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HomeMy WebLinkAbout4322 C St - Building Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description subdivision Name Property Use Property Zoning . . . Application valuation 05-00000479 Date 208780 4322 S C ST 06-30-08-5-8-1890-0000- RES MANUFACTURED HOME 7/06/05 , ~ I I ..:z:.. "J ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 RESIDENTAL SF 7000 RS7 RESDNTL SINGLE FAMILY 31000 Owner Contractor BLANTON JR GENE A 223. .li'RESHWATER PARK PORT ANGELES WA 983639626 OWNER Other struct info . TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE 25.50 1. 00 7010.00 1792.00 1792.00 ~ ~ ~ ~ Perm.it ... . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date \j\ ---------------------------------------------------------------------------- BL MANUFACTURED HOME MANUFACTURED HOME INSTALLATION 53769 230.00 7/06/05 1/02/06 :::: Plan Check Fee Valuation .00 31000 ~ ~ BASE FEE Extension 230.00 ~ 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. lOrd. 14.36.050-El When roof gutters are installed, drains will located in dry wells or piped to approved storm drain location. No pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. 06/28/2005 11:14 AM SROBERDS -- Proposal will allow mfg home in the RS-7 for total lot coverage of 26%. Setbacks are good. No land use issues are noted. MAINTAIN CLEARANCES FROM SERVICE WIRES. An Easement is Required for the Service wire to "4314" CSt. 06/20/2005 04:36 PM JHEBNER ------------------------____ Electrical load calculations and electrical permits are required. $410 connection Fee. 06/20/2005 04:37 PM JHEBNER -----------------------_____ Any modifications to the City'S electrical facilities will be at the customer's expense. City will restore ditch to required depth, a 12" culvert will be installed to City Stanards by owner at drive way. Drive way will be installed 25' north of property line from Fountain. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. A /1) o 3" C; ~q/ OS' ...... 0) Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE 745.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the pr visions of any state or local law regulating construction or the performance of construction. )' Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building pem,it inspection record05.wpd [1/4/2005J r 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 NO FOUNDATION: FOOTINGS WALLS FOUNDA nON 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 I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF I CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR I CEILING MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKlRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: I' ARKING/LlGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE 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. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA98362 Application Number . . . . . 05-00000479 Application pin number 208780 Page 2 Date 7/06/05 ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4.50 1025.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 230.00 230.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2004.50 2004.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\ 1102_15 building permit inspection record05.wpd [1/4/2005J r 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 UNLA WFUL TO COVER, INSULA TE 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: I FOOTINGS 'v ( WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS ! Cil t2../ Db :fiv PIERS I POST HOLES (POLE BLDGS.) PLUMBING ~ UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) I n-ll_nS ~\ h L.. GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALUHOLD DOWNS WALLS / ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA TION SLAB WALL! FLOOR 1 CEILING MECHANICAL HEAT PUMF 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB / In 1911 0 17~ fJ.t, -t:J S- BLOCKING & HOLD DOWNS Iq ~ ?-Jt) -oS SKIRTING PLANNING DEPT. SEPARATE PERMIT tl's SEPA: 1 P ARKING/LIGHTlNG ESA: LANDSCAPING SHORELINE: ~ ~ FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE ~. RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ~. ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT ~. CONSTRUCTION R.W. 1 PWI 1/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. l PLANNING DEPT. 417-4750 / / PLANNING DEPT. BUILDING 417-4815 IJ 11" /0 '7 I\. IV BUILDING T:\Policies\I 102_15 building pennit inspection record05.wpd (1/4/2005) V . \) \S) ~ ~ N N '\jJ ~.. ~ ~ "- r). f;.oC)RT~ 8~o~~~ ~ ~-- ~~. CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner 05-00000479 Date 208780 4322 S C ST 06-30-08-5-8-1890-0000- RES MANUFACTURED HOME RESIDENTAL SF 7000 RS7 RESDNTL SINGLE FAMILY 31000 Contractor BLANTON JR GENE A 223 FRESHWATER PARK PORT ANGELES WA 983639626 Other struct info . Permit . . . . . Additional desc . Permit pin number .permit Fee Issue Date Expiration Date OWNER TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE PUBLIC WORKS RES WATER SERV 52837 715.00 7/06/05 1/02/06 Plan Check Fee Valuation Qty Unit Charge Per 1.00 715.0000 EA PW W/M 1" SERV 5/8" METER Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY 52852 50.00 7/06/05 1/02/06 Plan Check Fee Valuation Qty .00 1. 00 Unit Charge Per 715.0000 EA PW W/M 1" SERV 5/8" METER 50.0000 ECH RIGHT OF WAY PERMIT Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 52845 110.00 7/06/05 1/02/06 Plan Check Fee Valuation Qty Unit Charge Per 1.00 110.0000 EA SAN SEWER HOOKUP 7/06/05 25.50 1. 00 7010.00 1792.00 1792.00 .00 31000 Extension 715.00 .00 31000 Extension .00 50.00 .00 31000 Extension 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. COrd. 14.36.050-El When roof gutters are installed, drains will located in dry wells or piped to approved storm drain location. No 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 ahd ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of co ruction. T:\Policies\11 02.15R [1/05] Signature of Owner (if owner is builder) Date ,--- I I I I I I I PERMIT INSPECTION RECORD ,~ CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE 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 PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SlDEW ALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05] "'" I . ~ ~RT ~ ~4.0~(C(~ (j~~ ~ -- "l.fii:~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000479 Application pin number 208780 Page Date 2 7/06/05 Special Notes and Comments pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. 06/28/2005 11:14 AM SROBERDS -- Proposal will allow mfg home in the RS-7 for total lot coverage of 26%. Setbacks are good. No land use issues are noted. MAINTAIN CLEARANCES FROM SERVICE WIRES. An Easement is Required for the Service Wire to "4314" CSt. 06/20/2005 04:36 PM JHEBNER ---------------------------- "..Electrical load calculations and electrical permits are required. $410 Connection Fee. 06/20/2005 04:37 PM JHEBNER ---------------------------- Any modifications to the City's electrical facilities will be at the customer's expense. City will restore ditch to required depth, a 12" culvert will be installed to City Stanards by owner at drive way. . 'Drive way will be installed 25' north of property line from Fountain. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 875.00 875.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2649.50 2649.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\II02.15R [1105] , PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNL4WFUL 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 COMMENT;; YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE .......... SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRlVEWAY APPROACH BACK.FLOW DEVICE ;~~ FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W. I PW I CONSTRUCTION - R.W. ENGINEERlNG 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Po1icies\1102.15R [1/05] ,pORT ...._ ..O~~ cf - ~,,~ r~ Ib.- -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000479 Date 10/03/05 208780 4322 S C ST 06-30-08-5-8-1890-0000- RES MANUFACTURED HOME RESIDENTAL SF 7000 RS7 RESDNTL SINGLE FAMILY 31000 Owner Contractor BLANTON JR GENE A 223 FRESHWATER PARK PORT ANGELES WA 983639626 OWNER Other struct info . TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE 25.50 1. 00 7010.00 1792.00 1792.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE RE-ROOF 61440 62.25 Plan Check Fee 10/03/05 Valuation 4/01/06 .00 31000 Extension ...." _. t I BASE FEE 62.25 -~ ---------------------------------------------------------------------------- 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 location. No pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. 06/28/2005 11:14 AM SROBERDS -- Proposal will allow mfg home in the RS-7 for total lot coverage of 26%. Setbacks are good. No land use issues are noted. MAINTAIN CLEARANCES FROM SERVICE WIRES. An Easement is Required for the Service Wire to "4314" CSt. 06/20/2005 04:36 PM JHEBNER ---------------------------- Electrical load calculations and electrical permits are required. $410 Connection Fee. 06/20/2005 04:37 PM JHEBNER ---------------------------- Any modifications to the City'S electrical facilities will be at the customer's expense. City will restore ditch to required depth, a 12" culvert will be installed to City Stanards by owner at drive way. Drive way will be installed 25' north of property line from Fountain. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Separate Permits are required'foreiectricai 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 al law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date T:\Policies\ 1102_15 building pennil inspection record05. wpd [ 1/4/2005] -K ~ ~ 1/\ ~ I~ 1---- I 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 NO FOUNDATION: FOOTINGS WALLS FOUNDA nON' DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING . JOISTS / GIRDERS ~ . . ; -!. . . .. SHEAR W ALUHOLO DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I I I WALL / FLOOR I CEILING I MECHANICAL HEAT PUMWI FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET I CHIMNEY COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.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:\Policies\1102_15 building permit inspection record05.wpd [I/412005J of pORT ~ cf.~~~~ ~ ~-- ~C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000479 Application pin number 208780 Page 2 Date 10/03/05 Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62.25 62.25 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2184.50 2184.50 .00 .00 Grand Total 2246.75 2246.75 .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 Dat.~ Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] ,----- , 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 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR I CEILING '.. MECHANICAL '" HEAT PUMW 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKlRTING 11 PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: P ARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING ~ ~ ::cl T:\Policies\1102_15 buildingperrnit inspection record05.wpd [1/4/2005] In8/30/2q06fsu~ Roberds ~. B~lIEHngJ)er:r!l!t ~f~__~_.:=___.~.~....:. .. __.._ _...~. m........... m.m:~ r.,.,.,.,.,.,.','_' . ~,_,..^' __!:~gEuJ From: To: Date: Subject: Kathy Emery Becky Horton 8/30/2006 1:52 PM Building Permit Refun cc: Becky, Sue Roberds Please credit $62.25 to acct #001-0000-239-9000 for Building Permit #2005-479 for Gene Blanton Jr, customer canceled roofing permit. I have voided the receipt in cash receipts. Sue will be issuing an FPO for the refund check. Thank you. Kathy ffoW f)(p1<-/ CUM&11eJ I Cashier inf; Payment Type c-A Check # Receipt # ,,-J. .' Fee Type Refund Amount 4t6-~.~ Adj~!:;t'!l~!1!___u. .. .. Posted Fee New Fee . ~GIJ€ /OlfrAl7OH vt2 . '1:2 a F~e5H WA 7et2. ~ . Fb/21 h-J&'e~ WA Cf~~('3 Signature,~ ' '1k.f.aI ""~ ~~.~ ~ .~~c - ~ ,L ~.L L:0~L.-L-- ~ ,/L-Z ~rrr/ .-. /~~ / Jv7 iJ//\ . . (JU 'v... [) 0 ~o ~ IO\\?-- \j~~.1 . '-rk'( ~. I l Y/A-, A A ~ .bJ ~ \ -.J . .C/ Vvy . (-PO I i i of pORT ~ $"~ ~~~ hiii '!".-- 'toilc;:;did" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdiyision Name Property Use Property Zoning . . . Application valuation 05-00000479 Date 10/03/05 208780 4322 S C ST 06-30-08-5-8-1890-0000- RES MANUFACTURED HOME RESIDENTAL SF 7000 RS7 RESDNTL SINGLE FAMILY 31000 Other struct info . TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE 25.50 1. 00 7010.00 1792.00 1792.00 ~ \ ~ ~ Owner Contractor BLANTON JR G~NE A 223 FRESHWATER PARK PORT ANGELES WA 983639626 OWNER Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE RE-ROOF 61440 62.25 Plan Check Fee 10/03/05 Valuation 4/01/06 .00 31000 Qty Unit Charge Per BASE FEE Extension 62.25 1"0 ~e ~(~e"uet'- 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-El When roof gutters are installed, drains will located in dry wells or piped to approved storm drain location. No pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior ,to backfill. 06/28/2005 11:14 AM SROBERDS -- Proposal will allow mfg home in the RS-7 for total lot coverage of 26%. Setbacks are good. No land use issues are noted. MAINTAIN CLEARANCES FROM SERVICE WIRES. An Easement is Required for the Service Wire to "4314" CSt. 06/20/2005 04:36 PM JHEBNER. ---------------------------- Electrical load calculations and electrical permits are required. $410 Connection Fee. 06/20/2005 04:37 PM JHEBNER ---------------------------- Any modifications to the City's electrical facilities will be at the customer's expense. City will restore ditch to required depth, a 12" culvert will be installed to City Stanards by owner at drive way. Drive way will be installed 25' north of property line from Fountain. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Other Fees RES OVERHEAD SERVICE FEE 410.00 i~ ~N t~ , 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 orwork 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 T:\Policies\1102_15 buildingpennil inspection record05.wpd (1/4/2005] I , I 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 NO FOUNDATION: FOOTINGS ., WALLS .' FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS ;, POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERs" . .' . , T-. SHEAR W ALUHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUNWI FURNACE 1 DUCTS GAS LINE , WOOD STOVE 1 PELLET 1 CHIMNEY . , COMMERCIAL HOOD 1 DUCTS ~ANUFACTURED HOMES jFOOTING 1 SLAB BLOCKING & HOLD DOWNS . SKlRTING . , PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE 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 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building pennit inspection record05.wpd [1/412005] " f :..,.~ ,. c/ pORT ~G: "...~,:.... ~n:a~ 11:. -- "l,;t,,~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000479 Application pin number 208780 Page 2 Date 10/03/05 Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee swnmary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 62.25 62.25 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2184.50 2184.50 .00 .00 Grand Total 2246.75 2246.75 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd (1/4/2005] I 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 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR I CEILING MECHANICAL HEATP~/FURNACE/DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] :>< ..:I I>: [il H ..:I ..:I E-< "'en ~[il 8~ E-<..., Z .. 01>: HO E-<E-< UU [il[il 0.0. en en ZZ H H 00 .,. <- l/l '" (J) [il -..:I r-[il oC) ;;,~ o 'E-< MI>: o 0. Q [il~ ~O 0.:>< [ilf-< I>:H o.U ....<- o , l/l o , M [il[il c)E-< ..;..; o.Q :> H[il[il QZZ 1"00 :>:x::x: en 0. 0. E-< en U [il :;: o :x: Q [il !3 E-< 'U 0"; O~ ..;!~ '" [ilooen Z....[il [il , I>: C)oo ,'" I>:l/l<- ..., , .,. 000 ZOO 0'0 E-<oo ZMO ..; , , ..:I'Dl/l 1"00 N N M .,. 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UlUl :> QJ '" 0:> 'O~ III . 010 ~~~ E-< H '" ~"'~ ~ Ul<Den 0 Z....Ul N Ul , ~ "'en t?<D zen <D , '" C)H~I .... ~Illr- Z ~ E-< '"J , '" H '" en <DO ~ en ZOO Ul U 0'0 HOO t -..1 E-<oo :>UlUl \0 \OUl N :i!MO 1IlE-<E-< 0 ot? N , , enUl '- ?<:i! M ..1\0 III OUl..1 N '" 1Il00 0:>'" .... .... 0:': '- '-E-< .. .. .. .. .. "'UlO '" "'~ ~ O~U 0 ,~ 'Ul ~ '" 0 III 0 E-< '~ Ulf<. UlU .... ~O en<l: ..1:2; E-< 0 0 <l: Ul~~Ul H Ul "'>< ~E-<UlU..1 ~ '- 0 UlE-< OZZ~'" '" f<. ~H ~03<('" >< ..1 "'U UO"'<l: '" E-< III S_T i:~ oVDII ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000479 Date 208780 4322 C ST 06-30-08-5-8-1890-0000- RES MANUFACTURED HOME 8/30/06 Owner Contractor ~ . ~ ,~~ .--t) RESIDENTAL SF 7000 RS7 RESDNTL SINGLE FAMILY 31000 BLANTON JR GENE A 223 FRESHWATER PARK PORT ANGELES WA 983639626 OWNER Other struct info TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE 25.50 1. 00 7010.00 1792.00 1792.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BL MANUFACTURED HOME MANUFACTURED HOME INSTALLATION 53769 230.00 Plan Check Fee 7/06/05 Valuation 4/17/06 .00 31000 Qty Unit Charge Per BASE FEE Extension 230.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE RE-ROOF 61440 62.25 Plan Check Fee 10/03/05 Valuation 4/17/06 .00 31000 Qty Unit Charge Per BASE FEE Extension 62.25 Special Notes and Comments permit extended, letter on file. 08/30/2006 10:49 AM DYASUMUR ------- 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 location. No pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. 06/28/2005 11:14 AM SROBERDS -- Proposal will allow mfg home in the RS-7 for total lot coverage of 26%. Setbacks are good. No land use issues are noted. MAINTAIN CLEARANCES FROM SERVICE WIRES. An Easement is Required for. the Service wire to "4314" CSt. 06/20/2005 04:36 PM JHEBNER ---------------------------- Electrical load calculations and electrical permits are i~ ~~ ~\\ ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permi null and void if work or construction authorized is not commenced within 180 days. if construction or work is suspended or a for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days the la u inspection. . '-hereby-certify that-l have-read and examined this application and know the same to be true and correct. All proVisions 0 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 conslructi n g Sign~ o~ Ow:r <'f owner ~ builder) Date T:\Policics\l102_15 building pennil inspection rccord05.wpd [1/4/2005] BUll.DING 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 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. I INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO ..A fOUNDATION: !,;.,.. , FOOTINGS . SHEAR WALLS 1 WALLS .' FOUNDATION DRAINAGE 1 DOWN SPOUTS , PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE FINAl DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WAlL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUNW 1 FURNACE 1 DUCTS GASLINB. WOOD S'TOYf; 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: , "COMME~ciAL HOOD 1 DUCTS , , M~NUFACTURED HOMES , FOOTING 1 ~LAB . . . '.eWcK.lNO & HOLD DOWNS -9K1RTlNO- I 'PLANNING DEPT. SEPARATE PERMIT #'s SEPA: ,PARKlNGiL!GHTING ESA: 'LANDSCAPING SHORELINE: . . . " FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE , RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED , YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING . . T:\Policies\1102_15 building permIt inspection record05.wpd [1/412005] I' .g ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . Application pin number 05-00000479 208780 Page 2 Date 8/30/06 special Notes and Comments required. $410 Connection Fee. 06/20/2005 04:37 PM JHEBNER ---------------~-~-~----~--- Any modifications to the City's electrical fac1l1t1es w1ll be at the customer's expense. City will restore ditch to required depth, a 12" ~ulvert will be installed to City Stanards by owner at dr1v~ way. Drive way will be installed 25' north of property l1ne from Fountain. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Other Fees RES OVERHEAD SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 410.00 745.00 4.50 1025.00 Charged Paid Credited Due Fee summary ---------- ---------- ---------- ---------- ----------------- Permit Fee Total 292.25 292.25 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 2184.50 2184.50 .00 .00 Grand Total 2476.75 2476.75 .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-certifythat-lhavereadand examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PoliciesIII02_15 building pennit inspection record05.wpd [1/412005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECfIONS. 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 NO FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS I CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGlIT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\l102_15 building permit inspection record05.wpd [1/412005] 't~ {i CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner 8/30/06 05-00000479 Date 208780 4322 C ST 06-30-08-5-8~1890-0000- RES MANUFACTURED HOME RESIDENTAL SF 7000 RS7 RESDNTL SINGLE FAMILY 31000 Contractor BLANTON JR GENE A 223 FRESHWATER PARK PORT ANGELES WA 983639626 Other struct info . Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date OWNER TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE 25.50 1. 00 7010.00 1792.00 1792.00 PUBLIC WORKS RES WATER SERV 52837 715.00 7/06/05 4/17/06 Plan Check Fee Valuation .00 31000 Qty Unit Charge Per 1.00 715.0000 EA PW W/M 1" SERV 5/8" METER Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date Extension 715.00 RIGHT OF WAY 52852 50.00 7/06/05 4/17/06 Plan Check Fee Valuation .00 31000 Qty .00 1.00 Unit Charge Per 715.0000 EA PW W/M 1" SERV 5/8" METER 50.0000 ECH RIGHT OF WAY PERMIT Extension .00 50.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 52845 110.00 7/06/05 4/17/06 Plan Check Fee Valuation .00 31000 Qty Unit Charge Per 1.00 110.0000 EA SAN SEWER HOOKUP Extension 110.00 Special Notes and Comments permit extended, letter on file. 08/30/2006 10:49 AM DYASUMUR ------- 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. COrd. 14.36.050-E) 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 t provisions Of~nY sta or loca law regulating construction or the performance of const ion. ~ ~G OG' . Sign ture of Owner (if owner is builder) . Date T:\Policies\11 02. ISR [1105] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY 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 LOC.~TION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SInEW ALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R W./ PW/ CONSTRUCTION - RW. ENGINEERING 417-4807 PW / ENGINEERING . FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING - T:\Policies\1102.15R [II05J li ~-- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000479 Application pin number 208780 Page Date 2 8/30/06 Special Notes and Comments When roof gutters are installed, drains will located in dry wells or piped to approved storm drain location. No pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. 06/28/2005 11:14 AM SROBERDS -- Proposal will allow mfg home in the RS-7 for total lot coverage of 26%. Setbacks are good. No land use issues are noted. MAINTAIN CLEARANCES FROM SERVICE WIRES. An Easement is Required for the Service Wire to "4314" C St. 06/20/2005 04:36 PM JHEBNER ---------------------~------ Electrical load calculations and electrical permits are required. $410 Connection Fee. 06/20/2005 04:37 PM JHEBNER ---------------------------- Any modifications to the City's electrical facilities will be at the customer's expense. City will restore ditch to required depth, a 12" culvert will be installed to City Stanards by owner at drive way. Drive way will be installed 25' north of property line from Fountain. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Other Fees RES OVERHEAD SERVICE FEE SEWER SYSTEM DELV .CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 410.00 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 875.00 875.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2184.50 2184.50 .00 .00 Grand Total 3059.50 3059.50 .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 l T:\Policics\1102.ISR [I/OS} 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 I ACCEPTED COMMENTS I YES NO PW UTILITIES (Engineering Division) WATERLINE 1 METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05] ?~(2.,tylll - B 1-- rY1 J'1fl}iJr-FtCIUR~O \-rofY\ e: peR.1V) I -r fltV ~ 5 3 7 (p '1 :r: wO () i.-/:J l.- I I<. e -r () tZ 6 Q () F--,s ... 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"'lll 'Z N '0 '" IHlf)\O C/)1E-to::rl E-t , .,::( .. co ~ : ~ 8~ z ~ : 0 00 I Ii4 Lfl H U I 0 E-t......... I (!)O Cl.l en I Z N HE-tIH........ ~H'O\D ~U::J I..:INOO ~~~:5~fii =~~:~otJ (I) ~ ... o Z ~ (I) ... Z ~ ~ o U , , , , , , , , ~ ...i~i ~~s: : o(li5gj::3 : ~ : I-) : : ~ : :!~i~lll~ i O:!:........ : MOl , ~~U: : c:Q :--- : , ~ , 010 I (I) , , ......' , ~ I ~ 1 i::~ I !-< i p. ~ ~ORTANGELES :.':1 ~ ~~Qpo~ WASH,INGTON, U.S.A. Public Works & Utilities Department . August 5, 2005 Gene and KathleenBlanton Jr. '. 223 Freshwater Park Port Angeles, W A 98363 . Subject: Relocation of the service pole for new construction 4322 S. CSt Ext. Dear Mr. & Mrs. Blanton: . The estimated cost to relocate the existing service pole to the northeast propertY comer of LOt C is $886.00. The pole relocatiOIi will move the overhead service line that now crosses 4322 S. C Extension and will provide the required clearances from the new modular. The relocated pole will serve both lots. ~ ~'. ~ Payment of the estimated amount of$886.00 and your staking of the northwest comer of Let C will allow the City'to schedule the work. If the actual cost is less than the estimate, the . difference will be returned. If the actual cost is more than'the estimate, there will be no further billing. Please use the attached slip when making the payment. V\ In addition to the cost of pole relocation, a Connection Fee of $410.00 is required for final the connection of the new service. \\.. . Ifycm have any questions or concerns, please feel free to contact meat 360-417-4708. LA "\ Very truly yours, \'\, ~ \ Gail McLain Electrical Engineering Specialist cc: James Harper, Electrical Engineering Manager AI Oman, Electrical Inspector Pennitting Phone: 360-417-4805 / Fax: 360-417-4542 Website: www.dtyofpa.us fEmail: publicworks@cityofpa.us 321 East Fifth Street - P.O. Box 1150/ Port Angeles, WA 98362-0217 [-~- The City of Port Angeles Building Division. --" . - Upon reviewing your application and plans submitted for a Manufactured Home, the following are some of the items that will need to be taken in to consideration. Property . Property boundary pins are to be identified and marked at footing inspection to verify minimum set back requirements. Manufactured homes. "Wains" installer tags must be on unit and appropriate box checked for each item completed. Manufactured home foundation design shall be included with the application. Foundations are required to be pit set with 12" maximum and 6" minimum reveal on foundation. Blocking and tie down inspection is required Wood framed skirting, framing shall be 2"x 6" treated wood with Yz" anchor bolts w/ 3"x 3"x 1/4" washer at 6'-0" OC and within 12" of P.T. sill ends. Stud pacing shall be 16" OC. 15/32" min thickness structural grade treated plywood 30 PCF equivalent-fluid weight soil pressure horizontal (max unbalanced back fill at 18" in height). Face grain across studs. Skirting, foundation crawl space and ventilation are required per WAC 296-150M-0610 (1) (d) section 1 through 3. 1. Skirting must be made of approved material by the building division. Metal fasteners must be of hot dip zinc-galv. / stainless steel or other corrosive resistant materials. Ferrous metal members in contact with earth, except those made of galvanized or stainless steel, must be coated with asphaltic emulsion. Skirting must not trap water between the skirting and siding or trim. All skirting must be recessed behind the siding or trim. 2. The ventilation required is one (1) sf. Per 150 sf. of crawl space. 3. Access to under floor area to be a min. 18"x 24" and positioned so that all areas under manufactured home are available for inspection. Access opening must be covered and that cover must be made of metal, pressure treated wood or vinyl. Foundation protection requires finish grade to be a minimum of 6" slope in 10'-0" away from the foundation. Footing/downspout drains (if required) to be directed to a drywell or other approved locations. An inspection of the water, sewer, electrical, footing and down spout drains is required before backfill is allowed. If outside of (4) minute response area a sprinkler system or an exterior bell tied into the smoke detector, approved by the Fire department may be required. FILE A final inspection is required to be approved before occupancy can occur. . CITY OF PORT ANGELES - Construc:tior" ~ The Issuance of this permit based upon these plans. specifi. cations and other data shall not prevent the building official trnm thereafter requiring the correction of errors in said ,lions and other data, or from preventing . '~r carried on thereunder when in "'~?nces of this jurisdiction, '1' .(.'-\t?r ('ode.l ~~~ JiPlJ'V\v, Vl.(e _~ 'V _ ~'r ('I ,-- 1-- Garages. A 'o.,;.uo"' foo,;.g is "qui"d "ou.d tho porim.'" of tho load h."iog wans, a\lho.gh some ma.uradu'''' hom'" ". d",ign.d to a"ommodal' a ga..g.. Th. ga..g. must h. d",ig..d .. though it is independent from the manufactured home. Sill a.d hottom plat. a.,hoo "qui"mo." foo soismi' zooo D2. As por tho 2003 IRC. G"agos d.t..h.d a.d att..h.d to a ma.uf...."d homos, "qoi" sta.d"d wan h..dog m.thods to h. mot, If th.y ...oot h. m.t, th.. "for to "AI",.at. B....d wan pa.ol" S.dio. of tho 2003 IRC. If a.y of tho afo"m..tlo..d m.thow. ....ot h. mot, ..gi..ori.g d",ig. will h. "qui"d foo tho "SHEAR W ALL, ALTERNATE BRACED WALL pANEL" dosig. u.dor 2'.8" i. width. 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'"(....a..).. 1-o=l::1.....~ (/)o::o~ .....~)..I 0(/)......... -0 ZZOI 0- ~ 1=:~l&J:J: a::zj!:c.:> 0:;) - 0...000:: ....~Q ~ 0:: ~ j:: iii c 0.. ~ ~ ~ :3 (J ...,J ""l: (J )~ BUILDING PERMIT - APPLICATION FOR OFFIC~ USE ONLY: Date R.ec.: b/ ,e:} /P; Permit#:~~. 4 Date Approved' 0 Date Issued: . :.: ...~;-r'.~':.Y.~:,:":.~~,~:~:y:-_~,:, _". Phone: ( 3 " 0 ) ., Z ~ - -1..' t? 5' Applicant or Agent: G~,)€ + K/frllLP-EN /3utAJrtJf'} .J R . Owner: s 4- rY7 6. Phone: Address: 2.. ZJ PRESti ~p,.rk~ ;J~/V<City: Pol<. T /'J ,Jt.,/.F. L~ S Zip: '1l3r; 3 ArcbitectlEngineer: Contractor Address: Phone: State License #: City: Exp: Phone: Zip: ~T ZONING: Subdivision: PE,J,.JS!1LVAIlIIA P fiR K.. 58 , f! 9 0 {JD 00 PROJECf ADDRESS: LEGAL DESCRlPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: 1./ 39-9- c ~, 1\ I' G I~ Block: 0&3008 ADD/no/V Credit Card Bolder Name: Billing Address: City: Credit Card Type VISA MC # Exp. Date: TYPE OF WORK: SIZEN ALUATION: )1. Residential 0 New Constr. 0 Re-roof 0 Stove I 7 q Z. SF. @$ ISF. = $ ,0 Multi-family 0 Addition 0 Move 0 Garage SF. @$ ISF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @$ ISF. = $ o Repair 0 Sign ~ Other /I1Mrlj: TOTAL VALUATION $ -:? /1 0 0 0 BRIEF DESCRIPTION OF THE PROJECT: (Yl6 13 I L. E ,--+ c) I'Y\ ~ I tV S T I~ '-LA;' I') 1\.) COMMERClALIRESIDENTIAL: Occupancy Group: No. of Stories: _ Lot Size: ' 70 / 0 Existing Sq. Ft Total lot coverage 2..~' S- % Occupant Load: Construction Type: & Proposed Sq. Ft. / 79 Z = TOTAL Sq. Ft.' 179 Z .. '. ..~.. ~-,,~'.~"'--~.~..... . APPROVALS: PLAN: BLDG: DPWU: FIRE: OTBER:_ .PLANNING.USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: VALVA TION OF CONSTRUCTION: In aD 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. PLANCBECK FEE: IF a plan checkJet:jsdue 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 PLAN REVIEW: If no permit is issued within 180 days of the date ofapplication, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl 05.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. I hereby certffy that I have read and examined this application and know the same to be troe and correct. I am authorized to apply for this permit and understand that it is my responsibility to dete ine what permits are re ui d ,not the City's, and that I ust obtai uch permits prior to work. ~ Date: 6 / 7J O~ T:\Policics\BL-ll02_13.wpd s "".,~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION nl EAST STH STREET. PORT ANGELES. WA 98362 ,,: ,. Application Number Application pin number _ Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000479 Date 10/20/05 208780 4322 S C ST 06-30~08-5-8-1890-0000- RES MANUFACTURED HOME RESIDENTAL SF 7000 RS7 RESDNTL SINGLE FAMILY 31000 Owner Contractor BLANTON JR GENE A 223 FRESHWATER PARK PORT ANGELES WA 983639626 OWNER Other struct info . TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE 25.50 1.00 7010.00 1792.00 1792.00 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL OLYMPIC/ MOBILE 62711 OLYMPIC ELECTRIC 78.70 10/20/05 4/18/06 Plan Check Fee Valuation .00 o ~ ~ Qty. Unit Charge Per 1.00 78.7000 ECH EL-MANF HOME SERVICE & FEEDER Extension 78.70 lit 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 location. No pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. 06/28/2005 11:14 AM SROBERDS ~- Proposal will allow mfg home in the RS-7 for total lot coverage of 26%. Setbacks are good. No land use issues are noted. MAINTAIN CLEARANCES FROM SERVICE WIRES. An Easement is Required for the Service Wire to "4314" CSt.. 06/20/2005 04:36 PM JHEBNER ---------------------------- Electrical load calculations and' electrical permits are required. . $410 Connection, Fee. 06/20/2005 04:37 PM JHEBNER ---------------------------- Any modifications to the City'S electrical facilities will be at the customer's expense. City will restore ditch to required depth, a 12" culvert will be installed to City Stanards by owner at drive way. Drive way will be installed 25' north of proPerty line from Fountain. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. (\ , .~ ....\{ COMMENTS/ACTION' NEEDED I! ELECfRICAL PERMIT INSPECfION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAwFuL TO col-iR, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. . : KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPItC110N TYPE NO GENERAL COMMENTS: PW.llo:z.., (40'96) I--~--- IS .. CITY OF PORT ANGELES PUBLIC WORKS ... - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 98362 , I" Application Number . . . . . 05-00000479 Application pin number '. . . 208780 Page 2 Date 10/20/05 Other Fees RES OVERHEAD SERVICE FEE SEWER SYSTEM DELV CHARGE . STATE SURCHARGE PW WATER SYSTEM USE FEE 410.00 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 78.70 78.70 .00 :00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2184.50 2184.50 .00 .00 Grand Total 2263.20 2263.20 .00 .00 COMMENTS! ACTION NEEDED I ELECfRICAL PERMIT INSPECfION RECORD I ~' . I CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. ! . I KEEP PERMIT CARD AND APPROVED PLANS AT lOB SITE . . INSPBC110N TYPE COMMENTS NO GENERAL COMMENTS: pw.l1l1U'14I96) 10/17/2005 15:54 3504523498 OLYMPIC ELECTRIC PAGE 01 Job wired by ~ ~' I!I'tlectricsl Contractor 0 Owner ELECTRICAL WORK PERMIT APPLICATION I InJ;tallBlioTl dC1lCr1l'lion a Commercial r1leSidential Electrical COt'lU3CtOT name _ L License number Dote Expires /?~~"':; E I,,,rr;[ ~L.Y""J'7EC.2J~t// p~C'I"sflajHng address -!:/.:2?1'? rdA~#TJ'}/? Cit~? A Sutc ZIP IfPrfrr"r/kJ t.4. /f~? Telc hone number" FAX number - ,. o New [J Altered/Addition . .Je:?~7 '#/itPl,k fIe./77(': ~ P~ses ownn's n~ ~ -r/7 c /1, '/7 V? Addrt'!!'l!'l of insper:tion C 'tV-/ .5 0 g. c~r-r 4~{". k- J ,#hone numbu to ~ Idale: inspection: Owner (1$ dq:fined by RCw'19.18.261:(J) OWrlcr will occuP)J the strrJC1llrt? for Iwo )'tars ~fll!r this electrical ptTmjl i~jinali:ed. (2) Owner t~ reqllirC'd It) hirTt (1n f'fC(.b'ical contractor if OOO\le said property is /01' ,mlt!. ren! 0" l(!a.~e. After l"cading the above sl1'llCmcnt, I hereby certify thM 1 am the owner or the "hove namcd property or a lieensert eleetric"l contraelor. I am making ~he electtical instal- 131;0" or a1tention in compliance with the electrical lows. N.E:"C.~ RCW. Chapter 19.18. WAC. Chap~cT 296.468. The City of Porl ^n~clc5 Municlptll Code, and Utility Specifications, Sl~naturt of Qwner. eledrlc:al eonlnc:tor or electricnl 21dminisrrn'nr o Ca.,h 0 Check # ~dit Card Visa Card # Mastercard Discover -------~----------- Expiration Date of card X Date:/~ '/ l;}ectrlc L~lons and or subtra~tlll.ll! [J NO LOAD CHANGES [J BasebOard _ I<W [J Fumace KW [J Heat Pump _ Ton __ LAR [J Fan-Wall KW o Overnaad Service o Temp Service llt"tlnderground Service Servlc,e InformatlQl\ Von.ge 1'f.t7 Phese e:r', 0 3 Service Si7.e: ~ Feeder Size: 2:!2a. SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 . ROUGH-IN TIIERMOSTAT SERVICE J w.'1,~S- k,O ORl~ o\\I1",,,ye!l By IhU ^poI\'lV~ fty '- ale ^l'I'lOyed By '\ / ANAL DITOI J'EliDER "- OM'. ^PflT~t'dey / "- Dale ....."fl"l..ed ey '-- Oftle ^ppI'O"dl Ely Inspecrion Area. 'Ruilding ('IT' Equipment Inspected A ction Taken ElectT'ical D~tc In5pe:ctor lo/'~/?.,., PiNAL /f-r? ,a,FJ I "I ill/I Z-.-. -'. \ -.. . //,,\ )~.., 1;.-" \ I '\ \ L-_l.l_.:-..\Jj-:"-...:....=--:;.. I \ I .~ '._L:'~.7 '/' - / I' ." ..1 " ---" ...- ---- I~/t '11:>s-:- /k6? .> .. ELECTRICAL WORK PERMIT APPLICATION Job wired by o Electrical Contractor ]:il'-Owner Installation description o Commercial ~esidential Electrical contractor name License number Date Expires )l(New o Altered/Addition .:6t.fJ-J rorJ j~, 200~ tVJJwJV.~v~t.. // / SfCf).r//ce Purchaser's mailing address City State ZIP Telephone number FAX number ~ o;:::i C. '3 7-. '-I 80'6- Co32.5 t-~tZ5 !-tIS C t o Cash 0 Check # j'fCreditCard ~ Mastercard Discover Card # . . EXpIratIOn Date . f d ./ $ 78',70 Service Information ..J '" ....i , , .' I / / CALL BEFORE 7:00 AM 360-417-4735 o Overhead Service o Temp Service o Underground Service Voltage Phase D 1 D 3 Service Size: _ Feeder Size: THERMOSTAT SERVICE DatI: Approved By Dale Approved By FEEDER Approvc<J By Date Approved By rea, Ul mg or Equipment Inspected Action Taken Electrica! .Anspector Yir~ 0 v' 5-( J) .,:.-~, ~ c;;C,\-ei~ (I", / . r--.. ,/. .-~.. f ~ . " '. / /.' \:. ' CITY OF ~ORTANGELES r~-0 ~ /7 , ,:...,,:.) "\ ~r ., @ J WAS H J N G TON, U. S. A. DATE: MEMO TO: FROM: RE: ~ DiL- ;...---- June 20, 2005 Permit Counter John G. Hebner, Electrical Engineering SpeCial~ Building Review Comments - Dated: June 20 1} 716 South I Street - Detached Garage It appears that there will not be any conflicts with the electric utility facilities. (Height Clearance over Garage Roof) Any modifications to the existing electric utility facilities will be at the customers expense. $000.00 Electric Service Connection Fee applies: 2) 4322 South C Street - MFG Home There is a conflict with the electric utility facilities. . An easement is required for the service wire to 4314 C St. Any modifications to the existing electric utility facilities will be at the customers expense. Load Cales are required. A cost estimate for electric service will be prepared after the customer has provided the load data. (Note: Heat Puri1p~Kw~Ton, etc.) $410.00 Electric Service Connection Fee applies. cSU~ ~({)eJ~' -\v ---- uJ(~