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Home My WebLink About1811 E 3rd St - BuildingApplication Number 08 00000116 Application pin number 763452 Property Address 1811 E 3RD ST ASSESSOR PARCEL NUMBER 06 30 11 5 0 0510 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor THOMSEN MARCUS L 1530 W 4TH ST PORT ANGELES WA 98363 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc DAVE S HT &COOL T STAT Permit pin number 119925 Sub Contractor DAVE S HTG COOLING SRVC INC Permit Fee 35 00 Plan Check Fee Issue Date 1/30/08 Valuation Expiration Date 7/28/08 Date 1/30/08 DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 0 0 0 Qty Unit Charge Per Extension 1 00 35 0000 ECH EL LVT FIRST THERMOSTAT 35 00 Fee summary Charged Paid Credited Due Permit Fee Total 35 00 35 00 00 00 Plan Check Total 00 00 00 00 Grand Total 35 00 35 00 00 00 II�SPFICTION TYPE DATE RESULTS DITCH SERVICE ROUGH IN FIN AL TS: 1 -30 05 /17 4 ELECTRICAL INSP hCTOR Application Number 08 00000115 Application pin number 687905 Property Address 1811 E 3RD ST ASSESSOR PARCEL NUMBER 06 30 11 5 0 0510 0000 Application type description ELECTRICAL ONLY Subdivision Name A Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor THOMSEN MARCUS L 1530 W 4TH ST PORT ANGELES WA 98363 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc EXTRA MILE/ FURNACE Permit pin number 119917 Sub Contractor EXTRA MILE TECH ELECT LLC Permit Fee 46 00 Plan Check Fee Issue Date 1/30/08 Valuation Expiration Date 7/28/08 Qty Unit Charge Per 1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS Fee summary Charged Paid Credited Due Date 1/30/08 EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES WA 98362 (360) 457 0198 Permit Fee Total 46 00 46 00 00 00 Plan Check Total 00 00 00 00 Grand Total 46 00 46 00 00 00 00 0 Extension 46 00 ENSPECTIO1\ TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS: ELECTRICAL DATE RESULTS INSPECTOR /-30 PREPARED 1/30/08 12 12 23 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/30/08 ADDRESS 1811 E 3RD ST SUBDIV TENANT NBR MARC PAT THOMSEN CONTRACTOR DAVE S HTG COOLING SRVC INC PHONE (360) 452 0939 OWNER MARCUS L THOMSEN PHONE (360) 808 3721 PARCEL 06 30 11 5 0 0510 0000 APPL NUMBER 08 00000113 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 1/30/08 JLL MECHANICAL FINAL TIME 01 00 January 30 2008 8 47 47 AM 1pangrle JEANNIE 452 0939 (DAVE S HEATING) MECHANICAL FINAL VACANT RENTAL HOME THE BASEMENT DOOR ON THE EAST SIDE OF THE HOME IS OPEN IF NEEDED CALL THE OWNER (MARC THOMSEN) AT 808 3721 COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner MARCUS L THOMSEN 1530 W 4TH ST PORT ANGELES (360) 808 3721 Permit MECHANICAL PERMIT Additional desc INSTALL 15KW ELEC Permit pin number 119891 Permit Fee 64 80 Issue Date 1/28/08 Expiration Date 7/26/08 Qty 1 00 Fee summary Permit Fee Total Plan Check Total Grand Total WA 98363 Unit Charge Per 14 8000 ECH Charged 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 64 80 00 64 80 08 00000113 558933 1811 E 3RD ST 06 30 11 5 0 0510 0000 MARC PAT THOMSEN MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 2390 Contractor BASE FEE ME INSTALL 100- FAU DAVE S HTG COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 FURNACE Plan Check Fee Valuation Paid Credited 64 80 00 00 00 64 80 00 Date 1/28/08 Due 00 00 00 0 0 2390 Extension 50 00 14 80 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 s uspended 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 Z ate Print Name S ignature 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 INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO 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 ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING I FIRE PLANNING DEPT BUILDING BUILDING PERMIT INSPECTION RECORD 417 -4807 417 -4653 I 417 -4750 I 417 -4815 I C T Forms /Building Division/Building Permit (10 /01 /07).wpd I FINAL DATE ACCEPTED BY. F I N A L O O 'wDATE PLANNING DEPT SEPARATE PERMIT 8's SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT I BUILDING Pa DATE ACCEPTED BY. ACCEPTED I YES I NO ji 3 Do (r) DQ n w Jan 28 08 09'02a Dave s Heating Cooling ca'rtesidential Multi- family o Commercial Repair Existing Structure(s) basement 1° floor 2n floor 3" floor Accessory Structures Existing Structure(s) TOTAL LOT COVERAGE Lot size Sq. Ft. Existing Structure(s) Sq. Ft Footprint Proposed Structure(s) Sq. Ft. Footprint TOTAL Structure(s) Sq. Ft Footprint Total Lot Coverage BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application, prescriptive energy form, plans, specs, and a 8'/_" x I1" site plan MUST BE COMPLETE to be accepted for review. (360) 4I7.4815 FAX (360) 417 4711 Residential projects: submit two sets of plans Commercial projects: submit three sets of plans .D eRh Applicant or Agent Owner I Ct v" d P A" 7 o v Y, Owner's Address Contractor/Engineer I) c v e S H-e Contractor/Engineer's Address P. x 4" 1 3 PROJECT ADDRESS: I 5+ 771 1 rcf -7 LEGAL DESCRIPTION- Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK New Constr Re -roof Stove Addition o Move 0 Garage Remodel Demolition Deck Sign Other S C v 360- 452 -0939 Phone 4 7'6.2 1 S State License 11 c Kc pees 677 9 CQ I Phone CJ 07:3 SIZE/VALUATION SF SF SF TOTAL VALUATION BRIEF DESCRIPTION OF THE PRRJECT Yl 5 1♦'R l a.'f l a 15 KtAI 1.e.c v-t i Vl. I� V \C� C� 1 0 Y 1 cu v^Yr a c COMMERCIAL/RESIDENTIAL. Occupancy Group: Occupant Load: Construction Type: Sq. Ft. Proposed Structure(s) basement Sq. Ft 1" floor Sq. Ft 2' floor Sq. Ft 3"' floor Sq. Ft. Accessory Structures Sq. Ft. Proposed Structure(s) TOTAL TOTAL of existing proposed structures Maximum Height of Proposed Structure(s) (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.) Phone ZONING Are you planning to install a lawn sprinkler system? p1 FOR OFFICIAL USE ONLY Date Rec.. -Zg -Q ?3 Permit N. Off Date Approved: Date Issued: /SF /SF /SF `a, `7' Sq. Ft Sq. Ft Sq. Ft Sq. Ft Sq. Ft. Sq. Ft Sq. Ft Ft 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: The plan check fee must be paid at the time the building pennit application is submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW- An application for a permit for any proposed work shall be deemed to have been abandoned 180 days after the date of filing unless such application has been pursued in good faith or a permit has been issued; except that the building official is authorized to grant one or more extensions of time for additional periods not exceeding 180 days (90 days for commercial projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRCIIBC 2006 105.3.2) I hereby certify that l have lead and examined this application and know the same to be true and correct. 1 air authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and that l must obtain such permits prior to work. Date I C'g Applicant I i T•1FORM5lBUtLDt DIYISION1131dgPermitAppt 2006 OODE backup.wp CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Lasered CEO Appllcatlon Number Appllcatlon pln number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type descrlption Subdlvlslon Name Property Use Property Zoning . . . Appllcatlon valuation 05-00001247 Date 826091 1811 E 3RD ST 06-30-11-5-0-0510-0000- MARC THOMSEN RES ADDITION 1/30/06 Owner Contractor ~ :fLu ~ 11~!Oc. RS7 RESDNTL SINGLE FAMILY 800 THOMSEN MARCUS L 1530 W. 4TH ST PORT ANGELES OWNER WA 98363 ~ Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS .27 1. 00 1938.00 7325.00 84.00 2022.00 1. 00 68098 59.15 1/30/06 7/29/06 Plan Check Fee Valuation 23.66 800 ~~ B~ ~ permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 3.00 BASE FEE 3.0500 HND BL-501-2K (3.05 PER C) Extension 50.00 9.15 Qty Unlt Charge Per Speclal Notes and Comments The Fire Department has revlewed the project application and has no comments 12/29/2005 11:58 AM SROBERDS -- The proposal wlll result ln a 4' covered walkway ln the RS-7 zone for total lot coverage of 14%. No land use lssues are noted. $0 Connect Fee. 12/21/2005 07:33 AM JHEBNER ---------------------------- PubllC works electrical engineering has no requirements for thlS plan reVlew. Any modifications to the Clty'S electrlcal facllltles wlll be at the customer's expense. PubllC Works Utlllty Englneerlng has no requirements for thls plan reVlew. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Pald Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 59.15 59.15 .00 .00 Plan Check Total 23.66 23.66 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 87.31 87.31 .00 .00 Separate Permits are required forelectncal work, SEPA, Shoreline, ESA, utilities, pnvate 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 withm 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 herem 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 regulatmg construction or the performan of constructioh (/ Date Signature of Owner (If owner is builder) 6 Date T \PolIcles\1102_15 buIldmg pennlt mspectlOn record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD 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 INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA P ARKING/LIGHTlNG 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 1 PWI CONSTRUCTION - R W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 - /" , PLANNING DEPT BUILDING 417-4815 1.;:71(, ( IOk JC-/ BUILDING T \Pohcles\1102_15 bUIldmg penmt mspectlOn record05 wpd [1/4/2005] PREPARED 5/15/06, 14 14 25 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 5 5/15/06 ADDRESS TENANT, NBR. CONTRACTOR OWNER PARCEL APPL NUMBER: 1811 E 3RD ST MARC THOMSEN SUBDIV PHONE PHONE THOMSEN MARCUS L 06-30-11-5-0-0510-0000- 05-00001247 RES ADDITION Lasered CEO PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 3/13/06 3/13/06 13:00 DYASUMUR --------------------------- JLL DA BUILDING FINAL TIME 03/10/2006 09 46 AM BRENDA 457-1670 03/13/2006 04 52 PM house locked BL99 02 -r06 #JLL BUILDING FINAL TIME ~ 05/12/2006 03 57 PM MARK 417-2782 ----------- -------------------------- PBARTHOL --------------------------- 13:00 DYASUMUR --------------------------- ....- tJtt....- ~ t;(tJ) / () (t/~ 91 Y1 <Z.L--tv P~1J ~)J WAr, ofL, --- '"' ~~ - ~_"\..-,.-"", ~~.... Jr~ . .:,. ~ a.UILDING DIVISION CITY OF PORT ANGELES Lasered CEO * * Correction Notice '-- Job Located at / ~ / ! E '3 t3f> Inspection of your work revealed that the following is not in accordance with the codes governing the work in tt)is jurisdiction: These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call 1/1" it J r for inspection. Date Inspector for BUilding Division DO NOT REMOVE THIS TAG )fL..~ ~ ~l , ' ~ 'I' 1- , " I , , , Ii~, tu' 'I " , .,r!""\) I' 'i '1~ !' ' 'I' li\\ v, ii inl7 ~u 'I il,t,/', , 0 fl "r", ~ ' ~ I ' " 1:\0 ~, r ' ~r =-~L,=~I l' / -- -- ,- - -.,... -, , . ~l L- 'f' ,\ , ' ' '~. /J : ~: I ., q , ? ,\, ,; /" , , I v- \ V,,;{/. , , · . ,i" , I , , f~ " '7f:~~" ' /' - t'2- r ~ \' 1\ ;1 ,~."""'--tl' o \Ii: / , ~, (j)'J\~ ~ \\J) ~'Y .~ t: ~~ ...............~, The FInIth Crew 160..487-'670 Its' Eat first ..... ,.... AIIgeIu. WA fII62 ~) ~ Q.. i ."w, ' l S ' ?'~? : iL~\ '-" (j) , ~ ,\~ ti1~, '.(\"'" : 'L e;i\ 'CL) ..l : }/ (~ L--/ I'( '0-- , r\ '~-.J 'v: <"' ~~~ , \,Q) ,~~ \ --- ' - --, : -, , _ v' _". L_ ' ~-~~~--11 ' , . II ii' I\" ~.- ,- - -'i I I I I 1 , I ~ I IL_~_ .4- -1--- I' ~ I 1 ~ ~\ ~ , , v 1 ~n'-'- i I ~ i 1 /:---... ,~; -", ~,./ . ,JJ _, .\ ~~ \~ .J .J ~v N ".\ L-::. ..........---..,. PS~f~J Ti~D~l Uli ~ 9: :: t: r:: 3 u ft2 ~ ...?-' rn,~ (f\\ II ~""" I, \\ (i":J 1/'" 10 ~ : S ' r 1\11! ~ \:", &> c~ '<& E I/~ U;J,I.JJ,,~, /'" , 1\ (' \ !' I \J '; ;f';>~ , ~ ""/) ,<0, J>'~- -PO,;; f(, I.~ U )I.J!;~ I,:)~~', ~}" '~- :- : ("\ ~ , '~ , ~ "'}).: : I ~ ~~,\: I I I t '\:\v;~: : ~ I b~\ 't, 'I :' ,~.,_n 0, I ~ , ,\ ~~'" ' e."",: I: ' ~v ! , ; ~ ~ ~~~)E}~ ../' , r 7//~ , ......-4~ '~ , '---r :-~. \ ~, ~~~, (/ .. ~u '~~ I O~ ~ Laserer} . CED 1IIe FInIah Crew lee) --1610 J.,.... Fht ~ ,..,. ~. WA -..vc i1?i I" 1 rr . li....b~ , , , , . plans ' , .",on , , Constr speCl\!- : " GEl:ES - '\lese plallS, offiCial ' ' , T" N nOli \ IdIM. .. OR'" . based u~ the bUl 'II sal\! " Of P rmlt vellt HotS \ '", err< . "';,,, "II "I '" """, ,,,,,,,,, M Issuallce her data ~ the' correc or from whell III :";,,, "d ~ l"'"""~ ."" d''', .."",'d~~ ~ """ "':;""''''''': b:" "'~~:.:", .1 ~ plans. nerat\OIl alld or . uildm\t o~ all codes l> ~ ':..,.." ., , ~, I Date tlpprova ii/ered BUILDING PERMIT - APPLICATION ED Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Phone: 0l..e_O" <..( C:;1- (<070 Phone: L/5'~ - 7gto'/1j.{7-11~ City: YrjV+ ~3eJes WA.Zip: Cf93Coz ArchItect/Engineer: Phone: Contracto~ PI'n ls,h Gew State License #: h'(\(~+ 9(,,3 Exp: , (-ll.f -DG:> Phone: <-i-S 7-1(;, 70 Address: I q I ~ 15. l st- , , City: 't:>d1...'i- ~n<j e I <f' 5. hilt, Zip: q ~ 3G~ PROJECT ADDRESS: /15 {I E. 3rd.- POt+ An.3eJl.fS ZONING: LEGAL DESCRlPTION: Lot: Block: Subdivision: Applicant or Agent: l1vL r;' n ; sh Owner:---.m u....r c thorn:5 e~ Address: (530 W. 4<::1..11 l"b V euJ CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: ~Residential 0 New Constr. 0 Re-roof 0 Stove o Multi-family Jp'Addition 0 Move 0 Garage o Commercial " rr Remodel 0 DemolItion 0 Deck o Repair 0 Sign /}D Other BRIEF DESCRll'TION OF THE PROJECT, /-telcl,t1j SIZENALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ JOB' oi) C:OI/tYJl'f 4f Jlf. ' LUul. uf' COMMERCIAL/RESIDENTIAL: Occupancy 'Group: No. of Stories: _ Lot Size: 7 ~ 2.& Existing Sq. Ft. Total lot coverage .7,7 % Occupant Load: Construction Type' \ q ?'O & Proposed Sq. Ft. e4 = TOTAL Sq. Ft. ZtJ l-V APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklistrequrred? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. TIns 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 buildmg permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: lfno 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 RI 05.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined thi 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 determi hat permits a required ,not the City's, and that I must obtain such permits prior to work. T'\Pohcles\BL-l102_13.wpd APPlicant:' ~""""'~'ate: /..2/1-9'16 5- . / / 'L->$",,~" -<',,*,,~ 1l...~~<a.......,....a,........~U'^'~~~......~,...,~'"'"\-,;;;:;~~~ ~ -- --- g~~~~~~~t;I~C'i - ~~~~RlJ4fLt~~~~~i~&} PLUMBING TRAPS: WATER HEATER: SEWER: WATER: MECHANICAL: VENTS: FURNACE: GAS FIREPLACE: WOOD FIREPLACE/STOVE: MECH APPLIANCE: CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 9/09/05 05-00000754 Date 302960 1811 E 3RD ST 06-30-11-5-0-0510-0000- RES FOUNDATION REPAIR ANAJED 5/i5/o~ J~ RS7 RESDNTL SINGLE FAMILY 52312 Owner Contractor THOMSEN MARCUS L 1530 W. 4TH ST PORT ANGELES OWNER WA 98363 Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expirat:ion Date BUILDING PERMIT -RESIDENTIAL 58537 688.25 9/09/05 3/08/06 plan Check Fee Valuation 275.30 52312 Qty Un1t Charge Per Extension 667.25 21. 00 3.00 BASE FEE 7.0000 THOU BL-50,001-100K (7.00 PER K) Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 58586 54.25 Plan Check Fee 9/09/05 Valuation 3/08/06 .00 o Qty Unit Charge Per Extension 47.00 7.25 BASE FEE 1.00 7.2500 ECH ME-VENT FAN Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 58578 68.00 9/09/05 3/08/06 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 47.00 21.00 BASE FEE 3.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP Special Notes and Comments The Fire Department has rev1ewed the proJect application and has no comments Electr1cal load calculations and electrical perm1ts are required. $0 Connect Fee. 08/16/2005 08:20 AM JHEBNER ---------------------------- Any modifications to the City'S electrical facilities will be at the customer's expense. Other Fees STATE SURCHARGE 4.50 Lasere(j CED ~ ~ ~ (1\\ ~ 5 ~ ~ \~ * Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, pnvate 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 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 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 '. ~I L r. JJI;.k' 9-. ?-Or Signature of Contractor or Authonzed Agent Date Signature of Owner (If owner IS bUilder) T \Pohcles\1102_15 bUlldmg permIt mspectlOn record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD 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 INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION. FOOTINGS WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS ) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKlRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA P ARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W 1 PWI CONSTRUCTION - R W ENGD,EERING 417-4807 PW 1 ENGINEERING FIRE 4 I 7-4653 FIRE DEPT PLANNING DEPT 4 I 7-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T \Pollcles\1 102_15 bUIldIng permIt InspectIOn record05 wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 05-00000754 ApplIcation pin number 302960 Page 2 Date 9/09/05 Laserea CED ~e~ summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 810.50 810.50 .00 .00 Plan Check Total 275.30 275.30 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 1090.30 1090.30 .00 .00 Separate Permits are required forelectncal 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 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 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 \PohCles\1102_15 bmldmg pennIt mspectlOn record05 wpd [1/4/20051 BillLDING PERMIT INSPECTION RECORD ., 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 UNLA WFUL 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 COMMENT~, YES NO FOUNDATION' to-,20-oS p.p .JJ-J- ~TH1~ FOOTINGS q - 2. 'J..t:JS' JJ-J...- I~ /'J-7(V\-@ WALLS In -J.#-oS' -' L!..- FOUNDATION DRAINAGE 1 DOWN SPOUTS -- PIERS POST HOLES (POLE BLDGS ) ,~- PLUMBING ~ffV s!c~~ ~ UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER ~~ AIR SEAL WALLS CEILING I 1;jlO,Vr.ll:G. FRAMING JOISTS! GIRDERS SHEAR WALL/HOLD DOWNS WALLS! ROOF 1 CEILING iI_ q-rrS _\ 1-1.- 1X>~ l1.l1+/ 0 '\ A:P::!lt.. DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR _1'4... INSULA TION SLAB WALL 1 FLOOR 1 CEILING --.... MECHANICAL hlf/"h-- ~)~U? SJft ~ HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERIvlIT #'s SEPA P ARKING/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 I PWI CONSTRUCTION - R W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 I .-:.. I I ..... PLANNING DEPT BUILDING 417-4815 l"':.f I t.7 / ()b :/ LV BUILDING T \Pohc\es\1102_15 bmldmgpenmt mspectlOn record05 wpd [1/4/2005] PREPARED 5/16/06, 13:29 32 CITY OF PORT ANGELES ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL APPL NUMBER 1811 E 3RD ST MARC THOMSEN ., INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 10 5/16/06 SUBDIV THOMSEN MARCUS L 06-30-11-5-0-0510-0000- 05-00001247 RES ADDITION PHONE PHONE 3/13 / 06 JLL 3/13/06 DA 5/15/06 ~ 5/15/06(3/ ~6 ~ ~ ~ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 BL99 02 BL99 03 Lasere(j CED BUILDING FINAL TIME. 13.00 03/10/2006 09 46 AM DYASUMUR --------------------------- BRENDA 457-1670 03/13/2006 04.52 PM PBARTHOL --------------------------- house locked BUILDING FINAL TIME 13 00 05/12/2006 03.57 PM DYASUMUR --------------------------- MARK 417-2782 05/15/2006 04 48 PM PBARTHOL --------------------------- BUILDING FINAL TIME. 13 00 MARK 808-3721 05/15/2006 01:54 PM DYASUMUR -------------------------------------- COMMENTS AND NOTES -------------------------------------- ; PREPARED 3/13/06, 13-53 43 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 3/13/06 ADDRESS TENANT, NBR CONTRACTOR OWNER PARCEL _ APPL NUMBER 1811 E 3RD ST MARC THOMSEN SUBDIV' THOMSEN MARCUS L 06-30-11-5-0-0510-0000- 05-00001247 RES ADDITION PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 ~13/ 6 JLL BUILDING FINAL TIME ~ 03/10/2006 09:46 AM Vrr-- BRENDA 457-1670 ---------- -- ----------------------- COMMENTS AND NOTES -------------------------------------- t/vOS"L t.o~ 13 00 DYASUMUR --------------------------- {as r,l'ere{j vcO BUILDIN<G -DIVISION CITY OF PORT ANGELES L Lasered ar;ED tC * * Correction Notice '- / -z iLA Job Located at/Sf. f ~ Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: " \ I 'r-n;/L <::f..-/ ,J A , I I j{J/o ((AI1L- -fmK , I I ;J /) ____ ~ t t( LinL ,__~!-N) ft~/7 0 ~ L6d~g) - These corrections must be made and are not to be covered until reinspection is made. Wh:n/corrections have been made, please call 1'-/7/ cy'ft/ r :~t~ns~)~o~p 7;;{/ or I Inspector for BUilding Division DO NOT REMOVE THIS TAG PREPARED 12/14/05, 13,32 22 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 12/14/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1811 E 3RD ST SUBDIV- PHONE PHONE THOMSEN MARCUS L 06-30-11-5-0-0510-0000- 05-00000754 RES FOUNDATION REPAIR TYP/SQ REQUESTED COMPLETED INSP RESULT DESCRIPTION RESULTS/COMMENTS 12/12/05 DA 12/12/2005 02 50 12/12/2005 04-36 BUILDING FRAMING 12/14/2005 09 19 PM PBARTHOL PM PBARTHOL TIME 17,00 AM PBARTHOL Laserea CED BL3 12/14/05 '~+ -------------------------------------- COMMENTS AND NOTES -------------------------------------- 04 51 26 2/12/05, 14: PREPARED 1 T ANGELES CITY OF POR _______ -- -------~811 E 3RD ST ADDRESS . CUS L CONTRACTOR THOMSEN MA~0-0510-0000- ON REPAIR OWNER 06-30-11-54 RES FOUNDA=~___ PARCEL . 05-0000075 __________ ION APPL NUMBER ------------SP DESCRI~~COMMENTS _u__u_ TED IN RESULT ___ -----PB-~RTHOL ____ ----- "Qrne, "'Ue" ______________ " " /" :[~;~--------- 12/12/2005 02 S m --- --- --- _ NO" ------ 11 F,.. ___ _______ COMMENTS L ________ ___u__ -ur- ICKET INSPECTIO~ ~AMES L LIER~=__ INSPECTOR. _ _ _ _____ ---- SUBDIV PHONE PHONE : PAGE DATE 6 12/12/05 Laserea CED t=~ ~ ~- 4~~(o~o U:.~ PREPARED 11/09/05, 13 28 40 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER' 1811 E 3RD ST INSPECTION TICKET INSPECTOR, JAMES L LIERLY PAGE DATE 8 11/09/05 THOMSEN MARCUS L 06-30-11-5-0-0510-0000- 05-00000754 RES FOUNDATION REPAIR SUBDIV PHONE PHONE LaserBd CEO --------------------------------------~--------------------------------------------------------- PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/15/05 JLL 9/15/05 DA BL1 02 9/23/05 JLL 9/23/05 DA BL1 03 9/27/05 JLL 9/27/05 AP BI2 01 10/04/05 JLL 10/04/05 AP BURW 01 10/18/05 JLL 10/18/05 DA BL1 04 10/20/05 JLL 10/20/05 AP BL3 01 10/20/05 JLL 10/20/05 DA BI2 02 10/26/05 JLL 10/26/05 DA BURW 02 10/26/05 JLL 10/26/05 DA BI2 10/27/05 JLL 10/27/05 AP 03 BL3 ~Jf- 02 BUILDING FOUNDATION FOOTING 09/15/2005 04'14 PM JLIERLY ---------------------------- BUILDING FOUNDATION FOOTING 09/22/2005 09.01 AM PBARTHOL --------------------------- ERIC 457-1670 09/23/2005 04 37 PM JLIERLY ---------------------------- no perm,t on s,te/Jll BUILDING FOUNDATION FOOTING 09/26/2005 11 15 AM PBARTHOL ------------------------ ERIC 457-1670 09/27/2005 04 15 PM JLIERLY ---------------------------_ BUILDING FOUNDATION WALL TIME 17 00 10/03/2005 03'49 PM PBARTHOL --------------------------- ERIC 461-5897 10/04/2005 04,42 PM JLIERLY ---------------------------- BUILDING RETAINING WALL 10/17/2005 02 41 PM DYASUMURA --------------------------- RETAINING WALL FORM AND FOOTING INSPECTION" ERIC PH 461-5897 10/17/2005 03 24 10/17/2005 03 24 10/19/2005 08 10 NO FOOTING IN PLACE BUILDING FOUNDATION FOOTING ERIC 461-5897 10/19/2005 09 33 AM DYASUMUR 10/20/2005 04 SO PM PBARTHOL --------------------------- BUILDING FRAMING TIME 17 00 10/19/2005 09 35 AM DYASUMUR ERIC 461-5897 10/20/2005 04 SO PM PBARTHOL --------------------------- not ready BUILDING FOUNDATION WALL TIME 17 00 10/25/2005 03 28 PM PBARTHOL ERIC 461-5897 10/26/2005 04 08 PM PBARTHOL --------------------------- BUILDING RETAINING WALL TIME, 17 00 10/25/2005 03 37 PM PBARTHOL ERIC 461-5897 PM INSPECTION 10/26/2005 04 06 PM PBARTHOL --------------------------- REBAR NEED TO BE FULL LENGTH AND DSRILLED WHERE NECESSARY BUILDING FOUNDATION WALL TIME 17 00 10/26/2005 04 40 PM PBARTHOL --------------------------- ERIC 461-5897 10/27/2005 04 26 PM JLIERLY ---------------------------- BUILDING FRAMING TIME 17 00 11/08/2005 11 38 AM PBARTHOL ERIC 461-5897 PM PM AM PBARTHOL PBARTHOL PBARTHOL TIME 17 00 -------------------------------------- COMMENTS AND NOTES --------------------------------______ PREPARED 10/27/05, 12 46 03 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER: 1811 E 3RD ST INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 9 10/27/05 Lasered CED THOMSEN MARCUS L 06-30-11-5-0-0510-0000- 05-00000754 RES FOUNDATION REPAIR SUBDIV PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/15/05 JLL 9/15/05 DA BL1 02 9/23/05 JLL 9/23/05 DA BL1 03 9/27/05 JLL 9/27/05 AP BI2 01 10/04/05 JLL 10/04/05 AP BURW 01 10/18/05 JLL 10/18/05 DA BL1 04 10/20/05 JLL 10/20/05 AP BL3 01 10/20/05 JLL 10/20/05 DA BI2 02 10/26/05 JLL 10/26/05 DA BURW 02 10/26/05 JLL 10/26/05 DA BI2 03 11o/L~Y'?::- ~ P- BUILDING FOUNDATION FOOTING 09/15/2005 04 14 PM JLIERLY ---------------------------- BUILDING FOUNDATION FOOTING 09/22/2005 09 01 AM PBARTHOL --------------------------- ERIC 457-1670 09/23/2005 04.37 PM JLIERLY ---------------------------- no perm1t on s1te/]11 BUILDING FOUNDATION FOOTING 09/26/2005 11 15 AM PBARTHOL ------------------------ ERIC 457-1670 09/27/2005 04 15 PM JLIERLY ---------------------------- BUILDING FOUNDATION WALL TIME 17 00 10/03/2005 03 49 PM PBARTHOL --------------------------- ERIC 461-5897 10/04/2005 04 42 PM JLIERLY ---------------------------- BUILDING RETAINING WALL 10/17/2005 02 41 PM DYASUMURA --------------------------- RETAINING WALL FORM AND FOOTING INSPECTION" ERIC PH 461-5897. 10/17/2005 03 24 PM 10/17/2005 03 24 PM 10/19/2005 08 10 AM NO FOOTING IN PLACE BUILDING FOUNDATION FOOTING ERIC 461-5897 10/19/2005 09 33 AM DYASUMUR 10/20/2005 04 50 PM PBARTHOL --------------------------- BUILDING FRAMING TIME 17 00 10/19/2005 09 35 AM DYASUMUR ERIC 461-5897 10/20/2005 04 50 PM PBARTHOL --------------------------- not ready BUILDING FOUNDATION WALL TIME 17 00 10/25/2005 03 28 PM PBARTHOL ERIC 461-5897 10/26/2005 04 08 PM PBARTHOL --------------------------- BUILDING RETAINING WALL TIME 17 00 10/25/2005 03 37 PM PBARTHOL ERIC 461-5897 PM INSPECTION 10/26/2005 04 06 PM PBARTHOL --------------------------- REBAR NEED TO BE FULL LENGTH AND DSRILLED WHERE NECESSARY BUILDING FOUNDATION WALL TIME: 17 00 10/26/2005 04:40 PM PBARTHOL --------------------------- ERIC 461-5897 PBARTHOL PBARTHOL PBARTHOL TIME 17 00 COMMENTS AND NOTES -------------------------------------- PREPARED 10/26/05, 12:52:03 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER 1811 E 3RD ST INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 6 10/26/05 THOMSEN MARCUS L 06-30-11-5-0-0510-0000- 05-00000754 RES FOUNDATION REPAIR SUBDIV: PHONE PHONE : Lasered CED PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLl 01 9/15/05 JLL 9/15/05 DA BLl 02 9/23/05 JLL 9/23/05 DA BLl 03 9/27/05 JLL 9/27/05 AP BI2 01 10/04/05 JLL 10/04/05 AP BURW 01 10/18/05 JLL 10/18/05 DA BLl 04 10/20/05 JLL 10/20/05 AP BL3 01 10/20/05 JLL 10/20/05 DA BI2 02 10~6/% JLL I~ 't (' ))/1- BURW 02 ~ f)/.J.- >V~ BUILDING FOUNDATION FOOTING 09/15/2005 04:14 PM JLIERLY ---------------------------- BUILDING FOUNDATION FOOTING 09/22/2005 09:01 AM PBARTHOL --------------------------- ERIC 457-1670 09/23/2005 04:37 PM JLIERLY ---------------------------- no perm1t on s1te/]11 BUILDING FOUNDATION FOOTING 09/26/2005 11:15 AM PBARTHOL ------------------------ ERIC 457-1670 09/27/2005 04:15 PM JLIERLY ---------------------------- BUILDING FOUNDATION WALL TIME: 17:00 10/03/2005 03 49 PM PBARTHOL --------------------------- ERIC 461-5897 10/04/2005 04:42 PM JLIERLY ---------------------------- BUILDING RETAINING WALL 10/17/2005 02:41 PM DYASUMURA --------------------------- RETAINING WALL FORM AND FOOTING INSPECTION" ERIC PH 461-5897. 10/17/2005 03 24 PM 10/17/2005 03:24 PM 10/19/2005 08.10 AM NO FOOTING IN PLACE BUILDING FOUNDATION FOOTING ERIC 461-5897 10/19/2005 09 33 AM DYASUMUR 10/20/2005 04.50 PM PBARTHOL --------------------------- BUILDING FRAMING TIME: 17 00 10/19/2005 09.35 AM DYASUMUR ERIC 461-5897 10/20/2005 04 50 PM PBARTHOL --------------------------- not ready BUILDING FOUNDATION WALL TIME: 17 00 10/25/2005 03 28 PM PBARTHOL ERIC 461-5897 BUILDING RETAINING WALL TIME 17 00 10/25/2005 03 37 PM PBARTHOL ERIC 461-5897 PM INSPECTION PBARTHOL PBARTHOL PBARTHOL TIME 17 00 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 10/20/05, 11 28:30 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER 1811 E 3RD ST INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 17 10/20/05 Lasered CED THOMSEN MARCUS L 06-30-11-5-0-0510-0000- 05-00000754 RES FOUNDATION REPAIR SUBDIV: PHONE PHONE 01 9/15/05 9/15/05 JLL DA PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING FOUNDATION FOOTING ERIC 457-1670 09/15/2005 04.14 PM JLIERLY ---------------------------- BUILDING FOUNDATION FOOTING 09/22/2005 09 01 AM PBARTHOL --------------------------- ERIC 457-1670 09/23/2005 04 37 PM JLIERLY ---------------------------- no permlt on slte/]ll BUILDING FOUNDATION FOOTING 09/26/2005 11:15 AM PBARTHOL ------------------------ ERIC 457-1670 09/27/2005 04.15 PM JLIERLY ---------------------------- BUILDING FOUNDATION WALL TIME: 17:00 10/03/2005 03 49 PM PBARTHOL --------------------------- ERIC 461-5897 10/04/2005 04 42 PM JLIERLY ---------------------------- BUILDING RETAINING WALL 10/17/2005 02:41 PM DYASUMURA --------------------------- RETAINING WALL FORM AND FOOTING INSPECTION" ERIC PH 461-5897 10/17/2005 03 24 PM 10/17/2005 03 24 PM 10/19/2005 08 10 AM NO FOOTING IN PLACE. . JL:n~ BUILDING FOUNDATION FOOTING ~ ERIC 461-5897 10/19/2005 09:33 AM DYASUMUR JLL BUILDING FRAMING TIME: 17:00 f) 11-- 10/19/2005 09: 35 AM DYASUMUR VJ7 ERIC 461-5897 --------------------~-------------- CO,""" AND NO'" -------------------------------------- /LfffMff)/ BLl BL1 BL1 BI2 BURW 01 BL1 BL3 02 9/23/05 9/23/05 JLL DA 03 9/27/05 9/27/05 JLL AP 01 10/04/05 10/04/05 JLL AP 10/18/05 10/18/05 JLL DA 04 01 PBARTHOL PBARTHOL PBARTHOL TIME 17'00 THOMSEN MARCUS L 06-30-11-5-0-0510-0000- 05-00000754 RES FOUNDATION REPAIR PREPARED 10/18/05, 13:48 08 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER' 1811 E 3RD ST INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 10 10/18/05 SUBDIV: PHONE PHONE Lasered CED PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/15/05 JLL 9/15/05 DA BL1 02 9/23/05 JLL 9/23/05 DA BL1 03 9/27/05 JLL 9/27/05 AP BI2 01 10/04/05 JLL 10/04/05 AP BURW 01 ~- JLL j)"~ BUILDING FOUNDATION FOOTING ERIC 457-1670 09/15/2005 04 14 PM JLIERLY ---------------------------- BUILDING FOUNDATION FOOTING 09/22/2005 09 01 AM PBARTHOL --------------------------- ERIC 457-1670 09/23/2005 04:37 PM JLIERLY ---------------------------- no permlt on slte/J11 BUILDING FOUNDATION FOOTING 09/26/2005 11 15 AM PBARTHOL ------------------------ ERIC 457-1670 09/27/2005 04 15 PM JLIERLY ---------------------------- BUILDING FOUNDATION WALL TIME: 17:00 10/03/2005 03:49 PM PBARTHOL --------------------------- ERIC 461-5897 10/04/2005 04:42 PM JLIERLY ---------------------------- BUILDING RETAINING WALL 10/17/2005 02:41 PM DYASUMURA --------------------------- RETAINING WALL FORM AND FOOTING INSPECTION" ERIC PH 461-5897 10/17/2005 03 24 PM PBARTHOL --------------------------- 10/17/2005 03:24 PM PBARTHOL --------------------------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- hcJn#'l d&~ ~1 PREPARED 10/04/05, 13 29.15 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 9 10/04/05 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER 1811 E 3RD ST SUBDIV PHONE PHONE Lasered CED THOMSEN MARCUS L 06-30-11-5-0-0510-0000- 05-00000754 RES FOUNDATION REPAIR PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/15/05 9/15/05 JLL DA BUILDING FOUNDATION FOOTING ERIC 457-1670 09/15/2005 04 14 PM JLIERLY ---------------------------- BUILDING FOUNDATION FOOTING 09/22/2005 09 01 AM PBARTHOL --------------------------- ERIC 457-1670 09/23/2005 04'37 PM JLIERLY ---------------------------- no perm1t on s1te/Jll BUILDING FOUNDATION FOOTING 09/26/2005 11 15 AM PBARTHOL ------------------------ ERIC 457-1670 09/27/2005 04 15 PM JLIERLY ---------------------------- BI2 01 ilfO/O /05 ~ ~~~~~~~;o;O~~~~~ONp~AL~BAR~~~~ _=~_~~_____________________ /7 /7 I ERIC 461-5897 -------------------------------------- COMMENTS AND NOTES -------------------------------------- BL1 02 9/23/05 9/23/05 JLL DA BL1 03 9/27/05 9/27/05 JLL AP PREPARED 9/27/05, 12 45,50 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER 1811 E 3RD ST INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 12 9/27/05 THOMSEN MARCUS L 06-30-11-5-0-0510-0000- 05-00000754 RES FOUNDATION REPAIR SUBDIV PHONE PHONE , PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS Laser8d CEO BL1 01 9/15/05 JLL 9/15/05 DA BL1 02 9/23/05 JLL 9/23/05 DA BL1 03 9/27/05 f -1(;) 1{~ BUILDING FOUNDATION FOOTING ERIC 457-1670 09/15/2005 04 14 PM JLIERLY ---------------------------- BUILDING FOUNDATION FOOTING 09/22/2005 09 01 AM PBARTHOL --------------------------- ERIC 457-1670 09/23/2005 04,37 PM JLIERLY ---------------------------- no perm1t on s1te/)11 BUILDING FOUNDATION FOOTING 09/26/2005 11 15 AM PBARTHOL ------------------------ ERIC 457-1670 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 9/23/05, 13:41 06 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 9 9/23/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER. 1811 E 3RD ST SUBDIV PHONE PHONE THOMSEN MARCUS L 06-30-11-5-0-0510-0000- 05-00000754 RES FOUNDATION REPAIR Lasererj CED PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/15/05 JLL 9/15/05 DA BUILDING FOUNDATION FOOTING ERIC 457-1670 09/15/2005 04 14 PM JLIERLY ---------------------------- BUILDING FOUNDATION FOOTING 09/22/2005 09.01 AM PBARTHOL --------------------------- ERIC 457-1670 BL1 02 ~181(~~ ~ --------------------------------------,CO~ENTS lU-b f~,1 00- C;;ek AND NOTES -------------------------------------- PREPARED 9/15/05, 13 02 23 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR- JAMES L LIERLY PAGE DATE 6 9/15/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1811 E 3RD ST SUBDIV PHONE PHONE THOMSEN MARCUS L 06-30-11-5-0-0510-0000- 05-00000754 RES FOUNDATION REPAIR LaserBd CEO PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/.15/95 JLL BUILDING FOUNDATION FOOTING --------'jJ'''j1~-'~~---''''--'::~:, "" N"" ----------------- ------------------ DEC-13-05 01:17 PM OROURKE fl-ffl/l; J;, rYJ 1WVv1 '. ~ J r>>()( 1-orfaJ f./t:: UfX1Mn. ~{~ #().)M _t@_~JJ /I \,{ <<' ~l '<'~J ~ ,'~ 1;.:..1 li.,r fjI-. Jt ---8 4v1 r I ~"I- __ ~wl-'-Ur_:i -- 503 357 6882 P.01 ~I~OS; filE Lasered CEO O-~ ~~ () ~ ~ I(J ~o. ~'f:~ ,>(y 12/'3{O~ DIe.... -,-;-;----- JlC ~ ~ /<(;11 ~ 3~ ___ rn ~~ BUILDING PERMIT - APPliCATION LaserBd eED Fill out CO:MPLETEL Y and in INK. Your applicatlOr: and site plan MUST BE ' COMPLETE to be accepted for review. If you have any qnestIOns, call PERMITS (360) 417-4815 FAX(360)417-4711 ~ ~ ~ ApplIcant or Agent" IHS III'\J'$.~ C yZG vJ Phone: 31coo - 4S-7 - '''7 D Owner.J!\A ~ <:.. lrl oVV\. 513 to Phone: Address' I~J 0 w. Ll ~ S,. Crty:rore-r AV\f6151.,.5$ Zip 48' 3b '3 Architect/@:> ZSrJovu_ t Assoc ':'T6~. Phone: "3~o -LI 1,- oS-o I ContractorTt-l.G 'F,ltVlSH C(2\3v.) StateLlcense#:r.H1S Qb3/I'6Exp. Il-14-06 Phone: L/S-7-lfo78 Address'-1r' 1<114 E. I ~ St. CIty: ?or<..-r AN&~L.G> ZIp: q~5b2- PROJECT ADDRESS: l'irll E. SlY:! ST. ZONING: '1<'"&5 LEGAL DESCRIPTION: Lot' CLALLAM COUNTY PARCEL NUMBER: Block: SubdrnslOn: Credit Card Bolder Name: Billing Address: J 1/1 E. / ~ ST. Credit Card Type VISA MC # Tl"PE OF WORK: SIZEN ALUATION: ~ Resldential 0 New Constr. tr( Re-roof 0 Stove SF @ $ /SF. = $ o Muln-family 0 Adillnon 0 Move 0 Garage SF @ $ /SF. = $ o Commercial ~ Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ il( Repair 0 Sign ,0 Ofuer TOTAL VALUATION $ $";;J. J 3/;1.. ~ BRIEF DESClill'TION OF THE PROJECT: K'D'PA I n.. COtN(..f2A.,ry'E FOl,,\,"'b~loll\J I r=Oar-tN~ WA~..:lS' t (2fSTAUV/N(, ~t.....L-S 400 f2t:l.~Tt5fL5 S,..4ef:TltV6 70 ONe- 1~12T o"F ~ - RE!;- 5J4lll1b(-e 5NTIR,,i3" Roo):=" City: rO.eT 111\/68(,155 WA. Exp. Date: 11'::1 6?- COMJ.\1ERCIAL/RESIDENTIAL: Occupancy Group: No. of Stones. L Lo(SlZe: Exishng Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq Ft Construcnon Type: = TOTAL Sq. Ft. AP:PROV ALS: PLAN: BLDG: D:PWU: FIRE: OTHER: PLANNING USE ONLY: ESAJW etland(s)' 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other VALUATION OF CONSTRUCTION. In all cases, a valuation amount must be entered by fue applIcant Tills figure will be reviewed and may be revlsed by the Buildmg DIV1SIon to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE 1F a plan check fee is due It must b-e submltted at the tune fue buildmg permlt apphcanon and construction plans are submitted All other peIIDlt fees are due at the tune of permit Issuance. EXPIRATION OF PLAN REVIEW: 1fno permlt IS issued WIthm 180 days offue date of application, the application will expire. The Buildmg Official can extend fue tnne for acnon by fue apphcant up to 180 days upon written request by fue apphcant (see SectlOn R1 05.3.2 of fue InternatlOnal Buildmg/Residentlal Code, 2003). No apphcatlOn can be extended more than once. I hereby cerlIfy that I have read and examined this a understand that it IS my responsibility to determine cation and know the same to be true and correct. I am authonzed to apply for thiS permH and permits are required ,not the City's, and that 1 must obtain such permJts prior to work. / Date. 8"-/5 -oS T'\Pohcles\BL-ll02_13 wpd Applicant: ~ .'- CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO. 4z0 J DATE ..).uLj 13 /If"} ELECTRICAL PERMIT Site Address: o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: -ZO Phone: Installed B~ Owner/Business: '-(c- Owner/Business Address: Sq. Ft. Ila"'RESIDENTIAL o COMMERCIAL o BASEBOARD KW _ o FURNACE KW _ o FAN/WALL KW_ o HEAT PUMP KW o SIGN o TEMPORARY SERVICE o PERMANENT SERVICE '0 NEW CONSTRUCTION o REMODEL _~ ADD/ALTER CIRCUITS ~ SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) ~ OVERHEAD SERVICE o UNDERGROUN SEeVICE VOLTAGE: ',;2yV 'gj SINGLE PHA E o THREE PHASE SERVICE SIZE ~ AMPS DetailslDescription: "ffi:1(-11Of? f 4;0 if f?0'JfrU'i e:')T'~ Ik"c,& /110 IJckkcl 1U1-1 . W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. o Rough-in/cover O.K. 1Jv'vI."fjJ..O.K. to connect service o Final O.K. Site Address: Installer: ~t. Permit/Receipt No. z-oJ . IV Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electricai inspector in writing on either the Wiring Report or on the Building Permit. PHONE 457-0411, EXT. 224. ''i~ Electrical Inspector Date: NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ cP ')0'- Permit Fee ~ WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: MeIer Dept., Bottom: City Hall OLYMPIC PRINTERS INC. " 'S ""r;~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION "121 EAST 5TH STREET. PORT ANGELES. WA 9R~62 . _ w.-J ,. Appl~cation Number Applicat~on p~n number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivis~on Name Property Use Property Zon~ng Appl~cation valuation 05-00001184 Date 583136 1811 E 3RD ST 06-30-11-5-0-0510-0000- ELECTRICAL ONLY 11/30/05 RS7 RESDNTL SINGLE FAMILY o Owner Contractor THOMSEN MARCUS L 1530 W 4TH ST PORT ANGELES OWNER WA 98363 Perm~t Additional desc Perm~t pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL TERRY'S/ 15 CIRCUITS 66266 TERRY'S ELECTRIC 66 90 Plan Check Fee 11/30/05 Valuat~on 5/29/06 00 o "'- ~ " Qty Un~t Charge Per 1 00 66 9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 66 90 Fee summary Charged Pa~d Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 66 90 66 90 00 00 Plan Check Total 00 00 .00 00 Grand Total 66 90 66 90 00 00 "" .. ~ \;( (A 1 COMMENTS/ACTION NEEDED .... ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO I un 'H Rnll(;H~lN I CUV,hK I ~/" - 0' h-L? :SbK V lCb 5"" ;),3- ob .J,.", ,,( ] .. ,~ . GENERAL COMMENTS: PW-II02.1S(4I96J ./ ll.:.1 ELECTRICAL INSPECTION WiRiNG REPORT 417-4735 0; /; 7 fo.c. :;:;;:- - /DB c( 1:;;;0 Q\~~<%T~CTOR ADDRESS ~5 ~ ' -'1ft-hi.. ,?L.;" ''7t.-,~.. ",,' "or- :'C/_/':'/P', .....~~. .~J.. :J APPROVED NOT APPROVED o """""""""" DITCH, , , , , , , , , , , , , , , , ' , , , 0 0, , , , , , , , , , ' , , , , , ROUGH IN/COVER, , , , , , , , , , , 0 0, , , , , ' , ' , , , , , SERVICE, , , ' , , , , , , , , , , , , , , , 0 0, , , , ' , , ' , , , , , , , , , , , , , FINAL, , , , , , , " ,,"""" 0 CORRECTIONS NEEDED:@~ r c: E k2~rs rtP/C #?L K-/~_earl/U~/R_ @LVI;n,.-, ~ s::..4l/~ /yr~~'f2_ f12:--~ <<"'S~A:.... ~C>5' - (!!) brC r }/t? r f)J t7/Lt!<n'J/;"" IN ~~ s.lL. Co"-",,,,~ I I , ! I I I I I I I NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PAINTERS. INC. (360) 452-1381 EllECTRiCAllNSPECTION WIR~NG REPORT 417-4735 PERMIT JI 05- //8'<- INSPECTOR da2 , , L-v~<: :3 .-d 57 APPROVED NOT APPROVED ~f?~~".'. '~~U~~I~~/~~~E~...............; o. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 O. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDEO@ h4~v~ 6,LILR e~C:/v ~;;; LJql'?./ L~ (5px. #/,,# .c"'~ 6/~77i!~~J . J .~/-:f - ;:;~(" I ./fU- :;f./.c/.,/Jc~<"< //Y /'Y1'5,c-/"77FA./ ;r- ~ ~Q~<'- _ ;:"-:: := Wl",JeLl iJ _ _____4r"./ kL-- __ _...... _~7'7<,,-":",-""'..j../ /-J/!i/;..s A ~ /25 .e:.eLJM?J-/>75:. Lf2I:o i2P"f _ I'?N EdCif V..dEA' ~ rJ2-Lj,./C/~5LIL,f. MON.PI) C~/~S ~)~_ . jdL,.C7l:'-tC#?t- f//-Wt:..L NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-13B1 'Jl ElECTRiCAllNSPECflON WiRiNG REPORT 417-4735 PERMIT" OS - // fi< b<t ~c..- ....,.~d. J' ~-- ~', APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 X. ./An!.,,7J~. ROUGH IN/COVER. .........0 D. . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FI~IAL . . . . . . . . . . . . . . . . . 0 /ORRECTIONS NEEDED: V//T-?/m) v- z- C!-/ IF-<:~t'l Ls ;'?1, r-/ . t",,c-Z:i .h(777i,,..,;r -Lk~--/,;<?; ,?:L~~ ;fI~/~6<(~~r7V.<_ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 Jan 28 08 09:16a Dave's Heating & Cooling 360-452-0939 p,1 . Job ..ired by ~ ....~. ~Iectrical Contractor 0 Owner '\ ELECTRICAL WORK PERMIT APPLlCATIQN . InSinUation descriJltion o Commercial W"':Resideutial " E~lricaJ cO~lrDcto~ ~ame , .J),:" ve':S- \.('" -hn(1 Pur<;Fser's mailing atldress r.o Bcx 'f13 City. . Pc r -1 At, ~;re- La_5. Telephone number "f.5CJ~013 C; License nllmbcr Date EKpir s DAVE.S~ C"'fCtl;;.C 5,O~ 14l'ew o Altered/AdditioD State zrp euA cr,?3b~ FAX number 4:5;;)-0"13'1 /o(.-<J i/O/-t-ay -fA,9-1Yno.s+o:'+ u},y; Premises owner's nllme p ---..t:J <'\ r-c. 0/ 0:.+ Il-tol'n S'c,n Address or inspection , \ ?5 I' c:: a 5+ fl-t J.......d -5+v-e.,,_+ CHy /) A ( (0(""-1 "1Y\~1.Q..s: Phonf' number to scbedule inspection: f O? -3/:d-' Owner 0.\ defined by RCH:J9.28.26f:(J) Owner will occtJ.p)' the ...tructllreIor two years after this clcrlrical pern';t is finalized. (2j Oll'lIer i.. I'clfuired ;0 hire ClIl c:icctricaJ conr,..Gcfor if abO'l-'e .said prope,..ly i:. fu,.. sale. ,..em or lease. Arter reading the abo\.'c Sl.atement, I hereby cc:rtil:... that I am the owner of the above named property' or a licensed elcctrical contractor. I am making the electrical instal- lation or alteration in compliallcc with the electrical law.;, N.E.C_, RCW, Chapter 19.211, WAC. Ch.:lJlter 296-468. The City of Port Angeles MUllicipal Code, and Utility Specific3rions. Signa re of o\\oner, electrical contruttor or electrical administrator X U~ Date: / leef ' al Lo d Additions d 0 s btra tions o NO DAD CHANGES o ~sebaard KW (D"'furnace J.:r... KW D Hea1 Pump _ Ton _ LAR o Fan-Wall _ KW o Cash 0 Check # 6'Credit Card ~ Maslercard Discover C~#________________ Expiration Date of card Inspection fee $3S~ Service Information CJ Overhead Service D Temp Service o Underground Service Voltage Phase 0 1 [J 3 Service Size: _ Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THER'10STAT SERVICE 0""" I'Ipp,,,,'cd a,Y U~, "I'I'fO~cU Il~ Dne Arp,,;wc<llJy DITCH FEEDER O.ll~ ",pp:lty.,<lfly Dale ApJlfCVcd ;3.)' Inspection Date , - Area, Building or Equipment lnspecred Action Taken Electrical' In.;pcctor 1-2.' -O~ 4P Jk" JAN-28-2008 07:26 PM E.JANSSEN 36e 452 2982 p.el . C-~3 ~ : / \~ [J Request Inspection. ~EleetrltaICo~t..etor [J Owner ~....~.., IJ An..AI Permit 0 "Iar.. 0 Carol.., 0 Commercial ~'$id.ntl.1 1:1 Re'ldentlal Main'. 0 Sign. IJ Tho,mo.'a' IJ 1,,1.<010. ELECTRICAL WORK PERMIT APPLICAT,ION i Job ",Ired by lid"Elertrlcal Conlrartor tJ Owner IElectrical l.:tl1Htncto.' na.me: . LicC:Il!le numbCI :c:icIM- 1YI:1-t~~~E1.(c...k4c.....L :PUJC;ha!er'Jl maili"~ addl't!JlIl .JIB rJ,~~._ ,,:fll..<t..+ :.~__~ 11. ..L. !~ :Tclephon~' numher "Coo- . ~:n In,\ltallillion l,Jo!cri"tiull NElJ l\Je....:J Co, ~""\~ +0 1=v.~N~ . ~ StJ!r ZJf' LA& "'!Ka" 1.. F' AX number I-If!"7 -f5~r Prtmlle. Own",r', name i MAlt Tlo-lo""'~E'N ~ddreJl or insperllon E'~i ~t(.~..-5..I'>u€r .J-......... i ~ hereby cerlify lhot I am tt,c own~r or tho;:': abuve namcc1 properly or :1 licerl.~cd electrical cnnt",C'_lor (or the finn's nlllh(lri,,~'cJ agl:nt) :illd am m.llkine thl.' dr:L:lric:i.l _nstallation or altel'ation in cnmpliiUlce with the ~lcdricHllaw, Chapter 19,28 RC'W. i:I Cash U Check # o Credit Card Visa Mnstercard Discover Cardil x ---~ - - -..- "'- -- - - - - - T - --- Expiration Date of CArd Sl~n.tur or o....nrr. eleclrlCAI fontraelOr Or clfctrlcal :ulrnllllscr:arnr t' WALl." (Mulot ion Only D.,~ Al'f'FO"ecIlty Cover o.'~ APJIf'll..-.;d Ily CF.1UNG n..l... ArptN...<J Il~ ,,,~I~RMOS~~~,:,,, II,J "!"" OITCH~"ru,,,, II, .J SERVICE Ollie ^lOIKU"c:d Or t' FEEDER " IHtt' ^JlIIrD"ed II)' InsulAtion Only Il~l~ ~"",.;~ COV~1 BieetrlcatLoad AddlHon8 and or subtractions i:I NO LOAD CHANGES o ea..boord ;T KW iii Fumace I.L KW Q Hell Pump _ Ton _ LAA rJ Fan-Wall _ KW Service lnfonnmllm U Overhoad Service U Tamp Service r.J Undorground ServicQ Voltag. Ph.... i:I , IJ 3 Service 5izo: __ Feoder Size: In.peCli('ltl Di1It' AreQ. Bu;lclin~ or liquipmcnl Insl'ccted ^ction Taken Eh:"tricsl Inlflccl-af j-z.'l.og ~ ~ ...- I"'r><//1-L. ~[Q) JAN ( '.... --.--------.-.-----.. . ELECTRICAL WORK PERMIT APPLICATION OS-- //81 . Job wired by Electrical Contractor 0 Owner Installation description D Commercial ~dential License number Date Expires o New o Altered/Addition Purchaser's ma ling address f30)l ZJJC/I City f State ZIP :'),..([." 1'>1 "At- Qf)'?'62- TclepRone ~mber FAX number .?.60 - ~7?'- 20 JJo~ =~I . . D .' :='b~',.'t:J Premises owner's name (n4/c-T4t'lm6cYJ Address of inspection Ir/l (3tJ. f>/ /br7 JJ/7j1ICS~ City f7 //or7 /J-1J~/...h~ Phone !lul!lber to ,schedule i~jt~s:tion: 3&J - ~7T- 2dn Owner as defined by RCW. /9.28.261:(1) Owner will occupy the str/lctllre for lwo years a.lter this electrical permit is finalized. (2) OWI/er is required to hire un electrical contractor if above said property is for sale. renl or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. 1 am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C.. RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner. electrical contractor or electrical administrator ". tbi./.Jwl! u... - t<f '<.IN' o Cash o Check # o Credit Card Card # Visa Mastercard Discover x . Date: 1/- 2 Electrical L Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton o Fan-Wall KW -oS Expiration Date of card Date Approved By Voltage . PhaseD 1 03 Service Size: Feeder Size: . SERVICE Dall: Approved By FEEDER Dale Approved By Action Taken Electrical Inspector :.J Ar.o LAR o Overhead Service o Temp Service o Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN i/;7/lot AcD , Oafe Approved By THERMOSTAT FINAL AcD Approved By DITCH Date Appro~'ed By Inspection Date' Area, Building or Equipment Inspected . - /Y -IV . :;" , , " "'.1 ;;-