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826 Madeline St - Building
~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdl.vision Name Property Use Property Zoning Application valuation Owner BFV LLC 711 E FRONT ST PORT ANGELES (360) 452-8924 WA 98362 Permit Additl.onal desc Permit pl.n number Sub Contractor Permit Fee Issue Date Expiration Date 7/05/06 06-00000628 Date 261936 826 MADELINE ST 06-30-01-7-6-0180-0000- ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY o Contractor EXTRA MILE TECH 418 N. RACE ST. PORT ANGELES (360) 457-0198 & ELECT LLC WA 98362 ELECTRICAL TEMPORARY EXTRA MILE/ 60A TEMP 80127 EXTRA MILE 42.20 7/05/06 1/01/07 SERVICE TECH & ELECT., LLC Plan Check Fee Valuation .00 o ~i ~,I ~ ,I II II ~:I J '~': 'I " E' II 'I 'I ~I ~" ~ l ',I' II II II ~ t\ Qty 1 00 Unit Charge Per 42 2000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 42.20 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42 20 42.20 .00 .00 Plan Check Total 00 .00 .00 00 Grand Total 42 20 42 20 .00 .00 COMMENTS/ACTION NEEDED II II II II II II II ,I II II ELECfRICAL PERMIT INSPECfION RECORD CALL 4174735 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 INSPEC110N TYPE DATE ACCItPTItD COMMENTS YES NO I JlTI :H ~nT l~U_IN I COVER :)~K v ll,;,h - l<TN AT I ~-13"Db MA 11 GENERAL COMMENTS: PW-I 102.1' 14'961 PREPARED 3/21/08 9 11 33 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/21/08 ADDRESS 826 MADELINE ST SUBDIV TENANT NBR GEORGE STEVENS CONTRACTOR SPIRES HANDYMAN SERVICE PHONE (360) 452 1356 OWNER STEVENS GEORGE PHONE (360) 477 2143 PARCEL 06 30 01 7 6 0180 0000 APPL NUMBER 06 00000360 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/29/06 JLL BLDG FOUNDATION FOOTING TIME 13 00 6/29/06 AP HOWARD 477 5741 06/28/2006 11 19 AM DYASUMUR 06/29/2006 05 01 PM JLIERLY BL1 02 7/06/06 JLL BLDG FOUNDATION FOOTING TIME 13 00 7/06/06 AP BRANT 745 1809 07/05/2006 02 54 PM DYASUMUR 07/06/2006 04 12 PM JLIERLY stem wall inspection February 1 2008 10 32 03 AM aoman BAIR 01 8/30/06 JLL BLDG AIR SEAL TIME 13 00 8/30/06 AP 08/29/2006 04 43 PM DYASUMUR HOWARD 477 5741 08/30/2006 03 14 PM JLIERLY February 1 2008 10 32 15 AM aoman BL3 01 8/30/06 JLL BLDG FRAMING TIME 13 00 8/30/06 DA 08/29/2006 04 46 PM DYASUMUR HOWARD 477 5741 08/30/2006 03 14 PM JLIERLY h clips /eng letter reqd for grider truss support/ install all mech duct per code /j11 BL3 02 8/31/06 JLL BLDG FRAMING TIME 13 00 8/31/06 AP 477 5741 08/31/2006 08 36 AM DYASUMUR 08/31/2006 04 38 PM PBARTHOL BLI 01 9/06/06 JLL BLDG INSULATION TIME 13 00 9/06/06 AP 09/05/2006 03 32 PM DYASUMUR 452 1356 09/06/2006 04 29 PM JLIERLY BL99 01 3/04/08 JLL BLDG FINAL TIME 01 00 3/04/08 DA March 3 2008 8 40 10 AM 1pangrle LYNN 477 2142 BLDG FINAL TUES AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE March 4 2008 4 15 41 PM jlierly Building is occupied without elec or building final inspection /handrail on all stairs front rear garage slope soil away from foundation per code /t &p line to exterior/ connect down spouts to drain line /electrical final reqd /cover rear hatch/ remove vegetation in crawl space /verify threaded pipe at rear in foundation vent /verify gas test and connection /j11 note restrict power and water sign up until items are complete PW99 01 3/20/08 RV PUBLIC WORKS FINAL 3/20/08 AP March 20 2008 1 30 24 PM rvess March 20 2008 1 32 24 PM rvess BL99 02 3/21/08 JkL BLDG FINAL March 21 2008 8 52 10 AM pbarthol todd 461 9566 PERMIT ME 00 MECHANICAL PERMIT PREPARED 3/21/08 9 11 33 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 826 MADELINE ST SUBDIV TENANT NBR GEORGE STEVENS CONTRACTOR SPIRES HANDYMAN SERVICE PHONE (360) 452 1356 OWNER STEVENS GEORGE PHONE (360) 477 2143 PARCEL 06 30 01 7 6 0180 0000 APPL NUMBER 06 00000360 RES NEW SFR REQUESTED TYP /SQ COMPLETED ME99 01 ME99 02 3/21/08 3/04/08 JLL 3/04/08 DA JL PERMIT PL 00 PLUMBING P REQUESTED INSP TYP /SQ COMPLETED RESULT PL2 01 8/15/06 JLL 8/15/06 AP PL99 01 PL99 02 3/21/08 3/04/08 JLL 3/04/08 DA INSP DESCRIPTION RESULT RESULTS /COMMENTS IT DESCRIPTION RESULTS /COMMENTS INSPECTION TICKET PAGE 2 DATE 3/21/08 MECHANICAL FINAL TIME 01 00 March 3 2008 8 43 10 AM 1pangrle LYNN 477 2142 MECHANICAL FINAL TUES AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE March 4 2008 4 15 41 PM jlierly Building is occupied without elec or building final inspection /handrail on all stairs front rear garage slope soil away from foundation per code /t &p line to exterior/ connect down spouts to drain line /electrical final reqd /cover rear hatch/ remove vegetation in crawl space /verify threaded pipe at rear in foundation vent /verify gas test and connection/j11 note restrict power and water sign up until items are complete MECHANICAL FINAL March 21 2008 8 52 44 AM pbarthol PLUMBING ROUGH IN TIME 13 00 08/15/2006 09 12 AM DYASUMUR JOEL 461 1863 08/15/2006 05 29 PM JLIERLY PLUMBING FINAL TIME 01 00 March 3 2008 8 43 33 AM 1pangrle LYNN 477 2142 PLUMBING FINAL TUES AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE March 4 2008 4 15 41 PM jlierly Building is occupied without elec or building final inspection /handrail on all stairs front rear garage slope soil away from foundation per code /t &p line to exterior/ connect down spouts to drain line /electrical final reqd /cover rear hatch/ remove vegetation in crawl space /verify threaded pipe at rear in foundation vent /verify gas test and connection/j11 note restrict power and water sign up until items are complete PLUMBING FINAL March 21 2008 8 52 53 AM pbarthol COMMENTS AND NOTES PREPARED 3/04/08 9 03 29 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/04/08 ADDRESS 826 MADELINE ST SUBDIV TENANT NBR GEORGE STEVENS CONTRACTOR SPIRES HANDYMAN SERVICE PHONE (360) 452 1356 OWNER STEVENS GEORGE PHONE (360) 477 2143 PARCEL 06 30 01 7 6 0180 0000 APPL NUMBER 06 00000360 RES NEW SFR ME99 01 3/04/08 PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/29/06 JLL BLDG FOUNDATION FOOTING TIME 13 00 6/29/06 AP HOWARD 477 5741 06/28/2006 11 19 AM DYASUMUR 06/29/2006 05 01 PM JLIERLY BL1 02 7/06/06 JLL BLDG FOUNDATION FOOTING TIME 13 00 7/06/06 AP BRANT 745 1809 07/05/2006 02 54 PM DYASUMUR 07/06/2006 04 12 PM JLIERLY stem wall inspection February 1 2008 10 32 03 AM aoman BAIR 01 8/30/06 JLL BLDG AIR SEAL TIME 13 00 8/30/06 AP 08/29/2006 04 43 PM DYASUMUR HOWARD 477 5741 08/30/2006 03 14 PM JLIERLY February 1 2008 10 32 15 AM aoman BL3 01 8/30/06 JLL BLDG FRAMING TIME 13 00 8/30/06 DA 08/29/2006 04 46 PM DYASUMUR HOWARD 477 5741 08/30/2006 03 14 PM JLIERLY h clips /eng letter reqd for grider truss support/ install all mech duct per code/j11 BL3 02 8/31/06 JLL BLDG FRAMING TIME 13 00 8/31/06 AP 477 5741 08/31/2006 08 36 AM DYASUMUR 08/31/2006 04 38 PM PBARTHOL BLI 01 9/06/06 JLL BLDG INSULATION TIME 13 00 9/06/06 AP 09/05/2006 03 32 PM DYASUMUR 452 1356 09/06/2006 04 29 PM JLIERLY BL99 01 3/04/08 Dfr BLDG FINAL TIME 01 00 March 3 2008 8 40 10 AM 1pangrle LYNN 477 2142 BLDG FINAL TUES AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS JLL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS MECHANICAL FINAL TIME 01 00 March 3 2008 8 43 10 AM 1pangrle LYNN 477 2142 MECHANICAL FINAL TUES AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE r BUILDING DIVISION CITY OF PORT ANGELES /Correction Notice Job Located at g:-/ 1Vl r@. 1), ez.. k r r Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction c) 4 a.,- c` c I ✓L y Uti't t1 -fi ,u ;L ibo �!1 ►'7 (cam c-,-,1--c- l /A I I fl 61. as ti/ -..,n Ar4.1 d 0 Li (t_ 1 (17 _�.n 1•(7 12f-- G� d f-o_Lo h I /1 sjrz I I—' 7 Y Y643) i hese corrections must be made and are not to b e 5 covered until reinspection is made When corrections have been made, please call eq 9 for inspection 1) S /1'4 6 u I 0 t/ 12 (7-71,0 Date 2 /t I� Inspector for Building Division DO NOT REMOVE THIS TAG PREPARED 3/04/08 9 03 29 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/04/08 ADDRESS 826 MADELINE ST SUBDIV TENANT NBR GEORGE STEVENS CONTRACTOR SPIRES HANDYMAN SERVICE PHONE OWNER STEVENS GEORGE PHONE PARCEL 06 30 01 7 6 0180 0000 APPL NUMBER 06 00000360 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS (360) 452 1356 (360) 477 2143 PL2 01 8/15/06 JLL PLUMBING ROUGH IN TIME 13 00 8/15/06 AP 08/15/2006 09 12 AM DYASUMUR JOEL 461 1863 08/15/2006 05 29 PM JLIERLY PL99 01 3/04/08 LL PLUMBING 2I3 O1 00 3 March 3 2008 08 8 43 3 33 AM 1pangrle LYNN 477 2142 PLUMBING FINAL TUES AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES (2/20/2008) Linda Pangrle Re Permit #06 -919 (Residential Fire Sprinklers) 826 Madeline St. Pa e 1 From Ken Dubuc To: Linda Pangrle Date: 2/4/2008 5 PM Subject: Re Permit #06 -919 (Residential Fire Sprinklers) 826 Madeline St. Hi Linda My records show a final there on 12.22.2006. Thanks, Ken Street Lookup `111< i;e("°L: occ ad z" Taxpayer STEVENS III GEORGE T Title Owner STEVENS III GEORGE T PO BOX 147 BIG BEAR CITY CA 92314 Description ESTATES AT MILWAUKEE LOT 18 Value Summary Note: Listed values do not reflect adjustments made for exemption programs such as Senior /Disabled or Current Use programs (except Commercial Forestland properties) Land Value 75 000 Improvements Value. 264 895 Total Assessed Value 339 895 Property Characteristics Note Use Code is for Assessor's purposes only Contact the appropriate planning or building departments for Zoning and allowable usage of property Use Code 1113 THREE BEDRM Land Size (acreage). 00 Note: Acreage is not listed for all properties in the Assessor's records. More information about land size. Tax Status Taxable Tax Code Area: 0010 Note. Zoning and zoning codes change constantly Verify all zoning with the appropriate planning or building department. Building Characteristics (Click on Bldg for more details.) Bldg. Type Blda. Style Total S.F. BD 01 House One Story 1903 3 Parcel Number 0630017601800000 Site Address 826 MADELINE ST PA ,..Qit PO BOX 147 BIG BEAR CITY CA 92314 Tax History Sales History Other parcels at this address BA 2 Page 1 of 1 0\ 2 gevc°' co•-e- 1.04' o arex Q Sean P 6- �,��1�- '‘f\° s \i\l\\ ‘00-ck AA\c17 \-5( ‘1 REQUEST Date Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one) INSPECTION NOTES Inspected Date r Remarks 421 141 N11-, U V 1 I SURFACE RESTORATION SURFACE TYPE Unimproved Gravel LI Repaired by City Repaired by Permittee No Damage Found CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS INSPECTION REPORT Time Received by Sewer Foundation Framing Chimney Plumbing Final Sewer Excav Other RESTORATION REQUIRED V O-*) 0A_ \(\*e. frgo \c-7 .Scv\C),\ Y13 R° c B q S 0 e v\tek ■U 0\\0 d-NAL i ��S ec• "Ca Cl J II YES NO Phone No Permit No 00 A5 v 0 2 v cc ,--z, u s \o A v'c' 3 Asphalt (l PCC n Other Work Order [J COMPLETE (l INCOMPLETE (phone person) 0 6Th 0 3 2- 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 06 00000360 634800 826 MADELINE ST 06 30 01 7 6 0180 0000 GEORGE STEVENS RES NEW SFR RS9 RESDNTL SINGLE FAMILY 155978 Contractor STEVENS GEORGE SPIRES HANDYMAN SERVICE 826 MADELINE ST 1120 E 3RD ST PORT ANGELES WA 98363 PORT ANGELES WA (360) 477 2143 PORT ANGELES (360) 452 1356 Structure Information 000 000 1922 SF SFR Other struct info TOTAL LOT COVERAGE Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS ELECTRICAL NEW RESIDENTIAL AIR FLO T STAT 80564 AIR FLO HEATING COOLING 36 40 Plan Check Fee 6/28/06 Valuation 5/07/07 Qty Unit Charge Per 1 00 36 4000 ECH EL LVT FIRST THERMOSTAT 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) This project will require seperate permit and fire sprinkler plans for review 05/01/2006 03 08 PM SROBERDS The proposal will result in a new sfr in the RS 9 for total lot coverage of 19% No land use issues anticipated Electrical load calculations and elctrical permits are required Connection fee $222 00 under 2005 rules 04/26/2006 08 39 AM GMCLAIN 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 Date 2/01/08 WA 98362 18 80 1 00 10200 00 1922 00 1 00 00 0 Extension 36 40 {NSPECTIOI\ TYPE DITCH SERVICE ROUGH FINAL COMMENTS ELECTRICAL DATN; RESULTS INSP F;CTOR Application Number Application pin number 06 00000360 634800 Special Notes and Comments road right of way An inspection by Public Works Engineering is required prior to prouring concrete Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Page 2 Date 2/01/08 RES UNDERGRND SERVICE FEE 713 00 SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Charged Paid Credited Due 36 40 36 40 00 00 00 00 2787 50 2787 50 00 2823 90 2823 90 00 00 00 00 00 [I\ SPECTIO1\ TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS: F1L FiCTRICAL DAT F, RESULTS INSPECTOR PREPARED 9/06/06 11 07 10 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/06/06 ADDRESS 826 MADELINE ST SUBDIV TENANT NBR GEORGE STEVENS CONTRACTOR SPIRES HANDYMAN SERVICE PHONE (360) 452 1356 OWNER STEVENS GEORGE PHONE (360) 477 2143 PARCEL 06 30 01 7 6 0180 0000 APPL NUMBER 06 00000360 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/29/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/29/06 AP HOWARD 477 5741 06/28/2006 11 19 AM DYASUMUR 06/29/2006 05 01 PM JLIERLY BL1 02 7/06/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 7/06/06 AP BRANT 745 1809 07/05/2006 02 54 PM DYASUMUR 07/06/2006 04 12 PM JLIERLY stem wall inspection BAIR 01 8/30/06 JLL BUILDING AIR SEAL TIME 13 00 8/30/06 AP DB/29/2006 04 43 PM DYASUMUR HOWARD 477 5741 08/30/2006 03 14 PM JLIERLY BL3 01 8/30/06 JLL BUILDING FRAMING TIME 13 00 8/30/06 DA 08/29/2006 04 46 PM DYASUMUR HOWARD 477 5741 08/30/2006 03 14 PM JLIERLY h clips /eng letter reqd for grider truss support/ install all mech duct per code /j11 BL3 02 8/31/06 JLL BUILDING FRAMING TIME 13 00 8/31/06 AP 477 5741 08/31/2006 08 36 AM DYASUMUR 08/31/2006 04 38 PM PBARTHOL BLI 01 9/06/06 JL BUILDING INSULATION TIME 13 00 t( 09/05/2006 03 32 PM DYASUMUR 452 1356 COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 06 00000360 634800 826 MADELINE ST 06 30 01 7 6 0180 0000 GEORGE STEVENS RES NEW SFR RS9 RESDNTL SINGLE FAMILY 155978 Owner Contractor 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) This project will require seperate permit and fire sprinkler plans for review 05/01/2006 03 08 PM SROBERDS The proposal will result in a new sfr in the RS 9 for total lot coverage of 19% No land use issues anticipated Electrical load calculations and elctrical permits are required Connection fee $222 00 under 2005 rules 04/26/2006 08 39 AM GMCLAIN 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 Date 9/03/06 STEVENS GEORGE SPIRES HANDYMAN SERVICE 826 MADELINE ST 1120 E 3RD ST PORT ANGELES WA 98363 PORT ANGELES WA (360) 477 2143 PORT ANGELES WA 98362 (360) 452 1356 Structure Information 000 000 1922 SF SFR Other struct info TOTAL LOT COVERAGE 18 80 NUMBER OF STORIES 1 00 LOT SIZE 10200 00 TOTAL LOT COVERAGE 1922 00 NUMBER OF UNITS 1 00 Permit ELECTRICAL NEW RESIDENTIAL Additional desc EXTRA/ 2440SF SFR Permit pin number 85530 Sub Contractor EXTRA MILE TECH ELECT LLC Permit Fee 143 20 Plan Check Fee 00 Issue Date 9/03/06 Valuation 0 Expiration Date 3/02/07 Qty Unit Charge Per Extension 1 00 73 0000 ECH EL R SQFT FIRST 1300 73 00 3 00 23 4000 5C EL R SQFT ADDITIONAL 500 70 20 DITCI ROUGH -ITT/ COVEk SERVICE FINAL GENERAL COMMENTS: 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. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES NO COMMENTS PW- 1102.l514g61 Application Number Application pin number Special Notes and Comments 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 Fee summary COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 06 00000360 634800 SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Charged Paid Credited Due Page 2 Date 9/03/06 Permit Fee Total 143 20 143 20 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2074 50 2074 50 00 00 Grand Total 2217 70 2217 70 00 00 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVED INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO DITCH I I I ROUGH -IN COVER 19-5 L SERVICE 1/7-5?-0, Me I I I I I I I I J COMMENTS rw•um.1314'%1 PREPARED 8/31/06 13 08 15 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/31/06 ADDRESS 826 MADELINE ST SUBDIV TENANT NBR GEORGE STEVENS CONTRACTOR SPIRES HANDYMAN SERVICE PHONE (360) 452 1356 OWNER STEVENS GEORGE PHONE (360) 477 2143 PARCEL 06 30 01 7 6 0180 0000 APPL NUMBER 06 00000360 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/29/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/29/06 AP HOWARD 477 5741 06/28/2006 11 19 AM DYASUMUR 06/29/2006 05 01 PM JLIERLY BL1 02 7/06/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 7/06/06 AP BRANT 745 1809 07/05/2006 02 54 PM DYASUMUR 07/06/2006 04 12 PM JLIERLY stem wall inspection BAIR 01 8/30/06 JLL BUILDING AIR SEAL TIME 13 00 8/30/06 AP 08/29/2006 04 43 PM DYASUMUR HOWARD 477 5741 08/30/2006 03 14 PM JLIERLY BL3 01 8/30/06 JLL BUILDING FRAMING TIME 13 00 8/30/06 DA 08/29/2006 04 46 PM DYASUMUR HOWARD 477 5741 08/30/2006 03 14 PM JLIERLY h clips /eng letter reqd for grider truss support/ install all mech duct per code/j11 BL3 02 8/31/06 JLL BUILDING FRAMING TIME 13 00 477 5741 08/31/2006 08 36 AM DYASUMUR COMMENTS AND NOTES PREPARED 8/30/06 8 31 56 CITY OF PORT ANGELES ADDRESS 826 MADELINE ST SUBDIV TENANT NBR GEORGE STEVENS CONTRACTOR SPIRES HANDYMAN SERVICE PHONE (360) 452 1356 OWNER STEVENS GEORGE PHONE (360) 477 2143 PARCEL 06 30 01 7 6 0180 0000 APPL NUMBER 06 00000360 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTION TICKET INSPECTOR JAMES L LIERLY BL1 01 6/29/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/29/06 AP HOWARD 477 5741 06/28/2006 11 19 AM DYASUMUR 06/29/2006 05 01 PM JLIERLY BL1 02 7/06/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 7/06/06 AP BRANT 745 1809 07/05/2006 02 54 PM DYASUMUR 07/06/2006 04 12 PM JLIERLY stem wall inspection BAIR 01 8/30/06 BUILDING AIR SEAL TIME 13 00 08/29/2006 04 43 PM DYASUMUR HOWARD 477 5741 BL3 01 8/30/06 .+L% BUILDING FRAMING TIME 13 00 08/29/2006 04 46 PM DYASUMUR HOWARD 477 5741 COMMENTS AND NOTES PAGE 39 DATE 8/30/06 Job Located at Date BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction I k L e L i C n. s z 1 Q-6., I all c of Ca s2Q jfL t)t pptin These corrections must be made and are not to be covered until reinspection is made When correc ions have been made, please call Ca) for inspection Inspector for Building Division nn NOT RFMAVF THIS TA( 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 BFV LLC 711 E FRONT ST PORT ANGELES (360) 452 8924 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Special Notes and Comments 08/22/2006 03 22 PM KDUBUC Plans approved 8 22 2006 Fee summary Permit Fee Total Plan Check Total Grand Total WA 98362 FIRE SPRINKLER RESID 85258 00 8/22/06 2/18/07 CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, WA 98362 06 00000919 502818 826 MADELINE ST 06 30 01 7 6 0180 0000 PETERSON RES FIRE SPRINKLER SYSTEM RS9 RESDNTL SINGLE FAMILY 2500 Contractor INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES (360) 452 7583 Plan Check Fee Valuation Charged Paid Credited 00 00 00 00 00 00 00 00 00 Date 8/22/06 WA 98362 Due 00 00 00 00 0 cz e ,oc This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the permit. J/2e--L- Signature of Contractor or Authorized Agent Date Signature of Owner (if Owner is builder) Date GENERAL COMMENTS FIRE PERMIT INSPECTION RECORD Call 360 -417 -4655 for fire inspections. Please provide a minimum 24 -hour notice It is unlawful to cover, insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Inspection Type Date Passed J Comments FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final 12 22 oco k6iS� FIRE ALARM Rough -in inspection Alarm final LP GAS Completed by Contractor-- Underground piping inspection /pressure test Test #1 Above ground piping inspection/pressure test Piping pressure test Time initiated Tank (container) inspection Test #2 Appliance inspection Piping pressure test LP -gas final Time initiated UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final 12 22 O 6 lc 2/15/00 psi psi Fire Sprinkler System Plan Review Project Name Private Residence Address 826 Madeline Installer• Innovated Fire Sprinkler Installer Telephone 452 -7583 PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417 -4650 FAX (360) 417 -4659 Type of System. Open 13 Date 8.22.2006 PAFD Permit 06 -43 13 R 13 D El We have checked this plan and find that it conforms to the requirements of the code Additional Comments 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. Contractor Reviewed by itaca,ac) V ]l Building Department Date %.2z 6r. Fire Department PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your 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 l l_ Applicant-or Agent Owner E3^-)C. e4Q/- 4.0 1 Address: /.3a L, S City Qe." Architect/Engineer" Contractor //4J/1/Z1 d.} -1:4—O i R-L State License /A/XX/() I/F-f 14ww/U.Exp 8 A is Phone: 2,- XS Address:/ Al-e-44.1 a 4...., City Po✓ 1 i9.-, i R fC Zip i I 6 PROJECT ADDRESS 8z V 4� 1 e'1ti¢_ v ZONING LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr Re roof Stove Multi family Addition Move Garage Commercial Remodel Demolition Deck Repair Sign Other BRIEF DESCRIPTION OF TFEF PROJECT COMMERCIAL/RESIDENTIAL. Occupancy Group No of Stones: Lot Size: Existing Sq. Ft. Total lot coverage ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other T•1FORMS\BldgPerxnitform.wpd Applicant: Phone: L is 2 7$'0 3 Phone. Phone: Zip FOR OFFICIAL USE ONLY Date Rec. I 406 i Permit Date Approve Date issued: r >1 4 .5 3 6Z SJ7E /VALUATION SF /SF SF /SF SF /SF S OT fl k/i. s 1 7 �p Sai l�� Occupant Load. Construction Type: Proposed Sq Ft TOTAL Sq Ft. Date: 8k2 6 V 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 buildmg 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 Buildmg 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 musrobtain such permits prior to wor PREPARED 8/15/06 11 13 42 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/15/06 ADDRESS 826 MADELINE ST SUBDIV TENANT NBR GEORGE STEVENS CONTRACTOR SPIRES HANDYMAN SERVICE PHONE (360) 452 1356 OWNER STEVENS GEORGE PHONE (360) 477 2143 PARCEL 06 30 01 7 6 0180 0000 APPL NUMBER 06 00000360 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 8/15/06 JLL PLUMBING ROUGH IN TIME 13 00 08/15/2006 09 12 AM DYASUMUR JOEL 461 1863 INSPECTION TICKET PAGE 3 COMMENTS AND NOTES PREPARED 7/06/06 12 32 49 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/06/06 ADDRESS 826 MADELINE ST SUBDIV TENANT NBR GEORGE STEVENS CONTRACTOR SPIRES HANDYMAN SERVICE PHONE (360) 452 1356 OWNER STEVENS GEORGE PHONE (360) 477 2143 PARCEL 06 30 01 7 6 0180 0000 APPL NUMBER 06 00000360 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/29/06 JLL 6/29/06 AP BL1 02 7/06/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 HOWARD 477 5741 06/28/2006 11 19 AM DYASUMUR 06/29/2006 05 01 PM JLIERLY BUILDING FOUNDATION FOOTING TIME 13 00 BRANT 745 1809 07/05/2006 02 54 PM DYASUMUR COMMENTS AND NOTES PREPARED 6/29/06 8 57 23 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/29/06 ADDRESS 826 MADELINE ST SUBDIV TENANT NBR GEORGE STEVENS CONTRACTOR SPIRES HANDYMAN SERVICE PHONE (360) 452 1356 OWNER STEVENS GEORGE PHONE (360) 477 2143 PARCEL 06 30 01 7 6 0180 0000 APPL NUMBER 06 00000360 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/29/06 BUILDING FOUNDATION FOOTING TIME 13 00 HOWARD 477 5741 06/28/2006 11 19 AM DYASUMUR COMMENTS AND NOTES 020 avoLi-kti Owner T•\Policies \1102.15R [1/05] Qty Unit Charge Per Qty Unit Charge Per BASE FEE BASE FEE Qty Unit Charge Per 1 00 50 0000 ECH RIGHT OF WAY PERMIT CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00000360 Date 6/28/06 Application pin number 634800 Property Address 826 MADELINE ST ASSESSOR PARCEL NUMBER 06 30 01 7 6 -0180 0000 Tenant nbr name GEORGE STEVENS Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 155978 Contractor STEVENS GEORGE SPIRES HANDYMAN SERVICE 826 MADELINE ST 1120 E 3RD ST PORT ANGELES WA 98363 PORT ANGELES WA (360) 477 2143 PORT ANGELES WA 98362 (360) 452 1356 Structure Information 000 000 1922 SF SFR Other struct info TOTAL o LOT COVERAGE 18 80 NUMBER OF STORIES 1 00 LOT SIZE 10200 00 TOTAL LOT COVERAGE 1922 00 NUMBER OF UNITS 1 00 Permit DRIVEWAY INSTALLATION Additional desc MOVE DRIVEWAY LOCATION Permit pin number 75929 Permit Fee 170 00 Plan Check Fee 00 Issue Date 6/28/06 Valuation 0 Expiration Date 12/25/06 Extension 170 00 Permit PUBLIC WORKS RES WATER SERV Additional desc 3/4 DROP IN WATER METER Permit pin number 75937 Permit Fee 195 00 Plan Check Fee 00 Issue Date 6/28/06 Valuation 209000 Expiration Date 12/25/06 Extension 195 00 Permit RIGHT OF WAY Additional desc Permit pin number 75911 Permit Fee 50 00 Plan Check Fee 00 Issue Date 6/28/06 Valuation 209000 Expiration Date 12/25/06 Extension 50 00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 75903 Permit Fee 110 00 Plan Check Fee 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. ture of Contractor or Au orized Agent Date Signature of Owner (if owner is builder) Date 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. PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION RW PW/ 417 4807 ENGINEERING FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T•\Policies \1.102.15R 1/05] RESIDENTIAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO I I I I I I I 1 I I I I I 1 I I I I I I I I I I I I I I 1 I I I I I I I I I 1 I I I 1 I I I I I I I I I I I I I I I I 1 I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I .I I I I .1 CONSTRUCTION KW PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING COMMENTS Application Number 06 00000360 Application pin number 634800 Issue Date 6/28/06 Valuation Expiration Date 12/25/06 Qty Unit Charge Per 1 00 110 0000 EA SAN SEWER HOOKUP 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) This project will require seperate permit and fire sprinkler plans for review 05/01/2006 03 08 PM SROBERDS The proposal will result in a new sfr in the RS 9 for total lot coverage of 19% No land use issues anticipated Electrical load calculations and elctrical permits are required Connection fee $222 00 under 2005 rules 04/26/2006 08 39 AM GMCLAIN 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 Fee summary T•\Policies \1102.15R (1 /05) CITY OF PORT ANGELES PUBLIC WORKS UTll 1'i'iES DIVISION 321 EAST 5THSTREET PORT ANGELES, WA 98362 SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Charged Paid Credited Due Page 2 Date 6/28/06 209000 Extension 110 00 Permit Fee Total 525 00 525 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2074 50 2074 50 00 00 Grand Total 2599 50 2599 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 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. SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE INSPECTION TYPE DATE ACCEPTED YES I NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE RESIDENTIAL CONSTRUCTION ILW PW/ 417-4807 ENGINEERING FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T• .Policies \1102.15R 1/05] PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 1 I I I I I I I I I 1 I I I I I I 1 I I I I I 1 I I y 1 I 1 I 1 I I 1 1 I 1 I I 1 I I I 1 I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING 1 FIRE DEPT PLANNING DEPT BUILDING COMMENTS I I I 1 I I 1 1 I I 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 STEVENS GEORGE 826 MADELINE ST PORT ANGELES (360) 477 2143 Structure Information 000 Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 109 00 5 6000 THOU Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Qty Unit Charge Per 1 00 36 4000 ECH EL -LVT FIRST THERMOSTAT Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 4 00 1 00 1 00 14 7000 7 2500 10 6500 50 0000 WA 98363 BUILDING PERMIT 1922 SF SFR 75044 1630 65 6/28/06 12/25/06 ELECTRICAL NEW RESIDENTIAL 80564 36 40 6/28/06 12/25/06 MECHANICAL PERMIT 80572 154 35 6/28/06 12/25/06 ECH ECH ECH ECH Separate Permits are required forelectrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned fora period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last --inspection. l hereby-certify that -1 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 author to violate or cancel the provisions of any state or local law regulating construction or the performance of construct n. Signature of Contrafor or Authorized Agent Date Signature of Owner (if owner is builder) Date 000 1922 SF TOTAL NUMBER OF LOT SIZE TOTAL LOT NUMBER OF BASE FEE ME INSTALL 100 FAU ME VENT FAN ME VENT SYSTEM OTHER ME WOOD BURNING APPL T• \Policies \1102 15 building permit inspection record05 wpd [1/412005) 06 00000360 634800 826 MADELINE ST 06 30 01 7 6 0180 0000 GEORGE STEVENS RES NEW SFR RS9 RESDNTL SINGLE FAMILY 155978 Contractor Date 6/28/06 SPIRES HANDYMAN SERVICE 1120 E 3RD ST PORT ANGELES WA PORT ANGELES (360) 452 1356 SFR LOT COVERAGE 18 80 STORIES 1 00 10200 00 COVERAGE 1922 00 UNITS 1 00 RESIDENTIAL Plan Check Fee Valuation BASE FEE BL -100 001 500K (5 60 PER K) Plan Check Fee Valuation Valuation WA 98362 652 26 209000 Extension 1020 25 610 40 00 0 Extension 36 40 Plan Check Fee 00 0 Extension 50 00 14 70 29 00 10 65 50 00 FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INkftRtBRACED 1'ANPh,. ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING T• \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] 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 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 BUILDING PERMIT INSPECTION RECORD YES I NO FINAL FINAL PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. I I I I I I I I I Application Number Application pin number Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 PLUMBING PERMIT 80580 149 00 6/28/06 12/25/06 06 00000360 634800 Qty Unit Charge Per BASE FEE 10 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 1 00 15 0000 ECH PL EA BLDG SEWER 1 00 7 0000 ECH PL- EA WATER HEATER Plan Check Fee 00 Valuation 0 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) This project will require seperate permit and fire sprinkler plans for review 05/01/2006 03 08 PM SROBERDS The proposal will result in a new sfr in the RS 9 for total lot coverage of 19% No land use issues anticipated Electrical load calculations and elctrical permits are required Connection fee $222 00 under 2005 rules 04/26/2006 08 39 AM GMCLAIN 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 Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I -have read and examined -this application and know the -same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] Page 2 Date 6/28/06 SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Charged Paid Credited Due 1970 40 1970 40 00 00 652 26 652 26 00 00 2074 50 2074 50 00 00 4697 16 4697 16 00 00 Extension 50 00 70 00 7 00 15 00 7 00 FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 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 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 'fI U YES NO FINAL I O g DATE U L ACCEPTED BY. FINAL 3 71 O DATE UL L-- ACCEPTED BY. SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION RW ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I I I I PLANNING DEPT BUILDING 417 -4815 1 zl c I`r L.L I I BUILDING T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] I I I I I I I I I BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent: /l," f d G Owner t' 0 �'L 1'.5 Address. City Zip Architect/Engineer L.: yes -c.*v .r: v IA- Phone: Contractoi,'t l io-t J 1 NAuw_t State License #:59 faE I 1 lij 61?fExp oil O5( Phone: ciZ_s-I rig Address: ©X l�L _i' City _P vt_ t Zip cc's 6 L PROJECT ADDRESS 0 tgUIttd e1 5) ZONING I/L, 9 LEGAL DESCRIPTION Lot: 1 I Block: Subdivision. C 4-P S iii_A- WO ikkO .c CLALLAM COUNTY PARCEL NUMBER. 0 O 6 I 441 a 75 P-N TYPE OF WORK. STZE/VALUA ryResidential f(New Constr Re roof Stove WA SF $14o6:t= .r' 40 C' Multi- family Addition Move Garage '6,02 SF 21 3S /SF I 'jam Commercial Remodel Demolition Deck J a. SF A /SF 3. I iir. Repair Sign Other TOTAL VALUATION /n $_,;t5a 7S BRIEF DESCRIPTION OF THE PROJECT _AV Lrki 4 A _.mot \u -0 w r te a PLANNING USE ONLY COMMERCIALTESIDENTIAL. ccupancy Group Occupant Load. Construction Type No. of Stories: 1 Lot Size'_�a CODO Existmg Sq Ft. C0 Proposed Sq Ft. z7 TOTAL Sq Ft. 7dL Total lot coverage_ ��I'f�� ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2 of the International Buildmg/Residential Code, 2003) No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my res risibility to determine what permits are required not the City's, and that I must obtain such permits prior to work. T•\FORMS\B1dgPermitform.wpd Applicant: N �y Date: 0 L n 412&, r b A9 JC grL FOR OFFICIAL USE ONLY Date Rec. H —AO Pennit 06 Date 4pproved: Date Issued: C' ZA y ..r Phone: 4" .f I Phone. L i t S ;ri d APPROVALS PLAN BLDG DPWU FIRE. OTHER. .1 LOT 12 774.-oiZo 4 LOT 11 ,Cs76, -Qfl U r,�o s> 45.Z2- LOT 10 14 "Of LOT LOT 20 776 -z,oO ki A2 b cb.'Z• I LOT 21 (),Z7-At LOT 13 Or Zbet LOT 17 Av 7 6 cal S C r LOT 18 LOT 15 sti VA 76- LOT 16 r 4 fi LOT 23 o z36 xs■ 0.20/A 1.°s 4 4 r 4 42 76- 40� o,z./d LOT 2 Vii `t•Q,''- LOT 26 n t s LOT 3 7brao30 o.2..1 4 ez yl f LOT 9 Ze 7, /0 ICS. 012;i4 LOT 14 Z 7" o 4'U t2 T S 640-30- o I N7(7-0310 N 0,2 j4 9 cal Lot: Prescriptive Approach Simple Form For the Washington State Energy Code 2003 Edition Climate Zone 1 Site Infoiivatton Building Department Use Only d4 340 Permit Address. 144- m r 1 c City t? State Li CA Zip cc- Z Contact: H Phone. 41 Phone 2 ''J 2- l ei FAX. 1061055 11/9 M e 1 Arv.rb Table 6-7 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 Notes. Unlimited Glazing Option Only Option Glazing Glazing U- Factor Door Wall Wall Wall Slab Area U- Vaulted Above Interior Exterior on of Floor Vertical Overhead Factor Ceilmg Ceilmg Grade Below Below Floor Grade Grade Grade Unlimited III Group R 3 0 40 0.58 0.20 R 38 R 30 R21 R 21 R 10 R 30 R 10 Occupancy Only This Project complies with the following: The Project is a single family residence or duplex. The Project is wood frame OR all of the insulation is mtenor or exterior of the framing. ✓All building components meet the requirements listed in Table 6 -1 Option III. The Project will meet all other provisions of the WSEC and VIAQ The Project will take advantage of the following exceptions to the prescriptive option 602.6 Exception 1 One door, that is 24ft. Or less, that does not meet the standards allowed. Location of the door taking this exception 602.6 Exception 2 Doors with a U- Factor of 0 40 allowed without calculations, Option III only Location of the Door (s) taking exception Type of Heat Source: -1 I lIIII I I II i COMMUNITY DES /EIL OPME,NT and ROADS P_ERMI_T_API_,LI.CATIION .SI-TE -P-LAN PLEASE ISHOWIALL.. REQUIRED INFORMATION 1 1...1._1 1 I I s?\ I p -lease- Indicate I Direction 1�` 1 PLEASE NOTE. This sheet is provided for your use, a larger sheet may need to be used depending on the size /complexity of your project. I I I I 1 I Ifalarger sheet is needed 6 add do I al copies must be submitted I I I I 11.1111 1 1 1 1 1 1 1 1 1 1 1 1 1 I. 1 1 _1 Applicant 1- L u i i y I�� '1'C 5 5Staff inifial� I I I dt i l h_ I t i I a rce l �I -?i 0 I I�°tib l- r I p jt Applicant-Sig I at I 1 ~ ..r~ ~iiii" CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EASTSTIiSTREET, 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 06-00000360 634800 826 MADELINE ST 06-30-01-7-6-0180-0000- GEORGE STEVENS RES NEW SFR Date 6/28/06 RS9 RESDNTL SINGLE FAMILY 155978 D~-3&tJ c;?z&rn~ Owner Contractor (;; 5!-~ STEVENS, GEORGE 826 MADELINE ST PORT ANGELES (360) 477-2143 SPIRES HANDYMAN 1120 E 3RD ST PORT ANGELES WA PORT ANGELES (360) 452-1356 000 1922 SF SFR TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS SERVICE WA 98363 WA 98362 Structure Information 000 Other struct info . . 18.80 1.00 10200.00 1922.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION MOVE DRIVEWAY, LOCATION 75929 170.00 Plan Check Fee 6/28/06 Valuation 12/25/06 .00 o _________Q:y___~~::_~::::~__:~:__~A~~_~~~_______________________~~~~:~~ Permlt . . . .. PUBLIC WORKS RES WATER SERV Additional desc. 3/4" DROP IN WATER METER Permit pin number 75937 Permit Fee 195.00 Plan Check Fee .00 Issue Date 6/28/06 Valuation 209000 Expiration Date 12/25/06 Qty Unit Charge Per ~ BASE FEE 195.00 -----------------------------------------------------.---------- -------~-- - Permit RIGHT OF WAY Additional desc Permit pin number Pe rmi t Fee Issue Date Expiration Date 75911 50.00 6/28/06 12/25/06 Plan Check Fee Valuation .00 209000- Qty Unit Charge Per . "' ~X. n 1.00 50.0000 ECH RIGHT OF WAY PERM'IT SO. 0 ------------------------------------~-~-------------------------- --------- permi t SANITARY SEWER HOOK UP Additional desc . Permit pin number 75903 Permit Fee 110.00 plan Check Fee . . .00 ~ o~ .10 . flylaf2 !2,/~D6 V if Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned fora period 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 constructi6n or the performance of construction. Signature of Contractor or Authorized Agent Date Date Signature of Owner (if owner is builder) T:\Policies\l J02.ISR IlIOS) "'"' le '~ ~--- CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EASTSTHSTREET, PORT ANGELES, WA 98362 Application Number Application pin number Issue Date Expiration Date 06-00000360 634800 6/28/06 Valuation 12/25/06 Page Date 2 6/28/06 209000 Qty Unit Charge Per ~r~~~;~ --------=~~~------==~~~~~~-~~----~~_:~~~~-~~~~~~---------------~--==~~~~~ 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). This project will require seperate permit and fire sprinkler plans for review. 05/01/2006 03:08 PM SRQBERDS -- The proposal will result in a new sfr in the RS-9 for total lot coverage of 19%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. Connection fee $222.00 - under 2005 rules. 04/26/2006 08:39 AM GMCLAIN -----------------------~---- 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. -----~~~~;-;~~;--~-~-~-~-~-~-~-~-~--~~~~;-~~~;~~-~~~;-~~~~--~~~~~- ~ ____________________________________~~~~;:~~~~~;;_~~E_F~~~-=:~~~ Fee summary Charged Paid Credited vue . Permit Fee Total Plan Check Total Other Fee Total Grand Total 525.00 ,00 2074.50 2599.50 525.00 .00 2074.50 2599.50 ,00 ,00 ,00 ,00 ,00 .00 ,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). .(Jate T:\Policies\1 102.1 SR [I/OS} 8-- APPLICATION FOR WATER City Water Division Port Angeles, Washington G .- ;z. 'D . 20a G , - I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises; 477-~/43 Name of Applicant: ~'Y~ g~-t. Address: 'l '" Mad~ 7fr~ Renewal 0 New Service y?Blk. Size of Service I X 0/4- "cJ..-7-IYl Service Left On 0 Service Left Off rI Installed by '" ~~<;;.6?" Lot IE Add HLW7IlJit-l5'6 Meter Number ()~<;? D71J0l.. ~U2' Signe~ . . --"" Remarks: ~ Iq..(~f "'/').<<; ~ ~fo(/ a~3.:;;.o N '" .. w /0 T/.... 51. E1 I o"/IL i .J I I I I I L s CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT. . . . . . REQUEST: Date ~ - S-. 06 Time Received by ;<1/ (phone. person) Location of Work to be inspected HZ, A1a d~ /. :-. <<-- Name of person requesting inspection L.yi-1." :p P f€-.<:.6/A - Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing @ewer Excav. Other 'r77-2./</2. 06-360 INSPECTION NOTES: Inspected: Date . 2. -,2 Cj'- C> 8, Remarks: Time By I<V- RESTORATION REQUIRED . . . . .. YES NO X j<e..... He ",d<t-l~C~~ l.j 5:2 - 176 c:r 4Q.f-i- Ju.R,$~_ 2.- Sj -c'e C~.lIeJ 1-.'j1'\lA. r-e,.......ove-/f'epi...ce ])"';"'''''''''7 ( 2.-~-~'G .J. 1 J ~ __I L.. ...I . '1 t 6C>'~ -r- . })r-iv<e..'-<...><D-\J Co M /"J/el'eCl I / M;/e.s COI~C.re."T"<:::. CJIIII'po:..'i' I 1~1 I 2.- 29-0'2>'- ok 12:. V SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) 2.- r.;,- dS t tJ .MIl! - ?Ic \ I I 92- ~ a-" I J ~ ) 'd....o.f '1'"'- \ ~ I~( I \( I \1' /\.-~w \' I d"4.fi' ~ \ ..J \ IV If? L I- I" 7 " \ \ 1 JUN-12-2006 03:15 PM clI.vy: E.JANSSEN 360 452 2'382 P.01 . 5"', .' , , .,. 'I o Owner ~~'lI>i:;...gr ELECTRICAL WORK PERMIT APPLICATlOlll 'l!l Request IlIspectio~ ';f.EJri<lrlcnJ Contractor , D A.,ual Permit D Alarm D Carnlvo' c:I Commercial E1c*cill C:Olltt'IIClOt 1111mc r;::; )C. .f-a.,.. i"Y1.1i /:::1 ( pu~tcr's mailinlil ~d(Jre!ls i I 8 I-J 'K tk.(;' Ci.~~.. SlalC1 ZIP -4-.o'L-'~ ~'1<:'.{"J ~v 4- Telephone l1Umbel' \. r~^ X nu,,,h(!r ., 100 - 'I 'l - -;;U~ Pre~l.ct OWlIer'M 1\llne ~ -1.:.\-0..J .........l \.)~k.t..-\. Add....ell of hupccrlt)D 8:,;1, " rY\o.d ~ I \J 1\.) "0 1/ c,......... --, ':l~,nl Jo' wired by J{Resld(!ndal CI Rc~idcluh\l Mall1t. CI Sign!; 0 Thermostat CJ Telecom. o .:I.ctrlcal COlltrnctor 0 Owner lnstalliltion desC"riplion f FIYI'P \,e:tU ;U(' (~icense [lumber <. frtlc..,,-,l 'ST .' . ~S'H Z- I.) ?I.O - 'ill-- mllOeL.INe o Cash o Check # I hcreby certify Ihat I 3m the owner of'the above named property or ..\ Iicenscd electr(ical Contr.!.clor (or tilt tirm's authOlizeci agent) and am making tnc clc:t:111cal insta~!ltion or llltcrstion in compliance with the electrical law, Chapter 11-'.2f! RCW. o e".e1i, Card Visa Maslercard Discover C~~________________ Expinnion Date of card WALLS Insulation Only Insulation Only Oalr. --:-~ ~ SERVICE: DlI.l~ ...JlV'V.....1Uy FEEUER (laic ^PCIro"ed II~ TIlRRMOSTAT ,- DlIl~ '\I'IJlUV~"l1 By /' mTCH '--- 1)1Il~ AIIIl\"''''~d Ily CEILING Apflm"ud Ily {)~l\l Apl'm"l'll By COVN Coyer Al'Ipm"erlllY --iim;-- I\pflro\cdlly J>erv.~.!JltQIIJ'\~llIn Electrical Load AlllllJlllnlUlJd oaubl.r.a~_1lIln5 D Nq LOAD CHANGES Q aal8board KW (J Fumace KW CJ Hetlt Pump Ton LAA D F80-Wall KW tnsptction 0l\1\: r.,/t ~7oc' t,h -c I" /_ /: / 4t!tf9 (J Overhead Service o Tl:tmp Service o UndGrground Service Voltage Ph... CI , CI 3 Service SlZ9~ _ Feedar Size: An"lit, Bl1ildiT\g ~IT E"luiprnt:rlllJ\spt:l,;l~<.l Eleclrical In:spcclor Action Taken f"~ IVA.{ Gc- \fO>-1 t:/#.41' 4t Z.2-2- 3.E-- ApfYd~_ k#..' L # ~rJ RsG:. 0/; :ifi6--------- AUG-24-2006 08:38 AM wr.1 ~J? : ! ~Eltrtrical Contractor CJ AAlnu..1 Pe1'mlt l:J A.larm CJ Carnival 0 COMmercial _Residential 0 Reslthmtial Maiot. (J Sil:ns t:J Thermostat 0 Telec:om. E~JANSSEN 360 452 2982 P.01., 5 ~ .~ a Owner t' .~ ELECTRICAL WORK PERMIT APPLICATION o ~equest Inspection D EJe<:trlcal Contractor 0 Owner In.sll.lllutil'll description ~..:;) Cv(V5~~ . ~ l.iccT\Sc.Il}JnlbCr t:-l ~L.f-,u ,.~, f. d.e4 X" Sl~i SUl\l.: ZIP _Idi 11- Pre he, nWlh'rl" 'Him", €"~Ic:. Adll e'l or huptctlOI\ 'Y;;''' /YI"'DEI,f\)1;:, Cil~~ #r _'18';(...2- 5"-(, ~- l'AX number 78 16 ~t/(JO z;"tr!CP i:& k o Cash D Check II I her by certify thnt I ftm the ownc=r of lh~ nonv(' Ila"\l~d pro~~cl'ty or " Iiccn:'icd elect ieal conrn,clor (or the firm's :mthori7cd agent) ~nd am rnakjn~ till: rkctrical irulttl,huinn or altl!'r:nion in COnlp1iW1C't' with tne clcctl.icalla......, Chapter 19.28 new. o Credit Cord Carull ViS.l MR!':tercard Discover - ,- -- -~-------_._---- SIR~.tllr~ a( own\'r, ehctrka , trlenl ndmlnbtrilwr Expinllion Date of card WALLS In!H!I:11itln Only La..-', ~ b Cuve,.J:;;;" nlJ;C> ~i)' CEILING IIlSululi(w Only L Y\ :.. THERMOSTAT SERVICE //-fj-tJt, ..J,.{J llall' ^~'p",v~d y [l~l\i -~;;e-- ^1')'1\",'<II~} 'ij2i~L("""~ DIT<':H FEED}R IIJI~ - Aii1lfovrrt l'y Il~.. App"'.....~BJI ~I.I IJ N LOAD CHANGES C 8e aboard KW o Fu nace KW [J He I Pump Ton i:I F.~-W.II KW nd.S!r subtractions Service In1ormatlon --- LAR CJ Overhead Service U Temp Service ~Ut\dF.!rgrout\d Service VOltB~ PhaGe 1 Q ~ Service Size: _ Feeder Size: IIISpeCli\ll1 i D.lle AH!::l, Bllilding or Eqllipllll.:lllllI~p(;ctl:d A':lion Taken E1ectrieal II1SpeCIOf (}-{J fiz:& :{ "'0 1(.3 - DOC D _.~_L..-...__. . , . ;eo ~o/trC '": --~._-----.-._- 08/17/06 THU 08:38 FAX 360 683 3971 AIR FLO HEATING ~001 . . 22lW. Cedar Sequitn, WA 98382 (360)683-3901 (360)683-3971 (Fax) Air FIo Heatino Co: Fax Ta: City ofP.A. From: Sandy Tapia Fax: 417-4711 Pages: 1 Phone: Date: 8/17/06 Re: Spires Handyman Service cc: o Urgent 0 Far Review 0 Please Comment 0 Please Reply D Please Rec:yele COM1v1ENTS: Ready for inspection: l-sT~T Spires Handyman Service/Spec house @ 826 Madeline St. Port Angeles, W A 98362 360-477-5731 Howard Thanks, Sandy Tapia Production Coordinator ELECTRICAL INSPECTION WIRING REPORT 417-4735 PERMIT # Gfo3b +\ I /... i!Z- IZ.Lt'Z. C- APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D.. . . .. . . . .. . . . . . ROUGH IN/COVER. . .. . . ... . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D..................... FINAL....................J( CORRECTIONS NEEDED: ~QlJTL"E:.TS. /JOT WORKll\Ll.. ~ Z/().~Z.l\j rPZ-WflSULA () U'T"LE"'l. "I~c... 'ZJ{).~z. ~3 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 08/02/06 WED 12:59 FAX 360 683 3971 AIR FLO HEATING ~001 "-I'",_,~, -:<1."'''''.1:' IT." t '-&:T .)"N-"CLe:.::. : ".~ ':'..:l. , ~ <l. :. , , " ~ ELECTRICAL PERMIT APPLICATION FOR OFl1JOAl.. USE ONt..... """""" ,...1,,: DaIC:;lLpptu"""": . t. \f\\ ~ The Elcctric;al P'ennll Applica~on must be- {tiled out comol@letv Ple::l~ tvp8 or reprint in Ink... If you have. any quesfia"5. P....s. c::aH (3&0) .17- 4735 F3l1: number: (360) 417....711 REQUEST INSPECTION 0 Own"",EleCConrrad"'A_t~l~~ \.l-1d1lt~Z1 PhDn.'~ f F..xo 0(0-?51=1-L P<t>pertyOwnel:-12b'Jfi,o '. -_:fIJ~C ---.-:t{ 6(JlfI.-) PhaneA-Tl-5'9t.tL Address:~l1 Y/.I VlL /j:J- Cilyltrt ~Y~P^ 7iiJ~t:/;;1'" Eleclrlc;ol CDn""ctor: .Au:::-~/..q) IJ I f}J -h r1 (!If License AlltFl )./(1.lJ{;t:i(!~: ZZi W' ~lR-ci aJ& "'Iy ~V' WI Phone- ZJp: ~j(?~~'d- Addre.s:;; INSTAUATlOI'I WIRED ey: C,.,dit Card Holder Name' o OWNER Al~ }-lA) nl14M 6 Ovl vi Ig, o ELECTRICAL CONTRACTOR !l:..W +t 1/1 (' ~ Billing Add,-"ss' City: Credit Card Number:' Exp. Date: Zip: VISA- MC~ . PROJECT ADDREss, ~ '? If rYl (JdA'A i /11 P J:?+ f!ocr. /fv2q;w -s TYPE OF WOFl:K: Check all thaI apply. 9 New o Alteration/Addition "/J Residential 0 Mulli-lamily o Commercial 0 Mobile Home Sq. Ft Remote Meter 0 Derached garage 0 HOI Tub 0 Swim Pool 0 Septic Pump ~ Low Vollage 0 Telecom. 0 S, Number of Circ:uits added or altered: DEseRI.PTION OF ntE ELECTRICAl. PRO.JECT~f1IVlO~~/ W l.~ - Electrical Heat Load Additions PERMIT F ice Info ati o Baseboard o Furnace "'Heat Pump o Fan-Wall _KW KW ~TON Cp..'?, LRA _KW o Overheat! cIVic em Se - o Underground Service Voltag@'; pnase: 0' 0 3 Service Size: Feeder Size: I hereby certify that I have read .and examined this application and know that same to be /rue and correct. and I a . authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature. 0,,1..: tib- ~ -1J (.0 Owner or e/ee. Cont. Signatu.....: C:/ELECTRICALPERMITAPPUCA nON Date: 3604172733 5T OF WA L&I ,.....,. _......-L..L.....J ........"..... . . . /' LO, I.uuO 07:31 :54 a.m 00-31-2006 1/4 ...~.,~ yUU~""~'~~ (j CITY OF PORT ANGELES LIGHT DIVISION L ;.J' . I.; FAX TRANSMISSION COVER SHEET I ' l~ . t' --=, Dale: To: Fax: Re: Sender: ~ i:! 8/28/06 Labor & Industries 417-2733 Inspections Kathy Trainor Phone: 417-4724 Fax: 417-4729 YOU SHOULD RECEIVE 1'PAGE, INCLUDING THIS COVER SHEET. IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (360) 417-4724. Please inspect for. Scott - Extra Mile Tech & Electrical 461-1338 ..... Madeline New ConstruclJon .Thank you, Kathy 11f ~ .#t-