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HomeMy WebLinkAbout1709 S O St - Building ~ FROM FAX NO. Dec. 06 2004 10:58PM P2 1 ~ Contractor s o Owner ~~..~ ELECTRICAL WORK PERMIT APPLICATION o Request Inspection Job wired by o Alum a Carnival D Comrtler~isl ~ Resldeatla1 Ma..inL CJ Signs 0 Thermostlit l:J Telecom. .~ Contractor 0 Owner In!>lllllation description (J ADD.ual Permit License number IPflo '"'"'] 4 ~ CitYCV()lLl- ~." Telephone number '-t rl.--{p-( "-'"t .. Sl~le ZIP IA.I..... "i"l:. '" "L- FAX nunlber ~ Premlse~ ~wner'5 name T-'-o lA.S..., Address of In5pettlo"" ' \"'laC! City ,.----, -t"'Ol!-< M-br S "D ~ o Cash 0 Check # r hereby certify that I am the owner of the above named property or a licensed ~ ~. Mastercard Discover electrical contrdclor (or the firm's authorized agcnc) and am making me electrical installation or alteration in compliance with the electrical law, Chapter 19.2& RCW. Card # -""'E' ~ ~ ~ ___ _ _ _ _ _ __ __ Signature of 0 Expiration Date of card Inspection fee $ x CEILING THERMOSTAT WALLS -Jn9ulation Only /5i,!/D~ __ i - ('1- C>Sovc~ D:I\( APflTovril By '- Insulation Only /0~t" ~., I-tL(- 0 ~Covc D.lc AfIPl'I'lV D;!,If. AppJ'VYed Dy / SER~ I-N-65~_ \... Dille Appl'ln'lld By FUDER D:1te AIlPl"OlUIDy 1 Electrical Load Additions and Dr subtractions ;Q I,), - /,J-~ '{ D NO LOAD CHANGES /.J/i'-47 Q Baseboard _ KW ." l:J Furnace _ KW h ~ 0 Overhead SBMCQ (J Heat Pump Ton l.AR tJ _ \0 a Temp Service D Fan-Wall - KW - OV 1 \v\ll!\ tp-UndO'llIOVnd SON;08 f _ ill_O;rra;; ~ A D:ttc ~ AUJ Service Information , Voltage PhassD103 Service Size: _ F=eeder Size: Inspection Area, Building or Equipment Inspected Electrical Date I Action Tskcn , Inspector f . , 1/,e;;dtl5 r; NffL ~~ A77 4ro./J , , , ., . A~ fZ... ? -"'1 ~ ADDRESS /70 ,. r-" ELECTRICAL INSPECTION WIRING REPORT 417-4735 INSPECTOR /fCP S~J <:::> ST' APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . ... . . . . .. . . . . ROUGH IN/COVER. . .. . . . . . . . .. . . 0 D. . . . . . . . . . . . . . . . . . .. SERVICE. . . . . . . . . . . . . . . . . . . 0 D...... ():/~.. .;;;~)...............)( CORRECTIONS NEEDED: H~ /N ~~ -Ld2Nr"LJc..r h//T1-/ sno~ ~~N NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 IElIECTmC~L ~NSfPlIEC1l"IOINI W~IRING RlEfPlORlT 417-4735 PERMIT . /J~/. '28- ...$.e ADDRESS INSPECTOR AU? .~ c, c;J ST. c' . C? APPROVED ;^tD ~05/-~1.? ~~~ ~ APPROVED D................... DIT~ ...................0 o .............. ROUGH IN/COVER. . .. . . . .. .. ... 0 o .................. SERVICE .................. 0 o ....... 'l)~ . . . . . FINAL. . . . . . . . . . . . . . . . . . .. 0 CORRECTIONS NEEDED: /1?#.5/Ji3-rC &3-00 ~ H~4r jn J4-Tf'4-I ..:5/~>,. 7011 j?" -<.. IC-I~""I S/A/K @~.c /N ~/Ur<7,..., JJtTt?K... (/vEJ7L-; (/n'd'4J..t.., 0/'-/ ,ll$fl11!!~) (;J ()~~--K ~o.P-r'/-i' Ner I/IH)~"N~ /Vo:/ ,~)C).A:-k'/,^/6 f$6~:=; ::: &k.& 7Z> &ri/!tlo ~=~ ~ I5'rU ;K:::.oCes" /h' -SC-H"L.Oe<u /../6/-1-'/ <7r~ C!/..PsL- TO =~ ~ L/C,dT' NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS OLYMPIC PRINTERS, INC. (360) 452.1381 - DO NOT REMOVE - '''''lll [EILIEClrRl~c4 ~NSl~IE(cT~(Q)N W~IRl~~G 1Rl1E!P>(Q)Rl 417-4735 DATE /'h " I OW AI TAACTOR ~'- ADDRESS 17() 5, 1rfrfo~ 'p1l..t#}(.. Jz, e.o/e~ /;/N6'~~~ED ~ iij;$/id::: '~~'~G~I~~/~;~~~':::::::::::::: ~ o .................. SERVICE .................. 0 CORR:T;~~~'~~S:i7!~ ~:~N/A~ ;~.... .~~.~... >D~ IJcoR II II ~~ j:.J~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PAINTERS, INC. (360) 452.1381 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000098 Date .996932 1709 S 0 ST 06-30-01-5-5-0030-0000- RES NEW SFR 4/09/04 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 71523 Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 OWNER Structure Information Construction Type Occupancy Type Other struct info NEW 1180 SF SFR W/ATT 520 SF TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS GARAGE 19.00 V-N 1. 00 1. 00 9007.00 1700.00 1700.00 1. 00 Permit MECHANICAL PERMIT Additional desc Permit Fee 76.00 Plan Check Fee Issue Date 4/09/04 Valuation Expiration Date 10/06/04 Qty Unit Charge Per BASE FEE 4.00 7.2500 ECH ME-VENT FAN .00 o ...:::I ~ -Q Extension 47.00 29.00 11 Z ~ r u. o Permit PLUMBING PERMIT Additional desc Permit Fee 132.00 Plan Check Fee .00 Issue Date 4/09/04 Valuation 0 Expiration Date 10/06/04 Qty Unit Charge Per Extension BASE FEE 47.00 8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 56.00 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00 1. 00 7.0000 ECH PL- EA.WATER HEATER 7.00 \j ~ permi t . . . . Additional desc Permi t Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL ~ 821.25 4/09/04 10/06/04 Plan Check Fee Valuation .00 71523 Qty Unit Charge Per BASE FEE Extension 667.25 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 constr 'on. Signature of Owner (if owner is builder) Date T:\PLANNINGIFORMS\1102.15 [11/14/20031 BillLDING 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: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/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.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:\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 pin number . . . . 04-00000098 .996932 Page Date 2 4/09/04 Qty Unit Charge Per 22.00 7.0000 THOU BL-50,001-100K (7.00 PER K) Extension 154.00 Special Notes and Comments The site is within the Madrona Woods Subdivision. The residential structure may NOT be finaled until required infrastructure for the subdivision is improved and installed. Electrical load calculations and elctrical permits are required. 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 1029.25 1029.25 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2803.75 2803.75 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\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 I NO FOUNDATION: FOOTINGS 1/. / 1-cJ.f ~ f ) /..... WALLS n -9-3-0Jf J"J.-. FOUNDATION DRAINAGE/DOWN SPOUTS / - M-vi-f ,1. J.,.. ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING 1'LVHB FINf\L '-1-25 -of;; .J LL "i P UNDER FLOOR 1 SLAB ROUGH-IN J C . 1. )-1""/...1 J,L. WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS I f}.-O?-o4 .i I ,I.. CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS j 11 - 0<.(-'0,", j, l..., WALLS / ROOF 1 CEILING 1/1\ -c 7-o.J J.1-.. I DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING 14 -/3-0"j J.L MECHANICAL t-'\e~lt FltJA; L. 4- 25 -OS. JLL 4F HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/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.I PWI ~., - Ao--os . iF CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 4 -25"-05 ,Jd... BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003] '- ~, o~ \"ORT .........Q 8-4. ~"l.~t~ rea "'- -=.a' ~ "l.t\1C~ 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 04-00000098 Date .996932 1709 S 0 ST 06-30-01-5-5-0030-0000- RES NEW SFR 10/25/04 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 71523 Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 OWNER Structure Information Construction Type Occupancy Type Other struct info NEW 1180 SF SFR W/ATT 520 SF TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS GARAGE 19.00 V-N 1. 00 1. 00 9007.00 1700.00 1700.00 1. 00 ..j o J) Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date FIRE SPRINKLER RESID KNIGHT FIRE .00 10/25/04 4/24/05 PROTECTION INC Plan Check Fee Valuation .00 o \{\ C1 Special Notes and Comments The site is within the Madrona Woods Subdivision. The residential structure may NOT be finaled until required infrastructure for the subdivision is improved and installed. Electrical load calculations and elctrical permits are required. o J\ --1 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 .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1774.50 1774.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of co ction. Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\I 102.15 [11/14/2003] BillLDING 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: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN W (\ TER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR'SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANIT ARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNINGIFORMS\I 102.15 [11/1412003] PORT ANGELES FIRE DEPARTMENT 102 East 5th, Port Angeles, WA 98362 360-417-4653 Fire Sprinkler System Plan Review Project Name: Self-Help Housing Address: South 0 Street Installer: Knight Fire Protection Telephone: 360-417-0505 Type of System: 13D R-3 !Xl R-1 D Com D Date: October 19, 2004 Permit #04-12 We have checked this plan and find that it conforms to the requirements of our ordinance. Additionally: 1. All systems including underground mains, shall be installed by a state licensed and certified company. The system shall be installed as per NFP A 13D. 2. All electrical components shall be compatible with the fire alarm system voltage and as per P AMC and Washington Administrative Codes. 3. All systems will require witness underground flushing, hydrostatic tests for system, and underground pipe schedule inspection by the Port Angeles Fire Department prior to being covered. (R-3 and R-1 requires design sprinkler flow.) 4. Before final acceptance of the system, an inspection will conducted by the Port Angeles Fire Department to ensure the system installation complies with NFP A 13D. D Contractor ~ Building Department D Fire Copy Reviewed by ~~ Date \0. \"0' rt:JL( FP - 9 Page 1 of 1 , , , , , , , , '1 ~~~~f-q." I l--'I--'NNt\JNOOiPo~ I ............................................................................................................... I tvl--'l--'OOOOOOww I LnWW...J-...J.....:J-...JOOoooo I ............................................................................................................. I 00000000000 I UlV1Ul~,p..ti:>o~,p..,p..,p...... , , , , , , , , , , , , , , , , IJj t' '" '" IJj t' ~ [fJ IJj t' w IJj P H :u IJj t' ~ o ~ o ~ IJj t' '" IJj t' ." o o ~ o ~ o ~ o '" o ~ ....toP>........ ........................................... 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OJ <!l>-3 UlO1 Ul H ZZO >-3 HZ O1OJH t< "' Gl <: [Jl t< 'd H ro OJ 0>-3 "' L rTH t< ...- 3: ><: o 01 "' .. Moo-" o -.J 'i .. 0 '" 0 [Jl [Jl 0 0 "' '" [Jl 0'0 'd "" >-3Gl 0 OJ OJ [Jl [Jl .... 0- '-' ", ro , 0-" '" , 0 ",'" BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: .~ ~ Date RIle.: ~ ~ ':;z -D . Pennit#:~_. .' Date Approved: . C l Date Issued:' . FiB out COMPLETELY and in INK. Your applieatioD and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, eaII (360) 417-4815 Applicant or Agent: /10\)5/11)(;.. AiJ'fHOlllyt C(){JN"rY ()FC~ Phone: 'IS"J.,-763/ l.>t-r: l.( I Owner: //O(J:;/,.)? 1It/7Hof(1}7 tJr()u<.WrI crc~ (/lff/(/c} S) Phone: YSd- 7(,3/. Address: ;tc3 5""0, R2./-YJ<2IS Sf City: fo~-( 4rJ6-U~.S . tv/! Zip: ?83~;( / ArchitectlEngineer: LIND 13 ~R6- IJ/(C/1/rf,C, S Phone: 4, \~;)..- (II (, . Contractor )/ he C- State License#: Exp: Phone: ih{;; -7~ 3/ . Address: :J.. {,63 S~ rl2/J-71(!/5 sr. City: I'oRri /Wc::u~<; t.f/4. Zip: JR'3 C 2 I PROJECf ADDRESS: 170 J 50(/1'1:1 b~ sr flOl<cf Anl6-EJ..~~ ZONING: te:s - 9 LEGAL nE8CRIPllON: Lot: :iJ:3 Block: ~t!/ "5r: Subdivision: /I'1t9JDlOJrI It W (!) at> S CLALLAM COUNIY PARCEL NUMBER: 0 t :5 0 c::> I J J' - OD "3 0 Credit Card Holder Name: BJJIing Address: City: Credit CardType VISA Me # Exp. ~te: TYPE OF WORK: SJ.ZEIV ALUATlON: ..' .RaIideDtial K'NewConstr. 0 _roof 0 S10ve ~ SF,@$. 'n3J!Sp.=$ ~~ ;1: C Multi-family C Addition. . C Move. )rGamge _ _ SF. @ $ '. 30 ~o ISF. = $ __ _ _ C Commercial C Remodel .' .0 Demolition DDeck SF. @ $ - . .1SF. = $ C Repair D Sign C Other TOTAl. VAUIATJQN $ 71.)"? ~ BRIEFDESCRIPTIONOF't.BEPR~JECr: NE..w \')/ItI?J..'t, FA7Y1/J..Y!<'E6I1:if7{<Z,& - '.'/ . tvJ i.. $'CRy W}11f;'hT1i4'C:Hl-() ':J. - eAfl ~24 . . . .. ,. . - COMMERCJALlRESIDENTIAL:. OcCUpancy Group: OcroPantLOad:". .; ,". CoiistIUCtiOJi Type: No. of Stories: -'- Lot Size: ? 00"7 Existing Sq. Ft. . t:J & Proposed Sq. Ft. I? 00 . = TOTAL Sq.Ft. I? C C> BxistiDg lot coverage --12..- % & Proposed lot coverage --LL% = Total lot covera~ /9 % . APPROVALS: PLAN:~' ..' BLDG: . DPWU: FIRE: OTHER.:_ PLANNING USE ONLY: ESAlWetJand(s): eyes 0 No SEPA Olecldistrequired? 0 Yes 0 No Other: BUD..DING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. . "- VALUATION O~ CONSTRUCl'ION: In aD cases, a valuation amount must be eDtered by the applicant. This figure Will be reviewed and maybe revised by the Building Division to complywith current fee schedules. Comact the Permit Coordinator at417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it IJ1QSt 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: Ifno permit is issued within 180 days of the .date of application, the applicatioD 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 107.4 of the Uilifonn Building Code, current edition). No application can be extended more than o~ce. I hereby celtify 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 --~'b~~to~_~:::_~o1Ble~andl a/1:~:~Z~~!l: , .. ....~..;.1:.:...........'..~.~....:~..:.::............,<......;,-_:.':'.~~..,~...:..::....:....'~..~.. .','...;..,.~...'.,..~...'...,.:..::.'..;,.:.. . . . . ..", ~'"" ~ . -.. .. . "~"" '. - . .. :-}~:r~;~~7:-'};(:\;.";"~'';c.X->;; :-.:l;!-"" ~'-. . . .-.' ..: . . .. _ '. . I I tiU' . J<./J .-:/- , /"", l...""fI.- ..... : /"" I : ~ ?,.c,Lf <t A I : , "'-.. ,- /" ~ : It "--./, : / / / I 262---../: I I J ~t;t<~J" 3;2' : ~ ~ " , : '" f=---... :- I --- v, I -----. ^n I I \-\f".' ~-----------------------~T~--------~-~----------J ~6 ~- /1 --- ;2..:> --- ~.....~.. . p. 0~ .-,.0 .() () I ~62___ ~ r- 1 7', --------------~ "- ~ :------ ~ :i f--- ,il, '\~ l' 1180 , ~g. .(- f' -?' I ,,~~ 'J-f..')..{ ~ ~~ ""- .--- - --- -4........ I <6" : ,. "'- : I , : I I I I I ______________.J '\ I I ,~-- / " "- ( o s-r~~~( SW~LE. D#lA'NA&fi- ----. ~ ..Q' . . . '. .--.. ..-..- 6tJ C900 F -- -260 -- C"'".. ;l.{ , Cv ---A~~-;~;~l---------: I '1 (> 5"'ri~ ~ i:-( l .. ~i- - - - "- --. SCALE: I" = 20' -- t-.. I I o - I 30 , T1TlE:MADRONA WOODS SUBDIVISION SCALE: '" lOl3 1" = 20' JOB NO: 02030 CliENT: FilE: HOUSING AUTHROITY OF THE COUNTY OF CALLAM LOT3.DWG 2603 S. FRANCIS STREET DATE: "- PORT ANGELES, WA 98362 11- 25- 03...J ~ Il'ORT ~ $"'O~~~ ". "- -=-- ~ 'l.ti~ CITY OF PORT ANGELES DEP ARTMENT 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 04-00000291 Date .249450 1709 S 0 ST 06-30-01-5-5-0030-0000- ELECTRICAL ONLY 4/12/04 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY o Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 ---------------------------------------------------------------------------- Permit . . . . Additional desc Sub Contractor Permit Fee Issue Date Expiration Da.te ELECTRICAL TEMPORARY SERVICE 60A ELECTRIC SERVICE 40.90 Plan Check Fee 4/12/04 Valuation 10/09/04 .00 o , ~ ~ ~ Qty Unit charge Per 1.00 40.9000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 40.90 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.90 40.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40.90 40.90 .00 .00 ~ ~ ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [I I1I4120OJ] BillLDING 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: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN W A.fER LINE (METER TO BLDG) f'~AS LINE ~ ~K FLOW / WATER A1'i ~EAL 1 ~LS Cil.r.ING Fit ~ING , Jil'STS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING IJRYW ALL (INTERIOR BRACED PANEL ONLY) lIa"AR INSt1LATION St..w WALL / FLOOR / CEILING I I . MECHANICAL HeA T PUMP ,4tJAS LINE -WOOD STOVE / PELLET / CHIMNEY ~POD / DUCTS P~UTILlTIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: W-A. TERLINE / METER .. SEWER CONNECTION SANITARY STORM 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 ELECTRICAL - LIGHT DEPT. 417-4735 .JiLJ-kf /It!t'" 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 BUILDING T:\PLANNING\FORMS\1102.15 [11114/2003] tJ' ;'.pf M .,> '5 "IOir..? CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION "l21 EAST 5TH STREET. PORT ANGELES. WA 98162 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000098 Date .996932 1709 S 0 ST 06-30-01-5-5-0030-0000- RES NEW SFR 12/10/04 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 71523 ., ." " . , Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 OWNER Structure Information Construction Type Occupancy Type Other struct info NEW 1180 SF SFR W/ATT 520 SF TYPE V ~ON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS GARAGE 19.00 V-N 1. 00 1. 00 9007.00 1700.00 1700.00 1. 00 " ~ \) Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 1800 SQ FT SFR. ELECTRIC SERVICE 96.40 12/10/04 6/09/05 Plan Check Fee Valuation .00 o ,,~ Qty 1. 00 1. 00 Unit Charge Per 73.0000 ECH 23.4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 73.00 23.40 ~ Special Notes and Comments The site is within the Madrona Woods Subdivision. The residential structure may NOT be finaled until required infrastructure for the subdivision is improved and installed. Electrical load calculations and elctrical permits are required. ('\ \J 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. 96.40 96.40 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1870.90 1870.90 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEgJON 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 ...._.~ GENERAL COMMENTS: PW.II02.U (4'96) FROM : FAX NO. : Aug. 05 2003 08:03PM P2 ~';~~ fOP-OFFICIAl. vsfo..W -, ,.... .: .. ....-, -- Ii ELECTRICAl. PERMIT APPLICATION The Eloctllc8I Permit ,"ppUoallcm m~1It b. flllad Cl\It coma_Iv. P I.... type .... ..print In Ink. If ~ DU Ilava ..~ ""...Ion., p_. call (380) .,1-41. F. numb." (3")411-4111 P,op.,ty Owner: Add......: 11 i..t -)2.. (./12. '1Fax; 'i 6 'l- (., '1 ?. Lj Phon.: ~ , e CT EI_IConlr8alor: E-l u.:--tnl..- kv; c...I,. ,1ht..- ~i_..#:S~ 1'1", "...., Addres&: ,R' ~ ~..- V c./ ~ r RJ CHy. PDr1 f\.1~...,tL~- INSTALLATION WIRED BY; Cl OWIolER ~ICA~ CONTIUoCTOR Credit Card HoId8l' Name: elCp: "1 t-s ZIp: ~ > Pnon.:';',.. -i,,'f Zip: '7 g," i,' *CHy. ~ ' , Exp, Date: On PROJECT ADIIlU!!S$: Iii I .5. CJ, s r. / n 1/ / / 2" WORK: Check ill that apply. 0 New " esldenllal 0 Multl-famHy '0 CommiIrCial . Ct8dIf Canl NumbB: Zip: VISA: Blllln, A....: .::5. O. ST; / /7.09 / o A1lera1lorJAddltlon .5_ a.Sr-,. . Cl McblleHome Sq.Ft. o Remote Meter 0 Detached gBrage , d Hot Tub .0 Swim Pool' 0 Septic Pump" ." 0 L-o\.vVollage CJ Telecom. Number ar Cln:ulll added lll' ,bred: ~~. ~' '~:o.'_ ,(P&~ DeSCRIPTION OF TH~ ELECTR,IC-!\L PROJECT: EIIetrIcaI L"...t Additions and or SUblractlCll1ll SaNle. Informatlan o Overlle/ld Service o Temp Service o Underground Servlc:e Vollilgu; Pheee: 0 1 0 3 Servlcl! Size: Feeder Sin: o BlI88bOlrd o Furnece o H...t Pump o Fan-Wall KW KW _TON_~R KW PAMC 14.05.060(8): For Induetrlal. commercial. & resldentIBl projectllarger lllan e lIuplex, 8 Dna. line d.-Ing arlhe Electrical Serv Feede.,., building sin (sq. II.), load calculations. and the type & ofconductolS 8ndI0r raceway is required and shall accompany tha Electrical Permit application. I hereby certify that I have read and eJtamlntJd this application and know that samtJ to be true and correct, sn( authorized to apply for this permit. I understand II is not the City's legal responsibilIty to determine whet perm SftJ ftJquJrtd; it remains the applicants re5/Jonsibility to determine what permits BftJ required and to obtain SUe, OWner or Ell;' C;om. SlgnidUr.: ~) Q..f.J _) Ci.dVv.f.j.AiCi.48 Oat" ~/q (..y :/,1.",J' 17 ~ ,.tI Dal.: ') t, JOY PERMIT FEE: $ ~.90X.3 Credit Cud Hol.~. Slgn.tUN: PW..Q01Im03 MAR 26 2004 13:32 HOUSING AUTH CLALLAM 3604577001 p. 1 .~ 2603 S. Francis Street' Port Anfleles, WA 98362 (360) 4S~~-7631 . (360) 457-7001 Fax I l . I ~ ,. Housing ~utfiority of:the County of1j Cia II a ttf. ;:.('h'::~' :/. ~ . ~t j "'.. .r,... ~ : ~'. Fax ~ ilL O/'Yl4n/ Fax: '7/7 - '17/1 ~* '117 - '173S- Reo 'IUviP. Pow l:-;{ From: f31?\l C E- fVI ceo fJ jOblJ p..... J.... Date: 3-;;'(,.-0'1 " cC: . o U''- ~o. RevIew o Please Comment 0 Please Reply J,L - live E IS A mltP 5/10"'-1/#(;.. C)()!2 TUn;:;. f'o", U( _ / " ~ ;J:t P6t.t t.OUrTfonJ5 ON 0 s..,-rfn-r; /"'0..,-.<:; ,;I.. 'j-t. 'C:/kN .J1!1.-5 A .5E," L{-J AND AD((~.ssE.S AR$ ;511ovJrI. Ir ,/0 v IJ...1.&O (YIot<.i, INrolZfYl-4-T16N fJ,(EME. C#-J. f6~ck @ !LL)'-7t~1 ~-tr 'II OFnCE..' "I77-n..'I3 cat.. ( . -rft4tfks /3iZuc~ 1 The hfollllallon _"...din the facslmile message Is ~ privileged and conliclentlallnformatlon lnf8nc1ed only for the U&e of the Indhlldual or enllty 10 whom the fa 18 eddl8SS8d. If the IHlIer of Ihls -nue Is not the Intended recipient, ~ .. no1IIied thai any cllssemlnallon, dlstrlbulion OC' copy of this telecapy Is lIlrlc:lly prohIbIIIId. If ~ have rec:elvlld this tBlecopy In lllmr. please Immedlalely noUfy us by tBlephone and QIIUm the original mess""", 10 us et the address abow ~a the IInltBd SlalIls PostllI'SeMce. 1banll: you. ~'f>dd~ 1'(Z:(u..f;, (.un f0Z (/'1'",--- - ';1' '/~"~7 W r e,JYr./ Pit{' fOl2. fYI'&-rt4 0"" t.,o1""tt.q /Vot.J WI1"~ ~ i< ',sr To ~LJ..o"; IrI ~~ 9- w ~ E KS, ~~ MAR 26 2004 13:32 HOUSING AUTH CLALLAM 3604577001 /P/lA if @!PMJJjg/R@NJJ W@@jgS fgg!l/rl@ JJ !P@/Rif//@N @/f' SlIJfgllJ/RfgJJN /l,@if 71~71, if@WN$/J7!'E @/f' /J~/Rr JJNGE/l,E$, fC/lA/l,U/M fC@lIJNnt, WJJS/J=!/lN((iif@N FOR: TNI _MmIt1Rf1T ()I'TNlotItIIfTY()I't:I.ALI.AII ~~ _on, m , SEE NOTES' ON SHEET 2 .AUDITOR'S Cr-RT/F1~ ~ I'U1IFUI'MIlOllIlI"'__(Id'~ JlllI.:l "'--'" "'__,_"iIU~"''''''''''_ lMIDl~'!'IL_ "'w~tJ'~I""""_"""CIl1 IJtI'UITWUlVlr.ouuUUJil' -- -. 111'_-00_ 1?1f_"O".... l'ftl._ao-_ 1't01~'"O".-r &G. 1OnII-o" mall '4:11._-- ....-... un ..". _ .."..-.... :utl ~ IMl ZU5 aa:ma ... IU''- &Ma UOrA:lll:l'l'lll.... UN ABImII lAD IWMWJDIIa IW~_ .ut unrw ... 'U;I.__ IU''-_ 241.1___ ..., ..., ..., ..., "If .... - .... .... .... ton ..,. 114' tU. "n' '41'1' toll ItOf .... ~, $ . . .. u " " .. .. .. " .. .. -- ........ SURVEYOR'S CERTlF7CATE -....... AlIIIUlX'c:oNliIDI'GbllZNfCU' ; ,".10' t". '" .., 5<AlE " IttT n LEGEND . . III.Mli ClH 1_...... .. ,. _. ~......._r ~~~~';~:"'.1N PVIU: _folllT_ rAIDlOlII_C...Cllm ftIo "0", ,,_-.aI'lll'_lIt<Ir. = SHEET 1 OF 2 p.2 " !- ., . .,...... , ". .......ClCIIIISII.r~.....,.IMllF~Ilr'" "'~,,___"W___,.... ~~ICrItfIWl'-.ror...__ AUJMJlIIrr or 1M: '**"'11' M!l\lIr',1 RR SURVEYlNG .! MAPl'lNO en f 330 !:AST FIRST ST.. SUIT,; 10 .PORT ANGELES. .WASHlNGTON 98362 (360) 457-9600 FAX (380) 487-9556 . L