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Home My WebLink About1201 Forest Trail - BuildingSeptember 13, 2010 4 49.24 PM 1pangrle PER SUE R'S DIRECTION, ON 07 -26 -10 I CONTACTED BRUCE EMERY (417- 3669) AT GREEN CROW TO SEE IF THE CC &R'S ALLOW AN ADULT FAMILY HOME AT THIS LOCATION BRUCE STATED THEY DON'T, BUT MAYBE THE APPLICANT COULD GET A VARIANCE. THEN I PHONED THE APPLICANT AND TOLD HIM ABOUT THE CC &R'S NOT ALLOWING THE ADULT FAMILY HOME, BUT THAT A VARIANCE MAY BE POSSIBLE ON 09 -13 -10 I PHONED THE APPLICANT, TODD SIRES, TO ASK WHETHER OR NOT HE IS GOING TO OPEN THIS BUSINESS HE STATED NO, NOT AT THIS TIME DUE TO THE CC &R'S ,c ,c-(\ \D \O5 r 0 l G' N 0 PREPARED 6/30/10 8 08 39 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/30/10 ADDRESS 1201 FOREST TR SUBDIV TENANT NBR 2ND CHAPTER ADULT FAM HM CONTRACTOR PHONE OWNER TODD BARBARA SIRES PHONE (360) 461 9566 PARCEL 06 30 14 6 7 0180 0000 APPL NUMBER 10 00000674 CO- CHANGE OF OCCP /USE PERMIT CO 00 CHANGE OF OCCUP /USE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS CO99 01 6/30/10 BLDG C/O FINAL TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 06/30/10 TIME 08 08 26 June 30 2010 8 07 24 AM 1pangrle TODD 461 9566 C OF 0 FINAL 2ND CHAPTER ADULT FAMILY HOME AFTERNOON COMMENTS AND NOTES rC)Rr CERTIFICATE OF OCCUPANCY APPLICATION Permit 0 Off 4> CITY OF PORT ANGELES Attn Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 PLEASE PRINT IN INK Check one New business in P.A.?iit Change of ownership only? Moving location from within P.A.? BUSINESS NAME 2 hd') C_. r �d.rj 1+ 1 1 b ti'- e t-L-C Business address 12,0 I Eige_s- 1- ra.`, Mailing address I ZO1 1jve4-I- 1td Phone number 461 9544 -Opening date 9 /O Days hours of operation Z4/7 Business owner's name t bGl' Sires Contact phone 34p 4L,/ q54„6 Business owner's address I2.!)1 R yep f' '1 Brief description of business Adu /f -Cann, /y. `t,,n.e 4- n v k Property owner's name 1pc/,f C b4rc S, -es" Contact phone 5'1" Property owner's address /contact /7 1 4 I BUILDING DEPARTMENT phone 417 -4815 FIRE DEPARTMENT phone 417 -4653 Is the business a restaurant or bar that will seat 50 or more people? Yes El No Construction changes planned (moving walls, adding /enlarging windows or doors roofing siding foundation work, adding /altering stairways ramps bathrooms electrical heating /cooling /ventilation systems etc) Work planned Aft5Vf Changes to a fire sprinkler system or fire alarm system? Yes No Work planned PBIA (Parking Business Improvement Area Downtown) phone 417 -4623 Square footage of business? C, (5b Is business moving within the PBIA? Yes No X. COMMUNITY ECONOMIC DEVELOPMENT phone 417 -4750 Number of off street parking spaces available for employees and customers? (A parking plan may be required Signs? (wall- mounted freestanding projecting awning A -frame etc Signs planned /)0 l, b PLEASE NOTE NO flashing, intermittent, or chasing signs are permitted in the City of Port Angeles. Page 1 of 2 FEES $50) Certificate Inspection -$tee. Parking Business Improvement Area (PBIA) fee charged for Downtown locations Bldg approval by 1,1l on CI t3r) O Fire approval by on PBIA notified CED approval by it /A S on _3 e_ C /TY CLERK phone 417 -4634 Second -hand dealer /pawnbroker business? Yes No ;f Will there be dancing at this business? Yes No A City of Port Angeles Business License is required for Taxi, Peddlers, Second -hand dealer Pawnbroker Dance, Hotel- Motel, Fireworks, ambulance, and Tattoo businesses. PUBLIC WORKS DEPARTMENT ENGINEERING phone 417 -4812 Is site work planned (new or re- located sewer or water service excavation grading or filling work in City right -of -way new driveway openings site parking lots downspouts irrigation system backflow devices etc.) Yes No XI Work planned PUBLIC WORKS WASTEWATER phone 417 -4845 Will waste other than domestic household waste be discharged into the sewer system? Yes No If yes what will be discharged: I hereby apply for a Certificate of Occupancy I acknowledge that I have read this application and state that the information I have supplied is correct to the best of my knowledge Incorrect information may result in revocation of permit. 1 Date Zq Print Name 1 601 j d 1 re S Signature T' \Forms\Building Division Certificate of Occupancy Application (2010).doc Page 2 of 2 City Clerk approval by SN on 7- 13 --1,O PWE approval by RV on Z-2-6 Ito No C oninteXt#S t PWW approval by on d G-tJl�' e,a52 call Kex\ 1 uc Rrv. Marsha 417- `-f 6s 3 -F0 v- o- ee_4- -e of occv pan fift' C519-th Yl� .k. .u3+ Clallam County Assessor Treasurer Property Details 67504 TODD /BARBARA SIR. Page 1 of 5 Clallam County Assessor Treasurer Property Search Results 67504 TODD /BARBARA SIRES for Year 2010 2011 Property Account Property ID 67504 Legal Description: RIEDEL II SUBD PHASE II LOT 18 31A Geographic ID 0630146701800000 Agent Code Type Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space. N DFL N Historic Property N Remodel Property N Multi Family Redevelopment: N Township Section Range Location Address: 1201 FOREST TRAIL DR Mapsco PORT ANGELES WA \X Neighborhood' Cycle 4 Res Map ID Neighborhood CD 10952130 Owner Name TODD /BARBARA SIRES Owner ID 52552 Mailing Address. 1201 FOREST TRAIL DR Ownership 100 0000000000% PORT ANGELES WA 98362 Taxes and Assessment Due Property Tax Information as of 06/29/2010 Amount Due if Paid on. M. Exemptions. Year Statement ID Taxing Jurisdiction 2010 49337 ST SCH STATE SCHOOL 2010 49337 CC -GEN COUNTY 2010 49337 PORT PORT 2010 49337 PORT ANG PORT ANGELES 2010 49337 SD #121 SCHOOL DISTRICT #121 2010 49337 NTH OLY LIB NORTH OLYMPIC LIBRARY 2010 49337 HOSP #2 HOSPITAL #2 2010 49337 WSMET PK DIST WILLIAM SHORE MET PARK DIST 2010 49337 CITY STORMWATER CITY STORMWATER 2010 49337 FIRE PATROL FIRE PATROL 2010 49337 WEED CONTROL WEED CONTROL 2010 49337 FP Fee FIRE PATROL COUNTY FEE 2010 49337 TOTAL. 2009 675042008 ST SCH STATE SCHOOL 2009 675042008 CC-GEN COUNTY 2009 675042008 PORT PORT 2009 675042008 PORT ANG PORT ANGELES 2009 675042008 SD #121 SCHOOL DISTRICT #121 First Half Second Half Base Due Base Due Penalty Interest Base $518 96 $518.96 $0 00 $0 00 $51 $276 17 $276 18 $0 00 $0 00 $27 $38 82 $38 81 $0 00 $0 00 $7. $639 42 $639 45 $0 00 $0 00 $6Z $672.18 $672.20 $0 00 $0 00 $67 $80.25 $80.25 $0 00 $0 00 $E $113 30 $113.29 $0 00 $0 00 $11 $36 05 $36 05 $0 00 $0 00 $36 00 $36 00 $0 00 $0 00 $8 70 $8 70 $0 00 $0 00 $0 82 $0 81 $0 00 $0 00 $0.25 $0.25 $0 00 $0 00 $2420.92 $2420.95 $0.00 $0.00 $242 $541 89 $541 89 $0 00 $0 00 $10E $274.26 $274.22 $0 00 $0 00 $54 $38.85 $38 84 $0 00 $0 00 $7 $601 54 $601 52 $0 00 $0 00 $12C $670 15 $670 13 $0 00 $0 00 $134 http. /vpn.clallam. net: 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =67 6/29/2010 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 SIRES TODD BARB 942 STRAIT VIEW DR PORT ANGELES WA PORT ANGELES Other struct info Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Qty 1 00 5 00 Other Fees Fee summary WA 98362 Unit Charge Per 69 0000 ECH 22 0000 5C Charged COMMENTS/ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00001208 942448 1201 FOREST TR 06 30 14 6 7 0180 0000 TODD BARB SIRES RES NEW SFR RS9 RESDNTL SINGLE FAMILY 274748 Contractor TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS ELECTRICAL NEW RESIDENTIAL EXTRA MILE/ 3728 SQ FT SFR 100891 EXTRA MILE 179 00 5/10/07 11/06/07 TECH ELECT LLC Plan Check Fee Valuation EL R SQFT FIRST 1300 EL R SQFT ADDITIONAL 500 Special Notes and Comments 12/04/2006 11 36 AM SROBERDS Project is a sfr in the RS 9 No land use issues are noted 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 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 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 SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Paid Credited Due Date 5/10/07 ACCENT CONST OF SEQUIM INC 942 STRAIT VIEW DRIVE SEQUIM WA 98382 (360) 683 3307 27 50 1 50 14418 00 3966 00 3966 00 1 00 870 00 4 50 1200 00 0 0 0 Extension 69 00 110 00 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT I S UNL,4WFUL TO COMA s INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED DITCH INSPECTION TYPE DATE ACCEPTED YES I NO ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE COMMENTS PW -I IOI.IS 14/901 Application Number 06 00001208 Application pin number 942448 Permit Fee Total 179 00 179 00 00 Plan Check Total 00 00 00 Other Fee Total 2074 50 2074 50 00 Grand Total 2253 50 2253 50 00 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Date 5/10/07 00 00 00 00 ELECTRICAL PERMIT INSPECTION RECORD 'CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. GENERAL COMMENTS: �r= KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO DITCH 3 s Y o 7 ROUGH -IN COQ 5 07 SERVICE 15=Y- o )I FINAL �4 d JI COMMENTS rw uo2.j5I4/96J MAY -01 -2007 10 22 PM E JANSSEN CAC ectrical Contractor Owner D Arauni Permit 0 Alarm O Carnival 0 Commercial 1 4b wired by Eicc rical contractor name License number X tr[ tC Cl -1C f4'/ Purc peer's mailing address t. ►.l RACE 5 Ct Tclel hone number -4C Pre Ices owner's name ck a 1. -E S Add eat of Inspection I her certify that I am thc owner of the above named property Or a licensed elect[ ical contractor (or the firms authorized agent) and ant making the electrical instal ation or alter [ton in compliance with thc electrical lacy Chapter 19.2S RCW /Slgrtioture o owner, cicctrienl contractor or ad min Is(rator WALLS (nsulativn Only Dgle Approv C over 'Approve. O NO OAD CHANGES O as. board KW Ilf ace if KW Ili'Heir Pump ILITon LAP O Fan Nall KW Q 2 2001 __IOC( Ca'�lectrlcai Contractor Owner State LIP �r FAX, number 346 7 SP S ts sr CEILING Insulation Only .r vel 11, n&ent2r subtractions Inspection hate ,5 *7/3, CoN,cy I I rx JJ'a3 Fi ,4L F Arca, Building or I .guipmcnt Inspected ELECTRICAL WORK PERMIT APPLICATIO Cl Request Inspection is Residential Residential Maine. Signs CI Thermostat O Telecom. /Installation description 1 Of.t4D al") tk, 4 3 5 0 372 O Cash Check Credit Card Visa C Expiration Date of card 'I'HERMOSI'AT nnte DITCH :S- 9 -v 7 nntr L] Overhead Service v Temp Service IA/underground Service 360 452 2982 S4 rt Ns, 7 SERVICE npprnv d tt J bate Approval Py f FEEDER Mastercard Discover rov d nay J Dart: npprnvrp By Sgrylco Irttbrmat'Q l voltage Phaso Get 03 Service Size: !to A FFoeder Size: 'Liar 910 ANNINIMINIMINEIN Action Taken P 01 i Inspection fee Electrical Inspector Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation SIRES TODD BARB 942 STRAIT VIEW DR PORT ANGELES WA PORT ANGELES Other struct info Other Fees Fee summary WA 98362 Charged COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00001208 942448 1201 FOREST TR 06 30 14 6 7 0180 0000 TODD BARB SIRES RES NEW SFR RS9 RESDNTL SINGLE FAMILY 274748 Owner Contractor ACCENT CONST OF SEQUIM INC 942 STRAIT VIEW DRIVE SEQUIM WA 98382 (360) 683 3307 TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit ELECTRICAL NEW RESIDENTIAL Additional desc DAVES HEATING LV T STAT Permit pin number 99739 Sub Contractor DAVE S HEATING COOLING Sub Contractor DAVE S HEATING COOLING Permit Fee 35 00 Plan Check Fee Issue Date 4/25/07 Valuation Expiration Date 10/22/07 Qty Unit Charge Per 1 00 35 0000 EC EL LOW VOLTAGE Special Notes and Comments 12/04/2006 11 36 AM SROBERDS Project is a sfr in the RS 9 No land use issues are noted 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 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 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 SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Paid Credited Due Date 4/25/07 27 50 1 50 14418 00 3966 00 3966 00 1 00 870 00 4 50 1200 00 00 0 Extension 35 00 U 0 7 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS DITCH ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD YES I NO PW- 1102.15 141961 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 121 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Application Number 06 00001208 Date 4/25/07 Application pin number 942448 Permit Fee Total 35 00 35 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2074 50 2074 50 00 00 Grand Total 2109 50 2109 50 00 00 COMMENTS /ACTION NEEDED CALL 417 -4735 FOR ELECTRICAL INSPECTIONS: PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH SERVICn FINAL INSPECTION TYPE GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE I /a /s/' '7 I oriteki I I. I I I DATE ACCEPTED YES I NO COMMENTS Pwa 102.1514 1 Apr 11 07 04 Electrical contractor name Job wired by Da ve- 1 5 14e4+1 Pur haler s ailing address D 6a,c 413 6r-i-Anes49.5 T 1 h b11 4, r Daves Heating Cooling FAX number Ele ical Load Additions and or subtrdetions O kb LOAD CHANGES Baseboard KW S urnace KW (Heal Pump Ton 1155 LAR Fan -Wall KW Lif Electrical Contractor CI Owner License number /Avt-sHc99I� C, Stale ZIP oth '7 3 6 a Date Epires 4.57c 9 c cp on nu (3t5��4st- c0T3 'Premises owner's name c cer,+ con -k-c-1i or 7;4 cf, 5t Ad Jc i ress of inspecti n Pore 5+ Trot Ci r -r e-1 es Phone number to Ithedule inspection (8'New Owner as defined by RCW 19 28.261 (1) Owner will occupy ,ht. structure for two sears after thus electrical permit is finalized (2) Owner is required to hire an electrical contractor if above scud property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I ant making the electrical Metal lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC Chapter 296 -46B The City of Port Angeles Municipal Code, and Utility Specifications. /Sig lure of owner electrical contractor or electrical admi istr tor ExptrationDate X �,�i Date ofcard Overhead Service O Temp Service O Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 417 -4735 ROUGH -IN t THERMOSTAT Inspection Date Date N Date y z3 -D7 I Appro ed By FINAL Dau. Approved uy IYalc, ELECTRICALWORKPERMITAPPLICATION 1(Installation description Commercial rU Residential Approved By J DITCH Area, Building or Equipment Inspected o (4) �V o +4c 'f o S'A'N* CA' Cash Check Er'C,i dit Card Card 360- 452 -0939 p 1 Altered/Addition Atquo d By Date Mastercard Voltage Phase 0 t 3 Service Size: Feeder Size re. Discover C Inspec 35-- Service Information r SERVICE s\ Date Approved By FEEDER Approved By Action Taken Electrical Inspector siD) CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 32\ EAST 5TH STREET. PORT ANGELES. WA 98362 ~ ,......-~-- "' " "- "" -.. , ---- Applicat20n Number 07-00000054 Date 1/24/07 App12cat2on pin number 404078 Property Address 1201 FOREST TR I ASSESSOR PARCEL NUMBER' 06-30-14-6-7-0180-0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . RS9 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor ------------------------ ------------------------ SIRES, TODD & BARB EXTRA MILE TECH & ELECT., LLC 942 STRAIT VIEW DR 418 N RACE ST PORT ANGELE~, WA PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360 ) 457-0198 ---------------------------------------------------------------------------- Permit ELECTRICAL TEMPORARY SERVICE Additional desc EXTRA MILE/ 60A TEMP SVC Permit p2n number 93591 Sub Contractor EXTRA MILE TECH & ELECT , LLC ,", Permit Fee 40.00 Plan Check Fee 00 Issue Date 1/24/07 Valuation 0 \.) Expiration Date 7/23/07 Qty Unit Charge Per Extension \) 1. 00 40 0000 ECH EL-TEMP SRV - 0-60 SRV FDR 40 00 -.. ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.00 40 00 .00 00 ....... Plan Check Total .00 .00 .00 .00 '(\ Grand Total 40.00 40 00 .00 .00 t> {' ~ 1.\ ? : COMMl~NTS/ACTION NEEDED ELE\..l IdCAL PERMIT INSPECfION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlERo INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE . .. \oh' ,!,{:110N TYPE I DATE I ACC... ...... COMMENTS YES I NO DITCH RUU<.iH-lN I CUVER SERVICE FINAL I j- J jj.~o7 I M.t.?~ I I I GENERAL COMMENTS: .PW-II01.IS 14I96l . : . ~.., I.';:JPORT~ CITY OF PORT ANGELES 6"!~~~ ha DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION .. ~ 32! EAST 5TH STREET, PORT ANGELES, WA 98362 ~ -, "_. -- -- ._-, Application Number . . 06-00001208 Date 12/07/06 Application pin number 942448 Property Address 1201 FOREST TR ASSESSOR PARCEL NUMBER: 06-30-14-6-7-0180-0000- Tenant nbr, name. . . TODD & BARB SIRES Application type description RES NEW SFR Subdivision Name property Use Property Zoning . RS9 RESDNTL SINGLE FAMILY Application valuation 274748 Owner Contractor ------------------------ ------------------------ SIRES, TODD & BARB ACCENT CONST. OF SEQUIM INC. "" 942 STRAIT VIEW DR. 942 STRAIT VIEW DRIVE PORT ANGELES, WA SEQUIM WA 98382 PORT ANGELES WA 98362 (360) 683-3307 ,~. ... Other struct info . TOTAL % LOT COVERAGE 27.50 NUMBER OF STORIES 1. 50 LOT SIZE 14418.00 PROPOSED LOT COVERAGE 3966.00 TOTAL LOT COVERAGE 3966.00 NUMBER OF UNITS 1. 00 ---------------------------------------------------------------------------- Permit BUILDING PERMIT -RESIDENTIAL Additional desc . Permit pin number 90282 Permit Fee 2000.25 plan Check Fee 800.10 ~ Issue Date 12/07/06 Valuation 274748 Expiration Date 6/05/07 Qty Unit Charge Per Extension BASE FEE 1020.25 175.00 5.6000 THOU BL-100,001-500K (5.60 PER K) '980.00 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc . Permit pin number 91652 Permit Fee 111.40 Plan Check Fee .00 Issue Date 12/07/06 Valuation 0 Expiration Date 6/05/07 Qty Unit Charge Per Extension BASE FEE 50.00 7.00 7.2500 ECH ME-VENT FAN 50.75 1? 1. 00 10.6500 ECH ME-VENT SYSTEM OTHER 10.65 ---------------------------------------------------------------------------- Permit PLUMBING PERMIT I) Additional desc . ~. ~ Permit pin number 91660 permi t Fee 184.00 Plan Check Fee .00 '~ V Issue Date 12/07/06 Valuation 0 Expiration Date 6/05/07 y Qty Unit Charge Per Extension "0 BASE FEE 50.00 / 15.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 105.00 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 Separate Permits are required foreJectrical work, SEPAl 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. v8OJJ~ ~ ~/74p Signature of Contractor or Authorized Age::i Date Signature of Owner (if owner is builder) . , Dale - -. T:IPoliciesll 102_,5 building pc=!! ;,,"pection record05.wpd [1/4/2005] - BUILDING 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 AN}' WORK BEFORE INSPECTEI}A./YP A..(CE~T~I1~POST PE~MIT IN A SQ)'lSPICUOUS LOCATION. _~ ,.KEEP"PERMIT~CARD AND APPROVED PLANS ATJOB SITE. "'''''= "'o';:"INSPECTION.TYPE~~" "ACCEP,TED~ COMMENTS:t.."":.~'-~'''''' '"~~,~, YES "',"- '~O ~'"-, ',,.:,' .,,,-ftii~,.15!1'~ FOUNDATION: FOOTINGS I I I SHEAR WALLS 1 WALLS I I r FOUNDATION DRAINAGE 1 DOWN SPOUTS I I I PIERS I I I i POST HOLES (POLE SLOGS.) I I I i I PLUMBING I , UNDER FLOOR 1 SLAB I I ROUGH.IN I -WATER LINE (METER TO BLDG) j I S'1g~~R PAN, I?;.;+;.'i ;"ij f DATE ACCEPTED BY: ~"n"~ME"DI-GAGGASLiNE. ,.... . ,,'j";:-:::;'-::::'.1~1 "1 'Ai'~SEAL~ ,', . __.. .". ... __ .._".. ~'4 -'.'="'';?'' ~ WALLS I I I '. . --,(;0"'-- ....; '-"CEILlNGL~;.,..c,~~, ;......""'''''''.". ' I I.. _..~--I-..~ "~;:.~: '~ FRA~ING . ., f'\--" --:--.. . . ''''... d:.,j '~J61StS~GlfiDERSr;,}~.. .*'r~~.,;.') I I -" :00 :;;_._-~~ ~.~f..ItU".?~e._ "';~W~~'n~~~ I?.,,~ ' "',' . I "~.'.'.'..j '7""SHMRWlAiWn6ITD!DOWNS~""""~-:"'''.-~7 -',-', . "I ,~" r-l'~. _:-". '~', -~~' ~ ,~1.;s;~-""", >. ,;>",Y :.';:;-"I'U",: ~S-h'l'V~:.' ml'~~\.YAl!~~:I,IR0~FlItG~i~Il'lGLl~~~~~~~1f~~ ;i(~~'~;k;i,$'.:~..;1 't. ""r~::AttrrNTeRiOR.IOO:EO<PANELONLY) · ~.. IT i j INSULATION SLAB I \ I W AL.:l1 FLOOR 1 CEILING I MECilANICAL 'c - HEAT POMP / FURNACE 1 DVCfS I 01\5 LINE I WOOD STOVE 1 PELLET 1 CHIMNEY I FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS j I MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING &: HOLD DOWNS ~~ ~ I I I i I PLANNING DEPT. SEPARATE PERMIT#'s SEPA: r :ut;AA---;RN~KD"'S!NC-:GA!P~-IIN~GH.~~N~.:-:,.. ,.::'" - , SESHAO:RELJNE _ "'::~~~t, ~ -;. - . .::: ::-=:--1:, . . - -. ,"~. "" . , -" FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL I DATE I YES I NO COMMERCIAL DATE I ACCEPTED ~ YES.. NO. ELECTRICAL" LIGHT DEPT. 417-4735 L ELECfRlCAL I ,< LIGHT DEPT I CONSTRUCTION R.W.I PWI 'CONSTRUCTION - R.W. ENGINEERING'. 417.4807/,. PW 1 ENGINEERING FIRE 417-4653.' ". ,FIRE DEPT." PLANNING DEPT. n' __ 4 i 7-4750 I _ PLA~G DEPT, II BUILDING 417.d8!5 BUILDING _... T:Ipoliciesli !02 15 huiiding pennit inspection reconl05,wpd [l/4/2005J ~;<O;:~'('" cui OF PORT ANGELES J~~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION ~ 32!EAST 5TH STREET, PORT ANGELES, WA 98362 ~cv;;..<" Page 2 Application Number 06-00001208 Date 12/07/06 Application pin number 942448 Qty Unit Charge Per Extension 1.00 15.0000 ECH PL- EA. BLDG SEWER .15.00 1.00 7.0000 ECH PL- EA. WATER HEATER 7.00 .t~ ______________________________________________________----~---~------------- '"'[ .. Special Notes and Comments '. '- 12/04/2006 11:36 AM SROBERDS --Project is a sfr in' the j. RS-9. No land use issues are noted. ,.' 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. 0/1 Electrical load calculations and elctrical permits are c.':' required. ."'S.. Sanitary sewer connection inspection is required by :r ) Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway 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 870.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 1200.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2295.65 2295.65 .00 .00 Plan Check Total 800.10 800.10 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 5170.25 5170.25 .00 .00 i ,./ .-.... <" !f..' f.~ ,} '~': ":~ ;" ','1 fi . ~. .. 11 , -- 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, jf 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. I Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date. - - ---- ! T;iPoliciesll 102_15 buildillc "crmil inspccli01l Jecord05.wpd [1/412005] BUILDING PERMIT INSPECTION RECORD - CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CA~L 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS uNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTEDANDACCEPTED. PO~T PEB.M!T IN ~ ,cgl'ls.p!~aJOUS LOCATION. ::.' .'_' _.KEEP.,P.ERMIT.;CARD AND A~~ROVED P.LANS'A'I',UOB;SITE.' ,.,o";,C,;r;,.,,,.,,. INSPECTIoNTYPI!:;'~;'~'F~""#'1 DATE""'~C)lc:-";-~ACCEBJ2E~~~~IIi~-;:"';;S:;::;~'*~if.cqfvIM~NTS";c;'~h~'.:~~~~f~~ YES 1 NO .. -~..._, ..... _._,~ FOUNDATION: I .1 FOOTINGS 11!)'I~j k {; -.J ~. I ~ I SHEAR WALLS / WALLS I ~ ' jJ..l..- Itf /21> for. S~e6.K"Wov\\ :rLL.. , ,';J 0" ~ i FOUNDATION DRAINAGE / DOWN SPOUTS ~,'~^1 Lv I PIERS I I POST HOLES (POLE BLDGS.l I I I I I , ...... ~ PLUMBING 5 {I~ (OJ. Go.. $ Ii he.- :)LL UNDER FLOOR / SLAB I I ROUGH.IN I 75 J If;, J Or I :S'.LL- 'WATERL;I~E(METI3R TO BLDGl I' '".:,{...' .; ;., - ,'; "'.": ,.;-~,. -. . ..' ..-. ~". '~-" .,. .'-_.'-~ -".< "jSHOWER'PAN;;,'.;;: -ry l;M-Qi~l; "4jp~ -';:;;'::''- .~ ~,Fi~~L[{~~J:~-~O~;DATE '~E}~:;AE-~rirIED BY: ",;:'.' ~.~~-"""".-.,'-' "--~"""- i' ~'!;f!6?(JAS,UNE:;...,~.~i ~~;;~i;'T~~:~: ;:-: -~,~~ ~::~:\':':~:"::i7E1~t~: "'--~~~' -;~-t~~~~~_~~- -. 'AlR}SEALf:' ~}t$f.g;t:f;~i:~~~:~ -:-- .. I - -IJil~I--'" 'I~~ I ....-....,:. ."~--~' _.- WAl.;LS ,~..,t JC;~ 'n\'77. ' " i ....,. .,' ': I' ~;cEiL:iN(f",.,;;t....,;; '~".-;........"'''''' e"=- ,'" 'r~M'~I*",",;;;c,'-"" " ., '-'" , ~,~..:..- _.l'i7~~..L ";:~_.._... ... - --- --... -.....--.-. --.._- ._~'C'1:__ I ;''i.';:po.;'. .,~J~JOIsfS17101R:i5i:iRSit">'i~~. , ~ ~SHEI\R'WI\[;WHO~~S~~;' ,. . 'j\ '..:.:=::s::: - -€' ~l ~~~l!:~?:00rW{C~~~NJ~~~~~~~~~3 ~...\~;EY'-._ =" , ~DRy,WALC:(rNTERIOR'BRACED PANEL"ONLY) oj,! ~ '/ J vV I T.BAR I I I INSULATION I SCAB 1,' ( I Q) I tl~",W:AU~~OO~(fEI~ING ))/7;~ .' D 7 t!!..... ~ -,.r...,. -,~,..., ". -MECHANICAL" - "HBAT PUMPI FURNAcE / DUCTS - z.~ GAS LINE '9> I Hi I 0, :JlA..,.- I 0 - ZG:. --Oi G~~ \I h~ :r~L WOOD STOVE / PELLET / CnIMNEY , , FINAL 1"2-- ( Lf. ' 07 DATE -::r I..-L- ~i ACCEPTED BY: COMMERCIAL HOOD / DUCTS I I I MANUFACTURED flaMES FOOTING / SLAB I " BLOCKING'&:' HOLD DOWNS I I .SKlRTING i I ~ PLANNI~G DEPT. SEPARATE PERMIT II's I SEPA: ~ J'ARKING/LIGHTIII/G 1 I I ESA: .;;':'.-='''~' ",.!,..~...,._<"____.._,.-..w .' -;UANDSQ!\P,~q~~~s;:~3~;~~~~~~41;;~~~~f~4~1~.fi1L~ ~~j ~Q.~llii;in....,i~~~~~~::: ,.::. ~ _ ." ,.. '-'. ~ .., ,.."" FINAuiNSPECTIONS REQUlREO'PR10R,TO OCCUPANCY/USE~1l:-'''';.,,,~;:t .n~.-,,~::'Y" " '. . ".. .',,-.-. ....-. . .. . .., . RESIDENTIA~< ., DATE ~,' YES. NO,::: __ ;:;~~M:n:CI~~ _.. _I... ~ATE EL~cffucAL:GGHT DEPT. .'!.'0~' 417.4735' .o'.-,~IECTRICALi;;,hs, \,.'-.'i - L.tOHT DEPT .. . '~~.;'.-~.:...:'t:" 't:'. .- "::'. '.,.. .. I CONSTRUCTION R.W.; PWI __I CONSTRUCTION. R,W. 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UlUl H........O I oul WW ~NO I a 0 '0<>: o:l....-i~ I W 03: ~t\ Cfl en I 00 Eo< U) ~oZ >-< Wo.O<OO ~o.~ <>:OlIl.-<CIl '" <>:H oW '" E-<oo . ~ 10::: "'ul~ Eo< r- Zul 00 E-q:Q (J) Q I OJ (9HW .-< mO:::ZQl..Oo :z: <>: ~~OOIN >-< '" O:::o:lUE-t'<1lr-i ~ ul , 0 '-<0 W I tI..i ~ E-t . , 0 >-<QQ ....:1 , Zenoa ~WW ID \.OM I MQMMMO lIlE-<E-< 0 o t!) roO U 0::: I , UlW '- ~~: ~~~~~~ OW...:1 ID O~o. N N , a:>: '- '-E-<' " .. .. .. .. .. WO N N<>:' <>: <>: <>:<>:U .-< .-<0' 'lIl <>: 'W '" "', ZO III III , Q , E-< '~ , , M ~ I {fJ .U ,.-< , ~O: ~E-t~o::tjZ Eo< a,O , "'><, <>:~E-<WU...:1 H ul' , ~ '- , , WE-<' QZZZ<>:'" 0. , .-< , g:t;: ~~8~tf~ >< , ...:1 , '" E-< , III , --- --------- ---------- ^ t, CITY OF PORT ANGELES iJ~,", DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION ~I- -=--- 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ Application Number 06-00001208 Date 12/07/06 Application pin number 942448 Property Address 1201 FOREST TR ASSESSOR PARCEL NUMBER: 06-30-14-6-7-0180-0000- Tenant nbr, name TODD & BARB SIRES Application type description RES NEW SFR Subdivision Name Property Use Property Zoning . RS9 RESDNTL SINGLE FAMILY Application valuation 274748 Owner Contractor ------------------------ ------------------------ SIRES, TODD & BARB ACCENT CONST. OF SEQUIM INC. 942 STRAIT VIEW DR. 942 STRAIT VIEW DRIVE PORT ANGELES, WA SEQUIM WA 98382 PORT ANGELES WA 98362 (360) 683-3307 Other struct info . TOTAL % LOT COVERAGE 27.50 NUMBER OF STORIES 1. 50 LOT SIZE 14418.00 PROPOSED LOT COVERAGE 3966.00 TOTAL LOT COVERAGE 3966.00 NUMBER OF UNITS 1. 00 ---------------------------------------------------------------------------- Permit BUILDING PERMIT -RESIDENTIAL Additional desc . Permit pin number 90282 Permit Fee 2000.25 Plan Check Fee 800.10 ~ Issue Date 12/07/06 Valuation 274748 Expiration Date 6/05/07 Qty Unit Charge Per Extension BASE FEE 1020.25 175.00 5.6000 THOU BL-100,OOl-500K (5.60 PER K) 980.00 ---------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc . Permit pin number 91652 Permit Fee 111.40 Plan Check Fee .00 Issue Date 12/07/06 Valuation 0 Expiration Date 6/05/07 Qty Unit Charge Per Extension BASE FEE 50.00 7.00 7.2500 ECH ME-VENT FAN 50.75 12 1. 00 10.6500 ECH ME-VENT SYSTEM OTHER 10.65. ---------------------------------------------------------------------------- Permit PLUMBING PERMIT I) Additional desc . ~ ~ Permit pin number 91660 Permit Fee 184.00 plan Check Fee .00 "~ ~ Issue Date 12/07/06 Valuation 0 Expiration Date 6/05/07 y Qty Unit Charge Per Extension "0 BASE FEE 50.00 / 15.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 105.00 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 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. v8QJJ.~ ~ ~Jp Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\] 102_15 building pennit inspection record05.wpd [1/412005] ------ - . 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 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 I YES I NO FOUNDATION: FOOTINGS I I I 1 SHEAR WALLS / WALLS I I I FOUNDA nON DRAINAGE / DOWN SPOUTS I I I PIERS I I I I I I I I I POST HOLES (POLE BLDGS.) I PLUMBING UNDER FLOOR / SLAB I ROUGH-IN I WATER LINE (METER TO BLDGl I SHOWER PAN I I FINAL DATE ACCEPTED BY: I MEDICAL GAS LINE I I I I AIR SEAL 1 I WALLS I I I i CEILING I I I I I fo'RAMING r~i .....,"'- - . I JOISTS / GIRDERS 't~ . I I I SHEAR WALL/HOLD DOWNS . I WALLS / ROOF / CEILING I I DRYWALL (fNTERIOR BRACED PANEL ONL Yl I I T-BAR I I I INSULATION I SLAB I I I I WALL / FLOOR / CEILING I MECHANICAL I I HEAT PUMP / FURNACE / DUCTS 1 I GAS LINE 1 FINAL I WOOD STOVE / PELLET / CHIMNEY DATE ACCEPTED BY: r COMMERCIAL HOOD / DUCTS I I MANUFACTURED flOMES I FOOTING / SLAB I I BLOCKING &. HOLD DOWNS I I SKJRTING I I I I PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING I I L ESA: LANDSCAPING SHORELINE: -' FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE I -- .. RESIDENTIAL DATE YES , NO I COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 I I ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PWI I I CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING I FIRE 417-4653 ,., GDEPT. I PLANNING DEPT. 417-4750 I I . PLANNIN~ DEPT. I I BUILDING 417-4815 BUILDING I T:\Policies\1102_15"btilldi~g pennit inspection record05.wpd [1/4/2005] . _ ~l"ORT"'-'\.! CITY OF PORT ANGELES ,::-C~~~ G~~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION ~~. 321 EAST 5TH STREET, PORT ANGELES, WA 98362 -- .y ~" y;;;:; Page 2 Application Number . 06-00001208 Date 12/07/06 Application pin number 942448 Qty Unit Charge Per Extension 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 12/04/2006 11:36 AM SROBERDS --Project is a sfr in the RS-9. No land use issues are noted. 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. 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 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 870.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 1200.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2295.65 2295.65 .00 .00 Plan Check Total 800.10 800.10 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 5170.25 5170.25 .00 .00 " ,. , ..:.'" " . Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work 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\! 102_15 building pennit 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 CONCEALANJ' 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 I COMMENTS I YES I NO FOUNDATION: I FOOTINGS ''i;!J.bfe (, ..J S-L-. * I SHEAR WALLS 1 WALLS , ,'?J/'o~ c:-)J.L,.. 1f/2.0/or ~\"€4KWtk.H TLL ~i+ . FOUNDATION DRAINAGE 1 DOWN SPOUTS I I-.;Ti? J Lv I PIERS ' ,. i POST HOLES (POLE BLOGS,) I I I ' - PLUMBING r N UNDERFLOORISLAB I I S/I;(Of Gc...S IIVl€... :rLL t) ROUGH-IN 5' JIb 10-' I :r LL-I ()\ WATER LINE (METER TO BLDG) . SHOWER PAN I "1/? II tJ[ I ~ t.-l.-- FINAL 12 -I ~ ~o 7 DATE :J t-L-- ACCEPTED BY: MEDICAL GAS LINE I \, AIR SEAL WALLS I 511'::ijl'\l I~LL I CEILING I rRAMING I JOISTS 1 GIRDERS I I I SHEAR W ALlJHOLD DOWNS I I WALLS 1 ROOF 1 CEILING f / I DRYWALL (rNTERIORBRACED PANEL ONLY) (;/~/~ -j .JVV I T-BAR I I I I INSULATION SLAB I ' I I /5\ I I WALL! FLOOR 1 CEILING ~ /7/ , J D / C!..!:- J I MECHANICAL · ~ I HEAT PUMP / FURNACE 1 DUCTS I ~ I GAS LINE ~) 15! flf ~~ I I 0- Z~--(jl Go..$\Ih~3'L.L z.. ~ I WOOD STOVE 1 PELLET 1 CHIMNEY FINAL /2-.-(Lj.-07 DATE -:rL.-l.-- ACCEPTED BY: ~ - I COMMERCIAL HOOD 1 DUCTS I I I c.. . MANUFACTURED HOMES \n i FOOTING 1 SLAB ~ BLOCKING & HOLD DOWNS I SKIRTING I -4 I PLANNING DEPT. SEPARATE PERMIT#'s j SEPA: w;\ I PARKING/LIGHTING I I I J ESA ~ I LANDSCAPING h_ SHORELINE: - F'iNAL INSPECTIONS REQUIRED PRIORTO'OCCUPANCYIUSE \ RESIDENTIAL DATE I YES I NO COMMERCIAL I DATE ACCEPTED YES NO ELECTRICAL- LIGHT DEPT. 417-4735 I ELECTRICAL I LIGHT DEPT I CONSTRUCTION R.W.I PWI I I CONSTRUCTION - R. W. I ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 I I FIRE DEPT. I PLANNING DEPT. 417-4750 PLANNING DEPT. I I BUILDING 417-4815 BUILDING T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005J.. '" -- ------- -------------------- ~ CITY OF PORT ANGELES PUBLIC WORKS - UTILnlliS DIVISION ~ 321 EAST 51HSTREET, PORT ANGELES, WA 98362 Application Number 06-00001208 Date 12/07/06 Application pin number 942448 Property Address 1201 FOREST TR ASSESSOR PARCEL NUMBER: 06-30-14-6-7:0180-0000- Tenant nbr, name TODD & BARB SIRES Application type description RES NEW SFR. Subdivision Name Property Use Property Zoning . RS9 RESDNTL SINGLE FAMILY Application valuation 274748 Owner Contractor ------------------------ ------------------------ SIRES, TODD & BARB ACCENT CONST. OF SEQUIM INC. 942 STRAIT VIEW DR. 942 STRAIT VIEW DRIVE PORT ANGELES, WA SEQUIM WA 98382 PORT ANGELES WA 98362 (360) 683-3307 Other struct info . TOTAL % LOT COVERAGE 27.50 NUMBER OF STORIES 1. 50 LOT SIZE 14418.00 PROPOSED LOT COVERAGE 3966.00 TOTAL LOT COVERAGE 3966.00 NUMBER OF UNITS 1. 00 ---------------------------------------------------------------------------- Permit PUBLIC WORKS RES WATER SERV Additional desc . 5/8" DROP IN METER Permit pin number 91942 Permit Fee 175.00 Plan Check Fee .00 Issue Date 12/07/06 Valuation 274748 Expiration Date 6/05/07 Qty Unit Charge Per Extension BASE FEE 175.00 ---------------------------------------------------------------------------- Permit RIGHT OF WAY Additional desc . Permit pin number 91926 Permit Fee 50.00 Plan Check Fee .00 Issue Date 12/07/06 Valuation 274748 Expiration Date 6/05/07 Qty Unit Charge Per Extension 1. 00 50.0000 ECH RIGHT OF WAY PERMIT 50.00 ---------------------------------------------------------------------------- Permit SANITARY SEWER HOOK UP Additional desc . Permit pin number 91934 Permit Fee 110.00 Plan Check Fee .00 Issue Date 12/07/06 Valuation 274748 Expiration Date 6/05/07 Qty Unit Charge Per Extension 1. 00 110.0000 EA SAN SEWER HOOKUP 110.00 ---------------------------------------------------------------------------- Special Notes and Comments 12/04/2006 11:36 AM SROBERDS --Project is a sfr in the RS-9. No land use issues are noted. Address numbers shall be plainly visible from the street. 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. ~Jr JJ;; --------./ 7\ . b_/r2.-7~~ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder). Date T:\Policies\J J 02. J SR (1/05] PERMIT INSPECTION RECORD . ". CALL 417-4807 FOR UTILITY 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 PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTIER DRIVEWAY APPROACH I I I BACK-FLOW DEVICE 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 I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING - T:\Policies\1 102. I 5R [1105] . ~of:~~ CITY OF PORT ANGELES ~ PUBLIC WORKS - UTILulliS DNISION ~ 321 EAST 51HSTREET, PORT ANGELES, WA 98362 Page 2 Application Number 06-00001208 Date 12/07/06 Application pin number 942448 ---------------------------------------------------------------------------- Special Notes and Comments Address numbers shall be a minimum of six.inches high and be of contrasting color from the background. 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 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 870.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 1200.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 335.00 335.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 2409.50 2409.50 .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 UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA,TION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GtJ I I r.... DRIVEWAY APPROACH I I I BACK-FLOW DEVICE 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\11 02.1 5R [1105] . r~ - I ~-=-(" 0\ pOln ,tv' FQR OFFICJJ;.L}:!SE pNL Y: ~~b'?; BUILDING PERMIT - APPLICATION D"'R"I/ftbfOc" (hr-~~\ permit~-I-:2CJe> \;~;._ 2':.:..:.:~::.:.::C/ Fill out COMPLETELY and in INK. Your application and site plan :M1JST BE Date A roved' If)~ l~ ~~ COIVIPLET~~~~I;:;~~~~~ ~~J;~:~'~~w. ;~(~:~):~ ;~~,;~~cstiGns, c~l1 ate ls::ed:.Ij~ I . Applicant or Agent: I(} d d ~ 6t\.~ b ~"'Ire~ Phone: '3 <00 - 45 L - q s <a s- Owner: :1(/" vn e..' Phone: Addres~ g 4- Z. ~+V"~~ ~ \f;ewdVCity?nrt- ,Af\5-e\e-s Zip: q~3~A.. l\rchitectlEngineer: Phone: Contractor A c.c..e '" ~ Co nsf State License #: Ace,: NCS o~~D BJUJIOJ Phone: 4' (-qs ('L Address: CfLt2 51 ra.l J Il ;~w d..- City: Por;' 1+ ~d't's Zip: 9 83 b 7- PROJECT ADDRESS: /'201 Jov(~~-f 1Mfl..;.--<'-,.;; ZONING: LEGAL DESCRIPTION: Lot: I B Block: ,Subdivision: K,' e.d ~ i -D 17 h.a s~ f I CLALLAM COUNTY PARCEL NUMJ3ER: 0 to ~ D I 4 fa 7 D I B 0 TY"PE OF WORK: SIZE/V.UUATION: , ' ~ Residential 9<New Constr. 0 Re-roof ~ Stove '2-17 j, SF.@$7fP,.,oq/SF.= $ Z:-1.-lZt-~ o Multi-family 0 Addition 0 Move 0 Garage)i..A.J!:- qS Z. SF. @ $1t) t.* /SF. = $- ?/t:PbC> o Commercial 0 Remodel 0 Demolition 0 Deck llfin SF. @ $ .' /SF. = $-:V1:M:.Z: .. - o Repair 0 Sign 0 Other TOTAL VALUATION $ "'L~ BRIEF DESCRIPTION OF 1.J:::U!; PROJECT: /\!-(w '3 ~t:l.t:.AJ>Yh. kt;'\W' ~ W/ bo"".s ran ~ ~holl"< q~r~f!.. COl\1JVIERCLU/RESIDENTIAL: Occupancy Group: Occupant Load:. Construction Type:_ No. of Stories: Iii. Lot Size. i44 J 'lL: Existing Sq. Ft. pi' & Proposed Sq. F1 ?;tj 1t7& = TOTAL Sq. Ft.~Cd.? Total lot coverage 1,1. f7 % I PLANNING USE ONLY: APPROVALS: I PLAN: BLDG: DPWU: FIRE: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: 01.J:::U!;R: j 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 tin1e of permit issuance. EXPIRATION OF PL.A.N REVIEW: If no peront 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 Mitten request by the applicant (see Section R1 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 kn the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to d~~are e i d ,not the...City's, and t7t I must obtain such permits prior to work. T:\Policies\BL.IIOU3.wpd Applicant: _ /~~~ I . Date: II 6-10' . UJ2I>/J., l~\IU) ~cJ )Jt;OO f"l14 00.. '~iJl<2-'; p'~ Jt.1: > 'f~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION O{p-/~t!8 321 EAST 51H STREET, PORT ANGELES, WA 98362 ~;;Oi<'" - - Application Number 06-00001208 Date 12/07/06 Application pin number 942448 -- Property Address 1201 FOREST TR /9{J) r;; I(~<;;-r I y ASSESSOR PARCEL NUMBER: 06-30-14-6-770180-0000- Tenant nbr, name TODD & BARB SIRES Application type description RES NEW SFR Subdivision Name Property Use Property zoning . RS9 RESDNTL SINGLE FAMILY Application valuation 274748 Owner Contractor ------------------------ ------------------------ SIRES, TODD & BARB ACCENT CONST. OF SEQUIM INC. 942 STRAIT VIEW DR. 942 STRAIT VIEW "DRIVE PORT ANGELES, WA SEQUIM WA 98382 PORT ANGELES WA 98362 (360) 683-3307 j;ctl5/K-€b Other struct info TOTAL % LOT COVERAGE 27.50 NUMBER OF STORIES 1. 50 LOT SIZE 14418.00 PROPOSED LOT COVERAGE 3966.00 TOTAL LOT COVERAGE 3966.00 NUMBER OF UNITS 1. 00 ---------------------------------------------------------------------------- Permit PUBLIC WORKS RES WATER SERV Additional desc . 5/8" DROP IN METER Permit pin number 91942 Permit Fee 175.00 Plan Check Fee .00 Issue Date 12/07/06 valuation 274748 Expiration Date 6/05/07 Qty Unit Charge Per Extension BASE FEE ?.l.1'J.00 ~ --------------------------------------------------------------- ------------ Permit RIGHT OF WAY Additional desc . -~ Permit pin number 91926 Permit Fee 50.00 Plan Check Fee .00 Issue Date 12/07/06 Valuation 274748 Expiration Date 6/05/07 Qty Unit Charge Per Extension \(' 1.00 50.0000 ECH RIGHT OF WAY PERMIT ~ ---------------------------------------------------------------- ---------- Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 91934 Permi t Fee 110 _ 00 plan Check Fee .00 Issue Date 12/07/06 Valuation 27474"8 Expiration Date 6/05/07 Qty Unit Charge Per ~ ________=~~~______==~~~~~~_~~____:~_:~~~~_~~~~~~_____________ ______::~~oo_ Special Notes and Comments 12/04/2006 11;36 AM SROBERDS --Project is a sfr in the RS-9. No land use issues are noted. Address numbers shall be plainly visible from the street. Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utililies, 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 Agenl Date Signature of Owner (if Owner is builder) Date T;\Policies\1102.15R [1105) . df'OR"'~ CITY OF PORT ANGELES -.,.l~ "-&ii PUBLIC WORKS - UTILITIES DNISION ..... -- 321 EAST 5TIfSTREET, PORT ANGELES, WA 98362 ~:? - - Page 2 Application Number 06-00001208 Date 12/07/06 Application pin number 942448 ------~--------------------------------------------------------~------------ Special Notes and Comments Address numbers shall be a minimum of six. inches high and be of contrasting color from the background. 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 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. X -/- ----------------------------------------------------------------~ - ~ Other Fees . . . . . . . .. SEWER SYSTEM DELV CHARGE 870.00 STATE SURCHARGE 4~ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~~ _ ~~:~~ _ ::::~~ _ USE_ FEEC200. 00 . :__ Fee summary Charged Paid credited vue ----------------- ~~-------- ---------- ---------- ---------- Permit Fee Total 335.00 335.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 2409.50 2409.50 .00 .00 Separate Permits are required foreiectrical 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 {l/05] , APPLICATION FOR WATER City Water Division, Port Angeles, WA Issued date: 1"2. - 7 ~ 0 b Installed by & date: -/I~ Z- Z0-07 Permit # (J/~ -12-68 I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises.: Applicant Name & Phone: -kdd.. sf "t>a,l"b '31ve" , Site Address: t 7..DL"fb.,asTJbu!MailingAddress: qq.? sf..r.t:I/1- }/1@fL) Dr Blk: - Lot: I~ Add: Relief J/ 8u~e!L- Parcel #:12fL3I'J/4i'A 7/J IFVJ Svc: ON / eJj) Meter #'s C F {)(d'D \ \"S W/O#: ~<.(j9; - 2'i<S- ~f 17 ? eR.+ lZOO~ Restoration Required: Wo. Svc: Size-....---::; ees: Signature: ~ Remarks: N f" Forre s t '/;-..; I ~ i.f70' ~ E S" C '1= ~ \.. <::;;) ~ ~ S CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Oat.. J6-Q;-o"1 Time Received by (phone, person) Location of Work to be inspected lZ01 h 1U2-eJ::".1~ tL.J.., Name of person requesting inspection -1'n,..J ,J -~ . - Address of person requesting inspection Phone No. ~ Type of Inspection (circle appropriate one): Permit No. Ob- )208 Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other d-V1i (J.hO"J..UC1J INSPECTION NOTES: " Inspected: Date lo-Q-O"l Tim" By "KI/ Remarks: f)1<( ~ Pc> a ,.- ~ ~ RESTORATION REQUIRED . . . . .. YES NO X 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: 7<f Oat.. 5~/s--O 7 Time Received by (phone, person I , /;?p/ Location of Work to be inspecterl ~<-"';::;:; -; / }: ~;e$J /0/ Name of person requesting inspection ~t/d. . S I re3 Address of person requesting inspection Phone No. 4t;t/ - q"'5&? Type of Inspection (circle appropriate one): Permit No. t:J6- /0108 ~oundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: \ Inspected: Date 5"-/:>--07 Timp By 'i2v Remarks: 5-/f,-67 N.e.IA./ Lfl"/ Pre c::..oVJnf8r +,'0 VI -IA p)(;.sf/rl--=i (" 'I ;:>V( of- :PJL / - -> RESTORATION REQUIRED. . . . .. YES NO 'i-- -~I'o;.t:4 t -. '" "'V\ /AI' ---. - - t It~.' ( 'J- ro./L <; o-'oPj Vj - ~~ 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) , \' l " , Ie ~ ..,'1'1 "':i- , .':.. "~ " "'1" I -' " .. t. ,. ,;' . , l~ '. ." -' ~ ...~., ',- ~ -....,'...' .~'t'. :~.~,,. ,'" , " J " ~ , , > .' t.. ~ ~ , ~-/ ,> ,r -~~'~.- , " );>, , . , ........ ~ 'J<. !' << . .-, ..( , > . , '. "'j( . :,l~; 'f ';. '- ',( '>" ~> ~. "';' \ ~.. . j",:' ..- \, . 'Ii.""' .' , ~- , .' .. " , , Jt . , . ~'f~}:[.< ~ . ~ ,-f',:,{'=' - l,.;) ~"';'.,____ . ~:ft-.~". ~ - 1. , ". . .f ... ., . . , . ..,., ''\...", " '1 .", . . t ,.>"" ,. , ~ ~:.; . ."'.... ',," r ' _ . l' .' , ~... j . -. .~ \ ~r t:'. " ! .r " ... , ; . ., t' .' 'l"'t<,j ~- .. i' .. "\ , ~. , ,. ";.' " , ...., .. " , K : ,. , .t i ., ~.~ ~ ~ l' .. ,. :.' '~-'- , ",'" .~ . "", :.''>... .~ " " ~~~ . ~, .' .. , ..~ , .. " " r' . > i CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: DatL.1D- , 7 - 0., Time Received by ~\/ (phone. person) Location of Work to be inspecterl 126\ 'J:"ore.s:t lro.~ 1 Name of person requesting inspection Todd. Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. ~- I ~a~) Sewer Foundation Framing Chimney Plumbing (Ji;J) Sewer Excav. Other br:.'l/9 ll/rl~/ INSPECTION NOTES: Inspected: Date /- /Lf - 6 C(:j Tim" By Remarks: 10- R- 01 D 1< fa lJ",oJ' J>,:"". u..Ja..../ / - (Lj-o<;" (') J<:::: ]),..'v.ewo..'/ >-/(,-0'7 S <2...W",,- .r- RESTORATION REQUiRED...... YES NO X SURFACE RESTORATION: SURFACE TYPE: D Unimproved DGravel D Asphalt DpCC D Other D Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found D INCOMPLETE (Continue on reverse side if necessary) !;TRFFT !;IJPFRINTFNnFNT !DATEl 3613 452 2982 P.131 JAN-18-2887 89:23 AM E.JANSSEN L G--(;) ,t' ~ ELECTRICAL WORK PERMIT APPLlCAT<ON . ' ,- -' ~~ '" / f~~ lob ..Ired ~v a{leClrical Contractor o Owner Illlillnll.ltion deSCrjPliOn~ D Commorclll I\elldentllll Eltetncnl conlrlletor name License n\.lmber DalC EKpires fl#t.f. n4,/-t l<.e~ 4. ~/a..koJ o New o Altered/Addllloo PurchllStr'l lnJli':J addreu -- S-<..wt,..J ,(!.1 () "(,0 ~1, 2l./9 ~ /~""r C$d/Z..",,)j..rLJl ~~ SIUlC ZIP ,..IA- q,,~(z. Tc~phonc number FAX rUllnbcr pr,mhelr}'aer", ftln\e -" -:r".;. ~,~GS Addreu of hllpectloll ~. ;R._i ".:.vl.- __I ~/ r~",L<.,- /( , CI ~ phqn!::m::r to ..f:::t:!.~'''.n: '/(,,{ -/1JIf OIV.Qt'r (J,I' d"f1',~d by HCW.J9.28.16J:(J) Oll'1l1'" .viII occuPy rh" s'I'lIrlw('/0I'/1o>iJ yeQ~.l (ift~r II/j.f l-lrcln'f.'Cl/ pcrmit L\'jl'IP/i;;ccJ. (2) 011"11('" i.r r{!qlfirecllO IJ/r.! an efecll.;C1I/ convnClor if amw(I lioid property is lor .",/e:, I'('nt tlr 1('(I.re. o Cash o Check # AOcir rel'lding the above 5UllemCllt. I hcrchy eertif}' Ihl\\ I <1m the Owner or the above nRn1:d propmy or " Jiet"n~d elcClrlcal conlrl'Clor. I anI '''t'lkillS the Illl.'uricnl iIlSlil.l- o Credit Cllrd Visa Mastercard Discover laliel" or IIItC:IlIlion ill compliance wi!" Lhl: dcctri~'alluw!i, N.E.C.. RCW. ChllPtcr Card # 19.~8. WAC. Chapler 296.469, The City or rort An~d,':s Municiral Code, slld -----.--- -------.-.- Utility SpecificOliollJ. SI.n.ru... n nwn." ,I,ml..1 ~' ,)wd,.' .dml."'n.., Expiration Date ($n.p~~ ";1) x. '$ d Date: I/Ig 107 of card IDnsan~.8M~D~~ , Sm:ldll.P Inln"".lllllll IJ 1\10 LOAD CHANGES Q 9aeBboard - KW Vol lag. IJ ~urnac. _KW D Ovefnead ServIce PhaS.O 1 1:13 IJ Hoal Pump __ Ton _~ ~F1 D Temp Service Sorvlce Slz.: o FJen-WBU _ KW CJ Underground Service Feeder Size: SA!'1E DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 SERVlC:"""... Ur ) ROUGH-IN ( ""~IERMO~:::,, by ) ( 11..,,, ^IJIlru.-ctl Bv UIl" ~~AL ~ ( DnUI ) ( FEF.DER^_....y ) L:/i~,- 0 7 ^d,"~ , n~le I\ptJf'O'\'C" HV " UIlI.. :Ift&pcclion I Aren, Ruilding or Equipment Inr;pect~d I Actiun Taken I Elcctrieal naIl" Inspecto, 1-27....07 I 141' M I I I I I I I I .-.- r I I I ;1<<J 1-1,/~t;7