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Home My WebLink About1248 E 8th St - BuildingCITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 03 00001125 Date 4/16/04 Pin number 9578 Property Address 1248 E 8TH ST ASSESSOR PARCEL NUMBER 06 30 11 5 5 9020 0000 Application description RES NEW SFR Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 98753 Owner Contractor MACEDO MARK /SUSAN REALITY HOMES INC 683 ROBERSON RD 1308 ALEXANDER AVE SUITE B SEQUIM WA 98382 TACOMA WA 98424 (360) 582 0256 (253) 926 6330 Structure Information 1767 SF W /ATT 484SF GARAGE 30SF PORCH Construction Type TYPE V NON RATED Occupancy Type SINGLE FAM CONGREGATES Other struct info TOTAL LOT COVERAGE 32 20 CONSTRUCTION TYPE V N NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 1 00 LOT SIZE 7050 00 PROPOSED LOT COVERAGE 2274 00 TOTAL LOT COVERAGE 2274 00 NUMBER OF UNITS 1 00 Permit ELECTRICAL NEW RESIDENTIAL Additional desc SERVICE DITCH Sub Contractor EXTRA MILE TECH ELECT LLC Permit Fee 76 30 Plan Check Fee Issue Date 4/16/04 Valuation Expiration Date 10/13/04 Qty Unit Charge Per 1 00 76 3000 ECH EL RM 0 200 1ST SRV FEEDER Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be in contrast in color of there background Electrical load calculations and elctrical permits are required Other Fees SEWER SYSTEM DELV CHARGE 745 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1025 00 Fee summary Charged Paid Credited Due Permit Fee Total 76 30 76 30 00 00 Plan Check Total 00 00 00 00 Other Fee Total 1774 50 1774 50 00 00 Grand Total 1850 80 1850 80 00 00 T• \PLANNING\FORMS \1102.15 11/14/2003] 00 0 Extension 76 30 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 1 ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T\PLANNING\FORMS \1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE /DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDERFLOOR /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 GAS LINE WOOD STOVE PELLET CHIMNEY 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 I NO lei YES NO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT 1 BUILDING APR -14 -2004 OwnergrBec Contractor Anent' £X #f A tr'+ 'Tt l# 4" EIte., Phone, 1/57- 5 0 1 ,3A Fax: y f7 8 S6 Propertx Owner Mk rV1 a.r c rI Phone: 58 2 0 24 Aotlraalek City Zip. ElsctridaI Contractor; License* Exp; Phone: Addresal City Zip INSTALI ATION WIRED BY t7 OWNER I ELECTRICAL CONTRACTOR Crsd4 Card Holder Name Wiling Address. City. Zip: Cradl* `Card Number. Exp. Date: VISA. MC: PROJt4 T ADDRESS: 49 00 .04.. o p x 4 401 Ceee et,d'./ e P p o f Check that apply idNew Alteration /Addition tiReslOentiat 0 Multi-family Commercial 0 Mobile Home Sq Ft D Rem to Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage Telecom. Sign Number f Circuits added or altered: OESCRi N OF THE ELECTRICAL PROJECT C/004 Q.# 1 e4 s C /ea C6 202 4- Pk-4 /4 r el Fez tcra ry 00 rn1 s po rs 4 Co I I hereb author are req electrilpi Heat boas! Additions and or *ubtractions Baaebb KW C Furnaq KW Hest P ornp TON LRA o Fah-Well KW 11 46 AM E JANSSEN 4/ ELECTRICAL PERMIT APPLICATION The Electrical Permit Application ptuat be filled o, COmptetelV. Please type or reprint in Ink, If you have any questions, please cash (380) 4174735 03 /4 Fax number (360) 41T4711 O Overhead Service n Temp Service g(Underground Service 360 452 2982 C:/ 1ECTriICAtPERMITAPPLICATION AA Cf/I,, t e Z5t- AS t 67e; 4 /CIO 4 //v/D9 P 01 /0a OFFICIAL USE ONLY DpdRec 'Wail Dr. ApproNd Date weed lS.ry ca lntormatton Voltage: i4111 Phase: Mgt 0 3 Service Size: A&'vA Feeder Stze:_y70 a certify that I have read and examined this application and know that same to be true and correct, and I am a d to apply for this permit. I understand it is net the City's /eget responsibility to determine what permits t ired, it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature _ors✓ Date' -/c/-°V 4Q Owner or Etac. Cont, signature: Date: t2'/ -4 04 A /41 Pg4 14 CleG 3 0 PERMIT FEE 7fo Itift,e,e, .... CITY OI PORT ANGELES °~ DEP~TME~ OF COMFY DEVELOPME~ BU~D~G DWISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Ap~l icat ion Number ..... 03-00001125 Date 12/29/03 Property AddreEs ...... 1248 E 8TH ST ASSESSOR PARCEL NL~4BER: 06-30-11-5-5-9020-0000- Application description . . . RES NEW SFR Subdivision Name ...... Property Use ........ Property Zoning ....... RS7 RESDNTL SINGLE FAMILY ApDlicat ion valuation .... 98753 Owner Contractor MACEDO, MARK/SUSAN REALITY HOMES INC. ...... Structure Information 1767 SF W/ATT 484SF GARAGE 30SF PORCH Occupancy Type ...... SINGLE FAN & CONGREGATES Expiration Date . . 6/27/04 Additional desc . . Expiration Date . . 6/27/04 .... BASE FEE 47. Additional desc . . ExpiratioR Date , . 6/27/04 , -Qty unit Charge Per Extension Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pdvate and public improvements. This permit becomes null and void if work or construct/on authorized is not commenced within 180 days, if construction or work is sue pended or abandoned for 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. ~ hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinanfl, e~13overning this ~ork will be complied with whether specified herein or not. The granting of a permit does not presume to g.i.~/a'bthori.~o viol~'~ancel the provisions of any state or local law regulating construction or the performance of Sig nat6._re of C~n~i:~'c'tor or ~thorized Agent / /~ate- ~~ Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 .IOB SITE. INSPECTION TYPE I DATE IyEsACCEPTED] NO COMMENTS FOUNDATION: FOOTINGS WALLS ELECTRICAL (LIGHT DEPT) SEPARATE PERM1T: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) AIR SEAL ~ ~ ~t WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEP,~.2.TE PERMIT #'$: WATERLINE ! METER SEWER CONNECTION SANITARy STORM PLANNING DEPT. SEPARATE PERMIT #'~ 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 - P,.W. ENGINEERING 417~/.807 PW / ENG~CEERING FIRE 417-4653 FIP~E DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:L°LANNINGkFORMS\1102.1 $ [! 1/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page 2 Application Number ..... 03-00001125 Date 12/29/03 Qty Unit Charge Per Extension 49.00 7.0000 T~0U BL-50,001-100K (7.00 PER K) 343.00 Special Notes a~d Con~ents Address numbers shall be plainly visible from the street. Address n~mbers shall be a minimum of six inches high and be in contrast in color of there background. Electrical load calculations and slctrical permits are required. Other Fees ......... STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due Permit Fee Total 1232.70 1232.70 .00 .00 Pla~ Check Total 404.10 404.10 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Gr~nd Total 1641.30 1641.30 .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 certify that ~ have read and examined this app~ cation 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:q?LANN1NG~FORMS\ 1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 IyEsACCEPTEDI NO COMMENT~ FOUNDATION: UNDER FLOOR / SLAB ROUGH-IN ~ ' hq~'~ Lb' L, WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER JOISTS / GIRDERS FOR OFFIC1AL USE ONLY: BUILDING PERMIT - APPLICATION Date Rec.: L/- Permit #: ' and in INK. Your application and site plan MUST BE Date Ap:pr~~ Fill out COMPLETELY COMPLETE to be accepted for review. If you have any questions, call (360) 417-4815 Date Issued: Applicant or Agent: /~ ~'~C, Phone: Owner: ~{( ~ ~g ~C(~ Phone:~ ~chitec~ngineg: ~ , ~ ~e: ~ Con.actor ~~e License ~:~~:~ ~hon~~~ Address:/~8 ~~ ~ ~-~W: ~1~¢ Zip: /EG DESC~TION: Lot: ~ 0 Block: ~ Subdivision: C ~FM~ CLALL~ CO~P~CEL~ER: ~061 lOb~q~7~ O~ojg~O2. Credit Card Holder Name:,/ Billing Address: ' - Ci~: ~ Credit CardType ~S~MC g 0 Exp. Date: :E OF WO~: SI~UA~ON: R - oof n _Z/,O _SF. S ulfi-f~ly ~ Addition D Move ~ Garage ' ' SF, ~ $ - - /SF. = $. ~ Couanercial ~ Remodel o Demolition ~ Deck SF. ~ $ /SF. = $ ~ Repair D Si~ ~ Other TOTAL VALUATION _ $ BmEFDESCmPTIONOFTHEPRO~CT: ~T~IIr~/~M O~ ~ ~~2~ ~; COMMERCI~SIDENT~: Occ,n~cy Group:. Occup~t Load: ~ Co~ction T~e: No. ofStohes: I Lot Size: ~ Exist~g gq. Ft. & Proposed gq. Ft.~/[ ~ = TOTAL Sq.F';. Exist~g lot coverage ~ ~ & Proposed lot coverage % = Total lot coverage_ ~ c~, ~ ~ ~PROV~S: PLUG USE O~Y: PL~: BLDG: DPt: FI~: ES~etl~d(s): ~ Yes ~ No SEPA Checklist requked? ~ Yes ~ No O~er: 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 4174815 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 ate submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the sameto~e true and cor~-a'r~ authorized to apply for this permit and understand that it isreyresponsibility to determine what permits are req~t ~,~ty's,~l~thatJ~qF.q.d~tain such permitspr~rto~tqork. T:XFORMSXAPPS\Buildingpermit.wpd Applicant:~.j(/~_4_/~.~f~.~_~f~~' ~.~///~/r/~ / Date:~~/ DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION APPLICANT: PHONE: PROJECT/DEVELOPMENT ADDRESS: See Page 4-for iostructions on completing the ~ite, plaq. For more information; calt417-4815. CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Ntu~ber ..... 03-00001125 Date 8/03/04 Pin nknabe~ ....... 9578 Property Address ...... 1248 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-11-5-5-9020-0000- Application description . . . RES NEW SFR Subdivision Name Property use ........ Property Zoning ....... RS7 RESDNTL SINGLE FAMILY Application valuation .... 98753 Owner Contractor MACEDO, MARK/SUS~2~ REALITY HOMES INC. 683 ROBERSON RD 1308 ALEXANDER AVE, SUITE B SEQUIM WA 98382 TACOMA WA 98424 (360) 582-0256 (253) 926-6330 ...... Structure Information 1767 SF W/ATT 484SF GAI~AGE 30SF PORCH ..... Construction Type ..... TYPE V NON RATED Occupancy Type ...... SINGLE FAM & CONGREGATES Other struct info ..... TOTAL % LOT COVERAGE 32.20 CONSTRUCTION TYPE V-N NUMBER OF STORIES 1.00 EXISTING LOT COVERAGE 1.00 LOT SIZE 7050.00 PROPOSED LOT COVERAGE 2274.00 TOTAL LOT COVERAGE 2274.00 NUMBER OF UNITS 1.00 Per~it ...... ELECTRICAL NEW RESIDENTI/kL Additional desc . . 2110 SQ. FT. SFR./CRAIGHEAD Sub Contractor . . CRAIGHEAD ELECTRIC Permit Fee .... 119.80 Plan Check Fee . . .00 Issue Date .... 8/03/04 Valuation .... 0 Expiration Date . . 1/31/05 Qty Unit Charge Per Extension 1.00 73.0000 ECH EL-R-SQFT FIRST 1300 73.00 2.00 23.4000 5C EL-R-SQFT ADDITIONAL 500 46.80 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be in contrast in color of there background. Electrical load calculations and elctrical permits are required. Other Fees ......... SEWER SYSTEM DELV CH~GE 745.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 1025.00 Fee summary Charged Paid Credited Due Permit Fee Total 119.80 119.80 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1894.30 1894.30 .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 f 80 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\FOKMS\ 1102.15 {11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED .4ND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE I DATE IYEsACCEPTEDI NO COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DI~AINAGE/DOWN S?OUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AlR SEAL WALLS CEILING FRAMING JOISTS/ GIKDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERiOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS FWUTILITIES/ SITEWORK (EnglneeringDivision) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGItTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ~ ~ ~4/_ ~l~ LIGHT DEPT CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number ..... 03-00001125 Date 8/13/04 Pin number ....... 9578 Property Address ...... 1248 E 8TH ST ASSESSOR PARCEL NUMBER: 06-30-11-5-5 9020-0000- Application description . . . RES NEW SFR Subdivision Name ...... Property Use ........ Property Zoning ....... RS7 RESDNTL SINGLE FAMILY Application valuation .... 98753 Owner Contractor MACEDO, 5~%RK/SUS/%N RF2[LITY MOMES INC. 683 ROBERSON RD 1308 ALEXkNDER AVE, SUITE B SEQUIM WA 98382 TACOMA WA 98424 (360) 582-0256 (253) 926-6330 ...... Structure Information 1767 SF W/ATT 484SF GD2RAGE 30SF PORCH ..... Construction TylDe ..... TYPE V NON-R3~TED Occupancy Type ...... SINGLE FAM & CONGREGATES Other struct info ..... TOT/MS % LOT CO~RAGE 32.20 CONSTRUCTION TYPE V-N NUMBER OF STORIES 1.00 EXISTING LOT COVERAGE 1.00 LOT SIZE 7050.00 PROPOSED LOT COVEP~AGE 2274.00 Permit ...... ELECTRICAL NEW RESIDENTIAL Sub Contractor . . INDOOR COMFORT SYSTEMS INC, Expiration Date . . 2/10/05 Qty unit Charge Per Extension 1.00 36.4000 ECH EL-LVT-FIRST TRERMOSTAT 36.40 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 f 80 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby cer[ify 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:\PLANN1-NG\FOILMS\1102.15 [I 1/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 I DATE ACCEPTED COMMENTS CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Nunfoer ..... 03-00001125 Date 2/12/04 Pin number ....... 9578 Property Address ...... 1248 E 8TN ST ASSESSOR PARCEL NL~4BER: 06-30-11-5-5-9020-0000- Application description . . . RES NEW SFR Subdivision Name ...... Property Use ........ Property Zoning ....... RS7 RESDNTL SINGLE FAMILY Application valuation .... 98753 Owner Contractor MACEDO, MARK/SUSAN RBALITY HOMES INC. 683 ROBERSON RD 1308 ALEF~kNDER AVE, SUITE B SEQUIM WA 98382 TACOMA WA 98424 (360) 582-0256 (253) 926-6330 ...... Structure Inforn~ation 1767 SF W/ATT 484SF GARAGE 30SF PORCH ..... Construction Type ..... TYPE V NON-RATED Occupancy Type ...... SINGLE FAM & CONGREGATES Other struct info ..... TOTAL % LOT COVERAGE 32.20 CONSTRUCTION TYPE V-N NUMBER OF STORIES 1.00 EXISTING LOT COVEMAOE 1.00 LOT SIZE 7050.00 PROPOSED LOT CO~FERAGE 2274.00 TOTAL LOT COVERAGE 2274.00 5FJMBER OF UNITS 1.00 Permit ...... ELECTRICAL TEMPOP~%RY SERVICE Additional desc . . Sub Contractor . . EXTRA MILE TECE & ELECT., LLC Permit Fee .... 40.90 Plan Check Fee . . .00 Issue Date .... 2/12/04 Valuation .... 0 Ex-piration Date . . 8/10/04 Qty Unit Charge Per Extension 1.00 40.9000 ECH EL-TEMP SRV - 0-60 SRV FDR 40.90 Special Notes and Co~ents Address numbers shall be plainly visible from the street. Address nunfoers shall be a minimum of six inches high and be in contrast in color of there background. Electrical load calculations and elctrical permits are required. Other Fees ......... SEWER SYSTEM DELV CHARGE 745.00 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 previsions ol 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 /:~PLANNING~FORMS\ l 102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING IN SPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A M1NIMUM 24 HOUR NOTICE. IT IS UNL4IFFUL TOCOVER, INSULATE OR CONCEA1. ANY IFORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE I DATE ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DKAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PEBJMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LFNE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL STORM PLANNING DEPT. SEPARATE PERMIT #'$ SEPA: ,7~P ,~ ,~'7,~/~.~ " CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 05-00000766 Date 385098 1248 E 8TH ST 06-30-11-5-5-9020-0000- WAVE BROADBAND PUBLIC WORKS UTILITES 8/19/05 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name property Use Property zonlng . . . Application valuation RS7 RESDNTL SINGLE FAMILY o Owner Contractor MACEDO, MARK/SUSAN 683 ROBERSON RD SEQUIM WA 98382 (360) 582-0256 OWNER Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY INSTALL CONDUIT FOR CABLE 58313 50.00 Plan Check Fee 8/19/05 valuation 2/15/06 .00 o Qty Unlt Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Extension 50.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 Lasered CEO C> \f' . ~ \J\ }.> i 0C rl '> ~ \ --- ~ , ~ <'\ ~ Jt- Separate Permits are required for electrical work, SEPA, Shorelme, ESA, utilities, private and publiC improvements ThIS permit becomes! null and void if work or construction authonzed IS not commenced Within 180 days, If construction or work is suspended or abandoned for a penod 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 d 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 authonty to Violate or cancel the proVISions of any state or local law regulating construction or the performance o~ construction t3 '---/9?:S' Date Signature of Owner (If owner IS bUilder) T \PohCles\1102 15R [1105] Date -... PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER, INSULA TE 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 YES NO PW UTILITIES (Engmeenng DIvIsIOn) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL P ARKlNG SIDEWALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R W I PWI CONSTRUCTION - R W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T IPollClesl1 102 15R [1105] I"~ .;) ,16> ' ,,6>,? ' ,\0' ;;.. " y..../, , c '<1 I '1tJ o I \ f .\- I 'lj', ,~/~ "'~..~:>\' - I ',\ I ; \ l )~- I I I I I ~I ~ I '" "~"\ " 'W " I '~ I, ......, CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000452 375400 NO PARCEL NUMBER 99- Date 6/09/05 \ 1..1.\ <6 E <a -th S-t Permit . . . . . Addltional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY CABLE TO 1248 E 8TH 51581 50.00 Plan Check Fee 6/09/05 Valuation 12/06/05 .00 o WAVE BROADBAND PUBLIC WORKS UTILITES CENTRAL BUSINESS DISTRICT o Owner Contractor CITY OF PORT ANGELES PO BOX 1150 PORT ANGELES WA 983620217 OWNER Qty Unlt Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Extension 50.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 c;p ..:J::. ~ "' ~ ~ Q;) :-r '-. 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 compiled 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 Owner (If owner IS bUilder) Date Signature of Contractor or AuthOrized Agent Date T \Pohcles\1102 15R [1105] PERMIT INSPECTION RECORD 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 LOCA nON KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engmeenng DIVISIOn) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEW ALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R W I PWI CONSTRUCTION - R W ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T IPohcleslll02 15R [l/05] ELECTRiCAL ilNSPECTION WIRiNG REPORT 417-4735 DATE PERMIT It . ~SOCTOR, () . (()~.:>-o -0 <of 03 - If 2..:5 'l ~~/ OWNERICONTRAC~OR /~. . .-- 11 c:-IJ. ~-- -- ~ _~ _ _ 'J<~/,-ag^ ADf2. <('if e S ' ~ APPROVED NOT APPROVED o ................... DITCH ................... 0 o ........".... ROUGH IN/COVER.............. 0 o ........,........, SERVICE ......!........... 0 o ............ " . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . ~ CDCORRE~TION ~ED D! -' j?QA-r L~., )L!L79.... J J .0 LJ~, NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (380) 452-1381 ?004~UG. 9.20040",12:15PM CIINDOOR COMFORT SYSTEMS FAX No. 360 417 4711 _ /"f\IJIJ/U,/.lVlVl1 .Jl1\l'l1 J.lurfMDl..LJ'wLJr.-rl, NO. 133 P.103 r. U . t, . ~\'~ 1, ELECTRICAL PERMIT APPLICATION J1O)lO~~US!iONLY """"'= ~11": b~1<~ OIlWlk1tu.A: TIe Erect~ica[ PermitApplica60n must be filled out CDmDletelv. _ _own.!.~n~'~,_9'f1\nl!,!orJ"g~n.t~-J7;I~ e.. V~~. Pn:>~erty Ollt'7ler. C -~~~~.. Z g '3 jZ.o t?E.e50-l MCi~; - .-? //1 /': ~.A..L .IJh:,. Ot>6C500.)t:)L Eleclrl..1 Conllaelor. 1'-"""'''''''''04---(... ",....-v- e>-<-r . P' censsllk Aildr.." fIg l)fPv.:r ~~) <;15 City: - / v9--r.o v--V1 ::;:::~::r::me:cDc:JhA~,rft~N'~u;OR -... -- -------..". ---.-....- -. Bfllin~Ariclre~; If.? ifiDeef ~(J.QrJOfffl gf.f. City: ~ef) rnq Credit Card N~mber: Dale: fJrtf Sr 1Y!>E1 OF WORK: Check all thai apply; J51tew D Alteration/Addition ~id~tial 0 Multi-family D Commllrcial 0 Mobile Home Sq. Ft D Remote Meter 0 Detached garage 0 HOI TUb 0 Swim Pool o.Septicpump' ~w VOltSge: 0 Telecom. 0 Sign 03-/;~~ O;2.:.rl - ~~;SJ 9-Nu/ r::!"7LPt,-t't13_ r?n.;<i: 5:'82.-0ZSlO Zip: ?~:) 8 2- '"2..P ' pnone:,)39'-Icl7,( Zi]l: 9F! o/if'-l' PIe... ~P' or r.print In Ink. If you have anyquoo<<o.., pl."". DO" 13/1D) 41T-4T3S Fax nUlTlber. (360) 41747n . . . .. triA-- PROJEC7 ADORES$: jZtlft C , NUlTlber of Circ:uit.s aclded DT altered: . DESCRIPTION Or:TIfl;ELECTRlCALPROJ5CT:' I/"/.<;T Irt / . . -, 7='<;/~/ 1~//rU:- :I::~:::~r~(e~t Loa::;ditiOnS and or Subtractions ~~ ::::: Infonnation o Furnace JfZQ KWI CJ Overlui:itc Service Phase: 0 1 0 3 o Heat Pump ;J-..J:!z... TO!,! LRA n Temp ServIce $ervh,. Size: ~ Fan-Wall V 0 IJndelllrouncl Service Feeder Size: ( hereby certify that I have read and eximlined this application and know that same- to be true and correct, and I am autholized to apply for thi!il permit. I understand it is not th;- City's legal respon$lbil to detsrmine what permits --aPrHerJfu/r.e~;.;t"'.emaiR{;,:fj:je-a~p{ir;aflt.;;..-e.sprmsjoility..,f;G- e.wke~' etl{tJ/J:e . .fQ-:Gbtain-s~(.1I. ( / Credit Card Holder's Slg'nature 0 e: 0; /91/o'f 8;t(o~ -- Owner Dr Elee. Cont. Sign~tlJ . oate:fjj/D110r; ,~_31.~ --rty ~l .% ,Y"O /P&J !/f /Pr 07/30/2004 14:14 3603853250 2004/JUL/30/FRI 07:38 AM CITY OF PA BLDG DEPT CRAIGHEAD ELECTRIC I FAX No, 3604174711 PAGE 01 p, 006 ". , to . . ~.' ~'.. ')''G'''' _....ELECmlCAL.P.ERMlTAP.PUCATIDN W ~ Th.E_c1lIPermiIApp~""U""mum"'IlfI"'..ut"""'.~. Pi.... il'lE at reprl". In I.uc:. If you baY.. ai1,v quOlili0115. pia.... c;ull (3SlJ) 417-4135 i """~lIl'Ob...: (360)417-4711 . i 3~ i O_'DrEloe.C.-_AIion;; i,)/LUH'f'f ~.I67/'Ol0 Ph';'.; 5ff-7.("S"'Y";'" I Pmper>JOwn=. ~/9;VC- r ~~ Jl//H"~~O Pho_ I -: /l.'I;; E $l7/~ Sr Clly. ~.E"/1;uCTe~'{'~ ~: J.~(~~m-.-q'~' '~A,.d;!llH' /hL;;~~{'L~1 9'~,os: ,/tM/'~~;:5I!r- 7~ \ /lsJd""'", A/J /J~,K. ,~~ CIty; ~U/h;t4'~ Zi\X, ~,f-;3 u-' . ~ I I 'RJIl.OiMJAL"l1SDONI.'!!' .,-~:' ""'- """"""" tJ3 - //z-5"-cl-n ~(pO .8K--3z..-s0 " . , iflsrAiIA-nONWiRB5Bv: - -cowNlfFl-, ...._.-~CTRfCALco'NtRiitibR....'- C1editC.JldHDIderN..'mi.: 6vtf,//€ ,It( ~~(4~ . BilDngArJdress: jJ.J? .dC;,K 55' City: fl&"",&v~ GledIt (;afftNlmber:_ ~ ec,.. Q,ale: . .., , . . _m. __ _'._ _ .~. .,. _ n _ ~/? Zip: :7r~z:-r lIlSA:g MC: PROJ~ADDREIlS: )2t./i ~-r ~""N Sr. TYPE OF WQ~ Check illl1l1aiapply. piNew 0 A1IerBtlOnlAlXlition ~idBnliBl 0 Multi-family ,0 Commercial 0 Moblla Home Sq. Ft o Rcmate Metlir 0 DllIeched ~l'!ge C 1'101 rub 0 Swim Pool 0 Sepllc Pump , ;;;l//O SQ P"~ /,/bo r:5~ ff. 'lowVrntaoe: )(Telecofn. n Sign NUIIIber tJf On::ull:s addod D'_' . DESCRlPT10N Ol'THE ElECTRICALI'IlOJECI;' #~..l ~NA /M cSa r-r- o Baseboan1 qFllItlBCe o Heat Pump o FB"'WSU _KW :I:. ~.il!:. LRA _KW Servi"" ,,,fonn:mo'.' Electrical Hut Load AddiS.."" ,,~d Dr $uhtr.u'fj...... , p' 0vllrIui8d SlllVice o Tamp Selvice ~lldergrnlJr!ll SIWl... Voll:age: /b/WO ~'" ,~1 0 3 Sll1'\Ilcat/:o!t; ~ Feeder Size; , he12by certify that I have resd and examined thf8 lIppl/ootiDn end know that ssme to be true and correct, end J am 3uthori21ilC to apply far this p,mnit. I understand it is not the C/ty'tJ legBl FtfJ1JpDnsibiJity to determine what pfJrmtts ~"mq~./P-1lI.~{f}~~ . I l. to..d&tel7lline-Wllat EIfm' al'B . d:'tP.:MIPin:M4,ab 4~toi(. CradllCard Holder'a SignaWre: Dati.: 7/u~V . Own"r or.ElOll. CDnt. Signature: . Diltv: ~~ r !"-!_,~~ Jl PERMIT FEE: $ 1/7-150 " 4ct? 8/& /PL/ \y FEB-11-2EH34 11: 19 AM E.JANSSEN 368 452 2982 P.81 yo Ii l1"V ELECTRICAL PERMIT APPLICATION '0. O"'C'AL U!I!ON"L'r DltwaUL' """"".- .-- ""'''''''OvM__ 0."1",,,.. The Electrical Pennll Applicallo" mUlt b. tlll.d out com!:)....I\/'. Pl.... type ar reprlnl'" ink. If yo" h.ve .ny quoaUon., pie... call 1380) .1704'25 Fl' num~.,: 13801417-4711 01- /Iz~ Own'!"o, EIIC, eonl,aClDr AlIInl: bfltA "vi. t..... prop...y Owner: "" "'~c. M Go f <J. D Addro.: Eloctr!oill Contractor: ~dru.: "Re!... 4- t{~c.kl(.J P'on':'3,,~t/o..$;)J. F;u: 3'o.<{n~8~,) Phone: SriZ.- ~'Z..rs City' ZIp: City: EXIl: Llce"u II. PP'tone: INSTAIll.ATION WIRED BY: Ctvd;; C'rd HOld", N.m.: BI1/1". Add,..,: CrlHItI C'rd Numb",: Zip: o OWNER ltELECTRICAL CONTRACTOR City: P~OJEICT AOD~II': Zip: vtSA:_ Me:_ Exp.D.t.: " TYPE ~JI WORK: I ~ 'I f e. ~~I.. OrJl. ~ Lo+ Cl'JoW-lA Check JI! that apply: Q("New 0 Alle'allon/Additlon ../- 8-1-1.. '-I-; ~_ o R"Id.nUat 0 Multl.famlly o Commercial 0 Mobile Home Sq. FI o RerTI~t. Mellii' 0 Oetached garage Cl Hot Tub D Swim Pool 0 Septic Pump " NUmb"" 01 Clrtuit. added Dr .'tel'lld: DEIC,,/PTIDN OF TH! ELECTRICAL PROJECT;_~"'P' ,No+ ~.....l.\l.. / w. I) ~",-II + I o Low VoIblge 0 Telecom. 0 Sign S~V.~ &t~#:-~ / e..,A"~N.'''''''''''/ . , I~Jh.-II;'J '. Eleclrl,a. Hoat Load Addition. and or Subtracllons o B...bPIIrll o Furnace o Helll!\urnp o F.n-Wlell _KW _KW _ TON_lRA _KW \)\~ Servlaelnfann.UDft o a.emoed Servlte " Temp Service Ll UndlJrground Service Voltage: PhaIe: 0 1 0 3 SllfVlclI Size: _._ Feeder SIze: I here!. cettlfy that I have read and examined this application and know that same to be troe and COfTBct, and I am aUlhor(.. ~d to ~pply for this permit. I understant! it is not the City's legal responsibility to determine what. permits are re "/red;,t remains the applicants responsibility to determine what perm,ts are reqUired and to obtain such. /t() 2111 /01 , CtlIdlt Card Holdar'. SlllnilILlr.: e~ ~ [).._ . . ...... Data: c.. / .1 I 0 ~ 'l../i?_/O;:\; Own.r or I!h,c. CDn.. Signature: A~) ~-d.,...- ..0 Dllta: '1.-1 " jDq Al --.1. ~ +0 ~ # Ar+ ~D(.;ntL- _ IJ w rr.r~ 6:sv~ . . ~~ J~r w~ 'B -kBw~ PERMIT FEE: $ L-/~. 'If) C:/ELECTPlICAlPERMITAPPUCATION fj{2... r _ fI}fU' To/oJ ,,,1\.1 ~J1~ p~ VD ~/"7/m .v,.~ {n 7- I (SL. fraf ~~. \4 ..J.~ , <J:?ORr"-l> ..-'-~<'("" \' ilr't#ii ~ '!-- -- ""C~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 05-7~f.t? Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property zoning . . . Application valuation 05-00000766 Date 8/19/05 385098 1248 E 8TH ST 06-30-11-5-5-9020-0000- WAVE BROADBAND PUBLIC WORKS UTILITES l24S~ B~ Owner Contractor WfWS B'fO~J) 'K. \\0 ---CO~l T ~yC146U5 RS7 RESDNTL SINGLE FAMILY o MACEDO, MARK/SUSAN 683 ROBERSON RD SEQUIM (360) 582-0256 OWNER WA 98382 Permit . . . . . Additional desc . Permit pin number Permi t F:ee Issue Date Expiration Date RIGHT OF WAY INSTALL CONDUIT FOR CABLE 58313 50.00 Plan Check Fee 8/19/05 Valuation 2/15/06 .00 o Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Extension 50.00 Fee summary Charged Paid Credi ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Dale Signature of Contractor or Authorized Agent Date T:\l'olicies\1102.15R [1/05J ~I / ~~ <V'v cff -- -- .. .. .. , ,.. .. , f@ .. .. see .... ('J;>'n... _ ~ fOIlT....... $"'O~%;-<'jj, ,.~ ...... --. ~IC~: CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, \VA 98362 00-1 /1 Application Number ,Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000914 Date 901188 1450 CAMPBELL AVE 06-30-14-1-3-0135-0000- PUBLIC WORKS UTILITES 9/22/05 o /4Q/)~k (J1~ ., ."0wner Contractor MATTHEWS TTE A FLOYD!ELDORAR "^PO.,BOX 2698 PORT ANGELES WA 98362 LARRY'S EXCAVATING 123 ALDERWOOD CREEK DRIVE~. . PORT ANGELES WA 98362 (360) 457-7469 Permit . . . . . Additi.onal desc . Permit pin number . Permi t Fee ."... f's'sue Date Expiration Date RIGHT OF WAY 60921 50.00 9/22/05 3/21/06 Plan Check Fee Valuation .00 . ,.. 0 Qty Unit Charge Per .... .,..._w.1. 00 50.0000 ECH RIGHT OF WAY PERMIT Extension n.50.00 Fee summary Charged Paid Credi ted Due ----------------- ---------- --------~- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .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 orwork is suspended or abandoned for a period of 180 days a!terthe work as commenced, or if required inspections have not been requesled 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 wilh 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:\Policics\II02.15R [1/05]