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HomeMy WebLinkAbout611 Del Guzzi Dr - Buildingcn 0,419.1?Pr ea4114 iSin AddreaS PARCEL ‘NUMHER br, t'yp deScription kin- _Name oert 2eriAg ,17, tjon EAGLANIC Awft SMTP,Fr4 ANGELE WA GEITtg! Aff$U &fia,iriiiiio'n:L.-,s S.pe ,TpAlaTte RAM ber,s;,. s)*11 be plainly y4 the street 4 4 41d-r'e bli 1 l. be a minirrgrirt SiAtiitithes high and be P.A"ing color frdm, the background '1 homes) in -.poi s ubdivisions that .'areXibuts)]. e of the Fire Thr 4"r"''''AV- Department 'minute response area' with 5w:Ireskielenta'al,-f<ire Sprinkler systems tnatlepyngly with the y rinapipragl...Fire Code and NatOh:al Fire Protection ,?4"'",■'4W.',:, ,;'ASsoemat OT.L PA) prOpeSai will result j,e: 4, ne ,a; 41 PM SROBERDS T in- the, RS.: 9 zone for tOtS31.11et covetage of Die o p land use issues anticip saewdlfko,ai.e required along 4P:OtAgOpf Del Guzzi ps$ tle 'load caleulatiOns, and eactri permits are _Ariti4.1baity sewer cOnnection inapeetion, as retfilattl by StiVti,c_Plof pri6r back fill of ditch :iA, hour advance if 4:x174Ao 40,4,qp j4 required 'ftonSaApt,, driveway and Sidewalks to ,c-4::vS4andards VANIetTrete With exposed aggregate altlkiket •tin'...4p City 6.S.Ialglit ,df' Way" An inspection by :P1.051,i,e-- Works ldinee:t is required prior to protirnillebrierete 1-.'" _454K 4' the SEWER IS4STEWEELV "'CHARGE '870, 0.0 S TAT E 50 1: .S.14Z Itz.:0 toil 1,, pw. W SYS7M.DSE FTR, ,V Ike Charged Paid A T et hall arid: void if work, ailtiOrike d ,is not cerntilqn9d..di -within 180 days wci e 4 im''r*r-,., PI t 'h "41J,,V.PF-9 180 days afer the 'Workt• asl,cminienced, ortrecplfect :hIspections•: ay.letipp% .e. en f8ird'%AfrolIA-Th.p. 14#111 hereby ee4ifigltiatif '.10e read,and eIddta4lbt$ ,appfitatiori 3 O041enck --_:PAV.Vir.::1='' trti,:attdmo,rlCCt: All provisions of recognized and codji.tanco„governIngt4ist i e.., „,,,,A- not Th grartirtgisiltA,sperrn it, -pc§3,Vresktie, to give antrikyr. i .fO0worap any tat or- local law rego a .ifie.a.in the. pe 4W. .degc; nAnumber- Acq. Contractor l'O.1.411"WTOT13ES.TGN HOMES LLC '13A LN ,'i (3'6.0 -457i TOTAL L6T NLTMHER OF STeRIES:f LOT St2E, PROPOSEP -LOT.q."cAERAGE TOTAL •-0.* kt1i30. 7 0110g' FIRE SPRINKLER RESIP SPRINKLER SYSTEM' 4 86365 00 1:7"rr.Check Fee 31:0/07 `f 9)01/0 WA 98362 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 Eal•5t ,§treet, Poet Arigoos, WA 932 06 06:60 i 06 Jot u 0000 miict •ribAotAisib RES ,NEW SFR: UNKNOWN 2 -8 000 Date, 3/05/07 WA 98362 24 00 1 60 115-5-3- 273 '60 278.3 045, S1'gliYait4tif-dflgoirtraCtor oi mthorla Agp.' e ,tte. ,ents ver 46. 0-- q4J, •?f Call 3604114655 for fire inspections. Please provide a minimum 24-hour notice It is unlawful to cover, insulate or con'e,eafany work before inspected and accepted. Post permit in a conspicuous location. t- :Inspection Type KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE ;1.f.A.WIT2,4 UndeliggiliX14pping hydrostatically tested Uridergeound InteriOr4f1ri.gliydrostatically tested Intel inspection DryO'Steraf-aft tested at 40 psi (24 hours) Spririklet.Rnal RodglAmiftspection 1.,P4 UndeigkOitrid inspection/pressure test Above grOpricit piping inspection/pressure test Tank (container) inspection ApplianceAnspection GENERAL COMMENTS LT, FIRE PERMIT INSPECTION RECORD Date Passed LP gas:final I UNDERGROUND STORAGE TANK (UST) ABANDONMENT Re1:129,1 liquids Tarili abandoned 0,455 ent final uwa.r21,tot 1:4:1ER (specify) perint Test 141 Piping,pressure1est Time. initiated Test #2' Piping pressure test Time initiated. Comments Completed by Coittract6r- 2/154.99i7, x■11•1111/ h.VS JIJ :.407tIoriied 10,0 trnd WO:" Whet "Aht prq,vAgY6 90' 00 2974 50 2074 59 'CITY QJ :PORT ANG FIRE popmamENT pE1v187 tAngs, WA 9$62 ;1: t 05 90901151 00 50 U74 50 4' ,D,4.tze, 3 /9 d 00 00 00 0 0 5,*rtir. .1F e- qiiSfdtis p4ch am gpmetn. beemiesthceli anci void if vgiqatith'06zecl' is not,..Coiii,rialrieedy,Vithih 4 dav 4)- afer tite utivett'..iyifspe4tioiglatg, la® w 'ed afave reaa4 'martian A: itHattoil am "iittienotion. herehpeeft RO,t 41,44, tiak- ;4 Wit @ill 0444e6in-='Or 1101.. The, apoittl ig thAs.r.permitd o ta 1 oes o sgtiaRy$:taie 0.13 local lam! reg keg 4,--061;k7 Speelfleci .t a 4. z 44- 4 45 ir 9 4.4jr-1, i x t 't -4 .51:' 455 I, 1 4- ex.-- V 4 R 1 peolltigt,of o r .Authpt,i2'eci Agent Qa 'z'-•154 s 'Z'4" ''x ,„=:14 14; 4, 45- 45- Ca111.‘4,655 for fire inspections. Please provide a minimum 24-hour notice is unlawful to coVel insulate or Cdficaa Wi/vorlic before Inspected :and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Inspection Ty0e, Date Passed Cdittments D 0 FT 1 R UntiagitiSi'pitig'hydrostatically tested I.Jiile hydrostatica tested Inteiletik inspection thysixo, email" tested at 40 psi (24 'hours) 7 Sprlatatfilial 417,1 t :tMt- AlartntEmalf LP +3; UndeNtrigi!,Tiping inspection/pressure test A116.46 inspectiOniptessure Tankilontamenpnspectibil AppAaneAmspection LP UNUND STOBAGE (UST) ABANDONMENT Reffiti4W ratritnableioombastible liquids Ta41Wproptik(61, abandoned I I i'. final Pili AER (specify) pert:M*11A, FIRE PERMIT INSPECTION RECORD Test #1 Piping pressure test, Time initiated' Test #2', Pipmepressure test Time initiated Completed by Contractor A GENMMENTS PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417 -4650 FAX (360) 417 -4659 Fire Sprmkler System Plan Review Project Name Private Residence Address 611 Del Guzzi Drive Installer• Innovated Fire Sprinkler Installer Telephone. 452 -7583 Type. of System. Open Additional Comments. Contractor Building Department Fire Department 13 Date 3.2.2007 PAFD Permit 07 -10 We have checked this plan and find that it conforms to the requirements of the code. All systems, including underground mains, shall be installed by a state licensed and certified company Systems shall be installed per the applicable NFPA Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. A design sprinkler flow test and alarm test are required for all 13D systems. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFPA Standard. This 13D system will require a measured flow test. Reviewed by Date 3 z 07 13 R 13 D rill out C'OMPLETELS and in INK. X our application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417-4815 FAX(360)417 -4711 Applicant or Arent. 1!x C.-Q.v-N. Owner_ 'L W e_.0 T 13! L Address: Architect/Engineer. COMMERCIAL/RESIDENTIAL. Occupancy Group. No. of Stones: Lot Size: Existing Sq. Ft. Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other SZ.Ji Phone: 45 2 7S G vvvi S L CPhone. City Q o $r 41-,. .Q, LQ,� Phone: Contractor _i/i1/460 47 aa FJ) i State License 4 //V/VCVeci O WO& p J Address: 8 /11-@.ta) Pate L City PO v 7 1-- 41- (12.,,1 PROJECT ADDRESS 1 �1. 1 Ci L„.s.5 i 0 V' if Block. LEGAL DESCRIPTION Lot. ck. Subdivision. M CLALLA COUNTY PARCEL NUMBER. FM OFFICIAL USE ONLI Date Rec. t Qr� Permit t• Q( -t 16 L Date Approved: Date Issued: Zip c ZuJ�2 2t J, Phone: S"2 -7S Zip 2 (o ZONLNG TYPE OF WORK. STZE/VALUATION X Residential New Constr Re -roof Stove SF /SF Multi- family Addition Move❑ Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Other OTAL VALUATION 2 7 ...7eii a BRIEF DESCRIPTION OF THE PROJECT /4,A -J If f d'.e 5g7v-i /c/ ,ee- L., sy 4-c Occupant Load. Construction Type: Proposed Sq Ft TOTAL Sq Ft APPROVALS. PLAN BLDG DPWU FIRE. 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 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 wntten request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true 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 wo -k. T•\FORMS\BIdgPcrrnitform.wpd Applicant: A/VY Date: a /I& Q cJ~ORT "'-'\Ie ,~~" a~t. "-~ ~ '4;:--;;--~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 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 06-00001161 Date 11/02/06 591645 611 DEL GUZZI DR 06-30-12-6-8-0130-0000- MIKE HOAGLAND RES NEW SFR UNKNOWN 280000 Owner Contractor MIKE HEAGLAND 131 PRISTINE LANE PORT ANGELES, WA PORT ANGELES (360) 457 Other struct info NORTHWESTDESIGN 131 PRISTINE LN PORT ANGELES' (360) 457-5052 WA 98362 HOMES LLC WA 98362 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 24.00 1. 00 11553.00 2783.00 2783.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 89417 2028.25 11/02/06 5/01/07 Plan Check Fee Valuation 811.30 280000 Qty Unit Charge Per Extension 1020.25 1008.00 BASE FEE 180.00 5.6000 THOU BL-100,001-500K (5.60 PER K) Permit MECHANICAL PERMIT Additional desc Permit pin number 89797 Permit Fee 104.35 Plan Check Fee Issue Date 11/02/06 Valuation Expiration Date 5/01/07 Qty Unit Charge Per BASE FEE 1. 00 14.7000 ECH ME- INSTALL 100- FAU 4.00 7.2500 ECH ME-VENT FAN 1. 00 10.6500 ECH ME-VENT SYSTEM OTHER .00 o Extension 50.00 14.70 29.00 10.65 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 89805 156.00 11/02/06 5/01/07 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 50.00 77.00 BASE FEE 11.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP \\ \ ~' \ ~ ~ -""' ~ ~ ~ ~~ ,~ '-&~ \. ~ ~ ~ ~ ~ ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes \J~ 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 reg latlng c nstruction or the performance of construction. Signature of Contractor or Authorized Agent Date T:\Policies\1102_15 building penni! inspection record05.wpd [1/4/2005] L__ " B~DING PERMIT INSPECTION RECORD '" 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 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. INSI'ECT/ON TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMIlING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO SLDG) SHOWER I'AN FINAL DATE ACCEPTED BY: MEDICAL GAS LINE AIR SEAL WALLS CEILING FRAMING JOISTS / GIR.DERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (rNTERIOR BRACED PANEL ONLY) T-BAR'- , '(r.' [NSULAi10~ ., ., . .. SLAB . W ALL I FLOOR / CEILING. I MECHANICAL HEAT PUMP I FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET I CHIMNEY FINAL DATE 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 INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. . PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_I5 building pennit inspection record05.wpd [1/4120051 .P. .ORT ~ {.'~(<" O~. ~ -- '4ii:<:~ CITY OF PORT i>J~GELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number 06-00001161 591645 Page 2 Date 11/02/06 Qty 1. 00 1. 00 1. 00 Unit Charge 7.0000 15.0000 7.0000 Per ECH ECH ECH PL- EA. INSTALL WATER PIPE PL- EA. BLDG SEWER PL- EA. WATER HEATER Extension 7.00 15.00 7.00 . Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. 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). 10/25/2006 12:41 PM SROBERDS ---The proposal will result in a new sfr in the RS-9 zone for total lot coverage of 24%. Sidewalks are required along frontage of Del Guzzi Drive. No land use issues anticipated. Electrical load calculations and elctrical permits are required. 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 870.00 4.50 1200.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2288.60 2288.60 .00 .00 Plan Check Total 811.30 811.30 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 5174.40 5174.40 .00 .00 0' Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PoliciesI1 102_15 building pennil inspection record05.wpd [1/4/2005] BUll.,DING PERMIT INSPECTION RECORD 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 I NO FOUNDATION: FOOTINGS IIlL /.^ /"t:. \ l.L- :01 S/WALLS 1,1'1 7i. ~//1" P6 FOUNDA TION DRAINAGE /lj6WI J :IF el~S I j . /~I /"" ~ ,_I )...1- ~/B' ..~ Sn,. +"" I__u_n'/ PIERS ( ( POST HOLES (POLE BLOGS.) PLUMBING br~ W<2 tI IO"Z,Cj ~D7 UNDER FLOOR / SLAB ROUGH-IN 4/11/", J"L.L WATER LINE (METER TO BLOG) '3 i 1\;;', (II -:') Ll- SHOWER PAN I ill!&H--so-67 DATE :rLL ACCEPTED BY: MEDICAL GAS LINE AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALUHOLO DOWl'lS <<1./lI/n, ~L-L WALLS / ROOF / CEILING I DRYW ALL (fNTERIOR BRACED PANEL ONL Y) 17111 107 ')LL..-- f T-BAR INSULATION SLAB WALL / FLOOR / CEILING ~"II{y( -:rI.L MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE 4/1I/01 -0 -' WOOD STOVE / PELLET / CHIMNEY FINAdl-3~ ..07 DATE TLL ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED nOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING OEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING 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 CONSTRUCTION R.W./ PW/ CONSTRUCTION. R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. . PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417.4815 1\ -1,0 -(){ "'1" u- BUILDING ~ l ~ ~ '" ~ ~~ ~b ~~ ~~~ ~ N " ~ T:IPolicieslI102_15 building penmt inspection record05.wpd [1/4/2005] s ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 51HSTREET, PORT ANGELES, WA 98362 06-00001161 Date 11/02/06 591645 611 DEL GUZZI DR 06-30-12-6-8~0130-0000- MIKE HOAGLAND RES NEW SFR. 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 MIKE HEAGLAND 131 PRISTINE LANE PORT ANGELES, WA PORT ANGELES (360) 457 Other struct info Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date UNKNOWN 280000 Contractor WA 98362 NORTHWESTDESIGN.HOMES LLC 131 PRISTINE LN PORT ANGELES WA 98362 (360) 457-5052 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 24.00 1. 00 11553.00 2783.00 2783.00 1. 00 PUBLIC WORKS RES WATER SERV 89839 750.00 11/02/06 5/01/07 Plan Check Fee Valuation .00 280000 Qty Unit Charge Per 1.00 750.0000 EA PW W/M 1" SERV 3/4" METER Extension .750.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY 89821 50.00 11/02/06 5/01/07 Plan Check Fee Valuation .00 280000 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 STREET ALLEY RESTORATION 89847 670.00 11/02/06 5/01/07 Plan Check Fee Valuation .90 280000 Qty 1. 00 1.00 Unit Charge Per 270.0000 ECH STREET ALLEY RESTORATION 400.0000 ECH STREET CUT OTHER Extension 270.00 400.00 Permit . . . . . Additional desc . Permit pin number SANITARY SEWER HOOK UP 89813 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 constructio.n or the performance of construction. . Date Signature of Contractor or Authorized Agent T:\Policies\1102.ISR [II0SJ Date PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL I PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH I BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1105] ~ VII CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Permit Fee Issue Date Expiration Date Page 06-00001161 Date 591645 110.00 Plan Check Fee 11/02/06 Valuation 5/01/07 2 11/02/06 .00 280000 Qty Unit Charge 'per 1.00 110.0000 EA SAN SEWER HOOKUP Extension 110.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. . 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). 10/25/2006 12:41 PM SROBERDS ---The proposal will result in a new sfr in the RS-9 zone for total lot coverage of 24%. Sidewalks are required along frontage of Del Guzzi Drive. No land use issues anticipated. Electrical load calculations and elctrical permits are required. 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 870.00 4.50 1200.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1580.00 1580.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total . 3654.50 3654.50 .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 goveming 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 [1105] PERMIT INSPECTION RECORD .... CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO PW UTILITIES {Engineering Division} WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1105] '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION l21 EAST 5TH STREET. PORT ANGELES. WA 911162 ~ .. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00001161 Date 591645 611 DEL GUZZI DR 06-30-12-6-8-0130-0000- MIKE HOAGLAND RES NEW SFR 5/14/07 UNKNOWN 280000 Owner Contractor MIKE HEAGLAND 131 PRISTINE LANE PORT ANGELES, WA PORT ANGELES (360) 457 Other struct info NORTHWESTDESIGN 131 PRISTINE LN PORT ANGELES WA 98362 (360) 457-5052 HOMES LLC WA 98362 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 24.00 1. 00 11553.00 2783.00 2783.00 1. 00 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL OLY. EL./ 2725 SQ FT SFR 99457 OLYMPIC ELECTRIC 135.00 5/14/07 11/10/07 cs-. Plan Check Fee Valuation .00 o Qty 1. 00 3.00 Unit Charge Per 69.0000 ECH 22.0000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 69.00 66.00 v .~ ~ Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. 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). 10/25/2006 12:41 PM SROBERDS ---The proposal will result in a new sfr in the RS-9 zone for total lot coverage of 24%. Sidewalks.are required along frontage of Del Guzzi Drive. No land use issues anticipated. Electrical load calculations and elctrical permits are required. 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. GJ c ~ - ~ o. :""\ COMMENTS/ACTION NEEDED ~ ELECI'RICAL PERMIT INSPECI'IONRECORD ~ALL 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 I INSPECTION TYPE DATE ACCEPTED COMMENTS . I YES I NO lJITCH lUll TGH-IN / CUYbK ~HlnJT('H FIN AT , ").J let lo~ ~ GENERAL COMMENTS: PW.II02.1' (~ . '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 ~ '" Application Number . . . . . 06-00001161 Application pin number 591645 Page 2 Date 5/14/07 Other Fees RES UNDERGRND SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 713.00 870.00 4.50 1200.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 135.00 135.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2787.50 2787.50 .00 ".00 Grand Total 2922.50 2922.50 .00 .00 COMMENTS! ACTION NEEDED I ../ ELECfRICAL PERMIT I NSPECf ION RECORD 'CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE 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 ACCItPTED COMMENTS YES NO . I JI I:H ~I IIIITI-I_IN I COVER ~hK V lCh F.IN AT I ~-z.11'1/6"" 1"'fIK I GENERAL COMMENTS: PW.lI02.U (4'96] 't;J V!6 CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :\21 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 4/26/07 06-00001161 Date 591645 611 DEL GUZZI DR 06-30-12-6-8-0130-0000- MIKE HOAGLAND RES NEW SFR UNKNOWN 280000 Owner Contractor MIKE HEAGLAND 131 PRISTINE LANE PORT ANGELES, WA PORT ANGELES (360) 457 Other struct info NORTHWESTDESIGN 131 PRISTINE LN PORT ANGELES WA 98362 (360) 457-5052 WA 98362 HOMES LLC TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 24.00 1. 00 11553.00 2783.00 2783.00 1. 00 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL LV STAT- PEN HEAT 98939 PENINSULA HEAT 35.00 4/06/07 10/17/07 plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 35.0000 EC EL-LOW VOLTAGE Extension 35.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. 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 ~ire Code (IFC) and National Fire Protection Association (NFPA). 10/25/2006 12:41 PM SROBERDS ---The proposal will result in a new sfr in the RS-9 zone for total lot coverage of 24%. Sidewalks are required along frontage of Del Guzzi Drive. No land use issues anticipated. Electrical load calculations and elctrical permits are required. 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 RES UNDERGRND SERVICE FEE 713.00 COMMENTS/ACTION NEEDED ~'- tJ~.I~~ i.- ~ ~(,f L 0'- 'J "'^jJ 'C- ~ " , ~ ~ "" ~ ~ "- ......... ~ ~ \\'-... ~ ~ to' - ~ (AP~L I 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 ACCEPTltD COMMENTS YES NO III .I'H 1l11l1(y~_IN I COV~K :ShK V lCh F.IN AT I r.z.. T I" IH1 I GENERAL COMMENTS: PW-II02.15(4.'96J '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ..21 EAST 5TH STREET. PORT ANGELES. WA 91l~62 ." Application Number . . . . . 06-00001161 Application pin number 591645 Page 2 Date 4/26/07 Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 870.00 4.50 1200.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2787.50 2787.50 .00 .00 Grand Total 2822.50 2822.50 .00 .00 COMMENTS/ ACTION NEEDED I ELECTRICAL PERMIT INSPECTION .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. 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Q) 2ifQ i5 w a; l;;... > !1i ~ +-' 6:~ 0 e>: 0 ::>0 0 ,:.;" ~ Z 11>0 !1i~ 0 +-' ~9 ~ 0 0::> 9 ...JID ....J ~ i if Cl ~ UJ ~ Ui ~ ~ t;; [;j 0 o a:: Ct: ~ C ~ ~ ~ ~ >.0000 ~8eee --~ ../;~ ..'" '. '\p. ~ e . . \ ~ /"/" "- /"/" "- ~s'Y /" "- 1S~'/" "- /" /" /" /" /" ( \ \ \ \ ",. ',,- ..... 'Jt . .'" .. . c CO Q..y o 0)1 +-' ~ en! ./" /. -- / / / /" / / / /" .<:i~ 0V~/" ~/ /" ,/ /" / / /" ,/ ~ (d- (8 BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review. If you have any questions, ~aU PERMITS (360) 417-4815 FA.X(360)417-4711 Applicant or Agent: rn \ \Q ~ ~ rc\ Phone: Lf c:; I ~ 50 S-z. Owner: LfY\ 1 KR- \~ \o...r0) ... ~---- Phone: Y.S I - $O'S ~ Address: \~l ~lIS-\lf\JL. \QI'U- City: .p(')f+ A~..e...lL..<; Zip: g~2:>~L- Architect/Engineer: ~A K A SSo <. Phone: Lj 5 1- 3D t t-] Contractor No~we.s ~V) hO~License #: Exp: Phone: LiS 1- 565'- Address: l ~ \ .p r l'~ +, f\J- tc... Y\L. City: ~ r+ A fl~VL S Q'"8 3b L PROJECT ADDRESS: &/1 D~L tA\,At:Z-/ {:M-. LEGAL DESCRIPTION: Lot: \ "S Zip: ZONING: Block: Subdivision: LUd w cJ<., 11 Db ~ 0 135'" zoLt 00 ~r"\Yll-=:' (,fefL,K CLALLAM COUNTY PARCEL NUMBER: S\J '0 d \ \J . TYPE OF WORK: D Residential )( New Constr. D Re-roof D Stove D Multi-family D Addition D MoveD Garage D Commercial D Remodel D Demolition D Deck D Repair D Sign D Other BRIEF DESCRIPTION OF THE PROJECT: SIZEN ALUATION: SF. @$ /SF. = $ SF. @ $ /SF. = $ SF.@$ /SF.=$ TOTAL VALUATION $ Z '80 )000 Ne..vJ ~ rrvz... Cro ~fvc-+'o Y'.. - COMMERCIAL/RESIDENTIAL: Occupancy Group: ~~ No. of Stories: l Lot Size: \ \,55 3 ~+ Existing Sq. Ft. Total lot coverage~ % . ~ , Occupant Load: Construction Type: & Proposed Sq. Ft. 'Z7?J ~ = TOTAL Sq. Pt. 'Z1t:f7 PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In aU 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: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true 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 penn;ts prior to worl<. '1 LI P /} . HFORMSIB~gPomi~~.wpd Applioant: ~ ~ ' Date, / D. -liS ^ G6. '(; Vi! CITY OF PORT ANGELES PUBLIC WORKS" .., ELECTRICAL DIVISION UI EAST-'STHSIREET'.:PORT ANGELES. WA 98362 @ -/)7 Appllcation Number Application pin number Property Address ASSESSOR PARCEL NUMBER' Appllcation type description Subdlvision Name Property Use Property Zoning . . . Application valuation 06-00001207 006594 611 DEL GUZZI DR 06-30-12-6-8-0130-0000- ELECTRICAL ONLY Date 11/27/06 UNKNOWN _~ ~~'. R O'-^,~~ ~ ~ ~:;;:,~f~,;; ,~~ ~ ,<:, " ~ Owner Contractor HOAGLAND, MIKE 131 PRISTINE LANE PORT ANGELES, WA PORT ANGELES (360) 457 OWNER WA 98362 Permit Additional desc Permlt pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE OLYMPIC EL/ 100A TEMP SVC. 90274 " . " . OLYMPIC ELECTRIC 48.10 Plan Check Fee 11/27/06 Valuation 5/26/07 .00 o ~ --- - Qty Unit Charge Per 1.00 48 1000 ECH EL-TEMP SRV - 0-100 SRV FDR Extension 48.10 \:) ~ , 6"- F- J"I N Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Grand Total 48.10 .00 48.10 48.10 ~.;~ 0,0.," .00 ., II ['8!,. OOz:n":'t511t"' '; 00': ,y:,. .00 ~ r; '(148 '7 fO~" . 00-- .--_. : 00 _. \';LY D ~ "r - f]Q,? r:;:' ~~.._"~~ I..- ~ ,..", ~ ~f'~ ~ ' ----1r.......... '. ' ~': ,"'.. ~ij"'~ ...... Pc: ..."It - , . '1 --I", --'f ;:.Jf+?-i.. { . I . ll:!' IG~ -- , .1 , - 4-<1-"," . J'i "'''': . . . ' COMMENTSI ACTION NEEDED ",.~J ~~,' '! "'" ,"" 1 r-f J 't'\:,: '#; ~ -v >;, ... .- ,li~. . ' " ' ~ " .,::" 4.. ELECTRICAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER, 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 I YES NO UITCH RnTTnl-l_IN I \;UV~K SERVICE FIN AT I 11,.'1. dt, I GENERAL COMMENTS: PW.II02." (4196) ~. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT. . . . . . REQUEST: Date L-&:' -01 Time fA,,^, Received by De."'.... ,.; E.. (phone, person) Location of Work to be inspected b II 'De I 6" '- L;i) , . Name of person requesting inspection De~ '^:"> r:- . Address of person requesting inspection G~yP Yo..rJ. 17'1-& Phone No. +'7-~94.9 Type of Inspection (circle appropriate one): Permit I)llr.- ~ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Othe~ LD"'-.+-e......- " INSPECTION NOTES: Inspected: Date Z - 10 - 0 "1 Remarks: {;.otJd g" D.L.. , I' . rue CoV\.6u;-r 'To +l~ i-~ ro",J o V\. 1 'I . 1 Time e)(+~y,.Jut " f~-t e...r ><..+-- By t:>-E.-ruG,~ -HLV''''5k CL Z" a..+- f)'-ol>e...rT~/. LO....Ju''l (S 110\.. , r ( RESTORATION REQUIRED . . . . .. YES X NO NJ ~ , \::I'l] ~ I." 2. CO<<d' ViI' SURFACE RESTORATION: Z')( 3S~ SURFACE TYPE: 0 Unimproved OGravel ~Asphalt OPCC OOther o Repaired by City Work Order # 3Cl34.~-Z.9'" o Repaired by Permittee ~ COMPLETE '?-. \ /' &vJ t/)A/ 3/~ 7 o No Damage Found 0 INCOMPLETE ( , / \ ') / (' / ! J '\ ') 0'~ \,~ VO\ :~. \ //0 J7veef :3/1 j07-rF y 7\ ~ (Continue on reverse side if necessary) STREET SUPERINTENDENT IDA TEl 04/10/2007 08:25 3504523498 ...... 1 UOLT /2'3'1 . OLYMPIC ELECTRIC PAGE 01, " ,. ELECI'RlCAL WORK PERMIT APPLICATION JDb wtretl by a Electrical Coalnctar 0 O"aor E~IC(1ri Ic:onl:nlc10r n.mCl~ 1.1c.ensc number paltl ~lrel ~0l:~~: ~t.J//J;?/3~./'~t?/ Pure . aillnl .d_ . /;It Ci~ St&te ZiP /t?rr/fq,rrh-r t,/,~ <7"f/h''f Telephone nu.mbcr FAX number ~ In"allatioD dCS1:ription o Commen:W ""sldeatlal o Now a AlleredlAddltloo 2~2..Z; J:r -/-/ 4k~/ At&- f~ '.' "remlles owner'l ume / / )1,//". (k~r/J~ Add.... 01 1..ptOI~ n (ft?// ,0// ~/./?.z/ /./.c - CI17 ,..., J: ~ / . /?Y-7 ,///./ . PbODe D~rDbcr to ,e: cdult la.pectJolIl r 7. - at::J----.P Owlle, as df/Jrstd by RCw'/P.28.16J;(I) QwflU wlU oceupy ,IT, lIt'\lel"~ /IJ,. IWO ymn qlUr lJaU _'ecJrlQO/ pcnn/I u flMllld. (2) Owt," Is MllllmI ,,, 1IJn G,IJ efcc;trical COUGCIO' U .,""'" _jll pffJIWfJ II 101 .l/de, fenJ or I<<ue. A&r rcadlfta tht above ltalemmt., J hereby ceniry thl\ I am the OWTler gr the above umed property or a li<<naed elDClmcal coftU'actof. 11m making the electrical inatal- lllioa or 111erllion i1t oomplianee with the el~trical la....'. N.R.C.. RCW. Cbtptor 19.28. WAC. Chap'e, 296-40. Th. City or Port MI.le. Munlcip.1 Code. and U~UtY S~cin..Ii..s. SI&DItDre. o[ ownr, eleetrlClI c.ootrael:or or electrical .dlldnlslrlllDr . ;I"'/.../\. Date: [] Cash [] O1cck# ~redit Card YIS8 Mastercard Discover Card# ____.____'____'____ Bxpi1)ltion Date of card o NO ~OAO CHANGES C Bueboonl _ICW a Fumace _ICW o Heal Pump _ Ton _ LAR o Fan,WaII _ICW SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT a o.ernead SeMoe a Temp Servl.. ~"d.rgroUnd Servlc8 VoItago 2 W) PhaMIil"10 3 SeMce Size: ~ Feeder SlZa: SERVICE .... _s, DII. APfll'Ol/1d a,. D., ,,",",uCllty FlNAL 1'2/1167 ~ . ~ FEEDER DaI' e, InlpeedoD Dne Area. Building of Equlplllentlnspecl<d Aclion Two EtectriC:ll InspectOr -'2?'~7 Cl,,J,Jn;.T PE:F 1 '715 .00 ,..,.." .t.z. . ./ i I " , l j I - - . ,- . ELECTRICAL INSPECTION WIRING REPORT 417-4735 APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D.. . . . . . .. . . . . ... .. . . . FINAL.. . . . .. . . . . .. . . . . .. . 0 CORRECTIONS NEEDED: &f<:...\ 'Y~\r;c.."T t"l~s.\\)V: b~l '5\~p.,~ F"L..E."- ~ H~ 1JA~_ ~~14 k', ~rc.\ 1'i":tfl":'f:c..=r D~L'E.I ~~)!> /-ir-,....1'~ \ 1,~9'F'D ~t(''f:'~s. ~IM> DV€lZ..~V"~1 GPu l'RoTEL"'r' l-1M...L ~-A-,t\ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 04/02/0i 14:36 FAX 3606812086 Peninsula Heat I4i 02' . s ... -=--@ ~_..~. ELECTRICAL WORK PERMIT APPLICA1l0~ Job wired by I:IOwller Ins,allation descriPliOft_ ~. o Comrl1ercla) p.<<esldeDdal o New Q AlteredJ Additioa L~w 0/ f-t!?1I 5/af " lrleulClAJ5T/lUCf7r11V'1 O...me,. a.( d(ifi,.~d by RCfJl.J9.18.:!6J:(J) Ow"er will "ccupy ,he Sfrl..(~n"efor t"IO Yf:urs ujit:r this deetrical permit ir ftlali=ed. (].) Okl"er is r~qlljn:cll() hire: an €'lcctrical COrtrracfo,.. if above said prvpetTy is for sale, rem ()r lea.re. Aflea- reaLling lhe above statement, I hereby certify mal I am the Dwner of the above named property or II licensed electrical contractor, 1 am ll\:'l'khlg: rue declricaJ instal- lallon or alteration in compliance ....ilh the electrical law.~. N.E.C.. RCW. Chapter 19.28, WAC. Ch<lpler 296-46B, The Ci Pon Angeles Municipal Code, and Utility Spec' -cati os. Sil;[n:alu x 1:1 Cash a Check # ~dil Card ~ Mastercard Card# _-'2~ FILl- Discover Expirdtion Date of card Inspection f'c:~ t!J $ . Service InfDrmstion La d Addition Q NO LOAD CHANGES o Baseboard KW o Fumaco t()N !:J Heal Pump Ton Q Fan.Wall _ KW SAME DAY INSPECTION ROUGII-IN ? LAR ~ lJ Overhead ServIce [J Temp Service D Underground Service Vollage PhaseO,OJ Service SIze: _ Feeder Size; _L BEJ,-ORE 7:00 AM 360-417-4735 THERMOSTAT SERVlCE D~l.. ^fl"""W~ (I., nm~ Approved By D.le ....""",,,nj 8y I FINAL DITCH FEEDER 0..,<: ApflrM'co' [1,,. n..,c: ^l'l'nWN B)' One. ^PPnlV~.ay II1SpcClion Date Area, Building or Equipmall lnspccted Action Tl'ken Elecuical Inspcclor 7-"L7-o>l API' J;L .- 11/05/2005 14:55 3504523498 OLYMPIC ELECTRIC PAGE 01 G-'c1 e ELECTRICAL WORK PERMIT APPLICATION Job wired by ;0 Electrical Contractor 0 Owner InStallation description / CI Commercial lil""Residential Elec.mcBl COnU3CU\r name OLYMPIC ELECTRIC CO.. purchaser's m3iling addrC'.$s 4230 TUMWATER City State ZIP PORT ANGELES, WA 98363 License num\'lcr D:\tc Expires DNew D AUered/Addltlon INC. OLYMPEC2850 Ia? T?/77/J j'~/'?r~v / \ Telephone number (360) 457-5303 FAX number 452-3498 rremht~ owneT'~ nlmX g' .J!Ji.1f~ ~~ ://1 Addrc'S or In;pcc:ti M ~// !7~/ /Tb'7~/_ -:- Clt~rf" A: J< 1f1' r Phone namber to scbedlllc inspection: Owner as defined hJ' RCW.J9.28.26/:(1) OwnC'P" will occupy rhe .~truct!tr(!.fn,.lWo y~tlrS oftc,' tM.' rdr::ddcol permrl is firlOleed. (2) OW1IC" if requirM ", hire an c'ecuJcaf crmrJ"tJClor if abovt! said proptny j,t fnT .taJc. !"Cnt nr tease. ^fl:cr reading the ;L\'l(lVC statement, 1 herch)" certify tnDl 1 dm lhc owner or 'he abovc named propeny or a Iicensc(l electrical conlT8ctor. I am making lhe clectrical instal~ IDtion or altcration in compliance with d'lc electric""l laws. N.E,C.. ftCW, Chnpter 19,2S. WAC, Chll.ptCT 296.46'8. Thc City of Port Angeles Municipal Code. and Utility Speeincations. Sl~nnture ot owner. eh:l:triul cfJntnclor or eltctricAl ndminhtrl'llOT CI Cash o Check # ~ Credit Card Card # Visa Mastercard Discover ---------------- Date: Expiration Date of card x ~ 8 Lo dll 0 s and or sub.tta.~ D NO LOAD CHANGES D BaseDoard _ KW C Furnace KW D Heal Pump _ Ton _ LAR D Fan.Wall KW o Overhead Service o Temp ServIce Cl Underground Servlca Service Inlonu;ltion Voll.ge 2'1 t1 Phas..er 1 Cl 3 Service Size: ~ Feeder Slze: SAME DAY INSPECTION CALL BEFORE 7.00 AM 360-417-4735 , . - ROUGH-IN /' mERMOSTAT '\ /' SERVICE D.a.I~ J\pImlV('llFly DMC ^m"rn\l~l'I ~y "- nf\tc: ^M'",Yl;'oI fly " /" /" FINAL DITCH FEEDER //-1- ".I'~ ~ " " "-- DDtD ^Jlprtl\l~(1 Ry DRIC ^tl!lf(lVCd By Cf\IC Appm...e" ay Jm_pccrion Area, Building or Equlpment Inspected Action r;tkcn Elccttical Datc In~cctor //-7- 0 (.. $7/$, " Clo,.;"'~ /$77' $'I'A\/l'f:, 21..-/ L- /F7J ///~ .!-,/-, , -/