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1720 W 10th St - Building
°mow` CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . 11-00000886 Date 8/17/11 Application pin number . . . 668552 Property Address . . . . . . 1720 W 10TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-3-1115-0000- on your state excise tax form Application type description PUBLIC WORKS UTILITES Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Driveway installation RCP#11-28 ---------------------------------------------------------------------------- Owner Contractor ANDREW P & SHERYL R SLACK KENNETH REANDEAU INC 546 BENSON RD 73 PAULINE RD PORT ANGELES WA 983638493 PORT ANGELES WA 98362 (360) 452-6753 (360) 452-2054 ---------------------------------------------------------------------------- Permit . . . . . . DRIVEWAY INSTALLATION Additional desc . . RCP#11-28 Permit pin number . 191205 Permit Fee . . . . 180.00 Plan Check Fee .00 Issue Date . . . . 8/17/11 Valuation . . . . 0 Expiration Date . . 2/13/12 Qty Unit Charge Per Extension BASE FEE 180.00 ---------------------------------------------------------------------------- Special Notes and .Comments No material to enter City storm drain. Call City inspector prior to start of work. 360 417-4831 -------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 180.00 180.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 180.0.0 180.00 .00 .00 V 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 constru tion. Signature of Con'tr ctor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:Forms/Building Division/Public Works Permit PERMIT INSPECTION RECORD CALL 417-4831 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. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE;/METER SEWER CONNECT310N SANITARY STORM SITE DRAINAGE. SITE EROSION CONTROL PARKING SIDEWALK a+ ' • CURB&GUTTERY. i z ti DRIVEWAY:AP,PROAC ,';°BACKFLOW DEVICE: i fi G T S ]+ ra kINAL INSPECTIONS,REQUIRED,lPRIO R TO OCCUPANCY/USE RESIDENTIAL_.. DATE YES NO COMMERCIAL' DATE 1 ACCEPTED :'- _ CONS : .,TRUCTION R W /PW/; "!CONSTRUCTION. R'.W ENGINEERING' . 41748Mi PW/ENGINEERING FIRE 4174653 FIRE DEPT., PLANNING DEPT 417-4750 PLANNING.DEPT. BUILDING 4b7 '<?. BUILDING:.c..... . .:. . 4815 11' T Forms/Bwldmg Division/Public Works!Permn :` F ELECTRICAL PERMIT ' CITY OF PORT ANGELES Q� 360-417-4735 Application Number 11 00000173 Date 3/01/11 W Application pin number 321611 Property Address 1720 W 10TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER 06 30 00 0 3 1115 0000 on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc New home 1652 sqft Owner Contractor ANDREW P & SHERYL R SLACK APS ELECTRIC 546 BENSON RD 546 BENSON RD PORT ANGELES WA 983638493 PORT ANGELES (360) 452 6753 PORT ANGELES WA 98363 _ (360) 452 6753 1 Permit ELECTRICAL NEW RESIDENTIAL c�)1 Additional dumb ^ ' Permit pin number 181834 1)\V1 Permit Fee 145 50 Plan Check Fee 00 Issue Date 3/01/11 Valuation 0 Expiration Date 8/28/11 Qty Unit Charge Per Extension 1 00 110 3000 ECH EL R SQFT FIRST 1300 110 30 1 00 35 2000 ECH EL R SQFT ADDITIONAL 500 35 20 Fee summary Charged Paid Credited Due Permit Fee Total 145 50 145 50 00 00 Plan Check Total 00 00 00 00 Grand Total 145 50 145 50 00 00 INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN 3 2 FINAL COMMENTS PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X T � Date: G-\EXCHANGE\BUILDING O,*pORTgNC� ELECTRICAL INSPECTION WIRING REPORT & 417-4735 DATE. �ry�y PERMIT## t+� INSPECTOR L�/ 'V F ! O lr CONTRACTOR C- ADDRESS LZ 2-0 uJs APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN/COVER ❑ ❑ SERVICE ❑ r ❑ FINAL CORRECTIONS NEEDED:GO J i -yz- ��64T�S t-o LlAI) NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - I FROM A.P S. ELECTR I CAL CONTRACTOR FAX NO. 360 452 6753 11 10�58AM a P1 REC U W FEB 2 3 2011 ELECTRICAL CITY OF PORT ANG6.1 ES PEldNIFF APPLICATIOrN iNSPECTIONS � 321 last Hilt.Street—P.0 Box 1150/Pori.Angeles Washinht•;n,98362 ! P:t (360)-13 7-.173,FF a� (13360)417-4711 �4 Date.."? - �k 1 &2 Single Family Dwelling _ Multi-Family or Commercial" Commercial Addition/Alteration/Remodel/Repair' *Plan Review May Be Required, Please Complete Electrical Plan Revlew information Sheet Job Address•_ !'9 .2 C7 1 - `I-1 _ Building Square Footage: O Doscription of eboveQ Owner Info ration S Q / Contractor Ilr, Q j Name: Nzme 1. _ Mailing Addra,s, �n Maiiing Ad tress: C1 City.Q Stater Zio City' S81e:�7ap:y Phone, 75 ax: 4G m%Q, --- Nnone:�.. Fax: ___ `C� License#I Exp, _ License I exp. 11 Item Unit Charge Total(gtv Multiplied by Unit Char�c 1 ServicelFeeder 200 Amp. S119.90 ServicelFeeder201-400 Amp $145.50 $ ServicerFeeder 401-600 Amp $20460 Servlce/Feeder 601-1000 Amp. S262.20 3 __ Service/Feeder over 1000 Amp, $372,50 Branch Circuit WI Service Feeder $ 2.60 _ $ Branch Circuit W/O Service Feeder S 73.50 _. $� Each Additional Branch Circuit 5 2.60 $ Temp.Service/Feeder 200 Amp. $ 92.70 $ Temp.Service/Feeder 201-400 Amp, $110,30 __� $,,,,,,,,,,,,,,,,� Temp Seirvi:e/Feeder 401.600 Amp 5143.70 $ Temp.Service/Feeder 6014000 Amp S 167.90 5 Portal to Portal Hourly $ 95.90 $ Sign/Outline Lighting $ 8820 _ $� Signal Circuitl Limited Energy I First 1500 sf—Commercial $ 95.90 Now $5.00 for each additional 1500 sf Slgnai Circuit)Limited Energy 1&2 Family Dwelling $ 63.90 Signal Circuit)Limited Energy Multi-Family Dwelling $ 63.90 Manufactured Home Connection S119.90 $ Renewable Electrical Energy SKVA System or Less $102.30 $ Thermostat S 6600 $ NEIN CONSTRUCTION ONLY: First 1300 Square Ft, $1.10,30 $ Each Additional 500 Square Ft or Portion of S 35.20 Each Outbuilding or Detached Garage $ 73.50 $„ Each Swimming Pool or Hot Tub $110,30 S _ Cif oral s . Owner as defined by RCW 19.28.261 (1)Owner will occupy Irie structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease Pemii t expires after six months of last inspection. After reading the above statement,l hereby certrfl,that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws,N.E,C RCW Chapter 19.28,WAC Chapter 296-466,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications, Signature of owner,electrical contractor or electrical administrator, 0 Cash 0 cheCk r b(.Credit Card a6Lik? x ��y� Dated:,t ��I L olro1r1010 doC 7- CITY OF PORT ANGELES —�_�� DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION ` 321 EAST 5TH STREET PORT ANGELES WA 98362 pp lca ion Number 11 00000040 Date 1/21/11 Application pin number 680600 Property Address 1720 W 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 1115 0000 Tenant nbr name ANDREW & SHERYL SLACK REPORT SALES TAX Application type description RES NEW SFR Subdivision Name on your state excise tax form Property Use to the Cityof Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 121060 (Location Code 0502) Application desc 1300 SF SFR & 352 SF ATT GARAGE Owner Contractor ANDREW P & SHERYL R SLACK OWNER 546 BENSON RD PORT ANGELES WA 983638493 (360) 452 6753 Structure Information 000 000 1300 SF SFR & 352 SF ATT GARAGE Other struct info TOTAL % LOT COVERAGE 18 00 CONSTRUCTION TYPE VB FIRE SPRINKLERS REQUIRED NO NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 864 00 LOT SIZE 13990 00 PROPOSED LOT COVERAGE 1652 00 TOTAL LOT COVERAGE 2516 00 NUMBER OF UNITS 1 00 Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 180224 Permit Fee 1143 45 Plan Check Fee 743 24 Issue Date 1/21/11 Valuation 121060 Expiration Date 7/20/11 ` A Qty Unit Charge Per Extension BASE FEE 1020 25 22 00 5 6000 THOU BL-100 001 500K (5 60 PER K) 123 20 ,41 Permit MECHANICAL PERMIT Additional desc Permit pin number 180232 Permit Fee 211 45 Plan Check Fee 00 Issue Date 1/21/11 Valuation 0 Expiration Date 7/20/11 Qty Unit Charge Per Extension BASE FEE 50 00 3 00 7 2500 EA ME VENT FAN (SINGLE DUCT) 21 75 1 00 10 6500 EA ME HOOD/DUCT MECH EXHAUST 10 65 1 00 10 6500 EA ME STOVE/FIREPLACE/MISC APP 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 has 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 locala24 "O- Date onstruction or the performance of construction �l��Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T.Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING Under Floor/Slab Rough-In Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL. Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T Forms/Building Division/Building Permit '"&, CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Page 2 Application Number 11 00000040 Date 1/21/11 Application pin number 680600 Qty Unit Charge Per Extension REPORT SALES TAX 8 00 14 8000 EA ME HEATER(SUSP/WALL/FLOOR MTD) 118 40 on your state excase tax form Permit PLUMBING PERMIT Additional desc to the City of Port Angeles Permit pin number 180240 (Location Code 0502) Permit Fee 142 00 Plan Check Fee 00 Issue Date 1/21/11 Valuation 0 Expiration Date 7/20/11 Qty Unit Charge Per Extension BASE FEE 50 00 9 00 7 0000 EA PL-PLUMBING TRAP 63 00 1 00 7 0000 EA PL-WATER LINE 7 00 1 00 15 0000 EA PL-SEWER LINE 15 00 1 00 7 0000 EA PL-WATER HEATER 7 00 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 January 21 2011 2 36 39 PM sroberds Project is a one for one replacement of a sfr w/attached garage with 18% lot coverage in the RS 7 zone Site utilizes on site septic An LID No Protest is required for septic and right of way improvements January 12 2011 7 58 49 AM Brian 417 4708 OK Complete and record No Protest L I D for sanitary sewer Any and all contractor(s) and subcontractor(s) doing work under this permit in the City Right of Way is required to provide written documentation that the City has been named as an additional insured Construct sidewalk to City standards required for school walking route or record No Protest L I D for sidewalk construction Construct driveway to City Standards Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way Broom finish only An inspection by Public Works Engineering is required prior to pouring concrete All construction work within the City right of way requires a separate Right of Way Construction application to be completed by the contractor and approved by Public works Engineering prior to the start of work A pedestrian or traffic control plan is to be submitted for approval with 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 has 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 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING Under Floor/Slab Rough-In Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL. Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit CITY OF PORT ANGELES '. DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 i Page 3 Application Number 11 00000040 Date 1/21/11 Application pin number 680600 Special Notes and Comments REPORT SALES TAX the application as necessary on your state excise tax form Other Fees STATE SURCHARGE 4 50 to the City of Port Angeles Fee summary Charged Paid Credited Due (Location Code 0502) Permit Fee Tota]. 1496 90 1496 90 00 00 Plan Check Total 743 24 743 24 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 2244 64 2244 64 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 has 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 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T'Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS- Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs) PLUMBING Under Floor/Slab Rou h-In — Water Line Meter to Bldg) Gas LineI Back Flow/Water FINAL Date � Accepted b w AIR SEAL. Walls Ceiling FRAMING 2 1 LL-" 9 3 2-1_1, Q Joists/Girders/Under Floor Shear Wall Hold Downs --1 a s/Roof/Ceilin Drywall Interior Braced Panel Only) T-Bar INSULATION _ o, Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Acce ted b W MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s ISEPA. Parkin /Lighting ESA. Landscaping SHORELINE. /r FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Q Electrical 417-4735 Construction R.W PW /Engineering 417-4831 Fire 417-4653 C-- Planning 417-4750 Building 417-4815 1 �iLL I g T Forms/Building Division/Building Permit L-- PREPARED 6/29/11 8 21 10 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/29/11 ADDRESS 1720 W 10TH ST SUBDIV TENANT NBR ANDREW & SHERYL SLACK CONTRACTOR PHONE OWNER ANDREW P & SHERYL R SLACK PHONE (360) 452 6753 PARCEL 06 30 00 0 3 1115 0000 APPL NUMBER 11 00000040 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 1/25/11 JLL BLDG FOUNDATION FOOTING TIME 09 00 1/25/11 AP January 24 2011 8 27 01 AM 1pangrle ANDY 452 6753 FOOTINGS MORNING January 25 2011 4 40 36 PM jlierly BL2 01 2/02/11 JLL BLDG FOUNDATION STEM WALL TIME 09 00 2/02/11 AP February 1 2011 8 44 14 AM 1pangrle SHERYL 452 6753 FOUNDATION WALLS MORNING February 2 2011 4 48 14 PM jlierly BL3 01 2/14/11 JLL BLDG FRAMING 2/14/11 AP Underfloor framing ispection Cheryl 460 1235 February 14 2011 4 11 30 PM jlierly BL9 01 2/22/11 JLL BLDG SHEARWALL 2/22/11 AP February 22 2011 8 05 35 AM 1pangrle SHERYL 452 6753 SHEAR NAILING February 22 2011 4 17 43 PM jlierly BL3 02 3/21/11 JLL BLDG FRAMING TIME 04 00 3/22/11 AP March 21 2011 8 17 56 AM 1pangrle SHERYL 360 460 1235 FRAMING LATE AFTERNOON March 22 2011 8 19 32 AM jlierly BLI O1 3/24/11 JLL BLDG INSULATION 3/24/11 AP March 24 2011 8 44 12 AM pbarthol Cheryl 460 1235 March 24 2011 4 27 26 PM jlierly BL99 01 6/29/11 J BLDG FINAL June 29 2011 8 17 52 AM 1pangrle SHERYL 460 1235 BUILDING FINAL SHE REQUESTED THAT YOU CALL HER TO COORDINATE THE INSPECTION TIME PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION /1 TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 6/29/11J���{{{���''' ��'///�/�/�/ MECHANICAL FINAL \ June 29 2011 8 18 42 AM 1pangrle SHERYL 460 1235 CONTINUED ONTO NEXT PAGE PREPARED 6/29/11 8 21 10 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/29/11 ADDRESS 1720 W 10TH ST SUBDIV TENANT NBR ANDREW & SHERYL SLACK CONTRACTOR PHONE OWNER ANDREW P & SHERYL R SLACK PHONE (360) 452 6753 PARCEL 06 30 00 0 3 1115 0000 APPL NUMBER 11 00000040 RES NEW SFR REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS MECHANICAL FINAL SHE REQUESTED THAT YOU CALL HER TO COORDINATE THE INSPECTION TIME PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 3/08/11 JLL PLUMBING ROUGH IN 3/08/11 AP March 8 2011 9 27 56 AM pbarthol Joel 461 1863 March 8 2011 4 27 17 PM jlierly PL99 01 6/29/11 L PLUMBING FINAL June 29 2011 8 19 40 AM 1pangrle SHERYL 460 1235 PLUMBING FINAL SHE REQUESTED THAT YOU CALL HER TO COORDINATE THE INSPECTION TIME COMMENTS AND NOTES PREPARED 3/24/11 8 46 16 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/24/11 ADDRESS 1720 W 10TH ST SUBDIV TENANT NBR ANDREW & SHERYL SLACK CONTRACTOR PHONE OWNER ANDREW P & SHERYL R SLACK PHONE (360) 452 6753 PARCEL 06 30 00 0 3 1115 0000 APPL NUMBER 11 00000040 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 1/25/11 JLL BLDG FOUNDATION FOOTING TIME 09 00 1/25/11 AP January 24 2011 8 27 01 AM 1pangrle ANDY 452 6753 FOOTINGS MORNING January 25 2011 4 40 36 PM jlierly BL2 01 2/02/11 JLL BLDG FOUNDATION STEM WALL TIME 09 00 2/02/11 AP February 1 2011 8 44 14 AM 1pangrle SHERYL 452 6753 FOUNDATION WALLS MORNING February 2 2011 4 48 14 PM jlierly BL3 01 2/14/11 JLL BLDG FRAMING 2/14/11 AP Underfloor framing ispection Cheryl 460 1235 February 14 2011 4 11 30 PM jlierly BL9 01 2/22/11 JLL BLDG SHEARWALL 2/22/11 AP February 22 2011 8 05 35 AM 1pangrle SHERYL 452 6753 SHEAR NAILING February 22 2011 4 17 43 PM jlierly BL3 02 3/21/11 JLL BLDG FRAMING TIME 04 00 3/22/11 AP March 21 2011 8 17 56 AM 1pangrle SHERYL 360 460 1235 FRAMING LATE AFTERNOON March 22 2011 8 19 32 AM jlierly BLI O1 3/24,/11 J BLDG INSULATION t March 24 2011 8 44 12 AM pbarthol Cheryl 460 1235 COMMENTS AND NOTES PREPARED 3/21/11 8 21 04 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/21/11 ADDRESS 1720 W 10TH ST SUBDIV TENANT NBR ANDREW & SHERYL SLACK CONTRACTOR PHONE OWNER ANDREW P & SHERYL R SLACK PHONE (360) 452 6753 PARCEL 06 30 00 0 3 1115 0000 APPL NUMBER 11 00000040 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLl 01 1/25/11 JLL BLDG FOUNDATION FOOTING TIME 09 00 1/25/11 AP January 24 2011 8 27 01 AM 1pangrle ANDY 452 6753 FOOTINGS MORNING January 25 2011 4 40 36 PM jlierly BL2 01 2/02/11 JLL BLDG FOUNDATION STEM WALL TIME 09 00 2/02/11 AP February 1 2011 8 44 14 AM 1pangrle SHERYL 452 6753 FOUNDATION WALLS MORNING February 2 2011 4 48 14 PM jlierly BL3 01 2/14/11 JLL BLDG FRAMING 2/14/11 AP Underfloor framing ispection Cheryl 460 1235 February 14 2011 4 11 30 PM jlierly BL9 01 2/22/11 JLL BLDG SHEARWALL 2/22/11 Ap February 22 2011 8 05 35 AM 1pangrle SHERYL 452 6753 SHEAR NAILING February 22 2011 4 17 43 PM jlierly BL3 D2 3/21/11 J BLDG FRAMING TIME 04 00 March 21 2011 6 17 56 AM 1pangrle SHERYL 360 460 1235 FRAMING LATE AFTERNOON COMMENTS AND NOTES V V PREPARED 3/08/11 10 30 12 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/08/11 ADDRESS 1720 W 10TH ST SUBDIV TENANT NBR ANDREW & SHERYL SLACK CONTRACTOR PHONE OWNER ANDREW P & SHERYL R SLACK PHONE (360) 452 6753 PARCEL 06 30 00 0 3 1115 0000 APPL NUMBER 11 00000040 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 3/08/11 L PLUMBING ROUGH IN March 8 2011 9 27 56 AM pbarthol Joel 461 1863 COMMENTS AND NOTES Linda Pangrle From Andrew Slack [apselectrical@msn com] Sent: Tuesday February 22, 2011 12.40 PM To Linda Pangrle James Lierly Subject: Slacks and 1720 w 10th drywell Attachments 0207111305a.jpg Hi Linda and Jim, I am forwarding the pictures of our drywell, hope this is good with you Let me know if you would rather have them printed (I believe there will be 3 pictures, I will have the receipt for the rock with the permit at 1720 w 10th) thanks much, Sheryl Slack 452-6753/460-1235 > From 36046012350vzwpix.com > To ApselectricaKOMsn.com > Subject- FWD > Date Mon, 7 Feb 201123 44 26 +0000 > 10th st drywell 1 .. jS , , s - , r "" -NOW Arr .. , , W , A PREPARED 2/22/11 8 07 40 INSPECTIOP TICKET PAGE 14 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/22/ 1 ADDRESS 1720 W 1^TH ST SUBDIV TENANT NBR ANDREW & SHERYL SLACK CONTRACTOR PHONE OWNER ANDREW P & SHERYL R SLACK PHONE 360 452 6753 PARCEL 06 30 00 0 3 1 5 0000 APPL NUMBER 11 00000040 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 1/25/11 JLL BLDG FOUNDATION FOOTING TIME 09 00 1/25/1 AP January 24 2011 8 27 01 AM 1pangrle ANDY 452 6753 FOOTINGS MORNING January 25 2011 4 40 36 PM jlierly BL2 01 2/02/11 JLL BLDG FOUNDATION STEM WALL TIME 09 00 2/02/11 AP February 1 2011 8 44 14 AM 1pangrle SHERYL 452 6753 FOUNDATION WALLS MORNING February 2 2011 4 48 14 PM jlierly BL3 01 2/14/11 JLL BLDG FRAMING 2/14/11 AP Underfloor framing ispection Cheryl 460 1235 February 14 2011 4 11 30 PM jl erly B1,9 01 2/22/11 L BLDG SHEARWALL February 22 2011 8 05 35 AM 1pangrle SHERYL 452 6753 SHEAR NAILING COMMENTS AND NOTES PREPARED 2/14/11 10 06 44 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/14/11 ADDRESS 1720 W 10TH ST SUBDIV TENANT NBR ANDREW & SHERYL SLACK CONTRACTOR PHONE OWNER ANDREW P & SHERYL R SLACK PHONE (360) 452 6753 PARCEL 06 30 00 0 3 1115 0000 APPL NUMBER 11 00000040 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 1/25/11 JLL BLDG FOUNDATION FOOTING TIME 09 00 1/25/11 AP January 24 2011 8 27 01 AM 1pangrle ANDY 452 6753 FOOTINGS MORNING January 25 2011 4 40 36 PM jlierly BL2 01 2/02/11 JLL BLDG FOUNDATION STEM WALL TIME 09 00 2/02/11 AP February 1 2011 8 44 14 AM 1pangrle SHERYL 452 6753 FOUNDATION WALLS MORNING February 2 2011 4 48 14 PM jlierly BL3 01 2/14/11 BLDG FRAMING Underfloor framing ispection -� Cheryl 460 1235 COMMENTS AND NOTES PREPARED 2/02/11 8 25 49 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/02/11 ADDRESS 1720 W 10TH ST SUBDIV TENANT NBR ANDREW & SHERYL SLACK CONTRACTOR PHONE OWNER ANDREW P & SHERYL R SLACK PHONE (360) 452 6753 PARCEL 06 30 00 0 3 1115 0000 APPL NUMBER 11 00000040 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 1/25/11 JLL BLDG FOUNDATION FOOTING TIME 09 00 1/25/11 AP January 24 2011 8 27 01 AM 1pangrle ANDY 452 6753 FOOTINGS MORNING January 25 2011 4 40 36 PM jlierly BL2 01 2/02/11 L BLDG FOUNDATION STEM WALL TIME 09 00 7 February 1 2011 8 44 14 AM 1pangrle SHERYL 452 6753 FOUNDATION WALLS MORNING COMMENTS AND NOTES PREPARED 1/25/11 8 26 59 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/25/11 ADDRESS 1720 W 10TH ST SUBDIV TENANT NBR ANDREW & SHERYL SLACK CONTRACTOR PHONE OWNER ANDREW P & SHERYL R SLACK PHONE (360) 452 6753 PARCEL 06 30 00 0 3 1115 0000 APPL NUMBER 11 00000040 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 1/25/11 BLDG FOUNDATION FOOTING TIME 09 00 January 24 2011 8 27 01 AM 1pangrle ANDY 452 6753 FOOTINGS MORNING COMMENTS AND NOTES (1/20%201.1).Linda Pangrle Slacks and 1720 West.10th Street Page 1 From Andrew Slack <apselectrical@msn com> To Sue Roberds <sroberds@cityofpa.us> Date 1/20/2011 3 51 PM Subject: Slacks and 1720 West 10th Street Attachments Sidewalk issue doc cc <ewalrath@cityofpa.us> Linda Pangrle <Ipangrle@cityofpa.us> <mpuntenne Hello Sue I have attached our letter regarding the sidewalk issue plus I have also sent to Eric Walrath and Michael Putenney and Linda Pangrle I would appreciate verification of receipt. Please let us know if you have questions we look forward to your reply Respectfully Sheryl Slack s To Whom It May Concern, City of Port Angeles RE 1720 West 10th Street, Port Angeles WA 98363 Slack, Andrew P & Sheryl R, Owners We applied for a building permit for the above property on January 11th and are working with Eric Walrath regarding the City's requirement for a sidewalk. We would like to offer this letter of explanation so our concerns are on record. The City has a record of some of the trouble with this property There were folks living in a travel trailer, there were abandoned vehicles along with years and years of accumulated debris. We purchased this property on November 22, 2010 and immediately rented a large dumpster and hauled 5 tons of refuse away We then spent many days cleaning up the yard and have graveled the driveway We were hoping to clean up the house for an affordable rental Once we removed belongings from the house and began to complete what we hoped would be minimal repairs — we discovered the home was completely riddled with mold and mildew We made the decision to demolish the dilapidated home and replace it with a new comparable home We obtained our demolition permit, cleaned up the site and constructed the house pad ready for our new home in the same footprint as the other home If you have not been to the site, please visit it to see what we have accomplished. The 4 lots that adjoin us to the west cannot be developed as they are overflow from Gund Plaza/Park View Villa. There is one developed lot at the west end of the block, the adjoining lot to the east does not have sidewalk. The north side of 10th Street is fully developed and has approximately 50% of developed sidewalks so this is the most logical continued walking path. In our opinion a sidewalk to nowhere on 1720 West 10th should not be a requirement of the building permit. This side of the street will not be further developed. We are not developing a new piece of property but are replacing one for one while adding to the value of the neighborhood in the process. The cost of a sidewalk that will not be connected to another nor used does not seem reasonable nor does it seem to meet the intent of the law We appreciate your consideration in eliminating this condition. Respectfully submitted this 201h day of January 2011 Andy & Sheryl Slack 546 Benson Road Port Angeles WA 98363 (360)452-6753, phone and fax (360)460-1235 Sheryl cell, (360)460-1937 Andy cell email apselectrical(c,,msn.com y. NR r., BUILDING PERMIT APPLICATION Print In Ink ®Dam CITY OF PORT ANGELES For City Use Only yam.- CeAttn Building Permit Technician �� Date Received 7y6a_ 321 E Fifth St. Port Angeles WA 98362 ermit# (�-`� (360) 417-4815 fax (360) 417-4711 Ce�� yb® ate Approved 937 �a3 Applicant A YjP C-Log- Shcml .cj j 0"C' — Phon O a - -153 Property Owner St me, Phon Property Owner' Address 5 q �pn Contractor Phone Contractor's Address License # Expires E-mail PROJECT ADDRESS ri 2® Parcel Number 6630 dod'- i 1 ( 5 Lot Zoning RS Project Type & Brief Description. Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply tKNew Construction JQ hG ❑Addition A a4&_cke& ❑ Remodel ❑ Repair ❑ Demolition ❑ Re-roof ❑ House ❑ garage ❑ other ❑ tear off& re-roof ❑ lay over one layer Meat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other wci Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement @ $ per sq ft. _ $ 1" Floor C'2300 60 l O 2nd Floor 3rd Floor Garage 3 3p, 00 1 o 0 Carport Covered Porch Deck Shed Other-looe/ S�o� SZ(pq TOTAL VALUATION $ `' 17i l 06o Total footprint of structures o7 i (O sq ft. . Lot size 1'3 :,990 sq ft. = Lot coverage % Site Coverage = the amount of impervious surface on a parcel including structures paved driveways sidewalks atics and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage % Max. height of proposed structures Ito ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? A0 Occupant load #of full baths Will a fire sprinkler system be installed? ]IQ_ Construction type W Tame. #of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior t �<ing o ro ects. Date 1-/0' 11 Print Name he k Sack Signature 113 T Forms/Building Division/Building permit application 1 \ / =, f' 1737 1729' C" i 1723 f f 962 IV � O ' 1719 " 1003 = 171$ f � the _ f 1711 1709.. �\ f � hh f " °vim /.vc�� ` > ..� r " 170 . f' a so �'i 017", " �' ,,, �•, �/ _ ;' ,'°•. �\``. `'�` / 1708 1733= - j i,720— ' / � �``•, � `,, � ,I � �' 9'J I 1725 I 1717. a '� ', `• 1713 ° 1709 t Y) l e � ciK.10T 6 t'Q V�l ��b bfertia�e gay Sf � I736 ' �exiS�in�� h � ex,ks1, �� �a rages V c;Q i►�C iebi �'ro�secQ (5(0(:y s-,r. CJ ��- � 3 beA a back V _ 35Q !S-F i � � I`4 i n��Q�d► � 3�t o `0 w;cle_ O I -�'ctoc �are� 4ob3d6° -431 15 pn Sl�'e Sewa�� ��51 S�Sfem oa 56'4 'S ac,-, A j 1,2J PRESCRIPTIVE APPROACH-SIMMPLE FORM Lr For the Washington State Energy Code (2006 Edition) I� Climate Zone 1 CITY GOVERNMENT Site Information. Building Department Use Only Lot: 6look :31 ( —rf -A Permit Address p a O O-Lk- N;rt Notes City. Pn1--- A State (AkA Zip 0(73L3 Contact. A,J Ui oL SAct Ck Phone LIG01, 675.3 Phone 2 L4 67 0 -M 3 FAX y59 -675 3 Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) Glazing Glazing`'U=Factor Door -Wall Wall Wall Vaulted IrStetior. ;Exterior Slab oii .Option; Area'%/ of'.v y U- Ceiling Above - Floor ;r :Floor. Vertical, Q.ver.'head; Factor: Ceiling Grade Below Below Concrete ;Grade Grade Unlimited Group R 3 IV and R-4 035 058 0.20 R 38 R 30 R 21 R 21 R 10 R 30 R 10 Occupancies Only This Project complies with the following- The projects a sin le family residence or duplex. The project is wood frame R all of the insulation is interior or exterior of the framing. ✓ All building components meet the requirements listed above The project will meet all other provisions of the WSEC and VIAQ The Project will take advantage of the following exceptions to the prescriptive option. ❑ 602.6 Exception 2. One unlabeled or untested exterior swinging door, 24 sq ft. or less, may be installed per unit for ornamental, security or architectural purposes Location of the door taking this exception ❑ 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical glazing U factor listed above. Location of the door(s)taking exception. Type of Heat Source l Lc*_L wall bei�� or be�so.boar�-� T Forms/Building Division/Prescriptive Approach-Simple Form CLALLAM COUNTY ENVIRONMENTAL HEALTH ON SITE SEWAGE SYSTEM STATUS REPORT System Status Report(SAN)# 2G(U—Qb PERSON OR ORGANIZATION REQUESTING REPORT REASON NAME.Andy&Sheryl Slack ❑ FOOD ESTABLISHMENT INSPECTION ADDRESS.-546 Benson Road ❑ LOAN CERTIFICATION CITY,STATE,ZIP•_Port Angeles,WA 98363 BUILDING PERMIT PHONE.-452 6753 ❑ PROPERTY OWNERSHIP TRANSFER ❑ OTHER$,A R 'Q2 (.*dqN,,.q'T 3c e s 3 6-e t LEGAL OWNER OF RECORD PARCEL NUMBER.-063000 031115 LOT BLOCK NAME._Andy&Sheryl Slack SUBDIVISION MAILINGADDRESS._546 Benson Road VOLUME. PAGE. CITY,STATE,ZIP•Port Angeles,WA 98363 PROPERTY CURRENTY OCCUPIED?❑ YES NO PHONE.452 6753 t LENGTH OF TIME VACANT 7 (MONTHS/ PROPERTY ADDRESS. 1720 West 10 Street YEARS) �— CITY,STATE,ZIP•Port Angeles-' WA 98363 PERMIT ON FILET'❑YES 1R NO SEP# DIRECTIONS TO SITE._C Street to West 10 Street to# APPROXIMATE DATE OF INSTALLATION 1970's 1720 NUMBER OF BEDROOMS:(EXISTING)_3_(DESIGN)_3_ FINDINGS: THIS REPORT DOES NOT CONSTITUTE A GUARANTEE, WHETHER EXPRESSED OR IMPLIED THAT THE SEPTIC SYSTEM WILL CONTINUE TO FUNCION PROPERLY THIS REPORT CONSTITUTES ONLY A SUMMARY OF FINDINGS ON THE ABOVE DATE. SEPTIC TANK. DRAINFIELD• (IF UNKNOWN DRAINFIELD MUST BE VOLUME. 0(750 ❑ 1000 El1250 []OTHER LOCATED AND DRAWING PROVIDED) NUMBER OF COMPARTMENTS. 1 1 ❑ 2 TYPE OF SYSTEM. _Conventional CONSTRUCTION MATERIAL.I$ CONCRETE El OTHER SEPTIC SYSTEM ON SAME PROPERTY?04 YES ElNO NEEDS REPLACEMENT/REPAIR?❑ YES NO REPAIR AREA AVAILABLE:XYES❑ NO❑LIMITED BAFFLE COMPOSITION .R CON ❑ PVC TOTAL LATERAL LENGTH OF DRAINFIELD_150' SCREEN PRESENT?❑YESU NO SEWAGE SURFACING? ❑ YES Pt NO SCREEN CLEANED?0 YES NO (COMMENTS INLET MISSING/REPAIR? ❑ YES 0 NO OUTLET MISSING/REPAIR? ❑ YES IR NO SCUM DEPTH. 2" DISTRIBUTION BOX(if present) SLUDGE DEPTH._2' D-BOX or TEE. T LIQUID LEVEL AT OUTLET OK D-BOX/TEE ACCESSIBLE?LJYESM NO DATE TANK LAST PUMPED--_M UNKNOWN D-BOX/TEE UNCOVERED ( YES❑ NO PUMPING OF TANK REQUIRED? ❑ YES W NO MAINTENANCE REQUIRED?please provide details if any RISERS PRESENT 0 YESCKNO SECURED 04 YES❑ NO maintenance performed EVIDENCE OF GROUNDWATER INTRUSION❑YESKNO BIOLOGICAL FUCTION 0 Normal ❑ Abnormal PUMP TANK.DATE LAST PUMPED MEETS SETBACKS TO WELLS, SURFACE WATER PUMP TANK. ❑750 ❑ 1000 ❑ 1250 [X YES ❑ NO Please provide,measurements to all surface PUMP DRAWDOWN ._GPM GALS PER DOSE water and wells on record drawing PUMP CONTROLS/FLOATS FUNCTIONING❑YES❑ NO CURRENT TIMER SETTING demand SQUIRT HT na_ SYSTEM FUNCTIONING AT T ME OF EVALUATION TIMER CHANGED?❑YES❑ NO YES ❑ NO CONDITION OF JUNCTION BOX. OK COMMENTS COMMENTS.For governmental actions,be thorough in commen s addrgAsing nges•in waste strength,flows or configuration of septic system components,i.e.transport lines etc. Be sure to..' ''ludefriform" ' rding how tl e changes may of may not impact the existing system or if upgrades are necessary) " Se tic System located b ji _ y Olympic p y ympic Sewer&Drain. - Y :{.N ENVIRONMENTAL HEALTH FOLLOW UP _12-20-10 ❑ PUMPER RECIEPT NEEDED ' `'c.'e54:`. "' "' INSPECTION DATE ❑ REPAIR PERMIT NEEDED DESIGNER.D 7 Swope Li REPAIR RECEIPT NEEDED ❑ LINE LOCATE NEEDED ❑ WATER SAMPLE NEEDED ❑ ACTION REQUIRED EHS INITIALS& g H b CLALLAM COUNTY DATE STAMP Receipt# BY STAMPING THIS REPORT THE ENVIRONMENTAL HEALTH DIV IS CERTIFYING THAT THE PERSON PERFORMING THIS EVALUATION IS EITHER A STATE LICENSED DESIGNER OR CLALLAM COUNTY MAINTENANCE PROVIDER.EVALUATIONS OF SYSTEMS ARE TO BE PERFORMED IN ACCORDANCE WITH POLICY NUMBER 540.2 OF THE CLALLAM COUNTY HEALTH DIVISION&CLALLAM COUNTY BOARD OF HEALTH CODE, CHAPTER 41'.20.Sections 180-190 I� 4 6A F- 1'D l G Pr7 10 ' I ' � 1 RePfAF-ecl s Ropos�dZ 7" h.l y A.S'• C A ���Gl +i..i'•, ij`" XYZ, 111 FS. - 01 0/0 Electrical Information Form v Public Works&Utilities Department(360)417-4700 m City Electrical Inspector(360)417-4735 3 Please complete and return to Public Works & Utilities Department 72GPermanentservice. Name nd re.,I P 4 G Name and address of party Street: X14 L 6•�.n mss,^ responsible for permanent City 1 State / ZIP a,,r t 1,e_ S VJ7A 33,L service billing? Daytime Phone 3&0 - 4 Sa—65 4 3 Home Phone & M • FROM • . (if other than above) Site contact: Name Title Daytime Phone Contractor Name rj ae— Company- Daytime Phone Electrician. Name Company- Daytime Phone Excavator Name Com an Daytime Phone. • ' IN Existing C74N9c-®New S F ® Single-family residence ❑Multi-family residence #of units ❑Commercial ❑Subdivision #of lots ❑Overhead service EJ General service ❑k Underground service ❑Other, • Description of work: �X r 'N Q Ord Ice s.10641"' eXl S 1 YxK S Street address/lot number, 702 D Lj , 10 PR Nearest cross street: K Sf�e�t Desired connection date AZA Electrical transformer serving property is ❑ on a pole 'SK on the ground Total square footage C 300 sq ft. Main disconnect size amps Voltage K120/240 1ph ❑120/208 3ph ❑277/480 3ph 0120/240 3ph ❑480 3W 3ph `t❑ Other Standard residential loads (Lighting refrigerator dishwasher washer) Check all that apply ❑A/C (_ton) ®Range/Oven ❑Hot Tub Clothes Dryer `Heating El Pumps ( Hp) ❑No Load Change Water Heater ❑Elevator(_Hp) ❑Other • = • io • Please provide a copy of the following `Detailed plot plan (dwg or dxf format mandatory for subdivisions) *Electrical one-line drawing showing the service entrance panel and location 'Connected load data. 'Size and locked rotor am?s of all motors over 50hp Applicant's Signatur Date c?© MAIL OR DELIVER COMPLETED ORM TO 321 E 5TH STREET PORT ANGELES WA 98362 FAX TO 360-417-4711 WS WF Information form.xls P ,N Ah .I L_,!-T\ENC•P11-0riuirA, Jr xrna;ivr fart keviv_-d 1 5-G9 DEC/20/201010N 03 44 PM FA;' Nr. P 00' ELECTMCAL PERMIT CITY OF PORT ANGELES� 366417-4735 Application Ifumbet 16-00001463 -nate IG Application pin number -k630 . REPORT'STAtE'SALES TAXA Property Address 2720 W* to-,n ST ASSM-c7sOR TARCICL MMIRER 06 .30 01) r 3 13-is 0 on yotk-exchs& fax forin Application tYP6 deacriptl5h ELRCtR!CAL -VLY Subdivision-Name tO the City of Port AngelOS PIreparty Use (Location Code 0502) Property Zoning RS7 ltvmdrL TTM�LE FAMILY Application valuation Api:14oation deac Relocate s6rqAce Co-shop vwm r- & SHBRYL R:-8LZCk A?S 2 VZCV�*Xc 566 StNeW.R.0 -c-ig Bsltz.;Q. f,.D PORT' Anam;is WA 9896 POR-I; 13601 452 6753 WA 6363 (360; 452-661 Permit ELECTRICAL ALT-9r% R.BSIDW.�tjA! Additional deic Veznlr pin number i19w1 Per6it Fee 419* 911* pla"i t^ rk she lsiue. Date. I.J20110. va ,':-arm miratibn 6118(11 Qty unit charEe Per 1 00 119 3000 zr-H kL-0 ido S%V 0EEDER 11s 90 Fee eummar Charged Paid Credited Duct- permit-Fee-Total 119 90 -19 90 00 00 Ulan chock-Total 110 0 00 0v Grand Total 119 90' 119 .90 06 ao imn-enoN Typp- DATE, INSPECTOR. DITCH FINAL. I COMMENTS. ftkMi"• WILL l_7XOMIt M(6)MONTHS FR61M WT rNSOFC-1)ON Sj"ure of CsWnef Ce Eldetricil CLrjtra,-;t0j kt�LAU— �Oate; na-,)v n 737 f f / 1729 1723 902 1719 S 0903 1003 �ti' t�. / 1.715 { \ C '• ! 1711 6 t � ,•.' 1701 h � T 1768 f > �Q' 1637 1729. S� "`."'' O' ' °` C .� 162 1725 1702 q a $ 1627 S c� �8 1721: / Q 171? X22 •s 1113 9709 ',fh s!` � S � 1701 INTERNATIONAL BUILDING CODE CONCRETE FOUNDATION WALL & FOOTING DETAIL � /��LUVFRnM�r WALL THICKNESS 6' THICK FOR•WALLS-UNDER 6'HIGH 8' THICK FOR WALLS OVER W HIGH '/2 ANCHOR BOLTS FOR I.STORY @ 72' 0.C.F.2-STORY C 40' O.C. PLACE BOLTS WITHIN 12' OF EACH PLATE END E USE 'X3'X114' SQ.WASHERS UNDER NUTS PRESSURE TREATED SILL PLATES #4 HORIZONTAL REINFORCEMENT PLACED WITHIN 12' OF TOP OF WALL FINISH GRADE REINFORCEMENT SCHEDULE ANCHOR 6' MIN.TO VERTICAL HORIZONTAL 7' MIN. • UN-TREATS HEIGHT EMBEDMENT + ATERIAL IN FEET REINFORCEMENT REINFORCEMENT CRAWL SPACE r *2' #4 @ 48 0 C (1) #4 TOP BAR VERTICAL REINFORCEMENT DEPTH FOOTING *2'TO 4 #4@48 0 C #4 @ 24 O C BEND=12 X BAR DIA., - ? BELOW #4 BAR=6' BEND GRADE INTO '4'TO LESS UNDISTURBED THAN 6' #4 @ 24 0 C #4@18 [) C. SOIL + 12'1-STORY flet 3 CLEARANCE • it, .,yi ; 1B'2-STORY ENGINEERS ANALYSIS WITH i - Ta11er STAMPED&SIGNED PLAN REQUIRED BENT VERTICAL REINFORCEMENT VERTICAL REINFORCEMENT MUST BE BENT&TIED TO FOOTING REINFORCEMENT TIED IN PLACE TO HORIZONTAL REINFORCEMENT #4 REINFORCEMENT FOOTING WIDTH FOOTING THICKNESS 12' 1-STORY 1-STORY 6' 15' 2-STORY 2-STORY(o 23' 3-STORY 3-STORY 8 112' MONOLITHIC CONCRE T E'FOUNDATION DETAIL NO SCALE l/. ANCHOR BOLTS(SAME AS ABOVE) PRESSURE REATED SILL PLATES #4 R ORCEMENT I-PIECE CONTINUOUS SLA l } ANCHOR ! 6'MIN.TO AT MIN. I UN-TREATED y-iz—y BEDMEN r �I MATERIAL FINISH GRADE flff�llL 1111 _� II MIN.FOOTING DEPTH BELOW ` GRADE INTO HIMt / UNDISTURBED i DIL + ¢ 12 -STDRY 10'2-STD 3 CLEARANCE I U TING /IDTH .• r4 4EINFORCEM 12' 1-STORY 15' 2-STORY 23 3-STORY Clallam County Assessor & Treasurer - Property Details 59064 ANDREW P AND SHE Page 1 of 6 Clallam County Assessor & Treasurer Property Search Results > 59064 ANDREW P AND SHERYL R SLACK for Year 2011 2012 i Property Account Property ID- 59064 Legal Description LOTS 4 AND 5 BL 311 Geographic ID- 0630000311150000 Agent Code Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property, N Remodel Property, N Multi-Family Redevelopment: N Township Section. Range Location Address. 1720 W TENTH ST Mapsco PORT ANGELES WA 98363 '- Neighborhood Cycle 5 Res Map ID- 3 ` Neighborhood CD- 10955130 Owner Name ANDREW P AND SHERYL R SLACK Owner ID, 52668 Mailing Address. 546 BENSON RD %Ownership- 100 0000000000% PORT ANGELES WA 98363-8493 Exemptions. Taxes and Assessment Details Property Tax Information as of 01/11/2011 Amount Due if Paid on. NOTE If you plan to submit payment on a future date make sure you enter the click RECALCULATE to obtain the correct total amount due First SecondE � Half I Half Base (Base Year Statement ID Taxing Jurisdiction Amt. Amt. Penalty I Interest Base Paid 2010 41969 ST SCH STATE SCHOOL $26687 $000 $000 $000 $26687 2010 41969 CC-GEN COUNTY_CLA_LLAM $142.02 $0_00 $000 $000 $142.02 2010 41969 PORT PORT OF PORT ANGELES $1996 $000 $000 $000 _ $1996 2010 41969 PORT ANG CITY OF PORT ANGELES $328 82 $000 $000 $000 $328 82 2010 41969 SD#121 SCHOOL DISTRICT#121 $34567 $000 $000 $000 $34567 2010 41969 NTH OLY LIB NORTH OLYMPIC LIBRARY $41.27 $000 $000 $000 $41 27 2010 41969 HOSP#2 HOSPITAL#2 $58.26 $000 $000 $000 $58.26 2010 41969 WSMET PK DIST WILLIAM SHORE MET PARK DIST $1854 $000 $000 $000 $1854 2010 41969 CITY_STORMWATER CITY STORMWATER $7200 $000 $000 $000 $7200 2010 41969 WEED—CONTROL WEED CONTROL $1 63 $000 $000 $000 $1 63 2010 41969 TOTAL. $1295.04 $0.00 $0.00 $0.00 $1295.04 2009 590642008 ST SCH STATE SCHOOL $3420 $34 19 $000 $000 $6839 2009 590642008 CC-GEN COUNTY CLA_LLAM $1731 $1730 $000 $000 $3461 12009 590642008 PORT PORT OF PORT ANGELES _$2.45 $2.45 $000 $000 $490 (2009 590642008 PORT ANG—CITY OF PORT ANGELES $32.46 $32.45 $000 $000 $6491 2009 590642008 SD#121 SCHOOL DISTRICT#121 _ $000 $000 $000 $000 $000 2009 590642008_NTH OLY LIB NORTH OLYMPIC LIBRARY $503 $503 $000 $000 $1006 http.//vpn.clallam.net.8084/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=59 1/11/2011 PREPARED 1/10/11 8 55 01 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/10/11 ADDRESS 1720 W 10TH ST SUBDIV TENANT NBR ANDREW & SHERYL SLACK CONTRACTOR PHONE OWNER ANDREW P & SHERYL R SLACK PHONE (360) 452 6753 PARCEL 06 30 00 0 3 1115 0000 APPL NUMBER 10 00001460 DEMOLITION PERMIT DEMO 00 DEMOLITION REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 1/10/11 J L BLDG FINAL January 10 201L8 53 09 AM 1pangrle / SHERYL SLACK CELL 460 1235 (� BUILDING FINAL DEMO D THE HOUSE ��/✓) COMMENTS AND NOTES ��^lV V c 6 �'r, CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION = 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 10 00001460 Date 1/06/11 Application pin number 666380 Property ASSESSOR PARCELSNUMBER 062330W0000H351115 0000 REPORT SALES TAX Tenant nbr name ANDREW & SHERYL SLACK on your state excise tax form Application type description DEMOLITION Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc DEMOLISH THE HOME Owner Contractor ANDREW P & SHERYL R SLACK OWNER 546 BENSON RD PORT ANGELES WA 98363 (360) 452 6753 Structure Information 000 000 DEMOLISH THE HOME Permit DEMOLITION Additional desc DEMOLISH THE HOME Permit pin number 179002 Permit Fee 50 00 Plan Check Fee 00 Issue Date 1/06/11 Valuation 0 Expiration Date 7/05/11 Qty Unit Charge Per Extension BASE FEE 50 00 Special Notes and Comments It is the responsibility of the building owner and/or demolition contractor to contact ORCAA (Olympic Region Clean Air Agency)for demolition permit needs regarding asbestos 1 abatement Olympic Region Clean Air Agency 116 W 8th St Suite 113 Y '� Port Angeles WA 98362 (360) 417 1466 or 1 800 422 5623 www ORCAA org 1 December 16 2010 11 49 20 AM sroberds This house needs to be demolished A new residence will be placed or constructed immediately following demolition No land use issues will therefore exist An approved Public Works Waste Disposal Application is required prior to taking material to transfer station Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee 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 has commenced or if required inspections have not been requested within 180 days from the last inspection. 1 hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. 1 - b 20H (L-�JALI� Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit n BUILDING PERMIT INSPECTION RECORD -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS-- Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING Under Floor/Slab Rough-in Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL. Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES. Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T-Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Application Number 10 00001460 Date 1/06/11 Applicatioon pin number D0 666380 00 00 00 REPORT SALES TAX PlanOther Fee Total 4 50 4 50 00 00 on your state excise tax form Grand Total 54 50 54 50 00 00 to the City of Port Angeles (Location Code 0502) Separate Permits are required forelectrical 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 has 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD ' — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— d Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION- Footings OUNDATION•Footin s Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING. Under Floor/Slab Rough-In Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL. Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs ^1 Walls/Roof/CeilingN Drywall Interior Braced Panel Onl T-Bar INSULATION- Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-In Q Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES. /1 Footing/Slab T Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Buildin 417-4815 T-Forms/Building Division/Building Permit • PiORTE! •7 i1 \ +►�,'_- W A S H I N G T O N, U S A ONWA Public Works & Utilities Department. January 6, 2011 Andy& Sheryl Slack 546 Benson Rd. Port Angeles,WA 98363 RE Port Angeles Landfill/Transfer Waste Disposal Application, WDA 10-30• for 1720 W 10th Street, Port Angeles,WA 98363 d. We have received your application for disposal of building demolition debris from the referenced site and reviewed the testing results. Based on the testing results the debris appears to be acceptable for disposal at the .transfer station. A copy of your. approved application is attached. This approved application must be shown to the transfer station scale attendant at the time of disposal. Please be advised that this disposal application is only for the matenals..and.quantities,listed in the application. Materials not listed .or in excess- of'the quantities noted .may :require separate applications and approval. r Please call 4.17-4812 if you have questions. Sincerely, 9551.-�' Michael Puntenney City Engineer 1 Encl. WDA 10-30 Copy Transfer Station Waste Connections N:\PWKS\ENGINEER\Waste Disposal Applications\2010 Applications\10-30 1720 W 10th StreetWpproval Letter WDA 10-30 1720 W 1000 Stdocx t Phone 360-417-4800/.Fax: 360-417-4542 Website www.cityofpa.'us/Email publicworks@cityofpa.us 321 East Fifth Street PO Box 1150/ Port Angeles WA 98362-0217 k-P' �co(4vTi- Clallam County Department of Health and Human Services I Environmental Health Services•223 East 4th Street,Suite#14• Port Angeles, WA 98362 3015 JOU Telephone 360-417 2258• FAX.360-417-2313 January 6 2011 Jeremy Pozernick City of Port Angeles 321 E. 5th St PO Box 1150 Port Angeles,WA 98362 RE. PALF Waste Disposal Application WDA 10-30 Dear Mr Pozernick: Based on the chemical test results submitted by Zenovic and Associates, Clallam County Environmental Health Services (CCEHS) concurs with the disposal of 15 yd3/20 tons of soil from home demolition at 1720 West 10th in Port Angeles to the Port Angeles Transfer Station. If you have any questions, please contact me at 360-417 2347 orjgarcelon@co clallam wa.us. Sincerely f .17 MPH,RS Jennifer Garcelon, MPH, RS Environmental Health Specialist III C. Andy Brastad,Director of Environmental Health PALF File Correspondence File (1/6!2011) Linda Pangrle RE. Slack Disposal Permit Page 1 - From 'Garcelon Jennifer' <JGarcelon@co clallam wa.us> To 'Sue Roberds' <Sroberds@cityofpa.us> Date 1/6/2011 9 58 AM Subject: RE. Slack Disposal Permit Attachments WDA 10-30 pdf Sue PW sends me a copy of the waste disposal application and I write a letter of concurrence Here is a copy of the letter Thanks Jennifer Jennifer Garcelon MPH RS Environmental Health Specialist III (360)417 2347 phone (360) 565-2615 fax http.//www clallam net/EnvHealth Always working for a Healthier and Safer Clallam County P Be sustainable please print only when necessary From Sue Roberds [mailto Sroberds@cityofpa us] Sent: Thursday January 06 2011 9.51 AM To Garcelon Jennifer Subject: Slack Disposal Permit Dear Jennifer- Thank you for clarifying the timing issue this morning It appears that the application was signed on 12/16 but not turned in until the 27th approved on the 28th and then sent to your office So we will issue the demo permit so they can begin that process but they will need your permit approval to take to the transfer station At least they will be able to begin the process We are happy to have the derelict attractive nuisance gone at last. Can you just send the permit over in the intergovernmental mail or e-mail Whichever Sincerely Sue Roberds Planning Manager City of Port Angeles WA (360)417-4750 (1/6/2011)_Linda_Pangrle RE. Slack Disposal Permit Page 2 sroberds@cityofpa.us C (1/6/201,1) Linda Pangrle Fwd RE Slacks and 1720 W 10th demo permit Page 1 From: Linda Pangrle To* Eric Walrath, Sue Roberds Date 1/6/2011 8:39 AM Subject- Fwd RE: Slacks and 1720 W 10th demo permit cc. Jeremy Pozernick; Roger Vess Hi Please read the below e-mails and let me know how you want me to proceed Thanks Linda >>> Linda Pangrle 1/6/2011 8 37 AM >>> Hi Sheryl I understand your frustration Unfortunately I don t have the power to make this process go any quicker I m forwarding your e-mail to Roger Jeremy Eric (their supervisor) and Sue (my supervisor) If an exception is made to speed up the process somehow it will need to come from our management Eric Sue or even someone above them or maybe the County I wish I could be of more assistance I truly hope I can issue you your demolition permit as soon as possible Linda >>> Andrew Slack <apselectrical@msn.com> 1/5/2011 4.04 PM >>> Hello Linda It is 4pm on Wednesday 1-5-11 and I am frustrated I have found out that the County received our application 2 days after I left it with Jeremy They have not reviewed it and may not until next week This week was our window of opportunity- we have followed all the rules paid all the fees and done all that was asked We have hauled 5 tons of garbage from this site we cleaned up a terrible eyesore and our progress is now being help up because of ? I have left a message for Jeremy asking for him to assist me I let him know I was frustrated Especially in these times and this economy I would expect somebody to go above and beyond to see that people can keep working! (1%6/2011) Linda Pangrie Fwd RE. Slacks and 1720W 10th demo permit Page 2; a ' Sheryl Slack, 452-6753 or 460-1235 Please share this email with Roger I would appreciate a response from someone Thank you > Date Tue 4 Jan 2011 08 16 39 -0800 > From Lpangrle@cityofpa.us > To apselectrical@msn.com > Subject Re Slacks and 1720 W 10th demo permit > Hi Sheryl > I just asked Roger in Public Works about your permit He II check with > Jeremy He thinks we are waiting for the County to respond back to us > 111 let you know as soon as it is ready Thanks for your patience > Linda > >>> Andrew Slack <apselectrical@msn.com.> 1/3/2011 4 40 PM >>> > Hello Linda > I am anxiously awaiting word on our demolition permit for 1720 West > 10th Street and would appreciate any information on the progress of > issuing this permit > Thank you > Sheryl Slack > 452-6753 or 460-1235 ELECTRICAL PERMIT CITY OF PORT ANGELES r 360-417-4735 Application Number 10 00001468 Date 12/20/10 Application pin number 592680 REPORT STATE SALES TAX Property Address 1720 W 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 1115 0000 on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Relocate service to shop Owner Contractor ANDREW P & SHERYL R SLACK APS ELECTRIC 546 BENSON RD 546 BENSON RD PORT ANGELES WA 98363 PORT ANGELES (360) 452 6753 PORT ANGELES WA 98363 —�• (360) 452 6753 Permit ELECTRICAL ALTER RESIDENTIAL ^v Additional desc J v Permit pin number 179101 Permit Fee 119 90 Plan Check Fee 00 Issue Date 12/20/10 Valuation 0 Expiration Date 6/18/11 Qty Unit Charge Per Extension 1 00 119 9000 ECH EL 0 200 SRV FEEDER 119 90 Fee summary Charged Paid Credited Due Permit Fee Total 119 90 119 90 00 00 Plan Check Total 00 00 00 00 Grand Total 119 90 119 90 00 00 V INSPECTION TYPE DATE. RESULTS INSPECTOR. DITCH SERVICE ROUGH IN Zd FINAL COMMENTS PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date FROM A.P S. ELECTRICAL CONTRACTOR FAX NO. 360 452 6753 16 2010 06 19PM P1 ROWED , C7 DEC 17 2010 1 t' CFFY OF POPU A1\s:ta Id FS PERMIT App ICATION ELECTRICAL uiltair.h 'Ji`'isiott/?Irctric:t! Erasliee*ii;t: INSPECTIONS 321 Last Fifth Street—P.0 Box l iO/Port An-,cic,,W.isbingttrn 98362 Ph (36O)-1 i'7- 735 .t+.ta (3-60)417.4711 r> (:�*;• Date: b� 1 &2 Single Family Dwelling _Multi-Family or Commercial' _Commercial Addition/Alteration/Remodel I Repair' *Plan Revie May Be Re wired Plpal a Co ete Electrical Plan Review Information Sheet Job Addrec '1 Z O _ LQ� IST Building Squate Footag�0 _ Descr' to above _ v3 rt 0 fi o I t ' _ex', S4) � x � o2of m<T �C Owner information 1 / 1I Contractor Information Name; Sia GK c, rtU J�n Name. P ��c�.'/`►C'� Mallin Add rsss s1f Mailinq Aduess.T_ n Ctt � State- COY Y SU 1 A_ COY State:_ Itp: Phone: Uf� {�5='3fau: same. Phone License#/Exp._ r,... �+.,I�.. License 0 f fes. Fax: ItemUnit_ Cie Total(Qtv Muttialied by Unit Charge) ServicelFeeder 200 Amp. $119.90 Service/Feeder201-400 Amp. $145.50 $ Service/Feeder 401-600 Amp $204.60 _ Service/Feeder-6011 1000 Amp. $262.20 $ Service/Feeder over 1000 Amp. $37.750 , Branch Circuit W/Service Feeder $ 2,60 $�Y Branch Circuit WIO Service Feeder S 73.50 $ Each Additional Branch Circuit S 2.60 _ $ Temp.Service/Feeder 200 Amp, S 92.70 $ Temp.Service/Feeder 201400 Amp $110.30 $ Temp.Service/Feeder 401.600 Amp $148,70 $ — Temp.Service/Feeder 601-1000 Amp $167.90 _ $ Portal to Portal Hourly $ 95.90 �" $ Sign/Outline Lighting $ 88.20 $ Signal Circuit/Limited Energy/First 1500 sf-Commercial S 95.90 $ Note: $5.00 for each additional 1500 sf Signal Circuit/Umited Energy 1 8 2 Family Dwelling $ 63.90 Signal Circuit/limited Energy Muhi-FamilyDwelling $ 63,90 _ $ Manufactured Home Connection $119,90 -� $ Renewable Electrical Energy SKVA System or Less $102.30 9 — Thermostat $ 56.00 __ $ NEW CONSTRUCTION ONLY: First 1300 Square Ft, $110.30 $ Each Additional 500 Square Ft.or Portion of $ 35.20 S Each Outbuilding or Detached Garage $ 73.SD Each Swimming Pool or Hot Tub $110,30 $ S _l Total Owner as defined by RCW 19.26.261 (1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease.Permit expires after six months of fast inspection. After reading the above statement.I hereby certify that 1 am the owner of the above named property or a licensed electrical contractor I am making the electrical installation or alteration in compliance with the electrical laws,N.E,C RCW Chapter 19,28,WAC Chapter 296-46B,The City of Port Angeles Municipal Code,and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner electrical contractor or electrical administrator* ❑ cash 0 check r PORT BUILDING PERMIT APPLICATION Print in ink -I"`* +— q`t► CITY OF PORT ANGELES For City Use Only, Attn Building Permit Technician Date Received__12- `�Illlii��r' 0 321 E. Fifth St. Port Angeles WA 98362 S(360) 417-4815 fax (360) 417-4711 �'� �O Permit# 0� -11. (.0 G _ / Qin466- IZ35 �i}3 0 �d_4 7-�, Date Approved ( � N ApplicantIV Phoned o� 3 Property Owner Phone Property Owner's Address a Contractor t C-1 F, CQrj C Phone N 5 a -b753 Contractor's Address f,�er1 5 4 n License # Expires E-mail aP t Ea MSn ccn� PROJECT ADDRESS ) -1 ;20 10 :� sv Parcel Number Lot s Zoning Project Type & Brief Description. Q\Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply , j N -Nis 60me- i5 ❑ New Construction or) 5epk ❑Addition ❑ Remodel .� , a n J ❑ Repair b Q c O i'Demolition 11� 1❑-Re-roof ❑ House ❑ garage ❑ other ❑ tear off& re-roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other �J Floor Areas Existing(sp. ft.) Proposed(sp, ft.) "rhe of f Ckn� S -s I N Basement @ $ 1 per sq ft. = $ / 1 s' Floore . ' 2nd Floor 0. y ler olirT�Q DVS '� 3rd Floor Garage Carport Covered Porch Deck Shed Other r TOTAL VALUATION $ Total footprint of structures sq ft.�ot size Xnvew ver-ge °0 Site Coverage = the amount of impervious su ce a parcel including structIdewalks patios and other impervious surfaces (see PAMC 17 135 for exemptions) verage % Max. height of proposed structures ft. Occupancy grouproomsWill a lawn sprinkler system be installe Occupant loadathsWill a fire sprinkler system be installe Construction typeb s 1 have read and completed this applica ion and know it to be true and correct. I am authorized t apply for this permit and understand that it is my responsibility to determine what permits are required, an (d to obtain permits prior w rkin on�n ts. Date 16 �o7010 Print Name Sha r �I a c k Si nature - 11 d g T Forms/Building Division/Building permit application `Fg 2' fib. }xV ` a a,�, f Fix' ; y �• # �pa J 2. •� "'ex €�l 1729 < da 1723 _ 902 s � .V - ',7.~` .a• ..X4"4.5=3�; 1003 sgw 1715 MON 34 16) ,x"i�Y �. Pr T Yr f .t � •,i�r •� e 1537 173 ' 008 ` 1725 1702 ; �� � *�> -1721 � f>� �. tly�✓`, _ �y 1717 — "' 'L NN • '6713 � :� � �,� +'. .;�; 1?U1 8 i�'- ..r_ ae /• Tt_ t#: ii } .....es�' rxc'de cument Search Results 1 art., 1 "1 1 .4 I, Return to Search Basalis J You searched for- DocNumlD=2010-1259460 One item found.! Description Summary Add All to My Images Warranty 1112212010 11:2944 AM Add to My images Deed Grantor- Section 00 Township 2010- CHAMBERS, 30 Range 06 Parcel: 1259460 DESMOND B/EST 063000031115 Grantee: SLACK, ANDREW P SLACK, SHERYLR Workflow Status. 'This document is being processed.The information displayed is subject to change. One item found.! Return to Search Results -s ]1ttp.//vpn.clallam.net:8080/recorder/eagleweb/docSearchResults jsp?searchTd=0&pnntin_ 11/29/2010 November 19 2010 y To the City of Port Angeles Utility Department , Re. 1720 West 10thStreet,Port Angeles WA Owner of record: Desmond Chambers Seller- Linda A.Navage, Certified Professional Guardian ` Purchasers: Andrew P and Sheryl R Slack \� 546 Benson Road \ � Port Angeles WA 98363 (360)452-6753 phone and fax The,sale of this residence is scheduled to close Monday November 22,2010 We will be out of town and will provide proof of ownership and pay any transfer chargeslconnect fees on Monday November 29,2010 I have contacted the seller and asked that they leave the utilities connected so that we do not have any interruption in power. Advantage Escrow is closing this transaction if they can provide any assistance, Claudette is at 360-457- 3000 ELECTRICAL PERMIT i CITY OF PORT ANGELES 360-417-4735 Application Number 09 00000550 Date 6/05/09 0 Application pin number 251650 Property Address 1720 W 10TH ST G+ ASSESSOR PARCEL NUMBER 06 30 00 0 3 1115 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 200 amp UG service Owner Contractor CHAMBERS DESMOND B APS ELECTRIC PO BOX 249 546 BENSON RD PORT ANGELES WA 983620038 PORT ANGELES PORT ANGELES WA 98363 (360) 452 6753 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 147702 Permit Fee 95 75 Plan Check Fee 00 Issue Date 6/05/09 Valuation 0 Expiration Date 12/02/09 Qty Unit Charge Per Extension 1 1 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT 2 00 J 1 00 93 7500 ECH EL 0 200 SRV FEEDER 93 75 ^� Fee summary Charged Paid Credited Due �►j Permit Fee Total 95 75 95 75 00 00 Plan Check Total 00 00 00 00 Grand Total 95 75 95 75 00 00 C> 12170 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH e SERVICE ROUGH IN FINAL COMMENTS 3 Signature of owner or Electrical Contractor X Date RECEIVED JUN 5 2009 City of Port Angeles Permit Application ! , Building DivisionlElectrleal Inspections , 321 East Fifth Street-P.O.Box 1150 §pr Port Angeles Washington,98362 LIGHT DEPT Ph:(360)4174735 Fmc(360)4174711 Cate: -a O Oq y 1 &2 Single Family Dwelling _MUlti-Family or Commercial` Commercial Addition/Alteration/Remodel I Repair' "Plan Review May Be Required,Please Complete Electrical Plan Review Information Sheet a Job Address: L j 2or this / Q Building Square Footage- Desclipton f ove_ A 4#-% - Owner information rr __ 1L Contractor!Inf *tion Name: ,I✓ rdo RLd, . _ _ Name: .� S / ddess: Q 6& MailingMailing ress: City- State:JeL$_.Zip=' 173 IV4 � City'_. State: Zip — W Phone: Fax: Phone Fax:,_ License#!Exp. _ License#/Exp. �� Unit Charge Q r Total(QN Multiplied by Unit Charge) 93.75 --1 $_9963 7 S Swrvice/Feeder 200 Amp. $113.75 ,_ $ Service/Feeder 201400 Amp, $160.00 $ ServicelFeeder 401-600 Amp. $205.00 $ ServicelFeeder 601-1000 Amp. $291.25 5 Service/Feeder over 1000 Amp. $ 2.00 _�_ $-,Z-,-&O Branch Circuit W/WQe Feeder $ 57.50 S Branch Circuit W/O Service Feeder $ 2.00 , Each Additional Branch Circuit $ 72.50 $ Temp.Service/Feeder 200 Amp $ 86.25 $ Temp.Service/Feeder 201.400 Amp. $116.25 $ _Temp.Service/Feeder 401-600 Amp. $13115 $ _M_- Temp.Service/Feeder 601-1000 Amp, $ 75.00 $ Portal to Portal Hourly $ 69.00 $ $i WOut me L'ghting $ 75.00 S ,`Signal Ciraiit/United Energy Commercial $ 50.00 _ $_ Signet Circuit/limited Energy 1&2 Family Dwelling $ 50.00 $ Signal Circuit/limited Energy Multi-Family Dwelling $ 93.75 S� Maih*ctured Home C6nnection $ 80.00 $ Renewable Electrical Energy 5KVA System or Less 3 86.25 $ First 1300 Square Ft. $ 27.50 S Each Adddio►ual 500 Square Ft or Portion of $ 57.50 S Each Outbuilding or Detached Garage $ 86.25 $ Each Swimming Pool or Hot Tub $ 43.75 $ Thermostat S Total Owner as deflneaf by RCW.1918.261•(1)Owner wHI occupy tris stnretue for two rears after this oleclrfcaipemtN Is firr AN&R)Owner Is required to hlrr an electrical contactor fral;m said property is for salq rent or lease. After reading the above statement,I hereby cer ft that 1 am the owner of the above named property or a licensed electrical contactor.I am making the electrical Installation or alteration in compliance with the electrical laws,N.e.C.,RM.Chapter 1928,WAC_cbapter 296.4813,The City of Port Angeles Municipal Code,and utility speefficaflons. Signature of owner,electrical contractor or electrical administrator Cl Cash �-,p ❑ Check .. Credit Card#_am / PREPARED 1/29/09 8 34 23 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/29/09 ADDRESS 1720 W 10TH ST SUBDIV TENANT NBR DESMOND B CHAMBERS CONTRACTOR GARLAND CONST & MAINT PHONE (360) 457 5186 OWNER DESMOND B CHAMBERS PHONE (360) 452 4442 PARCEL 06 30 00 0 3 1115 0000 APPL NUMBER 08 00001517 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FES REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 1/29/09 JLL BLDG FINAL January 29 2009 8 29 55 AM 1pangrle f t GARLAND 457 5186 BLDG FINAL RE ROOF 1n� COMMENTS AND NOTES ��. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT-BUILDING DIVISION Y� 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 08 00001517 Date 12/10/08 Application pin number 666119 Property Address 1720 W 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 1115 0000 Tenant nbr name DESMOND B CHAMBERS Application type description RE ROOF Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 4480 Application desc TEAR OFF & RE ROOF Owner Contractor DESMOND B CHAMBERS GARLAND CONST & MAINT 1720 W 10TH ST 2512 E RYAN DRIVE PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452 4442 (360) 457 5186 Structure Information 000 000 TEAR OFF & RE ROOF Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF & RE ROOF Permit pin number 138875 Permit Fee 137 75 Plan Check Fee 00 Issue Date 12/10/08 Valuation 4480 Expiration Date 6/08/09 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL-2001 25K (14 PER K) 42 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 137 75 137 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 142 25 142 25 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 has 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 p s e to give authority to violate or cancel the provisions of any state or local law regulating construction or th performance of construe 'on Dati Print Name Signature of ontractor or Authorized Agent Signature of Owner(if owner is builder) T.FormsBuilding Division/Building Permit -��r C) BUILDING PERMIT INSPECTION RECORD � -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. —T— Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs) PLUMBING Under Floor/Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL. Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES Footin /Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction R W PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 — I—® cl T Forms/Building Division/Building Permit a,sORt,, BUILDING PERMIT APPLICATION Print in ink •- CITY OF PORT ANGELES For City Use Only* Attn Building Permit Technician Date Receivedl&-- 321 E. Fifth St. Port Angeles, WA 98362 �.,.�.�.. 9 Permit# (g$— I K►`1 (360)417-4815 fax(360)417-4711 Date Approved Applicant or Agent Phone `{ 2 Property Owner Phone Property Owner's Address Contractor/Engineer Phone Contractor/Engineer's Ad ress License# Expires E-mail PROJECT ADDRESS -1 w Parcel Number Lot Zoning Proiect Type&Brief Description. Residential ❑ Commercial ❑ Multi-family ❑Industrial Check all that apply ❑ New Construction ❑Addition ❑ Remodel ❑ re-roof air / ❑ Demolition ao - ❑ Heat System ❑ Heat pump ❑wood-burning stove ❑gas fireplace ❑ pellet stove ❑oth r ❑ Other Floor Areas Existing(sq.ft.) Proposed(sq. ft.) Basement @$ per sq.ft. _ $ 15` Floor 2nd Floor 3`d Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ Total footprint of structures sq. ft. _ Lot size sq. ft. = Lot coverage % 1,41 Max. height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half baths 1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obt in per its no to working on projects. DatePrint Name �� �a Signature Y V PROPOSAL Page # of pages Garland Construction & Maintenance 2512 East Ryan Drive Port Angeles,WA 98362 360-457-5186 Lie.&Bonded Lio N GARLACM044ND Propos_ Subs �mitted To: � Job Name Job# /Z� Cy� l { �► r -5. Address TZ o 0 ( V % Job Location 1 r- IN y,.� �.- e'�� Date /9 -- 5-06 �} __ C_D �7, Date of Plans Phone# "7 _ Ll �` Fax#(� / p� ,_J Architect We hereby submit specificatio s and estimate for _ _ 00-F -5 0/-\kl- - ) arh-o o S �L G! i r Y, LA-0 yam ' X r 5 (rAlp c, �t dies - �( (� 65At � q fn -- I- �7 rpt z_ o w S }� cU c7� cat �� �� �t ��/ /S _ -_ _ __. _ _- _ _ p p, __ _ f _ _ ._ _ x� - t We propose hereby to furnish material and labor—complete in accordance with the above;speciDcations for a sum of- l off, �o �/� su t j�f C_ 7 Y�3 t ✓ C�r'�aI ��`A S Yid $ / yrs with payments to be made as follows: �r f Any alteration or deviation from above specifications involving extra costs will be Respectfully executed only upon written order and will become an extra charge over and submitted above the estimate.All agreements contingent upon strikes,accidents,or delays J L/ ` beyond our control. Note—this proposal may be withdrawn by us if not accepted within days. i Acceptance of Proposal The above prices,specifications and conditions are satisfactory and are1 Signature hereby accepted.You are authorized to do the work as specified. Payments will be made as outlined above. Date of Acceptance Signature FORM 3850 MADE IN U.S.A. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION c' 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 04-00000947 Date 11/01/04 Pin number . . . . . . .425140 Property Address . . . . . . 1720 W 10TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-1115-0000- Application description . . . RES DETACHED GARAGE Subdivision Name . . . . . . [� Property Use . . . . . . . . ��-• Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILYp R E D Application valuation . . . . 15161 Owner ----------- Contractor -- /���los DESMOND B WOOD CONSTRUCTION CO. PO BOX 249 334 SUTTER RD. PORT ANGELES WA 983620038 PORT ANGELES, WA PORT ANGELES WA 98362 (360) 457-6065 ------ Structure Information 864 SF DETACHED POLE BUILDING ----- Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . GARAGES, CARPORTS, SHEDS Other struct info . . . . . TOTAL % LOT COVERAGE 12.60 CONSTRUCTION TYPE V-N )i HARD SURFACE AREA NUMBER OF STORIES 1.00 EXISTING LOT COVERAGE 906.00 LOT SIZE 14000.00 PROPOSED LOT COVERAGE 864.00 TOTAL LOT COVERAGE 1770.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . 684 SF DETACHED GARAGE Permit Fee . . . . 288.75 Plan Check Fee 115.50 Issue Date . . . . 11/01/04 Valuation . . . . 15161 Expiration Date . . 5/01/05 Qty Unit Charge Per Extension BASE FEE 92.75 14.00 14.0000 THOU BL-2001-25K (14 PER K) 196.00 Fe ---------------------------------------------------------------------------- Special Notes and Comments When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. The proposal will result in a new accessory structure on a RS-7 zoned property for a total lot coverage of 13%. The existing garage must be demoed as the two accessory structures exceed the area of the residence. A Zoning Lot Covenant is needed to legalize the development on the two lots. No other land use issues are noted. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 288.75 288.75 .00 .00 Plan Check Total 115.50 115.50 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 408.75 408.75 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of lawdin orances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not pr um to give authority to violate or cancel the provisions of any state or local law regulating construction or the performan a of c nstru ion. /l a ure of ntractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T\PLANNING\FORMS\l 102.15[11/14/2003] O*FORT�. CITY OF PORT ANGELES ��' DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Page 2 Application Number . . . . . 04-00000947 Date 11/01/04 Pin number . . . . . . .425140 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 orwork 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 TLANNINGTORMS\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. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO J {— FOUNDATION: FOOTINGSVt WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDERFLOOR/SLAB ROUGH-IN W TER LINE(METER TO BLDG) AS 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 (Engineenng 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 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT BUILDING 4174815 BUILDING TAPLANNING\FORMS\1102.15(11/14/2003] PREPARED 11/23/04, 16.13 00 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/23/04 -- ------ - ------------------------------- ADDRESS 1720 W 10TH ST SUBDIV CONTRACTOR WOOD CONSTRUCTION CO PHONE (360) 457-6065 OWNER CHAMBERS DESMOND B PHONE PARCEL 06-30-00-0-3-1115-0000- APPL NUMBER 04-00000947 RES DETACHED GARAGE ----- ---------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS __ —-—------------------------- -—-- BL6 01 11/22/04 JLL BUILDING POST/COLUMN FTG 11/23/04 CA Darryl Wood - 460-0453 Morning 9A M. inspection contractor hit a boulder while digging post holes request insp to be canceled/711 BL6 02 11/2344 JL BUILDING POST/COLUMN FTG 5 --------------- - COMMENTS AND NOTES PILED FOR RECUR; AT I i'E N t1L'ES al_Et;t00 7 2O 2004 OCT —6 AM 10: 37 2004 1142764 County ZONING LOT COVENANT UWE the undersigned owner(s) of the following described property: (insert legal description here) do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17.08.032 "L"of the Port Angeles Municipal Code. This covenant creates one inseparable building lot which may only be removed through compliance with Chapter 58.17 RCW(subdivision regulations)and/or the City of Port Angeles short subdivision regulations (Ordinance No. 2222, as amended). This covenant shall be binding on the owner(s),heir(s), assign(s), and successor(s) in interest and shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s), heir(s),assign(s),and successor(s)in interest and is for the further purpose of compliance with state and local land use and building regulations. This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance.,,, DATED this day of 0 V& 120 (Owner) (Owner) (Owner) (Owner) STATE OF WASHINGTON) ss COUNTY O/F CLALLAM ) I, ( (tp/7�u - X, _,Notary Public to and for the State of Washin ton,do hereby certify that o this da of 20C' ,personally appeared before me and to me kjaown to be the individual(s)desribed in and)Ylio executed the within instrument and acknowledged that zu_ —signed and sealed the same as `'0 free and voluntary act and deed for the purposes herein mentioned. rL GIVEN UNDER MY HAND AND OFFICIAL SEAL this day of C� ��— 20.1 NOTAR�PIMLACand for the State of Washington residing at Port Angeles. j AUDITOR'S CERTIFICATE Filed for record at the request of D C ��l A Vb 1) S this day of CT- 20 0` . CLALLAM/COUNTY AUDITOR By: ,� / b (� ov poxr q t FOR OFFICIAL USE ONLY. BUILDING PERMIT - APPLICATION Date Rec o-ry - o` '�" Permit# j IMF Fill out COMPLETELY and in INK.Your application and site plan MUS B Date Approved COMPLETE to be accepted for review. If you have any questions,call Date Issued PERMITS(360)417-4815 FAX(360)417-4711 76065 Applicant or Agent: 1--'/`� -�' (�C.�� Phone. " Owner: E./ � 17iMF Phone: " Address: _ Iy-r� . city: �'�' �e�S Zip: � .•- Architect/Engineer: A ')t���'� Phone: !•� 2-. Contractor ` State License#: Exp: Phone: Address: '�4r �� (2j,.. City: "' �. Zip: PROJECT ADDRESS: C 72Q ZONING: LEGAL DESCRIPTION: Lot: - l7 C Block: ( Subdivision: CLALLAM COUNTY PARCEL NUMBER: I Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC # Exp.Date: TYPE OF WORK:. SIZE/VALUATION: ❑ Residential ❑ New Constr. ❑ Re-roof ❑ Stove e6-4,r_SF. @$ /SF._$ ❑ Multi-family ❑ Addition ❑ Move .(Garage SF @$ /SF._$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF._$_ _ El Repair 11 Sign 11 Other TOTAL VALUATION $ 16�� BRIEF DESCRIPTION OF THE PROJECT: COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories:_ Lot Size: /t1660 Existing Sq.Ft. 9 b(.o &Proposed Sq.Ft. _ =TOTAL Sq.Ft. / '7 ? 0 Total lot coverage 1 , (o % APPROVALS: PLAN: PLANNING USE ONLY: BLDG: DPWU: FIRE: ESA/Wetland(s) ❑Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other: 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 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 pernut issuance EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application,the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section R105 3.2 of the International Building/Residential Code,2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true 5d orrect. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required,not the City's,a d fh I must obta' such permits for to work 24 T\RVESS\BLDG-forms-brocbures\2003-Buildmgpermit wpd Applica Date `© - - � - - � - � tet.- � --. ♦--. -- � - � -- t- - - -- • - - - - 926-- - - - - ; i � I - doe _ -7M • - - -- 11-1__ - a 1 6 /2 7'2 14-- - 12' -- - - -- r ! `v14- ' DESIGN OF GARAGE/SHOP POLE BUILDING DESMOND CHAMBERS 10TH STREET PORT ANGELES, WA 98362 SEPTEMBER 2004 WOOD CONSTRUCTION COMPANY 317 SUTTER RD PORT ANGELES, WA 98362 ��. P��� X076 by: 4 SEASONS ENGINEERING, INC. 619 SOUTH CHASE STREET PORT ANGELES, WA 98362 DESMOND CHAMBERS 10TH STREET PORT ANGELES,WA 98362 DESIGN CRITERIA DESIGN STRESSES SITE ELEVATION=<625 FT DOUGLAS-FIR#2 2X 4X FB=900 PSI SNOW LOAD=25 PSF Fc= 1350 PSI FT=575 PSI WIND SPEED=80 MPH Fv=95 PSI EXPOSURE C E= 1.6(10)6 PSI ' HEM-FIR POSTS P.T. SEISMIC ZONE DZ FB=675 PSI Fc=500 PSI SOIL BEARING=1500 PSF Fv=70 PSI E=1.1 (10)6 PSI REFERENCES 1. INTERNATIONAL BUILDING CODE 2003 2. MINIMUM DESIGN LOADS FOR BUILDINGS AND OTHER STRUCTURES ASCE 7-02 3. TIMBER CONSTRUCTION MANUAL 3RD ED by AITC 4. CONNECTORS FOR WOOD CONSTRUCTION by SIMPSON STRONG-TIE 5. NATIONAL DESIGN SPECIFICATION FOR WOOD CONSTRUCTION 1997 EDITION 6. RISA-21) RAPID INTERACTIVE STRUCTURAL ANALYSIS — 2-DIMENSIONAL VERSION 5.5 2001 2 { General Notes 1. Engineering for this structure conforms to the minimum standards of the International Building Code 2003,or better. 2. Roof snow load=25 PSF 3. Maximum soil bearing capacity=1500 PSF I 4. Seismic Zone D2. 5. Wind,80 MPH,Exposure"C". 6. Contractor shall provide temporary bracing and shoring for the structure and structural components until all final connections have, been completed in accordance with the plans. 7. Contractor shall be responsible for all the required safety precautions and methods,techniques,sequences or procedures required to perform his work. 8. Contractor initiated changes shall be submitted in writing to the structural engineer for approval prior to fabrication or construction. 9. Written dimensions shall take precedence over scaled dimensions on the drawing. 10. Contractor shall verify all notes,dimensions and conditions prior to start of construction and be responsible for the same. 11. Drawings indicate general and typical details of construction,where conditions are not specifically indicated but are of similar character to details shown,similar details of construction shall be used. i Wood Framing Notes 1. Minimum nailing requirements: Unless otherwise noted,minimum nailing shall be in accordance with Table 2304.9.1 of the International Building Code 2003. i 2. Notations on drawing relating to framing clips,joist hangers and other connecting devices refer to catalog numbers of connectors manufactured by the Simpson Strong-Tie Company,San Leandro,CA. Equivalent devices by other manufacturers may be substituted, provided they have ICBO approval for equal load capacities. 3. All wood framing details not shown otherwise shall be constructed within or better than the standards of the I.B.C.2003. 4. All structural framing lumber to be Douglas Fir No.2 Grade kiln dried,or Hem Fir No.2. Do not Substitute Hem Fir for Douglas Fir if specified on drawing. 5. All 2x framing lumber exposed to weather,and/or moisture shall be Hem-Fir No.2,pressure treated in accordance with the American Wood Preservers Association standard for above ground use. i 6. All 4x and 6x structural lumber exposed to weather,and/or in ground contact shall be Hem-Fir,pressure treated in accordance with the American Wood Preservers Association standard for ground contact use. 7. Framing connectors,nails,bolts,and other fasteners in contact with pressure treated wood shall have the following finishes: reatment nd DOT Sodium Borate SBX ed,0.60 oz/ft2 ACQ-D,CBA-A,CA-B,Other Borate(Non-DOT) t-Dip Galvanized,ZMAX galvanized,1.85 oz/ft2, Stainless Steel moniacal Copper Zinc Arsenate(ACZE)and oth Stainless Steel Is treated woods. 8. When using Stainless Steel or hot-dip galvanized connectors,the connectors and fasteners should be made of the same material. Stainless Steel fasteners shall not be use in applications where contact with Galvanized and Post Hot-Dip Galvanized metals will occur. 9. Individual members of built-up posts and beams shall each be attached with 16d spikes at 12"O.C.staggered. I I I 3 I General Concrete Notes (The Following apply unless shown on the plans) 1. All materials and workmanship shall conform to the requirements of the drawings,specifications,and the International Building Code, 2003. 2. Concrete shall attain a 28 day strength of Fc=2500 psi. 3. Reinforcing steel shall conform to ASTM A615-76A,Grade 40,fy=40,000 psi. 4. Footings shall bear on solid unyielding earth. DESMOND CHAMBERS 10TH STREET PORT ANGELES,WA 98362 WIND CALCULATIONS EXPOSURE C, PER ASCE 7, METHOD 2 BUILDING DESCRIPTION- HEIGH BAY WIDTH LENGTH ROOF KNEE FT FT Fl FT SLOPE j, :��A4 12 TOTAL WIDTH & LENGTH AVERAGE HEIGHT OF BUILDING 10.0 - 1/2 ROOF HEIGHT Z FEET <15 10.0 Kz ZONE A CALCULATION Kzt 1 1 Kd 0.85 0.85 2.40 V 100 100 3.00 Oar_f gut, i [A 3.00 qz= .00256KzKztKdV21 16.092 16-092 Gf 0.85 0.85 Cp WINDWARD WALL 0.8 0.8 Cp WINDWARD ROOF -0.06 -0.0 Cp LEEWARD ROOF 0.5 0.5 Cp LEEWARD WALL 0.5 0.5 C 0.18 0.18 Pz WINDWARD WALL 13.4' Pz WINDWARD ROOF -0.8 Pz LEEWARD ROOF 6.8 Pz LEEWARD WALL 9.3 WIND PRESSURE, P=CqCeQslw PRESSURE PSF PER BAY KSF WINDWARD WALL 13.40 160.9 WINDWARD ROOF -0.82 -9.8 LEEWARD ROOF 6.84 82.1' LEEWARD WALL 9.30 111.6 SNOW LOAD 25 300.0 DEAD LOAD 2.5 -30.01 ROOF CLADDING UPLIFT PER ASCE7, FIGURE-6-1 ic IEFFECTIVE AREA I 480 Pup ZONE GC p --0.8 -12.87 ZONE GCp -1.2; -19.311 ' I i DESMOND CHAMBERS 10TH STREET PORT ANGELES,WA 98362 i Girt Design Windward wall pressure= 13.4 psf L= 12' ft M=w12/8= 13.4(5)(12.)2/8 = 1206 ftlbs Smm= 1206(12)/900(1.6)= 10.05 I S =2.063(2)+ 7.563 = 11.69 int> 10.05 OK i USE 2X6 GIRTS @ 30" OC 2X6 STIFFENERS @ 60" OC i Truss Connection i W=width of building B=width of supported bay Pup= [(W/2-2A)PzoNEi+(2A)PzoNE2]B Pup= {[(24/2)-2(3)]12.87+(2*3)19.31)12 =2,317# 16d NAIL= 120(1.6) = 192#/NAIL Use(2) %s" dia bolts thru and(12) 16d nails thru 14ga steel strap (CMST14) I I i I I jv i i PURLINS, 12' SPAN-Roof Beam Eagle Point Page 1 Project:WOOD CONSTRUCTION COMPANY 15:27:37 09/28/04 Job: WOOD CONSTRUCTION COMPANY Designed by: Donna J. Petersen P.E. Client:WOOD CONSTRUCTION COMPANY Checked by: Input Data Left C ISti ��,u ..::rte r. �,, � �� antilever None Main Span: 12' Right Cantilever:None Check for repetitive use? Yes Tributary Width. 1'8" Slope 0-12 Dead Load:2 5 psf Live Load:0 psf Snow Load 25 psf Allow LL Deflection U240 Allow.TL Deflection L/180 DOL 1. Load Ee 1600000 psi F, 180 psi Fb 900 psi Design Checks .«- ,.c �.«r Pol Max Value 275 1309.09 46 614 -0.5842 -06426 Allowable 1406.34 154732 207 06 08 %of Allow 20 V 85 V 23 Ole 97 Nr 80 V Location 0' 6' 5-1/2" 6' 6' Reactions and Bearing 0 3 1 5 275 12' 1.5 275 Self-weight of member is not included. Member has an actual/allowable ratio in span 1 of 97 Ne Design is governed by live load deflection. Governing load combination is Dead+Snow Condition 1 w/Pattern Loads. Maximum hanger forces:275 Ib(Left)and 275 Ib(Right) I i Program Version 8 2-9/20/2002 I i I ! i —I • I x I i I I i i i I I I � � I I i i i I i i Solution: Envelope 4 Seasons Engineering Inc. Pole Bdg 24W, 8H, 12S, EXPC -- I Donna J. Petersen Sept 28, 2004 at 3:57 PM CHAMBERS-04 POLEBDG 24W 8H 12S EXPC r2d I Company 4 Seasons Engineering Inc. Sept 28, 2004 Designer Donna J. Petersen 3:57 PM Job Number : CHAMBERS-04 Pole Bdg 24W, 8H, 12S, EXPC Checked By: Envelope Member Section Forces Mem er Sec Axi I Ib Ic 1 M1 1 Shear Ib Ic Moment Ib-ft Ic max 4805.905 1 1359.913 2 _ 5732 .105 2 32 max 4632.303 1 x � 1038.213 2 3333.979 2 5 3 max 4461.6 1 716.513 2 1579.253 4 max 4293.798 1 394.813 2 467.926 max 4128.896 1 73113� "� � . 11 M2max 4809.151 1 '``9 PITO I 1113.221 2 5334.568 2 13 2 max 4635.549 1 890.021 2 3331.32615 w 2 3 max 4464.847 1 666.821 2 1774.484 2\ z, 4 max 4297.045 1 443.621 664.042: 2 5max 4132.142 1 220.421 2 p 1 21 M3 1 max -367.368 2 123.928 2 max -350.351 2 -2.067 2 -14.23 2 25 max -9.1 3 z 0 1 -6.941 2 27 h w w max 506.818 2 a, " 88.901 �� 1 10.866 2 29 5 max 472.099 2 -.514 2 0 � _ 31 M4 1 max 10130.743 1 835.758 1 p 33 2 max 9812.204 1 -13.439 2 -69.792 235 �. � 3 max 9493.28 1 1078.171 1 759.271 1 ' 4 37 4 max 7836.039 1 120.244 1 -73.445 2 � 5 max 7516.345 1 -60.467 2 M5 41 , 3 � 1 I 1 max 2 7517.37 1 835.758 1 0 1 43 max 7835.911 1 32.963s." � 2 144.97 2 45 '. 9492.768 7,r r;, 3 max 1 1078.171 19.271 1 � max 9812.077 1 120.244 141 1 �N. � j 49 5 max 10131.771 1 � `' 121.763 2 ` 051 M6 1 max 304.355 1 ��� 4.01 1 0 1 53 �, max 302.35 1 2.005 1 _2,127 Rior�w version b.0 IL.\KISA\POLEBDG 24W 8H 12S EXPC.r2d] Page 1n it Company 4 Seasons Engineering Inc. Sept 28, 2004 i Designer Donna J. Petersen 3:57 PM Job Number : CHAMBERS-04 Pole Bdg 24W, 8H, 12S, EXPC Checked By: Envelone Member Section Forces(Continued) Member Sec Axial Ib Ic Shearflbl Ic Momentllb-ftl Ic 57 4 max 298.34 1 -2.005 1 -2.127 1 1 .•).x r F 9 'R 59 5 max 296.334 1 -4.01 1 0 1 61g M7 1 max 2608.656 1 6.016 3 0 1 ham, 63 2 max 2610.661 1 1 3.008 3 1 -4.067 2 3 ":.'pax 65 3 max 2612.667 1 0 1 -5.422 2 MEEK,, *`�` �"�,73F'�°, r „z; �• ai;:�' `-� x a<ha;h'�'„� yf � 67 4 max 2614.672 1 -3.008 3 -4.067 2 IFE 69 F 5 max 2616.677 1 1 -6.016 3 1 0 1 71 w. < .M8 6 1 1 0 _ goo o ,,� ° . , � �� max -217.398 2 6.016 � 2 0 1 ,. z".; *^ ME ;E sir^,1``t�^, �y+. 'gzs�?��,t�`"'';:ate��t^`fit 1 73 2 max -221.408 2 3.008 2 -5.64 1 75 3 max -225.419 2 0 1 -7.52 1 77 4 max -229.429 2 -3.008 3 2 -5.64 1 gay; 79 5 max -233.44 2 -6.016 2 0 1 M ��",WE M ; $ . tea M 81 max 264.575 2 -6.016 2 0 1 wARE M55Wa- 83 2 max 260.565 2 -3.0082 5.64 1 85 3 max 256.554 2 0 1 7.52 1 87 4 max 252.544 2 3.008 2 5.64 1 89 5 max 248.5.33_ 2 6.016 2 0 1 91M10 B � 1 max 2608.657 1 -6.016 2 0 1 r zs . 93 2 max 2610.662 1 � M" -3.008 2 4.067 3 MWE 95 3 max 2612.668 1 0 1 5.422 3 97 4max 2614.673 1 � 3.008 2 4.067 3 USE M 99 5 max 2616.678 1 6.016 2 0 1 101 M11 1 max 304.355 1 -4.01 1 0 1 Am' a , m;R4R8 a 103 2 max 302.35 1 -2.005 1 2.127 1 1 ' '���..� 05 3 max 300.345 1 0 1 2.836 1 w "zi;.`'' ��;8 "tg�; s 3?s� ray;,.�° z: " �=- 107 � - 4 max 298.34 1 2.005 1 2.127 1 109 ttll 5 " max 296.334 1 4.01 1 0 1 i i RISA-2D Version 6.0 [C:IRISAiPOLEBDG 24W 8H 12S EXPC.r2dj Page 2 SCO i X Solution: Envelope 4 Seasons Engineering Inc. Pole Bdg 24W, 8H, 12S, EXPC Donna J. Petersen Sept 28, 2004 at 4:07 PM CHAMBERS-04 POLEBDG 24W 8H 12S 3POSTS.. i Company 4 Seasons Engineering Inc. Sept 28, 2004 Designer Donna J. Petersen E t,4 tj L 4:06 PM Job Number : CHAMBERS-04 Pole Bdg 24W, 8H, 12S, EXPC Checked By: Envelope Member Section Forces Member Sec Axial Ib Ic Shearribl Ic Momen I -ft Ic 1 101 1 max 1019.373 1 649.059 2 2618.872 2 32 max 935.246 1 - � f. 488.209 2 14 81.6.04 Ig2 3max 852.568 1� .� . 327.359 2 666.036 ry2 F, 7 4 max 771.341 1 166.509 2 172.168 2 RM >, e 9 5 max 691.563 1 9.594 3 0 1 11 M2A 1 max 2789.884 1 61.928 2 S 743.134 2 13 2 max 2778.855 s F 1 61.928 2 557.351 2 X14 ;�� �� z•��x� � a,�. ,E��,- > '•;." ��?�a�'� �`f� ,-.,� �`�"�� ' $ ' 15 3 max 2767.827 1 61.928 2 371.567 2 17 4 max 2756.798 1 61.928 2 185.784 �2 i a-�31..ism 19 � 5 max 2745.769 1 61.928 2 0 1 21 M21 max 1020.996 1 525.891 2 2421.531 2 1 23 2 max 936.869 1 414.291 2 � 1481.348 2 WOks^f 25 3 max 854.191 1 302.691 2 764.366 2 27 4 max 772.964 1 191.091 2 270.583 2 max 693.187 1 79.491 2 0 1 x,31 M3 1 max -194.662 20 1 16.87 1 �`� F»>^ter;• A� � , , ^r" ,3 �- 4 � s�.fis�. �,, _¢yN ,� .� s a, s• 33max -186.636 2 -1.227 2 -7.92 2 35 3 max 1006.69 1 0 1 8.284 1 37 4 max=223.165 2 12.747 1 5.5 2 39 5 max2 -.244 2 0 1 41 M4 1 max 1018.131 1 371.732 1 0 1 �K 43 2 max 858.861 1 -6.421 2 -35.839 2 45 3 max 699.399 1 585.232 1 671.495 1 MEN I M�x 47 4 max 72.041 2 106.269 1 -37.665 2 re � a m , 49 5 max 54.494 2 -30.532 2 0 1 �51 > M5 1 max -131.686 2 371.732 1 0 1 53 2 max -114.717 2 # 16.474 2 72.51 2 awmjEWAI IN 55 3 J, max 1 699.143 1 585.232 1 671.496 1 RISA-2D Version 6.0 [C.\RISA\POLEBDG 24W 8H 12S 3POSTS EXPC.r2d] Page 3 `� ' I Company 4 Seasons Engineering Inc. l i-)o � Sept 28, 2004 Designer Donna J. Petersen 4:06 PM Job Number : CHAMBERS-04 Pole Bdg 24W, 8H, 12S, EXPC Checked By: Envelope Member Section Forces(Continued) Member Sec AxialrM Ic Sh r Ib Ic Momentflb-ftl Ic 57 4 max 858.797 1 106.269 1 70.684 2 59 5 max 1018.644 1 60.889 2 0 1 HE a 9 61 M6 1 max 23.275 1 - 2.005 1 0 1 ME now sh"'W"63 2 max 22.272 1 1.003 1 -1.063 1 + t 65 p 3 max 21.27 1 0 1 -1.418 1 67 4 max 20.267 1 -1.003 1 -1.063 1 No W Mw � ' 69 5 max 19.264 1 -2.005 1 0 1 71 M7 1 max 1475.829 1 3.008 3 0 1 73 2 max 1476.832 1 1.504 3 1 -2.033 2 75 3 max 1477.835 1 0 1 -2.711 2 Ma �, k ' ', ; ria �,y,�t 77 4 max 1478.837 1 -1.504 3 -2.033 2 79 5 max 1479.84 1 1 -3.008 3 0 1 81 M8 1 max -108.082 2 3.008 2 0 1 83 X"'` v _ K: fib^ 2 max -110.087 2 1.504 2 t -2.82q 3 _ "11� a4 . Y 14y+ ,' 't,4• i.. }t, iaei 85 3 } max -112.092 2 0 1 -3.76 3 '0767.1BMWM ' 87 4 max -114.098 2 s�#a -1.504 2 -2.82 3 am WINt M`it1V 89 5 max -116.103 2 -3.008 ,, 2 0 1 91 M9 1 max 132.192 2 -3.008 1 1 0 1 * ` n r' a am* „��' X93 2 max 130.187 p 2 -1.504 1 2.82 3 "� ;Y�'%�`,•ai �"+ x�n 4. 3 xis a&� { �.k! , 9 a�."v•;F zn fil h ,aai-! 95 x 3 max 128.181 2 0 1 3.76 311 $ 97 4 max 126.176 2 1.504 1 2.82 3 wow .. MUM �d'� 3a VAR � 99 5 max 124.171 2 .008 1 0 1 MM I 101 M10 1 max 1475.829 q 1 -3.008 2 0 1 103 2 max 1476.832 1 -1.504 2 2.033 3� 105 3 max 1477.835 1 0 1 2.711 3 107 4 max 1478.837 1 1.504 2 2.033 3 11 109 5 max 1479.84 1 3.008 2 0 1 MMIM ;� ' . EM l I 111 M11 1 max 23.275 1 -2.005 1 0 1 � ?m e.'� #� ti '�� ' �,,a. X15 �" y. - • 113-1 2 max 1 22.272 11 -1.003 1 1 1 1.063 1 RISA-2D Version 6.0 [C:\RISA\POLEBDG 24W 8H 12S 3POSTS EXPC.r2d] Page 4 i Company 4 Seasons Engineering Inc. \A/A LL„ Sept 28, 2004 Designer Donna J. Petersen 4:06 PM Job Number : CHAMBERS-04 Pole Bdg 24W,8H, 12S, EXPC Checked By: Envelope Member Section Forces (Continued) Member Sec Axialf1bl Ic h ar Ib Ic MO 112 n 1 -ft Ic NAM 115 3 max 21.27 1 1 0 1 1.418 1 ME U, WIN 117 4 max 20.267 1 1.003 1 1.063 1 = s ar' -' am , t 119 5 max 19.264 1 2.005 1 0 tv 1 , . , RISA-213 Version 6.0 [C:\RISA\POLEBDG 24W 8H 12S 3POSTS EXPC.r2d] Page 5 x I I i Results for LC 2, DL+WL 4 Seasons Engineering Inc. Pole Donna J. Petersen Sept 28, 2004 at 4:18 PM CHAMBERS-04 END POLE 12117H.r2d Company 4 Seasons Engineering Inc. Sept 28, 2004 Designer Donna J. Petersen 4:19 PM Job Number : CHAMBERS-04 Pole Checked By: Member Section Forces(By Combination) LC Member Label Sec Awiairlhl Shear Ib Moment Ib-ft 1 2 M2 1 1125 683.599 964.79 3 3 712.5 .h -281.201 -242.405 5 � 5 300 -161.2010 i RISA-2D Version 6.0 [C:\RISA\END POLE 12W 17H.r2d] Page 1 Max Bearing of Footing= 5,950# Max Overturning of 6x8 post H.F. P.T. Footing= 13,975FT-LBS 4"conc. slab Backfill with conc. 40" � \\ Native soil undisturbed 14"x24"x8" Conc. punch pad Overturning of footing calculated by IBC2003 equation 18-3 d2=4.25 Ph/S3b or Ph=d2S3b/4.25 Ph=bending moment at column, M=5,732 FT-LBS S3 =d(150)(2)1 1/3 = 1,600 for 4'-0" deep footing Vertical load on footing=4,806# 0� I Max Bearing of Footing= 5600# Max Overturning of 6x6 post H.F. P.T. Footing= 13,947# 4"conc. slab Backfill with conc. 40" � \\ Native soil undisturbed 14"x24"x8"Conc. punch pad Overturning of footing calculated by IBC2003 equation 18-3 d2=4.25 Ph/S3b or Ph=d2S3b/4.25 Ph=bending moment at column S3 =d(150)(2)1 1/3 = 1,600 for 4'-0" deep footing P=2,770# M=2,619 FT-LBS OF pONTA4, CITY OF PORT ANGELES ��y DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 04-00000983 Date 11/01/04 Pin number . . . . . . .571654 Property Address . . . . . . 1720 W 10TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-3-1115-0000- Application description . . . DEMOLITION Subdivision Name . . . . . . Property Use p�� Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 1500 ED OwnerContractor --- CHAMBERS DESMOND B WOOD CONSTRUCTION CO. PO BOX 249 334 SUTTER RD. PORT ANGELES WA 983620038 PORT ANGELES, WA PORT ANGELES WA 98362 (360) 457-6065 ------ Structure Information DEMO GARAGE ----- Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . GARAGES, CARPORTS, SHEDS ---------------------------------------------------------------------------- Permit . . . . . . DEMOLITION Additional desc . . DEMO GARAGE Permit Fee . . . . 47.00 Plan Check Fee .00 Issue Date . . . . 11/01/04 Valuation . . . . 0 Expiration Date . . 5/01/05 Qty Unit Charge Per Extension _ BASE FEE47.00 --------------------------------- ----------------------------- - Other Fees . . . . . . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 51.50 51.50 .00 .00 4 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 orwork 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 prizIiordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not pre me to give authority to violate or cancel the provisions of any state or local law regulating construction or the perform ce of co stru ion. Si na ure of C ractor or Authorized Agent Date Signature of Owner if owner is builder Date 9 9 9 � ) T-\PLANNING\FORMS\1102.15[11/14/20031 Kpr VORT ,t,G FOR OFFICIAL USE ONLY ms`s BUILDING PERMIT - APPLICATION DateReC b"Z —b �- Permit#6-el— gat �_ — Fill out COMPLETELY and in INK.Your application and site plan MUST BE Date Approved COMPLETE to be accepted for review. If you have any questions,call PERMITS(360)417-4815 FAX(360)417-4711 Date Issued Applicant or Agent: Phone: �� Owner: - Phone: A-57 Address: 7City: Zip: Architect/Engineer: Phone: " r6&9Z 7 Contractor State icense Exp: Phone: Address: City: Zip: PROJECT ADDRESS: Gy e t6T"ol! Tep� Ak% ZONING: S LEGAL DESCRIPTION: Lot: Block: all Subdivision: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC—# Exp.Date: TYPE OF WORK: SIZEIVALUATION: ❑ Residential ❑ New Constr. ❑ Re-roof ❑ Stove SF. @$ /SF =$ ❑ Multi-family ❑ Addition ❑ M ve EI Garage SF @$ /SF. =$ 11 Commercial ❑ Remodel mo 1:1 Deck SF. @$ /SF._$ ❑ Repair ❑ Sign ❑ Other TOTAL VALUATION BRIEF DESCRIPTION OF THE PROJECT• �1Pi11/I'a � COMMERCIAL/RESIDENTL4,L: Occupancy Group: Occupant Load: Construction Type: No. of Stories:_ Lot Size: Existing Sq.Ft. &Proposed Sq.Ft. =TOTAL Sq.Ft. Total lot coverage % APPROVALS: PLANNING USE ONLY: PLAN: BLDG: DPWU: ESA/Wetland(s)- 1:1 Yes Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other: 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 maybe revised by the Building Division to comply with current fee schedules. Contact the Pernut 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 pernnt issuance. EXPIRATION OF PLAN REVIEW: If no pernut is issued within 180 days of the date of application,the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant(see Section R105.3.2 of the International Building/Residential Code,2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be fru correct I am authorized to apply for this permit and understand that It is my responsibility to determine what permits are required,not the City's nd t at I must o insuchpermits p ' r too work. T\RVESS\BLDG-forms-brochures\2003-Buildmgpermit wpd Applica P'OR-T , NGELES� �� ►.,�� WASH I N GTO N, U. S. A. PUBLIC WORKS & UTILITIES DEPARTMENT October 25, 2004 Wood Construction r � + 334 Sutter Rd. air= I Port Angeles, WA 98362 RE: Port Angeles Landfill Waste Disposal Application, WDA 04-27; Building demolition at 1720 West 10th Street We have received your application for disposal ofbuilding demolition debris from the referenced site. Based on the debris material-and a site visit, it appears to be acceptable for use in the ' landfill. A copy of your approved application is attached. This approved application must be shown to the landfill scale attendant at the time of disposal. Please be advised that this disposal application is only for the materials and quantities listed in the application. Materials not listed or in excess of the quantities noted may require separate applications and approval. Is. . .,u �x Please call if you have questions. Very truly yours, Gary W. Kenworthy,P.E. City Engineer Deputy Director of Engineering Services ' - GWK tf _3 y Encl WDA 0427 Copy Ken Loghry N TWMENGINEERMI)APPLI004-27 WPD t FILE Landfill Solid Waste Disposal Applications 1C 3 (�•., '`gyp i} ,.E y E 321 EAST FIFTH STREET • P O BOX 1 150 • PORT ANGELES, WA 98362-0217 PHONE 360-417-4805 • FAX: 360-417-4542 • TTY: 360-417-4645 E-MAIL pub1icworks@cityofpa.us A-- off- --1 w � 1 OF pORTgHC!_ A. v��� PORT ANGELES LANDFILL WASTE DISPOSAL APPLICATION To: City of Port Angeles, City Engineer Phone: (360) 417-4803 321 E Fifth Street FAX: (360) 417-4709 P.O. Box 1150 Port Angeles, Washington 98362 NOTE: All questions must be answered for waste to be approved. 1. Generator Information: Company Name: Mailing Address: Contact: Phone: Project Name: Project Location: x^72-o Avi9N�� tA AJ 2. Other Contacts (if applicable): Consulting Firm: Contact: Phone: Contractor Name: Contact: Phone: Laboratory: Contact: Phone: i City of Port Angeles-Landfill Waste Disposal Application Page - 1 3. Source of Waste: Check the appropriate box below and briefly describe the project, process, and/or cleanup that will or has produced the waste requiring disposal. Include the gasoline service station number (if applicable). CERCLA/MTCA Remediation Agency Contact: Independent Remedial Action UST Removal Unused Chemical Product Spill Other Source: 4. Waste Material Composition: (check all that apply and include percent of total) Soil % Foundry Slag Concrete/Asphalt % Dredge Sediments % Preserved Wood % (,LOCf1'Debris % Coal Ash % Other(list) r Wood Ash % /�,<OLCM[.-� ►2 1/�9(�• .rte-wIS NOTE: Total must aqua 100%. 5. Waste Material Contaminants: (check all that apply) Gasoline Metals Diesel Solvents Heating Oil PCBs Unused Motor Oil Used Motor Oil/Waste Oil Other Other Petroleum Product Unknown NOTE: Supply any MSDS information with application, if available. City of Port Angeles-Landfill Waste Disposal Application Page-2 1 V 6. Estimated Quantity of Waste for Disposal: t Cubic yards/ �Z7 Tons (estimate both) Drums / Tons (estimate both) Other NOTE: Estimated quantity for disposal must be within 20% of the quantity actually disposed. (10% for projects over 7,500 tons or 5,000 cubic yards.) 7. Frequency of Disposal: One time Monthly Annual Other i 8. Waste Sampling: Proper characterization of the waste for disposal requires the collection of representative samples. The methods and equipment necessary for obtaining representative samples of a waste, and the frequency of sampling, will vary with the type and form of the waste. Check the appropriate box and briefly describe how and where the waste was sampled. Include site maps with sampling locations if possible. Number of COMPOSITE samples & number of discrete samples per composite Number of DISCRETE samples NOTE 1: Unless prior approval has been granted by Port Angeles, the following sampling frequency will be used: 0- 25 cubic yards = 1 composite sample 25 - 100 cubic yards = 3 composite samples 101 - 500 cubic yards = 5 composite samples 501 - 1000 cubic yards = 7 composite samples 1001 - 2000 cubic yards = 10 composite samples >2000 cubic yards = 10 plus one sample for each additional 500 cubic yards NOTE 2: One composite sample shall contain a minimum of three/maximum of five discrete samples. City of Port Angeles-Landfill Waste Disposal Application Page-3 f 9. Waste Analysis: The "Dangerous Waste Regulations" (WAC 173-303) shall be utilized to determine the appropriate analytical requirements for waste characterization. Ecology Publication #91-30 (Revised April 1994) "Guidance for Remediation of Petroleum Contaminated Soils" shall also be used to characterize petroleum contaminated soils from UST releases. Submit all laboratory analytical results, QA/QC data, and Chain of Custody sheets along with this application. (NOTE: The laboratory must be accredited by the Washington State Department of Ecology.) a) List all analytical test methods used: b) Provide a narrative as to why the above analytical methods were selected: NOTE: Additional sheets attached: YES NO 10. Soil Classification: (**FOR PETROLEUM CONTAMINATED SOILS ONLY**) Based on the analytical data and Ecology Publication #91-30, the soil classification is: (check one) Class 1 Class 2 Class 3 Class 4 Calculated Hazard Index 11. Dangerous Waste Affidavit: Based on a review of the analytical test results, site history, and the applicable regulations, this waste /is classified as: (check one) f/ Neither Dangerous Waste (DW) nor Extremely Hazardous Waste (EHW) Dangerous Waste (DW) and Waste Code: Extremely Hazardous Waste (EHW) and Waste Code: City of Port Angeles- Landfill Waste Disposal Application Page-4 12. Certification: We, THE UNDERSIGNED, certify that this application is true to the best of our knowledge. All informati provided is correct and the enclosed analytical results represent the proposed waste mater' I t the best of our abilities. a eneratore i nature Printed Name 1 Company Date City of Bort Artgetes Approval. City Engineer 1 )--Z VOW Zi h) Approva &cpir tion{date N\POLICY P\1000_SW\1009_01.WPD City of Port Angeles-Landfill Waste Disposal Application Page-5 { Figure C.3 Problem Waste Disposal Acceptance Process Generator contacts CityGenerator completes CCEHD ex City of Port Angeles � City of Port Angeles,City of Port Angeles m forwards the generator a copy of and submits to City tl Engineer or designated CCEHD* requesting to the PALF WDA' (Anadirnent A WDA including 4 representative reviews dispose of problem to Waste Poli laboratory analytical WDA for completenen wastes at the PALF•. �) results and quality and accuracy. control information. City of Port Angeles Engineer,or City of Port Is the waste a petroleum designated representative signs WDA and forwards a copy to CCEHD for; Angeles Approves City sends an approval Yee "�� seai7 their review and authorization.. ��o�l' letter to the generator. Yes Upon receipt of the waste at the landfill, No the gats attendant No Varifie s that the quantity received is within 20%of the City notifies generator in witting of mason for disapproval and forwards quantity reported M the WDA (within 10% Written or verbal copy to CCEHD. Generator may NO resubmit WDA after addressing City for >75W tons or authorization of 5000 cy). rocarrod fromand a CCEHD concerns. Yes CCEHD ? 'CCEHD: Claliam Corinth Eviroiaaental Health Division PALF: Port Angeles Landfill WDA: Waste Disposal Application , i CITY OF PORT ANGELES ' LIGHT DEPARTI•MT ELECTRICAL PERMIT N? 16704 Port Angeles, Washington----•----------- ---------------------------- 1927 In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do elect 'c work as listed below. Address - - Occupancy---�-�==------------------------- o� l� Owner -•--------- a nt - - - (/ Wiring Contractor --% // - Ry------------------------------------------------------------------- VA Light Outlets----------- f _.._........ Service, volts -A-- _... Type of Wiring: Receptacle Outlets..../,,;. .............. No. wires .............._...................... Armored Cable ............................. Dryer, KW....................._.........----...... Size wires............. Pt.�....._..._I ,, on-Metallic ........................._....._ Range,KW----------....-----'---------------- Main fuse,!`"".-. . J.'ef'z'.. Knob & Tube._....._.........._'.......... ...--" ;'-----------../..... Rigid Conduit ............................... Water Heater: , Enclosure --------------------------------------- Metallic Tubing KW......-----...---------s.,....-------�_7_.__------ Type of wiring: Raceway .................................... Heat: KW.....}'1..,-=:! !'.....-P-4 - -.._... Entrance Cable........._.................. Circuits, Light................................. .._.. Motors: size, volts and phase: Rigid Conduit ............................... Utility --........................................... ........................................................... Metallic Tubing ........................... Heat ......................._......-----------.-... .............................. ........__------------- Current transformers: Range ............................................. No. & Size....................................... Water Heater ............................... ........................................................... Ser. No............................................... Motor .........---.................................. Ser. No.........................._................. Dryer..............................................__ .........................................................- Furnace-------.................. Ser. No.............................................. Total Lead----- ------------------- ww Ser. No.................._--------------------------- Total ............----------................. Remarks- ---------- -- is ...................................................... --- ------------------------------- -------------------- ---------------------------------------------------_--------•----------------------------------------------------- --------------- ---------------------------------------------- - - - - -------------•-- Permit Fee Tress. Receipt . X7 , f $--•-••--------•------------------_. No----------------------------- By - - I r •a--------------------- - NOTICE—Current must not be turned on until Certificate of Inspection has been issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N° 16704 Address .................................................................................................-.................................... Date..................................................._ Owner -----.........................................................._...............--........................................ Tenant.................................................................... WiringContractor...........................................................................................................*------------. Ry............................................................. �-- NOTICE--Current must not be turged\on untiq Certifigate of Inspection has been issued. If work is to be con- t sealed due notice must be given the Inspector so t}Iat worg may be inspected before concealment. 17 1 't IM Olympic Printers, inc. ( 2