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Home My WebLink About722 Milwaukee Dr - BuildingPREPARED 9/10/08 12 42 34 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/10/08 ADDRESS 722 MILWAUKEE DR SUBDIV TENANT NBR FRED WIRTH CONTRACTOR ALL WEATHER HTG COOLING INC PHONE (360) 452 9813 OWNER WIRTH FRED PHONE 45) 3718 PARCEL 06 30 01 7 1 9010 0000 APPL NUMBER 07 00000490 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 9/10/08 MECHANICAL FINAL TIME 01 00 bi 44 September 2 2008 9 36 51 AM 1pangrle FRED 452 3718 MECHANICAL FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES Application Number 07 00000490 Date 5/16/07 Application pin number 525480 Property Address 722 MILWAUKEE DR ASSESSOR PARCEL NUMBER 06 30 01 7 1 9010 0000 Tenant nbr name FRED WIRTH Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 13578 Owner Contractor WIRTH FRED 722 MILWAUKEE DR PORT ANGELES 45) 3718 WA 983631421 Permit MECHANICAL PERMIT Additional desc HEAT PUMP INSTALL Permit pin number 101105 Permit Fee 64 70 Plan Check Fee 00 Issue Date 5/16/07 Valuation 13578 Expiration Date 11/12/07 t Qty Unit Charge Per Extension 5 BASE FEE 50 00 „1 1 00 14 7000 ECH ME INSTALL 100- FAU 14 70 1 Fee summary Charged Paid Credited Due 1 Permit Fee Total 64 70 64 70 00 00 Plan Check Total 00 00 00 00 Grand Total 64 70 64 70 00 00 3 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 c inspection I hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of 7 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 kAilthorized Agent T \Policies \1102_15 building permit inspection record05 wpd [1/4/20051 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 ALL WEATHER HTG COOLING INC 302 KEMP ST PORT ANGELES WA 98362 (360) 452 9813 5/ Date Signature of Owner (if owner is builder) Date FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.I PLUMBING UNDERFLOOR /SLAB ROUGH -1N WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALL., CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -1N HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE i PELLET CHIMNEY ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I I PLANNING DEPT 417 -4750 1 IL 1 I BUILDING 417 -4515 14__ T \Policies \1102 15 building permit inspection recordO5 wpd (1/4/2005) BUILDING PERMIT INSPECTION RECORD O CALL 417-4S 15 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES i PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER INSULATE OR CONCEAL 4.NI' WORK BEFORE INSPECTED AND 4CCEPTED POST PERMIT IN 4 CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. Q INSPECTION TYPE DATE I ACCEPTED I COMMENTS I 1 YES NO FINAL MANUFACTURED HOMES FOOTING 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 417 -4735 ELECTRICAL LIGHT DEPT FINAL 9 16 "08 DATE CONSTRUCTION R.W PW /ENGINEERING I FIRE DEPT PLANNING DEPT BUILDING DATE ACCEPTED ACCEPTED BY. 3 DATE 1 ACCEPTED 1 YES 1 NO 3 I I I 1 I 1 Application Number 07 00000508 Application pin number 152308 Property Address 722 MILWAUKEE DR ASSESSOR PARCEL NUMBER 06 30 01 7 1 9010 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Owner WIRTH FRED 722 MILWAUKEE DR PORT ANGELES 45) 3718 Permit Additional desc Permit pin number, Sub Contractor, Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total COMMENTS /ACTION NEEDED 35 00 35 00 00 00 35 00 35 00 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321.EAST 5TH STREET PORT ANGELES, WA 98362 Contractor Qty Unit Charge Per 1 .00 35 0000 ECH EL LVT FIRST THERMOSTAT Charged Paid Credited op 00 00 EXPIRED Date 5/15/07 ALL WEATHER HTG COOLING INC 302 KEMP ST WA 983631421 PORT ANGELES WA 98362 (360) 452 9813 t. ELECTRICAL NEW RESIDENTIAL ALL WEATHER/ T, 'STAT 1014.10 ALL WEATHER HTG COOLING INC `35 Plan Check Fee 5/15/07 Valuation 11/11/07 00 0 Extension 35 :00 Due 00 00 00 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO i t jcp I rf2- -Q PW- 1102.15 14196] 05/04/2007 00 56 13604525177 Applicant or Agent: 1 r liQCL (C.t,t( Phone: -Ce�i Owner U `V Phone: LtS 2 Zip. 9S No Address: A 2Z N\ 1 l Q GSitr Architect/Engineer AI 1 k"a •Contractor 1 WaShsjr State License Qi1P la +t 1 xp. --1 C- Address: ?)CD j c p Cit �l Q /1 PROJECT ADDRESS:17ZZ- I('V\ t `�A)Ce JJ 0� ZONING. LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. Credit Card Holder Name. Billing Address: Credit Card Type VISA MC TYPE OF WORK. 91 Residential 0 New Constr. Rc -roof Multi- family Addition Move Commercial 0 Rernodel Demolition Repair Cl Sign BRDiT DESCRIPTION OF THE PROJECT CO1VII1ERCIA.L/RESIDENTIAL. Occupancy Group No. of Stones: Lot Size: Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION 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 PERMITS (360) 417 -4815 FAX(360)417 -4711 Existing Sq. Ft. City BSA/Wetland(s): 0 Yes No SEPA Checklist required? Yes 0 No Other ALL WEATHER HEATING Subdivision. SIZE/VALUATION o Stove SF /SP O Garage SF /SF O Deck SF /SP O Other 4fPD1f ,Lt,/np /nV172 OA. Phone: 1 -15 Z 9 X1,3 Zip: 5 6 Exp. Date: TOTAL VALUATION I 3 OW; t l Occupant Load: Construction Type: Proposed Sq. Ft. TOTAL Sq. Pt. PAGE 02/02 FOR OFFICIAL USE ONLY Date ltcc. 0 5.— O �7 Permit 0 7 1 4 1 4,0 Date Approved: 0 0 1 4 0 r Date Issued: a 5 ,-04{ -0- 7 APPROVALS: PLAN BLDG: DPWU ME. OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 4815 for assistance. PLAN CHECK FEE. IF a plan check ice is duc 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 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 R105.3,2 of the International Building/Residential Code, 2003) No application can be extended more than once. 1 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 detennine what permlts are required ,not the City's, end that I must obtain such permits pprio to work. Date: /j/ 1 TIRVESS\BLDG- forma- brochums \2004- Auildingpermit.wpd Applicant 05/04/2007 00:56 13604525177 ALL WEATHER HEATING PAGE 01/02 ~, ~ W ELECTRICAL WORK PERMIT APPLICATION . Job wired by , Electrical Contractor CJ Owner Inslalllltinn dC!'lcripTiQI1 r:J Cnmmcrclnl .~ Res1dential Electrical contr.lctor name el\W~r l-lPa:lr"'1i:flYJ1on'J \AlllIJl:ol-I(\..3Q_~[) 'f-1-0+ Purchaser's llJOtilins: oddrcss :30 '2 K.ef'r\P ~ Cilv ~ ~.R1U) Telephone number 51 FI'e-mlscs owner's- nil me Etl..c\ \,u I ~ ^dtlress or inspection _ a _ , ~ !}'l.-7- "^" \~P41 c:~ \-'CA* ~y I ,-" Phone number to "c:hcd~1J In'lflcctlon: 15"7- '3, J g- Owner ".I' dcIlflarJ h)! RCW19.28.26/:(I) Owner will "cr.up.1' tll" .(frl,C/lu'f'/or two yean: ajtf1/' tI.t~' electrical prml'fit i.~ .1iflalizr!d. (2) Owner Is required In hire! 1711 eleclrlCQI c;rmtracrnr if I2bO\lC ~'lIirJ propart)' ir Im' .~all? ren, Of" Ico..tr:. After reading the ah(lvc !ilt."ltc:mcnt, , hereby certify that I nm the owner of the ahovc n3n\c(1I~I'Opcrty Or a liccm.cd clcctl'iClll conlr<lctor. I om making the: dcctrical instal- lation or !Ih.cr:'lliOt\ ill complhmcc with the elecrrical l<lwS. N.E.C.. RCW. Ch;lptcr 19.28, WAC. Cl1;,ll'tcr 296.468. Thc Cily (lr Porl ^n(!~le:; Municipal C(l(lc. <lnd Ulility Specific3Iinn~. ~Hl!"fHIln.: or nwncr, C!1f!C1rICnl . 'lh Liccn~c numher 1)"IC Expiros ON.,. o AIl.red! Addillnll u.~ PAx numher ~ -\ sk\- g,.. .. CJ Cash CJ Check II ~ Credit Card Card # Visa Mastercard Discover -_._--------------- Expiration Date of card ServlceJI1I.ormatlon o Overhead Service Q Temp Service o Underground Service Vottage Pha.. a , 0 3 Service Slze~ Feeder Size: SAME DAY INSPECTION CALL BEFORE 7:00 AM 360-417-4735 , " ROUGH-IN " TIlERMOSTAT SER"lCE Il"l", ^wmvc<ll-l.\l "- I)nl~ "l'~rvull Dr "- DntC! ^t1'TlIvgdJJy FJNAL '\ " DrrCH '\ '\ I FEEDER I)nl~ ^I'rmwe... Ry '-. Dllla ....llfll'O"<:!d 0)' DlIlt ^lIl'l'llveol liy InRfle:cri(l'l ArC>1. Building Or Equjpmenl Inspectcd Electrical Dote Action Taken ,IMpcctor - / ff--PIM-D 8/i /08 / I / ~re., ,""'. II' 1....11& MAY 1 0 2D( 7 LIGHT OEPT Dee DB 04 11:34a \. ~s'" "ile '" ~.'" Bobb~ O. Coleman 360-452-7594 CITY U~ YA ~Ll1v Vet'! '^A ;., 5bU q I: q II i v,~ p. I .'. FOIl o~FJCv..!.. ~S6 oN'~" QcIVRH" ,......... 0-"""...-' o.~ Wood' ELECTRICAL PERMIT APPLICATION The E1achical Permil Application must be fiJlHI out comnletelY, Pluse type or Jepnntln Ink: If )'bU hDe IInV qUl!!stlans, pINs", call (36Dj 411-4135 fu number: PliO) 0417-4111 ~ O"""DTEIe<:CDn".~?nt (~ P'OO.rt, Ownec. ~ ,.J '..IJ._iL. "'ddress: 17.&r69-- 'A:~ lJU'1IJ!:;'U CUy: .J / -p. #- ElGdrtcaICon1raC\or: i'A ~"A f- p~~.r;;:.~_ AddrQS&: CRy. Ph_::; ~ 7/7.v Fax: .a. 7 )7 'I- Pt\onr:' f2 /-- jJ"/.j /. UrenslC"#I: Exp: ZiD <1,fSc, ? Phone: Zip: INSTALLATION WIRED BY' DOWNER ~LECTR.ICAl CONTRACTOR c,...m Card Holder Name: Cndil Cant Number. Zip: V1SA:_ Me: City: Exp. Dale: Billing AddreSs: PROJEC"T ADDRESS: 782 a/;;"IAJke:'? Check alllhat apply: 0 New 0 A1teratiorllAddiUon lVPE OF WORK: o Commercial 0 Mobile Home $q.Ft y(Residentlal D. Multi-family o Remo1e Meter D Detached gamge 0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. 0 Sign NUmber of CircUits added Dr altered: . /-Jef!J ,,';iff//;- diaL.! <' ,j. DESGRlPTION Of THE ELECTRICAl. PROJECT:. . Electric.1 Heat t..oad Additions and or Sub\nlctlons Service 'n'onnatlon o Baset)oard DFumaD! o Heat Pump o Fan~afl _KW KW TON LRA _KW- o Overhoad Sen<ice o Temp Service (J Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: , hereby certify that I have read and examined this application and know /Il..t same to be true anel correct and I am authorized to apply for this permit. I understand il is not the Cily's leg81 responsibility to determine what permits 3re required; it fsmains the applicants responsibility to de~;;;~ermits are required and to obtain such. credit Card Holder's Sign.lure: j? ~ (f;;!4 d Date' L:;J..-~ -M- Owner or EIIC. Cont Signature: Date: PERMIT FEE: $/1[3,10 ::JELEC"ffiJCALPERMrrAP'PUCATION J~ '\oil r..? CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ."\2\ EAST 5TH STREET. PORT ANGELES. WA 9R~62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001111 Date .930461 722 MILWAUKEE DR 06-30-01-7-1-9010-0000- RES REMODEL 2/01/05 RS9 RESDNTL SINGLE FAMILY 3592 Owner Contractor WIRTH, FRED 722 MILWAUKEE DR PORT ANGELES (452) 3718 OWNER WA 983631421 SEBRING FL ---------------------------------------------------------------------------- Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER ADD ONE CIRCUIT- COLEMAN ELECTRIC 48.10 12/09/04 7/31/05 RESIDENTIAL Plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 48.10 \:; i" ---------------------------------------------------------------------------- Special Notes and Comments Building Division has no requirements. The Fire Department has reviewed the project application and has no comments Proposal will result in a deck flush with the north side of the residence which has been field verified by PW as being 65' from top of bank. No land use issues are noted. Electrical load calculations and elctrical permits are required. Public works utility engineering has no requirements for this plan review. j Other Fees STATE SURCHARGE 4.50 ""- l' t' t ),. ~ ~ ~ ---------------~------------------------------------------------------------ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 52.60 52.60 .00 .00 ~ ~ COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEq'.I0N 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 .e. i::.. GENERAL COMMENTS: PW-II02.l~ [4196] c1 VORT ~ $~~ ,.. .... -- ~C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property zoning . . . Application valuation 04-00001111 Date .930461 722 MILWAUKEE DR 06-30-01-7-1-9010-0000- RES REMODEL 12/06/04 RS9 RESDNTL SINGLE FAMILY 3592 Owner Contractor WIRTH, FRED 722 MILWAUKEE DR PORT ANGELES (452) 3718 OWNER WA 983631421 SEBRING FL Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 120.75 Plan Check Fee 48.30 Issue Date 12/06/04 Valuation 3592 Expiration Date 6/05/05 Qty Unit Charge Per Extension BASE FEE 92.75 2.00 14.0000 THOU BL-2001-25K (14 PER K) 28.00 Special Notes and Comments Building Division has no requirements. The Fire Department has reviewed the project application and has no comments Proposal will result in a deck flush with the north side of the residence which has been field verified by PW as being 65' from top of bank. No land use issues are noted. Electrical load calculations and elctrical permits are required. Public works utility engineering has no requirements for this plan review. -...::J '}> 'P ~ -- Other Fees STATE SURCHARGE 4.50 ~ ~ t ~ t. rb Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 120.75 120.75 .00 .00 Plan Check Total 48.30 48.30 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 173.55 173.55 .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. 1.2 04- Date Signature of Owner (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 UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS J~l-} ~ -o.-.J J.L WALLS FOUNDATION DRAlNAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I 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 SEPA: PARKlNG/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. / PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 / -z'd ~{)~'- r....J LL BUILDING T:\PLANNlNG\FORMS\1102.15 [11/14/2003] , tIl tIl tIl >-3 '0 ;;:::~8Ei ()'" , Ie' Ie' Ie' ~ i H~ , \0 \0 H '0 "'~ZZO >-301 , \0 \0 '- le'()t'l>-3~ ~'" , W H t'l~~t'l P , 0 0 0 0 >-3 ZIe' PW o~ , '" H H ~. ()W "'01 , >-3 0 it tJj tIl 0 '" '0 010 ~. 0 HH ()~i<l ~ ~H f-ll-'tvN 001 >-3'- , '- ....................................... 3:0 IV , IV NI'Vt-'1-' 'Oc::o ao~O....J ~~ , 00 -.J-....]ww le't'lO 1f::>.0000H~N , '- ........................................ t'lW ' , ~ZIV G"l0 , 0 0000 >-3>-3tJj ow 1-3 tz1 01'" , '" V1U1~tI:>o t'lt'lC:: oo::r:~::s: Ie" OOH 0 , . 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APPLICATION FOTZ OFF]CLAL L~SE Ol~L ,\7: I I Do"R" il-~lbJ Pem1il# (t}1-11' / 'LJ81" I. ,)""o~""';'. '1 '- . ~I yJ u,..........:. Dale Issued: Fill oui CO.MPLETELY and in INK. Your llpplication and sitt plan MUST ~E COl\11'LETE to be accepted for review. If you have allY questiolls, call \ l)Er-.MITS (360) 417-4815 FAX(360)417-4711 Phone: -1.5 2.... .31 \ 8 Phone: A.. 52. 51 \ 9 t\6..i9~Jes Zip: Cj83~3 Phone: -4~2 (j 2 Ci 7 Phone:A5 2- 3"7 ( e Zip: ge~63 ZONING: ~ - C; Applicant or Agent Fv-e-r9.., J, \jJ- lrt k, O\vner: f roe <"- -J'. \).. 9 I ~ I '2) l Address: 7-;"2.. M, \/I-JI.)..A)K~e. t>h~Y: \t..t~ Architect/Engineer: IP t-r Sc ~ u ~ f.t~ Contractor fr~o....:r \}...) \~ State License #: Exp: Address: 722- MI\~D\O\t.o'" ~""vP City: ~(p~.lj\Lo~IB5' PROJECT ADDRESS: 722. M\ ~\J."j"1<< ~ 1)'N. 'J~ LEGAL DESCRIPTION: Lot: Block: CLALLAMCOUNTYPARCELNUMBER: (?~ ~CC>/ 7110/0 Subdivision: Credit Card Holder Name: f v-e& ~,. w \ t-::~ Billing Address: 7'2...2. M \, 11.~1l'\~ 0.... tl t'-\ V ~ Credit Card Type VISA _MC #_ T'lPE OF WORK: J8 Residential 0 New Constr. 0 Re-roof 0 Stove o Multi-family Ii! Addition 0 Move 0 Garage o Commercial 0 Remodel 0 Demolition ~ Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: .A1)D ITlDt-J ~F It-Jc..u~An:: ~ $)~rP-l>~ .f2corvt City: ~dl t=\- /+v.a c \~ -.;:; Exp, Date: _ SIZEN AiUATrON: I H J..f SF. @$ /SF. = $ SF. @$ ISF. =$ SF. @ $ ISF. = $ TOTAL VALUATION $"3 67'9- ~ p.lfA J2. tJF"c.J:::." ~ T f\ I rz.-s A~{) VE 'EJGISiJ 1\f6 r.;./VLAbG COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: Lot Size: c.{;(;t,h ') Existing Sq. Ft. -1' 8'J..f ~ & Proposed Sq. Ft. ~ - Total lot coverage I..::J % Construction Type: i Iff( = TOTAL Sq. Ft. 3 9'67 APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on tIle application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with cunent fee schedules. Contact the Pernnt Coordinator at 417 -4815 for assistance. PL.<\N CHECK FEE: IF a plan chec1c 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 at the tinle of pernnt issuance. EXPIRATION OF PLAN RE'\7J:EW: rfno permit 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 v,'litten request by the applicant (see Section Rl 05.3.2 ofthe 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 that I must obtain such permits prior to work. T:\R VESS\BLDG-forms-broc1mres\2003- BuiJdingpermit.wpd Applicant: 7/7.oct 8 - t)J.{~~ Date: 01'7/04 ---~..- l...l ~~ /)~ ~~llil-N.Ac\2?< At' f~ \~~ _\ O~' -:t... _ ..,___ . \J~'f . ~~\~~ - ~- ~ YfJ:\&j\'b~ " ...~. *.\\\.(J ~.~V~.,~V. \~9~~~ . ~L ' e-.' '.40.~~ .. Ob ~OOI 119'010 '.: . .~ ~ ~. _/ - /.-/ .-. . U 'f-e,~ }/ .~\\..,,,,,,.f^.. ...._ .... ........ . .~ --/" ::r 1 ----------- ~Ir~ PlAN ~ Fp-eD WlfZTH III ::. :;. 0 I.',;;? ~ 7Z7- f-1n..w~Ut!-~~. pp.. 4~:2.- '?71b rop.l ,A1JG~j... ~'$I.)I.,A.. ~!>~'? N?J ~+ ...- - - --"'~"'-'."', "'~-."-II"'''''-",,''''..'''''-'"''-~''.''-'~--'-' - -.-- .-. ._-.. ____.__.-_,n. -,~"____,,,,,_,,,,.,, '_'~".~. .------"7""""""'-'-.-'--.-_..___....~...'""~"....~~,,,'-. '__'. ",_, .'. ~_, .--...___-. ...... ,/" ~r ~, :. .;", .J.,... f '. ~,.' I .r p,lI-!;- .~ '., .( ~.;' ';i .~- .,-- ../ ~,,- . . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: PERMIT NO. .;aSS- / .;;1 L> 7/9Z- . DATE ~ READY FOR INSPECTION License Number: Installed By: Owner/Business: , Owner/Business Address: ~ RESIDENTIAL El COMMERCIAL o BASEBOARD KW _ o FURNACE KW ~ o FAN/WALL KW ----r:- o HEAT PUMP KW---J.fL- [] SIGN o TEMPORARY SERVICE o PERMANENT SERVICE -g NEW CONSTRUCTION b REMODEL o ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) Details/Description: o WILL CALL FOR INSPECTION Phone: Phone.: Sq. Ft. o OVERHEAD SERVICE ~~~g~:R~~!~VICE (R SINGLE PHA E tJ THREE PHAS.':;: SERVICE SIZE ~D AMPS #Wr ~ _ .:Jao ~ . W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. ~.ROUgh-in/cover O.K. ~ O.K. to connect service o Final O.K. f)lotify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Builffing Permit. PHONE 457-0411, EXT. 224. ~{)tYt/t NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT . $ Electricallnspeclor ,: Site Address: / , 7?-;L M//w :,lnstaller:SJ '<- . WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom. Customer OLYMPIC PRINTERS INC. \. permitl2?C~s / New Meters s-s- f-tJ Permit Fee GREEN - Top: Meter Dept., Bottom: City Hall Site Address: CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT NO. 3f/S/ Ihhz I . . ELECTRICAL PERMIT DATE Ir;lstalled By: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Owner/Business: Phone: Owner/Business Address: Sq. Ft. 'D Residential Heat KW D Baseboard D Furnace/Boiler D Heatpump D Other D Commerciallindustrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) D New Construction D Remodel D Service update/alter/repair o Overhead lldUnderground/, r;:-, Voltage /z-pI.:2-y,-" ~ 10 D 3.0 ~.rvice size /(JJf/ Amps ~ Temporary D Add/alter circuits D Auxiliary power (list below) D Special equipment (list below) Detai Is/Description: . W.S. No. Service Size Capacity: D O.K. D Not O.K. Comments D Ditch inspection O.K. D Rough.in/cover O.K. ~ O.K. to connect service D Final O.K. Date Hold for: D Easement D Letter D Signed up for service/meter D Meter Department notified for installation D Fire Department notified of inspection D Plan Review approved/pending In~taller: ..5 Permit/Receipt No. ~ tis-- / New Meters Date: . I Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by,th~Wrlting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT t:5:l. 0 ~ Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall l:- OLY"'PIC PRINTERS. INC.