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Home My WebLink About1517 W 10th St - BuildingPREPARED 10/02/06 9 18 59 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/02/06 ADDRESS 1517 W 10TH ST SUBDIV TENANT NBR LAO RES CONTRACTOR ALKI STOVE SPA PHONE (360) 692 4303 OWNER LAO RICHARD PHONE PARCEL 06 30 00 0 3 0675 0000 APPL NUMBER 06 00000777 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 10/02/06 A JLL M MECHANICAL FINAL TIME 13 00 RICHARD 452 6812 09/29/2006 03 52 PM DYASUMUR COMMENTS AND NOTES Application Number 06 00000777 Date 7/19/06 Application pin number 471577 Property Address 1517 W 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 0675 0000 Tenant nbr name LAO RES Application type description MECHANICAL APPL PERMIT Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY !1 Application valuation 3219 Owner Contractor 70//lbP LAO RICHARD ALKI STOVE SPA 1517 W 10TH ST 9445 SIVERDALE WAY NW PORT ANGELES WA 98363 PO BOX 156 SILVERDALE WA 98383 (360) 692 4303 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 MECHANICAL PERMIT 82792 60 65 7/19/06 1/15/07 Qty Unit Charge Per BASE FEE 1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 Fee summary Charged Paid Credited 7 j re of Contractor or A. thorized Agent Date Plan Check Fee 00 Valuation 0 Due Permit Fee Total 60 65 60.65 00 00 Plan Check Total 00 00 00 00 Grand Total 60 65 60 65 00 00 T• \Policies \1102_15 building permit inspection record05 wpd [1/4/20051 Extension 50 00 10 65 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 la and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not p s e to gib authority to violate or cancel the provisions of any state or local law regulating construction or the performance of c_.nst ction Signature of Owner (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS t SHEAR WALLS WALLAS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) 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 FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS 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 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T- \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD YES NO FINAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. FINAL L 0 A ATE ACCEPTED BY. I I I I I I I I I I r DATE ACCEPTED YES I NO f1� kOwner A.ppltcani or Agent. 41/ h 1l/vt? loth one: 3(D_() (D3 Address: Lt /S)7 k) 1 SJ Architect/En Contractor ,y1 j/j 7)(4i CPA Address: PROJECT ADDRESS I S LEGAL DESCRIPTION Lot: CLALLAM COUNTY PARCEL NUMBER. X TYPE OF WO Residential Multi- family Commercial Repair Total lot coverage IRK. New Constr Addition Remodel Sign PLANNING USE ONLY BRIEF DESCRIPTION OF THE PROJECT r TAFORMS\BIdgPermitform.wpd Applicant: BUILDING PERMIT APPLICATION Fill out COMPLETELI and in INK. I our application and site plan MUST BE COMPLETE to be accepted for review If von have any questions. call PERMITS (360) 417-4815 F_ X(360)417 -4711 City 041,7-6/ef Block. Subdivision. STZE/VALUATION Re roof Stove NS P1(1 SF /SF S Move Garage SF S /SF S Demolition Deck SF /SF S Other TOTAL VALUATION X$ 3 Z Z. o c) ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone. .3t LIZ-- CQ& 12 Zip /1 ?(e Phone: State License ,4J/ l c yc b3624 Exp '/11 0g Phone: City Zip L5 B' S 1 ZONING I/ ,U77.UC? 771)4CbnF' 4114-u (Ji J'r COMMERCIAL/RESIDENTIAL. Occupancy Group. Occupant Load. Construction Type No. of Stones: Lot Size: Existing Sq Ft. Proposed Sq Ft. TOTAL Sq Ft. Date: //t 2 FOR OFFICIAL U.S5 ONLZ Date Rec. 7 9 �6 Permit 717 Dat A .ppro ed: 7 /fq f o Date Issued. 7 //g /QC. APPROVALS PLAN BLDG DPWU FIRE. 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 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 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 tune for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that 1 have read and mined "s application and know the same to be true and correct. I am authorized to apply for this permit and understan th t it is must obtain such permits prior to es, ,,risibility to determine what permits are required not the City's, and that l BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICALINSPECTIONS. 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 LOCA nON KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA T10N 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 I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEA T PUMP GAS LINE WOOD STOVE 1 PELLET / 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/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 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 [11/1412003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA T10N 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 WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANIT AR Y STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. P ARKINGILIGHTlNG ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W 1 PWI CONSTRUCTION R.W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T.\PLANNING\FORMS\II02.15 [1]/1412003] ~, -",",.:':jfi/f" ~ ~ORr ~ A.....O~~ iJf'riili~ 'L -=.:or ~ '4i;:"";""'""~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Zoning . . . Application valuation 03-00000920 Date 10/20/03 1517 W 10TH ST 06-30-00-0-3-0676-0000- NORTH PENINSULA BLDG ASSO RES NEW SFR 95804 Owner Contractor NORTH PENINSULA BUILDERS ASSOC OWNER P. O. BOX 748 PORT ANGELES WA 98362 (360) 452-8160 Structure Information 1542SF SFR W/ATTACHED 432SF GARAGE Construction Type TYPE V NON-RATED Occupancy Type . . . .. SINGLE FAM & CONGREGATES Other struct info. . .. NUMBER OF UNITS 1.00 Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee .00 Plan Check Fee .00 Issue Date 10/20/03 Valuation 95804 Expiration Date 4/18/04 Permit MECHANICAL PERMIT Additional desc Permit Fee .00 Plan Check Fee .00 Issue Date 10/20/03 Valuation 0 Expiration Date 4/18/04 Vr - ..J .00 10/20/03 4/18/04 Plan Check Fee Valuation .00 o C, ~\..", ,.~ V ~\~ T Permit . . . . Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT - Special Notes and Comments This permit allows constuction to proceed while permit fee's are approved by City Manager Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be in contrast in color of there background. Side set back must be maintained at 7' Lot coverage may not exceed 30% or 2100 Sq. FT. School walking route, sidewalks must be installed to City Standards. o ~5 ~ ~ -t\ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or 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) T:IPLANNrNGlFORMSII102.15 [412002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS q-21-63 ..JL0- WALLS Gf-Z4-Ds JLt- FOUND A TlON DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING t'jV1rY.b~ 0 vJ GV I (;:- ()')J (/-{ ,J J L- UNDER FLOOR / SLAB ROUGH-iN 2.-$-'0 '-' '" i Lt....- WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS ~';f!))--~I J.L CEILING FRAMING JOISTS / GliDERS SHEAR ~ ~ - / /-6r) J 1-. WALLS / RO~llaIN~ .~ - j -:/:J,J./ j L DRY~L ~. '; ... T -rCtt.,iIf 41"" ..... '. t INSULATlON~ __ SLAB ... ill r WALL/FLOOR/ct~fNG ~ - /f) .--() j.) I 6 --,!J () -1>( .~ ,/lC.{ I (; .. , J.L". MECHANICAL - "-J- -C) '1 HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEP ARA TE PERMIT #'s: WATERLiNE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. 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If you have ~ny questions, call (360) 417-4815 /IiJ,ke. <OCfj\'...i\.. ~bO-?r Contractor Address: \)D fu)(T\~ PROJECT ADDRESS:--15.t::r LEGAL DESCRIPTION: Lot: \\0 CLALLAM COUNTY PARCEL NUMBER: v State Lice~se~ \\ L Exp: CIty: txi-. ~(J . -/ \~-i1 Ib .J...I, ~I ZONING: Block: '3()\P Subdivision: ,?Pr ~'Z)OCf)O 2) O\J ~ ~ Phone: ?>\i) ~ ~ ')..)-R\ \:0 Phone:2)yf'l ~ 'i-s,.)- ~)'cO , ~ Zip: Q ~3~~ Phone: 2> bO QSa- \0 \ \ ~ PhoneY-S~~' 'cO Zip: C\~~~ Owner: Address: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: "& Residential )\ New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign TI N F THE PROJECT: City: Exp. Date: ~ALUATION: . do.. SF. @$ 56.'L/ /SF. = $ 96~~}. 8& '-/'12- SF. @ $ /SF. = $ '1 ';> .~ f, : i k" SF. @ $ /SF. = $ TOTAL VAL $ q':;OO<-t ;" y COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: L Lot Size: ~ Existing Sq. Ft. D & Proposed Sq. Ft. 2100 = TOTAL Sq.Ft. 2/00 Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage ~O % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESNWetland(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 the 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 current fee schedules. Contact the Pennit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of pennit 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 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that ~ is my responsibility to _lT1lIne what perm~s are . not the City's, thai I must oblain such :::;r P'"'J. to 1NOfk. T:\FORMS\APPS\Buildingpermit.wpd Date: ~ 3: *ttl....... *ttl....... *ttlUl3: *ttl H C;O c::o c::::rH c: r.:OHOJOH\lJOHroAOH "'<1:"3<1:"3<1:""''''<1:" tr1t:1 tr.1t::1 tI:lt:lrt tI1t::1 ""~HH'1~HH'1:;dH::r""~H O'\~ZI-i iUZI-i :;dZI-'-O'\~Z o H G:I 1-'- H G) 1-'- H G:I ~ 0 H G:I 1 t:1 Q.. t::1 P, tj l.Q I tj \.Otr1HOJt1j"I:J\1JtI:l)::l \..Otr:lW ....... 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"'HQ 0' Z Zo:: 0 ~ 'P [J)Z w[J) [J) ~[J)'" :0' ~ ~[J) w Si~~ "'Or< r<>-3 '" C [J)en;!> ;!> C. --' H Zento to & ~ >-l '" , ~ r< :<:OH tJ 3:*to :otJl Or< G'l H ~ "'''' [J)otJ ~ ?'OH gj?'l~ ",0'" ;l> "'<r< :0' :0 [J) "'tJ r<:Otn [J) [J) "':OH >-3HH 0 en:oZ [J)'Otl ;!> n OHG'l '->-3~ [J) 0 tJ nH [J) H 3: "''''[J) 00 0 HZ ':J 3: f-' 0:: 3:Z", n Z[J) "" '" --'>-3'" 3: ~ , [J)'U X - Z en;!>;!> '" 'U'" >-3 ?':O Z "'n [J) [J)"':<: >-3 n>-3 o::Z;!> [J) >-3H ~ '" r< 00 ;l>tor< :OZ (j\ tJ :0><: '-;>-3 ~ Z :<::0 ~~ 0 ;!><>-3 'U'U [J) '" >-3 r<"'H 0::0:: ~ "'?' ~ .. '" r<[J)3: 00 to [J)'" C [J) [J)'" ZZ tJ >-3 Z "'''' H r< ~ ;!> < {jl H f-' r< r<tJ--' H ;t:-' H:t>' .. '" Z>-30 w :0 ""'0 en r< - 0 ><: - '" D r \ .. 0 ON '" 0'- V> f-' N .ct- ~~ , '" ;c:. 0 f-' '" en "t- O ,{; ~ ) >-3 H 3: r '" tJ'U ;!>;!> ~~ f-' >-3" 0 "'''' W f-' V> N f-' '- H H ,,\) '- 0 "'w ",>, ~'. ,. s- ~ V', j "'s k z... FJ I CITY OF PORT ANGELES D-EPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT. . . REQUEST: Date <t. - 2 '2.- 0 3' Time Received by R\/ (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): /5/7 W J{)t-~ fv1 " k f='~ C""'\ ClO c. k Phone No. Permit No. Sewer Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date Cj- 2.2. - 0"3, Remarks: Time By .:rLL 0/< RESTORATION REQUIRED. . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved o Gravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST: Date Cr- 2 '-{ - 03 Time Received by RV (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Ins circle appropriate one): Permit No. Sewer Foundat~on raming Chimney Plumbing Final Sewer Excav. Other LA)- a.. h \ c:; /5/7 uJ tD i-~ ,,,-,,\,- k <:::. G 60 c.. fA INSPECTION NOTE~: J ('_ _ -/A_ Inspected: Date (cf L/ (j /' Remarks: I f Time Pt!1 I ' By L;r:- " ...... ~ :Fr t "j I \ RESTORATION REQUIRED . . . . .. YES NO (~ 00 p/A/l SURFACE RESTORATION: SURFACE TYPE: D Unimproved DGravel 0 Asphalt 0 PCC o Other D Repaired by City D Repaired by Permittee D No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 'U >-3 'U :;;:;;~8;;jE; n'U r-' >< ~ H:U '" 'U 'U:uZZZt:l >-3t>:1 '- r-'[;J~;J~[:; ><'U {fJ H ;J> 0 0 .., Zr-' ;J>"'{fJ O:u H !ii. n' {fJ "1l'1 >-3 t:l "Cl tJj OZ 'U ~ t" l'1' :u tJj . 0 n:u :u :u :u'" 0l'1 >-3'- 3:0 0 'UGO ooZ ZH ~~ r-'t>:1H W"'O OUl l'1{fJ , , :u :UH QO >-3>-3'U OW >-3 >-3-J l'1'" l'1t>:1t" OO:C :c r-" t:lt:l~ 0' :>; l'1 OO'U 'U {fJH 00t>:1 l'1H '" ~~ H "" Z Zo :u z: "'OH H>-3 W l'1HG'l o , Z Z:c '" {fJZ W{fJ {fJ G{fJ"Cl :U' G C{fJ Ul ~~; l'10r-' r-'>-3 '" {fJ",;J> ;J> -J H Z"'tJj tJj .., t>:1 , C r-' :>;OH t:l . 'U :ut:l Or-' Q r-' l'1l'1 {fJ0t:l ~!ii {fJ{fJ "10l'1 ;J> cn :u , :u {fJ t>:1tJj r-':u {fJ {fJ :UH >-3H 0 :uZ {fJ'U ;J> n HQ '->-3 {fJ 0 t:l nH {fJ H 3: t>:1:u 00 0 HZ 3: 0 3:Z n Z{fJ t>:1 >-3C 3: , {fJ'U Z ;J>Q l'1 'Ul'1 >-3 ~:c Z l'1n {fJ l'1 , >-3 n>-3 ZH {fJ >-3H ~ Z 00 tJj :uZ t:l >< '-<>-3 Z '-<>-3 ~:=; 0 r-'H 'U'U {fJ , >-3 H3: , :C:C 6i l'1~ l'1 t>:1l'1 , 00 , {fJt>:1 {fJ :U. , ZZ t:l >-3 r-' t>:1t>:1 H r-' ><H , < -J , r-' .. , H 0 , l'1 t:lo , W :u ;J> , '" r-' >-3 , 0 >< l'1 , , '" 0 Ul '" , '" '- , 0 , (XI W H '- '" 0 0 '" >-3 H 3: t:l'U l'1 ;J>;J> >-3Q l'1l'1 0 (XI '" '" '" '- '" 0 -J W '- 0 "'W c:EN1ER.tE I'lIGWT -A-1Il4 -0' "-0' 36'-0' "-0' ~ Au.e..-.=T - I-- :r ~.__. --.--.--.--.--.--.--.--. -.--+ I ! i I i I i eFIlXII1F1NI6Il-.l I i ~ Pl'lIVE ! ------------------------------- S S '\' '\' ia ia i I i I i I j j I ! : I ~ ~ IL I j j I l== I j p0- lL i <> I I 9 ~ j j ~ I I j j ! ..~.. I j I i I S j S ~ ~ I ., j ., ~ 1liE&IDENCE f- 1 I ... i L~l I j I [ j I .! j - ! ~ GARAGE - ! ! I I - j --------------- ------------------ <> I ~ !:l j ~ I j I +-.--. -.--.--.-- --.--.--.--. -.--+ OF IOlJ.l &1I<EET ".0' 36'-0' "-0' :r 50''0' ----- 50' SITE PLAN 4 &CALE. r . 10'-0" . - CCNmlLtE I'lIGWT -A-1Il4 Appendix E: Sample Checklists & WOrksheet. I l_ ~ ~ Attachment C Permit No. Plans Examiner and Inspector Checklist Add,... J S 11 w lo~ ~r Plane Ex.mI....r: Inapector: Check. write in N1A, or fill in value on shaded boxes. Check off boxes at left as items ant found to ccknpty. Compl"nce epproach: (check one) 0 SystemS analysis o Component'perfonnanoe ,;&{presa1~tive ~ Noc.: Some Specifics on this fonn may not apply'if ' A) compliance approach is systems anaIysis.or c:omponent performance; , B) compliance 10 minimum ventilation criteria is demonstrated Ihmugh engineering cak:ulalions or performance testing. ' . fOUNDATIOI PHASE . o Slab: R- N PN5" Extal10r down to froS1llnelslab bottom: or Intartor 2... hortzontal or ver1Jcal; or. If radiant. under anUre. slolt>> o Below gnde exterior we" In.uletlon: R- GV O~ (If Intarior -; see Insulation Phase) o Radon mlUgaUon: 1 i I' locally required, Of aaWlspace venUng <1tt1J00tt2 O. crawl, or vents Indude 8n operable damper . , '~INGPIIASE O ~-'ftft. f~~~':a--........-, J:.::;:+...-..:.a..... I~J .&...___.. .-......... ::;t: " 'iI.>: ...._..-u .:.:<<->>',,6'. ..._,.~ . ( .. .,.""..~ ., o 8td elr ....: ~8Ubftr; rtm Jst/nu1 all; ~ & door fnns; p8n8b.au.,.wtre, pfiJmb, duel, pu1fIIon 1fUds. flue, light flxtll. o Source apeclftc exheuat fana: SIze reqlArement - ba1h, laundry (SOcfm); Idtchen (100c:fm) o Whofe hOUH axh8u.t fan I leo ~ Inlennlltent eystern has manual & auto controls; ~ U suppfy req. 'or habitable rms. ", o Integrated fOrce6-elr ayatem c:J outside U duct (with damper) allowing between .35 and .s ACH '1GIlA1IJN PHASE o R-_ZI OR-iS( o B. ~ o R- ~ o R- ~ I> I Veufted ceUlng lnauldon o Vapor retardera: Wda. ftoora. e>>Ilng o HeelIng ~ type: [. . , 1 I I wan lnaulldlon (above gr.de) Wall 'naulatton (below gr.de): IntMtor Wd lnsuIaaon ROOt' fnautaUon CeIling lnaulatlon: ndudlng atde hafctt .:J For~, bt ea., HSPF. and COP 1...:~,4:... ".,., . FIW. PHASE 1 o Radon monitor on efte: wtth Instructlons and gentQllnformdon o Them.....t.et: heel ,~. 55-75; AC rlIIlg8, 70-85; both. s.es. Bedwp heet aontrots prevent IlmlAtaneou. op<<aUon of prtmary .y.. o SolId fuel eppUancea: gfass or metal doors; direct oamb.."uecuce. ~ .co dIa.., ~ed, lnc:Irect IIOUI'C(!Jlar \a1oond. areas o FIrapI~; fr combustion UIUppfy dud w/dampef dhd 10 ftr,box.; UVrt fttIfng ~ or meIIil doore. " '... o DHW~: NAECA label; MplUIII. power or gas 8hut~; on R-10 ped If eIedt1c and In U'lCOOd. .,... ort on ooncreee o Mechanlcef ftnU1etIon duc:ta lneulllted to "-4: .m-tat ducb In lIKlOndItloned arMlllauppfy duda In condlIloned .,... o n. .;.:..'.:.... .;.:..: 1 HVAC duotalplenum lnauldon: t:fucts In IInC:londttIone ar... .... ......ed and Jolnta.,.. MeIed o PIpe IneuletJon: R-31or hot and cold WIlt.. pIpng In ~.... (11 MrV1c>> or redrc:ulldlng'... Table 5-12) o Ground cover: 6 ml bled( potyethytWlelapproved equal lapped ,:Z- III )ofnta and extandlno to 1ou1da1lon wall E.62 Appendix E: sample Checklist. .. WOltWtteeta Pl8r\I examtner _ lilt out this gl8i1ng HCtion or attach . window schedule to this c:heddist. lnspeCIor - verlfy windt. in- lormation during field inspectionS. Indude skytIghts. gtus doors and a" other glazing on this tonn. Use rough opening at.. tor c::alalldonS. ,. .. IIAZIIG '. -,f" I Verified - Size Quantity A.... U-V.luelManuf.cturer '20 IS 0 2 -Zo 0.4-0/ i 4-~S 0 J 2.b o'~ 1'030 VI ' J 14 o.~J ," " .'" - ~;.!- , .,it" .' ; 4-~ +6 J I" 0.407 " ., " toD +0 J ~4 .' ' O'.4/f{) I 2(P+t:; J lD . O.40~ 2- I'!:> T I ~ '6'0 0.40 eoso J 40 16.40/ 3O~f:, 1=Uu. 1,,1T6' ~ 2 r'-4*l:> 0-40 / IO"D J ~ , Q...40'j ~Aa.1.1 ",11:' Jtp -. o.~l -:?o4fO 2- - .. . .' .",.:-,,;. '.qt 'or' ...... )~ t~t~'-_\o.~' ...."...,; .- '-, , -"".~ _.~~..". 't.-;- ' 1"-" .' .. -. . 'n,' .c.. . .~ . .. . . .. "",' .... '. Total glalng ....: "2 2/ Total condtUoned ....: 1523' Percentage glazing: ) 4 - 5" J % 't_.; . - .-l:;"- "", ..; ." V.rIfled '; ro', DOORS Plans Examiner -list ~ doors by type (solid COAt. Insulated. ete.), quantity, lJ-v8Iue. and ...nutacturer. lnSpedor - Y8rify door Intonnatian during field kl!lpediorl.< jr._... l.-_ Type/Quantity . U-Valu.lManufacturer V.rtned 3a~ LN()(:)t:> O,2a/ ~25 m 1P:b.'- 0-20/ I :.r I ,'; ..... 86gnatun of Building Offtclal: Date of Rnal In.pecUon: IW~'l ,; '~ ".~~ E-53 .i,,:'fl .~:t~~~ WASHINGTON STATE ENERGY CODE , I TABLE 6-2 PRESCRIPTIVE REQUIREMENTS 1 * * FOR GROUP R OCCUPANCY CLIMATE ZONE 1 . HEATING BY OTHER FUELS HV AC9 Glazing Glazin!; U-Factor Door 10 Vaulted Wall Walle Walle SIab6 Option Equip. Areal': Overhead1 U-Factor Ceiling2 Ceiling3 Above int4 ext4 Floors on Effie. % of Vertical Grade Below Below Grade 2 Floor Grade Grade I. Med. 10% 0.70 0.68 0.40 R-30 R-30 R-15 R-15 R-lO R-19 R-W II. Med. 12% 0.65 0.68 0.40 R-30 R-30 R-15 R-15 R-lO R-19 R-W III. High 21 % 0.75 0.68 0.40 R-30 R-30 R-19 R-19 R-lQ R-19 R".lO IV,... Med. 21 % 0.65 0.68 0.40 R-30 R-30 R-19 R-19 R-W R-19 R-W V, Low 21 % 0.60 0.68 0.40 R-30 R-30 R-19 R-19 R-W R-19 R-W VI.7 Med. 25% 0.457 0.68 0.40 R-38 R-30 R-19 R-19 R-lQ R-25 R-W VII. 7 Med. 30% 0.407 0.68 0.40 R-30 R-30 R-19 R-19 R-lQ R-25 R-W VIII. Med. unlimited 0.25 0.40 0.40 R-30 R-30 R-19 R-19 R-W R-25 R-lO * Reference Case I ** Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601. I. 1. Minimum requirements for each option listed. For example, if a proposed design has a glazing ratio to the conditioned floor area of 19%, it shall comply with all of the requirements of the 21 % glazing option (or higher). Proposed designs which cannot meet the specific requirements of a listed option above may calculate compliance by Chapters 4 or 5 of this Code. 2. Requirement applies to all ceilings except single rafter or joist vaulted ceilings. 'Adv' denotes Advanced Framed Ceiling. 3. Requirement applicable only to single rafter or joist vaulted ceilings. 4. Below grade walls shall be insulated either on the exterior to a minimum level of R-I0, or on the interior to the same level as walls above grade. Exterior insulation installed on below grade walls shall be a water resistant material, manufactured for its intended use, and installed according to the manufacturer's specifications. See Section 602.2. 5. Floors over crawl spaces or exposed to ambient air conditions. 6. Required slab perimeter insulation shall be a water resistant material, manufactured for its intended use, and installed according to manufacturer's specifications. See Section 602.4. 7. The following options shall be applicable to buildings less than three stories: 0.50 maximum for glazing areas of 25% or less; 0.45 maximum for glazing areas of 30% or less. 8. Reserved. 9. Minimum HV AC equipment efficiency requirement. 'Low' denotes an AFUE of 0.74. 'Med.' denotes an AFUE of 0.78. 'High' denotes an AFUE of 0.88. Minimum HV AC equipment efficiency requirement for heat pumps. 'Low' denotes an HSPF of 6.35. 'Med.' denotes an HSPF of 6.8. 'High' an HSPF of 7.7. Water and ground source heat pumps shall be considered as medium efficiency and have a minimum COP as required in Table 5-7. 10. Doors, including all fire doors, shall be assigned default U-factors from Table 10-6C. 11. Where a maximum glazing area is listed, the total glazing area (combined vertical plus overhead) as a percent of gross conditioned floor area shall be less than or equal to that value. Overhead glazing with U-factor ofU=0.40 or less is not included in glazing area limitations. 12. Overhead glazing shall have U-factors determined in accordance with NFRC 100 or as specified in Section 502.1.5. 38 7/01/01 2000 EDITION TABLE 6-1 PRESCRIPTIVE REQUIREMENTS 1 * * FOR GROUP R OCCUPANCY CLIMATE ZONE 1 . HEATING BY ELECTRIC RESISTANCE -4 Glazing Glazing U-Factor Wall Wall- Wall- SIab4 Option Area 10: Door 9 Ceiling2 Vaulted Above int4 ext4 Floors on % of Floor Vertical Overhead 11 U-Factor Ceiling3 Grade Below Below Grade Grade Grade I. 10% 0.46 0.58 0.40 R-38 R-30 R-21 R-21 R-1O R-30 R-lO II. 12% 0.43 0.58 0.20 R-38 R-30 R-19 R-19 R-I0 R-30 R-lO III. 12% 0.40 0.58 0.40 R-38 R-30' R-21 R-21 R-lO R-30 R-I0 IV.... 15% 0.40 0.58 0.20 R-38 R-30 R-19 R-19 R-1O R-30 R-I0 v. 18% 0.39 0.58 0.20 R-38 R-30 R-21 R-21 R-lO R-30 R-lO VI. 21 % 0.36 0.58 0.20 R-38 R-30 R-21 R-21 R-lO R-30 R-I0 VII.7 25% 0.327 0.58 0.20 R-38 R-30 R-19 R-21 R-lO R-30 R-I0 + R-58 VIII.7 30% 0.297 0.58 0.20 R-38 R-30 R-19 R-21 R-lO R-30 R-lO + R-58 * Reference Case ** Nominal R-values are for wood frame assemblies only or assemblies built in accordance with Section 601.1. 1. Minimum requirements for each option listed. For example, if a proposed design has a glazing ratio to the conditioned floor area of 19%, it shall comply with all of the requirements of the 21 % glazing option (or higher). Proposed designs which cannot meet the specific requirements of a listed option above may calculate compliance by Chapters 4 or 5 of this Code. 2. Requirement applies to all ceilings except single rafter or joist vaulted ceilings. 'Adv' denotes Advanced Framed Ceiling. 3. Requirement applicable only to single rafter or joist vaulted ceilings. 4. Below grade walls shall be insulated either on the exterior to a minimum level of R-I0, or on the interior to the same level as walls above grade. Exterior insulation installed on below grade walls shall be a water resistant material, manufactured for its intended use, and installed according to the manufacturer's specifications. See Section 602.2. 5. Floors over crawl spaces or exposed to ambient air conditions. 6. Required slab perimeter insulation shall be a water resistant material, manufactured for its intended use, and installed according to manufacturer's specifications. See Section 602.4. 7. The following options shall be applicable to buildings less than three stories: 0.35 maximum for glazing areas of 25 % or less; 0.32 maximum for glazing areas of 30% or less. 8. This wall insulation requirement denotes R-19 wall cavity insulation plus R-5 foam sheathing. 9. Doors, including all fire doors, shall be assigned default V-factors from Table 10-6C. 10. Where a maximum glazing area is listed, the total glazing area (combined vertical plus overhead) as a percent of gross conditioned floor area shall be less than or equal to that value. Overhead glazing with V-factor of V =0.40 or less is not included in glazing area limitations. 11. Overhead glazing shall have V-factors determined in accordance with NFRC 100 or as specified in Section 502.1.5. Effective 7/01/01 37 ~ pORT ~ $4.0~~~ ,. "- -=- ~ ~C~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number . . .. .4557 Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application description Subdivision Name Property Use Property Zoning . . . Application valuation 03-00000920 Date 3/10/04 1517 W 10TH ST 06-30-00-0-3-0676-0000- NORTH PENINSULA BLDG ASSO RES NEW SFR RS7 RESDNTL SINGLE FAMILY 95804 Owner Contractor NORTH PENINSULA BUILDERS P. O. BOX 748 PORT ANGELES (360) 452-8160 Structure Information Construction Type Occupancy Type Other struct info ASSOC OWNER WA 98362 1542SF SFR W/ATTACHED 432SF 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 permi t . . . . Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 1974 SQ. FT./SFR. SHAMP ELECTRICAL CONTRACTING 116.20 Plan Check Fee 3/10/04 Valuation 9/06/04 .00 o .......... ~'" ~~ ~ 29.90 V-N 1.00 1. 00 7000.00 2094.00 2094.00 1.00 Qty 1.00 2.00 Unit Charge Per 70.8000 ECH EL-R-SQFT FIRST 1300 22.7000 5C EL-R-SQFT ADDITIONAL 500 Extension 70.80 45.40 " ~ l~ ~ L'\ ~\ Special Notes and Comments This permit allows constuction to proceed while permit fee's are approved by City Manager Side set back must be maintained at 7' Lot coverage may not exceed 30% or 2100 Sq. FT. School walking route, sidewalks must be installed to City Standards. ----------------------------------------------------------- Other Fees . . . . . . . .. SEWER SYSTEM DELV CHARGE PW WATER SYSTEM USE FEE 745.00 1025.00 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 116.20 116.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1770.00 1770.00 .00 .00 Grand Total 1886.20 1886.20 .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 [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 WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN 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 ALLIHOLD DOWNS WALLS / ROOF / CEILING ORYW ALL (INTERIOR BRACED PANEL ONL Y) 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 DATE ACCEPTED 6 YES NO ELECTRICAL - LIGHT DEPT. 417-4735 h1!J;~' ~ ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ / I 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\I 102.15 [11/14/2003] f VORT ~ $4.0~~~ ha 'L ~ ~ "<<>:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number P~n number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Appl~cation valuation 04-00000831 Date .634354 1517 W 10TH ST 06-30-00-0-3-0676-0000- MECHANICAL APPL. PERMIT 9/20/04 RS7 RESDNTL SINGLE FAMILY 3535 ~ ~ Owner Contractor NORTH PENINSULA BUILDERS ASSOC P. O. BOX 748 PORT ANGELES WA 98362 (360) 452-8160 FERRELLGAS LP ONE LIBERTY PLAZA LIBERTY (360) 683-9029 MO 64068 Permit MECHANICAL PERMIT Add~t~onal desc GAS COOK STOVE,TANK,LINES permi t Fee 57.65 Plan Check Fee .00 Issue Date 9/20/04 Valuation 0 Expirat~on Date 3/20/05 Qty Unit Charge Per Extension BASE FEE 47.00 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 Fee summary Charged Pa~d Cred~ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.65 57.65 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.65 57.65 .00 .00 - U, - .....:J t --- o ....,.. ~ h"l~~ Y"'-1/0<:" ~ 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 a ow the same to be true and correct. All provisions of laws and ordinances governing this type of work Will be complied with whet er spe ifie herein or not. The granting of a permit does not presume to give authOrity to Violate or cancel the prOVisions of any st e or 10 al I reg tlng construction or the performance of const'ucUon. 'i A .;te& t.{ . ::fEr Signature of Contractor or Authorized Agent Date T \PLANNING\FORMS\1102 15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BU1LDlNG 1NSPECTIONS 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 LOCA nON 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 PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER I AIR SEAL I WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP GAS LINE y-If}{}.-oJ./ JH-- WOOD STOVE / PELLET / CHIMNEY J HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'5 WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R.W ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 ...../ / PLANNING DEPT BUILDING 417-4815 Il.f/,j..~/IJ+ v:ru... BUILDING T \PLANNINGIFORMSII 102 15 [11/14/2003] l I - PREPARED 9/22/04, 12 41 04 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER. INSPECTION TICKET INSPECTOR JAMES L LIERLY 1517 W 10TH ST FERRELLGAS LP NORTH PENINSULA BUILDERS ASSOC 06-30-00-0-3-0676-0000- 04-00000831 MECHANICAL APPL PERMIT PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS SUBDIV PHONE PHONE ME6 01 41::~f~r ~ MECHANICAL GAS LINE TIME ~ .. ~ RICHARD 452-6812 -------------------------------------- COMMENTS AND NOTES (360) 683-9029 (360) 452-8160 13 00 PAGE DATE 10 9/22/04 PREPARED 9/24/04, 13 12 26 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 7 9/24/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1517 W 10TH ST FERRELLGAS LP NORTH PENINSULA BUILDERS ASSOC 06-30-00-0-3-0676-0000- 04-00000831 MECHANICAL APPL PERMIT SUBDIV: PHONE (360) 683-9029 PHONE: (360) 452-8160 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 9/22/04 JLL MECHANICAL GAS LINE TIME 13 00 ~f~~~;_J'AP RICHARD - 452-6812 ""_O'__~~::;:~::::.::::: '"' "T" ______________________________________ l eM~ ~\4"J' 1 0 (Q...( . 03/04/2004 14:16 13604521689 SHAMP ELEG PAGE 01 .. ti ~:, ~>;~ Own.' or Elec. Contractor Agenl:.81/81nI) F.Lfl'TJ</(/ILCDlJ7f/tC)1/..JL, II-Ie Phone: 452- /10 gq Pmperty Owner: ~---.:t2v..\ \..\)t"312...<;. ~B ~ Address:~'1\-\ &h-u.-+ City: 4l0Cf AN ~ \kl~- uHI'tll)rE:C013~. , Elec,,:=.1 Contractor:5tt.'I'lM \;;\E"i1'lCALcr,>.\it4(.nNb l'-lt' ' lioeno.~; e",,: I - '1.3- uCl Addres.: PC ?r:,,'}( ,'?B~ City: .p~T /~K, b-r-:L,:S iN-~ ' " ELECTRICAL PERMIT APPLICATION ~OJl. OFFICIAL '-'SF. 01'o1.Y n~\..IT'.,,_' u.___ r~tmolfl: '_"._"_'._ ......._.._.._ OJ!, "'llprow:l'I. _ "__"..__' D~tcTU\lW___.. ......__...__ Tne electrical Perl"t'lil Applic3tion ",uet be fillll?d nllt r:nmolll!telv. Please type or r~prlnt 1n ink. If you have any questions, please call (360) 4174735 FalC number: (36D) 417-4711 03 - 9,,:1..0 Fax: ,3~:>m..e.... 1-\51 -/?\(Q1L ziP''1R":3('" Phnnp.: '~51-II"ZL Zip: QZ,31i:<L Phone: INSTAllATION WIRED BY: G OWNER r.J ELECTRICAL CONTRACTOR Credit Card Holder Name: MftJ{ K w. :) W.(i11W TYPE OF WORK: 0'Residential 0 Multi-family Billing Address: CliO VJ. jQ'1\ljjY,..d City: 4>,S'l?.T A~6~ ' <vA. ~~ ~ ~, /5"/7 w lOt!! .:5C/ Check.!!l! that apply: '-6'~_ 0 Alteratloll/Additi~ Sq. Ft ~ (/97i) o Remote Meter 0 Det3ched garage 0 Hot Tllh n Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom. Zip: 983":) VISA:-'tL Me: PROJECT ADDRESS: o Commercial o Mobile Home fJS Number of Circuits added .or altered: DESCRIPTION OF THE ELECTRICAL PROJECT:_~ ~ (;970 Electrical Heat Load Additions and or Subtractions Service Information o Basebpard rl FIJrn;u::e o Heat Pump o Fan-Wall .fa.. ~ &..A ~TON LRA ~~~ _KW o Overhead Service o Temp Service ~ndGr9rOUnd Service VOltage: Phase: "D"1"o~ Service Size: Feeder Size:__ I hereby certify that I have read and examined this application and knuw (/18( same to be troe and correct, end I , authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibilffy to determinp. what permfts are required and to obtain such. ii:; Credit Card Holder's Signature: ~ Owner or Elee. Cont. Signature: at~ Date:.~Lj -{)l( Date3-t.\ -8\.f ~ElEC;h;;TAPPLlCATION o*' / 5) ,l~ \D1 PERMIT FEE: $~ 11'..:2-0 / /'