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HomeMy WebLinkAbout712 S N St - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Subdivision Name ...... Application valuation .... 2000 Additional desc . . ISeparate 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 aws 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 construct on or the performance of S gnature of Contractor or Authonzed Agent Date Signature of Owner (if owner is builder) Date :\PLANNFNG\FORMS\1102.15 [4/2002] 03/19/2003 20:45 13504521589 SHAHP ELEC r ..lE. 01..- ;2..CJS;- For; IJmt:;.-\'.I.:~I:.O:"t.~ C,~!~(...t,., ._"._.__'__ I'~"""" ~ .____.__ (jIUC A~rrl'~(I.I: ___.~. Dille l<~LI~J!. ._~_____ ~ ~L~CTRICAL PERMIT APPLICATION . z.. ffi" Ple.se type or reprint in ink. If you have any questions, pl~.se oall (360. 417-4735 M .. ... ~ Fax number: (360) 417-4711 .". ~ -, J--.7i . REOUEST INSPECTION r A ' '0"- n Cil. I \{\ 0 K <:::-5 Phone.. 1f'57-1.f(... '-i ( Fa'.. OWMr or Elec. Contraclor Agent: ...., ",,,,,,", I" ^ The Electrical Permit Application must be fill~d out complete Iv. PropertY Owr:er; Phone: J Add,-gss; !:Iectrical CC"'lractor:St\~': 'i:"r!':"'~ Address: t,~, ~,"-;,c:. .3f~:::? Exp: / <;3 l.u~ Zip; '''"L I / ,Ie Phone:"'C;::I - lQC'. Zip' "['I.36"""Z-- INSTALU\TION WIRED BY: ::J OWNER " >.-;t""'i' <<e'::"Z3C' .. ~J(z..&c;fl.AJ~- "Jc:. License It; ;..? ~ City: Po"""" A-.;.J6C:LI$ X ELECTRICAL CONTRACTOR <5i'LA-1v.f (,;it)l" -;; 11.~ W_ey "Y.- Billing Address: '1 (Q lJ..> . I () S.,.- City; Credit Card Numbl!!,, Exp~ Date:_ 1.-14 Zip: <r 'j;J{...3. V/SA:L Me: 'dt PROJECT ADDRESS: --=t I ?- TYPE OF WORK; Check glIlhal apply: 'fNew c:: Commercial [J Mobile Home Sq. Ft. '1! Residental c:: Multi-family ( [J Rennote Meter '--' lJetached garage c= Hot Tub c= SWim Pool c) Septic Pump o Low Voltage> 0 Telecom. 0: Number of Circuits added or altered: DESCRIPTION OFTHE ELECTRICAL PROJECT: \ z: f-'I f 0 ~ E-fI-- . ElectrlcelHeat Load Addition~'" ,10 ~ o -C'trvice Information C Baseboard _KW VOltage:~ iq~C ./ o Furnace _f(!,V [J Overhead Service Phase: C:1C3 G Heat Pump _KW 'fi.. Tomp Serviee Service Size: (=A C Fan-Wall _KW ("undergrOUnd Service Feeder Size:_:iOcr.4 PAMC 14,05.060(8): For industrial, commercial, & residential projocls larger than a duplex, a one -line drawing of. the Electrical Service Feeders, cuilding size (sq. ft.), load calculations, and me type & of conductors aM/or raceway is required and 5r,all accompany the Electrical PcrrnU applicati~n. I hcraby cartify that I have read and examined this application and know that same to be true and correct, and I , authorized to apply for this ot the City' it remains the applicants responsibifity to determine what permits are required and to obtain such. Dj:::.. - ~ -() J!ZtJ 0~ . r?:!-. ~j1 /J ~ Credit Card H;Id~rS Signature: . . ~ h<:~ ..A 'UX Owner or Elae. Cont_ Sign-.tu..,,_ JA--.-'1..- ' ~ ~ Dale;~h- Date; r PW-9019 ()e.. C ~ 3/&./'3 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000258 Date 3/12/03 Property Address ...... 712 S N ST ASSESSOR PARCEL NUMBER: 0630004801100000 Application description . . . RES NEW SFR Property zoning ....... Application valuation .... 86633 Owner Contractor STEWARD LAND CO/RICK ANDERSON ANDERSON BOMES LLC 618 S PEABODY ST STE R 618 SOUTE P~J~BODY PORT ANGELES WA 983626244 PORT ANGELES WA 98362 (360) 452-4641 ...... Structure Information NEW 13365P SFR W/ATTACHED 544 SF GARAGE ..... Construction Type ..... TYPE V NON-RATED Occupancy Type ...... SINGLE FAM & CONGREGATES Other struct info ..... NUMBER OF UNITS 1.00 Permit ...... BUILDING PERMIT -RESIDENTIAL Additional desc . . Permit Fee .... 926,25 Plan Check Fee . , 370.50 Issue Date .... 3/12/03 Valuation .... 86633 Expiration Date . . 9/08/03 Qty Unit Charge Per Extension BASE FEE 667.25 37.00 7.0000 THOU BL-50,001-100K (7.00 PER K) 259.00 Permit ...... MECHANICAL PERMIT Additional desc . Sub Contractor . . SHAMP ELECTRICAL CONTRACTING Permit Fee .... 76.00 Plan Check Fee . . .00 Issue Date .... 3/12/03 Valuation .... 0 Expiration Date . . 9/08/03 Qty Unit Charge Per Extension BASE FEE 47.00 4.00 7.2500 ECH ME-VENT FAN 29.00 Permit ...... PLUMBING PERMIT Additional desc . . Sub Contractor . . PIPE-RITE Permit Fee .... 132.00 Plan Check Fee . . .00 Issue Date .... 3/12/03 Valuation .... 0 E~iration Date . . 9/08/03 Qty Unit Charge Per Extension BASE FEE 47.00 8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 56.00 1.00 7.0000 EC"~ PL- EA. INSTALL WATER PIPE 7.00 1.00 15.0000 ECH PL- EA. BLDG SEWER 15.00 1.00 7.0000 ECH PL- EA.WATER HEATER 7.00 Other Fees ......... STATE SURC~L~RGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 1134.25 1134.25 .00 .00 Plan Check Total 370.50 370.50 .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 nspect on hereby certi~ that I have read and exam ned this application and know the same to be true and correct. All provisions of I laws and ordnances govern ng tbig-Npe of work will be complied with whether specified herein or not. The granting of a permit does not pres~give auth~rx~j-t~/i~late]~)r cancel the provisions of any state or local law regulating construction or the performance of Sign~u~e of Contractor o/Authorized Agent Date- Signature of Owner (if owner is builder) Date :\PLANNfNG\FOPJVlS\] ]02.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 41%4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. ITI$ 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 SOB SITE FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering DivJslon) SEPA~o~TE PER.MIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 A~plication Number ..... 03-00000258 Date 3/12/03 Other Fee Total 4.50 4.50 .00 ~00 Grand To~al 1509.25 1509.25 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. Th~s permR becomes nul andvoidifworkorconstructonauthorized snotcommencedwthin 180days, ifconstructonerwork s 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 aws and ordinances governing th s type of work wfl( be complied w th 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 i construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FOKMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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 I DATE I YEsACCEPTEDI NO COMMENTS FOUNDATION: FOUNDATION DRAINAGE ROUG.-IN ff-~~O % 1'~ J JOISTS / GIRDERS WALLS / ROOF / CEILING ~'--~- -- 0 '~ BUILDING 417-4815 0~/0'/0v ~ ~' BUILDING BUILDING PERMIT- APPLICATION [)ate Approved  The Building Permit - Pre-application must be.filled out completely. Please type or print in ink. If you have any questions, please call 4174815 / Address: City:. Zip: ArchitecffEngineer: Phone: Contractor/-/o~3,~ · -~,r, . ,-~ License ~: ~ ;cea ' ~.~'~ .... ' . ....... ,,~p. , ~ ?:1 .9 PRO.CT ~D~SS: ~ I ~ ~ ~ ~- ~ ~G: LEGAL DESC~PTION: Lot: // Block: Subdivisiom m,/,.~c CL~L~ CO~ P~CEL ~ER: ~)6~Y~f/~O Credit Card Holder Name: Billing Address: Ci~: Credit Card ~: Exp. Date: ~SA MC ~E OF WO~: S~E~UA~ON: , ~ ~Residen~al ~ NewCom~. ~ Re-roof ~ Woo&tove ~8F.~$~SF.=$ m Multi-folly D Addition ~ Move ~ Garage 5'~ SF.~$ /~o /SF.=$ [0~ ~ Comercial ~ Remodel ~ Demolition ~ Deck SF. ~ $ /SF. = $ D R~ak 9 Sign ~ TOTAL VALUA~ON $ COMMERCIAL/RESIDENTIAL: OccFpancy Group: Occupant Load: __.Construction Type:. No. of Stories: / Lot Size: ?Ogg~ % Lot Coverage: ~'~, 0,,'/~ Existing Lot Coverage: /sq. ft. + Proposed Lot Coverage: ~/sq. ft. = TOTAL LOT COVERAGE:/~'~,~(~ /sq.fl PLANNING USE ONLY: APPROVALS: PLAN. Notes: BLDG. ESA/Welland(s): c~ Yes ra No SEPA Checklist requited? ~2 Yes in No Other: OTHER BUILDING PERMFr APPLICATION SUBMITTAL: Your application and site plan must be fiIled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submitlal requirements. Your completed applicahon, site plan (for additions) and building construction plans are to be submitted to the Building Division. 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: Your plan check fee is due at the lime the building permit application and construction plans are submitted. All other permit fees arc due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Unifi)rm Building Code, current edition). No application can be extended more than once. ] hereby certt/y that I have read and examined this application arid know the same to be trite and correct, and I am authorized to apply for this permit ! understand il is not the City's legal responsibdily to determine whq2~ertn~ are required,- it remains the applicantk rcspon.sd, ditl, todeterminewhatpermitsarerequtredandtoobtain~-~ .... Applicant:~k~-r~ "-//"- Date: ~_~'}¢ - O~ V T\ :ORMN ,~ N,I ti II i[lt'pt Itll,l N 0 V I C [ ~/~ (360) 4174)501 c o R I' O ~,5 I E D ' ~ ......[ Fax (360),i17-0514 March 7, 2003 ~: mail: zelloxriG~r'o/?~*pus.nc Mr. Brad Collins City of Po~ Angeles Depa~ment of Community Development 32~ East Fifth Street Po~ Angeles, WA 98362 SUBJECT: Anderson Homes - New Single Family Residence located at ~2 S. N Street, Po~ Angeles Dear Mr. Collins: I have examined the plans for the proposed single family residence to be built by Andersen Homes at 712 S. N Street in Pod Angeles for the following: 1997 Uniform Building Code Current Washington State Ventilation and Indoor Air Quality Code Washington State Energy Code The set of plans reviewed by this office and marked in red are in substantial conformance with the above and unless there are outstanding items for which I have not reviewed the plans (Zoning, Parking, Grading, Drainage or Electrical Permits), I recommend that a permit be issued for the structure. Plans have been marked in red for conformance with the following: Braced wall line and wall requirements of U.B.C. 2320.11.3. Smoke Detectors in each sleeping room Ventilation mquiremenls of the WSVIAQC Section 303.4. Safety Glazing at window next to door Positive connection for posqfooting and posqbeam connections Please call me if you have any further questions on this matter. Sincerely, Tracy Gudgel, P.E. Fc: JN 03049 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ."~-- Z'~-- C'~.~ Time Received by //'~J (phone, person) Location of Work to be inspected ~/~- ~ /~ ~'~- Name of person requesting inspection Address of person requesting inspection Phone No.~'7~-~ Type of Inspection (circle appropriate one): Permit No. ~-~ Sewer~--~ ~.~_,~ Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ~ ~-~?-~J~ Time /~/O/~'~c~ By Remarks: ~-~,~'~-~ ~ RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel [-~Asphalt []PCC []Other [] Repaired by City Work Order # ~] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date C2 '~/~-~//c~ -~ Time /."~-01?/~) Received by --~ ~'{'~h~o~ne,~er son) Location of Work ,o be inspected ? / ~ ~ ~ "~ /, Name of person requesting inspection ~/~ ~/ ~ J~ ~ ('~ ~.~ Address of person requesting inspection~s ~, ~ /~,,~ 5 Phone No. Type of Inspection (circle appropriate one): Permit No. ~ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other Inspected: Date ~-~[ ~ Time By ~ Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved {~]Gravel []Asphalt I~PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee ~-~ COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ,~/,~ Time Received by ~ {phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No.~-~ ~ Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date _~---'~-<3~.~ Time By /~-v"[~J Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~]Gravel [~Asphalt ~-~PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE r-I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: - Date £O~-//,D~.'~/C~'~.? Time ~f'-'~-.~ Received by~.-~,~--- (phon Pe~~) Location of Work to be inspected ~ ~ ~,) ~ Name of person requesting inspection ~? ,,,~, ' ~' Address of person requesting inspection Phone No. ~/'~G~ Type of Inspection (~~iate~ one):~ ~ ~. Permit NO.A~ Sewer Foundatio Fra~ing ~himney ~bing~inal Sewer Excav. Other ~ ~/ INSPECTION NOTES: Inspected: Date ~ -- ~--~ Time By ~ Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [--]Gravel ~-~Asphalt []PCC [Other [] Repaired by City Work Order # [--] Repaired by Permittee [-~ COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~-~--~ /1~I-- ~_~'~<' T,me ,ece,ved by ~ ~./ ,~one. ~erso., Location of Work to be inspected '~i ~ ~ -~ / Name of person requesting inspection J~ H t3 ~ ~ Address of person requesting inspection Phone No, Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other_~ Inspected: Date ~1 ~ Time }: ~ By Remarks: I RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel []Asphalt ~]PCC []Other [] Repaired by City Work Order # [--I Repaired by Permittee [-~ COMPLETE El No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST:.~ _ I ~- ~ ~'~ ~'~ Date ~ Time Received by (phone, person) Location of Work to be inspected -~ J~- ~ ~X4/ ~' b Name of person requesting inspection ~-~/[ ~"~ ~ ~ Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing ~n~al~Sewer Excav. Other Inspected: Date Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # E] Repaired by Permittee [] COMPLETE ~-[ No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000295 Date 3/22/03 Property Address ...... 712 S N ST AssEaSOR PARCEL NUMBER: 0630004801100000 kpplication description . . . ELECTRICAL NEW RESIDENTIAL Property zoning ....... Application valuation .... 0 Owner Contractor 618 e PEABODY ST STE H PO BOX 383 PORT ANGEAES WA 983626244 PORT ANGELES WA 98362 (360) 452-1689 Permit ...... ELECTRICAL TEMPORARY SERVICE Additional desc . Permit Fee .... 46.70 Plan Check Fee . . .00 Issue Date .... 3/21/03 Valuation .... 0 Expiration Date . . 9/17/03 Qty Unit Charge Per Extension 1.00 46.7000 ECR EL-T~MP SRV - 0-100 SRV FDR 46.70 Fee stummary Charged Paid Credited Due Permit Fee Total 46.70 46.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.70 46.70 .00 .00 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 wi[hin 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:\PLANN lNG\FORMS\ 1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MIN1MUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULA ?~E OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERM IT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE [ DATE ACCEPTED COMMENTS YES [ NO FOUNDATION: FOOTINGS WALLS FOUNDATION DIL~INAGE PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER WALLS [ CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T BAR INSULATION WALL / FEOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CON~NECTION SANITARY STORM PLANNING DEPT. SEPARAIE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECIIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTKICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417 4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [4/20021 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DWISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00000295 Date 3/21/03 Property Address ...... 712 $ N ST ASSESSOR PARCEL N/IMBER: 0630004801100000 ' Application description . . . ELECTRICAL NEW RESIDENTIAL Property Zoning ....... Application valuation .... 0 Owner Contractor STEWARD LAND CO/RICK ANDERSON S~L~MP ELECTRICAL CONTRACTING 618 S P~ODY ST STE H PO BOX 383 PORT ANGELES WA 983626244 PORT ANGELES WA 98362 (360) 452-1689 Permit ...... ELECTRICAL TEMPORARY SERVICE Additional desc . . Permit Fee .... 46.70 Plan Check Fee . . .00 Issue Date .... 3/21/03 Valuation .... 0 Expiration Date . . 9/17/03 Qty Unit Charge Per Extension 1.00 46.7000 ECE EL-TEMP SRV - 0-100 SRV FDR 46.70 Fee summary Charged Paid Credited Due Permit Fee Total 46.70 46.70 .00 .00 Plan Check Total .00 .00 .00 .00 ~ Grand Total 46.70 46.70 .00 .00 ~ Sepa rate Permits are required fo r electrical work, SE PA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, L¥SULA TE OR CONCEAL ANY WORK BEI~ORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES ] NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARA/EPERMI/:# ~:.~77t-, ]: ff,~ ,~-- ;~ ~'~*~'"