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
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~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,~ ,~-- ;~ ~'~*~'"