HomeMy WebLinkAbout721 Estes Ct - Building
~ ~ORT ""'" CITY OF PORT ANGELES / N!fJt4'
f~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
!L -=.;:0' 321 EAST 5TH STREET, PORT ANGELES, WA 98362
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Application Number 03-00000535 Date 6/02/03
Property Address 721 ESTES CT
ASSESSOR PARCEL NUMBER: 0630004501700000
Application description ELECTRICAL ONLY
Property Zoning .
Application valuation 0
Owner Contractor
------------------------ ------------------------
MICHAEL J/SHAILA ALLEN SIMPSON ELECTRIC
712 ESTES CT 243036 W HWY 101
PORT ANGELES WA 98363 PORT ANGELES WA 98363
(360) 457-9270
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Sub Contractor SIMPSON ELECTRIC
Permit Fee 46.70 Plan Check Fee .00
Issue Date 6/02/03 Valuation 0 ~
Expiration Date 11/29/03 ~
Qty Unit Charge Per Extension
1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS 46.70 "-
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 46.70 46.70 .00 .00
Plan Check Total .00 .00 .00 .00 '"
Grand Total 46.70 46.70 .00 .00
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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 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 \PLANNING\FORMS\1102.15 [4/2002]
'I .~ .~
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 I DATE I ACCEPTED COMMENTS
YES I NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT #
ROUGH-IN I I I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS I I I
CEILING
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYWALL
I T-BAR
INSULATION
SLAB I I I
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
I HOOD / DUCTS
PW UTILITIES / SITE WORK (Engmeenng DIVISIOn) SEPARATE PERMIT #'s.
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM :::A r-f/ /;CrtM~
PLANNING DEPT SEPARATE PERMIT #'s
PARKING/LIGHTING I I I
LANDSCAPING SHORELINE ;It;?; ~ - U;'J
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIVSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
I ELECTRICAL - LIGHT DEPT 417-4735 h/6~3 Aco ELECTRICAL
LIGHT DEPT
I CONSTRUCTION R W / PW/ / / CONSTRUCTION. R W
ENGINEERING 417-4807 PW / ENGINEERING
I FIRE 417-4653 FIRE DEPT
I PLANNING DEPT 417-4750 PLANNING DEPT
BUILDING 417-4815 BUILDING
T \PLANNING\FORMS\1102 15 [4/2002]
df'O'''~ CITY OF PORT ANGELES
~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
1L -- 321 EAST 5TH STREET. PORT ANGELES. WA 98362
~;;.:i'"
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Application Number 03-00000510 Date 5/27/03
Property Address 721 ESTES CT
ASSESSOR PARCEL NUMBER: 0630004501700000
Application description MECHANICAL PERMIT
Property Zoning .
Application valuation . 5878
Owner Contractor
------------------------ ------------------------
MICHAEL J/SHAlLA ALLEN ALL WEATHER, HEATING & COOLING
712 ESTES CT 302KEMP ST.
PORT ANGELES WA 98363 PORT ANGELES. WA
PORT ANGELES WA 98362
(360) 452-9813
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Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc
Permit Fee 35.30 Plan Check Fee .00
Issue Date 5/27/03 Valuation 0
Expiration Date 11/23/03
Qty Unit Charge Per Extension
1. 00 35.3000 EC EL-LOW VOLTAGE 35.30
---------------------------------------------------------------------------- ~
Permit MECHANICAL PERMIT "-J
Additional desc ~
Permit Fee 61. 70 Plan Check Fee .00
Issue Date 5/27/03 Valuation 0 -
Expiration Date 11/23/03
Qty Unit Charge Per Extension
BASE FEE 47.00 n-
1. 00 14.7000 ECH ME- INSTALL 100- FAU 14.70
Fee summary Charged Paid Credited Due C/I
----------------- ---------- ---------- ---------- ---------- ~
Permit Fee Total 97.00 97.00 .00 .00
Plan Check Total .00 .00 .00 .00 \I'
Grand Total 97.00 97.00 .00 .00
G
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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 after the work as commenced, orif 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 vioiate or cancel the provisions of any state or local law regulating construction or the performance of
construction. /-
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Signature of Contracto-':- o'r-M1horized Agent Date Signature of Owner (if owner is builder) Date
T:\PLANNING\FORMS\1102.15 [4/2002]
FROM : RLL WERTHER HERTING & COOLING FRX NO. : 360 452 5177 Ma~. 23 2003 03:48PM Pi
r:I.."QR.T' .{ c'" .'"
0... Rec.' _ - ..",..6 ,,_
~ BUILDING PERMIT - APPLICATION _" S -""
00.. AppnJve<l'
Oat. h>lued'
The Buildi"g Perm.it . Pre-applicalion ",IISf be ftIIell (lid c(1mpletely.
~~ flease type or prillt in ink. Hyou have any questiOIlS, please <aI1417-4815
Applicant or Agent: ({J!IIIJ!J~r ~ho/ J('rHllet /11 r. Phone: Lf5Z--95'/3
Owner:_IJ7J.A'1 f\ ('hI( IltlJ Illi.fn-. Phone: .
Address: ,1-1' 'b51es Crlkf?t City:. :p*.fInr/,#<; Zip: rrf?r4
Architcl;~eer; Phone;
Contractor . .' tJppJ1lylfttdrrlf License #/IIj{{fiItl.9;Ithxp;.!I./if;r'1; . Phone:_L./5211LZ-
Address; :10 ~+ City: .fJq-+-~f~ Zip: 9x-;?(p 7-
PROJECT A,...,.~S8, 1/_' b.-,)~~ I!IJ1M4- ZONlNG:
LEGAL DES~:"'" uON: Lot: Block: Subdivision'
CLALLAM COUNTY PARCEL NUMBER: CredIt Card Holder Name:
BIWag Address: City:
Credit Card #: Exp. Pate: VISA MC
TYPE OF WORK: sIZEIV ALUATlON:
o Resideulial o New Constr. o Re-mof o Woodstove SF.@$ /SF.=$
o Multi-family 0 Addition o Move o Garage SF.@$ /SF. "'$
o Commercial o Remodel o Demolition o Deck SF.@$ ISF.=$ ~
D Repair DSign D TOTAL VALUATION S !y<78iIJ,j
BRIEF DESCRIPTION OF THE PROJECT: J/taIJlun.,#5V(~fr1 , L- V '-fh iflriff;.faf!
'T
COMMERCIALIRESIDENTIAL: Occupancy GIOUP: Occupant Load; Construction Type:
No. of Stories: Lot Size' % Lot Coverage: %
Existing Lot Coverage: /sq. ft. + Proposed Lot Coverage: isq. fl. ~ TOTAL LOT COVERAGE; /sq.ft
PLANNING USE ONLY: APPROVALS: PLAN
Notes' BLDG.
.DPW
.FIRE
ESAlWetland(s): 0 Yes D No SEPA Cheeklist required? DYe. D No Other: OTHEP
BUD.DING PERMIT APPUCATlON SUBMITTAL: Your appUClllitJlIlIlIIl site pili" ",lIst bejilkd out CfI111plddy to be ,,".,ufor
revtew. Thc Building Division can provide you with more detailed infonn.lion on the application and plan submittal requ;' .......~. Your
completed application, site plan (for additions) and building constJuction plans are to be submilled to the Building Division.
VALUATION OF C"'...)....ucnON::. In "" cases, a valualion amolUlt 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 fot assis13Dce.
PLAN CHECK FEE; Your plan check fee is clue at the lime the building pennit application and coos1luction plans are submitted All other
pennit rees are due at the time of r '"_...:. issuance.
EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application. this ,application. will expire. The
Building Official CllD ",,1cnd the time for action by the applicant up to 180 days upon wnllCn request by the applieant (see Seclion 107.4 of
the Uniform Building Code, current edition). No app1ieation can be exrended mote than once.
I hereby certIfY that I have read aIId examined this application and know the sallie 10 be true and correcr, and I alii authorized 10 apply for
this permit. I understand il i. not Ihe City's legal responsibility to d.tennille what permits are requlrM: Ii relllalllJ/ the appllcallt'.
responsibility 10 det~,.".,i"e what penn.it'l art! required and to obtain such. ,... 5hd~
. T:\FORMSIAPPSlBuHdingpmnil APPlieanL~ MAli
,
<J'0lI1~ CITY OF PORT ANGELES
a~ PUBLIC WORKS - ELECTRICAL DIVISION
nl EAST 5TH STREET. PORT ANGELES. WA 9RJ62
ELECTRICAL PERMIT ISSUED: 4/01/2002 PERMIT NO 7588
OWNER/APPLICANT PROPERTY LOCATION
MIKE & SHAlLA ALLEN 721 ESTES COURT
721 ESTES COURT Lot: 17
Port Angeles, WA 98363 Block: D Long Legal
360/000-0000 Subdivision: MILWAUKEE HEIGHTS
T: S: Parcel No: 063000450170000
CONTRACTOR ARCHITECT
SHAMP ELECTRICAL CONTRACTING INC. N/A
P.O. BOX 383
Port Angeles, WA 98362-0000 , 98360-0000
360/452-1689 360/000-0000
PROJECT INFO
Project Type: RES.NEW Project Value: $0.00 -+
Occupancy Type: Construction Type: HOUSE ,....:
-
Occupancy Group: Zoning Use:
Electrical Heat:
D Baseboard o KW D Riser ~ Underground Service rr
~ Furnace 10 KW D Overhead Service Voltage: 120,240 \J1
~ Heat Pump o KW D Temp Service Phase: ~ 1 D 3 -t
"
D Fan Wall o KW Service Size: 200 \/I
Feeder Size: 0
PROJECT NOTES ~
new 1900 sq. fi. house with 200 a. remote meter. 10 kw furnace 2.5
ton H.P. -<
-t
FEES ASSESSMENT Service: $113.10
Additional Feeders: $10.80
Circuit Wiring: $0.00
Temp Service: $0.00
Mise Fee: $0.00
TOTAL FEE: $123.90
AMOUNT PAID: $123.90
BALANCE DUE $0.00
CQMMCNTSI ACTION NEEDED
ELECfRlCAL PERMIT INSPECfION RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A M1NIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 I DATE I ACCEPTED COMMENTS
I VES I NO
DITCH :y ..7 "7./c .' :?H
I RUUUH-IN / CUVER SL/I/a 7/)....
~SERVICE ~/ ,/,/.> z.-.
Ao
FINAL 15/z.<//cz.. I" I
I
I
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I
GENERAL COMMENTS:
PW-1102.1S{4'96]
:
.~ CITY OF PORT ANGELES
, . PUBLIC WORKS - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES. W A 98362
'."'tic~
BUILDING PERMIT ISSUED: 2/04/2002 PERMIT NO: 13201
OWNER/APPLICANT PROPERTY LOCATION
MIKE & SHAlLA ALLEN 721 ESTES COURT
721 ESTES COURT Lot: 17
Port Angeles, WA 98363 Block: 0 Long Legal
360/000-0000 Subdivision: MILWAUKEE HEIGHTS
T: S: Parcel No: 063000450170000
CONTRACTOR ARCHITECT . \
ANDERSON HOMES LLC N/A ~
618 S Peabody I
~
Port Angeles, 98362-0000 , 98360-0000 '-.
360/452-4641 360/000-0000
,.
PROJECT INFO '\.
Project Value: $115,440.00 SFD Units: 0 Commercial: 0
Project Type: NEW SFD SFD sa FT: 0 Industrial: 0 J\
Occupancy Type: RESIDENTIAL Garage: 0 ,:
,
Occupancy Group: R3 MFD Units: 0 '\
Construction Type: MFD sa FT: 0
Zoning Use:
PROJECT NOTES
NEW SFR TWO STORY 1924 sa. FT. WITH A 489 sa. FT. GARAGE AND '"
A 203 sa. FT. UNHEATED EXERCISE ROOM ,:
~. '/ RPC!Ih'~r~J7YV
r.i
FEES ASSESSMENT I
Building Permit: $1,083.35 Mise Fee 1: $0.00
Plan Check: $433.34 Mise Fee 2: $0.00
State Surcharge: $4.50 Mise Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $1,693.49
Plumbing: $105.00 AMOUNT PAID: it;m1
Mechanical: $67.30
Radon: $0.00 BALANCE DUE: $1,693.49
Separate Permits are required for electrical work, SEPA, Shoreline, ESA. utilities, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned
fora period of180 days aflerthe work as commenced, or if required inspections have not been requested within 180 days from the last
inspection. i hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of
laws and ordinances goveming this type of work will be complied with whether specified herein or not. The ting of a permit does not
presume to give authority to violate or cancel the provisions of any state or local law regulatin s cti n or the performance of
construction. ?CI~
,1\ /_ -'I -02
Signature of Contractor or Authorized Agent Date Signature of Owner (if own/r is builder) Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ) ")?-0J
INSPECTION TYPE I DATE I ACCEPTED I COMMENTS
I YES I NO I
FOUNDATION:
I FOOTINGS 2./2-02- L.E If I
I WALLS 2.' /4 -(!)2. LEi-!
I FOUNDA liON DRAINAGE 3'"-&-'-')2- ('-<"H
I ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
r ROUGH-IN I I I
PLUMBING
I UNDER FLOOR I SLAB
~ ROUGH-IN 2-z /-b<- LE/.t
WATER LINE
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS I L.f.ol-l-oLI u:n<1
CEILING I
FRAMING
I JOISTS / GIRDERS I
I SHEAR WALL "$-/i(-DC LLH
I WALLS I ROOF I CEILING tj,L./-O"C- [.cH
I DRYWALL
I T-BAR
~ INSULATION
SLAB I '1-4,0;: I '-c If I
I WALL I FLOOR J CEILING I
I MECHANICAL
I HEAT PUMP I I
WOODSTQVE I PELLET/CHIMNEY I INSERT I I
HOOD/DUCTS I ,-v)
PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: fr2yta:ti 3-L7-(J~!I
WATERLINE I METER .-7f-o.,r'
I SEWER CONNECTION
I SANITARY I
I STORM I
I PLANNING DEPT SEPARATE PERMIT #'s SEPA:
I PARKING/LIGHTING -~ I I ESA:
LANDSCAPING SHORELINE:
-
I . . FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE I ~'m~
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W.I PWI CONSTRUCTION - R,W.
ENGINEERING 417-4807 PW I ENGINEERING
I FIRE EJ€. i I 417-4653 UIf FIRE DEPT.
I PLANNING DEPT. 417-4750 PLANNING DEPT.
I BUILDING n_ 417-4815 -H BUILDING
C:\APPL.WPD
'06-~~ Date Rec i ~ ':<5-02.
BUILDING PERMIT - APPLICATION Penn" # );~ <> C}L
Date Approvcd_ -
Dale Issued
~ The Building Permit - Pre-apphcallOn musl be filled oul completely.
""xwP'" Please type or print in ink. If you have any Questions, please call 417-4815
Applicant or Agent: Ii DCr.-k'<;(;y I-I~v; E <: LLC Phone: {Ie.; 2 - LfL,I+1
Owner: h,;JC..c. ,.. ~ i-iOfiJ1 A / /e/0 Phone:
Address: ,City: Zip:
Architect/Engineer: ;::::>/.. s' -&/Y' F: "1j;; L~ I I ell J D{'.s in. I Phone: L/<; 7.- S 4/0
Contractor'&" ("..i(<;'.C- HrTr,,, €: L.LCLicense #: (() c" k(p: j Z!c, ;/(>/-'_ Phone:
0!5 P. ), -f -p Looo'J'E; A . ,
Address: l' ,J S. ".EO b?l V -;: City:_ ' ~.\ W Zip: 1 (<;\ t, 2-
PROJECT ADDRESS: 7 2. I -E~ -I-e .s (' ,./"J1-~d ZONING: JL S" - 9 o-on
LEGAL DESCRIPTION: Lot. 1'7 Block: Subdivision: h. J'~LL.Jc.t.<.K...ee" l::!obHT PJos/{,d
CLALLAM COUNTY PARCEL NUMBER: tJ i,<,(}OO '-15017 rredit Card Holder Name:
Billing Address: ,City:
Credit Card #: Exp. Date: VISA MC
TYPE OF WORK: SIZEN ALUATION: /lC,.'PfO
l5J'. Residential .K.New Constr. ORe-roof o Woodstove /12-'+ SF.@$ 4>0 lSF.=$
o Multi-family o Addition o Move o Garage '18.9 SF.@$ . ISF.=$
o Commercial o Remodel o Demolition o Deck '2..o~ SF.@$ ISF.= $
o Repair p Sign 0 TOTAL VALUATION $ ( / -$, 440
.
BRIEF DESCRIPTION OF TIlE PROJECT: S: ;:: J2.. i^--' 72.. 5 -'9 cro-O <. u 1, ~ 1./)5; )t?V"\
-
- J?-3 Construction Type: V - IV
COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load:
No. of Stories: z.:.. Lot Size:..J.iZ" i 3.'> ~.~_ff% Lot Coverage: , 7 %
Existing Lot Coverage: g /sq. ft. + Prop!ised Lot Coverage: 1;7 I (p /sq. ft. ~ TOTAL LOT COVERAGE: /sq.ft
PLANNING USE ONLY: APPROVALS: PLAN
Notes: BLDG.
DPW
FIRE
ESAlWetland(s): 0 Yes C'''o SEP A Checklist required? 0 Ye. No Other: OTHER
BUILDING PERMIT APPLI CATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for
review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your
completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division.
V ALUA TION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may bc revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other
penn it fees arc due at the time of permit issuance.
EXPlRA nON OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of
the Uniform Building Code, current edition). No application can be extended more than once.
I hereby califv Ihall have read and examined this application and know the same to be true and correct, and I am authorized to apply for
m" ",,"W """"'''.'''''',,"m m. 0,,', ,.,., re"ow''''" '" 'd'~'"Ci!l:-" ore "<""'. "re.",'" ... "",',~"",
resf'o//'\d"htl' 10 delermlne whal permlls are reqUIred and 10 oblaln"'P..
. I
ApplIcant '-;..L Datc' I - 2. '1-'0 Z-
T\F<mMS\^I'I'SIIJuildingpennit I l,
Permit Conditions For:
13201
Conditions:
Light Dept: The electric power facilities are in place and ready for connection. I have
requested an easement for the Southerly 10 feet of the lot to correct an oversight on
the original short plat. The easement form was sent to the owners of record; Rick
Anderson and Tim German. Rick has signed the form and it has been forwarded to
Tim for signature. If the form is not completed by Tim, 1hen I will require 1he Aliens to
sign an easement before the electrical permit is issued. Load Cales. are required.
Planning: The site is zoned RS-7. The proposal will result in the construction of a
single-family residence and attached garage with a total lot coverage of 17%. The lot
size is 10183 sq. ft. in area. Setbacks are appropriate and lot coverage is allowed at
30%. The Planning Div. has no concerns.
Public Works:Sna Sewer la1eral to property line on Estes Court. Water meter svc line
to property. Drop in meter only. Driveway construct to City standards. 6" concrete to
property line. Roof leaders to curb.
Fire Dept.: Dwelling is outside the PAFD four minute response area and must be
equipped with a residential sprinkler system meeting the requirements of NFPA 130.
or the installed smoke detectors must be interconnected with an outside alarm bell
that is painted red and iden1ified as "Fire Alarm" Address numbers must be provided.
The address numbers must be at least 6" tall. easly visible from the street and
con tasting colors from their background.
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST: ;l ~~)
Datp ::sl ( - 0/ Tim.. Received by (phone, person)
7/2. / ~- C!7-
Location of Work to be inspected S / ('5
Name of person requesting inspection /- ~: /"
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ~~-4/f' /(.1/( (
INSPECTION NOTES: ~
-, I''.J )~ /
Inspected: Date ~ .,... "... f ,. .' Time By
........ " i..-/.
Remarks:
U i /
I ./
r
,
RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other
o Repaired by City Work Order #
o Repaired by Permittee o COMPLETE
o No Damage Found o INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST: ~
DatI' ~- ? /- CJ"f, Tim.. Received by .- (phone, person)
Location of Work to be inspected 7z / c--S. 7Z~' CT
Name of person requesting inspection ~hA!
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimne'l Plumbing Final Sewer Excav. Other
> {~Djjl >/'
INSPECTION NOTES: ,
Z. ' ~
,""::<. : t-: -'
Inspected: Date --' ,./ L Time By
~,
Remarks:
0 J
Ie::
RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other
o Repaired by City Work Order #
[] Repaired by Permittee o COMPLETE
o No Damage Found o INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST:
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DatE' >- - --0 c.- Tim.. Received by (phone, person)
Location of Work to be inspected /2-/ Fskc C-r
-
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. j '<: ;:-' tl1.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES: V'
Inspected: Date ::;"- ~.7. 6'2 Time By
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Remarks:
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RESTORATION REQUiRED...... YES NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other
o Repaired by City Work Order #
o Repaired by Permittee o COMPLETE
D No Damage Found o INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . .
REQUEST: ~
DatI' ~. 2;--- (7 2_ Time Received by (phone, person)
Location of Work to be inspected -72/ E~<; 77-'~ C'r
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): J~'->')I
Permit No. j /', ,
Sewer Foundation Framing Chimney Plumbing Final ~we'~xcav. Other j) rzD {/.J '" ( (.
INSPECTION NOTES: () ;/
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Inspected: Date .... - t c. Time By
Remarks: ~ i
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, / /-.
"-.../ "-
RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other
o Repaired by City Work Order #
o Repaired by Permittee o COMPLETE
o No Damage Found o INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQUEST: R V (phone, person)
Oat" 5"-24-0"'7 Time Received by
Location of Work to be inspected /rxL rs-tCs. C~
Name of person requesting inspection
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. I '3 'GO I
Sewer Foundation Framing Chimney Plumbing cg Sewer Excav. Other
INSPECTION NOTES: \ ~
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Inspected: Date:"" . ~ . .f Tim" By
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Remarks: t
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RESTORATION REQUiRED...... YES NO
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SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other
o Repaired by City Work Order #
o Repaired by Permittee o COMPLETE
o No Damage Found o INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
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CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . .
REQ+T:
DatI' - :; - CJ ~ Timp Received by (phone. person)
(
Location of Work to be inspected -/ 2- ( (-::--:5 ~___~ Cr
Name of person requesting inspection
Address of person requesting inspection Phone No.
. .</ \,
Type of Inspection ~priate one): Permit No. ' ~
Final Sewer Excav. Other 'tJ ,
Sewer Foundatio Fra' Chimney Plumbing
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INSPECTION N~/S/ .' /
i
. ,
Inspected: Oat'" I Time _By
Remarks:
/"j .
I
,
RESTORATION REQUiRED...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other
o Repaired by City Work Order #
o Repaired by Permittee o COMPLETE
o No Damage Found o INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
OS/29/2003 20: 11 4579270 5IMPSON ELECTRIC PAGE 0:-' -
. I 10' O!'lIClA"'" 0""
1:0' ELECTRICAL PERMIT APPLICATiON , ~~;':;~m""
,.~
~'. >.'.,--.;.::...'~ The Electrical Parmlt Applloatlon mu.t be> III1.d out comol....lv d. I 0,'" ,,"', ....
~:
^,- ... Please type or reprint In Ink. 11 you huve any qUBstlons, pt.a~ cell (36 . 41 .f,~ · G 3 S
)1/ (}";I
fa. number: (3S0) 417-471' <( b. 0 ~
C-dl - Il:! '1 ...,.
t' ' ;: l-r 'I5?- OW ' .Ca.>v'-c.
Owner or EIGC:. Contractor Agen.' _~ I .tl^- P , ^ n "tJ!.c. Phone: _ (Fax.
Property Owner: (V\', \{.,. ~')h.o:\l hL (), \ \ e- In Phone.:
Address: '1 ri-I f <, h.~. "> C' I"r1 r ~ ~ l<; City: 'P o-rl- D.~ -e.J eS 2io; . 9 f3/o; .3 ---,.
--
!Electrical Contractor: ::; ~ 'vv""\""p ~\ r;, h ~ I t!:~t., ".. , e--t; ()~ Phone;
License #; t..J I fl/!. ",,), Exp:
City: I:A~ 'l7? /'Sf o -"'6:"'">
Address:, Z. '-/ ~ rJ ::? t.. ijr..-vy ffiLf A/ Zlo: _.1-7;- -'>
,
INSTALLATION WIRED BY, DOWNER tl>l ELECTRICAL CONTRACTOR
Credit Card Holder Name:
BIII/ng Address: City: Z(p:
Credit Card Number. FliP. Dale' _ ViSA- MC:__
PROJECT ADDRESS: r7:=n-t S1l:S c:::.rK
. - -
TYPE OF WORK, Check ~ thaI a"ply: o New o Alteration/Adclllion
[J Resldental [] Multi-family o Commercial o Mobile Home Sq.Ft. .--.--
o Remote Meter o Detached garage [] Hot Tub 0 Swim Pool o Sepllc Pump [] Low Voltage 0 Telecom. [J Sign
Number of CircLJits add~d or altered: tIc,,-l' fv.. h^-J,__'
DESCRIPTION OF THE ELECTRICAL PROJECT: ,1c1.A -.~-. .'.~_._-
.
Electrical Heat Load Additions ?y~.70 Service Information
'::J Baseboard _KW Volt~Qe: _
o Fu mace _'r<Y'I o Overhead Service Pha.e; (J ': C] :3
o Heat Pump - KW "3 1?J/II o Temp Service Ssrvlce SIze:
IJ Fan.Wall _'r<Y'I ~ndergrOU"d Sarvlce Fesde~ Sizt::
PAMC 14.05060(8): For Industrial. comf71ercial. & residential proJect9 larg9rthan a duplex, a one .1I~e drawing d the Electrical Servioe &
Feeders. building size (sq. ft.). load calculations, and the type & or conductors and/or raceway 10 required ?no shall accompany the
Electrical Permi! application.
I heleby certify that I have read and examined this application and know that same to be true and correct, a.nd I am
authorized (0 apply for this permit. I understand It is not the Clty's legal responsibility 10 determine what permits
are required; il lemains the applicants responsibility to determine what permits are required and tl) obtain such.
Credit Card Holder's S'9natuaL. eg~~ Dale; .s -SO-{Jj
PW-9019 Owner Qr Elec. ConI.. Signature; DI.!I~Il';
C/L C ~--- ~/;Io.s OK , A:J' ro ! z/03