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Home My WebLink About1619 S Butler St - Building ~',;'r'-"",>.lJ!Il 10> 'S Cffl'"~roRT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 04-00000341 Date 5/06/04 Pin number .264235 Property Address . 1619 S BUTLER ST ASSESSOR P~CEL NUMBER: 06-30-00-4-4-0080-0000- Application description RES MANUFACTURED HOME Subdivision Name Property Use Property Zoning . RS9 RESDNTL SINGLE FAMILY ApplicatioD.-valuation,,~.. u. -75472 .__u_ OWner Contractor STRAIN, KENNETH L 233.21 GILMORE STREET WEST HILLS CA 91307 OWNER Structure Information Construction Type Occupancy Type Other struct info 1680SF MANF W/DETACHED 720SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 21.00 1.00 11400.00 2400.00 2400.00 1.00 Permit Additional desc Permit Fee Issue.Date Expiration. Date BUILDING PERMIT -RESIDENTIAL DETACHED-GARAGE 232.75 Plan Check Fee 5/05/04 Valuation 11/01/04 -.... ~ 93.10 12000 - Permit . . . . AdditioIllll desc Permit Fee Issue.Date Expiration Date BL MANUFACTURED HOME 1680SF KARSTEN #KMCK-60862 230.00 Plan Check Fee 5/05/04 Valuation 11/01/04 .00 75772 }\~ ~ ~ tu) c. 4- :c- Qty Unit Charge Per Extension 92.75 140.00 BASE FEE 10.00 14.0000 THOU BL-2001-25K (14 PER K) Qty Unit Charge' Per BASE FEE Extension 230.00 Special Notes and Comments Proposal will allow placement of a manufactured home with detached garage in the RS-9 zone for total lot coverage of 21%. Setbacks are good for the zone. No land use issues are noted. 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. 14.36.0S0-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Manufactured home must be pit set so that no more than 12" of skirting is visable above grade. Electrical load calculations and elctrical permits are required. Separate Permits are required forelectricalwork, SEPA, Shoreline, ESA;utilities, private and public improvemel'lts. This permit becomes null and void if work or construction authorized is not commenced Withil'l180 days, if construction or work is suspended or abandoned for a period of 1 ~O 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 Qive authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. . . DN F/~ Date' Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent T:\PLANNING\FORMS\1102.IS [1 111412003J ... BUILDING PERMIT INSPECI'lON RECORD '. CALL 417-4815 FOR BUILDING INSPECTIONR CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. PQST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. '!'! 2- ~<1. INSPECTION TYPE DATE -c- ACCEPTED COMMENTS . YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAlNAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPl) SEPARATE PERMIT: # , ROUGH-IN I I PLUMBING UNDER FLOOR! SLAB ROUGH.IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW! WATER '. , . AIR SEAL WALLS CEILING I I I FRAMING JOISTS! GIRDERS SHEAR W ALLIHOLD DOWNS WALLS! ROOF! CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL! FLOOR! CEILING I MECHANICAL , HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS , PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE! METER SEWER CONNECTION SANITARY STORM . PLANNING DEPT. SEPARATE PERMIT #'5 , SEPA: PARKlNGILIGHTlNG ESA: LANDSCAPIN~ , .'" , SHORELINE: . .' FINAL INSPECTIO~S REQUIRED PRIOR TO OCCUPANCYIJlSE . RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED , 'YES 'NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT .. CONSTRUCTION R. W./ PW! CONSTRUCTION. R. W. ENGINEERING 417-4807 PW ! ENGINEERING, FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. , BUILDING' .. , '. 417-4815 BUILDING T:\PLANNING\FORMS\II02.15 [1111412003] ~ ~' ~j, r--- '--"<~,~ .~ s ~~. .,;CITYOFi~~T ANGEl,ES DEPARTMENT OF COMMUNITY'ptVELOPMENT- BUILDING DMSION , .. :__, ..t'f.(j;,'F'~,~,,"::'; " ..' ,.., .... ',.' .:" c. 321 EAST 51H S'fREEf; POR'f ANGELES; WA 98362 . Applicati.on Number . . . . . 04-00000~~1 pin numbe~ . . . . . . .264235 .. ________..;__.;;..;_+__________________________:-...~--_:..---..--__;-_________..._n_____ Other Fees . . . . . . . .. SEwlut~.SYSTEMDELV CHARGE 745,00 STATE.'S1:l;R~GE. 4.50 PW WATER'SYSTEMUSE FEE 1025.00 2 5/06i04 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit. Fee Total 462.75 462.15 .00 .00 Plan Check Total 93.10 93.10 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2330.35 2330.35 .00 .00 Separate'Per~lts are required fo~electriCal;\Vo~,S~I?~!~~~t~ljne"E.5,~~.~!Jj,~~~,.Rr~ate~~nd~P;~UQ~n;Jg~~~. ,.... '. ;:t"til~~~~roI~~~corTles n. ull andv.......Oldifwo. . . rk or co.. . nstructlon authonz. ed IS no. tea.. '. m. men.. c. edw1th.ln..''1...80 d.,. ays,lf constructlonorw...o. ,rlU. '.' nd...ed. or a. b. a. nd... o. n. ed .. .... .. ..:.. .....0 "': '",,':' ,,', .. '" ":"_ ,",' .." :':, .... ..', '.... ' .. .. ':." :.. '0... " "', ..':.." .. : ':""\'Y"';', ><.,-'- O'.__:"""._.';_~.: .,". "'"..'" .'..- ,.' " -'," .",,"r:.'.~~"".":'-:'" ",>_'~:' "'" '-- -'::, - :', :'_, ,..,'~,', --I: ''''_'~~~': ,::__,., ,", ,:~<,.~'_'" ",,,~<,,:""'" "",,;:,_, ,i:. . '_ ,_:" - ~ -, , ~ ,-',~ :,..'" for a perio~of1~Odays after the work as commenceq.;or ifreqyired In~~~~it:)V~ have not been ..eque;S~~~;lMflj'rt;;~fqi~lil~fro"lth~,last Inspectloll.. J!\~rElby certify that I have read and exan;Jip~.thi~applic~ti~tl.,.~.nd kry9'N the sar:neto bElYU~ ~nd'~lT8cLAllprovisions of laws and ordiFllihces governing this type of work wfllbe:'colTlplied'with whether:specified herein or noL'TliEl:gratiting ofiaipermitdoes not presume to give authority to violate or cancel thepr()visions of any state'orlocallaw reguh:itingconsti'uctlon'or the performance of construction. ' - '. . Signature of Contractor or Authorized Agent Date 5,ignature of Owner (if6wn~rjs builder) Date T:\PLANNING\FO~S\1102.IS [11/1412003] r" .. " '.. , '.~ ~ .. BUD..DING PERMIT INSPECI10N 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 I NO FOUNDATION: motto pf1t'"V tei ~Jj-(!)1 J'.L~ eI<- FOOTINGS 81.,cJt:. <&. Ti uJl'l.8 ~ -I r -wt J.. l., t:Jc. WALLS ~ ,_ s/Q,.b ?-9-3-o1 lW FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (UGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I .. PLUMBING UNDER FLOOR! SLAB ROUGH-IN WATER LINE (METER TO BLOG) IJ "-IJ.I-o~ J.l... GAS LINE BACK FLOW! WATER AIR SEAL WALLS CEILING , I FRAMING JOISTS! GIRDERS SHEAR W ALLIHOLD DOWNS WALLS! ROOF! CEILING q-lf-nJ4 \LL. DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL! FLOOR! CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE! PELLET! CHIMNEY HOOD I DUCTS PW UTILmES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGfLlGHTlNG ESA: LANDSCAPING .... ... .. S~JORELINE: ... '. .. FINALIN~PECJ:IONS REQUlREDl',~OR TO OCCUP~CYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED " YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W.I PWI CONSTRUCTION -R. W. ENGINEERING 417-4807 PW ! ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4 I 7-4750 PLANNING DEPT. BUILDING 417-4815 In.-I u _,,) J.J Jd.) BUILDING T:\PLANNlNG\FORMS\1 102.15 [11/1412003] r~_n s ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNri'YDEVELQPMENT -BUILDING DMSION 321 EAST 51H STREET, PORT ANGELES, WA 98362 . I ;;>;'141;"""~: :~ :;1 '~ Application Number pin number . . . ... . PropertY-Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . .. . Application valuation 04-00000758 Date, '8'/30/04 .639406 1619 S BUTLERST 06-30-00'-4-4,...0080-0000- ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY o Owner Contractor STRAIN, KENNETH L 23321 GILMORE STREET WEST HILLS CA 91307 OWNER - - -'...... -.... - - - - - - - - - - - -- -.- - - - - - - --"'7"-'- -- - - - - -:_-- - - -- -- - - - - - -.... -- -.... -~-:.... -"-- --- '-.... - --- Pennit . . . . Additional desc Pennit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL DETACHED GARAGE 48.10 Plan Check Fee 8/30/04 Valuation 2/27/05 .00 o Qty Unit Charge Per 1.00 48.1000 ECH EL-R-OUTBD/DTCH GAR SEP Extension 48.10 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- pennit Fee Total 48..10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 48.10 48.10 .00 .00 I / / -<:, i 'fj '~ 1 - v\. L ~,;, ~'; \ ~ U\ .... o(l,<! ,:} "- ~ \ . '"'" ~ ~..' \ () .r' ~ ""- -Q lA. " oJ f r.;l.... n)'. A Date SepalClte Permits are required for electrical work, SEPA, $~.ore.llne. ESA. utiiit!,~~;pri,,-ate and public; iI!'PJ"O~ement$~This p~htJlt becomes null and void if work orconstruction authorized is notcQlJli11enc,ed wit~in180;d~~,ifconstructlon orworklssuspend,cf()rabandoned for a period of 180 days after the work as commence~;~(if;~eq~!red inspectiefis have not been reqYested within1'80'daYiifrom the last inspection. I hereby certify that I have read and exainin~this.application.al'lq,know the same to be true and correct. A1lprovisions of laws and ordinal'lces governing this type of work willb~'cQrY'ipliedwith whether:'~pecjfjed herein()r nokThe granting of aperinit does not presume to give authority to violate or cancel the provisions of anystateorloc;:lllaw regulating constructionorthe.performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\PLANNING\FORMS\1102.15. [11/1412003] 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 COVERj1NSULATE OR CONCEAL ANY WORK /JEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS " WALLS , , FOUNDATION DRAlNAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #/ ROUGH-IN I I PLUMBING " UNDERFLOOR/SLAB ROUGH~IN WATER LINE (METER TO BLDG) GAS LINE " BACKFLOW / WATER I AIR SEAL , I WALLS CEILING I , FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING , , DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR , INSULATION SLAB WALL / FLOOR/ CEILING , I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY , HOOD / DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #/'s: WATERLINE I METER SEWER CONNECTION SANITARY STORM ", PLANNING DEPT. SEPARATEPERMlT#/'s SEPA: PARKlNGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUUtED PRIOR TO OCCUPANCYIUSE , RESIDENTIAL DATE YES .', NO ' COMMERCIAL DATE ACCEPTED YES NO " ELECTRICAL - LIGHT DEPT. 417-473S ELECTRICAL LIGHT DEPT CONSTRUCTION R. W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-46S3 , FIRE DEPT. PLANNING DEPT. 417-47S0 PLANNING DEPT. , BUILDING 417-481S " BUILDING " . . T:\PLANNlNG\FORMS\1102.1S [11/1412003] I 0 . '.I ~,' >"'It' ':.,:';r'~',~~: '"", . \ . ", :"'~.. ,,:;.,,, '. ~ CITY OF l?ORT ANOELES DEPARTMENT OF'COM1\1UNITY DEVELQPMENf-B'UILpING DIVISION 321 EAsT 5TH STREET, PORTANGEL)3S,WA 98362'. .., Permit . .,' . . Mdi~tioIl,al de.sc sub 'Contractor Permit"Fee Issue:pate Expiratipn Date ELECTRICAL ~ RESIDENTIAL 2()OA,MOBI~ ~OME SERYIg!; RWBECKER ELECTRIC 76.30 7/14/04 1/11/05 Plan Check Fee vaiuation . .... . .00 o ';f'.'.. " ~'. Appli~at:loon Number Pinnumber . . . . property'~dr~ss ASSESSOR. PARCEL NUMBER: Application description Subdivision Name . I?ropertyuse . . . . . property zoning. . . App.~ic:ation valuation 04";0000034'1 o. .264235 . 161.9 S B~ ~T 06-30-00-~-4~008Q-0000~ RES MANUFAC':l'URED' HOME Date 7/1.4/04 RS9 RESDNTL.SINGLE'FAMILY 75772 .. Owner Contracto.r' "-'.,' -,,", , , ",' .- ------------------------ STRlu:N, '.. ~TH.L 23}21. GILMORE STREET WEST ~ILLS' CA91307 OWNER 1680SFMANF W/DETACHED 720SF GARAGE TYPE V NON'-RATJID SINGLE'FAM &q<:lNGREGATES TOTAL t LOTCOVERAGE 21.00 EXISTING LOT COVERAGE 1.00 LOT SIZE 11400.00 PROPOSED LOT COVERAGE 24QO .()O TOTAL LOT cOVERAGE"' 2400.00 NUMBER OF UNITSi,oo --..;------~----------~--------~---~---~------i-~-~~----____;.._____;.._______J__'- Structure Information Construction.Type 'occupancy:'Type' Otherstrue:t info Qty. unit Charge . Per . hOO 76.3000 ECH EL-MANF HOME SERVICE & FEEDER Extension 76.30 j'.',:'--.- " , -" ",.' . . - -'.- ::'" ," ".' -----------------------------------------------~~-~~~--~-~~-~-~--~~------~--- S?ecial Notes.and COllllllents Propbs~lwilyal1ow placement of a manufactured home' with dEltached gllragE!.'in the RS-9 zone for totaL lot coverage of 2lt"(~Eltbacks'are good for the zone. No~and .use issues' are noted. . . ..... Bugpingaddresssignshall not be less than" 6" & not more thaIl12" in height . Numbers colors must contrast with wall coloJ:'thl!y-aremounted on. (Ord. 14.36.050:"E) Whl!nroaf'guttf:ll:sare installed,drains;willlocated inclry wells or piped to approved storm drain locations. Manuf.actured home must be pit set so thilt no more than 12." of skirting isvisable above grade. E!ec~ricj:l1'10ad c,a1culations and elctrica1 permits are rl!quired.' .. '.' . . ..... .,. . . - - " -- " ---- - - - - - - - - - - - - - - - -.. - -.- - - - - - - ~-~ - - - - - - - - - - - - - - - --- - - - - -,- - - - - - - - - - - - - - - - - - - - - - -- - - .' Othe;:Fees SEWER SYSTEM.DELV CHARGE STATE' SURCHARGE . . PW WATER SYSTEM YSE FEE 745.00 4.,50 1025.00 Fee . summary Charged Paid .Credi ted Due" ----------------- ---------- ---------- ---------- --~------- Permit. Fee Total 76.30 76.30 .00 .00 Plan Check Total .00 .00 .-00 ..00 Separat~tee1.mrisa(e f.~ui((:ldforelectricalworf(,SEPA. $!JQreliii'e;ESA, utilities; private andpublic improvements. ThiS",' ';tnGi >,;- ,-':~.,-,'."',':,':~!'".,.:,~':q,'..."\" "::'-""',-';",~' -"':'_ - ," -". ,(--,;;,-,,'.~'H;'~.it')':';":.'~ >:',1>.:"":".' .-',"~...-~";',""":~".;,__',~_;..:;;::.,'~', - "', . , '," ~"-'r~'-'" \.-_ ',",J',"-::"'-" :,',,:,:i.':,:;',':.,:. ,:";-',,"->- nun arid v()ldJf woi'kprcqnstruction authorized. isnotcomOlet;loed within 1 QO~ays.'if constructionor'W9rk .15 'st.is~ndet:r. .} . ..' .... .'. ......,.:8.C:f for a 'p~tj9a9M:!po(:{ilySaft~rthe. woi'ko as 'commenced,: otif'reqUlredinspe~~()ns'hay~ norb~~ri' reqo~s!e~\.v,i!hini1~~'dayls,l,fffltl1:~;I~'. Ih$PE!~tl()n, hpereby certify thj:lt I have read 'andexal11ined .tI1isapplicatio\} and kllOW the sameto,b~true a.nd correct::A1lf'pr9vi!Sionsqf lawsand'~ro.fflanc~ governing' this type ofwoi'kwill becgmplied with Wl:leth~rsPecified herein or: not, THe granting QtapeajpiLdoes,noJ presul1le to giveatJthority to -Jiolate or cancel the provisions of any state or local law regulating construCtion or tile perfqrm~nce"of .construction. . . . . '>~i T:\PLANN}NG\FORMs\II02.15 [1111412003] . ' - . Signature otQwnel' (i!pwner is builder) Signature of Contractor or Authorized Agent .. -- -,-);;',~, ";-~:- +.. ;....';:-,." ';;L,'Si: . -,,~: ....:;.,,;,. -~--./.,;;' ;- . , _~-,~:, d I;~ ":'>"-"".h .. BUll..DING PERMIT INSPECTION RECORD '. " CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FORELECTRlCALINSPECTIONS. PLEASEPROVlDE AMINIMUM 24 HOUR l'iOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEALANYWORJ(BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JORSITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO " FOUNDATION: , FOOTINGS WALLS , FOUNDATION DRAINAGE/DOWN SPOUTS . ELECfRlCAL (UGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I , PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE BACK-FLOW I WATER , AI~ SEAL WALLS I CEILING I FRAMING JOISTS I GIRDERS SHEAR W ALLIHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CEILING 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 PERMlT#'s SEPA: PARKlNGILIGHTING ' '0 ESA: LANDg:~PING SHO~ 0 ., " FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSEti. ~, " ... " RESIDENTIAL DATE yEs' NO COMMERCIAL' " dATE ,,,i: ACCEPTED YES NO ELEcnuCAL-UGHTDEPT. 417-4735 ELEcnuCAL UGHT DEPT , , CONSTRUCTION R. W.I PWI CONSTRUCTION- R. W. ENGINEERING 417-4807 PW I ENGlNEERlNG , FIRE 417~S3 FIRE DEPT. , PLANNING DEPT. 417-47SOI' PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\II02.15 [1111412003] I', ;~_': ; _;:1"1 "> ;p ~fI ~" CITY OF PORT ANGELES DEPARTMENT OFCOMM(.TNlT\1 tlEVEI..QPMENt, "J3UILJ?:INGPlYl~IQN 321 EA~'f 5TH~TREET, PORTANGELES,WA9836i' ' . Application Number pin number . . . Other Fee Total. Grand Total . . 04"'00000341 . .264235 1774.50 1774.5~ 1850.80 1850.80 Page" 2 Date' 7/14/04 .00 ;00' .00 .00 Signature' of Contractor or Authorized Agent Date Sigi'lature 'of dwner (If,owner is builder) , -It ,Date S~'Pi!ra~e,~ermits'are required forel,ectrical ,^,ork.,l:?EflA;Shor~l!n~. ESAil,ltil~\!~~,' p~y,~t~and P~bIiQtlJlpr9.velT1en~.~i~:pp~ml~b,~~~mes nu.U,pnd,voldif\NOrk or construction authorized is not commerice,dwithirf181)s;taYi.ilfCO:nstruCtlono'r workis'UsP~Jltl~~r:!!?~'1~ol'lecl fora~rio(j.qf18q;da~after the work as commenced; orifr.,,9uir~dim.pe~~i,9...stiave..llot ~en requested~n:~~cl~~. ftPfllthelaJ,t InSpection.' 'lh~reby certify, that I have, read and exalTlined this apPlication:~i1d know the same to be true and coriect.<AiI provisipnsof laws and o@nance.sgoverriing this type of wi:>rkwiU be ~oFllplled with whethe.Fsp~cmed herein or not 'The9~r1till~()f,~'p;~rTl1Jtcl6j:l~n()t presume to give authority to .vfolate or cancel the provisions of any state or local law regulating construction o'rttiEl"p,erton1uincebf construction. ',' ' T:\PLANNINO\F,OIUvl&~IIQ2.IS n 1/1412003] r~' ',~;.- I . "'.:c""";':<-" ';:,~1",.~llt:,',.; . .'/'t ?~-:7;~~;-;~~,T,.:'';_/f"'~!''':::'!'*; BUILDING PERMITINSPECfION RECORD -~ .. i CALL 417-4815 FOR BUlLDJNQINSPECl1ONS. CAL~ 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDEAMINIMUM24 HOURNOTICE~IT IS UNLAWFUL TO COVER, INSULATHOI,!.CJJNCIfAL 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 y COMME!'lT8 I: YES I NO . FOUNDATION: FOOTINGS ~ WALLS" ..: FOUNDATION DRAINAGEIDOWN SPOlJfS " :. ,ELECTRicA1;i? (UGHT DEPT). SEPARATE PERMIT: # ROUGH~IN I 'PLUMBlNG " UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK.fLOW tWATER AI~ SEAL .. WALLS T CEILING T FRAMING :.. JOISTS I GIRDERS SHEAR W ALLIHOLD DOWNS . WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSlJLA TlON SLAB . I . wAll../ FLOOR I CEILING . I I I MECHANICAL HEAT'PUMP GAS LINE :", .- . WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS .' PW UTILmES I SITE WORK (Engin~ng Division) SEPARATE PERMIT II's: , .. WATERLINE I METER SEWER CONNECTION SANITARY STORM . PLANNING DEPT. SEPARATE PERMIT 11'5 SEPA: PARKlNGILlGHTlNG ESA: LANDSCAPING "'. SHORELINE: .,. , , ',' " FIN.u,;'INSp,IWfIONS REQUllJ,EDiPRlOR TO OCctJP~~!USJ: '.' .. . RESIDENTIAL ' DATE YES NO . . C{)~MERCIAL DAT~!. ",;-ACCEPTED" ' ',. '. . . ;." .... : ., . .' "" YES ::. NO. , Ad) -;_....; <-,,(;" ,:" ". ( ELECTRICAL -LIGHT DEPT. 417-4735 .7 -1S"'d LI ELECTIuCAl.' .> UGHT DEPT &>~STRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. . PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ". BUILDING T:\PLANNING\FORMS\1102.15 (1111412003] i--U-- ,... . BUILDING IJIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at \LP l'~ s ~12- Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: 1'?~1L\ ~R.... 1I~j2,.p Y ~I \ I ed ~L la<>0 IF ~ A~c.L-t tilL<; A.\lS 'Ilb \- +0 be \ )~G() Supp l Y N,tS:.w ~i ~J-/ These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call ~Il- 451 ~- for inspection. Date ~ :5:~ Inspector for Building Division DO NOT REMOVE THIS TAG PREPARED 7/09/04, 12:48:15 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1619 S BUTLER ST SUBDIV: PHONE PHONE : STRAIN, KENNETH L 06-30-00-4-4-0080-0000- 04-00000341 RES MANUFACTURED HOME PERMIT: BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLM 6/04/04 6/04/04 TIME: 17:00 01 JLL AP BUILDING FOUNDATION MONO SLAB KEN MORNING PRE-POUR MONOSLAB INSPECTION 10A.M. INSPECTION BUILDING BLOCK AND TIEDOWNS '",'-"--~~~~---------- PAGE DATE 2 7/09/04 COMMENTS AND NOTES -------------------------------------- (.;. BUILDING PERMIT - APPLICATION FOR OFFICIAL U~" r,.l\TT lu Date Rer. 'I-Z6-6-r P'M;"O"~.I Date Approved: 2..'1 ~ Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or~t: 'Bllrf"u 1(llIIfy. - 1iJlf 13pe1iJ~ , Owner: KIP#"fl J., Y7R.II/AJ Address: ~ "~~I r;lf""IP~E sf.-I- City: kJlff~,6' ArchitectlEngineer:;{IP.#rllt:# - 1'iA4Y ~IIIJCI / ~ ' Contractor Ev..\j ~ lfe / e 'b" J a.l)~Si State License #: I Address: City: PROJECT ADDRESS: j_~ /CJ 5o:R~He r- $+ I LEGAL DESCRJPTION: Lot: '1 CLALLAM COUNTY PARCEL NUMBER: Phone: ?g3-77~? - t,8'/-?~11 Phone: C!A Zip: 9 / ~? Phone: #/7-tf)>~1 Exp: Phone: Zip: ZONING: 7(f- If r Block: Subdivision: g',4C4IS ~"'/~ D \0 '3.Dl>O "4 I'JD ~ O()Ot')(j . Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC # Exp. Date: TYPE OF WORK: SIZENALUATION: o Residential 0 NewConstr. 0 Re-roof 0 Stove 1680 SF.@$ /SF.=$ b~77Z o~ o Multi-family 0 Addition 0 Move 0 Garage 7'20 SF. @ $ /SF. = $ 1'2. oOD ... o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair 0 Sign 0 Other .. TOTAL VALUATION ~5 772. DO BRIEF DESCRIPTION OF THE PROJECT: IP~fA' KAPfl,~f41H.P #I~ A-AJ, ~ pm#p~/P~,F~/t:~~J/Mf--'. . COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: (ILlOC) Existing Sq. Ft. .:e-- Total lot coverage '2 1 I 0 Occupant Load: Construction Type: & Proposed Sq. Ft. 21./00 = TOTAL Sq. Ft. 2 '-100 % ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: tJ;t;- DPWU:~ FIRE: OTHER:_ PLANNING USE ONLY: . BUILDING 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. 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 time of permit issuance. EXPIRATION OF Pl;AN 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 107.4 of the Uniform Building Code, cunent edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T:\FORMS\APPS\Buildingpennit.wpd APPlican~~ Date: 1"'..h~h,?, _ If i: I -,-_ __. -!- i I I I I II 1 =tiT- . ' i I dj-+J T~c- I ~__L . I 11-~f.t1: I I I -Tl~r-+I-tl I TJ~~./J ..!~ J-A- ~ ~ll I I 1--1 I r -?1~j;j~':'iI'f1~'~~-~ I ~~ ,__ -J. I.~ UL-. I \ lj' I i LI..I' T e--I }Z~l- I ~ J-tJtL -=~, ~ I ,b ~ I I +1--1 IJ~ " ~"r.:.. ~"" I --ej~1 "~1' ~~~ ~ \ CI 71/.- + . , , " :r--tl -I _j_~_._.__ ~ ~J \ / r-J.L ~ ".f r,;;" ~ l-:I'r . _I_l.-L,_JI~ -\'-~'- ~'- ' . ........ ([\~i ~ l~ , - I-I. ~ c. "." .~, ,I \ _..L.1_1- " ~ ./ I I I -----~... ~ L-t~f- -- ~N 1/ \ L cK - 1/ _+-+~_ ~ __~"~ I ,'/ \ ~-:t~~~,~' I~ .~. \ " ~I '~ . __ _. ~ e-- . "'" -- 1.2. ,.~ ~ · ,- ~ ~ , . ~ =t ...,' :---. ~' I \ \ \ Ie- l '7 .........J . \ ~ ~I/ T~i~ ~:--~ I ~ I \ \ ~ ~ : '~h I i-+-' . J~I. . ~ ~~ ~t.. "n T ~.... <> ]j-~-h' I '\"" '11 ~ i~ ~ ~ ~~ ~' ,~ ! _I~~+-:' ~ .~ 'i -. \ "" "",IoRUN' ElE -< 0" ~ I .-..'1--- J -r-I I~ ~ II~ 'I ~ T e Iss ance of thi perr it bas dun' n ~he I I n-Phns~ __ ~l t~ -, · ,~""s "" ,~"C b" II "" Iheie p '1';.'" cifi. , ~ >-- ~ 10m "","'" " ,Iri" .: ""1~ lliq """I,g ," "" I ' I ~ . _ ~-' P 3ns, 11 peci1atio and othe QrrecrrJJl~..errob_J~icL. =r=-~ ~ ,:;, i ",,' '''d!, .'p' "', bO,'''' :.,~. or trom breve ting , ." __ ..I." " 'II ., IT'.' ".."",!-.... .1, - . , I <> \1'5:. m i , I I I J=:- . ":a,. "" 101'.': :~B::~ ~~~ ;.~ ,. i""~I'" j. _ ],li~JJJ.bnl" ~~~=b'~~:" r . '1 A_, w.t."l~qJ~ HI-=" J~ .,LI ~+ ~ ~ I Ilk b,-; j .1 - ~~ w{.-1IJJoW-!' ~a- ~i'l - ,', .....+-"-,. ~ - I ~ ' A,-. VI '01 _. J..i...l . I I I I I . I --t+l- I --1----- ttJ- -f-- l. 1-- -e--.~ 1 r =r-=~ I ~ ( - l-- - ~p~ .- -- \ I ~ ",. -, ~ 'f: . f""' i - 1---1' "" r 1 I 1--- - I--- ~ ~ ~ J - 1- :~ II PREPARED 10/14/04, 12:45:43 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1619 S BUTLER ST INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 10/14/04 STRAIN, KENNETH L 06-30-00-4-4-0080-0000- 04-00000341 RES MANUFACTURED HOME SUEDIV: PHONE PHONE : PERMIT: BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLM 01 6/04/04 JLL 6/04/04 AP BLBT 01 7/09/04 JLL 7/09/04 DA BLBT 02 7/15/04 JLL 7/15/04 AP BUILDING FOUNDATION MONO SLAB KEN MORNING PRE-POUR MONOSLAB INSPECTION 10A.M. INSPECTION BUILDING BLOCK AND TIEDOWNS engineer spec for anchor bolt in slab reqd. slab was poured larger than the unit and bar anchors are loctaed out side the skirt blocking (new design reqdljll BUILDING BLOCK AND TIEDOWNS KEN STRAND 460-0698 RE-INSPECTION OF TIE-DOWNS AND BLOCKING BUILDING FINAL 457-9773 ken PLUMBING WATER SUPPLY TIME: 17:00 BL99 01 ~~ PL6 01 ~ ~ ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- PREPARED 10/14/04, 12:45:43 CITY OF PORT ANGELES . INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 5 10/14/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1619 S BUTLER ST SUBDIV: PHONE PHONE : STRAIN, KENNETH L 06-30-00-4-4-0080-0000- 04-00000341 RES MANUFACTURED HOME PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLM 01 7/23/04 RV BUILDING FOUNDATION MONO SLAB 7/23/04 AP Ken 460-0698 mono slab for garage only BL3 01 9/07/04 JLL BUILDING FRAMING 9/07/04 AP KEN STRAIN 457-9773 BL99 01 l~~~i J\;L BUILDING FINAL i believe this permit is for the detached garage and ken called for a final on both structures/jll COMMENTS AND NOTES -------------------------------------- PREPARED 9/07/04, 12:15:32 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1619 S BUTLER ST INSPECTION TICKET INSPECTOR JAMES L LIERLY STRAIN, KENNETH L 06-30-00-4-4-0080-0000- 04-00000341 RES MANUFACTURED HOME PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 7/23/04 RV 7/23/04 AP BL3 01 ~/ 4 JL:::::::> At -------------------------------------- COMMENTS BLM 01 SUBDIV: PHONE PHONE : BUILDING FOUNDATION MONO SLAB Ken 460-0698 mono slab for garage only BUILDING FRAMING KEN STRAIN €:=r17 ~-J.QC~ 457-9773 AND NOTES ~-(2.~i,.J~ PAGE DATE 4 9/07/04 .. PREPARED 7/23/04, 13:17:06 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 7/23/04 " ADDRESS CONTRACTOR : OWNER PARCEL . . : APPL NUMBER: 1619 S BUTLER ST STRAIN, KENNETH L 06-30-00-4-4-0080-0000- 04-00000341 RES MANUFACTURED HOME .' SUBDIV: PHONE PHONE : PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLM 01 7/23/04 -----------~--------------------- COMMENTS AND NOTES -------------------------------------- fv\ 0 "'-'0 ~ \ o.-b ~ r (;Cl..~..j..Q.. R o.:y 0 ~ BUILDING FOUNDATION MONO SLAB Ken 460-0698 <:"e vt~ Y--- /-360 2}6 o4Z~ V~~~~e-~ QoV\.- +.,..o..c..~CV I- ~ c..QJ1.$e {-25-0Y 1<AY6CG'i"" q(dIBZ- 3f::D J{A o..d r c t.\ 0- uJG.w Y \ f:eq-LL \ """-' ~6 Sib Z)4 '66 ~ ev"- S~ I - q -Db '- PREPARED 7/15/04, 12:57:31 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 7/15/04 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1619 S BUTLER ST SUBDIV: PHONE PHONE : STRAIN, KENNETH L 06-30-00-4-4-0080-0000- 04-00000341 RES MANUFACTURED HOME PERMIT: BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLM 01 6/04/04 6/04/04 JLL AP TIME: 17:00 BUILDING FOUNDATION MONO SLAB KEN MORNING PRE-POUR MONOSLAB INSPECTION 10A.M. INSPECTION BUILDING BLOCK AND TIEDOWNS engineer spec for anchor bolt in slab reqd. slab was poured larger than the unit and bar anchors are loctaed out side the skirt blocking (new design reqdljll BLBT 02 ~/15/ 4 . 4f-"'.L BUILDING BLOCK AND TIEDOWNS KEN STRAND 460-0698 RE-INSPECTION OF TIE-DOWNS AND BLOCKING -------------------------------------- COMMENTS AND NOTES "------------------------------------- 7/09/04 7/09/04 JLL DA BLBT 01 rHU CITY OF PORT ANGELES '''" ..",.. '.'0',... ..0 -<." .._,_._ '_"".""""'''''_'''~'''''''.'''_''''"'.''"''''''~',~",,",,;.",..'"">'."'.' ,0 _.',~._"'_ "',_<" '00 H_"'""'_'".'''~_'~,.,">,v...'_'~""~'."_,,"~,_,,.',,^'~,,~_,",,"_."...._""...'<'h...~.__,.,.....,.,__.,_"".._.._.....,,',.., "._,,'''''',', ,.., .00.."..... " ""0 ". .... ._ __ ',.,',._" DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date2:?:r:qi.!!r"!':f! q J?'~".~f!~!!~f!~.~Y, ~~m~~!'.~.':!,~' person) Location of Work to be inspected t(, '::: ~ iLLr:l-I~1- Name of person requesting inspection (Y),. rc6 t ~ ILL ",. -s ~ Address of person requesting inspection . 11 J 3 ~. {JUJ-4."Phone No. '1-,~-S-A'P-Y' Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: ~ REST RATIO REQUiRED...... YES NO Tre-~,"c.L c.ke.~k~J 6u..t pr;es+ C.OVl-~+- do.; ~<) 9 'to-d ; ~"1 t>J",. k /.Jo OJ<=> V' k be ,'-::3 d <:> vt.€... i lit- d ~ k. 7 - 2 13 -0 Cf - Nt!) 0 tl\.e :-~ hoUSe. Ct..+ it\lM..e co{ dOVle.. by ~<e~ 2.:ISp~ ~ _I \ ..c v..:5f'€ c. ..,.. ~ l1... 7 - 2:t!J~o<( SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGrave'IOAsphalt OPCC DOther o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date .{, - '3-01 Time If: ?O . Received by ~~ ~ /3u f-/~ S".. r"'AA'l- d (phone. 6 Inspected: Remarks: ./6 l'l 1<"--'1 Phone No. Permit No. tfJ4 -(!J j'J{ 1- 10! 4.111.. e:r \ ~U ~ -. N REQUIRED . . . . .. YES NO (Ap) SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC D Other o Repaired by City D Repaired by.Permittee D No Damage Found Work Order # DCOMPlET~ D INCOMPLETE PREPARED 6/04/04, 12:20:29 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1619 S BUTLER ST INSPECTION TICKET INSPECTOR JAMES L LIERLY STRAIN, KENNETH L 06-30-00-4-4-0080-0000- 04-00000341 RES MANUFACTURED HOME SUBDIV: PHONE PHONE : PERMIT: BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLM 01 ~~ BUILDING FOUNDATION MONO SLAB TIME: 17:00 KEN MORNING PRE-POUR MONOSLAB INSPECTION 10A.M. INSPECTION PAGE DATE 7 6/04/04 -------------------------------------- COMMENTS AND NOTES -------------------------------------- - 'i' Jul'~2 04 07: 13a R.W. and F.L. Becker 360-683-6104 p.l . ELECTRICAL PERMIT APPLICATION The Electrical Permit Application must be filled out comDletelv. FOR OFFtCl-'\.L USE ONI. "( DatcJ~c:' Permittl; Oatl:....ppl'~d: Ow: lUlled ~Mr.l1 Owner or Elee.Contractor Agent: i? L ~ 6C~ Property Ownec P ~ L ,~U ,l..r-zik) 7'/3-tlV Please type or reprint in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 CJr"- .3~1 Phone '-1771 "3<;;g"'Fax: h~~ (;,/tf) ~ Phone: Address; Electrical Contractor: R I .; \ hz:;?L/r.:f~A- City: ~"~6'~Gt>~G.> License #: Exp: Zip: Ocr-of r/ .; Phone: 771' S' f(' Zip: 7Y~ Ir~ Address: 1::;>7, z- rn.v ""'" I'...._,-,::-,:=r:=- Il-, City: c:; ~'''E_ INSTALLATION WIRED BY: 0 OWNER Credit Carcl Haider Name: fl- '-"--' C)E..LECTRICAL CONTRACTOR 6C'C.-LG' .-(... Billing Address: U' IV t:="/ C-6 () /II' n be: City: Zip: Credit Card Number: Exp. Date: VlSA:_ MC: PRO.JECT ADDRESS: / (,/ I 7 s. 1'5L/ ~--Tt-:- LOT 8; 6liE, CruiU (p TYPE OF WORK: Check all that apply: ~ew o Alteration/Addition o Residential 0 Mulli-family o Commercial ~obile Home Sq. Ft / vo-O Number of Circuits added or aftered: o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Seplic Pump o Low Voltage 0 Telecom. 0 Sign DESCRIPTION OF THE ELECTRICAl PROJECT; I.IOSr-~ ~tnt;..< ~6 s C7I!<-' / <-e;- "- c4~. FnX-X-- / o Baseboard _ KW (0 Fumace KW o Heat Pump TON \ OFan-Wall _KW ..// ':-------.--.-.-.--- Electrical Heat Load Additions and or Subtractions =:)tfJ:..JAJ -~\i)l";> <' ----~'\___ "7' C fPG Vi a ? ' ) .Jilpverhead Service p;.r,...., LRA 'oJemp Service f.,d Underground Service !J Service Information Pot.-C Voltage: /Z-tJ/z-,4> Phase: Jll1 . 03 Service Size: ~ Feeder Size: -z-,v J I hereby certify that I have read and examined this application and know that same to be true and correct. and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to de 'ne wh t permits are required and to obtain such. Z5Ku.Q xnll('- ct:... Credit Card Holder's Signature: Date:"t- q -0'1' Date: 7 ~'7-o y Or I .<f c:f) - Owner or Elec. Cant. Signature: C:IELECTRICALPERMIT APPLICATION dr?fJ(j )1(;(;1 ~f/L.I!'.S> PERMIT FEE: $ 7t, 30 --..... ~~ ~~~. ELECTRICAL WORK PERMIT APPLICATI9N i , Installation description . Job wired by )a:Electrical Contractor DOwner o Commercial r8:Residential Electrical contractor name License number Date Expires ..ta:Altered/Addition ffif<N?tJ'S dlf'jC. 7lIoI!/VK-i'9.r/t./I- dr o New Purchaser's mailing address , ;:; 0 , 99/ ~"SJ'lJ7 C;'Y;7//7 State ZIP N/J- 9J'"3t:. 2- U//J /Z7'1<-- /ld-~ , Telephone number FAX number S?,;S-i?../'Z... '-/~L-(JYr pr/4;; OW~~;~ Address of inspection /(,/1 s. gwtttlJL City ;7//1- Phone number to schedole ;n'pectioo: 4iS--;7- 9773 Owner as defined by RCW./9.28.26I:(J) Owner ..vi!! 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. D Cash D Check # 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- D Credit Card Visa Mastercard Discover lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Card # - - - Utility Specifications. ---------------- I/s;gn.&//,"I ,on!ractor or elect",ol adm;n;,!ra'or Expiration Date ( $ns:~; fe,Y q ,X . Date:S"-~-#0 of card ~ Electrica'f oad Additions and or subtractions Service Information o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton o Fan-Wall KW LAR o Overhead Service o Temp Service o Underground Service Voltage Phase 0 1 0 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN " / THERMOSTAT SERVICE Date Approved By-j " Dij!e Approved By Dale Approved By / FEEDER FINAL DITCH Date Approved By " Date ApprovedBy~ Dale Approved By [nspcction Area, Building or Equipment Tnspected Action Taken Electrical Date "..,- Inspector 1t.}{P1f !l'1i Ji'oo ~ oiiglCll - 77~7 7 s;;;jo 7., L /-f7:.1 j j / '1 ff10 . ELECTRICAL WORK PERMIT APPLICATION Job wired by o Electrical Contractor ,x:(Owner Installation description D Commercial D Residential Electrical contractor name License number Date Expires CI New .~eredJAdditiOn Purchaser's mailing address City State ZIP \0 oCt I.J(/ - <; .,.c+e !\J J /-.lib A-.eQ. A fMYu ~tu::sp Su B PilNet..---. -fI\AiVV'- S u (3 ;;;J, -- -;;ZO A 110 () ~ 1-:l.OIl- I . P,OOlTt <.JY1 Telephone number FAX number City .:2.?.O Premises owner's ~P\iN l S~ul-e(C As ~<? (~ Phone number to schedule in~,ection: !:J7 - 77 Owner as defined by RCW19.28.26J:{l) Owner will occupy the structure for two }'ears after this electrical permit is finalized. (2) Owner is required fa 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. Signature of owner, electrical contractor or electrical a~~], " istr oJ; 6:? I'/. tJ (p X .~: Address of inspectio o Cash o Check # o Credit Card Card # Visa Mastercard Discover Expiration Date of card Inspection fee $ ~.OO Service Information Electrical Load Additions and or subtractions D NO LOAD CHANGES D Baseboard KW D Furnace KW D Heat Pump Ton CI Fan-Wall KW LAR D Overhead Service D Temp Service D Underground Service Voltage Phase D 1 D 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 " ROUGH-IN THERMOSTAT " SERVICE "- Dale Approved By Dale Approved By "- Dale Approved By " FEEDER FlNAL DITCH Ilz/oQ ~BY " "Dale Dale Approved By Dale Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date /~spector ~It q lOb A t/? (C_o \[ 5) -->>c. r~ '- . /}/I/} t,/1. ../." , f.....~. / " ," IElECTFUCAllNSPIECTION WIRiNG REPORT 417-4735 INS~ ADDRESS APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . ~ QORRECTIONS NEEDED: "f'LO'A: T N ~~'- L N ., . k 0, ~L IN -"""\)B ~ N. 1\ 'YL..pIT~:6 eN 1?c.x~ 'RAT~? ;::"0><' SJ-::{Q1j> Y'Po..-N.'EL, ~~NJC.L.. -ALL O~rJ ALL \)E.V I CE..<::, NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PAINTERS, INC. (360) 452-1381 J1{u~ 3~ ELECTRICAL PERMIT APPLICATION The Electrical Permit Application must be filled out com Dletelv. FOR OFFICIAL USE ONLY DatelRn:: Pcnnil#: Dale Approved: Oatclssued: " P lease type or reprint in ink. If you have any questions. please call (360) 417-4735 Fax number: (360) 417-4711 tH-7S8 Owner or Elec. c~onlra,r Agent: Property Owner: e .0 Address: Ie r> \ ct S. Electrical Contractor: :-\f' ~ I~Y\ XiRnlJ 0'iQ+=-)\~. 6,.u~ Phone 1-/571773 Fax: City Yr~;{- A:n'~ J 'J License #: Exp: Phone: Zip q 8'3 0,1 Phone: Address: City: / INSTALLATION WIRED BY:~\Y.~ER ) ri' ElEC,TRIC~l CONTRACTOR. Credit Card Holder Name: ~ cJ~t\IJV ( Billing Address: I ~ (CiS', ~~ City: (?-fl Credit Card Number: Exp. Date: Zip: ~Nwe'f( ) ZiPqf-;; 0:5 VISA~.C:_ PROJECT ADDRESS: /0/9 S I3Un ~ TYPE OF WORK: Check all that apply: jifNew .- If'I '8 ~ o Alteration/Addition o Residential 0 Multi-family . /. o Remote Meter /~tached garage . 0 Hot Tub 0 Swim Pool Number of Circuits 'added or altered: 4 , DESCRIPTION OF THE ELECTRICAL PROJECT: I oofl 'SJ~ ,--\v ~: L,-tl)..,; (" 126 ~ I ~ -- o Commercial o Mobile Home .Sq. Ft . o Septic'Pump [] Low Voltage 0 Telecom. o Sign CAMk<-. ~. 22J ~;:c ~'- ,. , ~ --t. \ Electrical Load Additions and or subtractions Service Information o Baseboard o F umace o Heat Pump o Fan-Wall KW KW TON KW , -.J ~ lAR o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: PAMC 14.05.060(8): For industrial. com mercial. & residential projects larger than a duplex. a one - line drawing of the Electricai Service & Feeders, building size (sq. ft.), load calculations. and the type & of conductors and/or raceway is required and shall accom pany the Electrical Permit application. / hereby certify that / have read and examined this application and know that same to be true and correct, and I am authorized to apply for this permit. / understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. 041, j) i \~ui., f~" . b '1 ~- f-ZC. -6'{ OwnEf!r or Elec. Cont. signature:_l; / ~ Date: . PERMIT FEE: $ n ./0- ~ PW-9019/7/03 /fl;f/ 8/stJht/ /.~ .' . IEllE(ClIRWCAl ~NSPECT~(Q)D\!l W~ IRl ~ INl G IRlIE IP>O 1Rl1l" 417-4735 DATE {9 . I 5-.0 C( OWNER/CONTRACTOR ''127~J~ ADD ESS ~ t; /9 $. /5L (17 APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN/COVER. . .. . . . . . .. . .. 0 D..................~~~..................D o .................... FINAL. . . . . . . . . . . . . . . . . . .. ~ CORRECTIONS NEEDED: ~J -'Z./ P G Fe-- ( J9.y.. /2/0 J IS 6'L- )..(J1l . R. (lJ(1f4 7'20 ~ 1>- .;J?-fl l7',Zl~.f %-,,1./ e1-.;~l-G'-J ~C';V r NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS OLYMPIC PRINTERS, INC. (360) 452.1381 - DO NOT REMOVE -