HomeMy WebLinkAbout2528 Columbus Ave - BuildingApplication Number
Pin number
Property Address
ASSESSOR PARCEL NUMBER
Application description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
MCFALL BARBARA E /GLENN
PO BOX 1746
PORT ANGELES WA
(360) 452 6725
Structure Information
Construction Type
Occupancy Type
Other struct info
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
Other Fees
Charged
Permit Fee Total 64 90
Plan Check Total 00
Other Fee Total 4 50
Grand Total 69 40
Fee summary
T*PLANNING \FORMS \1102.15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
04 00000173
016319
2528 COLUMBUS AVE
06 30 09 5 8 0034 0000
RES ADDITION
983620090
RS7 RESDNTL SINGLE FAMILY
18000
Contractor
OWNER
672 SF ADDNT /REMODEL
TYPE V NON RATED
SINGLE FAM CONGREGATES
TOTAL LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
ELECTRICAL ALTER RESIDENTIAL
64 90 Plan Check Fee 00
6/21/04 Valuation 0
12/18/04
Qty Unit Charge Per Extension
1 00 64 9000 ECH EL -R OR RM 0 200 ALT SRV FDR 64 90
Special Notes and Comments
When roof gutters are installed drains will located in dry
wells or piped to approved storm drain locations
Electrical load calculations and elctrical permits are
required
STATE SURCHARGE 4 50
Paid Credited Due
64 90
00
4 50
69 40
00
00
00
00
Date 6/21/04
28 00
V N
1 00
1944 00
9300 00
672 00
2616 00
1 00
00
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 constructi 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 Authori ed Agent Date
QA b(
ffc c 2A -09
Signature of Owner (if owner is bulder) Date
N
00
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
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE /DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT
ROUGH -IN
PLUMBING
UNDERFLOOR /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
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
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT 417 -4735
PLANNING DEPT 417 -4750
1 BUILDING 417 -4815
T PLANNING \FORMS \1102.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
DATE YES NO COMMERCIAL DATE ACCEPTED
YES 1 NO
tip ci Oct altia
YES i NO
�I tii L.
c l/ 9
SEPA.
ESA.
SHORELINE.
ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 1 1 I FIRE DEPT
I 1 I PLANNING DEPT
BUILDING
I I I
I I I
1 I I 1
@
~~
; CITY OF PORT 'ANGELES
DEP AR1MENT OF COMMuNITy DEVELOPMENT- BUILDING DIVISION
321 EAST5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Applic~tiondescription
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
.6i20/04
04-00000173 Date
.016319
2528. COLUMBUS AVE
06 -3 0-09-.5-8 -0034.,.0000-
RES ADDITION
RS7 RESDNTL SINGLE FAMILY
18000
OWner
Contractor
MCF~'JBARBARA E/GLENN
Po Bo:ic1746
PORT ANGELES
(~60) .452-6725
--.,..,..,. -' . Structure Information
Construction Type
Occupancy Type
Other struct info
OWNER
WA 983620090
672 SF ADDNT/REMODEL
TYPE V NON - RJ>.TED
SINGLE FAM & CONGREGATES
TOTAL t LOT. COVERAGE
CONSTRUCTION ...TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT.. COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
28.00
V-N
1.00
1944.00
9300.00
672.00
2616.00
1.00
Permit . . . .
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
.~~E
: ~ian Check Fee
6/20/04 Valuation
12/17/04
.00
o
Qty Unit Charge Per
1.00 64.9000 ECH EL-R OR RM 0-200 ALT SRV FDR
Extension
64.90
Special Notes and Comments
When roof gutters are installed, drains will located in dry
wells or. piped to approved storm drain lo.cations.
Electrical load calculations and elctrical permits are
required.
----------------------------------------------------------------------------
.- . _0_".
Other Fees
STATE SURCHARGE
4.50
..Fee sUllllllary Charged Paid Credited .Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 64.90 64.90 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 69.40 69.;40 .00 .00
\J
9\
~~
~~
Ii
~ ~
~
Separate Permits are required for electrical work, SEPA,Shorellne, ESA, utilities, p,rivate and public improvernerits.:~tiis,~.~.~fult,be6omes
null a~d void if work or construction authorized is nofcpmrnenced,within 180. days,jf coristructlbrl orworklssusp'~.w~ "" .'~pd.oned
for. ~j)e_~2dof1 ~q ~ays alter the work as comlTlel1ced,or.ifr~qulredln~pectionshave n()t been requeste~v.rIthin189"i." . . ...,.91T1 the last
Inspection. I hereby certify that I have.read' arid eXaminedtliisapplicationaiid kriowlhesame to be trU~iuld cOrrect:]\ll"provisionsof
laws and ordinances governing this type of work will be compliedwith whether specified tiereir'j or not. rnegranting of a'p~ftnlt (fges not
presume to give authority to violate or cancel.the provisions o( any state or local. law, "'~gulating constructionorthep~if&frriance of
construction. . . 'd~ .
'0
Signature of Contractor or Authorized Agent
Signature of Owner (if owner is builder) -
Date
T:\PLANNING\FORMS\II02.15 (11114/2oo3J
Date
.'!
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
PLEASE PROVIDE AMINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR COlYCEAL 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 DRAINAGElDOWN SPOUTS .
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I I .
PLUMBING
UNDER FLOOR I SLAB
""."'.......-..., ."" ".. ..
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW I WATER
.
Am SEAL
WALLS
CEILING I
FRAMING
JOISTS I GIRDERS
SHEAR WALLlHOLD DOWNS .
WALLS / ROOF I CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR .
INSULATION
SLAB I
WALL I FLOOR I CEILING I
MECHANICAL
HEAT PUMP
GAS LINE . .
WOOD STOVE IPELLET I CHIMNEY
HOOD I DUCTS
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s:..
WATERLINE I METER .
.
SEWER CONNECTION .;
y.
SANITARY
STORM '.
PLANNING DEPT. SEPARATE PERMIT #/'s , SEPA:
PARKINGILIGHTING ESA:
LANDSCAPING" . c. SHORELINE:
.
." :. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYf(JSE..
,.RESII)E,NTIAL. .. ,DATE YES , . NO COMMERCIAL DATE ACCEPTEJ)
'.' - ".''''--,'-
. . , YES NO
~". , . Jd,;.. L " ~/J <
ELECTRICAL - LIGHT DEPT. 417-4735 . ' ELECTRICAL
Jf..Jr ::.r LIGHT DEPT ....
CONSTRUCTION It. W./ PWI , / CONSTRUCTION - It. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT... . .
PLANNING DEPT. 417-4750
BUILDING 417-4815 , BUILDING . ", .',
T:\PLANNING\F0RMS\1102.15 [11/1412003]
s
~~
CITY OF PORT ANGELES
DEP ARmENT OF COMMUNITY DEVELOPMENT - BUlLDINGDIVISION
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
04-00000173 Date
.016319
2528 COLUMBUS. AVE
06-30-09~5-8-0034-0000-
RES ADDITION
8/03/04
RS7 RESDNTL SINGLE FAMILY
18000
OWner
Contractor
MCFALL ,BARBARA E/GLENN
PO BOX 1746
PORT ANGELES
(360) 452-6725
------ Structure Information
Construction Type
Occupancy Type
Other struct info
OWNER
WA 983620090
672 SF ADDNT/REMODEL
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING' LOT COVERAGE
LOT SIZE
PROPOSED.LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
28.00
V-N
1.00
1944.00
9300.00
672 . 00
2616.00
1.00
Penuit
Additional desc
Sub Contractor
penuit Fee
Issue Date
Expiration Date
ELECTRICAL ALTER RESIDENTIAL
HEAT PUMP/ FURNACE
OLYMPIC ELECTRIC
48.10 Plan Check Fee
8/03/04 Valuation
1/31/05
.00
o
.~
.~~
~
~. ~.
~ ~
~~
Qty Unit Charge Per
1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS
Extension
48.10
----------------------------------------------------------------------------
Special Notes and Comments
Whep roof gutters are installed, drains will located in dry
w~!ls or piped to approved stonu drain locations.
Electrical load calculations and elctrical penuits are
required.
Other Fees
STATE SURCHARGE
4.50'
~
------------~---------------------------------------------------------------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
penuit Fee Total 48.10 48.10 .00 .00
plan Check Total .00 .00 .00 .00
Other.pee Total 4.50 4.50 .00 .00
Grand Total 52.60 52.60 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improveme~ts.J'his~~,rrnltbecomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work Is suspend,dor 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 ofa permit does not
presume to. give authority to violate or cancel the provisions of any s\,Bte 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 (1 \l1412oo3J
BUllJ)!N"G::PERMIT INSPECTION RECORD .
, ~. . '. ,y - < . -
~ .:;..... _" _ . ,,> "l')<'; -' . . .i -~i"-"\i:-; , _'- ':~'
CALt417-4815F()R)3U1LQ~(J INS~Ec:rIONS, CALL 417-4735 FOR ELEtTRltALi:NS~~QTION&.
PLEASE PROVIDE A MINIMUM 24I;1QURNO;IiICE.,1TIS lfl'iLAWFUL. TO CO~ !!Y~l!!;'fIEPltft!!X~E4k~:irJlRi(JJgFOllE
INSPECTE]){-:tlfDAfC~PTED.. POST P~T IN A.CONSPIClJOtJ~!B~c', .N.~1;~U. . .
, ~~. '"t~:':~i;': ;
. KEEPPEltMITCARD AND APPROVED PLANS ATJOB'Srm.. "-,.:'~>, c.
1;;<' ," .-'_J~
..' .' INSPECTION TYPE r. DATE A~CErn:D ~ {Jl~M~" . ,
.,.
I >' , . ..' '. YES I NO ',;'U/I,"f,'. .... ;. :':,:_~\:~~\,': ~ .' .;........ ',,i,
.. FOUrmATJ~N: , ~ '''",;; ; "
; '. '.f:~GS , ,
> """W~:,
.' . ,
f:OtmpAnON DRAlNAGEIOOWNSPOirrs .' ", ,"
.
'. .~~~qm~N;iI:" (LIGHTDEP1) SEPARATE,rERMIT:1I , .. ;.; '.'
. . ,,- ,'. ",'" ,"
",' 'RQl;JG8olN ;,;. ,'" ,I '.,
.
'.... pLij~,~(; , " .
.;. .';', . '. I,
",. ~~Fi.OoR/SLAB
R9yCiit~~ , ,
WAfE.R/~~JMETERTO BLOG)
G~};;~';' ,', .
,
','; BA€KFioVliWATER ."" .. ; . . I. 'I.; .' ,.;
,.'
~'~EAL ;","";. . ...1 ., . .. .' .
""
. ~..\Lg~'F .' " .;; L
, GEnJ.NG. .....' ;'. . I . I ..' .' .
.; . .
~G': . .'
,- J.6~l(jnili~ . '.'
. "
, SflEJ,\R.WAI.LiH.OLD DOWNS .'., : .
, WALJ,.sI~ooF,I.CEILING ,I. .,".,' " '
" DRYWALL (nolTERlOR B!iACEDPANEL ONLY)
. .
T"BAR ",' ... " .".'.,
INSULATION " " ','. ;J"
,
.. SLAB , "
"
. WALL! FLOOR/ cEILING . .~ ,;".,.....';.. ". '.' ,."',' .:
" '.
MECHANICAL . ", ','
HEATPUMP "
GAS LINE
'"
WOOD STOVE/PELLET/C1UMNEY '. .
HOOD/ DUCTS .' ..'," . .: .
PW UTlLI1lES / sJ.TE WORK (EngineetirigDivision) SEPAMTEPERMrrIl''':
WATERLINE/METER ,
SEWER CONNECTION .:
..
SANITARY I .' '.'
.
STORM '. ,'. .
PLANNING DEPT. SEPARATE PERMrU's2. SEPA:
PARKINGiLIGIITING ESA:
LAN!>~PINC; ;, ". , '. ,..', SHOR}iliINE: ',. , ....,"
.;, ,'.cc'.,.., ';~~ALI~SP~~~~U~bPRlOR TO OCCUPANcYIUSIt'~ '. '.' " "'eL .
" ".., .. .
RESIDENTIAL . DATE YES NO COMMER<;IAL DATE <\~
..
, , ;; , .. .::"., ..: '. I' '. ,YEs ":'NO'
..
.. I"J.I p ,~' ,LI? '.' :.
. ELECTRICAL - uqHT DEPT. 417-473~ ELECTRICAL
" l'7,._ UGHT DEPT :' ,:!
VI
CONSTRUCTION R. W. /PW/ , / CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW /ENGINEERlNG
FIRE . 417-4653
..' . FIRE DEPT. .
PLANNING DEPT. .... 417-4750 .' PLANNING DEPT. I.. .
.. n'~+",' . . .." ;. .' " '. .. '. . .,....,....,.;,;,
BUILDING " 417-4815 BtJILDING' ,
T:\PLANNING\FORMS\1102.15 [11/1412003]
,.,,;:;;----:
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
RS7 RESDNTL SINGLE FAMILY
18000
'/"/';fJp ~;j
Afl.?&fYJ(; ?1
q/ JOG '5'r
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Applicatlon descriptlon
Subdivision Name
Property Use
Property Zoning . . .
Applicatlon valuation
04-00000173 Date
.016319
2528 COLUMBUS AVE
06-30-09-5-8-0034-0000-
RES ADDITION
Owner
Contractor
MCFALL, BARBARA E/GLENN
PO BOX 1746
PORT ANGELES
(360) 452-6725
Structure Information
Construction Type
Occupancy Type
Other struct info
OWNER
WA 983620090
672 SF ADDNT/REMODEL
TYPE V NON-RATED
SINGLE FAM & CONGREGATES
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
28.00
V-N
1. 00
1944.00
9300.00
672.00
2616.00
1. 00
<p
v,
<p
~
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit Fee 316.75 Plan Check Fee 126.70
Issue Date 3/23/04 Valuation 18000
Expiration Date 9/19/04
Qty Unit Charge Per Extension
BASE FEE 92.75
16.00 14.0000 THOU BL-2001-25K (14 PER K) 224.00
F<:=
co
()
t-
~
~
~
(I'
Permit MECHANICAL PERMIT
Additional desc
permi t Fee 61. 50 Plan Check Fee
Issue Date 3/23/04 Valuatlon
Expiration Date 9/19/04
Qty Unit Charge Per
BASE FEE
2.00 7.2500 ECH ME-VENT FAN
.00
o
Extension
47.00
14.50
82.00
3/23/04
9/19/04
Plan Check Fee
Valuation
.00
o
~
<:.
(0
Permit
Additional desc
Permlt Fee
Issue Date
Expiration Date
PLUMBING PERMIT
.
Qty Unit Charge Per
Extension
47.00
35.00
BASE FEE
5.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP
Special Notes and Comments
, ca;.e In,:;y . .
Separate Permits are required forelectncal work, SEPA, Shoreline, I::: A, Utlltl8S, 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 compiled 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 \PLANNING\FORMS\1102 15 [11/14/2003]
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 04-00000173
pin number . . .016319
Page 2
Date 3/23/04
Special Notes and Comments
wells or piped to approved storm drain locations.
Electrical load calculations and elctr~cal permits are
required.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 460.25 460.25 .00 .00
Plan Check Total 126.70 126.70 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 591.45 591.45 .00 .00
Separate Permits are required forelectncal work, SEPA, Shoreline, ESA, utilities, pnvate and public Improvements ThiS permit becomes
null and void If work or construction authonzed is not commenced Within 180 days, If construction or work is suspended or abandoned
for a penod 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 compiled 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
~ ~U~ -S-2-~-(j Lf
Signature of ~wner (If owner IS bUilder) 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 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 ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS .s- - J-/ -6,.J ./.1.
WALLS
FOUND A TION DRAINAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN
PLUMBING ,,:: 'HI}- J-. q-I- ,," J4-(J J ,.'"
UNDER FLOOR 1 SLAB
ROUGH-IN :f-Ja-prl J -k
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING ~-AS - OJ.! ,JLL-
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING Iq-~-oL/ J~
MECHANICAL f l/,/frJ.. 1-1-19 , AP JI-L-
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'5.
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'s SEPA
P ARKING/LlGHTING 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 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 '1-I-t? " J/.L- BUILDING
T \PLANNING\FORtVlS\1102 15 [11114/2003]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY
DateRec B-z-6tl-
PermIt #01-( - be if-
Date Approved
Date Issued
Fill out COMPLETELY and in INK. Your application and site.plan MUST BE
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
Phone:
~('t~e&s
ArChItectJE~neer: Phone:
Contractor n l nsuia J#aT State LIcense I1:1J!Jlf/tfttllJr!9ff5
Address: S6a fA) g-iJz.. City: Ift,rr~e ~S
~5~~ GJufnbl/1s Av--e.
Applicant or Agent: ('It OLr/o-lk 4r,JePSoYf
Owner: Glenn f1e-FaII
Address: ~5:Jtg Gt.vm hutS ~. CIty:
Phone: l/5.7-~ 77 S.-
lT~ -t,7~5-
ZIp: 9S3~'2-
Phone:~'7-J77S-
ZIp: c; ?J3h.~
ZONING:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
Block:
SubdIVISIOn:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA
TYPE OF WORK:
8"Residential 0 New Constr. 0 Re-roof
o Multl-fanuly 0 AddItIon 0 Move
o CommercIal 0 Remodel 0 DemohtlOn
o Reparr 0 SIgn
BRIEKDESCRIPTION OF THE PROJECT.
VI tlnj
COMMERCIALfRESIDENTIAL: Occupancy Group:
City:
Me
#
Exp. Date:
o Stove
o Garage
o Deck
~ther
af-~IA~
,
SIZEN ALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = ~
IhOJ~7tJ~"vv ,;J~'e~
Occupant Load:
No of Stories: Lot Size: EXISting Sq. Ft. & Proposed Sq. Ft.
EXIsting lot coverage _ % & Proposed lot coverage _% = Total lot coverage
Construction Type
= TOTAL Sq.Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checkhst requrred? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building DlVlsion can provide you with mformatIon on the apphcatIon 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 BUlldmg DiviSIOn to comply with current fee schedules. Contact the Pernut Coordinator at 417 -4815 for aSSIstance
PLAN CHECK FEE: IF a plan check fee IS due it must be subnutted at the tIme the buIlding permit application and constructIon plans are
subnutted. All other pernut fees are due at the trme of pernut Issuance.
EXPIRATION OF PLAN REVIEW: Ifno pernut IS Issued within 180 days of the date of application, the application will expire. The
BUilding Official can extend the tIme for actIOn by the apphcant up to 180 days upon wrItten request by the applIcant (see SectIOn 1074 of
the Uruform BUIlding Code, current editIOn) No apphcatIon can be extended more than once.
I hereby certify that I have read and examined thiS applicatIOn and know the ame to be true a correct. I am authonzed to apply for thiS permit and
understand that it is my responsibility to determme what permJts are re I t at I ust obtain such permits prior to work.
ate ~8oAj/
Apphc
T \FORMS\APPS\BUlldmgpermlt wpd
PREPARED 8/25/04, 11 56-09
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2528 COLUMBUS AVE
PENINSULA HEAT
MCFALL, BARBARA E/GLENN
06-30-09-5-8-0034-0000-
04-00000684 MECHANICAL PERMIT
PERMIT: ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME3 01
MECHANICAL DUCTS
COMMENTS AND NOTES --------------------------------------
MECHANICAL HEAT PUMP
ME5 01
SUBDIV
PHONE
PHONE
(360) 457-2775
( 36) 452-6725
TIME 17 00
TIME 17 00
PAGE
DATE
3
8/25/04
xf'OR't~
~4.0~~(<'
o,.~
"- -=.""
-=-
~~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Applicatlon Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application descrlptlon
Subdlvlsion Name
Property Use
Property Zoning . . .
Application valuation
04-00000684 Date
.564788
2528 COLUMBUS AVE
06-30-09-5-8-0034-0000-
MECHANICAL PERMIT
8/04/04
~Fl~t?D
4/?{p jO&7 1/1
RS7 RESDNTL SINGLE FAMILY
7600
Owner
Contractor
MCFALL, BARBARA E/GLENN
PO BOX 1746
PORT ANGELES WA 983620090
( 36) 452-6725
PENINSULA HEAT
502 W. 8TH ST.
PORT ANGELES
(360) 457-2775
WA 98362
Permit MECHANICAL PERMIT
Additlonal desc HEAT PUMP
Permlt Fee 61.70 Plan Check Fee
Issue Date 8/04/04 Valuation
Expiration Date 2/01/05
Qty Unit Charge Per
BASE FEE
1. 00 14.7000 ECH ME- INSTALL 100- FAU
.00
o
Extension
47.00
14.70
Permit ELECTRICAL ALTER RESIDENTIAL
Addltlonal desc THERMOSTAT
Permit Fee 36.40 Plan Check Fee
Issue Date 8/04/04 Valuation
Expiratlon Date 2/01/05
.00
o
'P
~
~
~
Qty Unit Charge Per
1.00 36.4000 EC EL-LOW VOLTAGE
Extension
36.40
~
--
C
S
&-
~
(f
~
~
Fee summary Charged Paid Credlted Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 98.10 98.10 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 98.10 98.10 .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 withm 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.
(!) Y) FIt- (:::
Signature of Contractor or Authorized Agent
Date
Date
Signature of Owner (if owner is builder)
T \PLANNINGIFORMS\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
YES NO
FOUNDATION:
FOOTfNGS
WALLS
FOUNDATION DRAfNAGE/DOWN SPOUTS
ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT #
ROUGH-fN I I
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-fN
WATER LfNE (METER TO BLDG)
GAS LfNE
BACK FLOW 1 WATER
AIR SEAL I
WALLS
CEILfNG
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING I \ \.
~
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING <J:. ~ 1 I
c
v
MECHANICAL
HEAT PUMP ~- Jv;:- oJ.f ..j L 1-
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS ~-~S- 04 J J-L-
PW UTILITIES 1 SITE WORK (EnglOeenng DIVISIOn) SEPARATE PERMIT #'5
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT SEPARATE PERMIT #'5 SEPA:
PARKING/LIGHTlNG 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 1 PWI CONSTRUCTION - R W.
ENGfNEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT
PLANNING DEPT 417-4750 PLANNfNG DEPT
BUILDING 417-4815 BUILDING
T \PLANNING\FORMS\I 102 15 [11/14/2003]
+ - -
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V.meal Datum = NA VD 88
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Area Map
ThIS map IS not Intended to be used as a legal desenpnon
ThIS map/drawing IS produeed by the CIty of Port Angeles for Its own use and purposes
Any other use of thIS map/drawing shall not be the responsIbIlity of the CIty
,_ ~ '-~ r'l_fJ(,-- F'i i->::..c,_
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1_ ., ') ,^ r_"""
Fill out COMPLETELY and in INK. Your application and site plan MUST
COMPLETE to be accepted for review. If you have any questions, call
(360) 417-4815
FOR OFFICIAL USE ONLY
Date Rec tl. -1'3 -or..(
permlt#~1
Date Approved
Date Issued
BUILDING PERMIT - APPLICATION
ApplIcant or Agent: (;-\-eI'.J~ f'{\c. \=-AGL
Owner: ~E:::- I ('Y"l.eNN.{~{h fY"C.-~
Address: -z...S 26 Cc)~~b..-G ~CIty: ? k
~ OOl( \iLRf
ArchItect/Engmeer:
Contractor 0 W N ~I V ~G 0~ State LIcense #:
Address: CIty:
PROJECT ADDRESS: '2S 2.B LO\L)~J::uS A^v-c-
LEGAL DESCRIPTION: Lot: \ 'Block: SubdIvIsIOn:
CLALLAM COUNTY PARCEL NUMBER: *- ~ -:SOOc, S<{ 00 :sL-J-
Phone:
LfS.2-lecZ$
Phone:
ZIP: ~83 ~'2.
Phone:
Exp:
Phone:
ZIp:
ZONING: ~7
~~~
Credit Card Holder Name:
Billing Address: City:
Credit CardType VISA MC # Exp. Date:
TYPE OF WORK: SIZEN ALUATION:
II ResIdentIal 0 NewConstr. 0 Re-roof 0 Stove (()/2.. SF. @$ 2.(,,'1 PI ISF. =$ ,~ooo~
o MultI-family lit AdditIon 0 Move 0 Garage SF. @ $ ISF. = $
o CommercIal 0 Remodel 0 DemolitIOn 0 Deck SF. @ $ ISF. = $
o RepaIr 0 SIgn 0 Other TOTAL VALUATION $
BRIEF DESCRIPTION OF THE PROJECT: lflO ~ t::=oc:rr f\"uul'T\O'N (C) Cx\f",lN6.. fuW\&;
I t\:) c.. W '6\ ~6- V ~&~ 1Lo~ ~'(V'\. 'JJ./1:L '\' \'"TC~ \0 ~ Z. ? \'TC. t+
COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load:
No. of Stones: L Lot SIze' q ~ ('f.J EXIStlllg Sq. Ft. /l:) LfLf & Proposed Sq Ft.
Existlllg lot coverage U- % & Proposed lot coverage ~ % = Total lot coverage 1..l3
ConstructIon Type'
0/ Z. = TOTAL Sq.Ft U I f.p
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s). 0 Yes 0 No SEPA ChecklIst reqUIred? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The BUIldlllg DlVlSIOn can provIde you WIth lllformatIon on the apphcatIOn and
plan subrmttal reqUIrements If you have questIons.
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the apphcant. ThIS figure WIll be reVIewed
and may be revised by the Buildlllg DiVISIOn to comply WIth current fee schedules. Contact the Perrmt Coordlllator at 417 -4815 for aSSIstance
PLAN CHECK FEE: IF a plan check fee IS due It must be subrmtted at the trme the bUIldlllg perrmt applIcatIOn and constructIon plans are
subrmtted All other perrmt fees are due at the trme of perrrut Issuance.
EXPIRATION OF PLAN REVIEW: If no perrmt IS Issued wIthm180 days of the date of applIcatIOn, the application will expire. The
BUIldmg Official can extend the tIme for action by the applicant up to 180 days upon written request by the apphcant (see SectIOn 107 4 of
the Uniform BUIldmg Code, current edItIon) No applIcatIOn can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct I am authorized to apply for this permit and
understand that it is my responsib1llty to determine what permIts are req~ ,not the City's, and tha~ must obtain such permIts prior t~ work .
T\FORMS\APPS\BU11dmgpermltwpd APPhcant:V~ {V\t..- fz:t!R Date: 1- -2..-3 () L(
- PREPARED -5/0-4/0-4, 12 -22 --55
CITY OF PORT ANGELES
INSPECTION TICKETu -- - -- ---- ---
INSPECTOR JAMES L LIERLY
PAGE-- - 3-
DATE 5/04/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2528 COLUMBUS AVE
SUBDIV.
PHONE
PHONE (360) 452 - 672 5
MCFALL, BARBARA E/GLENN
06-30-09-5-8-0034-0000-
04-00000173 RES ADDITION
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
'C'::O'::~~:::;~~~:,:::::::::::-:::::~G:::::::::::::::::::::::::::::::::::::
PREPARED 7/12/04, 12:37 49
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
7/12/04
ADDRESS
CONTRACTOR
OWNER
PARCEL _
APPL NUMBER
2528 COLUMBUS AVE
SUBDIV
PHONE
PHONE
(360) 452-6725
MCFALL, BARBARA E/GLENN
06-30-09-5-8-0034-0000-
04-00000173 RES ADDITION
PERMIT: PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PL2
01
~
J$f
PLUMBING ROUGH-IN TIME 17-00
BARBARA MCFALL 417-4944
PLEASE CALL HER AT HER EXTENSION SO SHE CAN MEET YOU THERE
-------------------------------------- COMMENTS AND NOTES --------------------------------------
(~) ~Or - LlL( S-O
PREPARED 8/09/04, 12.09:08
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
8/09/04
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2528 COLUMBUS AVE
SUBDIV:
PHONE
PHONE: (360) 452-6725
MCFALL, BARBARA E/GLENN
06-30-09-5-8-0034-0000-
04-00000173 RES ADDITION
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1
5/04/04
5/04/04
BUILDING FOUNDATION FOOTING
BARB MCFALL
CITY EXTENSION 4944
BUILDING FRAMING
BARB MCFALL 808-4450
CALL BEFORE INSPECTING SO SHE CAN BE THERE.
01
JLL
AP
"'" ~~
-------------------------------------- COMMENTS AND NOTES
;f ~ t!f4tJ II ~s ~~_
~ ff/$5~r~ ~[7>tA--@J
~rz
'---------
MCFALL, BARBARA E/GLENN
06-30-09-5-8-0034-0000-
04-00000173 RES ADDITION
PREPARED 8/25/04, 11 56,09
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL .
APPL NUMBER
2528 COLUMBUS AVE
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
8/25/04
SUBDIV
PHONE
PHONE
(360) 452-6725
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLl 01 5/04/04 JLL
5/04/04 AP
BL3 01 8/09/04 JLL
8/09/04 DA
BL3 02 ~~
BUILDING FOUNDATION FOOTING
BARB MCFALL
CITY EXTENSION 4944
BUILDING FRAMING
non IC can llghts requlred to IC can llghts to meet energy
code/]ll flnlsh electrlcal lnspectlon and alr seal flrst
BUILDING FRAMING
Barb 452-6725
Please call before lnspectlng so the husband can be home to
answer questlons please lTISpect around 4pm
-------------------------------------- COMMENTS AND NOTES --------------------------------------
PREPARED 9/02/04, 13 37 49
CITY OF P0RT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2528 COLUMBUS AVE
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
9/02/04
SUBDIV
PHONE
PHONE
(360) 452-6725
MCFALL, BARBARA E/GLENN
06-30-09-5-8-0034-0000-
04-00000173 RES ADDITION
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BLl
5/04/04 JLL
5/04/04 AP
01
BL3
8/09/04 JLL
8/09/04 DA
01
BL3
8/25/04 JLL
8/25/04 AP
02
BLI
~~
01
BUILDING FOUNDATION FOOTING
BARB MCFALL
CITY EXTENSION 4944
BUILDING FRAMING
non IC can 11ghts requlred to IC can 11ghts to meet energy
code/]ll flnlsh electrlcal lnspectlon and alr seal flrst
BUILDING FRAMING
Barb 452-6725
Please call before lnspectlng so the husband can be home to
answer questlons please lnspect around 4pm
BUILDING INSULATION TIME. 17 00
BARB MCFALL 452-6725
PLEASE CALL BEFORE INSPECTION NEW BABY IN HOUSE AND HOME
OWNER. MAY BE ASLEEP, ABOUT TEN MINUTE WARNING TO ALLOW HER
TO WAKE
-------------------------------------- COMMENTS AND NOTES --------------------------------------
()..JM~ .h f-/ (<;: k e.~
~~ ~\
A)s-a
( ~ pp~ )
~'(
~~
PREPARED 9/01/06, 8 12,21
CITY OF PORT ANGELES
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
2
9/01/06
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
2528 COLUMBUS AVE
PENINSULA HEAT
MCFALL, BARBARA E/GLENN
06-30-09-5-8-0034-0000-
04-00000684 MECHANICAL PERMIT
SUBDIV
PHONE
PHONE
(360) 457-2775
( 36) 452-6725
PERMIT, ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
ME3 01 8/25/04 JLL MECHANICAL HEAT PUMP TIME 17 00
8/25/04 AP
ME5 01 8/25/04 JLL MECHANICAL DUCTS TIME 17 00
8/25/04 AP
ME99 01 --yr9/01/06 7f11-LL MECHANICAL FINAL TIME, 13 00
BARB 912-0262
08/31/2006 12 13 PM DYASUMUR ---------------------------
-------------------------------------- COMMENTS AND NOTES --------------------------------------
;;~1rV
MCFALL, BARBARA E/GLENN
06-30-09-5-8-0034-0000-
04-00000173 RES ADDITION
{..-
PREPARED 9/01/06, 8 12 21
CITY OF PORT ANGELES
ADDRESS
CONTRACTOR
OWNER
PARCEL
APPL NUMBER,
2528 COLUMBUS AVE
INSPECTION TICKET
INSPECTOR JAMES L LIERLY
PAGE
DATE
1
9/01/06
SUBDIV'
PHONE
PHONE
(360) 452-6725
PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
BL1 01 5/04/04 JLL
5/04/04 AP
BL3 01 8/09/04 JLL
8/09/04 DA
BL3 02 8/25/04 JLL
8/25/04 AP
BLI 01 9/02/04 JLL
9/02/04 AP
BUILDING FOUNDATION FOOTING
BARB MCFALL
CITY EXTENSION 4944
BUILDING FRAMING
non IC can 11ghts requlred to IC can 11ghts to meet energy
code/]ll flnlsh e1ectrlca1 lnspectlon and alr seal flrst
BUILDING FRAMING
Barb 452-6725
Please call before lnspectlng so the husband can be home to
answer questlons please lnspect around 4pm
BUILDING INSULATION TIME 17-00
BARB MCFALL 452-6725
PLEASE CALL BEFORE INSPECTION , NEW BABY IN HOUSE AND HOME
OWNER MAY BE ASLEEP, ABOUT TEN MINUTE WARNING TO ALLOW HER
TO WAKE
BL99 02 9/01/06 JLL BUILDING FINAL TIME 13,00
___________~~I____~___l;}l:;;;:;";~';;A';~GO:;;;;;;~<:'O:"':""':":"":UN"'_ __
PERMIT, ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
~;;;o; -;/~---~-;~--------~~~~~~~~~-;~~~~---;~~~--~;-~~----------------------------------
08/31/2006 12 10 PM DYASUMUR ---------------------------
-------------- ----- -~-------------------------------------~--------------------------------
PERMIT, PL 0 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP/SQ COMPLETED RESULT RESULTS/COMMENTS
PLUMBING ROUGH-IN TIME, 17 00
BARBARA MCFALL 417-4944
PLEASE CALL HER AT HER EXTENSION SO SHE CAN MEET YOU THERE
""_"'___~"'---~---:;~;~:::::::,':::::,,::A:~UR-:::::::::--:::::__:::::::::_____
(
f1~
PL2
7/12/04
7/12/04
JLL
AP
01
,
FOR OfflCl.....L USE ONLY ",
DaldR~c
Permit #:
Date Approved:
Dalclssuctl'
.
.
ELECTRICAL PERMIT APPLICATION
The Electrical Permit Application must be filled out complete Iv.
Please type or reprint in ink. If you have any questions, please call (360) 417-4735
Fax number: (360) 4174711
tJI- 05 -01
Owner or Elec. Contractor Agent (~\-;C.NN ... 1-x,,-~b N'f \--r,.~
Property Owner G\-e-NN "'- I>A{l....b .Me ~LL
Address: ~O <b, \/ '4\0 I 7 S. LS ('0 l u"" h.)~ City: '\>~"\
.,. I
~ Electrical Contractor: License #:
Phone:
L( S-z. -Lv /15 Fax:
Phone: 3/.Qo~L\-S2.~ 01"12.. S"
Zip: '1 ~?-,{p L
A-,..., '"' -e..\.j) .s
I
Exp:
Phone:
Address:
City:
Zip:
INSTAllATION WIRED BY:
jl!.DWNER
o ELECTRICAL CDNTRACTOR
Credit Card Holder Name:
Billing Address:
City:
Zip:
Exp. Date:
VISA: MC:
Credit Card Number:
PROJECT ADDRESS: '2S-28 Col LJ~b\.J(
~
TYPE OF WORK:
Check ill! that apply: 0 New
8l Alteration/Addition
~ Residential 0 Multi-family
o Commercial 0 Mobile Home
Sq. Ft
o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump
Number of Circuits added or altered: ~
DESCRIPTION OF THE ELECTRICAL PROJECT: (000 -Sa. ~OT t'\"\){\ I 11 oN - ~t 0(
o Low Voltage 0 Telecom. 0 Sign
'0:J 0M--,
,
?::,~ 6\?:;OQ..~,. t--b:.on- o/DfY\ r .
Electrical Heat Load Additions and or Subtractions
I1I/L - r Lr;}
~8'3 - 3'Tbf Service Information
o Baseboard _ KW
III Furnace -II!- KW I
8 Heat Pump _ TON_ lRA;Z Z, /lIN
o Fan-Wall KW
~1':"~"T ?u\o-t S-rcYE""
o Overhead Service
o Temp Service
lit Underground Service
Voltage:
Phase: ~1 03
Service Size: 'Z-c/> Am f
Feeder Size:
(~Kw
I hereby certify that I have read and examined this application and know that same to be true and correct, and I am
authorized to apply for this permit. I understand it is not the City's lega/ responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
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Credit Card Holder's Signature:
Owner or Elec. Cont. Signature: Go..v.--
f:-/r 13'?-0' OGj J\f
Date:
\fY'V;./fZe--i&
.kQ..
PERMIT FEE: $
Date: L -[0 -oy
(}:,L(, '10
C:/E LECTR I CAlPERMIT APPLICATION
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$ < '1 '0<-(
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6-15-2048,11AM
FROM ANGELES ELECTRIC INC 360 452 9265
ELECTRICAL PERMIT APPLICATION
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PIf!3!'l'" type or reprin1ln Ink. If you h"ve ~n}' qlJl''!slloos. please call (360. 417-47:35 M - /73
Fax numhpr; (360) 417-4711
REQUEST INSPECTION 0
Owne, 0' Elec. ConlraG101 A9cni:----ANGELES.....ELECJ.:1ULJJK:_ Phone:4 'i? _ <DIiL- Fax: ~ 'i J- Q? Ii~
P,opcnfOwner: (9t.&J ~f) ~ )11/1(.-111- .' Phone '(->2-- 7Z~
7,<;2..9:' c!nUl#1k<. City ~e:r rfN~LJES.
' "NG"LE.S r..LI'.".Cl'lllC INC . ANGF:I.r..l46011S
E=lecldcat Contraclor: n. I:' .. UC:fJnso #: Exp:
Add,(!:s~;
Zip:
Q(3'< ?
Phone' . ~ 'i7_Q7"~
Addre..: 524 EAST FU,ST
City: POllT ANGELES. WA
Zip:.j! 8 3 6;>
11<51 ALLATION WIRED BY: U OWNER xli'LECTRICAL CONTRACTOR
Credit Card Holder Name: T&::>n c:.; mr'c::rlr~
Billing Address:
City:
Credit Card Number:
Exp. Dale:
Zip:
VISA:_MC:_
PROJECT ADDRESS:
~zg- (],ULJIII~
A\~ l/~Z-67/.:.~ D1!'- W:Z-}J9S<:
~liOnlAddilion
TYPE OF WORK:
Check all that apply; [J New
o Residenlal 0 Mulli-family
o Commercial . 0 Mabile Home
Sq.Ft.
o Remote MeIer 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage OTelecom. 0 Sign
Number or Circuils added or altered:
DESCRIPTION OF THE ELECTRICAL PROJECT:
<;}nh/J!- f;(htJb'/ ~pJJ
~
~Io'-j_k
Electrical Heal Load Additions
Service Informallon
VOltage;~~~
Phase; 0 3
Sel"Vice Size: ~
Feeder Size: 7f1l
'AMC t4.05.060{B): F~r industrial. commercial, & residential projects larger than a duplex, a one -line drawing of the Electrical Servloe &
=eeders. building size (sq. ft.). load calc"Jlations, and the Iype & of conductors andlor raceway is required and shall accompany 1he
=lec1rical Permit application.
o Baseboard
::] Furnaoe
:J Heal Pump
:J Fan-Wall
_KW
KW
_KW
_KW
o Overhead Servioe
o Temp Service
LJ Underground Servloe
'hereby certify Ihal f have read and examined this applicalion and know Ihat same to be Irue and correct,'and I am
lUthorized to apply for this permit. I .:Jnderstand il is riot Ihe City's legal responsibility to determine what permits
Ire required; it remains the applicanls responsibility to determine what permits are required and to obtain such.
OV ~~~. ~ . . em," c..", ",'Ow. ';'""'m'~W~M I-- """ ";/'7"1
/ rr AD~ Owner or EI"c. Cont. Signature: Date: ~.i/4'/
'W.9019 b~\'1\ \ .
IW t?)sftl
:=oO~li..711
~Ol .
a ;2.'
07/29/2004 10:09 FAX 3604523498
.'~.:-v..;.. <:.=-0"'",;_.", .~.-,..,. .-"'.;ot::Lt;::..
OLYMPIC ELECTRIC
~
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POA ornCLAI. usa ONLV
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ELECTRICAL PERMIT APPLICATION
Tho E lectr1c:a1 Permic Application must be filled ouf CDm DfMetv.
"I.... type or reprint In Ink.. tfyou hive any que.ttona. plaaa8 all (310) 41'7"''731
F... number. (MO) ""041tt
CJc;-/73
Owner...EIec.CclnIr'-'AQ...t Olympic Electric Co., Inc. Phcne: 457-5303
Property Oone: ~/ EA/ .J.. BA71f8. ~/-rAL/
Add...: 2~?.,.... /(/~/~(7/./5 CIty: p/?Rr A//,?"c/.&f
- ~
E_Con"CIO~ Olympic Electric Co., Inc. lk:ena": Q"YM'tC285JlE",,:
Addrua: 4230 TumlVater c;ty: Port Angeles
F... 452-3498
Phone: tlI7-i/''1'1
Zlp: 92M2
3/31/03 Pl1one: 457-5303
ZIp: 98363
INSTAlLATION WIRI!.O BY:
DOWNER
liJ ELECTRICAL CONTRACTOR
CnKlitc.fflHoIderName: Charles T. Burkhardt, Olympic Electric Co., Inc.
BIHlng Addl...:
Same
City:
Zip:
VISA: X Me:
Credit Caffl Numbar.
Exp. Dshl:
PRO.IECT _88: 2 ~<..? Ct!7/V//I'J&./,
TYPE OF WORK' Check illl th8t apply: 0 New
?C?RT r?#rE4rJ
il1IJteratlon/At:ldttlon
riesldentllll 0 Multl-fsmlly
o Commercial 0 Mobile Home
Sq.FI.
.. 0 Ramot8 Mllter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump . 0 Low Voltage 0 Telecom. 0 Sig
Number of Clrculbi lidded or altered: /-'/
DESCRIPTION OF THE ELECTRICAl PROJECT: JlE.4T PPRP r- .h//?V/fL"~
o Besebaartl
oFU1N1C9
o H8IIt Pump
OF.....W.II
KW
IKW
2.L. TON_LA~
KW
y~ Cr-rL-
Service Info~
Electrlcal' ...... ~ltIone and or eubtnlctJona
o Overhead Service
o Temp SflNlce
o Underground Service
VOltage: 2l/P
Phase: IIl'T 0 3
Service Size: ~A
Feeder Slze:__
.
PAMC 14.D5.060(B): For Indualr1Bl. com_rei"'. & re&idenllaJ projects IlIIIlO< \\UIn a duplex, a Me -line drawing 01 tile ElecIrical 8e<vb> &
Fe8d8l1l. building BIZ. (llQ. .11.). IoacI celculstlona. and tha ~ P9 & 01 C:OndUClO/'8 andJor _ay Is required and ehall 8OCom pany the
Eleclrtc8l Psmllt eppIIcetIon.
I hereby celtify that , have read and eKamined this application and know that same to be /rue and correct, and I 81
authorized to apply for this permit. I und9mand it is not the City':; legal responsibility to determin& what permits
are required; it f8mains /he applicants f8sponslbllity to determine what permits 818 requirad and to obtain such.
~/7 If) t
AL.-~o~
PW-90191711l3~
C Coni Holde~. Signature:
Dele: 7 Lz~/t:P'/
Dale, 70-7 /p7~
PERMIT FEE: $ tiff!R
Owner or Elec:. ConI. Sian.,ure:
;4t(} 8klo~