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418 N Race St - Building
Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner SCOTT M SMASAL /EMMA J JANSSEN 418 N RACE ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per Signature of Contractor or Authorized Agent Date T' \Policies \1 102 15 [10/08] Permit Fee Total Plan Check Total Grand Total WA 983623518 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 09 00000173 565082 418 N RACE ST 06 30 00 5 1 3200 0000 PUBLIC WORKS UTILITES Application desc Plant tree s renew fence permit RUP #09 04 RS7 RESDNTL SINGLE FAMILY 0 Contractor OWNER Date 3/04/09 RIGHT OF WAY PLANT TREES FENCE RUP #09 04 142042 130 00 Plan Check Fee 00 3/04/09 Valuation 0 8/31/09 BASE FEE Special Notes and Comments Fence to be no higher than 6ft Cupressus leylandii OK bamboo planting permitted Applicant to maintain Fence plantings permit is to be renewed every 5 years 130 00 130 00 00 00 00 00 130 00 130 00 00 No and Fee summary Charged Paid Credited Due Extension 130 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. (77:1,..q.))11 q 0 9 Signature of Owner owner i s bu Date CALL 417 -4831 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 KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T ■Policies \1102 15 [10/081 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO PERMIT INSPECTION RECORD YES I NO I I I 1 I I I I CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT PLANNING DEPT BUILDING I I 1 I I I I I I PREPARED 5/29/08 9 19 39 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/29/08 ADDRESS 418 N RACE ST SUBDIV TENANT NBR SCOTT SMASAL CONTRACTOR PHONE OWNER SCOTT M SMASAL /EMMA J JANSSEN PHONE PARCEL 06 30 00 5 1 3200 0000 APPL NUMBER 07 00000698 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 11/21/07 PB BLDG FOUNDATION FOOTING 11/26/07 DA November 21 007 9 06 28 AM 1pangrle JOHN 461 3220 FOOTING November 26 2007 8 01 11 AM pbarthol Clarification of footing under existing structure BL1 02 12/12/07 JLL BLDG FOUNDATION FOOTING 12/12/07 AP December 12 2007 8 21 54 AM 1pangrle JOHN 461 3220 FOOTING BL2 01 12/21/07 PB BLDG FOUNDATION STEM WALL TIME 09 00 12/21/07 AP December 20 2007 4 00 12 PM 1pangrle JOHN 461 3220 CONCRETE STEM WALL MORNING INSPECTION PW2 01 3/18/08 RV PUBLIC WORKS SEWER CONNECTION 3/18/08 AP March 18 2008 4 05 00 PM rvess March 18 2008 4 05 21 PM rvess DSD 01 3/20/08 JLL BLDG DOWN SPOUT DRAINS 3/20/08 AP March 20 2008 8 26 06 AM 1pangrle DAN 460 0776 'ROOF DRAIN INSPECTION OUTSIDE UNDERGROUND STYLE MORNING March 20 2008 3 10 59 PM jlierly BAIR 01 4/30/08 JLL BLDG AIR SEAL 4/30/08 AP April 30 2008 9 14 57 AM 1pangrle TODD 461 9566 AIRSEAL April 30 2008 5 04 11 PM jlierly BL3 01 4/30/08 JLL BLDG FRAMING 4/30/08 AP April 30 2008 9 13 58 AM 1pangrle TODD 461 9566 FRAMING April 30 2008 5 04 11 PM jlierly BLI 01 5/01/08 JLL BLDG INSULATION 5/01/08 AP May 1 2008 8 28 23 AM 1pangrle TODD 461 9566 INSULATION May 1 2008 4 49 33 PM jlierly BL3 02 5/29/08 JLL BLDG FRAMING TIME 09 00 May 29 2008 8 27 45 AM 1pangrle jr1 TODD 61 9566 FINAL AL L FRAMING (NOT A FINAL BL ME PL) MORNING THEY WANT TO START DRYWALL THIS AFTERNOON COMMENTS AND NOTES PREPARED 5/01/08 9 09 52 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/01/08 ADDRESS 418 N RACE ST SUBDIV TENANT NBR SCOTT SMASAL CONTRACTOR PHONE OWNER SCOTT M SMASAL /EMMA J JANSSEN PHONE PARCEL 06 30 00 5 1 3200 0000 APPL NUMBER 07 00000698 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 11/21/07 PB BLDG FOUNDATION FOOTING 11/26/07 DA November 21 2007 9 06 28 AM 1pangrle JOHN 461 3220 FOOTING November 26 2007 8 01 11 AM pbarthol Clarification of footing under existing structure BL1 02 12/12/07 JLL BLDG FOUNDATION FOOTING 12/12/07 AP December 12 2007 8 21 54 AM 1pangrle JOHN 461 3220 FOOTING BL2 01 12/21/07 PB BLDG FOUNDATION STEM WALL TIME 09 00 12/21/07 AP December 20 2007 4 00 12 PM 1pangrle JOHN 461 3220 CONCRETE STEM WALL MORNING INSPECTION PW2 01 3/18/08 RV PUBLIC WORKS SEWER CONNECTION 3/18/08 AP March 18 2008 4 05 00 PM rvess March 18 2008 4 05 21 PM rvess DSD 01 3/20/08 JLL BLDG DOWN SPOUT DRAINS 3/20/08 AP March 20 2008 8 26 06 AM 1pangrle DAN 460 0776 'ROOF DRAIN INSPECTION OUTSIDE UNDERGROUND STYLE MORNING March 20 2008 3 10 59 PM jlierly BAIR 01 4/30/08 JLL BLDG AIR SEAL 4/30/08 AP April 30 2008 9 14 57 AM 1pangrle TODD 461 9566 AIRSEAL April 30 2008 5 04 11 PM jlierly BL3 01 4/30/08 JLL BLDG FRAMING 4/30/08 AP April 30 2008 9 13 58 AM 1pangrle TODD 461 9566 FRAMING April 30 2008 5 04 11 PM jlierly BLI 01 5 /01 /08 L BLDG INSULATION May 1 2008 8 28 23 AM 1pangrle TODD 461 9566 INSULATION COMMENTS AND NOTES PREPARED 4/30/08 10 01 18 INSPECTION TICKET PAGE 18 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/30/08 ADDRESS 418 N RACE ST SUBDIV TENANT NBR SCOTT SMASAL CONTRACTOR PHONE OWNER SCOTT M SMASAL /EMMA J JANSSEN PHONE PARCEL 06 30 00 5 1 3200 0000 APPL NUMBER 07 00000698 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 11/21/07 PB BLDG FOUNDATION FOOTING 11/26/07 DA November 21 2007 9 06 28 AM 1pangrle JOHN 461 3220 FOOTING November 26 2007 8 01 11 AM pbarthol Clarification of footing under existing structure BL1 02 12/12/07 JLL BLDG FOUNDATION FOOTING 12/12/07 AP December 12 2007 8 21 54 AM 1pangrle JOHN 461 3220 FOOTING BL2 01 12/21/07 PB BLDG FOUNDATION STEM WALL TIME 09 00 12/21/07 AP December 20 2007 4 00 12 PM 1pangrle JOHN 461 3220 CONCRETE STEM WALL MORNING INSPECTION PW2 01 3/18/08 RV PUBLIC WORKS SEWER CONNECTION 3/18/08 AP March 18 2008 4 05 00 PM rvess March 18 2008 4 05 21 PM rvess DSD 01 3/20/08 JLL BLDG DOWN SPOUT DRAINS 3/20/08 AP March 20 2008 8 26 06 AM 1pangrle DAN 460 0776 ROOF DRAIN INSPECTION OUTSIDE UNDERGROUND STYLE MORNING March 20 2008 3 10 59 PM jlierly BAIR 01 4/30/08 BLDG AIR SEAL April 30 2008 9 14 57 AM 1pangrle TODD 461 9566 AIRSEAL BL3 01 4/30/08 L BLDG FRAMING April 30 2008 9 13 58 AM 1pangrle TODD 461 9566 FRAMING COMMENTS AND NOTES ELECTRICAL PEST AND INSPECTION RECORD CITY OF PORT ANGELES 360 -417 -4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation 07 00001374 706228 418 N RACE ST 06 30 00 5 1 3200 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Owner Contractor SCOTT M SMASAL /EMMA J JANSSEN 418 N RACE ST PORT ANGELES Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 125112 Permit Fee 29 00 Plan Check Fee 00 Issue Date 4/24/08 Valuation 0 Expiration Date 10/21/08 WA 983623518 Qty Unit Charge Per 1 00 29 0000 ECH EL R OUTBD /DTCH GAR W /SERV Fee summary Permit Fee Total Plan Check Total Grand Total Charged 29 00 00 29 00 EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES WA 98362 (360) 457 0198 Paid Credited Due 29 00 00 29 00 00 00 00 Date 4/24/08 Extension 29 00 00 00 00 S INSPECTION EL FiCTRICAL TYPE DATE. RESULTS INSPECTOR DITCH SERVICE ROUGH IN FINAL APR -22 -2008 11 11 PM E JANSSEN flagellation AancNp»ea Job wired by It l %Lectt�dtal Contractor O Owner ktttlaal contreoost name Upon nc+nber Ant. l:wtpl:ea 1'ucaturor's teed rig .d .0 l' 4 5 1 5 0 Psy- Stale i,ZvItiq- Talepboas number PAX member rrsmises owner's same 7r acme hedraa Inepea oa 7t14. s City Phone number to scheduto tsopsettoo. -fcgc—L3 3'6 Owner as Opted by RC3f:l9Jd10. "!i) Owner will ocoalwy the Jdruetwte for two rwrf 4fro'' eke d►oeiMeolproofs r,fbe?lttaet (2) Omer is referred ee hum an elrcrrteal ctetweCSr jf chew sad prop,* Is rile, root or lecee- Impaction Date 14, .r. S r Area, Building or EtriMmeat inspected 360 452 2982P L ECTRICALWORK.PkRMITAPPLICA11ON O Commercial Reelaentlal 0 New 0 Altered/Addition %r- C7 Cash C:1 Check rt 0 Credit Card visa Mastercard L:iauuver Card Met radios dm above et•eansnb I hereby aortic, that I am Qe oWnsr of *I shove named property or a iloesesd eletodcal connector. I stn rt'aldoe the electrical Meta! l•ttoe OT alteration to compliance with the electrical laws, N.P.C., RCW. Chaplet 19.28, WAG Chapter 296 -4011, The City of Port Aaaclae Muidotpol Cede, and Milk/ Spe cifloitlene. '81p•ta a of or, eleot►aal eontr setae or eleCMOS/ sdt•inierrarOr 1 Expiration Date Inaotia�un tee X t ...v 1' Date: i ZVO i mean+ q e �S,z ►eto O NO LOAD CMANI9Elf 0 Baseboard KW t 0 Manama Key Owthnad Service Phase 0 0 s 0 Met Pump LAA 0 Tamp Service Ho!vlt o Sim; O Fan.walI KW O Underground Smite Fortner 81t:e: SAME DAY. I(SPECTION. CALL BEFORE 7:00 AM 360 417 4935 r EO(703111 *N. t TIIMOSTAT a RVxC:@ 'ono 'Thosroa'l" .a e,,rvov.rg 7 I we aepeve 1 *VAL DI rCE 1tEW 1 Action 7st etie unto C .A. 1 J. Elooreinal lnopeoror ti I, 1, Electrical Contractor Owner 1.1 Annual Permit C3 Alarm O Carnival Commercial Job wired by Id Electrical Contractor Owner alectrical contractor name Lift sr. number _kip Me1..E 1 Purchaser's mailing Address 18 IV, osal„ s4-4.44- Sate ZIP tiJ �9- t P et ,rclephone number FAX number :tats-4.4 5 1 "460. rri 'Premises owner's name Addrest of Inspection v 2� Ln o rt. .e. I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm a authorized agent) and am making the electrical installation or alteration in compliance with the electrical law Chapter 19.28 RCW ?Signature pr owner electrical enA trnctor or lectricat administrator WALLS CEILING Insulation Only L` Dole Approved B Dale Inspection Vale Moirma Cover K iTteigrlooll A 13 NO LOAD CHANGES (3 Baseboard KW (3 Furnace KW la Heat Pump Ton LAR la Fan -Well KW '7ipprovcn ey Dale hale Approved By Cover Dale tractions Insulation Only Approved Hy De& ELECTRICAL WORK PERMIT APPLICATION Request InsQection iB Residential O Re Residential Malnt. Q' Signs Installation description 3°o so.ls Cash O Chetik O Credit Card Visa Card it Expiration Date of card THERMOSTAT Drl CH Apniu ud By Ga :tar G;� Apprnwd by J Data Overhead Service Temp Service O Underground Service Area, lluilding or Equipment Inspected I i 4I S E /IM T' ,5 ERr•s'1?" 51'6 Cgossr3 Due? GrakltrclE_ A)0 ct.o set. Thio.&J 3 %z u 3C- 6_ w•Th /JZC Putz z3y41 (RPP/aouii' t If-E 1 G,icr AID WEE /A Sit ore fib) I AP Thermostat O 'Iblecom. 4 4 hL Mastercard Discover Inspection fee X 09- SERVICE hat AppmvnA PV y FEEDER Applayed By SentiShcylprt9Lt Voltage Phase O 1 O 3 7 Service Size: Feeder Size: Ele al nspector 4" PREPARED 3/20/08 10 54 26 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/20/08 ADDRESS 418 N RACE ST SUBDIV TENANT NBR SCOTT SMASAL CONTRACTOR PHONE OWNER SCOTT M SMASAL /EMMA J JANSSEN PHONE PARCEL 06 30 00 5 1 3200 0000 APPL NUMBER 07 00000698 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 11/21/07 PB BLDG FOUNDATION FOOTING 11/26/07 DA November 21 2007 9 06 28 AM 1pangrle JOHN 461 3220 FOOTING November 26 2007 8 01 11 AM pbarthol Clarification of footing under existing structure BL1 02 12/12/07 JLL BLDG FOUNDATION FOOTING 12/12/07 AP December 12 2007 8 21 54 AM 1pangrle JOHN 461 3220 FOOTING BL2 01 12/21/07 PB BLDG FOUNDATION STEM WALL TIME 09 00 12/21/07 AP December 20 2007 4 00 12 PM 1pangrle JOHN 461 3220 CONCRETE STEM WALL MORNING INSPECTION PW2 01 3/18/08 RV PUBLIC WORKS SEWER CONNECTION 3/18/08 AP March 18 2008 4 05 00 PM rvess March 18 2008 4 05 21 PM rvess 4,/ BLDG DOWN SPOUT DRAINS arch 20 2008 8 26 06 AM 1pangrle AN 460 0776 DSD 01 3/20/08 ROOF DRAIN INSPECTION OUTSIDE UNDERGROUND STYLE MORNING COMMENTS AND NOTES PREPARED 3/19/08 12 02 36 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/19/08 ADDRESS 418 N RACE ST SUBDIV TENANT NBR SCOTT SMASAL CONTRACTOR PHONE OWNER SCOTT M SMASAL /EMMA J JANSSEN PHONE PARCEL 06 30 00 5 1 3200 0000 APPL NUMBER 07 00000698 RES ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 3/19/08 PLUMBING ROUGH IN March 19 2008 8 54 44 AM 1pangrle SCOTT 461 1338 ROUGH IN PLUMBING COMMENTS AND NOTES Do,,, S PREPARED 12/21/07 9 43 33 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/21/07 ADDRESS 418 N RACE ST SUBDIV TENANT NBR SCOTT SMASAL CONTRACTOR PHONE OWNER SCOTT M SMASAL /EMMA J JANSSEN PHONE PARCEL 06 30 00 5 1 3200 0000 APPL NUMBER 07 00000698 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 11/21/07 PB BLDG FOUNDATION FOOTING 11/26/07 DA November 21 2007 9 06 28 AM 1pangrle JOHN 461 3220 FOOTING November 26 2007 8 01 11 AM pbarthol Clarification of footing under existing structure BL1 02 12/12/07 JLL BLDG FOUNDATION FOOTING 12/12/07 AP December 12 2007 8 21 54 AM 1pangrle JOHN 461 3220 FOOTING BL2 01 12/21/07 JLL BLDG FOUNDATION STEM WALL TIME 09 00 December 20 2007 4 00 12 PM 1pangrle 1 L� JOHN 461 32E0 CONCRETE STEM WALL MORNING INSPECTION COMMENTS AND NOTES PREPARED 12/12/07 9 07 55 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/12/07 ADDRESS 418 N RACE ST SUBDIV TENANT NBR SCOTT SMASAL CONTRACTOR PHONE OWNER SCOTT M SMASAL/EMMA J JANSSEN PHONE PARCEL 06 30 00 5 1 3200 0000 APPL NUMBER 07 00000698 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 11/21/07 PB BLDG FOUNDATION FOOTING 11/26/07 DA November 21 2007 9 06 28 AM 1pangrle JOHN 461 3220 FOOTING November 26 2007 8 01 11 AM pbarthol Clarification of footing under existing structure BL1 02 12/12/07 J BLDG FOUNDATION FOOTING December 12 2007 8 21 54 AM 1pangrle JOHN 461 3220 FOOTING COMMENTS AND NOTES Application Number 07 00001374 Application pin number 706228 Property Address 418 N RACE ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 3200 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor SCOTT M SMASAL /EMMA J JANSSEN 418 N RACE ST PORT ANGELES WA 983623518 Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES WA 98362 (360) 457 0198 116178 EXTRA MILE TECH ELECT LLC 69 00 Plan Check Fee 11/27/07 Valuation 5/25/08 Date 11/27/07 00 0 Qty Unit Charge Per Extension 1 00 69 0000 ECH EL R SQFT FIRST 1300 69 00 Fee summary Charged Paid Credited Due Permit Fee Total 69 00 69 00 00 00 Plan Check Total 00 00 00 00 Grand Total 69 00 69 00 00 00 II\ SPECTION ELECTRICAL TYPE DATE. RESULTS INSPECTOR DITCH SERVICE ROUGH IN FINAL PREPARED 11/21/07 9 17 42 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 418 N RACE ST SUBDIV TENANT NBR SCOTT SMASAL CONTRACTOR PHONE OWNER SCOTT M SMASAL /EMMA J JANSSEN PHONE PARCEL 06 30 00 5 1 3200 0000 APPL NUMBER 07 00000698 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 11/21/07 JLL BLDG FOUNDATION FOOTING November 21 2007 9 06 28 AM 1pangrle J p A-- JOHN 461 3220 FOOTING COMMENTS AND NOTES PAGE 7 DATE 11/21/07 a idevi/9‘,52- 7 --/aral mo ON */-Tz BUILDING DIVISION Job Located at for inspection /1 //G 7 Date CITY OF PORT ANGELES Correction ,N o t ice Inspection of your work revealed_that the following is not in accordance with the codes governing the work in this jurisdiction These corrections must be made and are not to be covered until reinspection is made. When cor ctions have been made, please call /2 Inspector for Building Division DO NOT REMOVE THIS TAG Application Number 07 00001041 Application pin number 403210 Property Address 418 N RACE ST ASSESSOR PARCEL NUMBER 06 30 00 5 1 3200 0000 Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor SCOTT M SMASAL /EMMA J JANSSEN 418 N RACE ST PORT ANGELES WA 983623518 Fee summary Signature of Contractor or Authorized Agent T•\Policies \1102.15R [1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 OWNER Date 10/30/07 Permit RIGHT OF WAY Additional desc RUP #07 45 2 DRAIN PIPES Permit pin number 110684 Permit Fee 70 00 Plan Check Fee 00 Issue Date 10/30/07 Valuation 0 Expiration Date 4/27/08 Qty Unit Charge Per Extension BASE FEE 70 00 Special Notes and Comments Owner is required to maintain both pipes if City requires one or both pipes to be replaced due to determination that it /they no longer function as originally installed owner will replace at owners cost of removing the pipe(s) that are being replaced Charged Paid Credited Due Permit Fee Total 70 00 70 00 00 00 Plan Check Total 00 00 00 00 Grand Total 70 00 70 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private arid 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. i0 /3c/07 Date Signature of Owner (if owner is builder) Date 0 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 KEEP :PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE TAPolicies \1102.15R [1/051 RESIDENTIAL CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO PERMIT INSPECTION RECORD YES I NO I I I I I I I I CONSTRUCTION RW PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00000698 555006 418 N RACE ST 06 30 00 5 1 3200 0000 SCOTT SMASAL RES ADDITION RS7 RESDNTL SINGLE FAMILY 23712 Owner Contractor SCOTT M SMASAL /EMMA J JANSSEN 418 N RACE ST PORT ANGELES WA 983623518 Qty Unit Charge Per Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date BASE FEE 22 00 14 0000 THOU BL -2001 25K (14 PER K) Qty Unit Charge Per MECHANICAL PERMIT OWNER BASE FEE 2 00 7 2500 ECH ME VENT FAN 2 00 10 6500 ECH ME OTHER APPL N/R Special Notes and Comments The Fire Department has reviewed the project application and 4 /30/ 7 S co7T M. AZ/4A Date Print Name T.FormsBuilding Division/Building Permit (l0 /01 /07).wpd Date 10/30/07 Structure Information 000 000 312 SF ADD KITCHEN DINING ROOM Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc 312 SF KITCHEN DINING Permit pin number 104570 Permit Fee 403 75 Plan Check Fee 161 50 Issue Date 10/30/07 Valuation 23712 Expiration Date 4/27/08 Extension 95 75 308 00 105536 85 80 Plan Check Fee 00 10/30/07 Valuation 0 4/27/08 Extension 50 00 14 50 21 30 Permit PLUMBING PERMIT Additional desc Permit pin number 105528 Permit Fee 100 00 Plan Check Fee 00 Issue Date 10/30/07 Valuation 0 Expiration Date 4/27/08 Qty Unit Charge Per Extension BASE FEE 50 00 3 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 21 00 1 00 7 0000 ECH 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 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. \o-vo Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 I INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION. KEEI PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS 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 H's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T.Forms /Building Division /Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT YES I NO FINAL DATE ACCEPTED BY. FINAL DATE ACCEPTED BY. CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING Application Number Application pin number Special Notes and Comments has no comments 06/29/2007 02 15 PM SROBERDS The proposal will result in an addition to an sfr in the RS 7 on a property that contains a marine bluff The construction does not compromise the marine bluff and will result in 23% lot coverage No land use issues are anticipated Public Works Utility Engineering has no requirements for this plan review Other Fees T.Forms /Building Division/Building Permit (10 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00000698 555006 Page 2 Date 10/30/07 STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 589 55 589 55 00 00 Plan Check Total 161 50 161 50 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 755 55 755 55 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 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 =1 O INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. ,J KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS 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 SEPA. \A PARKING /LIGHTING ESA. 6\'• LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE ro RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED V YES I NO I ELECTRICAL LIGHT DEPT 417 -4735 BUILDING PERMIT INSPECTION RECORD 17.- 12. -07 l 3 .L- 13 1 -n$ I I i —1e1_0 S SLR FINAL DATE ACCEPTED BY. -36-0 SU- 4--3o-OR 5 .7 -08 F Frzyyvinj -L- I I o9 I I I I rnrn YES I NO Sie.vnwall 12-21 --U 3 o 3LL FINAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I 19 I I FIRE DEPT BUILDING PLANNING DEPT 417-4815 I 12;4 4'/ ��I �o I BUILDING DEPT T Forms /Building Division /Building Permit (10/0 1 /07).wpd DATE ACCEPTED BY. I I I I I I I I o) 0 5 F Permit 0 8 NOTES cane. .-4-cA ed (Aim, *t e. o ex-, scot A i 5 0. e, le, cn Khrzu -k-or (Zyi ow Th k 1-k e- (Na-s mote_ e l e-* c:A. (n N .o) l l ci t 1 4-v ejaii-- 'fob lai S tna.J� ekeG c-cd i pe,c)\- on 4t/kebn (Jill j s T=a v' a vla I byi tole 11-10-lo }le, n e v'-r 41 atvr c..1e x_A -v1`c htl luck i 115 0to_ e_A+0 rt pot. tnn Lr 07 1 n 4 t 4 z ev'Qk C e. 11 eek 45 it 6th (t.i to a Ci1'1Q, So 2 X D 1 Y`a( J 1 g T Forms /Building Division/Notes L.) RIGHT OF WAY USE PERMIT v *LW w NAME OF APPLICANT SG e tv1 Sob. A-SA-1- DATE -r MAILING ADDRESS I e M o. r14 RACE ST RE E i PHONE NUMBER 360 3 3 STREET ADDRESS OF PROPOSED STREET USE BI u.4 t1,Se 41 9 taKr 14 57 DESCRIPTION OF REQUEST (include drawings required for clarity): [If street closure is requested, please state the name of the street and limits of closure, together with the duration of closure.] Tv4A41 1 +We C- q UM Ain 4RA%61 A1E ei 4o 0s4ct► At $o1-1e0% of Q►uFF `T &NoK nit .E D:sR%Apir% 1 67- (le!'}41�reiJ for r'•(J pg P Acit ?.pa .6 7rit 1 e44.,w kks a toff ce Gc1R.E AT gip Q- $a++o.,� of BL.4f{ w/ vt skv,ed Sp IS THE USE TEMPORARY OR PERMANENT? w► EM HOW LONG WILL THE OBSTRUCTION BE IN PLACE? PE RM i4N EN 1 WHAT ARE THE HOURS OF OPERATION? t;L/ fic HOW IT WILL BE LIGHTED? Ni i/ 4 EXPLAIN THE NECESSITY TO USE THE PUBLIC STREET SIDEWALK OR PLANTING STRIP ARE THERE ALTERNATE AREAS THAT COULD A USED? 1.1 HOLD HARMLESS and INDEMNIFICATION AGREEMENT In compliance with the Port Angeles Municipal Code, and in consideration of the issuance by the City of Port Angeles of a Right Of Way Use Permit to the undersigned allowing the placement of the above described street use or obstruction the undersigned ,:11, elf and for his successors in interest, hereby agrees to indemnify hold harmless, and defend the City of Port An ar laims or lawsuits for personal injury or property damage arising out of or in any way connected with, q -e or obstruction on the City street, sidewalk, plantin strip, or right f way DATED this 21 day of 6 u-9,4.44. Applicant v ~J SEP 17 2007 PO ,20 o''7 6IES Orient 00 NO4RY PUBLIC for an, )r residing at��m u�irL My commission gpires /0/ 7. ao '(This permit, if approved, may be terminated by the City of Port Angeles without cause and at any time) [OFFICE USE ONLY] OD Date application received Zi 47 Fee paid 76 Receipt Date Certificate of Insurance per PAMC 11 12.140(B) received Agreement to Remove Encroachment signed and on and recorded on N/A N/A Application reviewed and recommendation by City Engineer C Date 9/ �9/O-7 is to deny or[approve'5 and with the following,conditions. I OWVt.er IS reautree 1 yrlil'1 hilt p;pe5 14 (t-t rr. 'lro One o 12 t I 'd 0.A.0 -fs r rim ►rst har l 2+ t+j N�< 4 w i i "C.41 Y1 I St 4 r-A'l1 r tplr X rap tur e 0 ..r. t. Application a. •roved •r dd by the Director of Public Works O Address file o RUP 0 7-- 45 Approved copies to: Applicant 0 Fire 0 Police 0 Street 0 Other N:\Urban Services Standards1Ch11ROW Use Permit.doc, April 26, 2006 (6/25/2007) Linda Pangrle Permit application #07 -698 From To: Date: Subject: Robert Larson Linda Pangrle 6/22/2007 2.30 PM Permit application #07 -698 The proposed work at 418 N Race St will cause the electric meter to be enclosed and in violation of the NESC (National Electric Safety Code) clearance over a roof This proposed work will require the electric meter on the house to be relocated to an will need to be maintained over the house and garage. If you have any questions, please feel free to ask! Thanks, Bob L. Bob Larson Electrical Engineering Specialist 360 417 -4706 rlarson @cityofpa.us the overhead service conductor will be exterior wall and the NESC clearances Page 1 Print out form and fill out COMPLETELY in INK. Your application and si plan MUST BE COMPLETE to be accepted for review Questions? Call. PERMITS (360) 417 -4815 Fax (360) 417 -4711 Applicant, or Agent: y I K t-, (V I et> 1'-H Owner 'fvl A-SA, L. Address. k AVGE ST. Architect/Engineer atC/AfGaili Contractor Address. PROJECT ADDRESS LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. BRIEF DESCRIPTION OF THE PROJECT PLANNING USE ONLY BUILDING PERMIT APPLICATION www.cit City 41e. A/ i 4 6 )-(76H l4 1.) IA1f(1 «e&H COMMERCIAL /RESIDENTIAL Occupancy Group No of Stories 1 Lot Size 6250 Existing Sq Total lot coverage fe 3 Subdivision. Occupant Load. Ft. &Proposed Sq 2 2 6 °%o ESA /Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone: Phone: '9'5 .01.4- Construction Type Ft. 3/2 OFFICIAL USE ONLY ate Rec. O 1 '1 rmit 0 ate Approve Date Issued: Phone: 4b/- 133e. City ro(PT A 1\& 1 1,65 zip. 'l 497 State License Exp Phone Zip ZONING S 7 Credit Card Holder Name• Billing Address City• Credit Card Type VISA MC Exp. Date: TYPE OF WORK SIZE /VALUATION kr Residential New Constr Re -roof Stove 3/ SF 76 /SF $_.Z 3 S n )2- Multi family ,rel Addition Move Garage SF /SF Commercial 0' Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION 3/ Z s•.f f bb /TOW T o 6x/ST (Ally tc8 G 1 tit/66. VB TOTAL Sq Ft. I+(9 APPROVALS PLAN BLDG DPWU FIRE OTHER BUILDING PERMIT APPLICATION SUBMITTAL The Building Division can provide you with information on the application and plan submittal requirements if you have questions. 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 :,ubmitted. 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 R105.3.2 of the International Building /Residential Code, 2003) No application can be extended more than once. I hereby certify that t 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, a d that I must obtain such permits prior to work. www.cityofpa.us Applicant: /1� Date: d!'2 14 %I i Lot: Address. City State: Contact: Phone: Phone 2. FAX. Option Glazing Area of Floor Unlimited III Group R 3 Occupancy Only Prescriptive Approach Simple Form For the Washington State Energy Code 2003 Edition Climate Zone 1 Building Department Use Only Site Infoiiniation LIg cp,S+ Zip Permit Notes. Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 Unlimited Glazing Option Only Glazing U- Factor Door U- Vertical Overhead Factor Vaulted Ceiling Ceiling Wall Above Grade 0 40 0.58 0.20 R 38 R 30 R21 Wall Interior Below Grade Wall Exterior Below Grade R21 R10 R30 R10 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 interior 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: a. 'D 1� w b1/4--Ca7te t..0- EXHIIBIT A Slab on Floor Grade l r 1 4 lk Site Pla Scale: 1`20 -0" I N ST9� 44 Keynotes CD ADJACENT HOME ENCROACHING INTO SETBACK O2 EXISTING GRAVEL PARKING AREA O3 RACE STREET DEAD END PROPOSED AREA FOR ADDITION CD EXISTING 18' HIGH DECK Lot Coverage LOT AREA: EXISTING HOUSE AREA: NEW HOUSE AREA: EXISTING GARAGE AREA: TOTAL BUILDING AREA: 6,250 S.F 858 S.F 312 S.F 245 S.F 1 415 S.F LOT COVERAGE: 22.64% REVISIONS bak ASSOCIATES 1009 W. 13th Street Port Angeles, Wa 98363 360 457 9014 Smasal Residence 418 N. Race Street Port Angeles, Wa DATE 06 -08 -2007 JOB NO. DRAWN BY' BAK SHEET A2 1 2 OF 11 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DiVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 DUlL. UII~I~ I"~-r(MII ISSUED: 9/13/2002 pI-RMIT NO: 13712 OWNER/APPMCANT PROPERTY LOCATION 418 RACE N SCOTT SMASAL 418 N RACE STREET Lot: 1 Port Angeles, WA 98362 Block: 32 [] Long Legal 360/452-2982 Subdivision: N.R. SMITH T: S: Parcel No: 063000513200000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $1,000.00 SFD Units: 0 Commercial: 0 Project Type: RE-ROOF SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES TEAR OFF, FELT, COMP RECEIPT#9688 FEES ASSESSMENT Building Permit: $38.75 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $43.25 Ptumbing: $0.00 AMOUNT PAID: $43.25 Mechanical: $0.00 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 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\FOKMSt 1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD : CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROV1DE 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 INSPECT[ON TYPE DATE ACCEPTED COMMENTS YES [ NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL [LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN [ I I PLUMBING UNDER FLOOR / SLAB ROUGH IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB I WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PWUTILITIES/ SITEWORK (EngineerlngDivision) 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. 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. T:\PLANNING\FORIVlS\1102.15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~ - ~ - ~' ~ Time *~? - Received by ~c~---. , person) Location of Work to be inspected /5/ ~/' ~/, ~',' ~: ~' ,' Name of person requesting inspection ~ ~,~/ ~L~ ~'<'~/t~'l ~ ~--~/ Address of person requesting inspection ,~*~r ,, ~ ~ Phone No./-/?:~- ~?-Y'.~ ~ Type of Inspection (circle appropriate one): ~ Permit No. / '~ ~7'/'~' Sewer Foundation Framing Chimney PlumbingS'Finial Se~erExcav. Other INSPECTION NOTES: Inspected: Date / Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt [~PCC []Other [--J 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 PERMIT APPLICATION Building DivisionfElectriM ins}reetiions f ail East Fifth Street - P.O. Boa 1150 f Port Angeles Washington, 98362 h , Ph: (360) 4174735 Fag: (360) 4174711 �► Date: — �° 1 & 2 Single Family Dwelling * Plan Review May Be Required, PI ase Complete lectncal Plan Review Infa edition Sheet Job Address: 3 T Building Ware (=ooine: m — Description of above,„_ • ` a..... " - f Owner In lion ' Name: Contractor information �-72� Ma9lrpg Ad City. faig• ___.� P• 3 _ Mailing Address: _ Ci4r. —�P ._ �� State:. v� I1; 22p: �, . Kom:�� Fms:_ _ t.icensaiffFac plx .�l 7 -, a. 5?._Fa:r: Llcerise�'/txp��e�"12�},� o ��T item lDrwit Cherrre 5®rvirelFoedar200Amp, $ T20.00 Total Multi lied hy Unit Chime aervicelFeeder 201400 Amp, $ 946.00 $ � SeriricafFeeder40"00 Amp $ 205,E $ ServicefFeeder 60140W Amp. $ 2622.b0 3 — Servioefteder over 1000 Amp. $ 373.00 - $ Branch Circuit W1 Service Feeder $ 5,00 $ Branch Circuit W/O Service Feeder $ 63.00 Eacb Additional Branch Circuit $ 5,00 $ branch Ciicuits 14 $ 75.00 $ Temp. Service/ Feeder 200 Amp. $ 930 $ Temp. Service/Feeder201400 Amp. $110.00 Temp. ServiceiFesdot401- 600 Amp. $149.(10 _ Temp. Servicelfewer60114N0Amp. $1611.00 Portal to Porte] fioudy $ W.00 $ Signal Circuit/ Limited Energy -1 & 2 Famlly Dwelling $ 64.00 Manufactured dome Connection $120.00 Ranswable Electrical Energy - 5KVA System or Less $102.00 _ Thermostat $ 66.00 $ Note_ $5.00 for each additional T-Stal NEW CON5TRUCTtt1N ONLY: F irst 1300 Square Ft. $120.00 Each Additional 500 Square Ft or Portion of $ 40.10 � $ Each Outbuilding or Detached Garege $ 74.00 $ Each Swimming Pool or riot Tub $110.00 _ $ $ I � _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 I 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 Ian, N.E.C., RCK Chapter 19.28, WAC. Chapter 296 -463, The City of Port Angeles Municipal Code, and utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, elecMcal contractor or electrlcal administrator: 13 Cash Ci Check © cmd1tcFard# J3awd: 0110112012 LO ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . . , . . 13- 00000078 Date 1/22/13 Application pin number . , . 629564 RESULTS: Property Address , , , . , , 418 N RACE ST DITCH ASSESSOR PARCEL NUMBER: 06-30-00-5-1- 3200 -0000- Application type description ELECTRICAL ONLY Subdivision Name Property Use , . , . . , . . Property Zoning , , . . , , . RS7 RESDNTL SINGLE FAMILY ROUGH -IN Application valuation . , , . 0 Application desc 1 -4 circuits ductless heat pump Owner Contractor SCOTT M SMASAL /EMMA J JANSSEN EXTRA MILE TECH & ELECT- LLC 418 N .RACE ST 418 N, RACE ST, PORT ANGELES WA 963623518 PORT ANGELES WA 98362 (360) 457 -0198 Permit , , , , , . ELECTRICAL ALTER RESIDENTIAL Additional desc 1 -4 CIRCUITS Permit Fee 7.5.00 Plan Check Fee .00 Issue Date 1/22./13 Valuation . . , . 0 Expiration Date 7/21/13 Qty Unit Charge Per Extension BASE FEE 75.00 -- - - - --- -- - - -- -- _- Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 QO Plan Check Total 00 ,00 .00 00 Grand Total 75.00 75.00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 05.02) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: If AN ILL PERMIT WILL EXPIRE SLY (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:IEXCHANGE\BUILDING