to the electrical facilities will be at the customer's expense 04/20/2005 02 00 PM JHEBNER ---------------------------- Reconnection of sewer@ alley will be required by Public Works pr10r to back fill of ditch 04/19/2005 03 44 PM RVESS ------------------------------ Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 126 90 126 90 00 00 Plan Check Total 00 .00 .00 00 Other Fee Total 4.50 4 50 .00 .00 Grand Total 131 40 131.40 .00 00 COMMENTS/ACTION NEEDED ELECfRlCAL PERMIT INSPECTION RECORD ... <\LL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. / I I / KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE NO DATE COMMENTS GENERAL COMMENTS: PW-II02" /4196] \ /' '(i ~~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98362 9 Appl~cation Number Appl~cation pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivis~on Name Property Use property zoning Appl~cation valuation 07-00000231 Date 445813 630 E 10TH ST 06-30-00-0-3-3305-0000- ELECTRICAL ONLY 3/09/07 ~ Vl - RS7 RESDNTL SINGLE FAMILY o Owner Contractor ALMSTADT-CHING, MONIKA 630 E 10TH ST PORT ANGELES WA 98362 (360) 809-0964 PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 (360) 477-1764 Permit Additional desc . Permit pin number Sub Contractor Perm~t Fee Issue Date Expiration Date . ELECTRICAL ALTER RESIDENTIAL PEN EL / HOT TUB 96743 PENINSULA ELECTRIC 46 00 Plan Check Fee 3/09/07 Valuation 9/05/07 00 o S"' uJ o Qty Un~t Charge Per 1 00 46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46 00 46 00 .00 .00 Plan Check Total 00 00 .00 .00 Grand Total 46 00 46 00 .00 .00 r'- o ~ ~ COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 4) 7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-lI02 I' (4"96) Expiration Date I t' f ~ n:>l'(;c Ion ee of card /' ~ '" $ I /p. &fa r . '.. \SorvicQ Information . I I \6 ,,"'-, ) . DO C rP Voltage a.. "1 1:1 Overhead SeNlc. etI' ~ ~y ~~se ~, 1:1 3 1:1 Temp Service / (~F'^ Service Size: ci9.Qd ~ Underground Service f, . rJ- Feeder Size: ~ I 7:00 AL'1 360-417-4735 THERMOSTAT ~ . SER\'lCE . <;/;;,/,..,{, ~.[) I D~e !q1p veil By ~~t 0- .y Joh wired by )if Electrical Conlractor CJ Owner Electrical concractor name<< A p/5 &te.drr. C-tti Pur. chrt,r'$ m3.i~ a.~dr~ss_ ,.., (\ ~ ~ <f5M8J n I"-.6l ~~h~um~~dlt ~ d.. --b 1 S3 License number Dare Expires ~-P6BlL.5: qg,.;:rN State ZIP ~ tA)A-~DJb5 FAX number '5Cl- -e.., Premises owner's ri~D\e ""L -::!Ckn ...;, M.p~n \J/ELML- ^d~e30~n'Plt, 0 tk CIty i>o-r-t Av r'\ d~ Phone nu ~er t. '.h.dUle~,p"tion: ll>() - O\...rner Q.<: defined by RCWI-V.28.16/:(l) Owner wil OCCIIPY (he stfUcture for cwo year.'r after t!tL<: eler.!1'lcall'errrr.it is jinnlj:(-.J. (2) Owru:r is required to hire an ekcui~Cl' '''QlJtrt'r.:tor if ahoY(; :"aid proputy f:J jor sale. rent flr fease. After reading: the above statement, I hereby certify that] 3m the owner of the above na1lled property or a licensed electrical contraetoT. I am making thc clcctrical instal- l:'il:ion or alteration in" compliance: with the electrical laws, N.B.C.. RCW, Chapter 19.28, WAC. Chapter 296-46B. The City of Port Angeles Municipal Code, and Utility Specifications. Si~D9turc (If IIwner, electrical contractor or electrical adminislrator X' 12- ~Dale:~-U,-Ob Electrical \-oad A lions and or subtractions 1:1 NO LOAD CHANGES Q Baseboard KIN o Furnace KW Q Heat Pump _ Ton _ LAR Q Fan-Wall KIN SAME DAY INSPECTlON, CALL BEFORE ROUGH-IN sh./o C, ~ , J>.tIC APrrov~d Hy D~le , FINAL :drfi) ,\v,,",-<.>II B~ DITrn '" orf lrniall.ation descriptio~ o Commercial ~ ResideDtial . ~ew Q A1tered/Additiun n.J Lt , _~ ~ 11. lLf /.fa c~ p{- ~jJ/ 6 ~ {....,.~.". CJ Cash &L ~ ~16 CJ Check II CJ Credit Card Card # Visa Mastercard Discover Approv~d By D~la .<\pproved By FEEDER Inspection Date Area, Building Or' Equipmenl Im:pcctc:d D.1t~ ^1'JHTlvo:d ~y Action T<'ken Electrical rn~pcctor i'.2< Db ;{eQutZ....S T'" ~/r +6~ ,d W~L[:60 900c 9, 'qd~ [SL9 CSt> 09[ : 'ON X~~ WO<'l~ <'lOlJ~<'llNOJ l~JI<'llJ3l3 'S'd'~ 360A.172733 5T OF WA L&I & b 1v\f' CITY OF PORT ANGELES I I~HT DIVISION Date: To: Fax: Re: Sender: 6/20/06 Lebor & Indus 417-2733 Inspections Kathy Trainor Phone: 417.... Fax: 417~ YOU SHOULD IF YOU 00 NOT' Please InBpect for APS Ell 630 E. 10th Customer: John Simpson J & P Enterprtses Final InsDsction Contact: Andy Slack APS Electrtc 460-1937 09:07:08 a_m 4/9 06-23~2006 / , .. 00 Dl..'NrtIlH:n[ \If Lahnr &. InJustries f:kclril';l! 'il'L'Iiotl EL CTRICAL INSPECTlO: CORRECTION REPORT The eorrt'ctions IiH~d be/ow are hereb.\' orde within l!li . \ DOll(' ()~nCll ;:~;;~:.,,~ 4J;,,"'"'' -"'"'::'''":'~'- :~ '- - ,,- l<:!---___ _ __ __ ___ I,d, '~' >m' - ~,~ D' -, 'OVO, U -'0; ,!1.:0.;,;, eo, ,""",l o Yes ,:] No Fee dud ,_" __', -..,,( SmTYllEFEl:~E!:.!>~N~C:O~Il.E~rl()~_____________" " ,~ ------- - ---" ..---...---- -.- --.- - - . - ----------- --.-..------ .-.--------- - - - -- "-...- -'-- - - .\OTIFr I.\Sl'lC T!O.\ OFFICl IIHI,.\ RF,\/l\ 1'01( /H /.\)I're 1/0.\ I ~'!n_III_!h_!Ollill k',.-rri,-,1I11hfll'~II,\n ~"'It~\;ti(lll rq:"1I I_II' P,l!!l' .., 05'-105\ () & ~ 3& 05 ~ 1-3B fJ7 - Z3 i tJb-J;b Q1--'~. \?~ "",...' Job wired by 5Jklectrical Contractor 0 Owner E~trical contractor name V.e. \'\.lV\\.J", ~~Jv.-l. Purchaser's mailing address "11.. \ "'1....i..W.;t~ Cil,A License number ~<!.-V\I-v\#ct49t.k p",.,1t. Date Expires c'-5"-oB State ZIP U).,.. ~_J.... QI8'3<L>3 Telephone number FAX number ~o- Lllf - nlo~ Premise$- owner's name l n \ VVb\lko. CUlM ':.1""c..tY-t Addc;S of inspection E..... ~. I 5D om-tO ST ~~. A....~ e~ . Pht( n~~r tt4h,d Ie inspection: Owner as defined by RCW19.28.261:(1) Owner will occupy the structure/or two years after this electrical permit is finalized. (2) Owner L5 required to hire an electrical contractor if above said property is for sale, rent or lease. 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 instal- lation or alteration in compliance with the electrical laws. N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. ;gnxwner, el~aetor or el~t~i;;:;:~:r:~ Electrical Load Additions and or subtractions (J NO LOAD CHANGES [J Baseboard KW [J Furnace KW [J Heat Pump Ton (J Fan-Wall KW ELECTRICAL WORK PERMIT APPLICANON Installation description o Commercial o New ~ '\...Jo o ~ 0 Check # 'El"Credit Card Visa Card # Expiration Date of card LAR o Overhead Service o Temp Service o Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN TIIERMOSTAT Dale Approved By DaIC Approved By FINAL DITOI eY:? Dal., Approved By Inspection Date Area, Building or Equipment Inspected D ..- esidential (J Altered! Addition c-, it<.""; -t (~ ~, Mastercard Discover $nsP4Z~ feO D Service Information Voltage Phase (J 1 (J 3 Service Size: _ Feeder Size: SERVICE Dale Approved By FEEDER Dale Approved By Action Taken Elcctrical Inspector . " , o Electrical Contractor ~ ,~ ..- "=" ".-. DOwner "'iikJ...o:S ELECTRICAL WORK PERMIT APPLlCATlO~' o Annual Permit 0 Alarm CJ Carnival 0 Commercial 0 Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom. t< Job wired by 0 Electrical Contractor ~ner Installation description ---r t1-1\A..~0-) Se.V:>A lL'-<. ,. Electrical contractor name License number Purchaser's mailing address City State ZIP Telephone number FAX number ~ of inspecHon ~6. Itv ) . .1 . 0J)4-- &. t-V4 7'5''"Z- ~ t3 7 / 7 o Cash 0 Check # I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the c1ectricallaw, Chapter 19.28 RCW. o Credit Card Card # , Visa Mastercard Discover Signature of owner, electrical contractor or electrical administrator Expiration Date of card x ~ ~c:r- , WALLS Insulation Only Date Approved By Cover Date Approved By "- CEILING Insulation Only Date Approved By Cover Date Approved By TIIERMOSTAT Date Approved By DITCH Date Approved By , SERVICE '\ "- Dale Approved By / FEEDER Date Approved By /' Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o ~urnace KW o Heat Pump Ton LAR o Fan-Wall KW Service Information o Overhead Service o Temp Service o Underground Service Voltage PhaseD 1 03 Service Size: Feeder Size: Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector ~/,~/lct:' 1'b ~ SI/t" t: / IV A-l...- .d-./> . ..A-66) <' / , ,. . /?Co f!//J./os- rf;."""~ ~~ "'--' .,- L=. V'" :s-1 -~. . ELECTRICAL WORK PERMIT APPLICATION I,. ~ Job wired by o Electrical Contractor ,.l2I"Owner Installation descrjption~ D Commercial ~ Residential Electrka\ contractor name License number Date Expires IJNew D Altered/Addition City State ZIP / <€-~ V .\: ,A/te.Q I f D J Purchaser's mailing address Te\ephone number FAX number Premises OW~'S name .,.....,.. J\k", (~"'^ Address of inspectlo -t-'-- C930 E /0 98'3(.;). Owner as defined by RCW.19.28.26/:(fJ 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. 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 instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specificati Signature leal contractor or electrical administrator o Cash ,zrCheck# t t> (;3 o Credit Card Card # Visa Mastercard Discover Date: 10 .;2.4 Expiration Date "Icard Service Information LAR o Overhead Service ~emp Service o Underground Service Voltage Phase IJ 1 IJ 3 Service Size: _ Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN /' THERMOSTAT / SERVICE " Dale Approved By ./ "- Date Approved By /' DITCH / FEEDER ...... Date Approved By / Dale Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector .?1:J..f) /6 h~k , /' , Dale Approved By L1:!f:! I Jan 11 06 09:58a DAVE'S HEATING & COOLING p,1 "'. , ~Electi-icaJ Contractor ~ ,~, ......-.. . . [~ ~_! o Owner ~~...~J' ELECTRICAL WORK PERMIT APPLICATION o Request Inspection .- , . o Annual Permit 0 Alarm 0 Carnh'al 0 Commercial ~ResideD1jal CJ Residential Maiut. CI Signs l!1'Thermostat 0 Telecom. l!fElectrical Contractor Installation description Job wired by DOwner 101.0 vo,I+"",,~ ~'rt'h 05+"'* W,;,.... Electrical contractor nam~ License number ..Dave',j H-ea.+1",~ ~ Coo It'V\~ DAV€'S H C,q~ /;;lC Purchaser's mnil1rlg address 5ev-vl c.:Jl.. I n C. ~ e,O- $ox '113. City. State ZIP POy--+ A-n~.e~5: WA <183b?- .- Telephone number FAX number 3(;,O-q6~o"'l3Cj S"'...... Premises ().....~.s name .:::r 0/ {;n+e-rpn'S-e.S Address of inspection 101:6 (P3D (;,~S+ 5+v--e.-e.+ Cityp An~lf1..,s. GuA cq~3bd- o".--\- . o Cash o Check # I hereby certify Ihat I am the owner of the abovE: named property or a licensed ~dit Card @ Mastercard Discover electrical conlractor (or the finn's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter....19.28 RCW. Card # - - - ---------------- Sign3ture of owner, electrical contractor or eledrical administrator , 'Expiration Date X #AAO ~ 0 /)/L?~ J.._ ./J of card ($"'3'2;, r.:tD \, , ( / WAll.S CEILING THERMOSET SER\lCE ~IOSU]ation Only [nsulalion Only , ( ./ L1fJ."i ::(- c; rA;l D:lte , Approvecl By \, Dott Approved By . D~lc'- ^Pr-uv~ By D~tc AprrovC<! 8y /' " r 3 /;; !t c Cove, #fl -;;/d? 10 to,," .-feD DITOI FEEDER '" /)" F / O'le ^I'?"'vcd 9)' / D:<ie Approved 8y "- c"o Appl'Oved By DMC Approvccl By \ " Electrical load Additions and or subtractions IJ NO LOAD CHANGES o Baseboard KW o F lJrna.ce KW o Heat Pump _ Ton _ LAR o Fan-Wall _ KW Service Information o Overhead Service o Temp Service Cl Underground Service Voltage Phase a 1 0 3 Service Size: Feeder Size: Inspection Date Area, Building or Equipment lnspected Action Taken Electrical [nspeetor .?ICl In"'? j/ ~,.A-._ /fP A_r) ~, , I1ao 1/2-/1)6 "