HomeMy WebLinkAbout2231 W 16th St - Building
. -. CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
Date 7 - I ~ D<I Time -; A "'V1- Rec . ed by V~ "'- V\. ,'-:, IE (phone. person)
Location of Work to be inspected Z Z -g I U)
Name of person requesting inspection UE:'vt M. ," 'S
Address of person requesting inspection c::::..,V' I:l Y6-..r.J2
Type of Inspection (circle appropriate one): I
Sewer Foundation Framing Chimney Plumbing Final
'22:3 '7
I7"i-B Phone No. LfI7~<.f~'f9
Permit No. M-~
Sewer Excav. Ot~ LffJi-e r
INSPECTION NOTES: 7~/-{)t.J
Inspected: Date f'1I ):," AV\,--
Remarks: .2 Dv( ( ;:5e..-v;c.es
Time I { A iN\. By Pe v1l1.i"S E.
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SURFACE RESTORATION:
SURFACE TYPE: D Unimproved DGravel
D Repaired by City
D Repaired by Permittee
D No Damage Found
Z')(<.(Of
]0' Asphalt D PCC D Other
Work Order # 1'170')- t.( ( !ttf705 - <j'Z.
D COMPLETE /
D INCOMPLETE
r'~/ j~ah
(Continue on reverse side if necessary)
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STREET SUPERINTENDENT
(DATE)
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CITY OF PORT ANGELES
DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000991 Date
.661101
2231 W 16TH ST
06-30-00-1-0-7800-0000-
RES NEW SFR
11/12/04
RS9 RESDNTL SINGLE FAMILY
189000
Owner
Contractor
OLYMPIC LAND DEVELOPMENT
259403 HWY 101
SEQUIM
(360) 457-7222
Structure Information
Construction Type
Occupancy Type
Other struct info
INC.
WANT ACTION CONSTRUCTION INC.
P. O. BOX 1425
SEQUIM
(360) 681-3992
1677SF SFR, W/ATT 484SF GARAGE 80SF PORC-----
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 98382
WA 98382
25.20
~
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V-N
1
'I
1. 00
1. 00
9034.00
2282.00
2282.00
1. 00
-
L
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
NEW RES. 200A
JARMUTH ELECTRIC
119.80
11/10/04
5/10/05
-
Plan Check Fee
Valuation
.00
o
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Qty
1.00
2.00
Unit Charge Per
73.0000 ECH
23.4000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
73.00
46.80
~
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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)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
New subdivision outside the four minute response time shall
be equipped with a residential sprinkler system that is
installed and maintained in accordance with Uniform Fire
Code (UFC) and National Fire Protection Association(NFPA)
standards.
The proposal will result in the construction of a s.f.
residence in the RS9 zone for total lot coverage of 25%.
Setbacks are good. No land use issues are noted.
Public works electrical engineering has no requirements for
this plan review.
Ditches and culverts will be installed to City Stanards. See
Public Works Engineering for Standards.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
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
fora period of.180 days after the work as commenced, orifrequired 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
co nstruction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\PLANNINGIFORMS\1102.15 [11114/2003]
,.
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
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGElDOWN SPOUTS ........ _ A I -. J'~
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # II ... , z.. -Ot{ r{,~ l J~t-t;t.ll Vt-
ROUGH-IN /:J. - ~8- ~~ _. J J'~ /';IV t':JA...
PLUMBING 7P CP~
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW /WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS / ROOF / CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET I CHlMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA:
PARKlNG/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 37A/~6 .bD ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R. W. / PW/ F ( CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNlNG\FORMS\l102.15 [11/14/2003]
.
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. ". CITYOF PORT ANGELES
DEPARTMENT OFC01v.lMUN1TY DEVELOPMENT -BUILDING DMSION
3~1.EAST5TIiS'IRBET, PORT ANGELES, W A 98362
Application Number
Pi,.n numl:ler.... . .
Property Address .
ASsESSOR PARCEL NUM5BR:
Application description
SUbdivision Name
Property Use . '. . .
Property Zoning.. .
Appl!cationvaluation'
()4-()()000998 Date 10/28/04
.170326 . ... ....
. 223J..W J.6THST
06-30-00-J.-0-7800-0000-
ELECTRICAL ONLY
R.S9 RESDNTL SINGLE FAMILY
o
Owner
Contractor
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OLYMPIC LAND'OEVELOPMENTl:NC.
259403 HWY.;J.O;J.
SBQUIM WA '!)8382
(360) 457-7222
JARMUTH. ELECTRIC
PO BOX 635 SEQUIM
SBQUIM
(360) 683-4104
WA98382
Permit . . . .
Additionaldesc
Sub. COntractor
PerniitFee
~. ,Issue Date
Expiration Date
ELECTRICAL TEMPORARY SERVIcE
TEMP ave.
JARMUTH ELECTRIC
42.20 Plan Check Fee
10/28/04 Valuation .'.
4/27/0S
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--~------------------------_.---------.-------------~----..---------------...
':1
Oty unit Charge Per
1.00 42.2000ECH EL-TEMPSRV - 0-60 SRV FDR
Extension
42.20
Pee summary Charged paid Credited Due'
----------------- ---------- -----.----- ---------- -----_.----
Permit Fee Total 42~2l) 42.20 .00 .00
Plan Check. Total ..00 .00 .00 .00
Grand Total 42.20 42.20 .00 .M
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Separate P'l11'1lts~9requiredfor~lectrical work, SEPA; Sh?re1iQ91 ESA. utillti.es., pri~te and public imPro,,~ments.ThIs p~rmit~mes
null a.nd voldif\\i8rk prconstructicm authQrlzed Is not commenced wiml(f"tQOdays, if.constructlon or work Is suspen~e~()'r~andoned
for a p~~od ()f 1 ~Odays ,after the work ascornmenced,or ifrequlred Inspections have not been requested wlthin1.80~~YSfJ'Oll1the last
Inspect1on.lh~reby 99rtify that Ihave.read andexaminedthlsapplicatiol'land'~n6w the same to be true and correct....A1IProyjSions of
laws andordinancesgoveming.thls type ofwQrkwiUbecompliedwithwhether sp~!f1ed herein ,or not The granting of~~rmi~d()es not
presume to give authority to "lolatEi or cancel the provisions of any' state or localJaw regulating construction or the performance of
construction.
Signature of Contractor or Autllorlz~clAgent
Date
Signature of. qwner (if owner Is builder)
Date
T:\PLANNlNG\FORMS\1l02.1S [1111412003]
BlJILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE A MINIMuM 24 HOUR NOTICE. IT IS ciNU'WFuLrO COVER, INSULATE Oia:ONcEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION:
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE r ACCEPTED -' . COMMENTS
YES I NO ,
FOUNDATION:
FOOTINGS ,
WALLS
FOUNDATION DRAlNAGEIDOWN SPOUTS .. '.
ELECTRICAL (UGHT DEPT) SEPARATE PERMIT: # r-~.
- ROUGH.IN 1/1'1.... ~ I f9IC I
PLUMBING ..
UNDER FLOOR I SLAB
ROUGH-IN
WATER LINE (METER TO BLOG)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING I "
FRAMING
JOISTS I GIRDERS
SHEAR WALLlHOLD DOWNS .
WALLS I ROOF I CEILING. "
DRYWALL (INTERIOR BRACED PANEL ONLY) I
- ,
T -BAR
INSULATION
SLAB I
WALL I FLOOR I CEILING I I I
MECHANICAL -
HEAT PUMP
GAS LINE
WOOD STOVE I PELLET I CHIMNEY --:-
HOOD I DUCTS -
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE I METER
SEWER CONNECTION
SANITARY .
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKlNGlLIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE -..' . .
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
/1 .' - YES NO
ELECTRICAL - UGHT DEPT. 417-4735 I tJ ... 2..9~ o {(J(' ELECTRlCAt;
UGHT 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.
BOILDING 417-4815 BUILDING -
T:\PLANNING\FORMS\1102.15 [1111412003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
04-00000991 Date
.661101
2231 W 16TH ST
06-30-00-1-0-7800-0000-
RES NEW SFR
WANT ACTION CONSTRUCTION INC.
P. O. BOX 1425
SEQUIM
(360) 681-3992
1677SF SFR, W/ATT 484SF GARAGE 80SF PORC-----
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
Appl~cation Number
P~n number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Appl~cation valuation
RS9 RESDNTL SINGLE FAMILY
189000
Owner
Contractor
OLYMPIC LAND DEVELOPMENT
259403 HWY 101
SEQUIM
(360) 457-7222
Structure Information
Construction Type
Occupancy Type
Other struct info
INC.
WA 98382
~I
I
Permit
Additional desc
Permit Fee
Issue Date
Expirat~on Date
MECHANICAL PERMIT
83.55 Plan Check Fee
11/03/04 Valuation
5/03/05
Qty Un~t Charge Per
BASE FEE
3.00 7.2500 ECH ME-VENT FAN
1.00 14.8000 ECH ME-INSTALL FLOOR FURNACE
11/03/04
WA 98382
F/N/ri~t:J;/
'7i /05 J2u
~
25.20
V-N
1. 00
1. 00
9034.00
2282.00
2282.00
1. 00
.00
o
~0 ~
"}:J
rx\tY /" ~
-
\
~
~
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~
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Extension
47.00
21.75
14.80
Permit PLUMBING PERMIT
Addit~onal desc
Permit Fee 139.00 Plan Check Fee .00
Issue Date 11/03/04 Valuation 0
Expiration Date 5/03/05
Qty Unit Charge Per Extension
BASE FEE 47.00
10.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 70.00
1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00
1. 00 7.0000 ECH PL- EA. WATER HEATER 7.00
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
1515.65
11/03/04
5/03/05
Plan Check Fee
Valuation
Qty Unit Charge Per
BASE FEE
.00
189000
Extension
1017.25
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 performan e of .
construction.
Date
T \PLANNING\FORMS\1102.15 [11f14/2003]
Signature of Owner (if owner is builder)
Date
,
rfVORT ",.
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
04-00000991
.661101
Page 2
Date 11/03/04
Qty Unit Charge Per
89.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
Extension
498.40
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)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
New subd1vision outside the four minute response t1me shall
be equipped w1th a res1dential spr1nkler system that 1S
installed and maintained in accordance with Uniform F1re
Code (UFC) and Nat10nal Fire Protection Association(NFPA)
standards.
The proposal will result in the construction of a s.f.
residence in the RS9 zone for total lot coverage of 25%.
Setbacks are good. No land use issues are noted.
Publ1c works electrical engineering has no requirements for
th1s plan reV1ew.
Ditches and culverts w1ll be installed to City Stanards. See
public Works Engineering for Standards.
Sanitary sewer connection inspection is required by
Public Works prior to back f1ll of ditch.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Perm1t Fee Total 1738.20 1738.20 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 3512.70 3512.70 .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.
Date
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
T IPLANNING\FORMS\1102.15 [11/14/2003]
"-
BUILDING PERMIT INSPECTION RECORD
i
..
("
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
YES NO
FOUNDATION:
FOOTINGS I J -h ~ -m...1 J.J.,..,
WALLS ,1 -0 LI _^ &J J. L
FOUNDATION DRAlNAGEIDOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT- #
ROUGH-IN I
PLUMBING ~UWlb. FlMl. ~/(p fOG ,.JL-L- AF'
UNDER FLOOR / SLAB
ROUGH-IN
W t- TER LINE (METER TO BLDG)
d'As LINE
BACK FLOW /WATER
AIR ISEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR W ALLIHOLD DOWNS l\./'f'Jif""''l1-l J ,I-,
WALLS / ROOF / CEILING :'"
DRYWALL (INTERIOR BRACED PANEL ONLY) .- I 'f - (!)S- t L,
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I I
MECHANICAL rntd1. AM-I . (p7~/og. Jf,C AP
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVIsIon) SEP ARA TE PERMIT #'s:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKINGILIGHTING 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 to/& I O~ CTIt{; BUILDING
T:\PLANNING\FORMSl1102.15 [11/14/2003]
PREPARED 6/06/05, 13 00.47
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
4
6/06/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2231 W 16TH ST
WANT ACTION CONSTRUCTION INC
OLYMPIC LAND DEVELOPMENT INC
06-30-00-1-0-7800-0000-
04-00000991 RES NEW SFR
SUBDIV
PHONE
PHONE
(360) 681-3992
(360) 457-7222
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP
TYP/SQ COMPLETED RESULT
DESCRIPTION
RESULTS/COMMENTS
PL99 01
6/06/05
-\t\\q~ oS
JLL
rrq
PLUMBING FINAL TIME
06/06/2005 12-39 PM
17:00
DYASUMUR ---------------------------
COMMENTS AND NOTES --------------------------------------
I
~
PREPARED 6/06/05, 13:00 47
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
2231 W 16TH ST
WANT ACTION CONSTRUCTION INC
OLYMPIC LAND DEVELOPMENT INC
06-30-00-1-0-7800-0000-
04-00000991 RES NEW SFR
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME99 01 Il:/i~ JLL MECHANICAL FINAL
~ Prf 06/06/2005 12 39
----------------------------------- CONTINUED ONTO
PAGE
DATE
3
6/06/05
SUBDIV'
PHONE
PHONE
(360) 681-3992
(360) 457-7222
TIME 17 00
PM DYASUMUR ---------------------------
NEXT PAGE -----------------------------------
PREPARED 6/06/05, 13 00 47
CITY OF PORT ANGELES
2
6/06/05
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
INSPECTION TICKET
INSPECTOR: JAMES L LIERLY
PAGE
DATE
2231 W 16TH ST
WANT ACTION CONSTRUCTION INC
OLYMPIC LAND DEVELOPMENT INC
06-30-00-1-0-7800-0000-
04-00000991 RES NEW SFR
SUBDIV
PHONE (360) 681-3992
PHONE: (360) 457-7222
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 11/03/04 JLL
11/03/04 AP
BI2 01 11/04/04 JLL
11/04/04 AP
BL9 01 12/08/04 JLL
12/08/04 AP
BL3 01 1/05/05 TG
1/05/05 DA
BUILDING FOUNDATION FOOTING
ALEN 809-0445 10.00AM
20 ground rod 1n foot1ng t1ed to hor1zontal bar/]ll
BUILDING FOUNDATION WALL TIME 17 00
BUILDING SHEARWALL
BL99 01
1/19/05 JLL
1/20/05 AP
X06/~ +JLL
\ ..\O:::a-
,
----------------------------------- CONTINUED ONTO
BUILDING FRAMING
ALLEN 360-809-0445
lap spl1ce at 1ntersect1ng walls exter1ro 1n corners/tg
BUILDING DRYWALL IBWP
681-3992
BUILDING FINAL TIME 17 00
06/06/2005 12 38 PM DYASUMUR ---------------------------
BLDR 01
NEXT PAGE -----------------------------------
BUILDING PERMIT. APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec. 10-20- OLI
Pelmlt # OLl - <19 { .
Date Approved.
Date Issued:
Fill out COMPLETELY and in I~J(. Your application and site plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: I--ea..h R...oc; r}~
Owner: 0 { y 111 pI C ( a. i' 1 d (] i' velD fie Yru> r} t
Address: p. V. (3 ox S e;' S City: C (i. (" Is bo r,
WA.
Credit Card Holder Name:
Billing Address: City:
Credit Card Type VISA MC # Exp. Date:
TYPE OF WORK: SIZEN ALUATION:
~ Residential &fl NewConstr. 0 Re-roof 0 Stove 1&71 SF.@$( IA.7~/SF.=$ I rsqj DOD. 00
CI Multi-family 0 Addition CI Move 0 Garage SF. @ $ ISF. = $
o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $
o Repair 0 Sign 0 Other TOTAL VALUATION. $
BRIEF DESCRIPTION OF THE PROJECf, v1 et.;2 " ,. ,.., "ll.e f'tl-""< 1'-( f'C" ck h~ ' V)
r)k{/IY1f'L I~e...t~hts Ib-''7~Si12j A~..~~",,~\ LtB4cfi~r~,~,~->rc.h
COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type:
No. of Stories: 1- Lot Size: q U3~ Existing Sq. Ft. (;t & Proposed Sq. Ft. 228"'2.. = TOTAL Sq. Ft. ..:< ~ ~ ~
Total lot coverage 2$"'.,;7 %
PLANNING USE ONLY:
APPROVALS:
PLAN :
BLDG:
DPWU:
FIRE:
OTHER:_
ESAlWetland(s); 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you WIth infonnation on the application and
plan submittal requrrements if you have questions.
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 Penmt 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. AIJ other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVJEW: 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 Rl 05.3.2
of the International BuildingJResidential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what permits are required ,not the City's, and that J must obtain such permits prior to work.
"'RVESS\BLD"fonn,-"'ocl,",~~oo3-B,nd,"""""..d Appli","', cJ<1:lh if' ~ Da..,! 0 P{;/ rJ/
,
--
Iz-~o~
SH1NG"
Washington State Energy Code
Plan Review Checklist
Applicant please Check, write in N/ A or fill in value on boxes or hnes.
Proj ect Address:
).;2. 3 (
l,J. \(;,Th 5+
Lot-
tts
ComplIance Approach:(check one) D Systems analysis
D Component performance
D Prescriptive path
HEATING SYSTEM
D Zone Heatmg
II! Electric Furnace
DHeat Pump
FOUNDATION PHASE
D Slab R-_ Extenor down to frostlme/slab bottom; Interior 24" honzontal or vertIcal; or, IfradIant under entIre slab
D Below grade extenor wall msulatIon R-_ (Ifmtenor -see InsulatIOn Phase)
FRAMING PHASE
12( Standard D Intermediate D Advanced
Rf Standard aIr seal. sole plate/sub floor, runjoist, wmdow & door frames; WIres, plumbmg, ducts, lIght fixtures
[(Source speCIfic exhaust fans bath & laundry(50 cfrn) latchen(100 cfrn)
D Whole house exhaust fan _ cfrn mtenmttent system has manual & auto controls' Outdoor air supply reg. for habItable rooms
or
D Integrated forced -aIr system, fan _ cfm, outSIde aIr duct(with motor damper) allowmg .35 and .5 ACH
INSULATION PHASE
~ R-~ Wall msulatIOn(above grade)
D R-_ Wall msulatIOn(below grade) Intenor wall msulatIOn
6ZI. R-3o Floor insulation
Ia. R-~ CeIlmg msulatIOn' Includmg attIC hatch
D R-_ Vaulted Ceilmg msulation
D Vapor retarders. Walls, Cellmg: 0 4 rml poly &Perm rated pamt Dkraft faced batts
iii Vapor retarders Floors D 4 rml poly Dkraft faced batts
D Ground cover: 6 mil Black polyethylene, 12" lap at jomts & extendmg to foundatIon wall
T \ROGER\BLDG-FORMS-BROCHURESIENERGYPLANREVIEW
Over: Fill in back side also.
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 QUANTITY AREA U-VALUE & MANUFACTURER
5 04 {J ?> (0 0 v1IJ V I a a-rJ
:L<isS6 2- j(o I
/"
4010 3 xc.J I
(no5(j { -:Sh I
I {II 3 (/) 2 In \
'J ( 03& , 'f \
I (f) I () 2 .22.
n~ d si 7J)~ ~ 24 I
<y rO.. (l sovn 1 S /
<; i J.o Ut; Ir1 ts :2- ?f I
C, {~~'\. doOr 1 lo
Total glazing area.
Total conditioned floor area:
Percentage of glazing:
28'S'
IloT1
l (tG
DOORS
List doors by type(sohd core, Insulated, Etc.)quantity, U-value, and Manufacture.
SIZE
QUANTITY
AREA
U-VALUE & MANUFACTURER
T \ROGERIBLDG-FORMS-BROCH U RES\EN ERGYPLAN REVIEW-2
PREPARED 1/19/05, 12 05 50
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
9
1/19/05
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2231 W 16TH ST
WANT ACTION CONSTRUCTION INC
OLYMPIC LAND DEVELOPMENT INC
06-30-00-1-0-7800-0000-
04-00000991 RES NEW SFR
SUBDIV
PHONE (360) 681-3992
PHONE, (360) 457-7222
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 11/03/04 JLL
11/03/04 AP
BI2 01 11/04/04 JLL
11/04/04 AP
BL9 01 12/08/04 JLL
12/08/04 AP
BL3 01 1/05/05 TG
1/05/05 DA
BUILDING FOUNDATION FOOTING
ALEN 809-0445 10 OOAM
20 ground rod In footlng tled to horlzontal bar/]ll
BUILDING FOUNDATION WALL TIME, 17 00
BUILDING SHEARWALL
BUILDING FRAMING
ALLEN 360-809-0445
lap spllce at lntersectlng walls exterlro In corners/tg
BLDR 01 WI1~1:5r 1'.11 BUILDING DRYWALL IBWP
~ ~ 681-3992
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 11/04/04, 13 16 36
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
7
11/04/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2231 W 16TH ST
WANT ACTION CONSTRUCTION INC
OLYMPIC LAND DEVELOPMENT INC
06-30-00-1-0-7800-0000-
04-00000991 RES NEW SFR
SUBDIV'
PHONE (360) 681-3992
PHONE . (360) 457-7222
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BI2
01 11/03/04 JLL BUILDING FOUNDATION FOOTING
11/03/04 AP ALEN 809-0445 10 OOAM
;;\~i/~~ f 20 ground rod In footlng tled to horlzontal bar/]ll
_~~__~_~___~~~~~~N:o::::::T::: ::::S _~~~~__~~_~~__________________________
~-
BL1
PREPARED 11/03/04, 13,31 26
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
8
11/03/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2231 W 16TH ST
WANT ACTION CONSTRUCTION INC
OLYMPIC LAND DEVELOPMENT INC
06-30-00-1-0-7800-0000-
04-00000991 RES NEW SFR
SUBDIV'
PHONE
PHONE
(360) 681-3992
(360) 457-7222
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 .1:1~3(~~' ltl:J BUILDING FOUNDATION FOOTING
~ ~ ALEN 809-0445 10 OOAM
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 12/08/04, 13 42 15
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
3
12/08/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER.
2231 W 16TH ST
WANT ACTION CONSTRUCTION INC
OLYMPIC LAND DEVELOPMENT INC
06-30-00-1-0-7800-0000-
04-00000991 RES NEW SFR
SUBDIV
PHONE
PHONE
(360) 681-3992
(360) 457-7222
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1
01
11/03/04
11/03/04
JLL
AP
BUILDING FOUNDATION FOOTING
ALEN 809-0445 10 OOAM
20 ground rod In footlng tled to horlzonta1 bar/]ll
BI2 01 11/04/04 JLL BUILDING FOUNDATION WALL TIME 17 00
"'__O'__~I\~___'U"U'N:o::::::'"':u NO'" _____________________..______________
SIT E 'PLAM,.\
, O:L'1 M Pr.(.., LAN b Dt'..JELo VtM E~T
LOT */15
:sc:ALE" I II = \0 (
8Q'
).5 I
/3'
fR3'
HILl~ C (&71 ~, f"'r
I I
L{.3( --
\t)
-- I I
l1}
--
........ I (O"~~€D Q
~ I I --
- roR<-\-\
bA '\<k:.E. 80 $Q.,ft
I L/ gLf ~~ {).t. I
I I
I I
- - - - - - - - - - - - - -1
1St
,?9'
'\
~of2T 1-\
J(o-t1\ sT
.
~
" ';
:fi'ORT~
$4.0~
rea
... -=->r
---
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zon~ng . . .
Application valuation
04-00000991 Date
.661101
2231 W 16TH ST
06-30-00-1-0-7800-0000-
RES NEW SFR
12/14/04
RS9 RESDNTL SINGLE FAMILY
189000
Owner
Contractor
OLYMPIC LAND DEVELOPMENT
259403 HWY 101
SEQUIM
(360) 457-7222
Structure Information
Construction Type
Occupancy Type
Other struct info
INC.
WANT ACTION CONSTRUCTION INC.
P. O. BOX 1425
SEQUIM
(360) 681-3992
1677SF SFR, W/ATT 484SF GARAGE 80SF PORC-----
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 98382
WA 98382
25.20
V-N
1. 00
1. 00
9034.00
2282.00
2282.00
1. 00
50.00
12/14/04
6/13/05
Plan Check Fee
Valuation
.00
o
:9
'P
\)J
Permit
Additional desc
Perm~t Fee
Issue Date
Expiration Date
FIRE SPRINKLER RESID
'--
Qty Unit Charge Per
BASE FEE
Extension
50.00
~
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in he~ght. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
New subdiv~s~on outside the four minute response time shall
be equipped with a residential sprinkler system that is
installed and maintained in accordance with Un~form Fire
Code (UFC) and National Fire Protection Assoc~at~on(NFPA)
standards.
The proposal will result in the construction of a s.f.
residence in the RS9 zone for total lot coverage of 25%.
Setbacks are good. No land use issues are noted.
Public works electr~cal eng~neering has no requirements for
this plan review.
Ditches and culverts will be installed to C~ty Stanards. See
Publ~c Works Engineering for Standards.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
--.
~
~
V)
~
Other Fees
SEWER SYSTEM DELV CHARGE
745.00
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
co struction.
Signature of Owner (if owner is builder)
Date
T'\PLANNING\FORMS\1102.15 [11114/2003]
.. cft~~Rr~
.' 8.J.~
,.
-- ~
~
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . .. 04-00000991
pin number . . .661101
Page 2
Date 12/14/04
Other Fees
STATE SURCHARGE
PW WATER SYSTEM USE FEE
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 1824.50 1824.50 .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 Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T \PLANNlNG\FORMS\1l02.15 [11/14/2003]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec. ; g. - $' '-OJ!
Pelmlt #. 191/ - q f I
Date Approved
Date Issued
h
Fill out COMPLETELY and in INK. Your application and site plan MUST BE
COMPLETE to be accepted for review. Uyou have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
ApplIcant or Agent: 1,v,;(/()v/frE D FIRE. S'p)1.)#k"L.ER- Pho~e: . '-/S'2 -")S8Ju
Owner: 0 lJ """' p,'c... L"....... d . '\),e.. \J e.la-p Vv'--.52~ T Phone:
Address: 2. S 0'{03 HbtJ'I /0 I City: 'Po ",..J A-~ e{tJ...-..f'
ArchitectlEngineer: Phone:
IIt4VDt/FSo 1../4.'DR
Contractor IIY.<IOJ/A/~O flM ~k State License #: Exp: 8JJz,lo(;.
Address: 8) N L<-v ~,).e...... L ""' City: plJ,/' -I-JJ-<-.. f:.: e/tLJ'
o .#
PROJECT ADDRESS: 22- 3 i W / b f /", S I- LOT S
Zip: q~J '-2
Phone: 4S.2 - 7S"83
Zip: 9asG, z.
ZONING:
LEGAL DESCRJPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
SubdivlSlon:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
o ResIdentIal 0 New Constr. 0 Re-roof
o Multi-family 0 AddItIon D Move
o CommerCial 0 Remodel D Demohtion
o RepaIr D Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other
F ; 0/' e...
SIZEN ALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $ 2/o0.GJO
SpV'L""1-/cIQr- ~7.sf..{VV\..
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: Lot Size: EXistIng Sq. Ft.
Total lot coverage
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
%
PLANNING USE ONLY:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
Bun.,DING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with informatIOn on the application and
plan submittal requIrements if you have questIons.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. Tills figure will be reVIewed
and may be revised by the Buildmg Division to comply WIth current fee schedules. Contact the Permlt Coordmator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the tIme the buildmg permlt application and constructIOn plans are
submitted. All other permit fees are due at-the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno permlt 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 apphcant up to 180 days upon written request by the applicant (see Section Rl 05.3.2
of the International Building/Residential Code, 2003). No applicatIon can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it IS my responsibility to determme what permits are required ,not the City'S, a d that I must obtam such permits prIor to work.
T:\RVESS\BLDG-forms-brochures\2003-Buildmgpenmt.wpd Applicant: -,4 . is Date: 1#
PORT ANGELES FIRE DEPARTMENT
102 East Fifth Street, Port Angeles, Washington 98362
(360) 417-4650 FAX (360) 417-4659
Fire Sprinkler System Plan Review
Project Name: Private Residence Address: 2231 West 16th
Installer: Innovated Fire Installer Telephone: 452-7583
Type of System: Open 130 13RO 13D~
Date: 12.10.2004 PAFD Permit #: 04-14
We have checked this plan and find that it conforms to the requirements of the code.
Additional Comments:
All systems, including underground mains, shall be installed by a state licensed and certified
company. Systems shall be installed per the applicable NFP A Standard.
All controlling valves shall be provided with tamper supervision. (13D systems are exempt)
All electrical components shall be compatible with the fire alarm system.
All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire
Department PRIOR to being covered. A witnessed flush of the underground piping is required.
A design sprinkler flow test and alarm test are required for all13R and 13D systems.
Before final acceptance of the system, an inspection and hydrostatic test will be conducted to
ensure that the installation complies with the applicable NFPA Standard. (13D systems do not
require a hydrostatic test.)
Contractor
Reviewed by: ~~
Date: \'Z' 1 t::>. Q)l1
o
~
o
Building Department
Fire Department
FIRE DEPARTMENT }Z e.- V) j).
PLANNING DEPARTMENT
PUBLIC WORKS/ENGINEERING DIVISION
LIGHT DIVISION
o ENERGY
o ENGINEERING
o POLICE DEPARTMENT
o ADMINISTRA TI~N
o CITY CLERK
o RISK MANAGEMENT
I FROM: PUBLIC WORKSIBUlLDING DIVISION'
RE: ADDRESS: if" I ! d I VL::___ (J /l f -
NAME/CONTACT: ~
PHONE: J-j 17 - J[ <(r)
PERMIT NUMBER: 01 Co C(9)
PROJECT DESCRIPTION: n <UA} c-:~F R
~-~ I-ew;
~
~
o
o
I DATE:&-k/oz I
30rJY)kJet-
,
~ NEW CONSTRUCTION
;t5 ADDITION/ALTERNATION
COMMENTS/CONDITIONS:
o REVIEWIRETURN
o FILE
~ (]>'t-It.t
d")I"~.
.;fi~~
D!i
~:,,:,",..
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
"\2\ EAST 5TH STREET. PORT ANGELES. W ^ 98~62
I
~!t
I~,
I
I
Applicat~on Number
pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zon~ng .
Application valuation
04-00000991 Date
.661101
2231 W 16TH ST
06-30-00-1-0-7800-0000-
RES NEW SFR
2/03/05
RS9 RESDNTL SINGLE FAMILY
189000
Owner
Contractor
OLYMPIC LAND DEVELOPMENT
259403 HWY 101
SEQUIM
(360) 457-7222
Structure Information
Construction Type
Occupancy Type
Other struct ~nfo
INC
WANT ACTION CONSTRUCTION INC.
POBOX 1425
SEQUIM
(360) 681-3992
1677SF SFR, W/ATT 484SF GARAGE 80SF PORC-----
TYPE V NON-RATED
SINGLE rAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
WA 98382
WA 98382
25.20
V-N
1 00
1 00
9034 00
2282 00
2282.00
1 00
Permit
Addit~onal desc
Sub Contractor
Permit Fee
Issue Date
Exp~ration Date
ELECTRICAL NEW RESIDENTIAL
NEW RES 200A
JARMUTH ELECTRIC
119 80
11/10/04
7/19/05
Plan Check Fee
Valuation
00
o
~
~
~
t
t
I
+-
t
It}:
Jl
~)
I
I
I
I
I
,
I
I
I
Qty
1 00
2.00
Unit Charge Per
73.0000 ECH
23.4000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Extension
73.00
46 80
Spec~al 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)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations
New subd~vision outside the four minute response time shall
be equipped with a residential sprinkler system that is
installed and maintained in accordance with Uniform Fire
Code (UFC) and National Fire Protection Association (NFPA)
standards
The ~roposal will result in the construction of a s.f.
res~dence in the RS9 zone for total lot coverage of 25%
Setbacks are good. No land use issues are noted.
Public works electr~cal engineering has no requirements for
this plan review '
Ditches and culverts will be installed to City Stanards See
Publ~c Works Engineering for Standards.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
COMMENTSI ACTION NEEDED
.'-
ELECTRICAL PERMIT INSPE~JON RECORD
CALL 417-4735 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.II02 U [4196]
s
"'" r..?
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
l21 EAST 5TH STREET. PORT ANGELES. WA 98]62
J.
Application Number
pin number
04-00000991
.661101
Page 2
Date 2/03/05
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 119.80 119 80 .00 .00
plan Check Total 00 .00 .00 .00
Other Fee Total 1774.50 1774 50 .00 .00
Grand Total 1894 30 1894 30 00 00
COMMENTS/ACTION NEEDED
r!pO>lr~
s--.l,~~
~
'L --
",",c",",
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362 u4-Liq /
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00000991 Date
.661101
2231 W 16TH ST
06-30-00-1-0-7800-0000-
RES NEW SFR
11/03/04
Owner
Contractor
)23/ w/&-fA
b~L~
RS9 RESDNTL SINGLE FAMILY
189000
OLYMPIC LAND DEVELOPMENT
259403 HWY 101
SEQUIM
(360) 457-7222
Structure Information
Construction Type
Occupancy Type
Other struct info
INC.
WANT ACTION CONSTRUCTION INC.
P. O. BOX 1425
SEQUIM
(360) 681~3992
1677SF SFR, W/ATT 484SF GARAGE 80SF PORC-----
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 98382
WA 98382
25.20
V-N
~I
1. 00
1. 00
9034.00
2282.00
2282.00
1. 00
Permit PUBLIC WORKS RES WATER SERV
Additional desc
Permit Fee 640.00 Plan Check Fee .00
Issue Date 11/03/04 Valuation 189000
Expiration Date 5/03/05
Qty Unit Charge Per E~tens.
1.00 640.0000 EA PW W/M I" SERV 5/8" METER 640.00
---------------~-------------------------------------------~------ ---
Permi t RIGHT OF WAY
Additional desc
Permit Fee
Issue Date
Expiration Date
45.00
11/03/04
5/03/05
plan Check Fee
Valuation
.00
189000
Qty Unit charge Per EX~ens~
1.00 45.0000 ECH RIGHT OF WAY PERMIT r-- 45.00 .
----------------------------------------------------------------~ -~
Permit SANITARY SEWER HOOK UP
Additional desc
Permit Fee
Issue Date
Expiration Date
95.00
11/03/04
5/03/05
plan Check Fee
valuation
.00
189000
Qty Unit Charge Per ~xt ~
1. 00 95.0000 EA SAN SEWER HOOKUP 95.00
----------~~----------------------------------------------------- ------ -
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)
Separate Permits are required forelec1rical 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 [11/1412003]
<:/I'ORr.....
l~%
,.~
11... --
""""""
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . _ . . . 04-00000991
pin number . . .661101
Page 2
Date 11/03/04
Special Notes and Comments
When roof gutters are installed. drains will located in dry
wells or piped to approved storm drain locations.
New subdivision outside the four minute response time shall
be equipped with a residential sprinkler system that is
installed and maintained in accordance with Uniform Fire
Code (UFC) and National Fire Protection Association(NFPA)
standards.
The proposal will result in the construction of a s.f.
residence in the RS9 zone for total lot coverage of 25%.
Setbacks are good. No land use issues are noted.
Public works electrical engineering has no requirements for
this plan review.
Ditches and culverts will be installed to City Stanards. See
Public Works Engineering for Standards.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch.
---1-~~~~~-;~~~--~-~-~-~-~-~-~-~-~--~~~~~-~~~;;~-~~~;-~~~;--~745.00:S--
STATE SURCHARGE 4.5Q
PW WATER SYSTEM USE FEE C1025.V
Paid Credited Due
'I
Fee summary
Charged
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 780.00 780.00 ,00 ,00
plan Check Total ,00 ,00 ,00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2554.50 2554.50 .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
T:\PLM'NING\FORM$\II02.15 [11/1412003]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . .
REQUEST: /.A
Date II I J!> lot Time Received by
(phone, person)
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
CS~ Foundation Framing Chimney Plumbing Final Sewer Excav. Other
:zz.3J w \ to-t:b
A-1-L-E1'-l re ~ 1::> €S
?O'9 -.0445
~
INSPECTION NOTES:
Inspected: Date II//f//ot
Remarks:
Time
By J. kutU'~
RESTORATION REQUIRED. . . . .. YES NO
~~.,Q.:{~
(O'~;\t;,<L
@""tlt:;o
:> W' - ,t."\-
"'L' 3'\)
_ _._._l~_.: ......Pv< '12.'
'TuJO !.t<.;t. El-)~(f"'_..x...
r u".,..1
../ . <--"Af'.'
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'1;;' ~
PXI.\ 0 l1:~1
u).
I,.
'0
;,
K'
'{j
"-.:
:l
::s lJOq
\
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
w
-.
1'. ",J WO.op-/'i7o~"'''' I.
"'. .' l I. ;.., . '. ~. .
. APPLIC~TloH'FoirwATER
"qtyWater Depa~.;nt
.', p~i-t Angeles, Wash. fD - l{
::'~
\'5",~qo
ZOOt(
.1.
I hereby apply for water to be furnished in accordance' with rates and rules of the'.hily
for the following premises: 7::l + ,,_ _f
("'. nLOTJ--n-r&t"lltl IOn"i;'
Name of Applicant 0 t.4 z /J YlI1 e R lo-TI 291403 lkutJ /DI
jJ ;S~l{II,\ W.4
"223/ u) JIIJ'trl ;<;,. U457 '7zZ2:.
O ~ 1 Je'" O~IZ>I8DD~
Renewal NewService)L':l Blk_ Lot,W_ Add D/L.OTS'/'/~
/ J, 57~ 1/ " u~t.dll'/I /5'LOT781
J /5 Meter Number~f'li o c{o,S35'{ /
Address
Si ze of Servi ce
Service Left On 0
Service Left Off 0
Signed
Installed by ~
Remarks' Per!J1/T .:::ii-M-:9.Tf1 E. / /
5:;;;;;eIh 'De.vke Yo fe ?c!~ ~~ ~O,F t3/~ {!~~r.
~tJ6"..0
N
2'2311"'-
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I
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'3'S" Dl<f>
g"qoo
~
.
s
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . INSPECTION REPORT. . . . . . . .
REQUEST: LJj ..-
Date () D'J
Time
Received by
Il~
(phone. person)
Location of Work to be inspected :2--2-3 J Lu I/o -t/"
Name of person requesting inspection (() Q ) I L fl ~ D.I j }
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.0-1-0Q I
Sewer FoJndation Framing Chimney Plumbing eewer Excav. Other D~_
ftL14,
INSPECTION NOTES: 1-----
Inspected: Date (p 11 () ~
Remarks: i.Uc<-lk:~ c-,f4 noT ,'''''
,
. LJ/ 0
Time / I D pm By
("" "'..-,...., ("".+ foc..o..+.'<,>'1
I?V
RESTORATION REQUIRED . . . . .. YES ">Z NO
.
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC
o Other
o Repaired by City
o Repaired by Permittee
o No Damage Found
Work Order #
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
STREET SUPERINTENDENT
(DATE)
o Electrical Contractor 0 Owner
o Request Inspection
ELECTRICAL WORK PERMIT APPLICATION
o Annual Permit 0 Alarm 0 Carnival 0 Commercial 0 Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom.
Job wired by 0 Electrical Contractor 0 Owner
Electrical contractor name License number
.::17b.LM \A.-11-l
Purchaser's mailing address
3L/1 h./
City
S.{Or~ , ;?'\
TcJ$.Phone number
(:78 -
~J!.-(c..
A//f:s ,?h,(/t. WN"
State ZIP
"'-..JA
s.r
7'8"'5"67
FAX number
Premises owner's name
~ h7
Addres of inspection
;2 2.:<' I (.,. ). J t,;tt..
Ci.y L'J L
r O<V/ /Tffb€.U:.S
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or the finn's authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
Signature of owner, electrical contractor or electrical administrator
x
/' CEILING
Insulation Only
Dale Approved By
. I jCovcrAz.-Q
/~~~n<j
ate, Approved By
'-. ./
WALLS
Insulation Only
l"J i:"1 /:over A;~
~.?f Approve By
Electrical Load Additions and or subtractions
D NO LOAD CHANGES
o Baseboard KW
o Furnace IlL KW
o Heat Pump Ton LAR
D Fan-Wall KW
'ni8~ ~scriP;P F-I
./
o Cash 0 Check #
o Credit Card
Card #.
Visa
Expiration Date
of card
THERMOSTAT
Dale
Approved By
DITCH
i
R~
Approved ny
o Overhead Service
o Temp Service
o Underground Service
Inspection
Date
Area, Building or Equipment Inspected
rtfoJAf..,.-
/1rx}
I .
2/5/05
Mastercard
<I'll.
Discover
Dale
SERVICE
vdfe
FEEDER
Service Information
Approved By
Voltage
PhaseD 1 D 3
Service Size: ~
Feeder Size:
Action Taken
~A
/1P
Electrical
Inspector
/k-O
~
1
~
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~
)
~
~
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.
~
~
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~
10/20/2004 08:44
350-581-7272
JARMUTH ELECTRIC
PAGE 02 0'
t
~'."._'_~_h_ ._..._
~_ .~_~'.'~: ,",: ~ ~/"'''::~' ,".., ~":'I~T ""I""EL'l!:'"
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.
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ELECTRICAL PERMIT APPLICATION
c.
7?
.>
The Elea~ Penn" ,tcpI!C8IIDft "'.... ... 81..... 8BfPI........
'1M.. typo or .....1.'........ W you ""..."" ._, ,- c.I (HOt &11.
&1.
'1J..._(SIIIJ.n~N1
OwnerOf' Elee:, CO'ltr.eto'Agent~~____G,..sJ-
REQUEST INSPECTION 0
PIlo... t.x-/-~N~ F.., b~ (-7/...'7:'<
Property Owner:
:24'Sj W I('./.-L.
Alld....: - --
EloclTt.., CO"""''''' Jarmuth Electric
Ad_: 349 W Washinll:ton 5t
P'-:
S.J...
City:
Zip.
Pho,..li83-4104
98382
ZIp:
Inc
JAlIHUEI4388H
1I_':
Clly' Sequim, WA
~ElECTRICAl CONTRACT'CR
11/30/2004
ell>'
INSTALLATION ',^JIREO BY:
OO\"ll'<ER
CNdit Cani Holder Namo'
ON FILE
81111"" AddlW$'
C,.dlf Co"" Number.'
City:
Exp. Defe:
ZIp:
~
IllBA~ MC:--
Same As Property Owner Address Above
"R0JfCT ADIlIU!88' _ _
TYPe 0' WORK;
Check IIIIlhat apply. 0 New
o AllerallonlAclcllllon
-..\)
--f)
~
lIrlIealdenllal 0 Multi-family
o Commen:illl
o Mobile Home Sq. Fl
Flemote Meter 0 Oetache<llle"'ge U Hot Tub 0 Swim Pool Cl Septic Pump
Number of Clttuils _ or alterlld:
ClL_ Voltage 0 Telecom, 0 Sign
DESCRlPllON OF THE ELECTItlCAI. PROJECT,
7e-h101'WtV':J.. ,~ertJ;c'"
, U'
~
g'~~trtcal H...I L....d Addition,
peRMIT FEE:
Servll:. Infannatlon
C 3asebo.rd
r; Fumece
D ~eot Pump
t1 Faf)-W"II
_KW
_KW
_TDI'<_LRA
_KW
o Ovo<+laad SSNIc:e
o Te"", Service
o Unclelllrouncl so.......
Vollege,
""..e: 01 03
5e....... 51za:
FMdor 51>0'
I hereby certffy that I have reed and eltlJmlntJd this appllcll/ion snd know thlJ( same 10 be tlVe and COITl>r;t, lIf1d I em
euthorlZI/d 10 epply for thi8 permit. I undersllJnd if ill not the Clly's legal respons/bJ/lty 10 determine what permits
arfll'fKluired; It mmtlins the applicants responslbt71ty to determine whet permits ere required end to obtain such.
Credit Card Holde,., Slvlllll.".:
,
( l' "
"~' ,~
~t ,1:::~'iC
Dale: ) () ,,::;~--#
Data: //J-,:?o-tJY
Owfter or Elec, Cont. SIgnature:
CJELECTRICALPERMITAPPLlCA TION
11/09/2004 11:12 350-581-7272
-._......,;:.. -'-- ._~ _"_n
e.'~ .' .
.._- ._----.. ----.. -..----. ..-.,..---.-.-....
;,!o~O"'".'''''
&- :.:'-,":; .v,~~~I>..__:::',.v l'>0R'r "'~""'''l.l!:~
~,y(i"',
~"
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riP
JARMUTH ELECTRIC
ELECTRICAL PERMIT APPLICATION
9.$1
--
The EI8CtrtaII Permtt ~lDn"''''''' fit.... ft&Jt ~1I1..1.
'Iloo.. typo .. ,...tot 10 lot, lI,eu -""1 q-. ...... .811 lJIO'.11.
.1311
rill ftu_ I-J .17~711
o.mer 01 E'ee. CDl1tl'lllclo~ Agent
F''''''...."O''-,~M{>I'''
Address:
..L.d.J.-J..{
D".I"JAf'lIM ,At-f
,
REQUEST INSPECTION 0
F...~Cf.,1 -7272.
PIton.'
In<=-
City:
11/30/2004
e...:
E_eoo_: Jarmuth Electric
Ad_" 349 W Wsshini>:ton St
JAlOOlEI43BBH
u_.:
City; Sequim, WA
x.!l:ELECT"'CAL CONTAACTcR
Inc
IN~TAlLATJOl'i WIReD BY:
DO\'III'ER
Credit C"rd Wold", N.",,,. ON FILE
PAGE 0~
/'
.
PDA OrMCUL U'i OtrolL"
~...~
""""'.:
QIlltA....--t:
.
Pllono:
ZI.,
_"p'83-4104
z." 98382
811/1"11 Addrtlu'
Credit ~ Number:.
DIlOJECT ADCRESS'
T\'fIl! 0' WORK: Check III thai apply: 0 NlIW
~esldentl8t 0 M IU-Iamlly 0 Commercial
CIIy:
Exp. Dm:
ZIp:
VlSA:...- MC,--
:).~31 IN I (,4-i,. S J-
o Alter&tIonfAddl\Jon
o Mobile Home Sq. Ft II "7 Y
.J..~+S-
\)
--t.
Remote Meier 0 eb!lched gerage 0 Hal Tub 0 Swim I"0oI 0 Septic: Pump 0 Low Vollago 0 Teklcom. D Sign
NUITlber of Cifo:u11a edd 0< ...red:
DES~PT10NOFTIi I!LEcmICALPROJECT: /l)PbJ R~ld....M":r'
D Ovethoecl S......
DTempSetY'ce
iltndll9lOund S.rvIce
~
oK - u(eq JF~ ell_ n ( e 7 A ~t2 foB o..r /'6f:-~
~^llJ<2eTlO.u - /71...... ~ 1/ hiD c.L-
I hereby certify that have re8d and fJ1tamlned thll1appllcatlOn end kriollll that same tD be We end conwdt, 9rIa I aln
BUlhorlzed /0 epply r thilS permll. 1 undef$/and Ills not the Cny'S "'g81 f8SponslbHlty 10 determine wIlet permits /
am required; It rem Ins the eppJicaf1ts responSibility to determine what permits ere required and to obtain such.
.f;l~.rtcal H'a~
ddftiena
PERMIT FI!I!:
r.. ~sebo.ro
fP"Fu",8et!
o 1-1081 ",,",p
[l F .....WoI'
(5l1~
_ w,
..1Lw
_. ON_LRA
Crodlt Card Hold.,.. S1l1ftltllr'll:
Owner Dr E1ec. Cord. Slgnatul'll:
C;IELECTRICALPER ITAPPlICATION
~}
?/NAL A-f:J
SWW'ic8 InfDnnetion
. ,
~111~':;:t
/' .
I
AV
, I
-{)
~
"
Vo.ag.: ~e,/~7'v
Pha..: 0 3
Service Si<e: ;;'00
F_., SI..:
Dolo: //- ")'-00/
D.I.j/-9'-(:J~
360-681-7272
" ,.;- JARMUTH ELECTRIC
WRNT ACTtOH CONST.
;'6e1 6E11 3'992
PAGE 02
P.St
11/09/2004 11:12
NOV-e'j-2ee4 11::1:
.. "M
. ".- -....... -' ",'
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