HomeMy WebLinkAbout1419 Aurora Ct - Building LP
K*""ECE1VED "'
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CITY or, FORT ANGELES PERwT APPLICATION _
Building DivilsiouXlectrical Inspections MAY 3 1 2013
kk A
321 East Fifth Street—P.O.Box 115111 Port Angeles Washington,98362
Ph.-(360)4174735 Fax-(360)417-4711 ELECTRICAL
Date: o 3 1&2 Single Family Dwelling INSPECTIONS
'Flan RevlewMay eRequired lease Complete Etec!cal Plan Review Information Sheet
Job Address:
Building Square Footage:
Descrlpton of above
...........................
Owner Info.mat,on Contractor Information
Name,. 7 � U s4 NaMe: El4l!C*C&f
Mailing Address:_ZY& /+0 lee,1_'6� e"' Mailing Address: 0— A KeW
'T-7 - ? - _j1 n:_r
Clty:.� fr State: CRY: State: Rltj Zip:_41.9��
Phone: Fax: phom Fax:
Llcanseff/Exp. 7Aftw-'r
ern Unit Chame QtY Total(Qty Mult piled
Service/Feeder 200 Amp. $120.00
ServicelFeeder 201-400 Amp, $146.00
Service/Feeder 401-6GO Amp $205,00
Service/Feeder 601-1000 Amp. $262.00
Service/Feeder over 1000 Amp. $373.00
Branch Circuit W1 Solvire Feeder $ 5.03
Branch Circuit W/O Service Feeder $ 63.00
Each Additional Branch Circuit $ 6.00
Branch Circuits 1-4 $ 75.00 $
Tamp,Servicel Feeder 200 Amp. $ 93.00
Temp,ServicefFeeder 201-400 Amp. $110.00
Tamp,Sarvlce/Feeder 401-600 Amp. $140,00
Temp.SewiceiFeeder 601-1000 Amp $168,00
Portal to Portai Hourly $ 96,00 $
Signal Circuit)Urrited Energy-I&2 Family Dwelling $ $4.00
Manufactured Home Connection $120,00
Renewable Electrical Energy-5KVA System or Less $102DO
Thermostat 56.00
Note:$5,00 for each additional T-Stat
NEW CONSTRUCTION ONLY
First 1300 Square Ft, $120.00
Each Additional 500 Square Ft.or Portion of $ 40.00
Each Outbuilding or Detached Garage $ 74,00 $
Each$wimmlng.Pool or Hot Tub $110,00
Total
Owner as defined by RCW.1 9.28.261:(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 sald property is for sale,rent or iease.Permit expires after six months of last Inspection.
After reading the above statement,l hereby certify 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.,RCK Chapter 19.28,VVAG,Chapter 296A6B,The City of Port
Angeles Municipal Code,and Utility Spedificaltions and PAIVIC 14.06.050 regarding Electrical Permit Applications.
Signature of owner,electrical contractor or electrical administrator: ❑ cash 11 cbof*
❑X CmO Cold 1 811010112
ELECTRICAL PERMIT
CITY OF PORT ANGELES
360-417-4735
Application Number . . , , . 13-00000591 Date 6/05/13
Application pin number , , . 157246
Property Address . , , . , , 1419 AURORA CT REPORT SALES Tim(
ASSESSOR PARCEL NUMBER; 06-30-01-7-5-0090-0000-
Application type description ELECTRICAL ONLY on your excise tax form
Subdivision Name , , . . .
Property Use . to the City of Port Angeles
Property Zoning . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation . . . . 0
Owner Contractor
------------------------ ------------------------
DEANNA G BOTERO EXTRA MILE TECH & ELECT_ LLC
1419 AURORA CT 418 N. RACE ST,
PORT ANGELES WA 98363 PORT ANGELES WA 98362
(360) (360) 457-0198
Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL
Additional desc �--
Permit Fee 68.00 Plan Check Fee 00
Issue Date . . . , 6/05/13 valuation 0
Expiration pate 12/02/13
Qty Unit Charge Per Extension -------
1.00 5.0000 ECH EL-ECH ADDNT BRANCH CIRCUIT 5.00 -
1,00 53,0 000 ECH EL-R- BRANCH CIR WO/ 8k'R FEED 63.00
Fee summary Charged Paid Credited Due
Permit Fee Total 68,00 68,00 ,00 .00
Plan Check Total .00 .00 .00 ,00
Grand Total 68.00 68.00 .00 .00
..4r
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH-
SERVICE
ROUGH-IN
FINAL I
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION
Signature of owner or Electrical Contractor.X Date:
G:IEXCHANGEIBUILDING
vo/ctsfcu Id r �unn1 r•nx
10VVV I/UVVL
City of Port Angeles Permit Applicatfoo poxr,
9uilding DivisloniEloctrical Inspecklons
321 East Fifth Street-P,O,Sox 9150
Port Angeles Washington,98362 `
Ph;(360)417- 735 F :"(360)411-4711
Date:
MAY l�v
4&2 Single Family Dwelling
�1 �r
_Mulii-Family or Commercial, ELEaRICA,
ComlxereW Addition l Alteration 1 Remodel/RepW #NSPECTIONS
R Plan Review May 8e Requlred,Ole Be Corr let&El ctrica Plan Review Information Sheet
Job Address:
Building Square Footage: C °` CO `� ...
Desorlpllon of above I'N��a((ate'd►� o�`
La
owner Inform lion Contraetar IMorrnall n
Name_ 2CLr.rna Name:
Maili Addros ; r��Cou
City: O fate Gl -=1�-0.%k rt Mailing dress; -
- ZiP: 3 City:Phone: I Fax; $tale: Zip:`9
License#I Exp, Phone: Fax:
Licenso#l Exp,
$119.90 r Total(Q(y Multi lied n't Char e
$145.50 $ ServlcelFeedQr200 Amp
$204.60 —"— $ SelvieelFeader 201-400 Amp.
$262,20 — $• - ServlcelFeeder401-600 Amp.
$37150 $ SMv1ce1Fee0er 601.1000 Amp.
$ 2,60 $ ServicelFeederover1000Amp,
$ 73.50 $ Branch Clrcuit W1$ervice Feeder
$ 2.60 - $— _9ranch Circuit WIG Servlce Paader
$ 92,70 $ EACh Additicnai Branch Clrcult
$110.30 $ Temp.Serotoe!Feeder 200 Amp,
$148.70 $•..—Temp.ServlcolFeadW 201.400 Amp,
$167 90 — — $•.- Temp,ServimlFeader401-600 Amp.
$ 95,90 - $_ .—Temp.ServicelFaeder601-1000Amp,
$ 88,20 $ .`POMI to Portal Hourly
$ 9520 $ SIgn/Outtrne Lighting
$ 63.90 $ Signal ClrcuiY Limited Energy-Commerclal.Additional 1500$5.00
$ 63.90 $ Signal Circuit/Limited Energy•1&2 Family Dwelling
$119-90 — $_.... Signal Circuill Llmfled Energy-Multi-Family Dwelling
$102.30 — — $ Manufactured Home Connection
$110.30 $— Renewable Elec(rical Energy-5KVA$yslem or Less
$ 35.20 $ Ffmt 1300 Square Ft.
$ 73,50 $ Each Addilional 50D Square Ft,or portion of
$110.30 $ Each Outbuilding or Detached Garage
$ 56.OD j'— $ Each SWIMmIrg Pool or Hot Tub
$ °Thermostat
$ DTotal
OW06ras dallned by RCWIP-29.261: 1f)Owner will occupy the structuro for rwoysara after rhfa erectrlcel permltls llnellzed,{2)Owner requed to hire an re
eractrlcal cdntcfor if
ahova saki property 15 for sale,rent or ledge.Permit expires altar six months of lastln9pecrioe, ls ir
After reading tho above statement,l hereby certify that i am the ovrner of the above named property or a licensed eloctrlcai contractor,I am making the aleetrioal installation or
alteration In compllance'wlth the eloctrlcal laws,N.E.C.,RGW.Chapter 1018,WAG.Chapter 296.466,The Ciry of Pork Angeles Municipal Code,and Utlllty SpacJfleations.
Slgnatura of owner,electrical contractor or electrical administrator
El Cash
Credit Card#_
ELECTRICAL PERMIT
CITY OF PORT ANGELES
C7'
360-417-4735
Application Number . . . . , 13-00000571 Date 5/29/13
Application pin number 137.942
Property Address . . . . . . 1419 AURORA CT
ASSESSOR PARCEL NUMBER: 06-30-01-7-5-0090-0000- REPORT SALES TAX
Application type description IALECTRICAL ONLY on your excise tax form Subdivision Name . . . . . .
Property Use . , . , . . . . to the City of Port Angeles
Property Zoning . . . . . , , R39 RESDNTL SINGLE FAMILY (Location Code 0502)
Application valuation 0
Owner Contractor
DEANNA G BOTERO DAVE'S HTG & COOLING SRVC INC
1419 AURORA CT PO SOX 413
PORT ANGELES WA 98363 PORT ANGELES �WA��^r 98362
------------------------------------------------------
---- 3601 -----------.----(3601 ------39--U( 107/ -
Permit . . . . , . ELECTRICAL ALTER RESIDENTIAL }}! i 7 4C�
Additional desc .
Permit Fee 56,00 Plan Check Fee 00
Issue Date . . . . 5/29/13 Valuation , , , . 0
Expiration Date , , 11/25/13 e..
Qty Unit Charge Per Extension
1.00 56.0000 ECH EL-LVT-THERMOSTAT 56.00
----------------------------------------------------------------------------
Special NoteH and Comments
May 29, 2013 10,39:28 AM handers.
OK
°__°-------------------------°_--------- -__-----------------...-_- -----
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 56.00 56,00 .00 00
Plan Check Total .00 00 .00 ,00
Grand Total 56,00 56.00 .00 .00 v
INSPECTION TYPE DATE: RESULTS: INSPECTOR:
DITCH
SERVICE
ROUGH-IN
FINAL
COMMENTS:
PERMIT WILL EXPIRE SIX(6)MON'T'HS FROM LAST INSPECTION
Signature of owner or Electrical Contractor X Date:
GAEXCHANGEII ILDING
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BUILDING DIVISION
CITY OF PORT ANGELES
* *
Correction. Notice
Job Located at ~ I q kveoli?A G-
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
~ /xk7#f'1V L })U'?' IIZtJJ4-7 j;f//'II:Jl4-;7;;.!
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These corrections must be made and are not to be
covered until reinspection is m~. w~ corrections
have been made, please call 17- Ie
for inspection. ;U~
Date ( )...-J l) 7 )')fJ7 3
Inspector for Building Division
DO NOT REMOVE THIS TAG
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BUILDING DIVISION
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Job Located at 14'!tJ #ARJO#1J- Cr
Inspection of your work revealed that the following is
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for inspection.
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I Inspector for Building Division
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DO NOT REMOVE THIS TAG
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CITY OF PORT ANGELES.
FIRE DEPARTMENT PERMIT
321 East 5th Street, Port Angeles, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000963 Date
584605
1419 AURORA CT
06-30-01-7-5-0090-~000-
LOT 9
RES NEW SFR
4/27/06
RS9 RESDNTL SINGLE FAMILY
210170
Owner
Contractor
OLYMPIC LAND DEVELOPMENT INC.
259403 HWY 101
SEQUIM WA 98382
(360) 457-7222
Other struct info
WANT ACTION CONSTRUCTION
P. O. BOX 1425
SEQUIM
(360) 681-3992
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
INC.
WA 98382
28.00
1. 00
9024.00
2529.00
1. 00
Permit FIRE SPRINKLER RESID
Additional desc
Permit pin number 75671
Permit Fee .00 Plan Check Fee .00
Issue Date 4/27/06 Valuation 0
Expiration Date 10/24/06
Special Notes and Comments
Building address sign -shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
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.
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
10/25/2005 01:08 PM SROBERDS -- The proposal will result
in a new sfr w/attached garage for total lot cove age of
28%. NO occupancy will be issued until road and utility
improvements have been installed and approved.
Electrical load calculations and elctrical permits are
required.
Electrical connection fee required of $222.00.
10/19/2005 11:46 AM GMCLAIN ----------------------------
Ditches & 12" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
~
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This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examimrl this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
th provisions of any state or local law regulating the work specified in the permit.
/) -S
Signature of Owner (if Owner is builder)
Date
....
FIRE PERMIT INSPECTION RECORD
Call 360-417-4655 for fire 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
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough-in inspection
.. . .
Alarm final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test Test #1
Above ground piping inspection/pressure test Piping pressure test psi
Time initiated
Tank (container) inspection Test #2
Appliance inspection Piping pressure test psi
Time initiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OrnER (specify)
permit final
Inspection Type
I Date Passed I
Comments
GENERAL COMMENTS:
2/15/00
.I '
CITY OF PORT ANGELES.
FIRE DEPARTMENT PERMIT
321 East 5th Street, Port Angeles, W A 98362
Application Number . . . . . 05-00000963
Application pin number 584605
Page 2
Date 4/27/06
------------------------------------------------------~---------------------
Special Notes and Comments
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
RES UNDERGRND SERVICE FEE
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
222.00
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total .00 .00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1996.50 1996.50 .00 .00
Grand Total 1996.50 1996.50 .00 .00
This penn it becomes null and void if work authorized is not commenced within 180 days, if work is suspended or
abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with
180 days from the last inspection. I hereby certify that I have read and examimrl this application and know the same to be
true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied
with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel
the provisions of any state or local law regulating the work specified in the penn it.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if Owner is builder)
Date
....
\.
FIRE PERMIT INSPECTION RECORD
Call 360-417-4655 for fire 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.
FIRE SPRINKLER
Underground piping hydrostatically tested
Underground piping flushed
Interior piping hydrostatically tested
Interior piping inspection
Dry system air tested at 40 psi (24 hours)
Sprinkler final
FIRE ALARM
Rough-in inspection
.. . .
Alarm final
LP-GAS Completed by Contractor:
Underground piping inspection/pressure test Test #1
Above ground piping inspection/pressure test Piping pressure test . psi
Tank (container) inspection Time initiated
Test #2
Appliance inspection Piping pressure test psi
Time initiated
LP-gas final
UNDERGROUND STORAGE TANK (UST) ABANDONMENT
Removal of flammable/combustible liquids
Tank appropriately abandoned
UST abandonment final
PERMIT OTHER (specify)
permit final 10 17.';:; ~f7 kP
, ,
Inspection Type
I Date Passed I
o
~,
\
...t:>
~
W
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
Comments
~
~
~
~
~
~
GENERAL COMMENTS:
2/15/00
~
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site piau MUST BE
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: \,~c. Q.V\.. + IL Phone:
Owner: \Pc... ""- + A c.. ..{...) CJ '-"' Co '-1 .s i,r . Phone:
Address: tp.. 0 _ 11 ax II-I '2.. r City: S.e.?- l.-t ,\ VV\..
'-t~<--IS87
Ge,- J9c; <-
Zip: CZ~.:U~,2-.
Architect/Engineer: Phone:
Contractor!IYNtJIIAr~/J F( jJ..{: State License #:,wpdllr.JOlfl./ rJ 4xp: ~/o 7 Phone: LJS2 -7S&5
Address: fJ I )/fl-'-" 1/ ottJ.eL.., L__ City: 1).{)V'-f A'-jJllrlJ' Zip: 9.tJ (02.
PROJECT ADDRESS: I if /9 ,i).c.-,.,/Or7C{ C .f.. ZONING:
LEGAL DESCRIPTION: Lot: Block: Subdivision:
CLALLAM COUNTY PARCEL NUMBER:
TYPE OF WORK:
}J(Residential 0 New COliStr. 0 Re-roof 0 Stove
(0 "Multi-family 0 Addition 0 Move 0 Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT: f- l~ v ~
SIZE/VALUATION:
SF. @$ /SF. = $
SF. @ $ /SF. = $
SF.@$ /SF.=$
TOTAL V~UATICfIj $ 22...dO. ec
SJ? ",., l.<f Ie..v- -J 7 ~~ -i.e ~
COMMERCIAL/RESIDENTIAL: Occupancy Group:
Occupant Load:
& Proposed Sq. Ft.
Construction Type:
No. of Stories: Lot Size:
Total lot coverage
Existing Sq. Ft.
= TOTAL Sq. Ft.
%
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlW etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other:
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Pennit
Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building pennit application and construction plans are
submitted. All other pennit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: Ifno pennit 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
Rl 05.3.2 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 and correct. I am authorized to
apply for this permit and understand that itis my responsibility to determine what permits are required ,not the City's, and that I
must obtain such permits pri~r to wort- "-
T:\FORMS\BldgPermitform.wpd Applicant: ~,4, &+- Date: "-/ /~/t;~
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BUILDING DIVISION
CITY OF PORT ANGELES
* *
Correction Notice
',-
Job Located at ---41l9 ~ 4-
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
_\0 ( t\yJd> GA.! D Vr/ L/ firu'~I(/),
f;-:t- WITIf I.Ahi'.:;z - ~ /H-L
These corrections must be made and are not to be
covered until reinspection is ml' Wh,i; corr~tions
have been made, please call "7 - ,4 I(
for inspection. ~V
Date ~/? ~.
, Inspector for Building Division
DO NOT REMOVE THIS TAG
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
Owner
05-00000963 Date 12/27/05
584605
1419 AURORA CT
06-30-01-7-5-0090-0000-
LOT 9
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
210170
Contractor
OLYMPIC LAND DEVELOPMENT INC.
259403 HWY 101
SEQUIM WA 98382
(360) 457-7222
Other struct info
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
WANT ACTION CONSTRUCTION
P. O. BOX 1425
SEQUIM
(360) 681-3992
TOTAL t LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
INC.
WA 98382
28.00
1. 00
9024.00
2529.00
1. 00
PUBLIC WORKS RES WATER SERV
3/4" DROP IN WATER METER
62992
195.00 Plan Check Fee
12/27/05 Valuation
6/25/06
.00
210170
Qty Unit Charge Per
1. 00 195.0000 EA PW W/M SFR 3/4"
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Extension
195.00
RIGHT OF WAY
62976
50.00
12/27/05
6/25/06
Plan Check Fee
Valuation
.00
210170
Qty Unit Charge Per
1.00 50.0000 ECH RIGHT OF WAY PERMIT
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Extension
50.00
SANITARY SEWER HOOK UP
62984
110.00
12/27/05
6/25/06
Plan Check Fee
Valuation
.00
210170
Qty Unit Charge Per
1.00 110.0000 EA SAN SEWER HOOKUP
Extension
110.00
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
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 atter 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
const~. ~ LJ / /1 _
f!t{~ 0(- ~ /2--7-05
Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T:\Policies\1102.15R [1/05]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO r:O~ER, ~
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 I METER
SEWER CONNECTION
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRIVEWAY APPROACH
BACK-FLOW DEVICE I
I I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Policies\1102.15R [1/05]
:f ,ORT ~
ctO~~~
..
if .
~ --
~,,~
CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, W A 98362
Application Number . . . . . 05-00000963
Application pin number 584605
Page 2
Date 12/27/05
Special Notes and Comments
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
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.
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
10/25/2005 01:08 PM SROBERDS -- The proposal will result
in a new sfr w/attached garage for total lot coveage of
28%. NO occupancy will be issued until road and utility
improvements have been installed and approved.
Electrical load calculations and elctrical permits are
required.
Electrical connection fee required of $222.00.
10/19/2005 11:46 AM GMCLAIN ----------------------------
Ditches & 12" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 355.00 355.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 2129.50 2129.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.15R [1/05]
PERMIT INSPECTION RECORD
CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO i;OVER,
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
PW UTILITIES (Engineering Division)
WATERLINE I METER I
SEWER CONNECTION I
SANITARY
STORM
SITE DRAINAGE
SITE EROSION CONTROL
PARKING
SIDEWALK
CURB & GUTTER
DRlVEW A Y APPROACH
BACK-FLOW DEVICE
I
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
CONSTRUCTION R. W. I PWI CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW I ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PoliciesIII02.15R [1/05]
~ pORT ~
tI.O~~~
~-
< ~~
''It;:7~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
property Use
property zoning . . .
Application valuation
05-00000963 Date 12/27/05
584605
1419 AURORA CT
06-30-01-7-5-0090-0000-
LOT 9
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
210170
Owner
Contractor
OLYMPIC LAND DEVELOPMENT INC.
259403 HWY 101
SEQUIM WA 98382
(360) 457-7222
Other struct info
WANT ACTION CONSTRUCTION
P. O. BOX 1425
SEQUIM
(360) 681-3992
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
INC.
WA 98382
28.00
1. 00
9024.00
2529.00
1.00
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
63677
1638.85
12/27/05
6/25/06
Plan Check Fee
Valuation
655.54
210170
Qty Unit Charge Per
Extension
1017.25
621. 60
BASE FEE
111.00 5.6000 THOU BL-100,001-500K (5.60 PER K)
Permit ELECTRICAL NEW RESIDENTIAL
Additional desc
Permit pin number 63693
Permit Fee 36.40 Plan Check Fee .00
Issue Date 12/27/05 Valuation 0
Expiration Date 6/25/06
Qty Unit Charge Per Extension
1.00 36.4000 EC EL-LOW VOLTAGE 36.40
-
'B"\S
~
t:
t5
~
Permit MECHANICAL PERMIT
Additional desc
Permit pin number 63685
Permit Fee 90.70 Plan Check Fee .00
Issue Date 12/27/05 Valuation 0
Expiration Date 6/25/06
Qty Unit Charge Per Extension
BASE FEE 47.00
1.00 14.7000 ECH ME- INSTALL 100- FAU 14.70
4.00 7.2500 ECH ME-VENT FAN 29.00
Permit . . . .. PLUMBING PERMIT
Additional desc . .
Permit pin number. 63701
q
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
con$iiLJ~ r2-7-<JS~
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
.f-.p.... ""t ·
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB ..,..~ 1 (, ,.
,
WI' IL'mqf"~ I T
WALL/FL
MECHANICAL ~-
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL.lNSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Po1icies\1102_15 building permit inspection record05.wpd [1/4/2005]
ff'ORr~
~~O~<..
~,.~-
~.-=..r
~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll.DING DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Application pin number
permi t Fee
Issue Date
Expiration Date
Page
05-00000963 Date
584605
146.00 Plan Check Fee
12/27/05 Valuation
6/25/06
2
12/27/05
.00
o
Qty Unit Charge Per Extension
BASE FEE 47.00
10.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 70.00
1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00
1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00
1. 00 7.0000 ECH PL- EA. WATER HEATER 7.00
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36.050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
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.
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
10/25/2005 01:08 PM SROBERDS -- The proposal will result
in a new sfr w/attached garage for total lot coveage of
28%. NO occupancy will be issued until road and utility
improvements have been installed and approved.
Electrical load calculations and elctrical permits are ~ ~: ~
required.
Electrical connection fee required of $222.00.
10/19/2005 11:46 AM GMCLAIN ----------------------------
Ditches & 12" culverts will be installed to City Stanards.
See Public Works Engineering for Standards.
Sanitary sewer connection inspection is required by
Public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745.00
4.50
1025.00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 1911.95 1911.95 .00 .00
Plan Check Total 655.54 655.54 .00 .00
Other Fee Total 1774.50 1774.50 .00 .00
Grand Total 4341.99 4341.99 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
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BUILDING PERMIT INSPECTION RECORD
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CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417-4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE
INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
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INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
, FOUNDATION:
'L FOOTINGS f7/7 7.,-~ I ()~ J(,,{, '?~- 4-/{f;b~ :r~
~ WALLS ~~ t llf f 0,," cJ"lL-
FOUNDATION DRAINAGE / DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR / SLAB .
ROUGH-IN -wi b It:& r/0
WATER LINE (METER TO BLDG) -vl-vlo c.- I~ FINAL .1)..1 ) '}oJ ~ b DATE
GAS LINE r~ ACCEPTED BY:
BACK FLOW / WATER # I
AIR SEAL I
WALLS t; It fOe:, TZu'
-,- I
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR W ALLlHOLD DOWNS I
WALLS / ROOF / CEILING ~/O~ 7k.-.-
DRYWALL (INTERIOR BRACED PANEL ONLY) IJ /z,.f/,/~, jlv
T-BAR
INSULATION
SLAB J I
WALL / FLOOR / CEILING .5 jCf'j4 C. I Z--L---I
MECHANICAL
HEAT PUMP/FURNACE/DUCTS
GAS LINE FINAL I fJ-f~h DATE fJ RJ
WOOD STOVE / PELLET / CHIMNEY ACCEPTED BY:
COMMERCIAL HOOD / DUCTS
MANUFACTURED HOMES
FOOTING / SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINAL.lNSPECTlONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 B!.c?SP6 Bw ELECTRICAL
LIGHT DEPT
CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 11/ FIRE DEPT.
PLANNING DEPT. 417-4750 1/ /8 PLANNING DEPT.
BUILDING 417-4815 rJT /J~ } Iii BUILDING
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BUILDING PERMIT - APPLICATION ~lcRec.:q-30~cO,-~
/ Pennil #03- q ~:P ,
Fill out CO Ml'LET" EL Y and in INK. \' our application and site plan MUST BE ;'. Dale APPro\~'ed: 1,,1
COMPLETE to be accepted for review. If you have any questions, call ';1 i
PERMITS (360) 417-4815 FAX(360)417-4711 ). ale Issued: ~ ~
Block:
Phonc: 3Ceo ( 8'OCf - o(~(-/
Phone: L{:5 7- 7 :<~ ..2..
Zip: crt 32J-1
Phone: 3LPO/ 8'oei -o<lf./ S
I /.7-7 / t>(~Phone: &t I - J (9 ~
Lt.J~ Zip: Cf'ls8'L
ZONING: 7?~9
Subdivision: Oly mplL Neiq hf S.
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IJA
Applicant or Agent: k6-t1 1f.oc<..c1s
or Y YltftG-- L~Lncl Oeue(Q{D~/I'l f
Address: p.O. t)Oy SeJS City: (~s.ho/")
Architect/Engineer: :>'( r.
U?LFl r.. .' W ,~ ;;z{t: r
Contractor.11.chon Co/{ sfrt<Chi:Ys>.ate License #: qq 2. B .~ Exp:
Address: f. O. 66~' Itf2:5 City: S'~f'U-/rr,
PROJECT ADDRESS: /Lf! q AUfZ)rtL (~t
LEGAL DESCRIPTION: Lot: #- '1
Owner:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Bolder Name:
Billing Address:
Credit Card Type VISA MC #
TYPE OF WORK:
')d Residential ~ New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
devc{Oft11~K1- of ,~
COMMERClALIRESIDENTIAL: Occupancy Group:
No. of Stories: 1- Lot Size: f 0 2tf Existing Sq. Ft. 6
Total lot coverage ;;:z..f
City:
Exp. Date:
SIZEN ALUATION:
~SF.@$ too /SF.=$
~SF.@$ .']0 /SF.=$
ji'O SF. @ $ c2t) /SF. = $
TOTAL VALVA TION
est'
Occupant Load: Construction Type:
& Proposed Sq. Ft. .2'5;:lCf = TOTAL Sq. Ft. ..2 5.2.. '7
%
AFPROV ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLA]\'NING USE ONLY:
ESAfWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the 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.
EXPIRA TION 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 Rl 05.3.2
of the International BuildingfResidential 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 that it is my responsibility to determine what permits are required ,not the City's, and th I must obtain such permits prior to work.
. ~ Date: tft5a/as
Applicant:
T:\R VESS\BLDG- fonns.brochures\2003-Buildingpennit. wpd
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240'
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'Vashington State Energy Code
Plan Review Checklist
Applicant please Check, write in N/A or fill in value on boxes or lines.
Project Address: ILlI q
A Lu-V ,.. a..... e:i- .
Compliance Approach: ( check one) 0 Systems analysis
o Component performance xPrescriptive path
HEATING SYSTEM
o Zone Heating X Electric Fumace
DHeat Pump
FOUNDATION PHASE
o Slab R- _ Exterior down to frostline/slab bottom; interior 24" horizontal or vertical; or, If radiant under entire slab
o Below grade exterior wall insulation: R- _ (If interior -see Insulation Phase)
FRAMING PHASE
'R'Standard 0 Intennediate 0 Advanced
~ Standard air seal: sole plate/sub floor; rim joist; window & door frames; wires, plumbing, ducts, light fixtures
~Source specific exhaust fans: bath & laundry(50 cfm) kitchen(100 cfm)
Ji1 Whole house exhaust fan _ cfm intermittent system has manual & auto controls: Outdoor air supply reg. for habitable rooms
or
o Integrated forced -air system, fan _ cfm, outside air duct(with motor damper) allowing .35 and .5 ACH
INSULATION PHASE
o R-;U Wall insulation(above grade)
o R-.JJ Wall insulation(below grade): Interior wall insulation
o R- 3Q. Floor insulation
o R-~ Ceiling insulation: Including attic hatch
o R - ~ Vaulted Ceiling insulation
o Vapor retarders: Walls, Ceiling: 0 4 mil poly .M'Pem1 rated paint Dkraft faced barts
o Vapor retarders: Floors: 0 4 mil poly Dkraft faced batts
!W Ground cover: 6 mil Black polyethylene, 12" lap at joints & extending to foundation wall
T;\ROGERIBLDG_FORMS-BROCHURES\ENERGYPLANREVIEW
Over: Fill in back side also.
WINDOW GLAZING
Please fill out window information, inclued skylights, glass doors, and all other glazing on this form. Use rough opening area for calculations.
SIZE
QUANTITY
AREA
U-VALUE & MANUFACTURER
Total glazing area:
Total conditioned floor area:
Percentage of glazing:
DOORS
List doors by type(solid core, insulated, Etc.)quantity, U-value, and Manufacture.
SIZE
QUANTITY
AREA
U-VALUE & MANUFACTURER
T:\ROGER\BLDG-FORMS-BROCHURESIENERGYPLANREVIEW-2
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 EAST 5TH STREET. PORT ANGELES. WA 98362
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Application Number
Appl~cation pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr, name
Applicat~on type description
Subd~vis~on Name
Property Use
Property Zoning .
Appl~cat~on valuat~on
05-00000963 Date
584605
1419 AURORA CT
06-30-01-7-5-0090-0000-
LOT 9
RES NEW SFR
RS9 RESDNTL SINGLE FAMILY
210170
Owner
Contractor
OLYMPIC LAND DEVELOPMENT INC.
259403 HWY 101
SEQUIM WA 98382
(360) 457-7222
Other struct info
WANT ACTION CONSTRUCTION
P. 0 BOX 1425
SEQUIM
(360) 681-3992
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
Permit
Additional desc .
Perm~t p~n number
Sub Contractor
Permit Fee
Issue Date
Expirat~on Date
ELECTRICAL NEW RESIDENTIAL
JARMUTH/ 2549 SQ FT SFR
70516
JARMUTH ELECTRIC
143 20
2/07/06
8/06/06
Plan Check Fee
valuation
Qty
1 00
3 00
Unit Charge Per
73 0000 ECH
23 4000 5C
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
Special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in he~ght Numbers colors must contrast with wall
color they are mounted on (Ord 14 36 050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
pressur~zed or pumping to curbs are allowed An inspection
by Building Department is required prior to backfill
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
All homes ~n new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
Internat~onal F~re Code (IFC) and Nat~onal Fire Protection
Association (NFPA)
10/25/2005 01 08 PM SROBERDS -- The proposal will result
~n a new sfr w/attached garage for total lot coveage of
28%. NO occupancy will be issued unt~l road and util~ty
~mprovements h~ve been installed and approved
Electrical load calculations and elctrical permits are
required
Electrical connection fee requ~red of $222 00
10/19/2005 11 46 AM GMCLAIN ----------------------------
COMMENTS! ACTION NEEDED
2/07/06
INC
WA 98382
28 00
1 00
9024 00
2529 00
1 00
00
o
Extension
73 00
70 20
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
nl EAST 5TH STREET. PORT ANGELES. WA 98362
,
Application Number
Appllcation pin number
05-00000963
584605
Page
Date
2
2/07/06
Special Notes and Comments
Ditches & 12" culverts will be installed to City Stanards
See Public Works Engineering for Standards
Sanitary sewer connection inspection is required by
Public Works prlor to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way An inspection by Public Works
Englneerlng is required prior to prouring concrete.
Other Fees
SEWER SYSTEM DELV CHARGE
STATE SURCHARGE
PW WATER SYSTEM USE FEE
745 00
4 50
1025 00
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 143 20 143 20 .00 .00
Plan Check Total 00 00 00 .00
Other Fee Total 1774 50 1774 50 .00 .00
Grand Total 1917 70 1917 70 00 00
COMMENTS/ ACTION NEEDED
.
ELECfRICAL PERMIT INSPECfION RECORD
,
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 IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
urrCH b~fe,-c>~ .A. I-V(O
ROUGH_IN I cuVER ~- ,2. .., - 0 to A tf)
'....KVU.... q~:J-/~I'Jt, ), tz,0
::ono.T AT $.j.r- 06 A-t-(U
GENERAL COMMENTS:
PW-II02 U (4196)
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
o~~-q&3
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
Owner
05-00000963 Date
584605
1419 AURORA CT
06-30-01-7-5-0090-0000-
LOT 9
RES NEW SFR
12/27/05
14Jq,~(!6
RS9 RESDNTL SINGLE FAMILY
210170
Contractor
OLYMPIC LAND DEVELOPMENT INC.
259403 HWY 101
SEQUIM WA 98382
(360) 457-7222
Other struct info
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
WANT ACTION CONSTRUCTION
P. O. BOX 1425
SEQUIM
(360) 681-3992
TOTAL % LOT COVERAGE
NUMBER OF STORIES
LOT SIZE
TOTAL LOT COVERAGE
NUMBER OF UNITS
INC.
WA 98382
28.00
1.00
9024.00
2529.00
1. 00
PUBLIC WORKS RES WATER SERV
3/4" DROP IN WATER METER
62992
195.00 plan Check Fee
12/27/05 valuation
6/25/06
.00
210170
Qty Unit charge Per Extension
________=~~~______=~=~~~~~_~____~~_~~~_~~~_=~~:__________________~195.0~
Qty Unit charge Per Extension
--------=~~~-------=~~~~~~-~=~---~~~~=-~~-~~:_~~~~=---------------~ =~~~
Permit . . . .. SANITARY SEWER HOOK UP
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
Permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
RIGHT OF WAY
62976
50.00
12/27/05
6/25/06
plan Check Fee
Valuation
.00
210170
62984
110.00
12/27/05
6/25/06
plan Check Fee
Valuation
.00
210170
Qty Unit Charge Per Extension
--------=~~~------==~~~~~~-~----~~-~~~~~-~~~~~-----------------~
special Notes and Comments
Building address sign shall not be less than 6" & not more
than 12" in height. Numbers colors must contrast with wall
color they are mounted on. (Ord. 14.36. 050-E)
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain location. No
D~ 'ft~ f)~
----
/at
(I ~x/o1
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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 aflerthe work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. I hereby certify thai 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 nol
presume to give authority to violate or cancei the provisions of any state or iocal iaw regulating construclion or the performance of
construction.
.
Date
Date
Signature of Owner (if owner is builder)
Signature of Contractor or Authorized Agent
T:\Policies\II02.15R [1/05]
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CITY OF PORT ANGELES
PUBLIC WORKS - UTILITIES DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . .
Application pin number
05-00000963
584605
Page 2
Date 12/27/05
Special Notes and Comments
pressurized or pumping to curbs are allowed. An inspection
by Building Department is required prior to backfill.
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.
All homes in new subdivisions that are outside of the Fire
Department four-minute response area shall be equipped with
residential fire sprinkler systems that comply with the
International Fire Code (IFC) and National Fire Protection
Association (NFPA).
10/25/2005 01:08 PM SROBERDS -- The proposal will result
in a new sfr w/attached garage for total lot coveage of
28%. NO occupancy will be issued until road and utility
improvements have been installed and approved.
Electrical load calculations and elctrical permits are
required.
Electrical connection fee required of $222.00.
10/19/2005 11:46 AM GMCLAIN ----------------------------
Ditches & 12" culverts will be installed to City Stanards.
See public Works Engineering for Standards.
Sanitary sewer connection inspection is required by
public Works prior to back fill of ditch. 24 hour advance
notice is required.
Construct driveway and Sidewalks to City Standards.
No concrete with exposed aggregate allowed in the City
road right of way. An inspection by Public Works
Engineering is required prior to prouring concrete.
-----~~~~~-;~~~--~-~-~-~-~-~-~-~-~--~~~;~~~;~;;~-~;~;-~~~;---~---
STATE SURCHARGE 4.50
PW WATER SYSTEM USE FEE C 1025 ..v
---------------------------~~-~-~---~--------------------------. --------
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---~------ ----------
Permit Fee Total 355.00 355.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 1774:50 1774.50 .00 .00
Grand Total 2129.50 2129.50 .00 .00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. 'hereby certify that J have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Contractor or Authorized Agent
Date
Signature of Owner (if owner is builder)
Date
T:\Policies\1102.15R [1/05]
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: ~~ '
O/A ~/~
Date ~ 'Time Received by _ c (phone. personl
I .
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Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection
Type of Inspection (circle appropriate one):
fe9 Foundation Framing Chimney Plumbing
INSPECTION NOTES:! ~
Inspected: Date z... -:S OC:?
Remarks: (),.t:::--.
Time 9:5 ()~ By r'rtc...
RESTORATION REQUiRED...... YES
NO ,.----
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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)
~~
APPLICATION FOR WATER
City Water Division
Port Angeles, Washington
,20_
I hereby apply for water to be furnished in accordance with rates and rules of the City for the
following premises:
Name of Applicant: (ply m. f i( > lA VlcLt>eueiof m GIt-t
Address: ~ :A,v.. V'O'/'bo.. (l,r .
Renewal 0 New servi~lk. Lot -t-- Add
Size of Service-.-J X ~~ II rLrar J'n Meter Number 0 - - b' ~~
Service Left On 0 Service Left ~Signed
4'57-"'72.7...2...
eo.80/- 51S"
Od5bt7Y~ q~2j
Installed by
tj/1S 02 + <Is/ DZSco
Remarks: Fe V VV\ ,-pi o5-L1 fl3-
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. INSPECTION REPORT. . . . . .
REQUEST:
Date "" - f - C>-,
Time
Received by
RV
(phone. person)
Location of Work to be inspected I /;f I cr A u..v 0 tl"a...
Name of person requesting inspection <<-<-~4U-Jl-'oil...
Address of person requesting inspection
Type of Inspection (circle appropriate one):
C-r-
Phone No.
Permit No.OS-- 96 3
~ Sewer Excav. Other
Sewer Foundation Framing Chimney Plumbing
INSPECTION NOTES:
Inspected: Date ,,- J- 07
Remarks:
Time
By
J;2v
.
S--e, LAJ e. '('""
l>n'.,;.e W...y
,
~'nn "SOD....~
,
Z-S-6b
oK
fa )).-Q"~}),'fd~.
RESTORATION REQUiRED...... YES
NO 'f
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)
~2/30/2005 08:49
360-681-7272
JARMUTH ELECTRIC
PAGE 01
kt~
~ICDDtraetDr ./
IJ AIIo.... Per"'t IJ AI.riD IJ Corolv.1 IJ ColOlOOJ'daI n..ldetltl.. IJ Re.ld...dal Milot. IJ Sip. IJ TbermOltat a TeI....m.
CJ OwDer .
~qt2~.
ELECTRICAL WORK PERMIT APPLICATION.
Job wlrd by
~Iectrltal CODtrattDr CJ OwDer
bllllllltioft delc:riptioD
~ . c;..rl/'~-c:..
Electrical eonuacaor +t:.. /.. c.h'" Lioenae number
Jar-wILl E;e- IL
Purc~'1 mailinl addreSl A ../--
~'T'l W WCf5 il1~ft:.v, ~
City Ie ZIP
S~t{,~ Wi- ?y32-'L
Telepb u.mber FAX number
~
'rlmltl. oweer', a_me j;)..
01 ff/11 Ol~ ..1.1',,4' ....Go' t!'1-r'd1~ I-
Addrut ta_s'etloa. I
ILI/1 AI/InN<. c'UI"T
CUy ~
I hereby certify that 1 am the owner of the above Damed property or a licensed
.100000cal con_tor (or the finn's authorized ogcnt) and Il1'Il making the eleclrical
iIl.tallalion or all.nlion in clllllpliance with th. c1cc1ricallaw. Chapter 19.28 RCW.
CJ Cash IJ Check #
iit6redit Card Visa Mastercard Discover
Card #. ..04---0.L~_-____-____
SIIDI,ure of ow.er. eledrlul t:oatut.t~r or electrical admlalttntor
Expiration Date
ofeard
x
o:nJNG
Insulation Onl)'
TBERMOSfAT
SERVIa:
0_
_By
0_
.Appr9nd By
Oate
Approvllll by
....
A...........,
DIfCII
JlD.LII!X
Cover
Cover
....
^",,",od 8y
....
......... ..,
D.~
A""""'" By
D...
_ay
Electrlc.1 L...d Addlltona .nd or aublrllctlon.
IJ NO LOAD CHANGES
IJ _board _ KW
CJ FumDCD _ KW
~ .....at Pump _ Ton _ LAR
a Fan.Wall KW
Servlctllnforrn.clon
[J OYMhaad Sarvlce
IJ Temp Service
IJ U_rground _
Voltllgo
PhaM 0 1 0 3
Servl<8 sm.: _
Feodor SIze:
Inspection
Dare
Eloemc..
Inspector
Area, Building or Equipment Inspected
Action Taken
AP
".,~
c
.~.
~.....,...
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.'21 EAST 5TH STREET. PORT ANGELES. WA 98162
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
OLYMPIC LAND DEVELOPMENT INC.
259403 HWY 101
SEQUIM WA 98382
(360) 457-7222
Permit
Additional desc
Permit pin number
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL TEMPORARY
JARMUTH! 60A TEMP
68072
JARMUTH ELECTRIC
42.20
1/05/06
7/04/06
1/05/06
05-00001284 Date
298960
1419 AURORA CT
06-30-01-7-5-0090-0000-
ELECTRICAL ONLY
RS9 RESDNTL SINGLE FAMILY
o
Contractor
JARMUTH ELECTRIC
PO BOX 635 SEQUIM
SEQUIM WA 98382
(360) 683-4104
SERVICE
Plan Check Fee
Valuation
.00
o
Qty
1. 00
Unit Charge Per
42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR
Extension
42.20
Fee summary
Permit Fee Total
plan Check Total
Grand Total
Charged Paid Credited Due
---------- ---------- ---------- ----------
42 .20 42 .20 .00 .00
.00 .00 .00 .00
42 .20 42 .20 .00 .00
COMMENTS/ACTION NEEDED
02/02/2005 08:34
'i
350-581-7272
JARMUTH ELECTRIC
PAGE 02
{ftY
~ectrical Contu.ctor
a-p.:;.,.
.'
\---...J"
o Owner 't'~....J''''
I
ELECTRrCAL WORK PERMIT APPLICATION
a Annual P('rmit 0 Ala.om 0 CarpjvlIl 0 Commercial ~~ldelltial 0 Re'iide-ntial ~hlnt. 0 Sign$ 0 Thermostat 0 Telecom.
Elcctricl11 ClllllraClOr name . _ {
'JrUm.c..J.:/., l::/~( I-tr
Purchaser's rnailinl; a~ldrcss .
3</1 w t-Y<7!,J, ih<j .L.rr..
CilV (gtatc ZIP
S, <"-1:, tI ~ n---.. ~I\/ ~ 'lq.. 3 J:: "2
Tt"kphonct.<umbcr F^X numhC'T
'.. < '{i':' L 2-
d IOlJfflt'.n. f-
I
Lkcn:tt.: lllunhcr
~ ~_._-
5>r
lnslallal.iml description
,':lS;Zf?J ~//T ?.::.,..In. ,/
job wirelf hJ'
crtIcctrical Contractor 0 Owner
~'ii;O
S"1<i
2.5 C/ '\ f/J
F,
I hcrchy (ertity that I am the (1wm'r l'lf Ihe al1(Wc n;lml:~1 prnp,;-ny nr a licCIlSL"ll
clccuic:l.I COnlr,lclnr (or the firtl'"s 3\Hnnrizcd i1J,!C!lO anti (1m rn;lkin~ lh...' \,'kc,rj~'l\l
in~t~\Jl;'Hion Of altcrat;nn in cl1mpliallct,; with Ih~ ~h:ctrK;ll law. ChaJ'llcr I cJ.Z!': R( w.
Q ('",h 0 ('heck #
~..:dil Card visa
Mastercard
Discover
C,,'(I rt ...t:2!.'l. ;::. b:.:..- _- __ _ _ _.""
Sl~n:ltun: nr nWnl'r. t'l(>ctri('al C{lnlrlJ(.t\Ir or ('1\'Clrlc:l1 lIdmini~Il"UOr
x
Expiration Date
nfcaro
11,,",'
Alllll.l,"~.1 l1'i
SERVICE
t.~
I}~I~ Al'iltol,"<.~1 I"
WALLS
CUUN(;
THF:RMOSTAT
In~tll.Jlion Only
Im'I'];i1inn Only
"l"T'.,,~t<1 II)
'/,'0' ,41//
Al"m,y~.t l'h
ll;'l~ .'flll'Il~t'>1 k,'
~ t,; h~;'n -<f;,~
~n".::i- A"",,"'c,l -'
DITCH
)>t,-(J6 ~~
I)~,\ ^",,:~'~c., Ih
~U:DER
lhle ^1'1\"w~t.lIl:v
Electrical Load Additions anq or subtn~c.tjQ!!.!
o NO LOAD CHANGES
Q Baseboard KW
~Furnac8 L.1L KW
cYHeal Pump -Z::-Ton LAR
CJ Fan-Wall KW
Q Ovgrhead Servicfl
o TemD Service
iij..{lnaerground Service
Service Inlormalilm
vOI",ger~ 1:;t'1C
Phase 1 01"3
Service Size: ~r;':~
Feeder Size: "7(r-:.2/- y'"
In5rl;~:lj\ln
[hIt:
Area, 11uilding M EQI!inm\'nl Inspct:h:d
AClion T,lken
1;lcclriclll
lmpt:CI(lr
" 2/1100
Q:::;-.....
\-(F"r:"", OQ) t..=.:::...-:J
.. -.:It z 7.. '2. .a..Q..
.. ~..
/, 17~.
,
- 5-66
'/~
/'l.NAL
N/".,..-
..R~-::1
.
,
,
ELECTRICAL INSPECTION
WIRING REPORT
417-4735
C!.-r
APPROVED NOT APPROVED
lI(, ,;1,~ 4? ,-, 94>, , , , , , , DITCH, , , , , ' , ' , , , , , ' , ' . . . . 0
)sl:: .#:-~7-:Ph. ROUGH IN/COVER.,.,......",.. 0
J{ .9.-:.:7..7.-. 0.(,;:>, , . . . . SERVICE. . , , . . . . . , , , . . . . . . , 0
D. . . . , , . . . . . . . , , . . . . . . FINAL. , , , . . . , , , . . . . . . . , , . 0
CORRECTIONS NEEOfJ f;;:s-r- ;f,~cA-G //L.eff1I'''--
@ //,&7V#-1
gV-"tt.-If_
__ LJ..L .A .
~/~.'A<- co'
#.L:m)Nd7.l-r' /'~~
J, ~"-'" /'<'77o^, /~G <;
?
,ii.
.S.
/"7l~7J/f.-r 5/L"Y - ~ ~ ?
~ ..s~'e.i::...
772..-e.~ /" J~
-
/YJe:rtfL.. (iJ 7T-.-p 5c...C' ~ lJ?37
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
.\
OLYMPIC PRINTERS, INC. (360) 452-1381