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HomeMy WebLinkAbout1226 W 12th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner THOMAS LUNDERVILLE ETAL 3812 OBRIEN RD PORT ANGELES Other struct info Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Other Fees Fee summary Charged WA 983627426 COMMENTS/ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000332 622080 1226 W 12TH ST 06 30 00 0 3 6820 0000 RES NEW SFR RS7 RESDNTL SINGLE FAMILY 174206 Contractor COLUMBIA PACIFIC BUILDERS INC P 0 BOX 1750 PORT ANGELES WA 98362 (360) 457 7525 TOTAL LOT COVERAGE 28 80 NUMBER OF STORIES 2 00 LOT SIZE 7000 00 TOTAL LOT COVERAGE 2019 00 NUMBER OF UNITS 1 00 ELECTRICAL NEW RESIDENTIAL SHAMP/ 2019SQFT SFR 66928 SHAMP ELECTRICAL CONTRACTING 119 80 Plan Check Fee 12/12/05 Valuation 6/10/06 Qty Unit Charge Per 1 00 73 0000 ECH EL R SQFT FIRST 1300 2 00 23 4000 5C EL -R SQFT ADDITIONAL 500 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 05/12/2005 04 17 PM SROBERDS The proposal will result in a new s f res w /attached garaga in the RS 7 for total lot coverage of 29% No land use issues are noted Electrical load calculations and elctrical permits are required Connection fee under old policy $200 00 per lot Sidewalk to City standards required ALONG 12TH STREET for school walking route Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch RES UNDERGRND SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Paid Credited Due Date 12/12/05 Extension 73 00 46 80 222 00 745 00 4 50 1025 00 00 0 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. Dil'CH FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO ROUGH -IN COVER SERVICE PW- 1102.15I4 61 Page 2 Application Number 05 00000332 Date 12/12/05 Application pin number 622080 Permit Fee Total 119 80 119 80 00 00 Plan Check Total 00 00 00 00 Other Fee Total 1996 50 1996 50 00 00 Grand Total 2116 30 2116 30 00 00 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 M DITCH ROUGH -IN COVER SERVIC$ I I /544 FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO I I I I I I I I I I I I �.2 'V d 5 Se-6e Az COMMENTS Pwa 102.15 I4/961 12/05/2005 12 01 FAX ?Cady dr P-IN± i vt Z v\ ect 1 OA 1 a s/ Job wired by 0 ,4 V.T Electrical contractor name Purchaser slmailing address City Telephone nura Premises owner's name k Address of inspection _LOT 7 City Inspection Date Electrical Contractor Owner Por M ele` W-f‘ Phone number schedule inspection State ZIP FAX number OfrC Dare APeovvod Dv FINAL 4 9 r r cd Hy License number Date Expires .Ski PIMP r etgaila Owner as defined by RCW 19,28,261•(1) Owner will occupy rile rrruc.turr for Iwo years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor, I am making the electrical instal- lation or alteration in compliance with the electrical laws, N_E.0 RCW Chapter 19.28, WAC. Chapter 296 -465 The City of Port Angeles Municipal Code, and Utility Specifications. /Signature of owner electrical contractor or electrical administrator Expiration Date X 62L3V Date la /fir f card Electrical Load Additions a or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Overhead Service Heat Pump Ton LAR 0 Temp Service O Fan -Wall KW Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 -417 -4735 ROUGH-IN THERMOSTAT We Approved By DITCH Dale Area, Building or Equipment Inspected kL lro n t U @.r i r>�r S cod" /fry 0 ELECTRICAL WORK PERMITAPPLICATION /Installation description Commercial Si Residential New 0 Altered /Addition CkSnO u Voce 0 Cash O Chcck liYCredit Card Visa Mastercard Discover Card 119„So Inspection fee Approved By Pals Service Information Voltage Phase 1 O 3 Service Size: Feeder Size: VICE Appf FEEDER Approved By Action Taken A PP 12.00 e41 l 002/002 Electrical Inspector Application Number 08 00000767 Application pin number 142267 Property Address 1226 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 6820 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Hot Tub Owner Contractor Montana Daniel 1226 W 12 street PORT ANGELES Permit Fee Total Plan Check Total Grand Total WA 98363 SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 Permit EL HOT TUB Additional desc Permit pin number 129015 Permit Fee 46 00 Plan Check Fee 00 Issue Date 7/01/08 Valuation 0 Expiration Date 12/28/08 46 00 46 00 00 00 00 00 46 00 46 00 00 Date 7/01/08 WA 98363 00 s- OOP 00 Qty Unit Charge Per Extension 1 00 46 0000 ECH EL R HOT TUB ONLY Fee summary Charged Paid Credited Due IN SPECTIOJ\ TYPE DITCH SERVICE ROUGH IN FINAL 'COMMENTS: ELECTRICAL DATE RESULTS INSPECTOR ize .5W PREPARED 3/02/06 11 42 44 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/02/06 ADDRESS 1226 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6820 0000 APPL NUMBER 05 00000332 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 10/03/05 JLL BUILDING FOUNDATION MONO SLAB 10/03/05 DA 09/30/2005 04 01 PM PBARTHOL 460 7454 MORNING A M PRE POUR 10/03/2005 03 58 PM JLIERLY forms and steel not complete finish and recall/ill BL1 01 10/06/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 10/06/05 AP 10/06/2005 01 27 PM PBARTHOL 10/06/2005 03 58 PM PBARTHOL BLFD 01 10/25/05 JLL BUILDING FOUNDATION DRAINAGE 10/25/05 AP 10/24/2005 04 38 PM PBARTHOL 10/25/2005 04 18 PM PBARTHOL BL1 02 10/25/05 JLL BUILDING FOUNDATION FOOTING 10/25/05 AP 10/24/2005 04 38 PM PBARTHOL 10/25/2005 04 18 PM PBARTHOL BL9 01 11/01/05 JLL BUILDING SHEARWALL TIME 17 00 11/01/05 AP 11/01/2005 08 03 AM PBARTHOL 11/01/2005 04 30 PM PBARTHOL BAIR 01 12/05/05 JLL BUILDING AIR SEAL TIME 17 00 12/05/05 AP 12/05/2005 08 36 AM PBARTHOL richard 460 2663 12/05/2005 04 35 PM JLIERLY BL3 01 12/05/05 JLL BUILDING FRAMING TIME 17 00 12/05/05 AP 12/05/2005 08 35 AM PBARTHOL 12/05/2005 04 35 PM JLIERLY BLI 01 12/09/05 JLL BUILDING INSULATION TIME 17 00 12/09/05 AP 12/08/2005 10 48 AM PBARTHOL RICHARD 460 2663 12/09/2005 04 50 PM PBARTHOL DRW 01 2/21/06 JLL BUILDING DRYWELL TIME 13 00 2/21/06 AP 02/21/2006 08 43 AM DYASUMUR TOM 460 4240 02/21/2006 05 08 PM JLIERLY PW99 01 2/28/06 RV PUBLIC WORKS FINAL 2/28/06 AP 03/01/2006 12 44 PM RVESS BL99 01 3/01/06 JLL BUILDING FINAL 3/01/06 DA 02/28/2006 11 30 AM PBARTHOL TOM 460 4240 CALL SO THEY CAN MEET YOU THERE 03/01/2006 04 50 PM PBARTHOL WHOLE HOUSE AUTO TIMER BL99 02 3/02/96 JLL BUILDING FINAL TIME 08 00 03/02/2006 07 46 AM DYASUMUR RE INSPECT FOR FINAL ALSO LET CONTRACTOR KNOW THAT HIS I LICENSE HAS EXPIRED COMMENTS AND NOTES PREPARED 3/01/06 13 42 46 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/01/06 ADDRESS 1226 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6820 0000 APPL NUMBER 05 00000332 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 10/24/05 JLL PLUMBING UNDER SLAB TIME 17 00 10/24/05 AP 10/21/2005 12 46 PM PBARTHOL TODD 808 0668 10/21/2005 12 49 PM PBARTHOL 10/24/2005 04 19 PM JLIERLY PL2 01 11/22/05 JLL PLUMBING ROUGH IN TIME 17 00 11/22/05 DA 11/22/2005 08 24 AM DYASUMUR TODD 681 2615 11/22/2005 03 46 PM PBARTHOL WET AT BOTH TUB OVERFLOW DRAINS FIX DRY CALL FOR RE INSPECT PL2 02 11/23/05 JLL PLUMBING ROUGH IN TIME 17 00 11/23/05 DA 11/22/2005 04 40 PM DYASUMUR DAVID LEE 460 7454 11/23/2005 04 28 PM PBARTHOL PL2 03 11/28/05 JLL PLUMBING ROUGH IN TIME 17 00 11/28/05 AP 11/23/2005 04 43 PM PBARTHOL TODD 681 2651 11/28/2005 04 00 PM JLIERLY PL6 01 2/10/06 JLL PLUMBING WATER SUPPLY TIME 13 00 2/10/06 AP 02/09/2006 04 28 PM DYASUMUR DAVID LEE 02/10/2006 04 52 PM PBARTHOL PL99 01 3/ 1/ 6 J PLUMBING FINAL TIME 17 00 �y.�� 02/28/2006 11 31 AM PBARTHOL COMMENTS AND NOTES PREPARED 3/01/06 13 42 46 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/01/06 ADDRESS 1226 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6820 0000 APPL NUMBER 05 00000332 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 10/03/05 JLL BUILDING FOUNDATION MONO SLAB 10/03/05 DA 09/30/2005 04 01 PM PBARTHOL 460 7454 MORNING A M PRE POUR 10/03/2005 03 58 PM JLIERLY forms and steel not complete finish and recall/j11 BL1 01 10/06/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 10/06/05 AP 10/06/2005 01 27 PM PBARTHOL 10/06/2005 03 58 PM PBARTHOL BLFD 01 10/25/05 JLL BUILDING FOUNDATION DRAINAGE 10/25/05 AP 10/24/2005 04 38 PM PBARTHOL 10/25/2005 04 18 PM PBARTHOL BL1 02 10/25/05 JLL BUILDING FOUNDATION FOOTING 10/25/05 AP 10/24/2005 04 38 PM PBARTHOL 10/25/2005 04 18 PM PBARTHOL BL9 01 11/01/05 JLL BUILDING SHEARWALL TIME 17 00 11/01/05 AP 11/01/2005 08 03 AM PBARTHOL 11/01/2005 04 30 PM PBARTHOL BAIR 01 12/05/05 JLL BUILDING AIR SEAL TIME 17 00 12/05/05 AP 12/05/2005 08 36 AM PBARTHOL richard 460 2663 12/05/2005 04 35 PM JLIERLY BL3 01 12/05/05 JLL BUILDING FRAMING TIME 17 00 12/05/05 AP 12/05/2005 08 35 AM PBARTHOL 12/05/2005 04 35 PM JLIERLY BLI 01 12/09/05 JLL BUILDING INSULATION TIME 17 00 12/09/05 AP 12/08/2005 10 48 AM PBARTHOL RICHARD 460 2663 12/09/2005 04 50 PM PBARTHOL DRW 01 2/21/06 JLL BUILDING DRYWELL TIME 13 00 2/21/06 AP 02/21/2006 08 43 AM DYASUMUR TOM 460 4240 02/21/2006 05 08 PM JLIERLY PW99 01 2/28/06 RV PUBLIC WORKS FINAL 2/28/06 AP 03/01/2006 12 44 PM RVESS BL99 01 3 /p1 /0 C. JLL BUILDING FINAL x n 02/28/2006 11 30 AM PBARTHOL �I TOM 460 4240 CALL SO THEY CAN MEET YOU THERE PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 3/01 0. JLL MECHANICAL FINAL 4'r 02/28/2006 11 31 AM PBARTHOL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS CONTINUED ONTO NEXT PAGE 4615 PREPARED 2/21/06 13 48 42 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/21/06 ADDRESS 12:6 W 12TH. ST SUBDIV CONTRACTOR COIUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER TH(MAS LUNDERVILLE ETAL PHONE PARCEL 06-30 00 0 3 6820 0000 APPL NUMBER 05-00000332 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL RI QUE: :TED INSP DESCRIPTION TYP /SQ C(MPL; :T ED RESULT RESULTS /COMMENTS BLM 01 11/03,05 JLL BUILDING FOUNDATION MONO SLAB 11/03.05 DA. 09/30/2005 04 01 PM PBARTHOL 460 7454 MORNING A M PRE POUR 10/03/2005 03 58 PM JLIERLY forms and steel not complete finish and recall/ill BL1 01 11/0605 JLL BUILDING FOUNDATION FOOTING TIME 17 00 11/06_05 AP 10/06/2005 01 27 PM PBARTHOL 10/06/2005 03 58 PM PBARTHOL BLFD 01 11/25'05 JLL BUILDING FOUNDATION DRAINAGE 11/25'05 AP 10/24/2005 04 38 PM PBARTHOL 10/25/2005 04 18 PM PBARTHOL BL1 02 11/4 '05 JLL BUILDING FOUNDATION FOOTING 11/$$'05 AP 10/24/2005 04 38 PM PBARTHOL Q) 10/25/2005 04 18 PM PBARTHOL BL9 01 1 /El '05 JLL BUILDING SHEARWALL TIME 17 00 1 /I1'05 AP 11/01/2005 08 03 AM PBARTHOL (75 11/01/2005 04 30 PM PBARTHOL BAIR 01 1: /a,05 JLL BUILDING AIR SEAL TIME 17 00 1: d '05 AP 12/05/2005 08 36 AM PBARTHOL vJ 0 richard 460 2663 12/05/2005 04 35 PM JLIERLY 0M 1: /6b 05 JLL BUILDING FRAMING TIME 17 00 1: /t 05 AP 12/05/2005 08 35 AM PBARTHOL 12/05/2005 04 35 .PM JLIERLY 00 1:/6.05 JLL BUILDING INSULATION TIME 17 00 1: AP 12/08/2005 10 48 AM PBARTHOL RICHARD 460 2663 12/09/2005 04 50 PM PBARTHOL X OlZ 0; JLL BUILDING DRYWELL TIME 13 00 :2: _I,-J, I► A 02/21/2006 08 43 AM DYASUMUR TOM 460 4240 G 'n O COMMENTS AND NOTES V Z Lij g4; 06 t C E a U PREPARED 2/10/06 12 41 47 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/10/06 ADDRESS 1226 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6820 0000 APPL NUMBER 05 00000332 RES NEW SFR PL6 01 2/10/06 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 10/24/05 JLL PLUMBING UNDER SLAB TIME 17 00 10/24/05 AP 10/21/2005 12 46 PM PBARTHOL TODD 808 0668 10/21/2005 12 49 PM PBARTHOL 10/24/2005 04 19 PM JLIERLY PL2 01 11/22/05 JLL PLUMBING ROUGH IN TIME 17 00 11/22/05 DA 11/22/2005 08 24 AM DYASUMUR TODD 681 2615 11/22/2005 03 46 PM PBARTHOL WET AT BOTH TUB OVERFLOW DRAINS FIX DRY CALL FOR RE INSPECT PL2 02 11/23/05 JLL PLUMBING ROUGH IN TIME 17 00 11/23/05 DA 11/22/2005 04 40 PM DYASUMUR DAVID LEE 460 7454 11/23/2005 04 28 PM PBARTHOL PL2 03 11/28/05 JLL PLUMBING ROUGH IN TIME 17 00 11/28/05 AP 11/23/2005 04 43 PM PBARTHOL TODD 681 2651 11/28/2005 04 00 PM JLIERLY JLL PLUMBING WATER SUPPLY TIME 13 00 02/09/2006 04 28 PM DYASUMUR DAVID LEE COMMENTS AND NOTES PREPARED 12/09/05 12 35 00 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/09/05 ADDRESS 1226 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6820 0000 APPL NUMBER 05 00000332 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 10/03/05 JLL BUILDING FOUNDATION MONO SLAB 10/03/05 DA 09/30/2005 04 01 PM PBARTHOL 460 7454 MORNING A M PRE POUR 10/03/2005 03 58 PM JLIERLY forms and steel not complete finish and recall/j11 BL1 01 10/06/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 10/06/05 AP 10/06/2005 01 27 PM PBARTHOL 10/06/2005 03 58 PM PBARTHOL BLFD 01 10/25/05 JLL BUILDING FOUNDATION DRAINAGE 10/25/05 AP 10/24/2005 04 38 PM PBARTHOL 10/25/2005 04 18 PM PBARTHOL BL1 02 10/25/05 JLL BUILDING FOUNDATION FOOTING 10/25/05 AP 10/24/2005 04 38 PM PBARTHOL 10/25/2005 04 18 PM PBARTHOL BL9 01 11/01/05 JLL BUILDING SHEARWALL TIME 17 00 11/01/05 AP 11/01/2005 08 03 AM PBARTHOL 11/01/2005 04 30 PM PBARTHOL BAIR 01 12/05/05 JLL BUILDING AIR SEAL TIME 17 00 12/05/05 AP 12/05/2005 08 36 AM PBARTHOL richard 460 2663 12/05/2005 04 35 PM JLIERLY BL3 01 12/05/05 JLL BUILDING FRAMING TIME 17 00 12/05/05 AP 12/05/2005 08 35 AM PBARTHOL 12/05/2005 04 35 PM JLIERLY BLI 01 12/0 /0 JLL BUILDING INSULATION TIME 17 00 12/08/2005 10 48 AM PBARTHOL RICHARD 460 2663 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 10/24/05 JLL PLUMBING UNDER SLAB TIME 17 00 10/24/05 AP 10/21/2005 12 46 PM PBARTHOL TODD 808 0668 10/21/2005 12 49 PM PBARTHOL 10/24/2005 04 19 PM JLIERLY PL2 01 11/22/05 JLL PLUMBING ROUGH IN TIME 17 00 11/22/05 DA 11/22/2005 08 24 AM DYASUMUR TODD 681 2615 11/22/2005 03 46 PM PBARTHOL WET AT BOTH TUB OVERFLOW DRAINS FIX DRY CALL FOR RE INSPECT PL2 02 11/23/05 JLL PLUMBING ROUGH IN TIME 17 00 11/23/05 DA 11/22/2005 04 40 PM DYASUMUR DAVID LEE 460 7454 11/23/2005 04 28 PM PBARTHOL PL2 03 11/28/05 JLL PLUMBING ROUGH IN TIME 17 00 11/28/05 AP 11/23/2005 04 43 PM PBARTHOL TODD 681 2651 11/28/2005 04 00 PM JLIERLY COMMENTS AND NOTES PREPARED 12/05/05 13 36 04 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER BLM 01 10/03/05 JLL 10/03/05 DA BL1 01 BLFD 01 BL1 02 BL9 01 1226 W 12TH ST COLUMBIA PACIFIC BUILDERS INC THOMAS LUNDERVILLE ETAL 06 30 00 0 3 6820 0000 05 00000332 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 10/06/05 JLL 10/06/05 AP 10/25/05 JLL 10/25/05 AP 10/25/05 JLL 10/25/05 AP 11/01/05 JLL 11/01/05 AP BAIR O1 12/05 05 JLL BL3 01 12/05/05 „JLL INSPECTOR JAMES L LIERLY BUILDING FOUNDATION MONO SLAB 09/30/2005 04 01 PM PBARTHOL 460 7454 MORNING A M PRE POUR 10/03/2005 03 58 PM JLIERLY forms and steel not complete finish and recall/ill BUILDING FOUNDATION FOOTING TIME 17 00 10/06/2005 01 27• PM PBARTHOL 10/06/2005 03 58 PM PBARTHOL BUILDING FOUNDATION DRAINAGE 10/24/2005 04 38 PM PBARTHOL 10/25/2005 04 18 PM PBARTHOL BUILDING FOUNDATION FOOTING 10/24/2005 04 38 10/25/2005 04 18 BUILDING SHEARWALL 11/01/2005 08 03 11/01/2005 04 30 BUILDING AIR SEAL 12/05/2005 08 36 richard 460 2663 BUILDING FRAMING 12/05/2005 08 35 COMMENTS AND NOTES SUBDIV PHONE (360) 457 7525 PHONE PM PBARTHOL PM PBARTHOL TIME 17 00 AM PBARTHOL PM PBARTHOL TIME 17 00 AM PBARTHOL TIME 17 00 AM PBARTHOL PAGE 5 DATE 12/05/05 PREPARED 11/28/05 12 40 14 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/28/05 ADDRESS 1226 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6820 0000 APPL NUMBER 05 D0000332 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 10/24/05 JLL PLUMBING UNDER SLAB TIME 17 00 10/24/05 AP 10/21/2005 12 46 PM PBARTHOL TODD 808 0668 10/21/2005 12 49 PM PBARTHOL 10/24/2005 04 19 PM JLIERLY PL2 01 11/22/05 JLL PLUMBING ROUGH IN TIME 17 00 11/22/05 DA 11/22/2005 08 24 AM DYASUMUR TODD 681 2615 11/22/2005 03 46 PM PBARTHOL WET AT BOTH TUB OVERFLOW DRAINS FIX DRY CALL FOR RE INSPECT PL2 02 11/23/05 JLL PLUMBING ROUGH IN TIME 17 00 11/23/05 DA 11/22/2005 04 40 PM DYASUMUR DAVID LEE 460 7454 11/23/2005 04 28 PM PBARTHOL PL2 03 11 28/ 5 LL PLUMBING ROUGH IN TIME 17 00 11/23/2005 04 43 PM PBARTHOL TODD 681 2651 COMMENTS AND NOTES PREPARED 11/23/05 13 32 01 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/23/05 ADDRESS 1226 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6820 0000 APPL NUMBER 05 00000332 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 10/03/05 JLL BUILDING FOUNDATION MONO SLAB 10/03/05 DA 09/30/2005 04 01 PM PBARTHOL 460 7454 MORNING A M PRE POUR 10/03/2005 03 58 PM JLIERLY forms and steel not complete finish and recall/ill BL1 01 10/06/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 10/06/05 AP 10/06/2005 01 27 PM PBARTHOL 10/06/2005 03 58 PM PBARTHOL BLFD 01 10/25/05 JLL BUILDING FOUNDATION DRAINAGE 10/25/05 AP 10/24/2005 04 38 PM PBARTHOL 10/25/2005 04 18 PM PBARTHOL BL1 02 10/25/05 JLL BUILDING FOUNDATION FOOTING 10/25/05 AP 10/24/2005 04 38 PM PBARTHOL 10/25/2005 04 18 PM PBARTHOL BL9 01 11/01/05 JLL BUILDING SHEARWALL TIME 17 00 11/01/05 AP 11/01/2005 08 03 AM PBARTHOL 11/01/2005 04 30 PM PBARTHOL PER MIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 10/24/05 JLL PLUMBING UNDER SLAB TIME 17 00 10/24/05 AP 10/21/2005 12 46 PM PBARTHOL TODD 808 0668 10/21/2005 12 49 PM PBARTHOL 10/24/2005 04 19 PM JLIERLY PL2 01 11/22/05 JLL PLUMBING ROUGH IN TIME 17 00 11/22/05 DA 11/22/2005 08 24 AM DYASUMUR TODD 681 2615 11/22/2005 03 46 PM PBARTHOL WET AT BOTH TUB OVERFLOW DRAINS FIX DRY CALL FOR RE INSPECT PL2 02 11 23/0 PLUMBING ROUGH IN TIME 17 00 2 J-y. 11/22/2005 04 40 PM DYASUMUR f DAVID LEE 460 7454 COMMENTS AND NOTES PREPARED 11/22/05 13 28 11 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER BLM 01 10/03/05 JLL 10/03/05 DA BL1 01 BLFD 01 BL1 02 BL9 01 PL1 01 10/24/05 JLL 10/24/05 AP 1226 W 12TH ST COLUMBIA PACIFIC BUILDERS INC THOMAS LUNDERVILLE ETAL 06 30 00 0 3 6820 0000 05 00000332 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 10/06/05 JLL 10/06/05 AP 10/25/05 JLL 10/25/05 AP 10/25/05 JLL 10/25/05 AP 11/01/05 JLL 11/01/05 AP PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP TYP /SQ COMPLETED RESULT DESCRIPTION RESULTS /COMMENTS INSPECTION TICKET PLUMBING UNDER SLAB TIME 17 00 10/21/2005 12 46 PM PBARTHOL TODD 808 0668 10/21/2005 12 49 PM PBARTHOL 10/24/2005 04 19 PM JLIERLY TIME 17 00 AM DYASUMUR 2615 PL2 01 11/22/0 JLL PLUMBING ROUGH IN ,1 11/22/2005 08 24 'r— TODD 681 BUILDING FOUNDATION MONO SLAB 09/30/2005 04 01 PM PBARTHOL 460 7454 MORNING A M PRE POUR 10/03/2005 03 58 PM JLIERLY forms and steel not complete finish and recall/ill BUILDING FOUNDATION FOOTING TIME 17 00 10/06/2005 01 27 PM PBARTHOL 10/06/2005 03 58 PM PBARTHOL BUILDING FOUNDATION DRAINAGE 10/24/2005 04 38 PM PBARTHOL 10/25/2005 04 18 PM PBARTHOL BUILDING FOUNDATION FOOTING 10/24/2005 04 38 PM PBARTHOL 10/25/2005 04 18 PM PBARTHOL BUILDING SHEARWALL TIME 17 00 11/01/2005 08 03 AM PBARTHOL 11/01/2005 04 30 PM PBARTHOL COMMENTS AND NOTES SUBDIV PHONE (360) 457 7525 PHONE 'r.J6 ,>-,"9-/A/5 PAGE 4 DATE 11/22/05 PREPARED 11/01/05 12 44 55 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 10/03/05 JLL 10/03/05 DA BL1 01 BLED 01 BL1 02 1226 W 12TH ST COLUMBIA PACIFIC BUILDERS INC THOMAS LUNDERVILLE ETAL 06 30 00 0 3 6820 0000 05 00000332 RES NEW SFR 10/06/05 JLL 10/06/05 AP 10/25/05 JLL 10/25/05 AP 10/25/05 JLL 10/25/05 AP BL9 01 0 /0 tie INSPECTION TICKET INSPECTOR JAMES L LIERLY COMMENTS AND NOTES SUBDIV PHONE (360) 457 7525 PHONE BUILDING FOUNDATION MONO SLAB 09/30/2005 04 01 PM PBARTHOL 460 7454 MORNING A M PRE POUR 10/03/2005 03 58 PM JLIERLY forms and steel not complete finish and recall/ill BUILDING FOUNDATION FOOTING TIME 17 00 10/06/2005 01 27 PM PBARTHOL 10/06/2005 03 58 PM PBARTHOL BUILDING FOUNDATION DRAINAGE 10/24/2005 04 38 PM PBARTHOL 10/25/2005 04 18 PM PBARTHOL BUILDING FOUNDATION FOOTING 10/24/2005 04 38 PM PBARTHOL 10/25/2005 04 18 PM PBARTHOL BUILDING SHEARWALL TIME 17 00 11/01/2005 08 03 AM PBARTHOL PAGE 5 DATE 11/01/05 PREPARED 10/25/05 13 37 33 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY ADDRESS 1226 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6820 0000 APPL NUMBER 05 00000332 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 10/03/05 JLL BUILDING FOUNDATION MONO SLAB 10/03/05 DA 09/30/2005 04 01 PM PBARTHOL 460 7454 MORNING A M PRE POUR 10/03/2005 03 58 PM JLIERLY forms and steel not complete finish and recall/ill BL1 01 10/06/05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 10/06/05 AP 10/06/2005 01 27 PM PBARTHOL 10/06/2005 03 58 PM PBARTHOL BLFD O1 1,0./ 1, 5 JLL BUILDING FOUNDATION DRAINAGE vJ 10/24/2005 04 38 PM PBARTHOL BL1 02 10/2$ s BUILDING FOUNDATION FOOTING 10/24/2005 04 38 PM PBARTHOL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 1 PL1 01 10/24/05 JLL PLUMBING UNDER SLAB TIME 17 00 10/24/05 AP 10/21/2005 12 46 PM PBARTHOL TODD 808 0668 10/21/2005 12 49 PM PBARTHOL 10/24/2005 04 19 PM JLIERLY COMMENTS AND NOTES DATE 10/25/05 PREPARED 10/24/05 14 14 44 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/24/05 ADDRESS 1226 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6820 0000 APPL NUMBER 05 00000332 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 10/24/05 _,dLL PLUMBING UNDER SLAB TIME 17 00 I C TOD /2805 12 46 PM PBARTHOL TODD 808 0668 10/21/2005 12 49 PM PBARTHOL COMMENTS AND NOTES PREPARED 10/06/05 13 50 45 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/06/05 ADDRESS 1226 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6820 0000 APPL NUMBER 05 00000332 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 10/03/05 JLL BUILDING FOUNDATION MONO SLAB 10/03/05 DA 09/30/2005 04 01 PM PBARTHOL 460 7454 MORNING A M PRE POUR 10/03/2005 03 58 PM JLIERLY forms and steel not complete finish and recall/ill BL1 01 10 06 05 JLL BUILDING FOUNDATION FOOTING TIME 17 00 10/06/2005 01 27 PM PBARTHOL COMMENTS AND NOTES PREPARED 10/03/05 13 15 22 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/03/05 ADDRESS 1226 W 12TH ST SUBDIV CONTRACTOR COLUMBIA PACIFIC BUILDERS INC PHONE (360) 457 7525 OWNER THOMAS LUNDERVILLE ETAL PHONE PARCEL 06 30 00 0 3 6820 0000 APPL NUMBER 05 00000332 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 10/03/05 L BUILDING FOUNDATION MONO SLAB L la 09/30/2005 04 01 PM PBARTHOL �1�11" 460 7454 MORNING A M PRE POUR COMMENTS AND NOTES OF VORT A,yQ 1 T E(�N Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner THOMAS LUNDERVILLE ETAL 3812 OBRIEN RD PORT ANGELES Other struct info Permit Additional Permit pin Permit Fee Issue Date Expiration Date desc number Permit Additional desc T \Policies \1102.15R [I/05] WA 98362 Qty Unit Charge Per Permit pin number 49478 Permit Fee 715 00 Issue Date 9/15/05 Expiration Date 3/14/06 Permit Additional desc Permit pin number 49494 Permit Fee 50 00 Issue Date 9/15/05 Expiration Date 3/14/06 Qty Unit Charge Per CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000332 622080 1226 W 12TH ST 06 30 00 0 3 6820 0000 RES NEW SFR RS7 RESDNTL SINGLE FAMILY 174206 BASE FEE COLUMBIA PACIFIC P 0 BOX 1750 7426 PORT ANGELES (360) 457 7525 TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS DRIVEWAY INSTALLATION Contractor 49502 170 00 Plan Check Fee 9/15/05 Valuation 3/14/06 PUBLIC WORKS RES WATER SERV Signature of Contractor or Authorized Agent Date Plan Check Fee Valuation Qty Unit Charge Per 1 00 715 0000 EA PW W/M 1 SERV 5/8 METER RIGHT OF WAY Date 9/15/05 BUILDERS INC WA 98362 28 80 2 00 7000 00 2019 00 1 00 0 0 0 Extension 170 00 00 174206 Extension 715 00 Plan Check Fee 00 Valuation 174206 Qty Unit Charge Per Extension 1 00 50 0000 ECH RIGHT OF WAY PERMIT 50 00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 49486 Permit Fee 110 00 Plan Check Fee 00 Issue Date 9/15/05 Valuation 174206 Expiration Date 3/14/06 Extension 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 presum- give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of cons f n IVU 0 d it z cX R GS A ar,t,t rm, o e .�-eD Sv Signature of Owner (if owner is builder) Date PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W 1 PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T• \Policies \1102.15R [1 /051 RESIDENTIAL PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT V I BUILDING I I I I I I 1 I I Application Number Application pin number T \Policies \1102.15R [1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000332 622080 Page 2 Date 9/15/05 Qty Unit Charge Per Extension 1 00 110 0000 EA SAN SEWER HOOKUP 110 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) When roof gutters are installed drains will located in dry wells or piped to approved storm drain locations 05/12/2005 04 17 PM SROBERDS The proposal will result in a new s f res w /attached garaga in the RS 7 for total lot coverage of 29% No land use issues are noted Electrical load calculations and elctrical permits are required Connection fee under old policy $200 00 per lot Sidewalk to City standards required ALONG 12TH STREET for school walking route Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch Other Fees RES UNDERGRND SERVICE FEE 222 00 SEWER SYSTEM DELV CHARGE 745 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1025 00 Fee summary Charged Paid Credited Due Permit Fee Total 1045 00 1045 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 1996 50 1996 50 00 00 Grand Total 3041 50 3041 50 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T- \Policies \1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner THOMAS LUNDERVILLE ETAL 3812 OBRIEN RD PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 75 00 1 00 5 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 1 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983627426 05 00000332 622080 1226 W 12TH ST 06 30 00 0 3 6820 0000 RES NEW SFR RS7 RESDNTL SINGLE FAMILY 174206 COLUMBIA PACIFIC BUILDERS INC P 0 BOX 1750 PORT ANGELES WA 98362 (360) 457 7525 TOTAL LOT COVERAGE 28 80 NUMBER OF STORIES 2 00 LOT SIZE 7000 00 TOTAL LOT COVERAGE 2019 00 NUMBER OF UNITS 1 00 BUILDING PERMIT RESIDENTIAL 1609SF SFR W /ATT 410SF GARAGE 49403 1437 25 9/15/05 Valuation 3/14/06 Unit Charge Per BASE FEE 5 6000 THOU BL -100 001 500K (5 60 PER K) ELECTRICAL NEW RESIDENTIAL THERMOSTAT 49437 36 40 Plan Check Fee 9/15/05 Valuation 3/14/06 Unit Charge Per Extension 36 4000 EC EL -LOW VOLTAGE 36 40 MECHANICAL PERMIT 49411 97 95 Plan Check Fee 00 9/15/05 Valuation 0 3/14/06 Qty Unit Charge Per BASE FEE 14 7000 ECH ME INSTALL 100- FAU 7 2500 ECH ME VENT FAN Permit PLUMBING PERMIT Additional desc Permit pin number 49429 Permit Fee 160 00 Plan Check Fee 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 construct' Signature of Contractor or Authorized Agent T- \Policies \1102_15 building permit inspection record05.wpd 1/4/2005) Contractor Plan Check Fee Date Date 9/15/05 574 90 174206 Extension 1017 25 420 00 00 0 Extension 47 00 14 70 36 25 Signature of Owner (if owner is builder) Fe a- //F S16 S Date N FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 1 1 1 1 FIRE DEPT PLANNING DEPT 417 -4750 1 1 1 1 PLANNING DEPT BUILDING 417 -4815 1 1 1 I BUILDING T- \Policies \1 102 15 building permit inspection record05 wpd 11/4/20051 1 1 1 1 1 1 1 1 1 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Application Number 05 00000332 Date 9/15/05 Application pin number 622080 Issue Date 9/15/05 Valuation 0 Expiration Date 3/14/06 Qty Unit Charge Per Extension BASE FEE 47 00 12 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 84 00 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 1 00 15 0000 ECH PL- EA BLDG SEWER 15 00 1 00 7 0000 ECH PL- EA WATER HEATER 7 00 Other Fees 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 05/12/2005 04 17 PM SROBERDS The proposal will result in a new s f res w /attached garaga in the RS 7 for total lot coverage of 29% No land use issues are noted Electrical load calculations and elctrical permits are required Connection fee under old policy $200 00 per lot Sidewalk to City standards required ALONG 12TH STREET for school walking route Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch Fee summary Permit Fee Total 1731 60 1731 60 00 00 Plan Check Total 574 90 574 90 00 00 Other Fee Total 1996 50 1996 50 00 00 Grand Total 4303 00 4303 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. RES UNDERGRND SERVICE FEE 222 00 SEWER SYSTEM DELV CHARGE 745 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1025 00 Charged Paid Credited Due Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE PLANNING DEPT BUILDING T• \Pnh et \1102 RESIDENTIAL 417 -4653 417 -4750 15 building permit inspection record05.wpd 1/4/2005) BUILDING PERMIT INSPECTION RECORD 0 s 332 1/o -6-os 1 J P- I II o 2B LL Ig o 4-c,.I J AL Itl- a-( N- I "IA o /r 1` I YES i -I I- 41 I I NO Y» S1.,9 3 L)#3 FOOTINGS L O-RS-v& rt14.0- alt Co&au SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL i 417 -4815 1 1 7 2 LCro L&/ 12 1 AC. LIU/ kP ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING J r�- 10-3-615 4)-I- AP DATE ACCEPTED YES I NO Applicant or Agent: /A v\ w(Q' V ,j Owner er cr f 1 14/ Address� ry In Architect/Engmeer sew C P nic/`.. Phone. 3Ga.A `IS o9 S Contractor /u L 0Z; d�ui v State License #.6 /cmApb97 !.V/o/© S- Phone 3(,1 4 5? No. of Stones: Lot Size: dm 0 Total lot coverage_ PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 So City Address. Q 33o City: PROJECT ADDRESS 122 I Z k4 LEGAL DESCRIPTION Lot: Block: 6 CLALLAM COUNTY PARCEL NUMBER. 6 3 UO 0 0 3 690-a 0 600 Credit Card Bolder Name: Billing Address: Credit Card Type VISA MC TYPE OF WORK. tikResidential cgi- New Constr Re -roof Multi- family Addition Move Commercial Remodel Demolition Repair Sign BRIEF DESCRIPTION OF THE PROJECT COMMERCIAL/RESIDENTIAL. Occupancy Group jf/Rlvt Existing Sq Ft. City ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other. Phone. 364 4 fS?-- 6 R?7- Phone 31Q C- c -9,?- lea Zip 91 3 Zip 9. 2 ZONING Subdivision. 1 A FOR OFFICIAL USts ONLY Date Rec. 5 6S Permit #•tt,c^ Date Approved Date Issued: Exp. Date: SIZE/VALUATION Stove (0 dot_ SF $may /SF S Garage y /o SF $_56 /SF Deck SF /SF Other TOTAL VALUAT N Q aiedt Occupant Load. Construction Type; Vide el Proposed Sq Ft. 2o1 9 TOTAL Sq Ft..2ot 4 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 clue it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are clue at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the tune for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building /Residential Code, 2003) No application can be extended more than once. I hereby certify that 1 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 t the City's, and that 1 must obtain such permits prior to work. T \BLDG-forms-brochures \2004-Buildingperrnit.wpd AppliCant: 5 //0 5 Date: 2 APPROVALS- PLAN BLDG DPWU FIRE. OTHER. 80 Feet Vertical Datum =NA 8 Horizontal Datum =NAD 83/91 Area Map This map is not ntended to be ed as legal desc npti This map /dran ngis produced b. the City of Port Angeles, for its on use and purposes Any other use of this map /drawing shall not be the responsibility of the City. n 0 Z. Oz 0 3'; A .1 Cr, 6 '3V 06 S'te Information Lot: T i I a F Address City State. kf M Zip c!S 3 (o Contact: o Lt,( vt d.s t vi l fF Phone 3 2,6 4-S e Phone 2: 3 (4 c' j e) 40 4 U Fax: Glazing Option Area of Floor III Unlimited Group R 3 Occupancy Only Prescriptive Approach Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 See the code text for footnote references Copyright 2002, WSUCEEP02 -056 Copied by permission from the Washington State University Extension Energy Program Building Department Use Only Permit:# Notes Table 6 -1 PRESCRIPTIVE REQUIREMENTS 1 FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) 1 Glazing U- Factor Door Wall U- Ceihng Vaulted Above Vertical Overhead" factor Ceiling Grade Wall Int Below Grade Wall Ext Below Grade 0 40 0.58 0.20 R 38 R 30 R 21 R 21 R 10 R -30 R 10 This project complies with the following The project is a single family residence or duplex. The project is wood frame OR all of the insulation is interior or exterior of the framing All building components meet the requirements listed in Table 6 -1 Option III. The project will meet all other provisions of the WSEC and VIAQ. The project will take advantage of the following exceptions to the prescriptive option Z 602.6 Exception 1 One door that is 24 ft. or less, that does not meet the standards is allowed. Location of the door taking this exception riO voof 602.6 Exception 2 Doors with a U- factor of 0 40 allowed without calculations Option III only Location of the door(s) taking this exception Slab`' Floor' On Grade Prescriptive Simple Form Climate Zone 1 7/26/2004 PREPAREV 9/'15/05, 10 00 26 CITY OF PORT ANGELES APPLICATION NUMBER 05- 00000332 1226 W 12TH ST FEE DESCRIPTION AMOUNT DUE PLAN CHECK FEES BUILDING PERMIT RESIDENTIAL MECHANICAL PERMIT PLUMBING PERMIT ELECTRICAL NEW RESIDENTIAL PUBLIC WORKS RES WATER SERV SANITARY SEWER HOOK UP RIGHT OF WAY DRIVEWAY INSTALLATION SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE TOTAL DUE &41 574 90 1437 25 97 95 160 00 36 40 715 00 110 00 50 00 170 00 745 00 4 50 1025 00 5126 00 1' PAYMENTS DUE RECEIPT PROGRAM BP820L Please present this receipt to the cas "Mier with full payment Date: Appd. Eng: Appd. Ops: Revised: RETAINING WALL, 4 thick 3 TANSFORMER 3 FT PAD FRONT OF TRANSFORMER 1 RETAINING WALL. 4 inch concrete with #4 reinforcing steel 12' 0 C 2 PROTECTION FROM GAS TANKS Distance of 20 feet OR 3 to 5 feet with a wall on three sides 8 inches thickx 8 feet high conctrete block, filled with concrete CITY OF PORT ANGELES ELCTRICAL ENGINEERING SPECIFICATION NOT TO SCALE RETAINING WALL Sheet 1 of 1 PROTECTION, PADMOUNT TRANSFORMER UM 5 01 12'42 OS IAN& j v& cvrOLWZ ci I le?, ckboucE 5 vt.s Y�d 150 a1 Datum NA VD 88 tal Datum= NAD 83/91 Izon IAA..cxy Area Map r k tA. tvii IA) G. t( 'c CA- k tun. a) a I A tij e4. 71n map or )(ended to be ed a legal desc pt' Th map/drawl Ig produced by the City of l' rt Angele fo as se and purpo AIIV oth of tin mao(draw le shall of be the esoo tbilav 0 f the d'QIl:'~ '(i CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 9R~62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description subdivision Name Property Use property zoning . . . Application valuation 05-00000767 Date 164970 1226 W 12TH ST 06-30-00-0-3-6820-0000- ELECTRICAL ONLY 8/19/05 RS7 RESDNTL SINGLE FAMILY o Owner Contractor ------------------------ ------------------------ SHAMP ELECTRICAL CONTRACTING PO BOX 383 PORT ANGELES WA 98362 (360) 452-1689 THOMAS LUNDERVILLE ETAL 3812 OBRIEN RD PORT ANGELES WA 983627426 ---------------------------------------------------------------------------- Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SHAMP/ 60A TEMP 58321 SHAMP ELECTRICAL 42.20 8/19/05 2/15/06 SERVICE CONTRACTING Plan Check Fee Valuation .00 o -------------------.--------------------------------------------------------- Qty 1. 00 unit Charge Per 42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 42.20 Fee summary charged Paid Credited Due --------------.--- ---------- ---------- ---------- ---------- Permit Fee Total 42.20 42.20 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 42.20 42.20 .00 .00 ~. p ~ t ......... ~ IA ~ COf\1MENTSI ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNU WFUL TO COVER, INSUU TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-lI02.1S [4196] 7 rJ.'O.'~ ~...~~ ~ a,= 'L r-=..1,.. "t- ".1":;-/1' -~. ELECTRICAL WORK PERMIT APPLICATION Job wired by ~Iectrical Contractor 0 Owner Installation description o Commercial ~Rcsidential Electrical contractor name '5(W1P~ Purchaser's mailing uddrcss IZU W {':?t!:>. City ~~:r ~'S: 1 License number Date Expin:s o New o Altered/Addition Telephone number Si7 State ZIP {JJ A- FAX number ~~3 (.JI(i?~ ~e.. l-t:or ( """""-r:=T"70Ai iS~ y~() :S ltJ ()F f.-fm..I"5A; (uP, o (j) \ S (J' ~ (",,~R- I)rr:;, owner's name , !A.u{~ r11~At-A Address of inspection f27c "'-~ c;~ I2.r (-2 fI,. '5r- A.u--~~ I'hone number to schedule inspection: ~ Owner as defined by RCW /9.28.261:(1) Owner will occupy ,he sfrllCllIre for two years (!frcr this electrical permit is fina!i;:ed. (!) Owner is required to hire WI electrical con/rac/or if above said properZl' is for sale. It'lll or lease Ancr reading the above statement, I hereby certifY that I am the owner of Ihe above named property or a licensed electrical contractor. [ am making the electrical instal- lation or alteration in compliance with the electrical laws, N,E.C., RC\V. Chapter 19.28, WAC. Chapter 296-46B, The City of Pori Angeles Municipal Code, and Utility Specifications. Signature lIf owner, electrical contractor or electrical administnltor \ XI Se~viceJnlormalion Date:~- EleclricaLLoad.Additio=and.or_subtraclions o NO LOAD CHANGES D Baseboard KW D Furnace KW D Heat Pump Ton o Fan-Wall KW LAR D Overhead Service D Temp Service D Underground Service Voltage PhaseD 1 D 3 Service Size: Feeder Size: SA.M.E....J)AY_J~CIlQ~._CALL...BEffiRE..J:JlllAM...16_(blJ1-4 73.5 / ROUGH-IN / THERMOSTAT SERVICE \?( 7{Jj()~ ~ "- Date Appro\'ell H) Appro\'ed By Dale Approl'<.'d By / / " FEEDER 7J'ltJJiINAL ~ DITCH \.- Date Appro\'ed lIy "- Date Approved By / DUle l\pp,m-ell By Inspection Area, Building or Equipment Inspected Action Taken Electrical Dale Inspector . - ~ VORT Jl~ -I.O~O('l; S,__-. ~ F~ ""Wo...-~<Il c:. .... !<lI ~/,,~..<\'V$' "'O/'i'I<S"\)' ELECTRICAL INSPECTION WIRING REPORT 417-4735 wR OWNER/CONTRACTOR ,-r:zJ::, ~ W 12. RIC ADDRESS APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . .~ D. . . . . . . . . . . ... . . ROUGH IN/COVER.. . . . .. . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D................... ..FINAL................... ~ CORRECTIONS NEEDED: ~' O- r- CoiJ€.i2 J N -p r--rC.H NlEC 3(1). ~ ...DNISH tN~TPlILA,lO~ LA?v'E-L 1> A..N iV- . NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 08/18/2005 08:48 FAX ~ 002/002 ~~ .,. .~_ _____-.u_ - -. - - - - ... -. ..-. ..... , I ,- ~~'O/as , P--eo..d y S ELECTRICAL ~ lr APPLICATION ORKPERMI , ro L 'i '?\~ ..,.~ ...... . Installation description / Job wired by [J Electrica1f~MII~_aP:3,wj!l~ CJ Commercial e Reslde.t1n' . EJe~rCal contrai;'tor naJtll '",rnl -17v'\ly~~~e number Date Expires aNew a A1teredlAddltlo. -,;. _....:; . It Y I~V\Cl TlAr, Purchaser's ~mJ)8 address '-J' : ""p,O. ~c'J,\( :;i~' State ZIP City ,c..,....: _Pnr-+ ~ \e~ I' ""M rM '''-R T''r;on'(;)mbe ,,^'l FAX number I I : 'J..L.()' 1-It:;J.--I'" ~ti o'tWftcr'! nlme - 1J'^'lh'[11 ~l'1CA::',C (!.:J.26 /:z.~ ) Address of Inspterion \LJ.. r-h-. I fit f \In \:td\. W . ) ~ r A~e"-, W f't. q23~:J... Phone number to hedUle-Sr!e..;von: - ~89""" Owne-r CIS defined h)J RCW.lt;.~8.16J:(I) Owner wilT OCCupy Ih~ stnu:lu"~ fen' IW(.l years qfie1' Ihis electrical permit is finalized. (1) Owner u requ.in!d ro hire an elec,rical co"tractar if above .~aid prope.rry is j01' s(J/e. r~lIr Or l'U4jC, ' o Cash o Check After reading lhc above Statemenl, 1 hereby certify thall urn the owner of the above named property or B licensed decmeal COl1UaCIOf. [ 3m making the electrical instal- [J Credit Card Vi.. Mastercard! Discover lalioll or alteralion in compliance with Ole clcctricallaws. N.E,C., ReW. Chapter , 19.28, WAC, Chapler 296a46B, The Cily of Port Angeles MuniCipal Code, and Cardff - ------..., - Utilily Specifications. ---- ------ SiJ;:natol'e of owner, eleerrtcAl eDntrllct\lr or- electrical admiolstrunr Expiration Date X -Jr,;d. ../2:.# Date: ~;/.o/",'- ( Ins-pc tion fee of card $ Ui b :J r'l Electrical Load Additions and or subtractions . - a NO LOAD CHANGES a Ba,eboard - KW Voltage . o Furnace - KW D Overhead Service Phase a 1] 3 CJ Heat Pump - Ton - LAR o Temp Service Service Size. - CI ean-Wall - KW o Underground Service Feeder SIze!: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 / ROUGH.IN THERMOSTAT SERVICE "- Dllf "ppl'll.c:.j 5y Dale ^PPfOv~ fly D" ....jll"fO d By-.,J ;- FEFDER FINAL DITCH , '- UIlC Afpnovd By ./ l"IAIC AllPro"ClJBY/ '- ".. A,pt(l dBy./ IllSpection Area, Building or Equipment Inspected Action Ta1c.;n Electrical D.!.t~ l~~peclor AI,p;/as- V(eJ ~ X \ .OS, I d (fl -1'.171)1111 I!..;-f( ()L \ j::e&- 41 ~~2.2.. ~- ~c..J.. 0 . - , f? 19 10< h;(J~ - .0. Af' kh 7 , ":/J e/~/ -- I / ., ~