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Home My WebLink About3231 Regent St - BuildingOwner ORRELL ELDON /SHARON 9880 REDWOOD AVE HESPERIA 36) 417 3699 Fee summary Permit Fee Total Plan Check Total Grand Total CA 92345 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 Application Number 06 00000255 Application pin number 487110 Property Address 3231 REGENT ST ASSESSOR PARCEL NUMBER 06 30 15 1 3 0825 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Contractor SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457 9270 Date 3/21/06 WA 98363 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc SIMPSON/ RV RECEPT Permit pin number 73106 Sub Contractor SIMPSON ELECTRIC Permit Fee 48 10 Plan Check Fee 00 Issue Date 3/21/06 Valuation 0 Expiration Date 9/17/06 Qty Unit Charge Per 1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS Charged Paid Credited 48 10 48 10 00 00 00 00 48 10 48 10 00 Due Extension 48 10 00 00 00 ELECTRICAL PERMIT INSPECTION RECORD 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 INSPECTION TYPE GENERAL COMMENTS: KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE ACCEPTED YES 1 NO COMMENTS rw- uo2.15 pORTq O 1v Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation ORRELL ELDON /SHARON 9880 REDWOOD AVE HESPERIA (360) 417 3699 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 04 00000634 487304 3231 S REGENT ST 06 30 15 1 3 0825 0000 MECHANICAL PERMIT CA 92345 RS9 RESDNTL SINGLE FAMILY 9719 Owner Contractor Date 8/10/04 ALL WEATHER HEATING COOLING 302KEMP ST PORT ANGELES WA PORT ANGELES WA 98362 (360) 452 9813 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc FURNACE /H P SIMPSON ELECTRIC Sub Contractor SIMPSON ELECTRIC Permit Fee 48 10 Plan Check Fee 00 Issue Date 8/10/04 Valuation 0 Expiration Date 2/07/05 Qty Unit Charge Per Extension 1 00 48 1000 ECH EL -R OR RM 1 4 ALT CIRCUITS 48 10 Fee summary Charged Paid Credited Due Permit Fee Total 48 10 48 10 00 00 Plan Check Total 00 00 00 00 Grand Total 48 10 48 10 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced 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- \PLANNING \FORMS \1102.15 [11/14/2003] 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE /DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 DATE ACCEPTED T- -13 -0 4D YES NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT PLANNING DEPT BUILDING COMMENTS DATE ACCEPTED YES I NO I I I I I I I I I Applicatiop Number Pin number`` Property Actress ASSESSOR P CEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 04 00000429 318232 3231 S REGENT ST 06 30 15 1 3 0825 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 Owner Contractor DWYER CLIFF 3231 S REGENT ST PORT ANGELES (360) 683 5839 T• \PLANNING \FORMS \1102.15 [11/14/2003] WA 983629011 OWNER Date 5/21/04 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc MOVE DRYER RECEPTICLE Sub Contractor RW BECKER ELECTRIC Permit Fee 46 70 Plan Check Fee 00 Issue Date 5/21/04 Valuation 0 Expiration Date 11/17/04 Qty Unit Charge Per Extension 1 00 46 7000 ECH EL -R OR RM 1 4 ALT CIRCUITS 46 70 Fee summary Charged Paid Credited Due Permit Fee Total 46 70 46 70 00 00 Plan Check Total 00 00 00 00 Grand Total 46 70 46 70 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 V MOVE FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE /PELLET CHIMNEY HOOD DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 1 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 YES NO PLANNING DEPT SEPARATE PERMIT #'s SEPA. 6kp PARKING/LIGHTING ESA. %2 LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT 1 BUILDING DATE ACCEPTED YES 1 NO I I I May 19 04 07 34a R W and F L Becker Credit Card Number /ELECTRICALPERMITAPPLICATION ELECTRICAL PERMIT APPLICATION The Electrical Permit Application must be filled out completely. Please type or reprint in ink. If you have any questions, please call (360) 417.4735 Fax number (360) 417-4711 Owner or Elec. Contractor Agent: IZ L.) i Z e i t Phone: (43 5 V 3 Fax: t if Z 0 Property Owner C. L i"--727. /n� ,f L Phone: '=1 7 r' t 1-0 Address: 3 2 3/ �G.(�� 4 C /d1S S% city. PO 1�/ 4 v j 6 (�`�r� Zip: 9 X 7 (1, 2- W I c5-64.' 4-06'S C. r� Electrical Contractor /Z. t...3 r Tai /zi License Exp: Y (9 Phone) 7 i.� <3 Address:J 3.>j_ rag 5 C%Gf 7 7-- RV City' SC �?ri1 /`g--i Zip: Gi S'::,' k Z- INSTALLATION WIRED BY OWNER ELECTRICAL CONTRACTOR Credit Card Holder Name I t-.) 6 6 -co cr`- Billing Address: /)/v LG City Zip. Exp. Date: PROJECT ADDRESS: S C S 7 TYPE OF WORK. Check all that apply New ,Alteration )ciResidential 0 Multi family Commercial Mobile Home Sq. Ft Remote Meter Detached garage 0 Hot Tub 0 Swim Pool Septic Pump Low Voltage Telecom Sign dumber of Circuits added or altered: 0" )ESCRIPTION OF THE ELECTRICAL PROJECT S to I clef .7 ox. L X I sr vio li 3 {;cJ o /L1" Q o/l e c- a t .0 6 C, 0 F' /2 c-t.T Electrical Heat Load Additions and or Subtractions Service Information Baseboard KW Voltage: J /Zf O Fumace KW Overhead Service Phase: %1 b 3 7 Heat Pump TON LRA o Temp Service Service Size: 'ZCrt 1 Fan -Wall KW 0 Underground Service Feeder Size: /►L�'_u.� hereby certify that I have read and examined this application and know that same to be true and correct, and I am uthorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits re required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature Date j a L Owner or Elec. Cont. Signature: j Date. _5% 0 360 683 -6104 p 1 FOR OFFICIAL USE ONLY Pane it Our AOpowd Duc Issued c 442,.? VISA. MC: PERMIT FEE. 1 /6, 7 0 08/08/2004 19:30 4579270 ,S~ON ELECTRIC /(j bt> clone"" flo/(}1 '. PAGE 01 ( I. 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ClI It ~ '''II'''"M'''.' _ PJlJIoI.Zt.2J?_tX/ "$0'" ~.~. ow 1Iloo, iDllm., .""f/II!lfII1.Il . ~.~~ tilnM2!zpL~ '\v.y -l~ 03/19/2006 21:05 4579270 SIMPSON ELECTRIC PAGE 01 ~ 1 s - " - 'P 't''''3iiioii''''''~ ELECTRICAL WORK PERMIT APPLICArIDN Job wired by )(Eleetrical Contractor 0 Owner E cp'ical contractOl' name License number Dote Expires I t!leo/n'C J,',..oSeL '173 flfJ . rutcha.~ '5 mailing 8d.clryss fJ4~D 3" NU.--!:1 /0/ v.J Citr< II- ;;11- ZIP r K3{,..3 Telephone n\lmbt:t F^X~~. ,tt- S7-'7'.;l.70 <:rl'r"'-"-- Installation description D Commercial ~Re!ildcntial I;) New )l(AlleredlAddltion Md;n9 t:i e/Rl'u;~irh- IJ.J1 ;e II jO ~ ':J,.1-e> V' ~A fJ. A. /( -e..p ed- S-f. W/t Phont numher to 7~.',3ibP OWrll1''' as defined "Y RCW.19,18.26J:(J) OWf/t'r will occuPy {he .~I"licttJmft)r two yea,..f oflcr tM~ f!.Jecfrical permil is finalized, (2) Owner i~ required /n hir(' Off decll'ical confmClor if ahOl!P. .~(lid pmperty is for sale, r('/If Or lease. After reading the above starcment~ f hercb)! certify that I t\m the owner or the above flamed rroJ'erty or 11 HCl~nscd r:lc<::tri<::al contr::.ctor, I am m::.ki11g the eleetric::.1 inslaJ- ]<ltion or 1I1ter<'lllon in <::ompliunee wilh the clccrricitl low!l, N.F..C" RCW. Chapter 19.28. WAC. Ch"'plcr 296-4613. The Ciry or Port AnHelc~ Municiplll Code. and Ulility SpccificnllonJ;, Sl~natu of owner. electrical conl a tnr nr e1ectric::JfI admlrdstrahtr ate: 3 ;2.oJo~ CI 9lSh 0 Chcek # "lSfCredilCard ~ Masl::,e?rd Discover ~ro#___~~___~___ Expiration Date of card Inspection fee $ 'i '? ..d....... .s.mlce Informa.llon ~1<tr.'C.1 LoaltAdditions and or slI Q NO WAD CHANGES o Baseboard KW o ~urnaee KW [J Heat Pump _ Ton __ LAR Q Fan-Wall KW tractions CJ Overhi:!ad Service Q Temp Servlce CJ Underground SeNfce Voltage Pha..011;)3 Service Size: Feeder Sizo~ SAME DAY INSPECTION. CALL BEFORt 7:00 AM 360-417-4735 ROUGH-TN / TIlERMOSTAT , / SERVICE 1)1\1", Approv~d Hy OI\I~ ^rrTnved Oy \.. DRI~ Aflrrn\Oet18y ?h. II, FINAL f DITCH FEEDER '\ !'~,Jr"h 4-a \.. I)Rlt ""r",vad Oy DAle ^1'1"1'(l"Qd 9:; Tn!ipecr;on Area~ Building or ,Equipment lmipecl:cd ^~tion Takcn Electrical Dille Inspector A::tJ .~ 1iJ) c/ ~Ol;:' ~G: ,,~~~~ (;rca~ "-~ ~ ~IC~ 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 04-00000634 Date .487304 3231 S REGENT ST 06-30-15-1-3-0825-0000- MECHANICAL PERMIT 7/20/04 RS9 RESDNTL SINGLE FAMILY 9719 Owner Contractor ORRELL, ELDON/SHARON 9880 REDWOOD AVE. HESPERIA CA 92345 (360) 417-3699 ALL WEATHER, HEATING & COOLING 302KEMP ST. PORT ANGELES, WA PORT ANGELES WA 98362 (360) 452 - 9813 ---------------------------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 36.40 7/20/04 1/17/05 Plan Check Fee Valuation .00 o Qty Unit Charge Per 1.00 36.4000 ECH EL-LVT-FIRST THERMOSTAT Extension 36.40 w CV IJJ "- ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc Permit Fee 61.70 Plan Check Fee .00 Issue Date 7/20/04 Valuation 0 Expiration Date 1/17/05 Qty Unit Charge Per Extension BASE FEE 47.00 1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70 \\ 2: CVJ ~. cr \ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 98.10 98.10 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 98.10 98.10 .00 .00 ?\) ~ ~ -1 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 T:IPLANNINGIFORMSIl102.15 [1 ]/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 4]7-48]5 FOR BUILDING INSPECT]ONS. CALL 4]7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MIN]MUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS A T JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA TlON SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s 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 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERING 4] 7-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 I~'-I '1 -o;,L I ;-./ BUILDING T:IPLANNINGIFORMSI1102.15 [] 1/14/2003] FRor~ : ALL WEATHER HEATING & COOLING FAX NO. : 360 452 5177 Jul. 20 2004 10:10AM Pi ~. ~ ne Bull4ira. Permit - Pre-Dppllcatlo" .... NJl&tl1IIIt CDlllpI<<elf. ~~ PIeue l)'pe or prlat iD iDk. If you bay. aDY quatlou, please call417.....1S AppliC8DtorApnt:~f{i.u~g ~ ~\ i{\~ Phone: 'YcfJ - 4C)L-q~/.3 Owuar...r;. \ cl9n a V" Y'" { \ \ PhoDe: 2( oD- 411 ~ 3'{11 ~: '3z..5t S. ~e3r1\.\ S\-"fPL City:j)e" t ~~L \ts Zip:-9~'3/~L- Aldaitaot/&aailloer:~ ~ Phone: . .. Coa~~\\ -W~fl~o\"~ro{.t~ Liceosc#;AlL'd6."r.N5~: C11110L Phcme:i..f'i1---'1"8'13 ~.~. ~'2. t::ollV\r srt-reeA- city;lo(~ ~. \,('<:, . Zip; Q'8'3(p1- '.'., ~Q'.Ar"'I.:. 1?"Z-~1 s., ~~~-\ t:."\'n(~ . . . ZONING:. UQU;' D~lPTlON: Lot: Block: Subdivisicm: ("L&.T I WCO:mrJY PUC'EL ~ Credit Card Bolder N.me: ......w.an.: Cit)': CndIt Cud .: Exp. Date: BUILDING PERMIT.. APPLICATION FOR OfFlSlAL ~s~~ C. R8c.: ~.. ~o'-c Permit t: 4 _ h DakA~: Duo''P'l'~' ~ Me ! , TYf&OJ'WORK: SIZElVALUA'I10N: ~ ,...~t1 c NewCoaslr. 0 Rc-roof 0 Woodatove SF. @ S ISF. = S a......&miIy I:>> AdditioD. c Move 0 Oarasc SF..@ S /SF. _ $ o CIdIMI-daJ 0 Remodel C DmaoUUOD C Dec:k ~.:@S. _ /SF. _ S o Repair 0 Sip ~lfp~~ . TOTALVALUA110N S 4-? I f ~_ __"~ONO"'TBl:PROBCT: ):"DY" Hf> '. 'be.'5U~~~~ o..cs,.~c\\o~~ ~ ~p LV'\<::A,-\\wL _ .Lv w~{ ~ V'\CS ~...."\ ~~ COMMlll~ENTL\L: Occupauc, Group: Occ:upaDt Load; No. ofS1Griel: _ Lot Size; % Lot Coverage: BxiatiD& Lot CoVCDJc: leq. ft. + Proposed Lot Coverage: ~Gvs.-ONLY: N"-:,, . CoDStructioD Type: "'. Isq. ft. = TOTAL LOT COVHllAGB: AI'PROV ALS: PL4N .~ DPW J'IIlE ~ Itq.ft ESAlWedad(I): 0 Vea D No SEPA Checklist required? 0 y~ C No Other: . . ;~:.t .~J!IIlItMIF'AftUCATlON SlJBMJ1TAL: I'M' t/IpJIIII:fI&. .."..,......, -/I&tl..~.,. __ 'ip~ -f- ,...,..,. 'lbcl Rni1diq DivieioD CUI providcl you with more detailed informatiOD on the application UId plan submiaal reqWrcmcms. Your comp1ckcl appJicaUOD, aite plan (for additions) aDd buildizag construction plans are to be submitted to the BuildiDg Division. V AUJA.TIOJIf 01' CONSTlWCl'JO":." aU cu.,.. ~ 8IIIOUDt IDUIt be ealend by the 8JlP1icaDt. Tbia.fia1h will be RViewed aDd may be nM&ed by 1bc BuiIdiag Division to comply with cam:at fee schedules. Contact the Permit CoordiDator at 417-4815 for usi8tJuu:e, PLA,N.t"IUCI(.nz: Your plaD daeck r. is due at the time die building peanit application ad ~ piau 1ft submitted. AU other pamit flea _ due at the time ofpcaDit issuance. EXPDlA.'I1ON 0" PLAN REVIEW: If DO pctmit is issued widUn 180 da)'ll of the date of application. this ,appUcatJoD. WIll e&pire. na BuiJdia& Oft'kial caD extcad the lime for action by the applicant up to 180 day. upon written request by the applicant (see Sec:tion 107.4 of the Unifonra BuilcIiJl& Code. cum:ut odiuou). No application can be extended marc than once. III.., c:crffb IIatu I AalIe JWIJ GJUI GlllfliIIed tilts applicatioll aM bow the same to be true 4IId correct. tuUll am ""tItoriuxl to apply 10' llau p_tL / UIIIlmtGnd It is IIOt 'he City~ legal "e.rponsibilirx to determine what pmnUs are 1'eCJuil'vul,' It ,."mabu tlte appllcat's responsibility 10 determhae what penniU ar~ required and to obtain SUCh.~. _ . ~~-_ Dak:~ I T~IUttS\APPS\8laildlqpeftnll ~ ...,... ,l \ . ... ~i ~ 3: >-3 '<l ~~~8E; n'<l t'l >< ~ H:<1 '" '0 'U:<1ZZtl >-3t'l '" '- t"1()tI1I-3::d ><'0 Ul H tI1::d:::dtI1 P 0 0 >-3 Zt' PUl 0:<1 >-' ~. nUl ''It'l >-3 tl ~ tJ:l 0 '0 t'l. ". 0 !! n" :<1 "'" Ot'l >-3'- 3:0 >-' >-' , 'OCo oaO;:t:-w ~~ w, t't'lo of:>O"l::Qt-<rv "- , t'lUl , , "t'w Clo 0' [;itU owt'l >-' t'l,p ,p, oot-<~ t'- , tltl~ 0 , t't'lUl t'l 0>-'- P Ul>-' o U1 >-3:<1 w ~ "', OJ:r:OJ :<1 H WI--'t"tI:lGJ 0 OJH~ ,p , tl:<1OJ -.J UlZ w 0- Z CUl 3: Z >-3 w t''O tIjo..........::r: w >-3 '<l noo(J)tI1(f) ~ ::r:N::r:;:r::-.., ~U1P>-3 ':<1H H HOOZ :r:t'l3: :<1tl..; nOZG1 OJt'OJ OJ OJ po Ptln UlUl t'o .. >-30:r: cn , 'UZ~ t':<1 '0 n >-3H OJ 0 ~ H Ul'U " 0 n n '->-3 3: t' 0 '0' P nH H Z H 3: t' 00 >-3 HZ 3: "l 3:Z Cl ZUl OJ H "l 3: Ul'O Z Z,pH OJ '0 OJ >-3 :<'>-'Z Z OJn Ul t'-.J:<' >-3 n>-3 , t' Ul >-3H ~ W 00 '" :<1Z tl '" '" '-<>-3 Z ~8 0 'O'OUl >-3 55:ii OJ?': OJ Ult'l Ul ZZtl >-3 OJOJH t' <: t' H t'l w w :<1 "'''' t' 00 >< ,pop >-' U1 -.J'" , , w", '" 00 '" >-' ",w tl'O :<':<' >-3Cl OJ OJ '" '- >-' w '- 0 ,pw s "ii;;!'iif" 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 04-00000832 Date .421824 3231 S REGENT ST 06_30-15-1-3-0825-0000- ELECTRICAL ONLY 9/23/04 RS9 RESDNTL SINGLE FAMILY o Contractor Owner ------------------------ ------------------------ SIMPSON ELECTRIC 243036 W HWY 101 PORT ANGELES (360) 457-9270 WA 98363 2 ORRELL, ELDON/SHARON 9880 REDWOOD AVE. HESPERIA CA 92345 ( 36) 417-3699 ---------------------------------------------------------------------------- 48.10 plan Check Fee 9/23/04 Valuation 3/23/05 .00 o """\ (', t ~ tN permit Additional desc permit Fee Issue Date Expiration Date EL-DETACHED GARAGE Qty Unit Charge Per 1.00 48.1000 ECH EL-R-OUTBD/DTCH GAR SEP Extension 48.10 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 ,00 .00 .00 Grand Total 48.10 48.10 .00 .00 SJ \ (\J \'J VJ tv w - a <1\ -( ~ i ~ ... 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:\PLANNlNG\FORMS\1102.15 [11/14/2003] I . BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. CALL 4] 7-48]5 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS, INSPECTION TYPE DATE T ACCEPTED COMMENTS YES T NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAlNAGEIDOWN SPOUTS . ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # $' ~~--f , ~. Rv 0J~.f AID. ROUGH-IN q -.;;J..J..,. O~ Of( 11-1.- -,::::.. . PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS I CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB I WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / ClllMNEY HOOD / DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEP ARA TE PERMIT #'s SEPA: PARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ? 'cJ6- Dtf /</( ELECTRICAL LIGHT DEPT CONSTRUCTION R W. 1 PWI CONSTRUCTION - R W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNINGIFORMS\I 102.15 [11/14/2003] c1 'PORT ~ tB if ..... Ib.. -- _ "'>t{;:;;? Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 1''2. -'8 - Olf re.,...."')t- ~t-~ 1/13/05 ~e p.-~",.:t' ))...'f~ 04 -0000113 9 .897806 3231 S REGENT ST 06-30-15-1-3-0825-0000- MECHANICAL APPL. PERMIT Date RS9 RESDNTL SINGLE FAMILY 2777 Owner Contractor ORRELL, ELDON/SHARON 9880 REDWOOD AVE. HESPERIA CA 92345 ( 36) 417-3699 EVERWARM 257151 HWY101 PORT ANGELES (360) 452-3366 WA 98362 Permit . . . . Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 50.00 Plan Check Fee 12/08/04 Valuation 6/07/05 .00 o \rJ N \t \rJ - :s - ~ - V\ ~ , ........ ~ \N , ~ ~ (t ~ ... -L Qty Unit Charge Per Extension .00 50.00 BASE FEE 1.00 50.0000 ECH ME-WOOD BURNING APPL. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or 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. oN FILE Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PoIiciesIl102_15 building pennit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE, IT IS 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 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CIDMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 4174653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING . . T:\Policies\1102_15 building permit inspectIOn record05.wpd [1/4/2005] FROM' : EVERWARM HEARTH HOME 4-30-03; e: 1ZAM;CITY PO~T ANGEL~S (i~~' ':m 00' CO=~:~'~d :::~:::.p:~~I::~~I: MUST BE COMPLETE to be accepted for review. If you have any question., call (360) 417-4815 FAX NO. :13604523367 Dec. 07 2004 03:25PM Pi ~3e04174711 it \ I FOR OFFICIAL USE ONLY; Dale P.CC.:.1.lk:::2. -0 I::L Permit 11:(01/ - .II ;;3...S Dicc Approvao: ) fj--?? -qj DIlt& lasued: I'~<{.--()J-f- Applicant or Agen~~ -V t K \...0~ O~CT: ~ \ cl 0.>" D yr y e..l \ Address: ~ '2 :3 I K e '-~ e"k ~ + City; '\::> ~ A.rchitectJEngineer: ,------ .Phone: ~ 'Zv~.eUJI ql,.....l_""~ 452.'-- Contractor -~--~ ~~ \..-.Q A RJ'-"\ State Lioense #: ~ 0 ~., tV~Exp:~ Phone: "3 --=; l...". (..." Address: c5?57151 ~V I b I City: P ex.- Zip: OJ ~.3 (.", L PROJECf ADDRESS: .32.3 L.....:k? e ~_.VL.:t ~~ .f- ZONING: LEGAL DESCRlPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER; 0 V. ~ CJ I -5' I ..3 C '8 ~ s C) C> ~ l') Phone: L(5;;t.,... '3 '3. ~ (a Phone:~- '~ bqQ." Zip: q~ ~ ~""L "-'.-" Credit Card Holder Name: ~, ~ C. (! .It. ~ ~ fJL/ , BtU1nC AddrelS: _ _ _ City:Z Credit CardType VISA MC # . !YlE OF WORK: SIZEN ALUATION: ~~eaideotial 0 New Constr. eRe-roof 0 Stove SF. @ $ ISF. ~ $ Cl Multi-family 0 Addition CI Move Cl Garage SF. @S /SF. _ $ _ o Commercial' Cl Remodel 0 Demolition 0 Deck SF. @ $ /SF. =; $ Cl Repair 0 Sign 0 Oilier .' TOTAL V ALVA nON . ~ '7? ~ BRlEFDESCRlPnONOF'nIEPROJECl .A J....~ ~. \.4 I~ ~ -f-~ - ~~_ ~ ../~ .~, - COMMERCIALlRESlDlt Occupancy Group: Occupant LOlld: Construction Type: No. of Stories; ~-Lot Size: BxistiDg Sq. Ft & Propoged Sq. Ft. = TOTAL Sq.Ft. Existing lot coverage _ % & Proposed lot coverage __ % '" Total lot coverage ~ (JK~;2 1 > ~ EJ:p. ate: APPROVALS: PLAN: BLDG: Dl'WU:_ FIRE: OTHER:___ . PLANNING USE ONLY: BSAlWctland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes CJ No Other: BUILDING PERMlT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requiremc:n1'3 if you have questions. VALVA TION OF CONSTRUCTION: In all uses, a valuation amount mU9t be entered by the applicant. This figure will bc reviewed" and may be revised by the Building Division to comply with current fee schedules. Contact the PemUt Coordinator at 417 .4815 fol' a~sistlUlce, PLAN CBli:CK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plQI\S are .ubnUlted. All other pennit feos are due at the time of pemrit issuance, . " .' EXPIRATION OF PLAN REVlEW~ Ifno pennit is issued within 180 days of me date' of application, the application will expire. The Buil.dingD..ffJ.ci~~ tbeJime..fau.ction..b.y-the..applicant up. to l8O-d llY'-Up&n, written. requestnby. the-applicant (see Sectiotl -101A 0 f the Ubl.fol'TTJ Building Cod~) current L'ldJtion), No application CIUl be oxtc:mlcd more than once,., , hereby certify that' havfI read and examIned this application end know the same to be trtJe and correct, I am authoriz~d to apply for this pormit r.JlJd uOOm_thal' Is my rIl8/1OIlslblllly to d._Ins ""., p'""1/s .~~.. .nd th., I must :bla/n .uc/ipermff. prior ro work NO""V<PPS""'"d{"..~;,." ~t' ~~~ DM" ,Z..,. b '-t f:ft ~ORT ~ ~ ~ ---., ~IC~ 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 04-00001139 Date ,897806 3231 S REGENT ST 06-30-15-1-3-0825-0000- MECHANICAL APPL, PERMIT 12/08/04 RS9 RESDNTL SINGLE FAMILY 2777 Owner Contractor ORRELL, ELDON/SHARON 9880 REDWOOD AVE. HESPERIA CA 92345 ( 36) 417-3699 EVERWARM 257151 HWY101 PORT ANGELES (360) 452-3366 WA 98362 Permit MECHANICAL PERMIT Additional desc Permit Fee 50.00 Plan Check Fee .00 Issue Date 12/08/04 Valuation 0 Expiration Date 6/07/05 Qty Unit charge Per Extension BASE FEE .00 1. 00 50.0000 ECH ME-WOOD BURNING APPL. 50.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or 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. (') ^, I::: I I- G Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Date Date T:\PLANNING\FORMS\1102.15 [11114/2003] BillLDING PERMIT INSPECTION RECORD CALL 4] 7-48]5 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 I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR W ALLlHOLD 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: PARKlNGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ? 'V~.{){ jll- 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 "-{3---o'l \.5U BUILDING I T:\PLANNINGIFORMS\l102.I5 [11114/2003] t$ fORT~ ~~~ ". "-~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 04-00001192 Date .713136 3231 S REGENT ST 06-30-15-1-3-0825-0000- MECHANICAL PERMIT 12/22/04 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation RS9 RESDNTL SINGLE FAMILY 3100 Owner Contractor ORRELL, ELDON/SHARON 9880 REDWOOD AVE, HESPERIA CA 92345 ( 36) 417-3699 EVERWARM 257151 HWY101 PORT ANGELES (360) 452-3366 WA 98362 permi t . . . . Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT WOOD INSERT & LINER 97.00 Plan Check Fee 12/22/04 Valuation 6/21/05 .00 o Qty Unit Charge Per Extension 47.00 50.00 BASE FEE 1.00 50.0000 ECH ME-WOOD BURNING APPL. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 97.00 97.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 97.00 97.00 .00 .00 \/olD& 'R 0 (. vt- '^' f2V 1- IS -0 q vJ 'P vl - ~ ~ ~ ~ ':-(. 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. c:J AII=-I L ~ Signature of Contractor or Authorized Agent Date Date Signature of Owner (if owner is builder) T:\PLANNING\FORMS\1102.15 [1111412003] 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 WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMJT: # ROUGH-IN I T 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 I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I 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 PERMJT #'s SEPA: P ARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W. 1 PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003] FROM ..: ElJERWARM HEARTH HOME FAX NO. :13604523367 Dec. 20 2004 09:46AM Pi 4-30-03;_ 8: 12AM;CITV PORT AI~GEL~S (') d I ~ ....., ,~...-- '.' -K -e~ \...{ '---roV- '-t"'1 ~:>F)~ FOR OFF1CIALUSB ONLY; BUILDING PERMIT. APPLICATION oalcRoc.:.I~-~~ P~it H: e;I H - , i q 9- Date Approved: ~ ~~~ Dale IlSucd: Fill out COMPLETELY and in INK. Your application and site plan MUST HE COMPLETE to be accepted for revIew. If yo.. have allY questions, (:aU (360) 417.4815 ~. {W' " - t; ~1/ -7 . I ~ .~ ~"^ ,-..N.... _ Phone: 11. S'2 . -~ '3 L-.~ L-. Applicant or Agent: ~ v Y.:.F ~U '-'\ l":- \ ~ c;: 1....\ 0 e \ , Phone: LI "I - "3~ c\C\ O~~:~ ~C:> '\) x=..r:'-. _ .::::J Address: :3 ~ 3~,e-5e.r"l~- ...').~- City:. t:> C\, _Zip: c\ <6....~ it;, '7 . ~ Phone; Archit~ct/Engineer:~ ~' rz.. ~."). - contract~ I.J E: \Z. \....lVC'...\. ~ _ State License #:~ 1\J*'t..O~tI)NtExp:~ Phone: ~ "?l; ~ b ." ~ n , ~I .J f . I" ( D /'\ Zip: q CO 3" ~ Address: ,..,. 0 . I .;;;>. ~1 I..' City:---L::' ""'-- - ? I '? L~-r PROJECT ADDRESS: 3Z v K>e_~~:or ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: 0 \.a .:s 0 ~ ~ (:) CO ;L~ Credit Card Holder Name~'vY~ DllIinl Addre..: Credit CardType VISA - MC # TYPE OF WORK: ,;.H'Reaidential 0 New Constr. C Re-r()of CI Stove o Multi-fanuly 0 Addition 0 Move C Oarage C Commercial [] Remodel 0 Demolition 0 Deck o Repair Q Sign 0 Other BRIEF DESCRIPTION OF '1lIE PROJECT: l ~ ~ CaV~\A , _~ City! - L~ ~~ - , Exp. Date: SIZE/V ALUATION: SF. @ $ ISF_ =< $ SF.@S JSF, =$ SF. @ S /SF. =; $ TOTALVALUATI9,N. $ ~\~)_'OC> ~D.f~C~ ~ /L/-_ _~ Construction Type:: = TOT AL Sq.lit.. % COMMERCIALJRESID:ENTIAL: Occupancy Group: Occupant Load: No. of Stories: _ Lot Size: Existing Sq, Ft & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage _% =- Total1ot coverage APPROVALS: PI,AN : BLOG: D}'WU:__ FIRE: OTHER:_. PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:_ BUILDING PERMIT APPUCATION SUBMITTAL: The Building Division call provide you with information on the application and plan submittal requirements if you have questions. V ALUA TION OF CONSTRUCTION: In all uscs, a \'l\.luatioD llmount Inust be entered by th~ applicant. This figure will be reviewed' Ilnd may be revised by the Building Division to comply with cnrrent fee lichedules, Contact the Permit Co ordiuIltor a.t 417-4815 for assistlUlcc. PLAN CHECK FEE: IF 1I. plan check fee is due it must be suhmitted at the time the building permit application and construction pllm8 are submitted. All other pcnnit feell are due at the time of pe{mit issuance, .' ' EXPIRATION OF p~ REVIEW: Ifno pemut i:; issued within 180 days of the date ofappliclltion, the application will expire. The . B1Jilding.o.mcifu~ the.timeJ'oI'-action.hy-the.applicant up to lSn.da-Y6-upon-written't'equest'by' the-applicant (soe' Section -107:4 of the UnifDnn BuileJjng Code, current edition), No IlppHcation can be extended more than once. I herBby cerrffy that I have leBd and axamfned thIs applfcation and know the same fo be troB and correct, I am authorized fo apply for thiS permit and understand that It Is my fesponsibf/lty to determine what permits are required, not the CIty's, end that I must obtain suCh permits prfor to work, T;\FORMS\APPS\Buildingpcn1llt.wpd A I ~/1 - P. / / ppioa." '.~ _Oat" 2-.LO'O/f- c: ~ I~c{l~~