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BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice '> Job Located at ---1-[ 0 s G ~i' Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: * tJll 8'~ vVL ~ (l C~ . - ~ fOA(r 1 oc.1-- ~<<- [,W..Jc ':-:'P ~ ~~ ~~ Fa- ~l-J ~s ~ w'L; -(L I crf.- 2 fA) 4.c?lL~ i ~ I'/'? *" 9. op6" ~\ \ f}u)&y h1.oM ~o (0 Ie i....' 10' These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call 411-1{ rJ r for inspection. Date . ~ '30) OIl,. ~ Inspector for Building Division DO NOT REMOVE THIS TAG .-< '" o "- o 01 "- '" r>1r>1 t9E-< ..;..; "'0 00 .-<.-< .-<.-< .-< .-< , , r-r- .-<.-< "" :>< ..:1 I>: r>1 H ..:1 ..:1 E-< r>1Ul ~r>1 ~~ E-<..., Z .. 01>: HO t;t; r>1r>1 "'''' UlUl ZZ H H 00 "'''' 0101 :> Hr>1r>1 OZZ III 0 0 ::o:r::r: Ul P"" '" .-< 0\ '" U ZUIP:; HZO~ HOUl Ul 0 O:::C/)O~ ~O::lril Or>1oZ E-iHQr') (I)HHOCl) ~HOril ~o:l~IO:: E-< Ill" 0:: Q 1("1 ~OClU"lr-- CQOOIO HS:O.-lO H(f)3:l""'IO Cl Q I 0 cnzzoa ~~('flO o H H I I .-IO:::P::WLJl 1..O~li.ao .-< .-<Ul r>1 -..:1 "'r>1 ot9 ~~ M "-E-< "'I>: o '" o r>1<<< 1>:0 ..; "':>< r>1E-< I>:H "'U I>: 'r>1 III '~ Ul"; ..:1Z r>11>:1>:r>1 1>:E-<r>1U..:1 OZZI>:'" 003";'" ";UO"'''; '1>: o E-< UlU Ul E-< Z :;] ~ HZ:E ~88 i\lE-<"- O"'Ul HHE-< CIlI>:..:1 ~U::o I>:UlUl r>1r>1 101>: E-< H ~~~ ""Ul::o ~i"1&l :z: I>: H ~ 8 f;Hl 1llE-<E-< Ulr>1 Or>1..:1 0::0'" Cll:E r>10 ~I>:U "" III E-< i "" o "'... o tIl ..-l " " :0'-' o 0: " " U '-' " E " 0 ... " ... 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NH>O 0....:1 HE~ ltSH~HHHOril~'HO ~'HO'~'H~ ~'rlltSco~ltS~m~ ::X:HOO~ HOOP mHm~H CQ IJ E'M H III I-J l=Q I-J l=Q iC Cf] I-J 0 l=Q iC ~ I-J 0 l=Q iC 0 I-J 0 l=Q I-J ..:1 ..:1"; ""0 "'''' 00 "-"- "'M 00 "-"- 01 01 0< Ul "- '" :>< E-< .-< o .-< ..:1 <0 tIl tIl ..-l E " < 00 ...' ..:1 ..:1 ..:1 ..:1"'..:1"'..:1'" ...,..;...,..;...,..; LtlLtlLtlLtlLtlLtl 000000 ............................................................ ..--l..--l.--4.--4r---r--- ...-ir-lNN..--lr-l ...................................................... f")r<"lr<"lf")COOO '" .-< .-< 000 .-< '" 0\ ..:1 H ..:1 <0 <0 <0 ~ E-< ..; o ..:1 ..:1'" ...,..; "'''' 00 "-"- N N N N "-"- "'''' .-< o 01 ..:1 <0 ~ E-< ..; o ..:1 ..:1'" ...,..; ~ ~ "'''' 00 "-"- 0\0\ 00 "-"- 0\0\ .-< o .-< o I>: H ..; <0 0\ 0\ ..:1 III ~ Ul ..; :>< o :E '" Ul ~ E-< o Z o ~ Ul E-< Z r>1 :E :E o U 'J.'~. = 'qf CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 12\ EAST 5TH STREET. PORT ANGELES. WA 98162 " .\". \\ "\ .. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000073 Date 278792 610 S LIBERTY ST 06-30-11-5-4-0030-0000- RES NEW SFR 9/13/05 RS7 RESDNTL SINGLE FAMILY 231067 Owner Contractor FRIENDWOOD BUILDERS INC. 113 SO VALLEY STREET PORT ANGELES (360) 417-1110 Structure Information 000 Construction Type Occupancy Type Other struct info WA 98362 FRIENDSWOOD BUILDERS 113 SO VALLEY ST PORT ANGELES (360) 417-1110 000 NEW 3066SF SFR W/ATT 732SF TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS INC WA 98362 GARAGE 29.40 V-N 2.00 1. 00 8733.00 2573.00 2573.00 1. 00 \)'\. "- \) Permit Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL SHAMP/ REMOTE METER 59741 SHAMP ELECTRICAL 11.40 9/13/05 3/12/06 CONTRACTING Plan Check Fee Valuation .00 o G Qty 1. 00 Unit Charge Per 11.4000 ECH EL-METERS REMOTE INSTALL Extension 11.40 F' ....... ~ ~ Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height, Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The proposal will result in a s.f. res with attached garage in the RS-7 for total lot coverage of 29%. No land use issues are noted: _ Electrical load calculations and electrical permits are required. Temp and/or Perm SVC may be connected at either the NE or SE prop corner. $713.00 Electric Service Connection Fee applies. Any modifications to the electrical facilities will be at the customer's expense. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. COMMENTS/ACTION NEEDED V'~ ELECTRICAL PERMIT INSPECTION RECORD r/ ,~ALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. '.. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO UllL!1 r IU111(yH.lN I CUYbK SERVICE FIN A T I I I GENERAL COMMENTS: PW.II02.1S (4196) '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 91B62 . \ " , 'i ),. Application Number Application pin number 05-00000073 278792 Page Date 2 9/13/05 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 11.40 11.40 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1785.90 1785.90 .00 .00 COMMENTS/ACTION NEEDED , I t ELECTRICAL PERMIT INSPECTION RECORD .<; iCALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO 1)11 'H IH H J(jH-IN / COVER :SbK VICb FINAL JEf- 9 _Oh I I GENERAL COMMENTS: PW-II02.\5(4'96) " Nlfl i0J 0 , '" r- N '" .,. '" lfl 0 , 0 '" N '" ') '" "'''""' .... lfl .... 0 CJl .... N .... ~ 'M I-< .... .... .... 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Application valuation 05-00000073 Date 278792 610 S LIBERTY ST 06-30-11-5-4-0030-0000- RES NEW SFR 8/05/05 RS7 RESDNTL SINGLE FAMILY 231067 Owner Contractor FRIENDWOOD BUILDERS INC. 113 SO VALLEY STREET PORT ANGELES (360) 417-1110 Structure Information 000 Construction Type Occupancy Type Other struct info WA 98362 FRIENDSWOOD BUILDERS 113 SO VALLEY ST PORT ANGELES (360) 417-1110 000 NEW 3066SF SFR W/ATT 732SF TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS INC WA 98362 GARAGE 29.40 V-N 2.00 1. 00 8733.00 2573.00 2573.00 1. 00 ~ "'- \) Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL SHAMP/ 3798 SQ. FT. SFR. 56739 SHAMP ELECTRICAL 190.00 8/05/05 2/01/06 CONTRACTING Plan Check Fee Valuation .00 o ~ '\ Qty 1. 00 5.00 Unit Charge Per 73.0000 ECH 23.4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 73.00 11 7.00 ~ ~ 11 Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The proposal will result in a s.f. res with attached garage in the RS-7 for total lot coverage of 29%. No land use issues are noted. . Electrical load calculations and electrical permits are required. Temp and/or Perm SVC may be connected at either the NE or SE prop corner. $713.00 Electric Service Connection Fee applies. Any modificatio~s to the electrical facilities will be at the customer's expense. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City COMMENTS/ACTION NEEDED :. -/ ELECfRlCAL PERMIT INSPECfION RECORD (CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, . INSULATE OR CONCEAL ANI' WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH ROTTl1H_IN / CUVbK SERVICE FINAL GENERAL COMMENTS: PW-II02.1S [4196] dPOI'IT~ '~ I'. CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :<21 E^ST 5TH STREET. PORT ^NGELES. W^9R162 ,- Application Number . . . . . 05-00000073 Application pin number 278792 Page Date 2 8/05/05 '" Special Notes and Comments road right of way. 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 ----------------- ---------- ---------- ---------- ---------- .TtIJ rm- f'1/flM'I ' r /~ ~ .OO'~ - Permit Fee Total 190.00 190.00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1964.50 1964.50 .00 .00 COMMENTS/ACTION NEEDED J ELECfRlCAL PERMIT INSPECfION RECORD ,)CALL 4) 7-4735 FOR ELECTRICAL INSPECTIONS, PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE- IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. 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OwoZ >-< f-i~Clf"1 t<~ ~ UlH~OCl) .sJ. CD ::JHOW '" >t III ~ I 0::: ~CfJ::> E-< <'1'" ZCfJ '" <:00 , '" "HW ~ N WOQUlC""- :z: <:0 III 0 0 10 >-< N H;S:OrlO ~ rlCfJ HW;S:.--iO st W 0010 >-<00 ~ ->-'l (l)ZZOO ::Oww ~ LflW ~WMO ~E-<E-< 0(9 o H H I , CfJW ~~ rlO::O::IJJLO OW>-'l \.Dlill:Lloo 0::>0< 0 a:s '-E-< WO "'<:0 <:0 <:o<:oU 0 0<:0 oW ~ 0< 0 <'1 ~ 0 E-< o~ W~ CfJU rl <:00 CfJ.a: >-'lZ ... a 0 .a: W<:o<:oW >-< CfJ 0<>< <:oE-<WU>-'l ~ '- WE-< OZZ<:OO< 0< rl <:OH ~03.a:o< >< >-'l o<U UOo<.a: ~ E-< <'1 f",ORl'~ lO~~ ,. L~ ~ ~,,~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000073 Date .278792 610 S LIBERTY ST 06-30-11-5-4-0030-0000- RES NEW SFR 2/22/05 RS7 RESDNTL SINGLE FAMILY 231067 Owner Contractor FRIENDWOOD BUILDERS INC. 113 SO VALLEY STREET PORT ANGELES (360) 417-1110 Structure Information Construction Type Occupancy Type Other struct info WA 98362 FRIENDSWOOD BUILDERS 113 SO VALLEY ST PORT ANGELES (360) 417-1110 NEW 3066SF SFR W/ATT 732SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS INC WA 98362 29.40 V-N 2.00 1. 00 8733.00 2573.00 2573.00 1. 00 Permit Additional desc Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION 145.00 2/22/05 8/21/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE Extension 145.00 Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 640.00 Plan Check Fee .00 Issue Date 2/22/05 Valuation 231067 Expiration Date 8/21/05 Qty Unit ,Charge Per Extension 1. 00 640.0000 EA PW W/M I" SERV 5/8" METER 640.00 Permit Additional desc Permit Fee Issue Date Expiration Date RIGHT OF WAY 45.00 2/22/05 8/21/05 Plan Check Fee Valuation .00 231067 Qty Unit Charge Per 1.00 45.0000 ECH RIGHT OF WAY PERMIT Extension 45.00 Permit Additional desc Permit Fee Issue Date STREET ALLEY RESTORATION 230.00 2/22/05 Plan Check Fee Valuation .00 231067 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 tCZ'9ive authority to violate or cancel the provisions of any state or local law regulating construction or the performance of co:;t V ~ t? I,riature of Contractor or Authorized Agent. v T:\Policies\1102.15R [1/05] o;)-oj , Date Signature of Owner (if owner is builder) Date l~..: PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W. / PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Po1icies\1102.15R (1105] .; . . ~fORT~ ... ~.J..O~~~ ~r\l!Ji~ .....~ ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Expiration Date . . 05-00000073 .278792 8/21/05 Page Date 2 2/22/05 Qty Unit Charge Per 1.00 230.0000 ECH STREET ALLEY RESTORATION Extension 230.00 Permit SANITARY SEWER HOOK UP Additional desc Permit Fee 95.00 Plan Check Fee Issue Date 2/22/05 Valuation Expiration Date 8/21/05 .00 231067 Qty Unit Charge Per 1.00 95.0000 EA SAN SEWER HOOKUP Extension 95.00 Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-El When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The proposal will result in a s.f. res with attached garage in the RS-7 for total lot coverage of 29%. No land use issues are noted. Electrical load calculations and electrical permits are required. Temp and/or Perm SVC may be connected at either the NE or SE prop corner. $713.00 Electric Service Connection Fee applies. Any modifications to the electrical facilities will be at the customer's expense. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. 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 1155.00 1155.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2929.50 2929.50 .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 fora periocrof 180aays-after the work as commenced;-or if required inspections have hot been requested withih 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\1102.15R [1/05] ... PERMIT INSPECTION RECORD , '.. CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEW ALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W. / PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1105]' .~ CITY OF PORT ANGELES DEPARTMENT 0F COMMlrNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 05-00000073 Date .278792 610 S LIBERTY ST 06-30-11-5-4-0030-0000- RES NEW SFR 2/22/05 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 notbeen 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 constru on. U i9'nature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Date Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation RS7 RESDNTL SINGLE FAMILY 231067 Owner Contractor FRIENDWOOD BUILDERS INC. 113 SO VALLEY STREET PORT ANGELES (360) 417-1110 Structure Information Construction Type Occupancy Type Other struct info FRIENDS WOOD BUILDERS 113 SO VALLEY ST PORT ANGELES (360) 417-1110 NEW 3066SF SFR W/ATT 732SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS INC WA 98362 WA 98362 29.40 V-N 2.00 1. 00 8733.00 2573.00 2573.00 1. 00 Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 1756.45 Plan Check Fee Issue Date 2/22/05 Valuation Expiration Date 8/21/05 702.58 231067 Qty Unit Charge Per Extension 1017.25 739.20 BASE FEE 132.00 5.6000 THOU BL-100,001-500K (5.60 PER K) Permit MECHANICAL PERMIT Additional desc Permit Fee 108.60 Plan Check Fee .00 Issue Date 2/22/05 Valuation 0 Expiration Date 8/21/05 Qty Unit charge Per Extension BASE FEE 47.00 1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70 5.00 7.2500 ECH ME-VENT FAN 36.25 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 Permit Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT Plan Check Fee Valuation 167.00 2/22/05 8/21/05 .00 o Qty Unit charge Per Extension 47.00 91.00 BASE FEE 13.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] A lJilit::t:J ~/I (!) leG OC6 (f!) ~r.j ~ .-, /0\ '(0 0 ~j~ ~ ~ - 0' V" o r - , 0- (\) ~ -...;z BillLDING 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. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I 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 (it' !-' .Hi WALLS . CEILING :J: I I FRAMING JOISTS 1 GIRDERS SHEAR W ALeiHOLD 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 COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKlRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING 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 [114/2005] ~ pORT ~ .....~O~~ a~<'", L~ ~ "l.9i,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number 05-00000073 .278792 Page Date 2 2/22/05 ". . . Qty 1. 00 1. 00 1. 00 Unit Charge 7.0000 15.0000 7.0000 Per ECH ECH ECH PL- EA. INSTALL WATER PIPE PL- EA. BLDG SEWER PL- EA. WATER HEATER Extension 7.00 15.00 7.00 )\.... Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The proposal will result in a s.f. res with attached garage in the RS-7 for total lot coverage of 29%. No land use issues are noted. Electrical load calculations and electrical permits are required. Temp and/or Perm SVC may be connected at either the NE or SE prop corner. $713.00 Electric Service Connection Fee applies. Any modifications to the electrical facilities will be at the customer's expense. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. ,J> , ",' . Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 " .-1 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2032.05 2032.05 .00 .00 Plan Check Total 702.58 702.58 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 4509.13 4509.13 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is-suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. . Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PoJicies\1102_15 building permit 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 I :1-/J-e/ r J Ll WALLS 1~~I_.tlr- J~ FOUNDATION DRAINAGE I DOWN SPOUTS . PIERS POST HOLES (POLE BLDGS.) PLUMBING I.,:; iN H J-. <fIh / ()" UNDER FLOOR I SLAB J. .,/~ -(96"'- J LJ/ ROUGH-IN 11 '//'1-! ()S ..:fU, WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER AIR SEAL WALLS IQ-H-oS ~l.J/ CEILING I T FRAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS <&,- 41 . e:>~ Su- WALLS I ROOF 1 CEILING g '2-'2-0\ JV'- DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULA nON SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL ~ g -() 7 -tJ6 HEAT PUMP 1 FURNACE I 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: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: . FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION RW. 1 PWI CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW 1 ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 I"{ !to I " h J.. 1-1........- BUILDING l~ ~~ T:\Policies\1102.15 building pennit inspection record05.wpd [1/4/2005] :.. BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B~a COMPLETE to be accepted for review. If you have any questions, call ~ PERMITS (360) 417-4815 FAX(360)417-4711 FOR OFFICIAL USE ONLY: Dat~ R-;;.~T::'1-~:"'o.c; Permil#:~ Dale APproved:~ Date Issued: Applicant or Agent: ~/L/6..v~.It../D'O/) I?v/L.../)cU.J;, I/VC Phone: ~/)- /#0 Owner: J>.J/I? 6- Phone: J'AMtf Address: //;] J:. ~t-t~ J/: City: p~- A-v6tYC-6J Zip: 9 ~J6&9. Architect/Engineer: ~~6J7r)IV6" 1~/6-v Phone: V..r ')'-- :tWD Contractor /.JPfJL/ CA.If..::i') State License #: rt.t6.JEJ:96j-txp: 6: ;J-1-06 Phone: Y/")- ///0 Address: /17 J..' I/WL-L~ .IT: City: PD~- ,4v6kJ:f' Zip: 9/'J4:9.. PROJECT ADDRESS: 6/ D J: L/ I? k /Y- J}; ZONING: 1L.s: I LEGALDESCRlPTION: Lot: J Block: C Subdivision: ~47//AY~"v CLALLAM COUNTY PARCEL NUMBER: (9 (OJ D /I-S~o OJD Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # T~E OF WORK: ~Residential ~New Constr. 0 Re:roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: r.M- A-7r~c#iIi'J 6'M-.46'E COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: 8/33 Existing Sq. Ft. t25 Total lot coverage '29. '-I City: Exp: Date: o Stove o Garage o Deck o Other ...r//c)~LL5 SIZEN ALUATION: sOb6 SF.@$70.2' /SF.=$Zf5'4/7, /b 77,.2.. SF. @$ 2J,38 /SF. = $ J5(,SC1. I~ SF. @ $ /SF. = $ TOTAL VALUATION $ '2.3. I C6. 7. ~ 2.. (Y?;47/L-. ~ /h#/DcWccf W 1'771 /'l-....>o Occupant Load: Construction Type: & Proposed Sq. Ft. 'ZS7~.' = TOTAL Sq. Ft. 2573 % APPRO V ALS: 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 Building Division can provide you with infOlmation on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must lJe cv.tered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with CUlTent fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due atthe time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno pemrit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3.2 . .,fthe International BuildinglResidential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and t I must J n su~~rmits prio work. T:\RVESS\BLDG-for.ns-bTOc1~ur~s~:03~~~~~~ingpelmit'WPd Date: 1- d6-o J" t6z,~ ~ 'G.. ~1 j'~)',. ',,,If ;/ / f -"', /" ~/"'-.,, j ',,-.I ..,........ ~, I '-510 ''''-'~ +'\' '" '. '" (i I " f f' /1 "'''~ ~">..... \ 1235 .\ ~' , ,./ .. '~~,:,";'"// <;>\ "w 1(,,,,.: '\ / \, ",,'/ '-, 1,'\ \,)~9t.,.;\)\ , \ /:,:~;,:,,<,;<'.' V' , V;" '>>"c'",/" /' / " \ ;,)r'// "/ ;' "'-.. ) -{ 1 i "r-::', ,<.',' , f 11228 / '<./ 1 I I /<c~[_I:"') ( ,~" \ :\~' >~. ~{ / """,,, i 1228', ht ~ "--,- //"'><'1234 , " "" p" " I"~, f",,( '~~ .I t' )~,,// \ <""~,.,~\'~"; \ /~::) , / [' ,:7 ,/ >- :..",J >~'" u, ./ I' / / /, " ...., <' {' /~', 620 L , <<(' ~, , ' \ 'l,., "- ~" " " <, ' " I "~ oF ,// , " ..~) / I '" / ,--" "" I /" I / j/ ;/ '^';(/ ", // I "',,- I'! / ""^.. I.' / " /' {II,' ., " ,t/ I" /t I / '" y / 'I 1;( / '" <'><',~ "'-" " ", ",- "",- / .",- { ~, I , ;'131'2 j' """ /1 <, //', .. I Z~,/ " ,'I I~< , f l f,:,<"",,,"! 1:' ~~y / i "'t~;i~7">' ,I '.... "'"'-" '" , ."1 '" l I."..... / ';<"~'..... ''';ci.. 7201..... '. ',I" y ........ l,. . , "/~ I /t321 I ~..."""....,_ ,t' , ., ""'" '''-~:;c ,,"', "./ f '. ,/ j I ' I i I I , This map is not intended to be used as a legal description. .,., :\ This map/drawing is produced by the City of Port Angelesfor its own use alld purposes ~~,',:~,:j Any other use of this map/drawing shall not be the responsIbility of the Ci~i'. "~ Feet Area Map 5:./T E.- P LA-^, . P~E:Nl>5.woo]) Rut LbtR.S t,...() T c. 3 C-("<-IZST H-AVeN s- ~~J /'1 =- IS I I '" I I I ~ I' ~ l I - ~ I <() I, . d;) I ~ I l I 14' I I ( I !I 5,~ I ..,,- ~--------- DECK !O'-4".,'.r /1 / 1--_____ - - - 1 I I I I I l 'I ,I V) I () I II I 14-' '" / ,"",mILY. / ,.q~.. / / I 'y / I / ~ ~ \0 t~ I qj:> l.I) ~ ~ ~ ~~ (I <) I \l lMNGA1<I'.A =\ V \ \ \ -85'- L-I B€1GTY ~T. [\ Prescriptive Approach - Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 Site Information I ". . . .. , 'Bui.lding:DepartmentIJ$'e:pn!y .'. ..... ~~~I I Lot:~:J j {(Lhe.../C C- Address: 6/D..s:- L//1h24"-Y .J'7: City: P~/J/1 AN6~f State: L-JJ4 Zip: 9 r J 6~ Contact:~/6vM'Wvo ~ (.{l/J!dJ J7t..J; /PC. Phone: t.r/ 7- ///0 'petmit#:' .6S'~:1:3!r;'~""" 'Notes: Phone 2: - Fax: V/;- 8-996 (Unlumte azmg )! t]on ny Glazing Glazing U-Factor Door9 Wall Wall Wall Slab4 Option AreaJO U- Ceiling2 Vaulted Above Int4 Ext4 Floors On % of Floor Vertical Overhead 11 factor Ceiling3 Grade Below Below Grade Grade Grade III Unlimited Group R-3 DAD 0.58 0.20 R-38 R-30 R-21 R-21 R-IO R-30 R-I0 Occupancy Only Table 6-1 PRESCRIPTIVE REQillREMENTS 0,] FOR GROUP R OCCUPANCY CLIMATE ZONE 1 . . d Gl . O' 0 1 ) See the code text for footnote references This project complies with the following: ../' The project is a single family residence or duplex. ../' The project is wood frame OR all of the insulation is interior or exterior of the framing. ../ All building components meet the requirements listed in Table 6-1, Option III. ../ The project will meet all other provisions of the WSEC and VIAQ. The project will take advantage of the following exceptions to the prescriptive option: o 602.6 Exception 1, One door, that is 24 ft.2 or less, that does not meet the standards is allowed. Location of the door taking this exception o 602.6 Exception 2. Doors with a U-factor of OAO allowed without calculations, Option III only. Location of the door(s) taking this exception Copyright 2002, WSUCEEP02-056 Copied by permission from the Washington State University Extension Energy Program Prescriptive - Simple Form - Climate Zone 1 7/26/2004 'ti '" r..? CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .l2\ EAST 5TH STREET. PORT ANGELES. WA 98]62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000073 Date .278792 610 S LIBERTY ST 06-30-11-5-4-0030-0000- RES NEW SFR 2/23/05 RS7 RESDNTL SINGLE FAMILY 231067 Owner Contractor WA 98362 FRIENDSWOOD BUILDERS 113 SO VALLEY ST PORT ANGELES (360) 417-1110 NEW 3066SF SFR W/ATT 732SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS INC FRIENDWOOD BUILDERS INC. 113 SO VALLEY STREET PORT ANGELES (360) 417-1110 Structure Information Construction Type Occupancy Type Other struct info WA 98362 29.40 V-N 2.00 1. 00 8733.00 2573.00 2573.00 1. 00 ~ \S Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE SHAMP/ 60 A TEMP. SVC. SHAMP ELECTRICAL CONTRACTING 42.20 Plan Check Fee 2/23/05 Valuation 8/22/05 ~ "' .00 o Qty 1. 00 Unit Charge Per 42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 42.20 "- ~ J Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The proposal will result in a s.f. res with attached garage in the RS-7 for total lot coverage of 29%. No land use issues are noted. Electrical load calculations and electrical permits are required. Temp and/or Perm SVC may be connected at either the NE or SE prop corner. $713.00 Electric Service Con~ction Fee applies. Any modifications to the electrical facilities will be at the customer's expense. Sanitary sewer connection inspection is required by Public Works prio~ to back fill of ditch. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. Other Fees SEWER SYSTEM DELV CHARGE 745.00 COMMENTS/ACTION NEEDED ELECfRlCAL PERMIT INSPEg.lON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO 11' "'~ ROUGH_IN / COVER 'HKVII '.... I GENERAL COMMENTS: PW.1102." (4196] '~ "'lr';" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :l2\ J.:AST 5TH STREET. PORT ANGELES. WA 98]62 ---------------------------------------------------------------------------- Application Number . . . . . 05-00000073 pin number . . .278792 Page Date 2 2/23/05 Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42.20 42.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1816.70 1816.70 .00 .00 COMMENTS/ACTION NEEDED ELECfRlCAL PERMIT INSPEg.lON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO -r,6~>Jt7 ,.5 ~/ C ;; ;2'3/ D )~ r4';O #& GENERAL COMMENTS: PW.II02.15 [4196] 02/22/2005 15:54 FAX ~001/001 ~,4/ ~ ~ ~! o Owner -'-'0lC"~ o Canh'a! \2f'Commercls.1 \ CJ Residential ELECTRICAL WORKPERl\fiT APPLICATION ~eQuest Inspection 'Q1:lectrical Contractor o ADDual Permit 0 Alarm o Residential Muut. 0 Signs 0 Tbermostat 0 Telec.om. Job ",ired by ..eElectrical Contractor 0 Owner Installation dc.scription Electrical Conl1n.:tor name S;t1f\1TI~ E\..R~1 (At- (1),,17'". Purchaser's mailiTl&; address V. 0 - .&,~ ;:<.,g.:=:, c~ -;ANf-rE'\.C_). ~. TelEphone n\.lmber o ~ -'1.-[(0 License: number 8.1-\ f\n'Il1 P: I' l..t\1\f ~CW\~f Sti\te ZIP '1'B<.>'L Premises owner's name ~1e-lD, WMP ~UIL.l'le<..<;. Addrr:S5 Df inJpettion 101 () S. L' B~T\.( ~. Ci..' . \l 1:1 Cash 1:1 Check # I hereby certify [bat 1 am the owner of the above named property or a licensed electrical contractor (or the tirm',s authorized agent) artd am making the electrical installation or alteration in compliance with the elecuicaJ law, Chapter 19.28 RCVl. o Credit Card Visa Mastercard Discover Card# _lilLbJ&___-____-____ x hpiration Date of card / WALLS Insulalion Only Dale A.ppnlved By Cover Dille Appl"l;lv~1l5:r \. CEILING "' InsulBtion Only l.}lle Apllrove.l By Cover :11111 Appr....ed Dy \. / TIlERMOSfAT Dille Approved E1y DITOI De.1t Approvco 5r / SERVICE "' D.' Appt'Ovllll Dy FEEDER Olle Approved By M I'- ~ () Electrical Load Additions and or subtractions C NO "DAD CHANGES o Baseboard _ KW [J Furr'laee KW o Heat Pump _ Ton _ L.AA Q Fan-Wall _ KW ~ Serviee InfDrmatlon o Overnead ServIce CJ Temp Service o Underground Service Voltage Pha.B0103 Service Size: Feeaer Size: TnspeClion Areal Building or Equipment Inspected Electrical O:ne ^ction Taken Illspector 7..-77-3 $'71~ ~Nt..L--r- hL~ A..f-~r""- S"L- ~ -'S-f;-( ~e kr "I ff.- ~i't- Nw Pnv> & k-V (JiJ~ ) ;J../;J..slo< m.ho fi /H'" ~ 44/ .2~~5'"' 08/04/2005 14'07 FAX ~ 002/002 .-- -. -------. , -1/ ELECTRICAL iORK PERMI ~("2-j I 5 APPLICATION '1 ; 't''Iiii:i'''''~ , .{Electrical Contractor Installation descriptiofl "'- Job wired by DOwner o Commercial lia; ResIdentia.1 EleCtti~ COlnractor n~c :\- I License number Date Expires C .. (<,,,t. 6,ltriIl4Po~7,i>>.'J, o New Altered/AdditioD I ,c, O\III\~..,r V"\,,,, I ! Purchaser's mall ng addr:=s.s _P.('l. p., (l )' ,~~'1, eit Shl.le ZIP lnn .c" .oJ. :~(W'+ I\~,"\l"~ \M\ Cl~3V::! \-\nl1<"f'l ,3 TCI(Phonc~bcT FAX number b I '~\.J) . ~~-II.~~ _ <;.., WI '" I Premises owner's name E',n'llr\ ..K '1/1-1110 "3D00 H-Dus 17. i So Pr-; p",As ' oJQ["\~ fr Addrus or lnspecqon 1- 73l / _ A..t;>/AA" "- Sex. ,::r (ole 5. Llh"r 1 !Sf 7~""'<.. ~+ . lIlj?>i.A. 3715 / I orA{ sa ,='1"' ,~\'"' A-~~e\es 11:/t Phobe Dumbel'" to sc dule iDspt'ction: I I OW~,. os de:flMea by R.Cw'19.2/J.16f:(/) OWlle,. wi" m:~J'PY the .ffrtlc(ure far" rwo ye(.lr qfwr' 'his eJcc,ricor permlr Is fln(Jll:ed. (2) (h'/ter is rl,U/lJi7ed ro hire an electlleal cl'."tfaclor if above .~'aid p,.operry i~ for sale. rent or lease. o Cash Q Check Attc reading the above su.tc:n'cnt, I hereby ccnify mal I am the owner of the above num d property or a Iicens:ed electrical contractor. 1 urn making the electrica] inSltl.l. o Credi I Card Vis Mastercard Discover latio Or altenl.tion in c;omplianc~ wllh the electrical laws, N,E.C., RCW. Chapter 19., , WAC. Chapter 296-465, The City of Pon Angeles Municipal C(lde, and Card# ____ --?fic,~ - Util' I)' Specifications. ------ S; .a~~ t OWO,'" :;;::;'~l-f.-l""' 0' "~t:~:: '~7;J~:~ Expiration Date ,,00 ( lnspe \:ion fee X of card 't. Electrical load Additions and or subtractions Sarvlc Informetlon o ~O LOAD CHANG ES I o aseboard KW Volt.ge ~urnace +C- KW Cl Overhead Service Phasa CI 1 3 t'ump - Ton80.lo'.R.lI",,~ 0 Temp Service Service Size 1- o n-Warl KW 0 Underground Service Feedel Size SA DAY INSPECTION, CALL BEFORE 7:00 A.M 360-417.4735 I -I ( ROUGH-IN ( THERMOSTAT ~l J. . )t SERVICE I 1z.k~ ..4eD :7) I . 05"' J , , Appro"~d By \. Dmlf ^pprov~d By . 'f ""ro 01 B~ I 19 h / FINAL t DUrn l FEEDER I , ,,/., J. : ~~ . ." I - , , Appr(\\Ied ~y ~mlf ,",pro ~d By , Inspection Area, Buildi.ll~ or Equipment Inspecred I I blectrical , Dale Action Taken Im;p~ot , , tl',K/Q~ (JL 1.1 I"!. G.-f ~ ~ - , . I I , I I .- ! ! , ) ! k/J 8/ *5'"" I , / J va ::! f L-y Q ,. r';. IElIECTIRl~'cCAl ~IMSIP'IEC1"~OIM W~IRl~IMG IRlIEIPOIRlT 417-4735 PERMIT" '~ 05 - Z3- C~ ADDRESS C/O ..s. APPROVED NOT APPROVED o ................... DITCH ................... 0 ~ .. ...... .. .... ROUGH IN/COVER.. ... ... ...... 0 o .................. SERVICE .................. 0 o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0 CORRECTIONS NEEOE00..y' A /".I'~.r -}O~/'? 6, ,')~ c;mT-'t..-E..!,' /,l..J C~I r;;;~ ~"b',^,~ {Jil /"q oS "u.n'f? t>.~ ,crt." 0_ ?' """ jA '" ""<T7~ ~ ,e~",-rQ-. .;ni..:nF...,p ,t::'~J.t ~ -LE/ -'l"'~~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PAINTERS, INC. (360) 452.1381 /.-.