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Home My WebLink About915 E 10th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor BURDICK JOHN C 25293 HIGHWAY 112 CLALLAM BAY Other Fees Fee summary WA 983269607 T \Policies \I 102_15 building permit inspection record05 wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00000287 844302 915 E 10TH ST 06 30 00 0 2 8376 0000 DAN BURDICK RES REMODEL RS7 RESDNTL SINGLE FAMILY 4000 OWNER Date 3/30/07 Permit BUILDING PERMIT RESIDENTIAL Additional desc INTERIOR REMODEL REROOF Permit pin number 97451 Permit Fee 123 75 Plan Check Fee 49 50 Issue Date 3/30/07 Valuation 4000 Expiration Date 9/26/07 Qty Unit Charge Per Extension BASE FEE 95 75 2 00 14 0000 THOU BL -2001 25K (14 PER K) 28 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 03/26/2007 02 42 PM SROBERDS The proposal does not result in structural addition only remodel No land use issues anticipated MAINTAIN CLEARANCES FROM SERVICE WIRES Any modifications to the City s electrical facilities will be at the customer s expense Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review STATE SURCHARGE 4 50 Charged Paid Credited Due Permit Fee Total 123 75 123 75 00 00 Plan Check Total 49 50 49 50 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 177 75 177 75 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating co .truction or the performance of construction (2diire,,/ y/z/ Signature of Contractor or Authorized Agent Date Signature of 0 er (if owner is builder) D ate BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS 0 CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO CODER, INSULATE OR CONCEAL ANY WORK BEFORE k N INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED I COMMENTS I FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS W ALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL/FLOOR CEILING MECHANICAL ROUGH -1N HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE /PELLET /CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING &HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -47:35 \'ES NO 1 FIRE 417-4653 I I I BUIL D N G DEPT 417 4815 CX al ill 1. 6 T \Policies \I 102 15 building permit inspection record0` wpd [1/4/2001] FINAL FINAL SEPA. ESA. SHORELINE: ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE i, DATE YES NO COMMERCIAL DATE I ACCEPTED YES I— NO Cb V\ it 01--2-7-2 perm �v� t, Dom. 1 n424(04 145- 154 bu■l. °0 sk'cn, T Forms /Building pivisloniN ores NOTES PREPARED 10/11/07 8 45 34 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/11/07 ADDRESS 915 E 10TH ST SUBDIV TENANT NBR DAN BURDICK CONTRACTOR PHONE OWNER BURDICK JOHN C PHONE PARCEL 06 30 00 0 2 8376 0000 APPL NUMBER 07 00000287 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 9/05/07 JLL BLDG FRAMING TIME 01 00 9/05/07 AP 09/04/2007 09 42 AM LPANGRLE DAN 461 0657 FRAMING REQUESTED AN INSPECTION BETWEEN 1 00 3 00 PM IF POSSIBLE 09/05/2007 04 22 PM JLIERLY BL99 01 9/05/07 JLL BLDG FINAL TIME 01 00 9/05/07 AE 09/04/2007 09 43 AM LPANGRLE DAN 461 0657 BLDG FINAL RE ROOF ONLY PORTION OF THIS PERMIT REQUESTED AN INSPECTION BETWEEN 1 00 3 00 PM IF POSSIBLE 09/05/2007 04 23 PM JLIERLY will final on remodel completion/j11 BLI 01 10/11/07 JLL BLDG INSULATION A, October 11 2007 8 33 22 AM 1pangrle DAN 461 0657 G INSULATION UPSTAIRS REMODEL g2.) COMMENTS AND NOTES PREPARED 9/05/07 9 10 52 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/05/07 ADDRESS 915 E 10TH ST SUBDIV TENANT NBR DAN BURDICK CONTRACTOR PHONE OWNER BURDICK JOHN C PHONE PARCEL 06 30 00 0 2 8376 0000 APPL NUMBER 07 00000287 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 9/05/07 BL99 01 9/05/07 BLDG FRAMING TIME 01 00 09/04/2007 09 42 AM LPANGRLE DAN 461 0657 FRAMING REQUESTED AN INSPECTION BETWEEN 1 00 3 00 PM IF POSSIBLE BLDG FINAL TIME 01 00 09/04/2007 09 43 AM LPANGRLE DAN 461 0657 BLDG FINAL RE ROOF ONLY PORTION OF THIS PERMIT REQUESTED AN INSPECTION BETWEEN 1 00 3 00 PM IF POSSIBLE w COMMENTS AND NOTES 1 StGa or_` co-y tut ir6,AA v_tyl-tp4) Applicant or Agent: Ruh►'Ck Owner 34Afte. Address: 91J E. 1 6°11 Architect/En /2921L 5e1g Contractor Address: PROJECT ADDRESS 9 /ri E LEGAL DESCRIPTION Lot: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. O'Residential New Constr Multi family Addition Commercial 'Remodel Repair Sign BRIEF DESCRIPTION OF THE gtot6M UFO I'rS (id* cc 3 lin 41-e_ <31:rudre.(toahIins COMMERCIAL/RESIDENTIAL. Occupancy Group. No. of Stones: n- Lot Size:1 'g x Existmg Sq Total lot coverage PLANNING USE ONLY T•\FORMS\B1dgPermitform.wpd Applicant: BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other State License City /0 PA- 1 Block: City Ft. Phone: Phone. Subdivision. STZF/VALUATION Z Re -roof Move Garage Demohtion Other PROJECT Phone: Exp Stove SF /SF SF /SF Deck SF /SF TOTAL VALUATION off' e wl "i!D 0360 L /57 /5 Zip 2 Phone: Date. FOR OFFICIAL USE 2INUY Date Rec. _p Permit 6 /Pate Approved: g ate Issued: Zip ZONING /P�S/Ja/ y oov (X/ I'd room (l Cbgefs, /1/) ilea c d lush modell 6f' e Occupant Load. Construction Type: Proposed Sq Ft. TOTAL Sq Ft. APPROVALS PLAN BLDG DPWU FIRE. OTAFR. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3.2 of the International Buildmg/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 and correct. I am authorized to apply for this permit and understand t it is my responsibility to etermine what permits are required not the City's and that I must obtain such permits prior to w V v a 1F .e /O --41Pr Nei Ativk Bearoovry A 11 10 2 7 r 1Z =y, 0: GIt>Se r r. a Yin/ ve t3 ed1 -oorrr CITY OF PORT A i 5 The Issuance of thi pc cations and other ata from thereafter re ;uiri plans, specificatiot s as building operations bei violation of all codes Approval Date ELES Construction Plans mit based upon these plans, spe ifi- hall not prevent the building official g the correction of errors in said d other data, or from preventing tg carried on thereunder when in nd ordinances of this jurisdiction. at�3 ;_1 c(.. iizc 1 t( S 04 zJ J Aff BAck. ReS0 e .12payrs Ref41 5 Moor &t Drawn IA) 8 3/ f 9t A DANIA Scale.. 111,,tiald Mc -1 Web CLS P-k 10-11) a, tAaAcS A eu) Li) a 1 i I 6 c xic.11 \hi P".,.._______,,,Ar■C\--‘ ow.- Ictukrntt v s/Ce;\ tf,N iti5is OA- s40,eare 1) pcit. Ce 0;1 Jodi e (epsi-./ wakt Y-61-1(41, pc,$.,Ats 3 15- Slvt. 4-- WALL- c- \MA) So kaik (60:kiot; vo,r.Mi& cc4 -7Y 11 lo Application Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor BURDICK JOHN C 25293 HIGHWAY 112 CLALLAM BAY WA 983269607 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc RES REMODEL (1 4 CIRC Permit Fee 48 10 Plan Check Fee Issue Date 1/12/05 Valuation Expiration Date 7/11/05 Qty Unit Charge Per Extension 1 00 48 1000 ECH EL -R OR RM 1 4 ALT CIRCUITS 48 10 Fee summary Charged Paid Credited Due Permit Fee Total 48 10 48 10 00 00 Plan Check Total 00 00 00 00 Grand Total 48 10 48 10 00 00 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 121 EAST 5TH STREET PORT ANGELES WA 98362 05 00000030 511270 915 E 10TH ST 06 30 00 0 2 8376 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 OWNER Date 1/12/05 00 0 .l N. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO COMMENTS ex ,ai dO 5 /a PW -I 102.15 0/961 Electrical Contractor Owner Annual Permit Alarm Carnival Commercial x Job wired by Electrical Contractor Owner Electrical contractor name Purchaser's mailing address City Telephone number 'Premises owner's name ,Joke- i�ukd Address of inspection City Pe/ Pf- /k J I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law Chapter 19.28 RCW /signature of owner, electrical contractor or electrical administrator Inspection Date WALLS Insulation Only Date r /3 [.•iover Date /3 -0 Appr Date Date p ed �y ed By Date Appr ved By J J Date ved By Electrical Load Additions and or NO LOAD CHANGES Cl Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW State ZIP FAX number lc subtractions License number CEILING THERMOSTAT Insulation Only Overhead Service Temp Service Underground Service Area, Building or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATION Request Inspection Residential Residential Maint. Signs Thermostat Telecom. \(Installation description 4 /4•r 4 ea s n y sQ G.ivGtsl /irn /i es; Jwy .4,1G 54 0 Cash L7 Check Credit Card Visa Mastercard Card Expiration Date of card DITCH Appr ed By Ins e'orr� fee/ 0 41 Date 7- Appr ved By Date Voltage Phase 1 3 Service Size: Feeder Size: Action Taken SERVICE FEEDER Discover Service Information Approved By Appr ved By Electrical ector Owner Contractor BURDICK JOHN C 25293 HIGHWAY 112 CLALLAM BAY WA 983269607 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 Application Number 07 00000288 Application pin number 143520 Property Address 915 E 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 8376 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 OWNER Date 4/04/07 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc OWNER/ UPSTAIRS REMODEL Permit pin number 97469 Permit Fee 46 00 Plan Check Fee 00 Issue Date 4/04/07 Valuation 0 Expiration Date 10/01/07 Qty Unit Charge Per Extension 1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS 46 00 Fee summary Charged Paid Credited Due Permit Fee Total 46 00 46 00 00 00 Plan Check Total 00 00 00 00 Grand Total 46 00 46 00 00 00 COMMENTS /ACTION NEEDED DITCH ROUGH -IN COVER SERVICE CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD PW-I 102.15 14961 I, Job wired by Electrical contractor name Purchaser's mailing address City Telephone number x State ZIP FAX number Electrical Contractor yr Owner License number Date Expires 'Pr ses owner's nam acnt y _T., bLI t�C.G( Addr ss of inspection /0 plii W cit Doti 44,16,aa /4,4 7 3 6 Phone number to kiedule inspection Owner as defined by RCW 19.28.261 (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. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation 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. /Siggature o owner Electrical Lo91i Additioi and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall 5 KW New contractor or electrical administrator Expiration Date Date 3 7 /6 7 .of card Overhead Service Temp Service Underground Service Up Sautrs SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360- 417 -4735 ROUGH -IN n THERMOSTAT Inspection Date FINAL X/�3 O7 PAR Z U Approved By Date Appr ed By j Date DITCH Area, Building or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATION '\(Installation description Commercial Residential f P.dl1 nr)e l i(tq U) 1) 1 4 J II ao CeCed ia€ w �Gl (65 a rl `T �XfrGS (,t l�G� Ohl 7 Cash Check Credit Card Card Appr ed By 7 Appr ved By Visa Mastercard Date Date Altered/Addition Voltage Phase 1 3 Service Size: Feeder Size SERVICE Action Taken Discover Inspection fee Service Information Appr ed By FEEDER Appr ed By Electrical Inspector ~ f pORT ~ "lO~~ ,. 'L ~ ~ "I.9i,,~ CffY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Applicat~on Number pin number .0417 Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 03-00000516 Date 1/10/05 ~~V~ 915 E 10TH ST 06-30-00-0-2-8376-0000- RES ADDITION Owner Contractor ----a~ 7;f?/o~ RS7 RESDNTL SINGLE FAMILY 8000 BURDICK JOHN C 25293 HIGHWAY 112 CLALLAM BAY OWNER WA 983269607 Structure Information Construction Type Occupancy Type Other struct info NEW 220 SF ADDNT. & INT. REMODEL TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE V-N HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE NUMBER OF UNITS 18.50 y 2.00 1320.00 7000.00 1500.00 10.00 - \J\ Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL RENEW EXPIRED PERMIT 88.37 plan Check Fee 1/10/05 Valuation 7/09/05 fT1 35.35 8000 - Qty Unit Charge Per Extension 46.37 42.00 o ).. <., ~ BASE FEE 3.00 14.0000 THOU BL-2001-25K (14 PER K) Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 54.25 plan Check Fee 5/28/03 Valuation 9/12/04 .00 o Qty Unit Charge Per Extension 47.00 7.25 BASE FEE 1.00 7.2500 ECH ME-VENT FAN Permit PLUMBING PERMIT Additional desc Permit Fee 54.00 plan Check Fee .00 Issue Date 5/28/03 Valuation 0 Expiration Date 9/12/04 Qty Unit Charge Per Extension BASE FEE 47.00 1. 00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 7.00 other Fees STATE SURCHARGE 9.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing thiS type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11114/2003] " ~ ~ORr ~ ~ "'O~~~ ~ha" '"- -==>f ~ ~"'~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Applicatlon Number pin number 03-00000516 Page Date 2 1/10/05 . . .0417 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 196.62 196.62 .00 .00 Plan Check Total 35.35 35.35 .00 .00 Other Fee Total 9.00 9.00 .00 .00 Grand Total 240.97 240.97 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T.\PLANNING\FORMS\l102.15 [1111412003] " BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGElDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALLlHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engmeenng DIvIsIOn) SEPARATE PERMIT #'s WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA PARKINGILIGHTING ESA: LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTIONRW IPWI CONSTRUCTION - R W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 ,,,/./ I(~ PLANNING DEPT. BUILDING 417-4815 II' /11/ 'fL7 I V tA-/ BUILDING " /'I'" I ( T.\PLANNING\FORMS\1102.15 [11/14/2003] :f~ORT"""" 8.J..o~~~ ,. L~ ~ ~C~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation 03-00000516 915 E 10TH ST 0630000283760000 RES ADDITION Date 5/28/03 8000 Owner Contractor BURDICK JOHN C 25293 HIGHWAY 112 CLALLAM BAY OWNER WA 983269607 Structure Information Construction Type Occupancy Type . . . . . Other struct info . . . . NEW 220 SF ADDNT. & INT. REMODEL TYPE V NON-RATED SINGLE FAM & CONGREGATES NUMBER OF UNITS 10.00 Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 176.75 Plan Check Fee 70.70 Issue Date 5/28/03 Valuation 8000 Expiration Date 11/24/03 Qty Unit Charge Per Extension BASE FEE 92.75 6.00 14.0000 THOU BL-2001-25K (14 PER K) 84.00 Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT ~ -- err 54.25 Plan Check Fee 5/28/03 Valuation 11/24/03 .00 o Qty Unit Charge Per Extension 47.00 7.25 ft, BASE FEE 1.00 7.2500 ECH ME-VENT FAN .. Permit Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT --- 54.00 5/28/03 11/24/03 Plan Check Fee Valuation .00 o a ~ Qty Unit Charge Per 1.00 7.0000 ECH BASE FEE PL- EA. FIXTURE ON ONE TRAP Extension 47.00 7.00 Other Fees STATE SURCHARGE 4.50 (i) :-t Fee swnmary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 285.00 285.00 .00 .00 Plan Check Total 70.70 70.70 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 360.20 360.20 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction 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 5'-;). fr -t> J Date T:IPLANNINGIFORMSll102 15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS ~-I'2.-n< J.t- WALLS C---,I";l 0').,. .1.1- FOUNDATION DRAINAGE ~,.~-o~ J. L ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT. # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN 0-1 C/-oJj J.).... WATER LINE ~,.,., ,0'3 \ L. GAS LINE BACK FLOW / WATER AIR SEAL WALLS Q-jq-O+ J.l CEILING I I FRAMING ~ Y"On1 II'l-(t /~JJ...J~s- J.L JOISTS / GIRDERS SHEAR WALL r;-=-!l. J -~}.l RIJ WALLS / ROOF / CEILING 1-:~ f- 0 J.) J .)., DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING 1'Z.-lCn>-J 1.....1 L. MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARA TE PERMIT #'s SEPA PARKING/LIGHTING ESA LANDSCAPING SHORELINE' FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R W. ENGINEERJNG 417-4807 PW / ENGINEERJNG FIRE 4 I 7-4653 FIRE DEPT PLANNING DEPT. 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T \PLANNING\FORMS\1 102.15 [4/2002] Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. !fyou have any questions, calJ (360) 417-4815 FOR OFFICIAL USE ONLY' Date ReC~. J ~--d5 -- I _^""':l Permtt #: '-'---J DateAPP~ Date Issued: BUILDING PERMIT - APPLICATION Applicant or Agent: \ Ib h 11 C R u v J~.i Owner: l.1Jh,,., C- + KC:'Y't Ijl'\. 13 f.Jvdu!~/k Address: q / 5 E / ~ ~ City: Architect/Engineer: s..d { Contractor <eo { t. (Jt'hn c. Address: tf'L; Ci. bt ,/l-. CI3. .. ~A 1/r Phone: 9b3-::J.l{ sf? / 71$7- IS-..s;-r I Phone: R,,,..., A 1'11~j..:.."S, Zip: 7~ '3~2 Phone: ~ 1361\1- {5v" ..J,/.jr State License #: 1511(DI c.)/<- Exp: City: Phone: Zip: PROJECT ADDRESS: QI4,- E; /1'J"77- ZONING: LEGAL DESCRIPTION: Lot.fr:bl'i- Block: P- f"3 SubdIvision: CLALLAM COUNTY PARCEL NiwBER: to 6 3~~O ft. f<~ ? 6 (()(!)fX) Credit Card Holder Name: Billing Address: Credit CardType VISA M~ # TVPEOFWORK: ". ".~,:, SIZENALUATION:..'....,.. ., llYResidential 0 NewConstr. .0 ;Re~roof 0 Stove 27.-0 SF..@$' 3~:of -/SF. ~$ ~.~ '" 0 Multi-farmly IiJ"J\ddition ~ "[J"M6;~;' '., 0 Garage ~F. @$": ,'.,.:' /SF. = $ o ..Conunercial ci Remodel. "~.Qe~~itioi1.: o~ Deck " SF. @ $._....~-','.. ""/SF. ;='$ o Repai~. '.:: 0 '~ign ; 0 Other .' .TOTA.Ly~.LJi~n9~L. . $ ,..,:, BRIEF DEScio:P1iCiJN ORml(PRoiECT, " , ":~~~l"""'~'!~" .....~A '( ~ .~/- 16z;~ ." : .' . ~~~ ' '~~~'':~4.- ,~,\? ___" __ ~ _ COMMERCIALIRESIDENTIAL~': 6~cup~cy Group: Occupant Load: ~:.'1C~nstruction Type: - '-It> lJ e ).I{ j) of No. of Stories: & Lot Size: ? ~ EXISting Sq. Ft. /3.7-& & Proposed Sq. Ft. .2 '?d, - = TOTAL Sq.Ft. / !7(}O Existing lot coverage I~. l{ % & Proposed lot coverage , ~ 1.. '1... % = T otallot coverage 18'. l. % L()1:;. ~o3...3 S"l ~h"_ . City: Exp. Date: APPROV AlLS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESA/WetIand(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BIDLDING 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 Coordmator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee IS due it must be submitted at the ttme the building permit application and construction plans are submitted. All other permit fees are due at the time of permit Issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applIcant up to 180 days upon written request by the applicant (see SectIOn 107.4 of the Umform Building Code, current edition). No applIcation can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T.\FORMSlAPPSlBm""""""" wpd Applicant ~ <-. ~ Date,:r -~- d ~ PREPARED 10/16/06, 9 44 41 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 915 E 10TH ST INSPECTION TICKET INSPECTOR JAMES L LIERLY BURDICK JOHN C 06-30-00-0-2-8376-0000- 03-00000516 RES ADDITION SUBDIV PHONE PHONE 8/14/03 8/14/03 8/14/03 8/14/03 8/25/03 8/25/03 2/19/04 2/20/04 3/15/04 3/16/04 5/26/04 XXXXXXXXXX 10/16/06 II JLL AP JLL AP JLL AP JLL AP JLL AP RV ~ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING FOL~DATION WALL BUILDING FOUNDATION FOOTING BUILDING FOUNDATION DRAINAGE TIME 17 00 BI2 01 BL1 01 BLFD 01 BL3 01 BLI 01 BL9 01 BL99 01 BUILDING FRAMING JOHN 963-2438 OR 457-1549 BUILDING INSULATION dan BUILDING SHEARWALL DAN BUILDING FINAL TIME 13 00 DAN 457 1549 THIS PERSON CLAIMS FINAL, THIS PERMIT WAS EXTENDED OF 06 10/16/2006 08.00 AM DYASUMUR HE SPOKE TO YOU FOR A ON JAN 05, AND EXPIRED JULY PAGE DATE 1 10/16/06 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 1/14/05, 12 56 10 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 1/14/05 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 915 E 10TH ST SUEDIV, PHONE PHONE . BURDICK JOHN C 06-30-00-0-2-8376-0000- 03-00000516 RES ADDITION ------------------------------------------------------------------------------------------------ PERMIT, BPR 01 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL3 01 t/14/05 JLL \ ,\oil \ & S- -f.\-y- BUILDING FRAMING JOHN 461--0657 CALL 15 MINUTES BEFORE INSPECTION SO OWNER CAN MEET YOU THERE -------------------------------------- COMMENTS AND NOTES -----------------------_______________ PREPARED 5/26/04, 13.26'41 CITY OF PORT ANGELES -------rNSPECTION TICKET- INSPECTOR ROGER VESS PAGE DATE 5 5/26/04 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 915 E 10TH ST SUBDIV PHONE PHONE . BURDICK JOHN C 06-30-00-0-2-8376-0000- 03-00000516 RES ADDITION PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BI2 01 8/14/03 JLL BUILDING FOUNDATION WALL 8/14/03 AP BL1 01 8/14/03 JLL BUILDING FOUNDATION FOOTING 8/14/03 AP BLFD 01 8/25/03 JLL BUILDING FOUNDATION DRAINAGE TIME 17 00 8/25/03 AP BL3 01 2/19/04 JLL BUILDING FRAMING 2/20/04 AP JOHN 963-2438 OR 457-1549 BLI 01 3/15/04 JLL BUILDING INSULATION 3/16/04 AP dan BL9 01 5/26/04 RV / BUILDING SHEAR WALL AP I<'v DAN -------------------------------------- COMMENTS AND NOTES ----------------------------__________ .-- PREPARED 2/19704~13 02 00 CITY OF PORT ANGELES INSPECTION-TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 915 E 10TH ST BURDICK JOHN C 06-30-00-0-2-8376-0000- 03-00000516 RES ADDITION PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 8/14/03 JLL 8/14/03 AP 8/14/03 JLL 8/14/03 AP 8/25/03 JLL 8/25/03 AP 2/19/04.l X:n :;2..\''\~'1 ~ -------------------------------------- COMMENTS BI2 01 BL1 01 BLFD 01 BL3 01 SUBDIV PHONE PHONE BUILDING FOUNDATION WALL BUILDING BUILDING FOUNDATION FOOTING FOUNDATION DRAINAGE BUILDING FRAMING JOHN 963-2438 OR 457-1549 ~\(L s~\ ?\J~b ~vJ AND NOTES ~ -- TIME 17 00 ~~ ~{J PAGE DATE 1 2/19/04 PREPARED 3/15/04, 12.15.09--- ---INSPECT.ION-TICKET CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY PAGE DATE 1 3/15/04 ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER 915 E 10TH ST SUBDIV PHONE PHONE BURDICK JOHN C 06-30-00-0-2-8376-0000- 03-00000516 RES ADDITION -------------------------------------------------------------------------~---------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BI2 01 8/14/03 JLL BUILDING FOUNDATION WALL 8/14/03 AP BL1 01 8/14/03 JLL BUILDING FOUNDATION FOOTING 8/14/03 AP BLFD 01 8/25/03 JLL BUILDING FOUNDATION DRAINAGE TIME 17 00 8/25/03 AP BL3 01 2/19/04 JLL BUILDING FRAMING 2/20/04 AP JOHN 963-2438 OR 457-1549 BLI 01 ~tf ~ ~~~LDING INSULATION ------------------{------------------- COMMENTS AND NOTES -----------------------------------___ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date e-2'5- 6> Time Received by Rt/ (phone, person) Location of Work to be inspected 9 t ,C;- E 10 'i L.1. Name of person requesting inspection Address of person requesting inspection Type of Inspe"o "rcle appropriate one): Phone No. Permit No. inal Sewer Excav. Other . Sew Foundation \ D r-t:<.' "" ~ e INSPECTION NOTES:,)... ---i_- Inspected: Date 0 / ~ / i)3 Remarks: $"1& Time~ ~ Bv-Bl RESTORATION REQUIRED. . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date t9 r- /11 I (J :3 I ~ Time ?!aU cr (5" E f 0 ih (JOA1 f3 u /d l(~_k Received by ~ A r./ (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of circle appropriate one): Se r Foundatio Framing Chimney Plumbing Final I SPE~OTE .-/ Inspected: Date Remarks: Phone No. J-fs7 1(~7-{ 9 Permit No. Sib Time Sewer Excav. Other BY~ RESTORATION REQUIRED . . . . .. YES NO ~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) J I r o ~ I o ' ~\ - COllc.ltte SI<J, - j J. I r I. ' I~ I I ill ii~:~<~~_ -. .bO bO "" -- " S ~ 1- :J't 1;: 0~ -,J F- .. v i= ... "- ~ <I: <:l t.. ~ gh ~I \.;JI .1 "';\ I , ;.. '"'< ~ ~i ; I cJ' " \ .. f' o " ~ J Lrl "" .I :-. ~ 1 ~-~S\ ~. ~ o I ~ - \ , J' --"-- , ---- C'1,. r- -- : 'i . \ '0 \ '" <. ! ~ -~ '0 i , I ~! I=-- I~ \ I -~~ '" 'v iJ ~~ I) . I ~ III bQU "",,'- ~ 1 -r- I I i I I I i j I I r I ef: ..", ~ '"" I I I I I I I i ~ I " ...<: VI "- -0 1 8 ~1 lrI ~ ~-~~:;- , if) ~, ',,~ 1-- t --1 1 '::1 ::' gl 3, I I i , I :: I F ~ ~ ~ i j I I ~; ":;:1 ~ r I l ! \ ~ <,-- ~ c- O '>- ~ , +1 01 '- ~ John C. & Karolyn Burdick 25293 Highway 112 Clallam Bay, WA 98326 Phone: 360-963-2438 Residence in Question: Owners: John C. & Karolyn Burdick 915 E. 10th Port Angeles, W A. 98362 Phone: 457-1549 Parcel # RP063000-028376-0000 Prop. Description: LT13EXCW40'and LTI4EXCE2' (Land DL283) PROJECT DESCRIPTION: MARCH 2003 1. We propose to remove the kitchen nook 5' by 8' existing on the west side of the structure, and the front entry porch roof and lattice work. 2. Then we would like to build an addition to the west side 10' by 22' . 3. In addition we would like to remove the west wall in the downstairs bedroom, which . is also the east wall of the stairway to upstairs, and remove the stair system. The removal of this wall would require a beam set in its place (to be engineered). 4 . We would like to remove a portion of the north wall of the existing kitchen, and set a beam in its place. (to be engineered). Sincerely, John Burdick ,"t ~t- 1 l , i I ~ j , , I I v'tp , I ' +- I i , I bit; , 1').:' 'b'ii' ~.J .,t,.... '\ t \ , C,{1-y' c~ ___eQrL&~gleg __, AppllCft-'/t'[)1I t=t=- () 3- CO ()()05/~ JOhn. &rt~t\J( _-.?-'~..If _(0 ti-, I PonJ\. Roo\- d- \Jo~t> ..IS'I_}'O'1 D,ClI.\Ytl. "o~3..~ c;A ~ 3(,o-L( 57-I1Jlf 9 ,/ ',/ /" 1/ , .A ,.' /// /~' // _ Q~~n; b" \~tlt:r\', - ~l' \"1 C'[ ~- __ . rJ..-..? 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I I I I I " I ~ ~ ~ I en I I I I I ..~.__Dl :~ ~ ~ J · t[ ~~\Q ~ :r- . . H" --.------------- -A. ..- I;:: Y'~' /- \,- 7 . \ / ..~; " Kn....t 1,~I"'5' t7t/F"R. dW) Il} a \ I I, Wl"'5 ___H.g,.y..Lh.1- Wi r:y.i41~ prt.J,e s Jc.B 1-J..7~oJ- 06." 'f 1-10 f}6e ;;) e~ If cJcJ f- ,- e -.,c '." ' l/" ," r~,' :,"! '7 /' /I;:--r '(l'" )f.. {( )V,- . {_ ~ ~~ d'~'~ J~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98162 ELECTRICAL PERMIT PERMIT NO. 6796 ISSUED: 11/05/1999 OWNER/APPLICANT DAN BURDICK 915 E. 10TH PCRT ANGELES, WA 98362 360/457-1549 ~ & CONTRACTOR ANDERSCN ELECTRIC pc BCX 1638 FCRKS, WA 98331 360/374-7515 PROPERTY LOCATION J/J "lIS- C /D T""- Lot: Block: D Long Legal Subdivision: Parcel No: ARCHITECT N/A , 98360-0000 360/000-0000 PROJECT INFO Project Type: RES. MISC. Cccupancy Type: Cccupancy Group: Electrical Heat: D Baseboard D Fumace D Heat Pump D Fan Wall Project Value: $0.00 Construction Type: SERVICE CHANGE Zoning Use: o KW o KW o KW o KW D Riser D ~ Overhead Service D Temp Service Underground Servi ce Voltage: 120,240 Phase: ~ 1 D 3 Service Size: 200 Feeder Size: 0 PROJECT NOTES CHANGE SERVICE, NO. ADDED LCAD FEES ASSESSMENT Service: Additional Feeders: Circuit Wiring: Temp Service: Misc Fee: TCTAL FEE: AMOUNT MID: BALANCE DUE COMMENTS/ACTION NEEDED $59.25 $0.00 $0.00 $0.00 $0.00 $59.25 $59.25 $0.00 .i \l9 7-(0 JJt. . /0 ...~S ~((~ ELECfRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO nrrr:H ~ Cl-IN ICUVhK 'Ir.E Ilk- /9"1 1;'ThTAT T T I GENERAL COMMENTS: PW-II02.1514'96l ELECTRICAL PERMIT APPLICATION FOR OFF1C!.A.L USE ONLY Dalc/Rec Permit/!: Dale Approved Dale Issued " The Electrical Permit Application must be filled out comoletelv. Please type or reprint in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 Owner or Elec. Contractor Agent: ,',v1">11 C c 6.),..-,J,,,,Je 6u I'd; ck Phone: --157- 1,';1 Fax: Property Owner: '-..\0 h f) Address: ~ '9 J :5 Phone: c:~"- Zip: ~3 3b2 13. ilJ7h... City: p/,V} I~""b> License #: Exp: Phone: Electrical Contractor: ()IA/Yl~"'-- Address: City: Zip: INSTAllATION WIRED BY: ~WNER Credit Card Holder Name: o ELECTRICAL CONTRACTOR Billing Address: City: Zip: Credit Card Number: Exp. Date: VISA: MC: <1,5 E. IO~ 'Sr;- , PROJECT ADDRESS: TYPE OF WORK: Check;ill that apply: 0 New 'W Alteration/Addition 9\Residential 0 Multi-family o Commercial 0 Mobile Home Sq. Ft o Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump Number of Circuits added or altered: 7 , o Low Voltage 0 Telecom. 0 Sign DESCRIPTION OFTHE ELECTRICAL PROJECT: k),r;", of Md,';',..... {/(e($Y..fo tld,p.,..,.,.,:f 030<>>Nr>':;'b) I I . , . . /,;;11- K..,,},,-. w^J.....-;',e<0 Moll ;HMI.c..-, Mil ~,;II"I.:, (~./,')' ee'lf./' -....o~ 'iiI''"''. 1/,0 <;.iO 4'/''!-- ((I'lOVlNb KI~ tl'llle ~01T1bN \ I j Electrical Heat Load Additions and or Subtractions Service Information <;-" s 1...dlt ~, 1 :t Z.;)~!- o Baseboard o Furnace o Heat Pump o Fan-Wall _KW KW TON_ LRA of;/> t KW /.2... K.0 IV - !oJ1 R.~ o Overhead Service o Temp Service o Underground Service Voltage: 1'1.0/ 'to!" " Phase: ~ f 0 3 Service Size: 1J>c Feeder Size: I hereby certify that / have read and examined this application and know that same to be true and correct, and / am authorized to apply for this permit. / understand it is not the City's lega/ responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. I ~- ~4, I (r III Owner or Elec. Cont. Signature: ( ./ /J rt!: l' /, 1-4 h~l.:lo 4 -/ND ~(,c+ vJ 'tile! tJ-n/ -=- +~JC5,2.o r-,2.:z:. I'J I . S I S PERMIT FEE: $ 1O ,.JO C:/ELECTRICALPERMITAPPLlCATION \ 1\-Jf;Z.- 6..-t;. 1~'3 -OLf Aco 10 · It. · ill r.-L-#L- Credit Card Holder's Signature: Date: Date: 1-I3-tJ! Application Number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation Owner BURDI CK JO HN C 25293 HIGHWAY 112 CLALLAM BAY Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total WA 983269607 Charged Signature of Contractor or Authorized Agent T\PLANNING\FORMS \l 102.15 11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 03 00000516 915 E 10TH ST 06 30 00 -0 2 8376 0000 RES ADDITION RS7 RESDNTL SINGLE FAMILY 8000 Contractor OWNER STATE SURCHARGE Paid Credited Due Date 2/02/04 Structure Information NEW 220 SF ADDNT INT REMODEL Construction Type TYPE V NON RATED Occupancy Type SINGLE FAM CONGREGATES Other struct info TOTAL t LOT COVERAGE 18 50 CONSTRUCTION TYPE V N HARD SURFACE AREA NUMBER OF STORIES 2 00 EXISTING LOT COVERAGE 1320 00 LOT SIZE 7000 00 PROPOSED LOT COVERAGE 1500 00 NUMBER OF UNITS 10 00 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 62 30 Plan Check Fee 00 Issue.Date 2/02/04 Valuation 0 Expiration Date 7/31/04 Qty Unit Charge Per Extension 1 00 46 7000 ECH EL -R OR RM 1 -4 ALT CIRCUITS 46 70 3 00 5 2000 ECH EL -R OR RM ALT ADDNT CIRCUITS 15 60 4 50 62 30 62 30 00 00 00 00 00 00 4 50 4 50 00 00 66 80 66 80 00 00 Separate'Pe"rmits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection. I -hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Si ature of Owner (if owner is builder) a :2- Date ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING FIRE PLANNING DEPT 417 -4807 417 -4653 417 -4750 BUILDING 417 -4815 T•\PLANNING\FORMS \1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING I I I ESA. LANDSCAPING I I I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 10.14.•444) ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT PLANNING DEPT 1 BUILDING I I I