Loading...
HomeMy WebLinkAbout430 E Orcas Ave - Building ELECTRICAL PERMIT CITY OF PORT ANGELES l 360- 417 -4735 a Application Number 11- 00001244 Date 11/02/11 Application pin number 006156 REPORT SALES TAX Property Address 430 ORCAS AVE ASSESSOR PARCEL NUMBER: 06- 30- 10 -5 -0- 1700 -0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor JAMIE H DONEAL H PUTNAM DAVE'S HTG COOLING SRVC INC 430 ORCAS AVENUE PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 -5588 (360) 452 -0939 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 56.00 Plan Check Fee .00 Issue Date 11/02/11 Valuation 0 Expiration Date 4/30/12 Qty Unit Charge Per Extension \J 1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00 Fee summary Charged Paid Credited. Due (12) Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 0 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN Z JiZ FINAL a COMMENTS: 1/ T PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING Oct 31 11 02:29p Dave's Heating Cooling 3604520939 p.1 A it L 1 pi 1Nf 1' City of Port Angeles Permit Application Building Divisionl5lectrical Inspections 321 East Fifth Street- P.0.-Box 1150 Port Angeles Washington, 98362 Ph: (360) 417.4 Fa (360) 417 -4711 Date: I 1 2 Single Family Dwelling Multi- Family or Commercial' \\t‘ill;r----7://i.. Commercial Addition Alteration Remodel/Repair Plan Review May Be Required, Please Complete Ele r Plan Review; ipformation Sheet Li Job Address: 3 0 ("G a S tie- V11 Building Square Footage: r Description of above n4 ,a 0-'C"t 0 r., �C L"" k c- r Owner Iftormation Contractor Infor alion N -1J 1k t 4.- urn+, e. t' CAA' n c; m Name: D Gi' ez Mailin• dare .30 dl ^Gets A Mailing Ai ress: 4r .City: i tale: Z O w l City: D i� 2 Zip: r Phone. Fax: Phone: Fax: C% q- License Exp. License it Exp. .7) V «C-? 9' Unit Charqe Total (Oty Multiplied by Unit Charge) 5119.90 5 Service/Feeder 200 Amp. 5145.50 5 Service/Feeder 201 -400 Amp. S 204.60 Service/Feeder 401-600 Amp. 5262.20 5 Service/Feeder 601.100DAmp. 5 372.50 5 ServicelFeeder over 1000 Amp. 5 2.60 S Branch Circuit W/ Service Feeder 5 73.50 S Branch Circuit W/0 Service Feecer 5 2.60 5 Each Additional Branch Circuit 5 92.70 5 Temp. Service/ Feeder 200 Amp. 5110.30 5 Temp. Service/Feeder 201-400 Amp. 5145.70 5 Temp. Service/Feeder 41)1-600 A..mp. 5167.90 S Temp. Service/Feeder 601.1000 Amp. 5 95.90 5 Portal to Portal Hourly 5 86.20 5 SignfCutline Lghhng 5 95.90 5 Signal Circuit/ Limited Energy Commercial. Addibonal 1500 $5.00 5 63.90 S Signal Circuit/ Limited Energy -18 2 Family Dwelling 5 63.90 5 Signal Circuit/ Limited Energy Multi- Family Dwelling 5119.90 5 Manufactured Home Connection 5102.30 5 Renewable Iecbical Energy 5KVA System or Less 5110.30 5 First 1300 Square Ft. 35.20 5 Each Additional 500 Square FL or Portion of 5 73.50 S Each Outbuild n3 or Detached Garage 5110.30 5 Each Swimming Pool or No Tub 5 56.00 7 5 «Thenrostai 5 5 0 Total Owner as defined by RCW.19.28.261: /1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, l hereby certify that t am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.EC., RCW. Chapter 1928, WAC. Chapter 296 -466, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator D Cash p /1� /r�j,, D Check s (f X /•L�J� r ^"rtef'! 'y r Date: I4 Credit Card p J ELECTRICAL PERMIT CITY OP' FORT ANGELES 360 -417 -4735 N Application Number 11- 00001245 Date 11/02/11 (1 Application pin number 119505 REPORT SALES TAX Property Address 430 ORCAS AVE ASSESSOR PARCEL NUMBER: 06- 30- 10 -5 -0- 1700 -0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor JAMIE H DONEAL H PUTNAM EXTRA MILE TECH ELECT., LLC 430 ORCAS AVENUE 418 N. RACE ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 -5588 (360) 457 -0198 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc FURNACE/ Permit Fee 73.50 Plan Check Fee .00 Issue Date 11/02/11 Valuation 0 Expiration Date 4/30/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 Fee summary Charged Paid Credited Due Permit Fee Total 73.50 73.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 73.50 73.50' .00 .00 V C. 2../14r) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH IN 2.7 FINAL 2)Z-1 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G ^EXCHANGE \BUILDING OCT -31 -2011 10:25 PM E.JANSSEN 360 452 2982 P.01 w......arr.y..� «+use 1 t� pC)Rr.ty 1 CITY OF PORT ANGELES. PI;IR.M17' APPI,ICATION 'I Building Division/Electrical Inspections 'x;. 321 Fast Fifth Street P.O. HMI 1150 Port Angeles Washington, 98362 411IPPF Us) Ph: (360) 4117 -4735 Fax: (360) 417-4 Da: ic7- _3 J7 1 2 Single Family Dwelling Multi Family or Commercial' Commercia: Addition Alteration Remodel Repair' Plan Review May Be Required, Pease Complete Electrical Plan Review Information Sheet JOb Address: 3 0 ..._C) ''_c. l: S Building 5uw9m Footage: Description oI above .4. X T k7 Ai_ L. ..r a «4 o i`."- r e L.. vz.i lit Owner Information Information Name: A...•� Nra' Name: E.!'rf ,'1'Irl.✓% 'Et_e+ er �'ui•r2re,4L. Mailing 'x u U /-4:- -ii Mailing Address. -1 54 c' E 4 -sr L 72L City: 4 State:1; Z4 i 1 i'. r City: ..2 A", cl. States ki! rp- cg Phone. i'_� Far: Ph .44- 7 S y a Fax: S s' 54 F Exp._t-. r... r's •7 7 3 /24. IM Unit Charge thy, Total (City Multiplied Iv Unit Charm) Service /Feeder 200 Amp. 119.90 Service/Feeder 201-400 201 -400 Amp. 145,50 Service/Feeder 401-600 Amp $'104.6( Service/Feeds; 801.1000 Amp. 2152.20 Service/Feeder over 1000 Amp. 3 50 Brunch Circuit W/ Service Feeder 9 7 60 Branch Circuit W/O Service Feeder 73 50 ...L._._. Each Additional Branch Circuit S 2.60 Temp Service/ Feeder 200 Amp. 12 70 Temp, Se i' ceiFeedet' 201 -400 Amp 110.30 Temp. Service/Feeder 401.600Amp, 148 70 Temp. ServiceiFeedor 601 -1000 Amp '167.90 Portal to Portal Hourly 5 95.90 SignlOullino Lighting 88.20 Signal Circuit/ Limited Energy First 1500 sf Commercial 95 90 Note: $5.00 for each additional 1500 s' Signal CircuW Limited Energy -1 2 Family Dwelling 5 R3)0 Signal Circuit/ Limited Energy Muth Family Dwelling 63.90 S__ Manufactured Home Connection 119.90 Renewable Electrical Energy SKVA System or 1 ens 102.30 Thermostat 56.00 NEW CONSTIR1JCT(Qti ONLY: First 1300 Square Fl. 'I 10 30 Each Additional 500 Square Ft, or Portion rf S 35.20 Each Outbuilding or Detached Garage 5 73 50 Each Each Swimming Pool or lint Tub 4 .10.30 7 3,S -C Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property Is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrica! installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 1• 28. WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: 0 call, 1 Check L1 Credit Can..7 r.'/ -mon o1 /01r2o10 CITY OF PORT ANGELES 1 04' DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00001240 Date 11/02/11 Application pin number 289720 Property Address 430 ORCAS AVE SALES ASSESSOR PARCEL NUMBER: 06- 30- 10 -5 -0- 1700 -0000- REPORT AL TAY Tenant nbr, name JAMIE DONEAL PUTNAM Application type description MECHANICAL APPL. PERMIT on your State excise tax form Subdivision Name to the City of Port Angeles Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 3215 Application desc ELECTRIC FURNACE Owner Contractor JAMIE H DONEAL H PUTNAM DAVE'S HTG COOLING SRVC INC 430 ORCAS AVENUE PO BOX 413, PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 -5588 (360) 452 -0939 Permit MECHANICAL PERMIT Additional desc ELECTRIC FURNACE Permit Fee 64.80 •Plan Check Fee .00 Issue Date 11/02/11 Valuation 0 •Expiration Date 4/30/12 Qty Unit Charge Per. Extension BASE FEE 50.00 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 Fee summary Charged Paid Credited Due Permit Fee Total 64.80 64.80 .00 .00 (J Plan Check Total .00 .00 .00 .00 0 Grand Total 64.80 64.80 .00 .00 \/7 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 has 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. s a AO Vf ...am.- Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS O Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK. BEFORE INSPECTED AND ACCEF'TED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor Slab Rough -In l Water Line (Meter to Bldg) `�.Jv Gas Line Q Back Flow Water FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor 1 Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU Ducts 1 Rough -in Gas Line 1' Wood Stove Pellet Chimney i �j� Commercial Hood Ducts FINAL Date Accepted by i- (a MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 li^ H 0 0 0 0 00 0 F 0 0 0 0 rn 0 Co 0 o in N N 010 v d' d' 0 to 00 0 0 ro r, a a o O 0 w m H H r a 0 00 0 0 a 01 CO E. to 0 o 0 in O a 0 00 m a 0•• o H.0 ■N.1.0 Z H7 F w U 01 0x 0 a 00 z 0) 00 0 F a s 0) X a N a W HH Z HU FC 0 Z 0 Qa.... a F U U 0 U a a Cn 00000 g az a 0 0 r zZ00 0 0 a o 0 F 0 0 1,1014 7 E 4 Z Z o ff H ao a o 0 0 a c\......,,,,,,„ o W 0 a a∎- <C Z 0 0 O i 0 0 w a 0 o0 0 H a b tn0H W N v. 01 x 0 0 00 001 0100 W a to i 0 /00 -4 00- 0 0 0 LAG443 0 041 00-+01 o ZHU H H0 0£ >0 to w .0z o 00..1 o 0 a 7 0 7 O H 00a, 0 o az F w 0 H 00 01 a C4 C.) H HO •[0a •0 0) Z Z O w W w I 0 01 H 00 0F4 .-Z E a 0 aH g 0 0 o0aa 0 r w a0 Ca FU000 0 H E Nov 01 11 09:52a Dave's Heating Cooling 3604520939 p.1 BUILDING /PLUMBING I MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) Date Received l k Permit t2. -n City of Port Angeles Please print in ink. Date Approved Attn: Building Permit Technician Approved by 321 E. 5 St., Port Angeles, WA 96362 360 417 -4815 fax: 360 -417.4711 Credit card payments are accepted Mon -Fri 8 -5 pm (no American Express) Hours: Mon through Fri 8 -5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm Contact person: Phone: o Property owner: G -e, cA-1/4- YZ ct_ Phone: `�J oZ 5 S Property owner's mailing address: rc f¢`Q. D z A tl��rl s Contractor's business name: U ��SQ i Phone: or property owner's name if he/she is doing /overse mg a work er 53 9 Contractor's mailing address: r.o c 0 3 ��r -f-An Jo s Contractor's L &I license number: TE;Ipiration da Project Address: L f 3 0 r c a A v-e- u-s2- Project Type: Residential Commercial Industrial Multi- family Project Business Name: (for commercial, industrial, or multi family projects) The following pen are usually issued over -the- counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re -roof: o house n garage other o tear off re -roof o lay over one layer Licensed contractor: Submit a copy of your re -roof bid. Project Valuation S (labor materials, not including sales tax) Re -side: o house garage n other Project Valuation (labor materials, not including sales tax) Repair: (explain the project) Project Valuation *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation T:FormsBuilding Division /Building /Plumbing/Mechanical Permit Application ShortForm (Revised'2011) Page lof Nov 01 11 09:52a Dave's Heating Cooling 3604520939 p.2 Swimming Pool or Spa 24" deep): For prefabricated swimming pool or spa projects that do not require plan review: Obtain the City of PA handout entitled "Pools Spas' follow the requirements. Project Valuation S Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? c house garage other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. Agree to ensure that all utilities are /will be properly turned off (and capped off if needed) prior to demolition. (I) Obtain (from the City of PA) an aerial view rnap of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. (1) Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency ORCAA) Demolition Permit Application. Contact ORCAA at 360 417 1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. yes no Will the debris be going to the Regional Transfer Station in Port Angeles? c yes No If yes, will a licensed contractor be taking it there? If yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing is needed). Plumbing Permit: (explain the project) Project Valuation S Mechanical Permit: (explain the project) K I` In S- `C.1(... c= c- 2cA c v'' v1 0. cA. Project Valuation .3 t t u= 1 have read and completed this application and know it 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, and to obtain permits prior to working on project I n Date i f Signature Print Name J 9 if ct lic l/N Page2of 2 Clallam County Assessor Treasurer Property Details 65072 JAMIE H AND DONE... Page 1 of 1 Clallam County Assessor Treasurer Property Search Re 65072 JAMIE H AND DONEAL H PUTNAM for Year 2011 2012 Property Account Property ID: 65072 Legal Description: PUGET SOUND CO- OP COLONY 2 ADD LOTS 1 2 BL 17 Geographic ID: 0630105017000000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N i I I Township: Section: 4 Range: 4 Location Address: 430 E ORCAS AVE Mapsco: PORT ANGELES, WA Neighborhood: PA East Res Map ID: 2 Neighborhood CD: 5001000 C-)-1 Owner \`1 Name: JAMIE H AND DONEAL H PUTNAM Owner ID: 47361 Mailing Address: 430 ORCAS AVENUE Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: Taxes and Assessment Details Property Tax Information as of 11/01/2011 Amount Due if Paid on: M. NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due U Statement Details 2011 159039 $992.11 $992.02 $0.00 $0.00 $1984.13 $0.00 Statement Details 2010 47336 $950.26 $950.28 $0.00 $0.00 $1900.54 $0.00 Values Taxing Jurisdiction Improvement Building Sketch Property Image Land Roll Value History Deed and Sales History Payout Agreement This year is not certified and ALL values will be represented with "N /A Website version: 9.0.32.2200 Database last updated on: 11/1/2011 3:48 AM 2011 True Automation, Inc. All Rights Reserved. Privacy Notice http: /websrv8. cl allam. net /propertyaccess /Property. aspx ?cid =0 &year =2011 &prop_id =65 072 11/1/2011 . '~"' CITY OF PORT ANGELES ~'~ PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 11/19/2001 PERMIT NO: 13105 OWNER/APPLICANT PROPERTY LOCATION 430 ORCAS E JAMIE & DON PUTNAM 430 ORCAS Lot: 1 &2 Pod Angeles, WA 98362 Block: 17 [] Long Legal 360/452-5588 Subdivision: PUGET SOUND CO-OP T: S: Parcel No: 063010501700000 CONTRACTOR ARCHITECT EVERWARM N/A 257151 HWY 101 Port Angeles, WA 98362-0000 , 98360-0000 360/452-3366 360/000-0000 PROJECT INFO Project Value: $2,500.00 SFD Units: 0 Commercial: 0 Project Type: WOOD STOVE SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: RS7 ~"~ PROJECT NOTES INSTALLATION OF A FREESTANDING WOODSTOVE RECEIPT # 8509 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $50.00 Plumbing: $0.00 AMOUNT PAID: $50.00 Mechanical: $50.00 BALANCE DUE: $0.00 Radon: $0.00 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 [or a pedod 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 certif7 that I have read and examined this application and know the same to be true and correct. All previsions 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 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNL4WFUL TO COVER, INSULATE OR CONCEAL ~4NY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FO[INDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY / INSERT HOOD/DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4174735 ELECTRICAL LIGHT DEFT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 41%4653 FIILE DEPT. PLANNING DEPT. 417-4750 ~_~/y//t~ PLANNING DEPT. BUILDING 41%4815 t-~7-'~- O~-- BUILDING C:La, PPL.WPD NOV 19 ~01 03:~4PM EVERWARM/~/~-~ C3U ~ ~ ~' BUILDING PE~IT - APPLICATION I T ~~~: _ P~n~: _ md~ss::~~ Ci~: ~ ~p: T~ O~ WO~ v S~A~ON: a A~ O Mo~ a O~ SF, ~ No, of S~ ~ ~ %L~Co~e: , Ex~ LoC Covia:. Mq, ~ + ~s~ L~ Cov~e: /~, · - ~ ~ CO~O~: Jeq.~ P~G USg O~Y: ~ROV~: Not~: ..... ~, _ ,_ ~c fees ~ ~e u ~e ~e of~ E~TION OF PL~ ~W~ ffuo ~R is is~cd wi~ 1~ ~y~ of ~ ~ of ~o~ l~it~. ~ B~ld~ O~c~ ~ ~d ~e ~ for ~on by ~e ~lt~t ~ ~ I~ I ~ c~t~ t~ I ~ ~ a~ ~t~ tAU ~pllcation a~ ~ t~ ~ to ~ ~ ~ c~t. ~ 1 ~ ~h~ re ~p~for r~spo~tbtH~ ~ ~t~t~ w~ p~l~ ~ r~ed a~ to obtain ~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date I-~--'/- ~© ~- Time Received by ~ ~ ~' (phone, 'person) Location of Work to be inspected ~,/z)(~) ~i?._C/~ _~ Name of person requesting inspection ('~©~1 (-~(2~/'/x~,~ ~ Address of person requesting inspection Phone No. h,~ ~--E ~-E~ Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other (~"~ INSPECTION NOTES: i ,' 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)