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HomeMy WebLinkAbout1627 W 10th St - BuildingPREPARED 10/04/06 8 43 39 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/04/06 ADDRESS 1627 W 10TH ST SUBDIV TENANT NBR MANGIAMELI CONTRACTOR PHONE OWNER MANGIAMELI JOSEPH /TERESA PHONE (360) 417 8056 PARCEL 06 30 00 0 3 0763 0000 APPL NUMBER 06 00000578 RES MANUFACTURED HOME PERMIT BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 7/21/06 JLL BUILDING FOUNDATION MONO SLAB TIME 13 00 7/21/06 AP JIM 808 3281 07/21/2006 08 00 AM DYASUMUR 07/21/2006 03 39 PM JLIERLY BLMH 01 8/17/06 JLL BUILDING MANUFACTURED HOLDDOWN TIME 13 00 8/17/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 08/16/06 TIME 09 26 03 KEITH 360 461 1999 INFORM CUSTOMER THERE ARE OUTSTANDING ELECTRICAL FEES FOR THIS PROJECT 08/16/2006 09 25 AM DYASUMUR 08/17/2006 04 27 PM JLIERLY BL99 01 9/28/06 JLL BUILDING FINAL 9/28/06 DA 09/28/2006 09 26 AM JLIERLY 09/28/2006 04 57 PM JLIERLY address /no inspection on down spouts or water line /pw and elec inspection required /no occupancy until all fianls are approved /cover trench in rear after approval is complete /electrical fees are outstanding /j11 PW99 01 10/02/06 RV PUBLIC WORKS FINAL 10/02/06 AP 10/03/2006 08 00 AM RVESS 10/03/2006 08 01 AM RVESS BL99 02 10 04/06 BUILDING FINAL TIME 13 00 JIM 477 3514 10/03/2006 03 45 PM DYASUMUR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 01 PL99 02 9/29/06 JLL 9/29/06 CA 10/04/06 PLUMBING FINAL 09/28/2006 09 26 AM JLIERLY 09/29/2006 01 27 PM JLIERLY PLUMBING FINAL TIME 13 00 10/03/2006 03 45 PM DYASUMUR COMMENTS AND NOTES PREPARED 9/29/06 8 17 48 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/29/06 ADDRESS 1627 W 10TH ST SUBDIV TENANT NBR MANGIAMELI CONTRACTOR PHONE OWNER MANGIAMELI JOSEPH /TERESA PHONE (360) 417 8056 PARCEL 06 30 00 0 3 0763 0000 APPL NUMBER 06 00000578 RES MANUFACTURED HOME PERMIT PL 00 PLUMING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 01 9/29/06 PLUMBING FINAL 09/28/2006 09 26 AM JLIERLY COMMENTS AND NOTES PREPARED 9/28/06 9 31 26 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/28/06 ADDRESS 1627 W 10TH ST SUBDIV TENANT NBR MANGIAMELI CONTRACTOR PHONE OWNER MANGIAMELI JOSEPH /TERESA PHONE (360) 417 8056 PARCEL 06 30 00 0 3 0763 0000 APPL NUMBER 06 00000578 RES MANUFACTURED HOME PERMIT BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 7/21/06 JLL BUILDING FOUNDATION MONO SLAB TIME 13 00 7/21/06 AP JIM 808 3281 07/21/2006 08 00 AM DYASUMUR 07/21/2006 03 39 PM JLIERLY BLMH 01 8/17/06 JLL BUILDING MANUFACTURED HOLDDOWN TIME 13 00 8/17/06 AP OVERRIDE TAKEN BY DYASUMUR DATE 08/16/06 TIME 09 26 03 KEITH 360 461 1999 INFORM CUSTOMER THERE ARE OUTSTANDING ELECTRICAL FEES FOR THIS PROJECT 08/16/2006 09 25 AM DYASUMUR 08/17/2006 04 27 PM JLIERLY BL99 01 9/28/06 0UIL8ING 6INAL 09/28/2006 09 26 AM JLIERLY �t1 COMMENTS AND NOTES wan-lt -s t u 'e-] j BUILDING DIVISION CITY OF PORT ANGELES c346 Correction N lice 4 004- rr (C Job Located at I� a Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction e u,1 -psi- Date for inspection have been made, please call F66 ou- l-w-143A.JOIN cs �J L J«cc f 1 I VC*41. These corrections ust be made and are riot to be covered until reinspection is madp When corrections (x6 Inspector for Building Division nn NAT i2FMAVF THIS TA( PREPARED 8/17/06 10 45 47 INSPECTION TICKET PAGE 18 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/17/06 ADDRESS 1627 W 10TH ST SUBDIV TENANT NBR MANGIAMELI CONTRACTOR PHONE OWNER MANGIAMELI JOSEPH /TERESA PHONE (360) 417 8056 PARCEL 06 30 00 0 3 0763 0000 APPL NUMBER 06 00000578 RES MANUFACTURED HOME PERMIT BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 7/21/06 JLL BUILDING FOUNDATION MONO SLAB TIME 13 00 7/21/06 AP JIM 808 3281 07/21/2006 08 00 AM DYASUMUR 07/21/2006 03 39 PM JLIERLY BLMH 01 8/17/06 J L BUILDING MANUFACTURED HOLDDOWN TIME 13 00 OVERRIDE TAKEN BY DYASUMUR DATE 08/16/06 TIME 09 26 03 KEITH 360 461 1999 INFORM CUSTOMER THERE ARE OUTSTANDING ELECTRICAL FEES FOR THIS PROJECT 08/16/2006 09 25 AM DYASUMUR COMMENTS AND NOTES PREPARED 7/21/06 8 15 52 INSPECTION TICKET PAGE 15 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/21/06 ADDRESS 1627 W 10TH ST SUBDIV TENANT NBR MANGIAMELI CONTRACTOR PHONE OWNER MANGIAMELI JOSEPH /TERESA PHONE (360) 417 8056 PARCEL 06 30 00 0 3 0763 0000 APPL NUMBER 06 00000578 RES MANUFACTURED HOME PERMIT BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 7/21/06 JLL BUILDING FOUNDATION MONO SLAB TIME 13 00 JIM 808 3281 07/21/2006 08 00 AM DYASUMUR COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner MANGIAMELI JOSEPH /TERESA P 0 BOX 2832 PORT ANGELES (360) 417 8056 Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T•\Policies \I 102.15R [1/05] WA 98362 06 00000578 168120 1627 W 10TH ST 06 30 00 0 3 0763 0000 MANGIAMELI RES MANUFACTURED HOME RS7 RESDNTL SINGLE FAMILY 39204 Contractor OWNER TOTAL o LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE DRIVEWAY INSTALLATION CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 983 79731 170 00 Plan Check Fee 6/30/06 Valuation 12/27/06 BASE FEE PUBLIC WORKS RES WATER SERV 79749 715 00 Plan Check Fee 6/30/06 Valuation 12/27/06 Qty Unit Charge Per 1 00 715 0000 EA PW W/M 1 SERV 5/8 METER RIGHT OF WAY Signature of•Contractor or Authorized Agent Date Date 6/30/06 18 70 1 00 7000 00 1306 00 1306 00 00 0 Extension 170 00 0 0 39204 Extension 715 00 79723 50 00 Plan Check Fee 00 6/30/06 Valuation 39204 12/27/06 Qty Unit Charge Per Extension 1 00 50 0000 ECH RIGHT OF WAY PERMIT 50 00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 79715 Permit Fee 110 00 Plan Check Fee 00 Issue Date 6/30/06 Valuation 39204 Expiration Date 12/27/06 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. C41 ;Y/2 1k*,- Signatur of Owner (i caner isbuilder CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION RW PW/ 417 4807 ENGINEERING FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T•\Policies \I 102.I5R 1/051 PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO I I I I I I 1 I I III I I I I I I I I I I I 1 I 1 I I I I I I I I 1 I I I I I I I I I 1 I I I I 1 I 1 I I I I I 1 COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I 1 1 I 1 1 I I CONSTRUCTION RW PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING I I 1 I 1 1 1 1 I I erk) Application Number Application pin number 06 00000578 168120 Qty Unit Charge Per 1 00 110 0000 EA SAN SEWER HOOKUP CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background A residential fire sprinkler system installed per NFPA 13D will be required 2nd option is to install an outside alarm bell that is inter connected to the residence s smoke detectors The alarm bell will be painted red in color and identified as Fire alarm 06/21/2006 08 37 AM SROBERDS Proposal is to set a new mfg home in the RS 7 for total lot coverage of 19% No land use issues anticipated Electrical load calculations and elctrical permits are required Connection fee $410 00 06/06/2006 04 22 PM GMCLAIN Sidewalk to City standards required for school walking route Sanitary sewer pressure line connection to 4 main is located in alley an inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required 06/08/2006 07 32 AM RVESS Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete Other Fees Fee summary T•\Policies \1102.15R [1/05] Page 2 Date 6/30/06 Extension 110 00 SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Charged Paid Credited Due Permit Fee Total 1045 00 1045 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2074 50 2074 50 00 00 Grand Total 3119 50 3119 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 construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T•1Policies11 I01.1 SR (1/051 RESIDENTIAL CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I 1 1 I I I I I I I I I I I I I I I I 1 I I CONSTRUCTION RW PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner MANGIAMELI JOSEPH /TERESA P 0 BOX 2832 PORT ANGELES (360) 417 8056 Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98362 BL MANUFACTURED HOME 06 00000578 168120 1627 W 10TH ST 06 30 00 0 3 0763 0000 MANGIAMELI RES MANUFACTURED HOME RS7 RESDNTL SINGLE FAMILY 39204 Contractor OWNER TOTAL LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE 79236 230 00 Plan Check Fee 6/30/06 Valuation 12/27/06 BASE FEE Permit PLUMBING PERMIT Additional desc Permit pin number 79228 Permit Fee 72 00 Plan Check Fee Issue Date 6/30/06 Valuation Expiration Date 12/27/06 Qty Unit Charge Per BASE FEE 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 1 00 15 0000 ECH PL EA BLDG SEWER Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background A residential fire sprinkler system installed per NFPA 13D will be required 2nd option is to install an outside alarm bell that is inter connected to the residence s smoke detectors The alarm bell will be painted red in color and identified as Fire alarm 06/21/2006 08 37 AM SROBERDS Proposal is to set a new mfg home in the RS 7 for total lot coverage of 19% No land use issues anticipated Electrical load calculations and elctrical permits are Signature of Contractor or Authorized Agent Date T• \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] Date 6/30/06 l0/0 18 70 1 00 7000 00 1306 00 1306 00 00 39204 Extension 230 00 00 0 Extension 50 00 7 00 15 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 o Own if owner is builder) 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 a'^ SHEAR WALLS WALLS e FOUNDATION DRAINAGE DOWN SPOU'T'S PIERS f POST HOLES (POLE BLDGS.) 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 FURNACE DUCTS GAS LINE r WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS J 1e1glNUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING I I I ESA. LANDSCAPING I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 YES I NO T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD 417 -4735 ELECTRICAL LIGHT DEPT FINAL FINAL CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. I I I I I I I I I Application Number Application pin number CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000578 168120 Page 2 Date 6/30/06 Special Notes and Comments required Connection fee $410 00 06/06/2006 04 22 PM GMCLAIN Sidewalk to City standards required for school walking route Sanitary sewer pressure line connection to 4 main is located in alley an inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required 06/08/2006 07 32 AM RVESS Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete "sir Other Fees‘, SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Fee summary Charged Paid Credited Due Permit Fee Total 302 00 302 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2074 50 2074 50 00 00 Grand Total 2376 50 2376 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 construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T\Policies \1102 15 building permit inspection record05 wpd [1/4/2005] 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 SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) 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 FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I I` ,r I I PLANNING DEPT BUILDING 417 -4815 l f/v I I BUILDING T \Policies \1 IO2_15 building permit inspection record05 wpd [14/2005] BUILDING PERMIT INSPECTION RECORD I -i /Z //.t 1 7 lopv06 YES I NO FINAL YO44 DATE 0 ACCEPTED BY. FINAL SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ELECTRICAL LIGHT DEPT DATE ACCEPTED BY. I I I I I I I I I BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted fur revieli If you have an questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: A /,B- ,/140/ZjCS0.41 Phone 4C93 4 7/ Owner 0 -0 S di 7.42fS Phone -4/7 POLS 6 Address t i? a 283 City R A_ 4ES Zip :7e9, 30.7 *Of /�1.0 C Giv CWZ e-c-fr<N�s(jPhone. Contractor/fee-0.44r. 9904 State License #•JO /5/O 2 Exp Phone 1 -152( Address e(1.5 A" 7 city. S2 C L.i 1 Zip 0%`9i e 2_ PROJECT ADDRESS 1&13 IN 1O l 5 ZONING S RS LEGAL DESCRIPTION Lot: /"7 Block. 30 2 Subdivision. CLALLAM COUNTY PARCEL NUMBER. 0630 O O O c 3 0 ?C1,3 0 00 0 TYPE OF WORK. pQ Residential New Constr Multi- family Addition Commercial Remodel Repair PLANNING USE ONLY Re roof Move Demolition Sign Stove Garage Deck Other BRIEF DESCRIPTION OF THE PROJECT /Itt ,t/A/t. V 4 7?i/2 j COMMERCLAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type Proposed Sq Ft. TOTAL Sq Ft. 1 C No of Stories: Lot Size. 1000 Existing Sq Ft. ,C'/ Total lot coverage ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits a required ,not the City's, and that t must optain such permits prior to work. (0 27 ,DCo 1v C) 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 as 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 time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. R OFFIC L USE ONLY D ate Rec. awl /0,4 Permit tl• (/7"/' 7 [J Date Approved. Date Issued 4" SIZE/VALUATION /3 SF 'ZO /SF 29'2 SF /SF SF /SF TOTAL VALUATION APPROVALS PLAN BLDG DPWU FERE OTHER T \Policies\BL 1102_13 wpd Applicant: Date: 2.6 a (p C ill 57k1C- A csG--- T2e--8Z0 Aitip Appro Da 44 r 40 L 0 /f CIT1' OF The I: seance of t is mit b sed upon Mese s )ecifi- ati'f datioOnd otherdbal rlot or :tent t le building Official from kherei fter iNuirng the corr:ction of er ors i6_ said plans, spe ficatisms and otl er di ta, o ig_,o atioi is_be g_ ca rried_ )n ail cedes ind otiinan from prey, nting reunclar_wten_in es o this jurisd ction. AN GEL S— Conftrue ion ions '1 rl pe I_ C._ LL L -4(■4 ,L_J o f• City of Port Angeles Applicant Project Review Sheet Applicant: 7 SF1ff Property Address GG/ /4 C,ci /0 7/1 Owner i L t 4 t 4 4 1 1 4 4 Proposed Use S JQ 71 Zoning: /e5 7 Is the proposed use listed as a `permitted use or an `accessory use in this zone? Is this the only use (business, residence, etc.) on this 'site? Has there ever been a subdivision, shortplat, or PRD approved for this site, or has one been submitted and is pending approval? Does the proposed use require a new buisiness license? Does the project extend into any required setbacks or cross any lot lines (interior or exterior)? Does the project exceed the permitted height allowance or cause the property to exceed the allowed lot coverage in this zone? Does the project require any additional parking or special design/landscape improvements in this zone? Does the project eliminate any existing parking spaces? Is the project located within 200' of the shoreline? Are there any environmentally sensitive areas on or within 200' of the property including: wetlands or areas of standing water (year round or seasonal) streams (year round or seasonal) areas with a slope of 40% or greater or areas that have evidence of past ground movement or erosion? Have all the required submittals been provided by the applicant? Construction Drawings Civil Drawings Supporting Engr Calc Other Site Plan Parking/Drainage Plan Energy Calc Landscape /Lighting Plan A pplicant Date X yes. ok yes. ok Oyes: requires PD yes. requires CC review yes: requires PD review yes. requires PD review yes. requires PD review yes requires PD review yes. requires PD review yes. requires PD review Ono requires PD review no• requires PD Xno ok no ok ria no ok kr no ok no ok E no ok gr no ok no ok J If Planning Department review is required, the processing time may be extended. If it is determined a separate Planning Department permit(s) is needed, the Planning Department permit(s) must be approved prior to the issuance of any other permit. The information provided above is true to the best of my knowledge, I understand .that in the event that any of this information is determined by the City to be incorrect, this project will be stopped until such time the City determines the correct information is provided and any subsequently uired r als are completed and granted. Permit Category (see reverse side) Building Permit Master Tracking Route to BD CC FD LD PD PW File Other Staff Initials Date Completion of this form is required for all category 1 b, 2 3 permits. Completion is not required for S `8" M C Customer Mangiameli L ©t #12 30 V 55 Model 4 131 'Harbor Master" 1,315 S. Ft 12'0" 3304V 1 4 11 imr P• r TYPICAL PIER BLOCK 'a in the footing and centered beneath the pier locations (See Figure 303.7) (9) A minimum of 4 inch (10 cm) nominally thick con- tinuous footings, not less than 48 inches (121 cm) wide, reinforced with approved fibers or with 10 gauge 6 inch (15 cm) by 6 inch (15 cm) wire fabric centered vertically within the continuous footing and no closer than 1 inch (3 cm) from the edge of the continuous footing. (See Fig- ure 303.8)• (10) A minimum 4 inch (10 cm) nominally thick slab not less in area than the manufactured dwelling and cabana, reinforced with approved fibers or with 10 gauge 6 inch (15 cm) by 6 inch (15 cm) wire fabric centered vertically within the slab and no closer than 1 inch (3 cm) from the edge of the slab. (See Figures 303.9 and 303.10); (11) Tested and listed prefabricated footings; (12) Footings designed by an Oregon licensed professional engineer or architect and approved by the Division, or (13) Other equivalent materials approved for the intended use by the authority having jurisdiction. (b) Piers. Piers shall be placed on footings and shall not exceed the size of the footing. Piers shall be: (1) 8 inch (20 cm) by 8 inch (20 cm) by 16 inch (41 cm) concrete blocks (See Figure 303.11)• 16 MINIMUM 256 SQUARE INCH PLYWOOD FOOTING PRESSURE TREATED ON AU. SIX SIDES MQIE; FIELD TREATMENT OF CUT EDGES IS NOT ACCEPTABLE Figure 303.6 Double Layer Plywood Footing 7 MINIMUM ABOVE GRADE 0 TYPICAL PIER BLOCK r DOUBLE PLyviwo FOOTING pREsSURE TREATED ON ALL Six SIDES WO MINIMUM 256 SQUARE INCH 110IL FIELD TREATMENT OF CUT EDGES IS NOT ACCEPTABLE 18 MINIMUM Ir, 31 AIIN.I MIN.I Figure 303.7 5 -1/7 (2) CONTINUOUS /4 REBAR CONTINUOUS POURED —IN —PLACE CONCRETE FOOTING W /MINIMUM 2500 P51 IN 28 DAYS. Figure 303.5 Single Layer Plywood Footing Continuous Concrete Footing r 4 4 4 4 4 4 4 4 to BOTF, SEE TABLE 304 FOR MINIMUM REQUIRED PIER SPACING Figure 303.8 Continuous Concrete Footing Isometric MINIMUM NOMINAL 4" CONTINUOUS CONCRETE FOOTING 2500 PSI IN 28 DAYS REINFORCED PER SECTION 303 OF THE STANDARD ;k X /NOM INAL POURED -IN -PLACE CONCRETE SLAB FOOTING 2500 PSI IN 28 DAYS Figure 303.9 Poured -In -Place Concrete Slab 10 GAUGE 6" X 6' WIRE FABRIC CENTERED VERTICALLY IN SLAB OR REINFORCED WITH APPROVED FIBER PER SECTION 303 OF THE STANDARD 17 1 (2) Tested and listed prefabricated piers (See Figure 303.12) (3) Designed by an Oregon licensed professional engi- neer or architect and approved by the Division, or (4) Of other equivalent materials approved for the intended use by the authority having jurisdiction. Exception. Concrete pier blocks may have wood placed between each block to absorb shock if the wood is equal in area to the block and is one of the approved materials identified in Section 303(c)(2) (3) and (4) of this standard. (c) Pier Caps. Each concrete pier shall be capped with a pier cap equal in area to the pier blocking (i.e. 8 inches (20 cm) x 16 inches (41 cm) or 16 inches (41 cm) x 16 inches (41 cm)) Pier caps shall be (See Figure 303.13): (I) A 4 inch (10 cm) nominally thick solid concrete block; (2) A 1 inch (2.5 cm) nominally thick group 2 or 3 paral- lel laminated veneer wood plate; (3) One 1 1/4 inch (3 18 cm) piece or two 3/4 inch (19 mm) pieces of plywood (4) One 2 inch (5 cm) nominally thick Number 2 or better grade board lumber (5) One 2 inch (5 cm) nominally thick wood polymer com- posite 18 Figure 303 10 Poured -In -Place Concrete Slab Isometric 4' NOMINAL POURED -IN -PLACE CONCRETE SLAB FOOTING 2500 PSI IN 28 DAYS (6) Tested and listed prefabricated pier caps; (7) Designed by an Oregon licensed professional engi- neer or architect and approved by the Division; or (8) Of other equivalent materials approved for the intended use by the authority having jurisdiction. Exception: Wood and wood product materials specified in Subsections (2), (3) and (4) of this section shall be pressure treated on all six sides when placed in an area subject to excess moisture (i.e. outside the underfloor enclosure or below open deck areas). (d) Pier Shims. Where shim material is used between the top of the pier cap and the bottom of the main frame, the shimming material shall not exceed 9 vertical inches (23 cm). Pier shims shall not be used with prefabricated piers unless the shims are included in and installed according to the pier's listing. Pier shims, when used, shall be one or more of the following (See Figure 303.13)• (1) 2 inch (5 cm) nominally thick solid concrete block equal in area to the pier cap. (2) 1 inch (2.5 cm) nominally thick group 2 or 3 parallel laminated veneer wood plate equal in area to the pier cap (3) 3/4 inch (19 mm) or greater plywood equal in area to the pier cap. N Design Loads WInd So Bc nng T e Go ss Steps I ScIsM.g Zone Te s o'r'e su meet federal sputncusons QQ-S 781H for Type 1 Cliim l Grade I scrapping and he al le-art 1 3/4 x .035, zinc plated. F.ut.; Augers Cross Dnves Coop r_tr_ Stab Anchors Vr Mcftwuir4 soil prrss4re General Notes 15 PS1' 1000 PSF 3150 Worbng Load 4 2962 4 (Tested to 4750 ff minimum) 1727 tl (Calculate) 1390 N (Calculated) LT 1 COO P S. F wrrhout a rata sport. Th charts shown her_;n let for the rot/tits-ad number of tie downs on the sides Of the Manufacturml Horne. se downs are required at each chassis beam, each end of each rrancpertabte section of the Manufactured Horne and can be any of the typ shown herein. Cembininow of the different types of be downs Cut be used la the event ar, oa,h auger cannot be tr taped due to an obstrue• sea use of cross dnve anchors Is pern;itted, ptovultd 2 cross drive anc hors arm Lastx)lM for etch cxrtJ AuPtY that cannot be installed, Fcr ere down Installs :um:: the Menufxrturrd Hon= chassis members ale shown as '1 b eerut for illustration purposes only Chassis beams can also bc "C" shaped or RFC stsapcd 6 End do downs can br located wtthm 18' of either wd. of cheusu bears axis as shown. One lard t b down -e q u rad 18� Chassis Bear, at earn 9 beam end t8 The s.zes, types lengthy. etc of material.; shown herein sit r~iot��lra. Luger, 1ocger, heavier materials supplied by Tic Down E.tlipneenng ma) be utcd at the tune spacing and scourers s hown 5 /v o rnate devices may be substituted with engineers approvals TI State Approval TIE DOWN ENGINE RING Engineered Tie Down System anufactured home tie down calculations and schedules for single /double/triple wides Engineer Approval ENGINEERED TIEDOWN S'Y T r.iv AP PROVED 124CTTO :OM Cfl RTE r roi41 does nor trtlorrte a aesror4 cti u dsrfatlon tram tequirccrents o' Sur teg7tabooY State fa;•tra:a 4tosrr+441 oe K.a: t o r and a ccvr ts, "t 1$ wy Of teas sire s (weir Tr J Tks Plan I•ppr ell Eaxas Q 2 —2 7 t 5 rhi• t s dOwe eyatem meet, t.nc rYa t eact+an 1336.'_`, 5t (,t) 77E DOWN ENGINEERING 5901 Wheaton Drive Atlanta. GoorSia 3033E 404 3.4.40000 Fax 404'349.040 O2 D4 Ca? PM TJT INC 3RL1 =M l !FRI !1 OS fl DOi ENGINEEII1NC Patio Slab Anchor This anchor Is designed to be Inserted through a 3/4 holo drilled or formed into an existing concrete slab Concrete must be a 2500 PS,I minimum stab with 4 minimum thickness and 8/8 x 10/10 wire mesh or Tibet mush Installed Concrete slab must allow 4728 lbs of vertical tenelon on anchor without fitting This assumes that the concrete 1/4tel0h9 150 lbs per cu,11 Minimum distance from the anchor shaft to one edge of the slab is 4 In. from ono edge and 2 ft. from any other oho if installed in a 4 stab at minimum dls• ttncee from edpee an ad I •1'. or of 6/6x /10mash is re Concrete Slab Anchor anus na+ t pa rf 1 i p 7nlef anthor t9 d t6 9r1 �x 0 b 0 ve t In all oxlbtln concrete slab. After reviewing rOatrietUOni OStod to 1h0 rlpnt. drill o 54 In x 3 In. hole In the slab whore the anchor heals to be located, Place steel expanblan alcove over bolt and place Into the drilled hole Ptaco the washer onto the ax>7ansian Daft Thread nut only expsnalon bolt end tlgftton until maximum expansion of steel expansion sleeve has boon oohkved Remove nut and weehor and ptoco anchor hoed ovor exposed bolt Plays washer and nut onto bolt b attach anchor head, tighten nut. 303 393 6234 lF��x!40a 3�9 045 Concrete Anchor P 06 The MIJ2 Is designed to be lnetallod Into a concrete slab at the tkne !ha OonCrbIo to beln0 poured 01/25/02 16 25 aeti Concrete must be a 2500 PSI minimum slab with 4' minimum thickness and 8/6 z 10/10 wire mesh or fiber mash Installed Concrete slab must allow 4725 ha ct vertical tension on anchor without IItt(np This assume that the concrete weighs 150 lbs. per cu ft. Minimum distance from the anchor e ttft to one edge of the slab Is 4 in from one odue and 2 It from any other adQo If Installed In a 4' slab at min mur distances from edges an additional layer of 616 or 10110 mesh Is recommended SJob must be 8 In rnirtlmum thickness at location under any anchor to allow 5 In embedment of anchor 'J' r od Concrete must be a 2500 PSI minimum stab vita 4 mfntmtxn thickness and 6/8 x 10/10 wire math or flier mwt msttlllod. Concrete slab must allow 4726 lbs of vortical tension on anchor without lifting Thia assumes that !Ito concrete weighs 150 lbs per cu. ft. Minimum distance from the anchor shaft to one o of tho slab is 4 In. from one loge and 2 tt, from any other edge. If Installed In e 4 stab at minimum distances trrm edges, on oddltfonal layer of 6/6 or 10/10 wire mesh or fiber mash Is recommended Mrw.tiedewn,cam (411741 ;r44- UOUO FAA 14U41 .140-174U DOWN TX /RX NO 2045 P OOb Aug 25 04 07144a 95 618 97 Pacific Consulting Engineers ID 916564682t3 August 23, 2004 Mr Rich Morris SAC Industries, Inc 21822 Old Highway 99 Centralia, WA 9431 RE. Engineered Tie Down System for Manufactured Homes Concrete wet set anchor 46004 Dear Mr. Morris Adi David A, Da "en :1✓. Pacific Consulting Engineers r•I 50 Bcll Ave. Suite 145 S ctamDnto, CA 95535 (916) 5E46028 Fnx: 1916) 5644029 Per your inquire as to the intent for use of the N6004 wet set concrete slab anchor, please be advised the new 4 "concrcto slab is to be thickened to a minimum thickness of 8 "at a minimum 12" diameter area where the slab anchors are to be placed. Vsax.:.sn+.rr d 1 I 1 1 I I I 1 1 L i I_ 1 2 TWS s'•Y7 7 i k L2 4 2 eAtyLl 12 ti 11 L.5i06y-- t r i 12z4 1 v 4 i lt\I i 4 1 1--- I t 1 I t t II 1 4 I 1 i I I 1 1 I 1 i I I 1 i 1 i 1 /2_54/_g_1 4 I '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :12\ EAST 5TH STREET. PORT ANGELES. WA 98362 .;~ . ~ ~ Appl~cation Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr, name Application typ~aescription Subdivision Name:;.!). .. . Property Use Property Zoning Application valuation 06-00000578 Date 168120 1627 W 10TH ST 06-30-00-0-3-0763-0000- MANGIAMELI RES MANUFACTURED HOME 8/09/06 ); ~, , ~ ~ RS7 RESDNTL SINGLE FAMILY 39204 Owner Contractor MANGIAMELI, JOSEPH/TERESA POBOX 2832 PORT ANGELES WA 98362 (360) 417-8056 Other struct info OWNER TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE 18.70 1. 00 7000 00 1306.00 1306 00 Permit Add~t~onal desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date . ELECTRICAL NEW RESIDENTIAL QUALITY / MOBILE + SEPTIC 844.00 QUALITY ELECTRIC 126.80 Plan Check Fee. 8/09/06 Valuation 2/05/07 .00 o ~ ~ "2:. c::: ~ ~ ~ ~~ :t~ ~~ ~4- "';.- ..~ tIl .... ~ ~ :\. cor o I' .~ ~ '" Qty 1. 00 1 00 Unit Charge Per 48 1000 ECH EL-MANF HOME SRV OR FEEDER 78.7000 ECH EL-MANF HOME SERVICE & FEEDER Extension 48 10 78 70 t Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. A res~dential f~re sprinkler system, installed per NFPA 13D, will be required 2nd option is to install an outside alarm bell that is inter-connected to the residence's smoke d~tectors. The alarm bell will be painted red in color and identified as IIFire alarmll 06/21/2006 08 37 AM SROBERDS --Proposal is to set a new mfg home in the RS-7 for total lot coverage of 19% No land use issues anticipated. Electr~cal load-calculat~ons and elctrical permits are requ~red Connection fee $410.00 06/06/2006 04.22 PM GMCLAIN ---------------------------- Sidewalk to City standards requ~red for school walking route San~tary sewer pressure line connection to 4" main is located in alley an inspection is required by Public Works prior to back f~ll of ditch 24 hour advance notice is requ~red 06/08/2006 07.32 AM RVESS ------------------------------ ~ ---- COMMENTS/ACTION NEEDED '"', . -. -- .' /J '~ ~ CITY OF PORT ANGELES PUBLIC WORKS .~~ ELECTRICAL DIVISION J21 EAST 5TH STREET. PORT ANGELES. WA 98362 ~ .. - .... Applicat~on Number . . . . . 06-00000578 Application pin number - 168120 Page Date 2 8/09/06 '.f .,. Special Notes and Comments Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 870 00 4 50 1200 00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perm~t Fee Total 126 80 126 80 .00 .00 Plan Check Total .00 .00 00 .00 Other Fee Total 2074 50 2074.50 .00 .00 Grand Total 2201 30 2201.30 .00 00 COMMENTS/ACTION NEEDED ~ . ~ ~,4 ELECTRICAL PERMIT INSPECTION RECORD di.LL 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 ".., ~/L.L- ~ ~JC $,S~ "/Q'~ ~z:D GENERAL COMMENTS: PW-II02.J'14I96) 0.0/ il'Electrical Contractor, S..~ t.o ...... -=--'(! o Owner ~.......' o Request Inspection ELECTRlCAL WOllKP:ERMiTAPPLICATION\ F.I9't /..jJ)- 'i7/1 . Q Annual Permit Job wired by l:J Alar'ln [:) Car-uivul 0 ConlJn~rch:d 0 Resideutial 0 R.esldelulal Malut. a SIgns CI TblillomOtitmt a TclcculII. I I .dElectrical Contractur 0 Owner I installation description .. Liconsc number m Ct 1::)/ It I-/~rn I'~ 3- s ~t,~, .3 \~" d-..r- f'.JfI-7/ r Purcbasc:r's mailing add.' s I L3.3 (t CA n-,.,. (' c) ^' tK ('t CilY 'St:l1e ZIP _~" ~ tl I W'1 t ~ A- Tel b DC m{mbe~ FAX number o - ~?-{ Prcmhu owner's niallle I ~ '- _M +- c ~ .;,\1~\r e \ c:l.:JYY\t'w1: Address o( Inspection I ,,j..4 I L 1G>a."7 Li..J. ID-~ S-r City I I r hereby certify that I am the owner of the above nanled property or a licensed ch:ctrical conlractor (or the' finn's authol'ized agent) and am making lhe elecn'ical installation or alteration in ~OnlplianCe witn th~ elcctricaJ haw, Chapter 19.28 KCW. I o Cash 0 Check # ~itCard Visa Mastercard Discover Card # . . ---------------- x Expiration Date of card $Dj;ii~ ~~ \ , WALLS Insulation Only' CEILING lIlsulatiol1 Only THERMOSTAT SERVICE O.ICO Appl1lvod By D"" .'\pptuvcoll By , DlIlu AppiOvudCy Dllllo1 A.pp'Qve~ By DITCH FEEDER Covet Cover j)U.iu "'llpfQvullfsy l>u.iu I Electrical load AdditiO~S and or subtractions o NO LOAD CHANGES I a Baliieboard KW a Furnaco _ i<:<N o Heat Pump _ Ton L l.AA a Fan-Wall _ KW I AIIIUQV~.cll:ly " nlll~ i\lllh'vv.;dtiy DalCO AfIpluvllliih Service Information o Overhead Service CJ Temp Service a Underground Service Voltage Phasa0103 Service Size: Feeder Size: i ~. InsJlection Dale Area, Building or Equipml:nt Tm'pected Action Taken EI~ctrical lnsp.:ctor -# ~/2J(d_ I ,0 I FL- ,lOW H=:i5 dt cD o ~I::.- fl^-L -J . " .kr;.r ,4,Cl . . , , ,- . \ 10 39\1d 8NI 8I~183l3 H8S~I~ 5980E8909E ... GP:50 900GIL0/80 ~- > "'........ .."'/ DATE PERMIT # - 8 +- 0"- Of&, J 57 OWNER/CONTR,ACTOR ADORES} k:, i: v0 ( D .~ , APPROVE~ Be.~oft-L PO.....>~"-- NOT APPROVED o ...!.. .'............. UIICH.................... 0 , D. . . . ! . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 , D. . . . .. . . . . . . . . . .. . . . SERVICE. . .. . . . . ... . . . . .. . . 0 D. . . . .\. . . . . . . . . .. . . . . . FINAL. .. . . . . .. . . . . . .. . . . . 0 CORRECTIONS ~:EEDED: m A5e>ue' ~DfZ..- @;>. ~ ('ALA_ I ~ Di~..J-l 6) ::Vf'LLr Dl~-\ ,.L.):L~ ~J~~ & ~ '3)C 3. >c '-i r>....u..~ I PA- 0 I, 1'+. , ~ V I c:..E:. ~ 'rolL I S~bl-l -: 'f HAt..<- ' --& (0 ~~O,^4 "L Bn \"'0 8 f-r J;:":r f,/c . (--DtL I l'4-$f'''' "':r1 1">>'''' ... rt t\.l A-'- ,zofL (?RAOL I i.-i~p~fm{))..j o~ s~--V(C~ fof1.- rn I~..:r,....a. @ c.:L) \ , NOTIFY INSPECTOR WHEN CORRECTIONS i ARE COMPLETED WITHIN 15 DAYS .. I ] l' , \ - DO NOT REMOVE - \ OLYMPIC PRINTERS, INC. (360) 452-1381 ..._" - I . , \ .