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Home My WebLink About1811 W 12th St - Building .....,,~--.- ....:~....-_,\;_. ,~t(~ -~ --- "",,~ CITY OF PORT ANGELES DEP AR TMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Applicatio~ Number pin number . . . . . . Property Address . . . ASSESSOR P~CEL NUMBER: Application' description Subdivision Name Property Use property zoning . . . Application valuation 04-00000373 Date .008431 1811 W 12TH ST 06-30-00-0-3-6165-0000- RES NEW SFR 5/19/04 RS7 RESDNTL SINGLE FAMILY 89795 Owner Contractor ------------------------ ------------------------ RYKER CONST & ENGINEERING 3558 DEER PARK RD. PORT ANGELES (360) 417-6619 Structure Information Construction Type Occupancy Type Other struct info OWNER WA 98362 NEW 1510 SF SFR WITH 953 SF TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS GARAGE 22.30 V-N 2.00 1. 00 7000.00 1561.50 1561.50 1. 00 -. ~ ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT -1) Additional desc - Permit Fee 86.65 Plan Check Fee .00 ~ Issue Date 5/19/04 Valuation 0 Expiration Date 11/15/04 -- Qty unit Charge Per Extension BASE FEE 47.00 4.00 7.2500 ECH ME-VENT FAN 29.00 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 - -. t ---------------------------------------------------------------------------- Permit PLUMBING PERMIT 'f> Additional desc Permit Fee 139.00 Plan Check Fee .00 ..:::; Issue Date 5/19/04 Valuation 0 Expiration Date 11/15/04 Qty Unit Charge Per Extension BASE FEE 47.00 9.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 63.00 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 ---------------------------------------------------------------------------- Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 947.25 Plan Check Fee 378.90 Issue Date 5/19/04 Valuation 89795 Expiration Date 11/15/04 Qty Unit Charge Per 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 hav, ot been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and knoW t e same be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether speyifi herei or ot. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or lo~al ~w g arconstruction or the perfo anc of construction. I . ~ . I . Signature of Contractor or Authorized Agent Date Signature of Own (if owner is builder) T:\PLANNING\FORMS\1102.15 [11/14/20031 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 UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS I CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEA T PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIVSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERlNG 417-4807 PW / ENGINEERlNG FIRE 4]7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMSIII02.15 [11114/2003] ~~(,~r~ .. l"O~~~ r...a ,. --- ""',,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number 04-00000373 .008431 Page Date 2 5/19/04 ---------------------------------------------------------------------------- 40.00 BASE FEE 7.0000 THOU BL-50,001-100K (7.00 PER K) Extension 667.25 280.00 Qty Unit Charge Per 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. The proposal will result in the construction of two story single family residence with attached garage in the RS-7 for atotal lot coverage of 22.3%. Maximum height is 30'. No land issues are noted. Electrical load calculations and elctrical permits are required. ---------------------------------------------------------------------------- Other Fees CITY DRA % DRA FEES PLUS INTEREST SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 54.88 1575.86 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ------.---- ---------- Permit Fee Total 1172.90 1172.90 .00 .00 Plan Check Total 378.90 378.90 .00 .00 Other Fe.e Total 3405.24 3405.24 .00 .00 Grand Total 4957.04 4957.04 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 4]7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS (y' - ~.S-~.J-{ 121/ WALLS 1;-1 fJ.--OJ-j I FOUNDA TlON DRAINAGE/DOWN SPOUTS '/ - Jt, .' 0,-/ _ .L. ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN / PLUMBING h~/ 1/111t) rl A-o Jf~L UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) Cf- I-o~ ) Lt GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS --'" .....)..J I CEILING l'f/ -/ I " 'j-'j I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS Iq... ? -(1) I.} .1 LL WALLS 1 ROOF 1 CEILING DRYWALL (INTERlOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I {J- 6 -0 J../ I '. J MECHANICAL f'l/ti'l I j/j;,~6J /Jf ./U- HEA T PUMP GAS LINE ~ -0 i-f)).} ,.) ).).... , WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIVSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ELECTRlCAL LIGHT DEPT CONSTRUCTION RW. 1 PWI I'?." -!.).ii-oS- -..., CONSTRUCTION - R.W. ENGINEERlNG 417-4807 J l'" PW 1 ENGINEERlNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 .. J PLANNING DEPT. BUILDING 417-4815 Hlnlo~' JI..L. BUILDING . T:\PLANNINGIFORMS\1102.15 [11/14/2003] tJj tJj I:" I:" '" H '" o 0 >-' >-' tJj tJj tJj tJj tJj tJj >-3 'tI I I:" )> I:" I:" H I:" >< ~ I W H '" '" '" >-' 'tI I ~ tJ ----- I (/) >-< I 0 0 0 0 0 0 0 >-3 I >-' >-' >-' >-' >-' >-' .. I i;;:;l~8E; n'U H~ 'U~ZZtJ >-3t'l I:"nt'l>-3~ ><'U t'l~~t'l )> ZI:" )>(/) O~ ~. n(/) "'t'l >-3 tJ tJj 0 'U t'l. ~. 0 ~ ~.. >-3_____ '" OO~ >-' ~~ .."'>< '" , , ?< >-' Glo OWt'l >-' t'ltn OO~ 1:"- 0 I ::;: t'l OOn (/)>-' 000 >-' W W , Z '" -.JO(/) >-3 .. W , >-3 :r: .. W ~ ... 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'" en ..... 0 ...en BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: 4- "27- a'f Pennit#C4 ~ ~"7~ Date ApprovedS s-f t) Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUS COMPLETE to be accepted for review. If you have any questions, ca PERMITS (360) 417-4815 FAX(360)417-4711 PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: I~ I ( /~ #7- 6'6/9 , -' U/L. -~S-3- 3/2--927) Zip: ~~.56 2--- , <:~N7~ Exp: Phone: ~/'/7~ ~r)e. Zip: ~/::. /p, /071"'n"JT ZONING: RS~ Block: J.6 ) Subdivision: ;:W'J/? tJr %';&- $~.(f n~~ OCfX-)..?~( "5 cx;~f:'J Phone: Applicant or Agent: Owner: Address: Phone: Contractor Address: City: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit CardType VISA MC # Exp. Date: TYPE OF WORK: SIZEN. AL. UATlON~: "'~ "" - J( Residential ~New Constr. 0 Re-roof 0 Stove ~ SF. @ $ - /SF. = $ ~ .J 00 --.- o Multi-family 0 Addition 0 Move 0 Garage ~ SF. @$ . /SF. = $ ~ __~9.r o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair 0 Sign 0 Other TOTN- VALU,e...:rION $ ~ 7QC; -- BRIEF DESCRIPTION OF THE PROJECT: ...s;"y' 17/..': ~~~ L< '-7 "J:::/...-.r/tO~rliii... r~ i~~t,6~~,~) 9C(.r~, 'tS5"ij P6.-C.~ 2;2.~ / COMMERCIALIRESIDENTIAL: Occupancy Group: J2s.- /' Occupant Load: Constmction Type: ~ ~~ No. of Stories: 2. Lot Size: St)X /0.) Existing Sq.'~t. / & Proposed Sq. Ft._i56(t' $" = TOTAL Sq. Ft.l56./# S- . 0 . t:?,( Total lot coverage---Z.2 t31-2:Q r //I?277/k. ,t>.></Y'lTc APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BillLDING 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 pemlit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the tinle 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. T:\FO RMS\APPS\Buildingpennit. wpd Applicant: I hereby certify that I have read and examined this application and know the same t understand that it is my responsibility to determine what permits are required ,not t WASHINGTON STATE ENERGY CODE . I TABLE 6-2 PRESCRIPTIVE REQUIREMENTS'** FOR GROUP R OCCUPANCY CLIMATE ZONE 1 · HEATING BY OTHER FUELS HV ACs Glazing Glazing U-Factor Door 10 Vaulted Wall Wall- Wall- SIab6 Option Equip. Area": Overhead' U-Factor Ceiling2 Ceiling3 Above int4 ext4 Floors on Effic. % of Vertical Grade Below Below Grade 2 fJ/} Floor Grade Grade I. Med. 10% 0.70 0.68 0.40 R-30 R-30 R-15 R-15 R-lQ R-19 R-lQ .~ II. Med. 12% 0.65 0.68 0.40 R-30 R-30 R-15 R-15 R-lQ R-19 R-lQ III. High 21 % 0.75 0.68 0.40 R-30 R-30 R-19 R-19 R-lQ R-19 R-lQ IV.'" Med. 21 % 0.65 0.68 0.40 R-30 R-30 R-19 R-19 R-lQ R-19 R-lQ V. Low 21 % 0.60 0.68 0.40 R-30 R-30 R-19 R-19 R-lQ R-19 R-lQ VI.' Med. 25% 0.457 0.68 0.40 R-38 R-30 R-19 R-19 R-lQ R-25 R-lQ VII. ' Med. 30% 0.407 0.68 0.40 R-30 R-30 R-19 R-19 R-lQ R-25 R-lQ VIII. Med. unlimited 0.25 0.40 0.40 R-30 R-30 R-19 R-19 R-10 R-25 R-lQ * Reference Case *'" Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601.1. 1. Minimum requirements for each option listed. For example, if a proposed design has a glazing ratio to the conditioned floor area of 19%, it shall comply with all of the requirements of the 21 % glazing option (or higher). Proposed designs which cannot meet the specific requirements of a listed option above may calculate compliance by Chapters 4 or 5 of this Code. 2. Requirement applies to all ceilings except single rafter or joist vaulted ceilings. 'Adv' denotes Advanced Framed Ceiling. 3. Requirement applicable only to single rafter or joist vaulted ceilings. 4. Below grade walls shall be insulated either on the exterior to a minimum level ofR-10, or on the interior to the same level as walls above grade. Exterior insulation installed on below grade walls shall be a water resistant material, manufactured for its intended use, and installed according to the manufacturer's specifications. See Section 602.2. 5. Floors over crawl spaces or exposed to ambient air conditions. 6. Required slab perimeter insulation shall be a water resistant material, manufactured for its intended use, and installed according to manufacturer's specifications. See Section 602.4. 7. The following options shall be applicable to buildings less than three stories: 0.50 maximum for glazing areas of25% or less; 0.45 maximum for glazing areas of 30% or less. 8. Reserved. 9. Minimum HV AC equipment efficiency requirement. 'Low' denotes an AFUE of 0.74. 'Med.' denotes an AFUE of 0.78. 'High' denotes an AFUE of 0.88. Minimum HV AC equipment efficiency requirement for heat pumps. 'Low' denotes an HSPF of 6.35. 'Med.' denotes an HSPF of 6.8. 'High' an HSPF of 7.7. Water and ground source heat pumps shall be considered as medium efficiency and have a minimum COP as required in Table 5-7. 10. Doors, including all fire doors, shall be assigned default U-factors from Table 10-6C. 11. Where a maximum glazing area is listed, the total glazing area (combined vertical plus overhead) as a percent of gross conditioned floor area shall be less than or equal to that value. Overhead glazing with U-factor ofU=0.40 or less is not included in glazing area limitations. 12. Overhead glazing shall have U-factors determined in accordance with NFRC 100 or as specified in Section 502.1.5. 38 7/01/01 t3J1'~'- .., #-:",:., /' / of / ,~:" ci'>' . , .2.o/'C,/ -e/ -..,.... '--'14"- SY___h - -- _mhDATE. ,-:-!o/.'- SUBJECT__u_<.'_r..{;::.:'_____ _s:;._~__~___m_____m_____. CHKD. BY ___u___ DATE .m__n.. - -~/;:::--/d~--~~~-.-fK~ SHEET NO. m.l._uOF __.1___ JOB NO. __u___u________uu__. .-1JI_ -~g ~ ~c,- _ _ _n _ __u_. 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(4 /1 ~ 4'/{'dL'9 A I /-Ie /d/P/e a!,j/ AY~ ~ .5'$'/ /6~ ~~I 4/J $7'L"r /.f t1 J;~d/1 ~c/5'.d; ~ ,?/?/: //tlJ tJ'/1 t?~lU/aM 4t?/~ 4;?&:J#/#/;4 (//1 . ~/-4~.k (d?~ ~';?f'%#(;6/~~, /#e atf~ 02 ~c;d /f cF7&:/-! ~ /h c:;d I #/ /$/ /r/, 62,:.ih/ ~t7 f4/rvh4ec/ 4 I ~/ '" . a. /'t?C'"/I(/JOt""/",,,/ ~~ t7~ .5/'~-'i I #-1dtJ..?2 6'4h 4:0 6' "/;4V44~A ~/ I $6 /~~t"~h Pi#, /J~ /R~~~/;~ ~/j. /~r'" A~// a6W/J &/,?t'/1 @ & /H:4.h? ~~I th~k 4' /h ~& ~~4 ~ ~f' ~// k/~ / ~//~r4 ~Cir/3s:?~/~-~r:. /... filE 1/ 11 ,...-., ~ -... c -- '-+> l: ",OAT ~ (i n. ~ -- ~~ CITY OF PORT ANGELES l~(4 2. ,,- I~? f..(2-l( DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 , Application Number pin number . . . . property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name property Use property Zoning . . . Application valuation 04-00000854 Date .713490 1811 W 12TH ST 06_30_00_0_3_6165_0000- ELECTRICAL ONLY 9/27/04 RS7 RESDNTL SINGLE FAMILY o Owner Contractor ------------------------ ------------------------ ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 RYKER CONST & ENGINEERING 3558 DEER PARK RD. PORT ANGELES WA 98362 (360) 417-6619 ---------------------------------------------------------------------------- Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit Fee 96 .40 Plan Check Fee Issue Date 9/27/04 valuation Expiration Date 3/27/05 Qty unit Charge Per 1.00 73.0000 ECH EL-R-SQFT FIRST 1300 1.00 23.4000 5C EL-R-SQFT ADDITIONAL 500 .00 o ""- c..~ '-.. .......... Extension 73.00 23.40 \'\ ~ ( 1\ '-t, Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 96.40 96.40 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.40 96.40 .00 .00 ........ ~f\J ~li V\ -( Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # Ii' P C-" ROUGH-IN fl' ... :</J.-()<i I VlV (; ('.ALA / ~ ;<.~.L(' / J. '-. PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/vSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 1/", k; ftr~ ELECTRlCAL LIGHT DEPT , CONSTRUCTION - R. W. CONSTRUCTION R. W. 1 PWI ENGINEERlNG 417-4807 PW 1 ENGINEERlNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNINGIFORMS\1102.15 (11114/2003] FROM D4 ~ <354 '" FAX NO. Sap. 232004 08:16AM Pi ELECTRICAL PERMIT APPLICATION Fm.: nr.1'ICJAL lI:ic O!\:,l,." Il..,,-IK~. h:""ol~ _ .,.___. .~_____. U""-""'r>i""..-dl __~~._.__~ 1)i1" lrl.uool ._..__.__._ __._. nll~ ElectrlC".4l! FJermi1 Ap~ljca:jcn mu101 be tined olJ't comp'eteh'. Please type O( reprint In ink.. lfYOlJ havB any questions. please calt (360} 417-47~5 Fa. number: (360)417-4711 Owner or EI;u::. Cont.r.Jctor Ag:ent: p'opertyowner:_f\..",T'\( ~~ Addr.ss, __ l q- u w...,.--J ~ Oly, E~er;tricatcontractor'~~c... SOof'l1\''-JjJ r~hr_ Md,e's:~ \jn./1.'1; ...pl '('-1. ~C~ Phone: H '5 .J - (,r/ 24Fax: , Phone: Lt~ :L-~_'-f.:2.,t__ 4rrl- O~-z(.L Zip qg-3 ~ ~ Phone:::JS1~"~ ZIP... 9~.3 (., ~ loll!! ~~~r~xp '/~10-(; A: ' City _y . o-n "Ji'-=CTRICAlo CONTRACTOR ~\ - --- ~~ o 4: INST ALLA TION WIR~D BY' OOWNEOR Credit Card Holder Name: , Billing Address; Credit Card Number: Zip:... .JJ tJ1 Me: _-+: VlSA:_ PROJECT ADDRESS: \ 8 \ I \.J. \ 2~'" Check all thai apply: )tNew IJ Alteration/Addition TYPE OF WORK: ~Residential !:l Multi-family D Remote Mele< 2 Detachad garage o Commercial :J Mobile Home SqoFl ~g-O() ; , C' Hol Tub :J Swim Pool D Septic Pump ;J Low Voltage :J Telecom. CI Sign r Number of Circuits added or alt.rod: _0.. fI~ roe-.s \ ~ DESCRIPTION OF THE ELECTRICAL PROJECT: Electrical Heat Load Additions and or Subtractions Service Information [J Overhead Service :l Temp Service ~ndergrOUnd Service tJ~ - AJ ~'lI~\-'oi I hereby 'certify that I have read and examir.ed this appiication and knolN that same to be true and correct. and / am ~uthorized to apply for this permit. I understand it is nol the City's legal responsibility to determine what pemlits 5re required; it remains the appiicants responsibifity to determine what permits are required and to obtain such. CrllditCard Holder's Signature:-1/?~J1j>,u~ Date: Cj/n..~.f)Y' flGfnd 71 (j? '-'- ;/ Date: ~h .... by I :J Ba.eboard :-1 Furnace :J Heat Pump ::J Fan.Wall KW ~~N_lRA KW Voltage: I "'J.() /-:J~t) Phase: ~ 0 03 Service Size: -:2-C OQ Feeder Size: .. u.Y;:; qnLf ~rvf f C6-r e- .p Owner or Elee. Cont. Signature: ELECTRICAL INSPECTION WIRING REPORT 417-4735 ~c 51/, ADDRESS /81/ W 1.2 6 APPROVED NOT APPROVED o .................... DITCH.. ................. 0 D. . . . . . . . . . . . . . . . ROUGH IN/C ER............... 0 D. . . . . . . .. . . . . . . . . . .. SERVIC ...................0 D.. . . .. . . . . . . . . . . . . . . . FIN . . . . . . . . . . . . . . . . . . . .)aJ ~J CORRECTIONS NEEDED: /Y"'''''-'d " ~ ~ 6'. 7Z' ~~ r52 rPo:sr c..A .'. ,<~ #p,-e ; . /Y'bv (-I 17-'17~.;-) W4c A!<;L.1~- " ~.c-..,;NG Li~N= ." P<-4~s .Al4 c-P/V~~ /'H"-G~:reJt) dJ-N N€~..J /;V..T~ < E'Z -""7 <'A € DrS~~_~ r-.iV' NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 -.. -0 f " ~ . !ElECTRiCAL INSPECTiON WilFUNG RlEI?OlRll 417-4735 APPROVED NOT APPROVED ~ . . . . . . . . . . . . . . . . . .. DITCH ................... 0 o .............. ROUGH IN/COVER. . .. .. . .. .. .. .ilR o .................. SERVICE .................. {)f o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0 r<<l~"i~-;:~~A ~JJ/Y t&-<r-t~Qz (!)~A-;t,~~R'l e---- 5^~ (/]~ ry ~ ~ ~~~'f' ~.lL~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPtC PRINTERS, INC. (360)452.1381