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Home My WebLink About1501 E 4th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Ann Dacy Linda Carroll JT 115 NW Columbia St BEND Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS Special Notes and Comments Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total OR 97701 ELECTRICAL ALTER OWNER BATHROOM 79335 48 10 6/26/06 12/27/06 Charged 48 10 00 4 50 52 60 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 06 00000581 512820 1501 E 4TH ST 06 30 00 5 6 0022 0000 ANN DACY RES REMODEL RS7 RESDNTL SINGLE FAMILY 8000 STATE SURCHARGE Paid Contractor ANGELES PLUMBING P 0 BOX 1151 PORT ANGELES (360) 452 8525 RESIDENTIAL REMODEL 48 10 00 4 50 52 60 Plan Check Fee Valuation Credited 00 00 00 00 Date 8/07/06 WA 98363 Due 4 50 00 00 00 00 00 0 Extension 48 10 w ELECTRICAL PERMIT INSPECTION RECORD J CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE 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 1 NO DITCH ROUGH -IN COVEk SERVICE FINAL GENERAL COMMENTS: fO-iO -trt6712aM 1 1 1 1 1 1 1 1 1 1 611.)! 6-4- eh PW- 1102.314'91 Job wired by Electrical contractor name Purchaser's mailing address City Telephone number 'Premises owner's name City ATI N Inspection Date tr- %7 Electrical Contractor g Owner State ZIP FAX number License number Date Expires /Installation description Commercial I°I? Residential Area, Building or Equipment Inspected ELECTRICALWORKPER1VIITAPPLICATIOlsr r r New Addition (O? Ian,- i3,fn tm'v kez ado voz-f A r-sHor° /Zc .vl1't$ Address of inspection `7 ,(cs A 3( z Phone number to schedule inspection. 5l 3R0 —C9 F3e.c Owner as defined by RCW 19 28.261 (I) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the 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 Spec 'cations. /Signat roof owner electrical contractor or electrical administrator Expiration Date Date (D6 of card Electrical Load Additions ani r subtractions NO LOAD CHANGES Baseboard KW Voltage Furnace KW Overhead Service Phase 1 3 Heat Pump Ton LAR Temp Service Service Size: Fan -Wall KW Underground Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360- 417 -4735 ROUGH -IN THERMOSTAT SERVICE Cash Check Credit Card Mastercard Discover Card S D Appr ved By Date Appr ed By Date Appr ed By FINAL DITCH FEEDER GiSi �(E V/D /o Dat r ed By Date Approved By D e Approved By Action Taken Inspection fee /IT. /0 Service Information Electrical Inspector .,.'" o ...... '" o ...... 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Ulr.l ~~ ~~~~~~ 001..:1 0::>0. 0 0:>: "-E-< 010 0<>: <>: <>: <>:<>:u riO ,'" <>: 'i>l "" 0. zo '" '" 0 E-< 's i>l'" Ul -u ri <>:0 UlE-<"; ..:IZ E-< 0 0 ..; ~~~&itJ..:I .... Ul 0.>< ~ "- i>lE-< ozzz<>:o. 0. .., <>:H ~r.lo~..;o. >< ..:I o.u E-< uo 0."; "" E-< '" '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION nl EAST 5TH STREET. PORT ANGELES. WA 98J()2 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000724 Date 556652 1501 E 4TH ST 06-30-00-5-6-0022-0000- ELECTRICAL ONLY 7/07/06 RS7 RESDNTL SINGLE FAMILY o Owner Contractor BASEY, ANN 1501 E 4TH ST PORT ANGELES (541) 390-6824 WA 983624802 ANGELES ELECTRIC 524 E. 1ST ST. PORT ANGELES (360) 452-9264 WA 98362 Permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL ANGELES/ 100A PANEL GARAGE 81950 ANGELES ELECTRIC 66.90 Plan Check Fee 7/07/06 Valuation 1/03/07 .00 o ~ \) ~ Qty Unit Charge Per 1.00 66.9000 ECH EL-R OR RM 0-200 ALT SRV FDR Extension 66.90 Fee summary Charged Paid 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 ~ & C\ ~j COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECTION .RECORD CALL 417-4735 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 I INSPEC110N TYPE DAn ACCEPTED COMMENTS YIS I NO vlIet! llnUnJ.l_IN / CUV,hK -sERVICE 1.11\.141 I/J>-/O-Cb Ac-'D I GENERAL COMMENTS: PW-I 102.1' 141961 ....\D NO , 0 "1 , \D . . MM . . elE-< . . .0:.0: . . 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M "10 PoE-<E-< 0 0 oel o ~ el <: . I UJM , --- -;;~ ~ ~~~~ g~~ 0 0 "1 "1 "1 ()I:E , --- ___E-< MO \D \D \DI>: I>: I>: I>:U 0 . Pl I>: 'M ..:I Po ZO Pl Po Q E-< .~ M~ UJ -U .... .... ~O UJE-<~ ..:I E-< ()I 0 0 ~~E-<gjtl..:l H UJ Po;" ~ --- ME-< Qffi15~~g; Po .... N I>:H ;.. ..:I ..:I POU ~E-<UOPo.o: Po E-< Po Po r--- ti ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EASTS1HSTREET, 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 06-00000581 Date 512820 1501 E 4TH ST 06-30-00-5-6-0022-0000- ANN DACY RES REMODEL 6/26/06 RS7 RESDNTL SINGLE FAMILY 8000 Owner Contractor Ann Dacy / Linda Carroll JT 115 NW Columbia St. BEND OR 97701 ANGELES PLUMBING P. O. BOX 1151 PORT ANGELES (360) 452-8525 WA 98363 Permit .. . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 80812 110.00 6/26/06 12/23/06 Plan Check Fee Valuation .00 8000 Qty Unit Charge Per 1.00 110.0000 EA SAN SEW ADD DIR CON Extension 110.00 Special Notes and Comments Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 110.00 110.00 .00 .00 Plan Check Total .00 .00 .00 .00. Other Fee Total 4.50 4.50 .00 .00 Grand Total 114.50 114.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work Is suspended or abandoned for a period of 180 days after the work as commenced, or if required Inspections have not been requested within 180 days from the last 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 constructio'n or the performance of construction. . Signature of Contractor or Authorized Agent Date ;J; iJtJe~ Signature of Owner (if own IS builder). & -;,2& ~ Date T:\Policies\1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECfIONS. 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 PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I 1 1 i 1 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W./ PW/ 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:\Policies\II02.15R [1105] ~ ~,..~ 1!:0-- ~,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 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;-l-hereby-certify--that-l-have-read-aACi--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 perfo ance of construction. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000581 Date 512820 1501 E 4TH ST 06-30-00-5-6-0022-0000- ANN DACY RES REMODEL RS7 RESDNTL SINGLE FAMILY 8000 Owner Contractor Ann Dacy / Linda Carroll JT 115 NW Columbia St. BEND OR 97701 ANGELES PLUMBING P. O. BOX 1151 PORT ANGELES (360) 452-8525 Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit pin number 79269 Permit Fee 179.75 Plan Check Fee Issue Date 6/26/06 Valuation Expiration Date 12/23/06 Qty Unit Charge Per BASE FEE 6.00 14.0000 THOU BL-2001-25K (14 PER K) Permit ELECTRICAL 'ALTER RESIDENTIAL Additional desc OWNER / BATHROOM REMODEL Permit pin number 79335 Permit Fee 48.10 Plan Check Fee Issue Date 6/26/06 Valuation Expiration Date 12/23/06 Qty Unit Charge Per 1.00 48.1000 ECH EL-R OR RM 1-4 ALT CIRCUITS permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 79277 100.00 6/26/06 12/23/06 ' Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 3.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 15.0000 ECH PL- EA. BLDG SEWER 1. 00 7.0000 ECH PL- EA.WATER HEATER Special Notes and Comments Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Other Fees STATE SURCHARGE Signature of Contractor or Authorized Agent Date T:\Policies\1102_15 building pennil inspection record05.wpd [1/4/2005] 6/26/06 t==N-JA L ep I ~/~/~ ~ ~1 \)~ -- WA 98363 71.90 8000 Extension 95.75 84.00 ./ .00 o Extension 48.10 -- ~ -- .00 o ) ~ ~ Extension 50.00 21.00 7.00 15.00 7.00 4.50 !h LJa u cJ. (, Signature of Owner (if owner builder) 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 I NO FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS 1 GIRDERS SHEAR WALUHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (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 FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: P ARKlNG/LIGHTlNG 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.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] .. cf .0Rr .... l~ ~ L~ ---- 'l.tii:.,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 06-00000581 Application pin number 512820 Page 2 Date 6/26/06 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 327.85 327.85 .00 .00 plan Check Total 71.90 71.90 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 404.25 404.25 .00 .00 , f' . .. , ..1 '" \. \, J i J 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. Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-48 I 5 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, 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 SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING / UNDER FLOOR / SLAB rol;.o~ p~ ROUGH-IN ~/~O /tJL p~ WATER LINE (METER TO BLOG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALLlHOLD DOWNS , WALLS / ROOF / CEIUNG to tJ.--/ a? \/tv DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB ..~ - WALL / FLOOR / CEILING IV. V/A/ . MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE FINAL If~ WOOD STOVE / PELLET / CHIMNEY DATE (:/'W ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE 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 I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 ~ / PLANNING DEPT. BUILDING 417-4815 /7,,/1. /~ \7Jv BUILDING T:IPolicieslll02 15 buildin nnit ins ction record05.wpd [lf4/20lli] ~ \ ~ -.......... '" ro~ ~, . f1l tt ~~ ~. gpe pe BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST COIvIPLETE to be accepteu [or revievL Ifyoli have any questions, c~11 PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: AN N b IrCf Phone: Owner: A-r-r N bTtc --r Phone: Address: ISO I E 4- ~ &T City: (oLe r'JY[(~L(>J Architect/Engineer: N fA Phone: 1M tJlj....6 5 Contractor $LL.~ t1/JJA/UbJP(r State License #: Exp: I . 5L/ 1- 3qo~ &9;)..'/ Zip: 983ft Z. Phone: Address: City: Zip: PROJECT ADDRESS: /50 ( E_ ..;.. {.4 &-:r ZONING: t:-S-- ( LEGAL DESCRIPTION: Lot: foBLe. Block: ~( 5. Subdivision: 7'{fuwvt:s W CLALLAM COUNTY PARCEL NUMBER: n(,,30 (')()S-& co22- 0000 TYPE OF WORK: __ Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial '5!J.. Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRll'TION OF THE PROJECT: /N$..TA-LL Ibl/-r/f(rcom 1t1 m Y f'ti-~-t{J17tJ& ,ncTftCrteD <tHItf,j~ ~ 4 -nvo W7WDO-VS o Stove o Garage o Deck o Other SlZEN.A..LUATION: .if 70 SF. @$ wi /SF. = $ 8 <X:D E- SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ ~ COMMERCLA.LJRESIDENTIAL: Occupancy Group: No. of Stories: L Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: . & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee .is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the tinle of peront issuance. EXPIRATION OF PLAN REVIEW: lino permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Bui1ding/Residential Code, 2003). No application can be extended mOTe than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that n is my responsibtmy to deten:::.:;;; are required ,not the City., and that ~ust obtain such permns priorlo work. T:\Policies\BL-1102_13.wpd X Applicant: ~t1~ J<Date: 6.. -~ -Oc.. q. ~ ~ ~ <)10 &1 . fu 1504 .~ ~ ~ L'3 -/- p, ~ , /~-r3A4:S I r 1;off IV , I , t J I ~ ~fKHt-{) I \ ~ l:t~ , ~ ,P;:- I , I ...... 3j::.'f"" CC:-- ? ~t. 1 ?yO+- f'l "\./ 1i(~.:Tlf t \I-VCAO ~ () Cft7\ '-f- +t\. 6-1 fLc.r I 25'-0" ..... ..... I UJ )( N ~ I UJ (2X'(~ING fl = I I I I - I I ..... 0 I Co\) 0 I I-~ ...... I - 0 I ~~ I 0 I =:1: I )("R (7 I .....~ '>> I \O~ I I ,-m I I ~ I I ___J ~ 19'-5" 5026 SL I E:;5( r S T/'NC- g (AI o (1\ r 0\J j, S-\-1l.1& f r.&J r-t (5t.() 'i)a.4..t.J Lt~ fOl- _ :::. t? X 'Z c/ e...oIJe N 0- ~ ~ 5'-T' ~ CITY OF PORT ANGELES - Construction f'lans Tpp Issuance of this permit based upon these plans, spedfi- r?\ions and other data shall not prevent the building official from thereafter requiring the correctioll of errors in said o!? os, specifications and other data, or from preventing builrling operations being carried on thereunder when in "inl~tlon of all codes and ordinances of this jurisdiction. ~ IU" ",OJ\C) _ dllllulIlI l3ullClilll', eude:r ~ 00 3. ~ L. Approval Date ~BY 21LL k. ; L....f 10 c.~ ,....,. r-~ lIlt I City of Port Angeles Applicant Project Review Sheet Applicant: Owner: AN"I DIK--( A-N N i) Ifci Property Address: Proposed Use: Zoning: ~ -7 I~OI €- '-If-<- ST Is the proposed use listed as a "permitted use" or an "accessory use" in this zone? Is this the only use (business, residence, etc.) on this site? Has there ever been a subdivision, shortplat, or PRD approved for this site, or has one been submitted and is pending approval? Does the proposed use require a new buisiness license? Does the project extend into any required setbacks or cross any lot lines (interior or exterior)? Does the project exceed the permitted height allowance or cause the property to exceed the allowed lot coverage in this zone? Does the project require any additional parking or special design/landscape improvements in this zone? Does the project eliminate any existing parking spaces? Is the project located within 200' of the shoreline? Are there any environmentally sensitive areas on or within 200' of the property, including: . wetlands or areas of standing water (year round or seasonal); . streams (year round or seasonal); . areas with a slope of 40% or greater; or . areas that have evidence of past ground movement or erosion? Have all the required submittals been provided by the applicant? o Site Plan 0 Construction Drawings o ParkinglDrainage Plan 0 Civil Drawings o Energy Calc 0 Supporting Engr. Calc o Landscape/Lighting Plan 0 Other J&fyes: ok ~'yes: ok Dyes: requires PD D yes: requires CC review D yes: requires PD review D yes: requires PD review D yes: requires PD review D yes: requires PD review D yes: requires PD reVIew D yes: requires PD reVIew Dno: requires PD reVIew Dno: requires PD ij'no: ok ~. no: ok I~rno: ok tB1 no: ok JQ no: ok ~fno: ok cst no: ok ~ no: ok If Planning Department review is required, the processing time may be extended. If it is determined a separate Planning Department permit(s) is needed, the Plannin De artment ermit(s) must be a roved rior to the issuance of any other ermit. The information provided above is true to the best of my knowledge, 1 understand that in the event that any of this information is determined by the City to be in rect, this project will be stopped until such time the City determines the correct information is provided and any subsequently eq ired rev' wa approvals are completed and granted. /'. ./ I a u-Lf-c:h Date Applicant Permit Category # Route to: 0 BD Staff Initials (see reverse side) o CC 0 FD 0 LD Building Permit # o PD 0 PW 0 File Master Tracking # o Other Date Completion of this form is required for all category 1 b, 2 & 3 permits. Completion is not required for . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. .:233"7 '7//3 a'J / r , DATE Installed By: 50/ E - /ecfr G ~ o READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Site Address: Owner/Business: Phone: Owner/Business Address: Sq. Ft. o Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel ...c::::J ,$I: Service uPda~/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead o Underground Voltage 010 03.0' Service size o Temporary Amps Detai IslDescription: aMi/Ill!} /n/fS f . Fade><- {;: ~;;; ~:r~ ;~ (del /LJ /' f1 ~-I) W.S. No. Service Capacity: 0 O.K. 0 Not O.K. o Ditch inspection O.K. ~ Rough-in/cover O.K. O.K. to connect service Final O.K. ~ Size Comments Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: E;,€C!..r / b iJ I .'13" )L-;*-- &rt/ I ~-L.. New Meters - 13//(7 Site Address; . Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. .rj s / ~ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT :3 0 ' 0 0 / Inspe or Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. 1~/3 FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A ,S-/~ PE IT NUMBER . TOTAL FEE 30\~ ~lJ1:'V TIME TO COMPLETE NO. STORIES LEGAL OCCUPANCY ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT /6 D I ~..,7' Jf1li _ CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT Owner ,) oc..- G ~de..-:#-: - Owner's Address J S p ~ 'i 71 . 17.')7 - 7e>J.<? Site Address Day Phone Installers Phone Applicatil;m is hereby made fo~ Permit to inst.all Electrjcal Equipment as follqws: Ne-ul (l-eo 4-0 S' eru ......e - .- ,. . . PERMITS WITH WRONG ADDRESSES ARE CANCELLED Instailation By ~ e../8_< 'E/ Btl. -I--/'J~c. . Installers Address ,.er ~ L; 115 r,,>r I.rr- 17 G:l -"i,.26~ I+d'~ c., -& Kw /k7/ Wiring Method . NUMBER AMP 120V 240V NUMBER AMP 120V 240V USE OF CIRCUIT PER 100A FEE USE OF CIRCUIT PER 1"00A FEE CIRCUITS CIR 10 30 CIRCUITS CIR 10 30 LIGHT SIGN LIGHT 50 VOLTS OR LESS CONVENIENCE - - MOTOR CONVENIENCE - -- MOTOR APPLIANCE MOTOR DISHWASHER FIRE ALARMS DISPOSAL BURGLAR ALARM .. - RANGE MISC. OVEN - - WATER HEATER LAUNDRY -. DRYER --- REINSTALLATION LIGHT FIXTLJRE # FURNACE .. SUB TOTAL FEE GAS - OIL FURNACE ENERGY FEE ELECTRIC BASIC FEE ELECTRIC HEAT ... . ~O -ozr TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER .. A.C. UNIT AMP PHASE FEEDER SIZE OF SERVICE ENTRANCE CONDUCTORS -. - SERVICE AW.G. I SUB-TOTAL -. SIZE OF GROUND SIZE OF ENTRANCE SWITCH .. - .. - I certify that the work to be performed under this permit will be done by the installer and in conf with the N.E.C. Electrical Code. D~te A~Plication made' f I ~/ f~ . ,19 By . - ." - CONTRACTOR OR OWNER R AUTHORIZED AGENT) Permis~ion is hereby given to do the aboy:e describ.ed work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. Date Permit Issued 111'7 kb - ~0.NS APPROVED -. ECTOR 0: C.ITY_LI~HT , . - " Notify Department of City Light by Street Address and Perm Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A.. Permits Phone: 457-0411 Ext. 158. PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER _ . WARNING WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report ,..." vu",,, ""L~'Tt:"~ I"'" " \ ~' REPORT OF'INSPECTOR OATEOFVISIT MADE BY REMARKS , , , - L -,' " -- , - .. - , , , , " - , " c, " " , , , , '.. , " " " , O.K. FOR COVERING ", I \11~ 1VJ ^' O.K. TO CONNECT SERVICE , " " 1\-1\' -1b , '. d' , , " j .h FINAL O.K. , 'I , , '- - . z Cl a: < ::li! ~ ::r: I- Z w I- ., I- o Z o Q . Job wired by 5- .. .... '~? """... ELECTRICAL WORK PERMIT APPLICATION P..kctrical C0l1tf3ctOf n:ame licenSe number Dale Ellpires Installation description ~ CI Commen:ial ~sjdenti:d o New ~cdlAddjti(Jn DOwner Purchaser's mailing addrc:'is ANr.mS ElECTRIC, IrJC City 524; EAST FIRST SUle ZIP PORT ANqFI F~, WA ~gJ~2 Telephone number FAX number ~7J2~ 81P~ ~L, 17J / t7() ~ p..m~" ~.' e " Add(es$ or7~~ City ?/I Phone number to !lc~cdule iU!ipection: ~Sl '/- Ownltr (t$ di:.'fin('cf by RCW.J9.28.16/:(1) Owner wi/( occupy thl! structure for [wo years afte.r Ih.i.~ electrical permit i... finalized. (2) Owner is required to hire a1l r!ledricaJ conlrac(vr if above ,~ajt{ property is for salt'. rent or JftQSE:. After Tetlding the above statement, L hereby ccnity that I 3m the owner of Ine above named pl'operty or'a licemed dCL:lrical contractOr. I am making the electrical insli1l- latiQn or a.ltcration in ~ompHancc:: wifh Ihe clectdcal laws. N.F...C., RCW, Chapter 19.28. WAC. Chuptcr:296-46B, The City of Port Angelcs Municipal Cudc. and Urility Specifications. " Signature or J~rr e~ cOlltnctor or elec(rical admhlislrator X /~,. " . Date: '" "6 o Cas~ Check II ~itCard Visa Mastercard Discover Card# ____-_~~-.Eit.JC -____".." Expiration Date of card Electrical Load Additions and or s tractions Cl Nl)-l:OAb CHANGES ~ 14 IJrllaseooard _ KW 'l5C>w,4'7T Y 'Il CJ Fumace _ KW 1 1:1",0 /.f'NK.~ervice J. o Heat Pump _. Ton _LAR 0 Temp Service o Fan-Wall KW 0 Underground Service Service Information Vohage J~~~ Phase i:ri"CIC-W Service Si,e: ~ Feeder Size; . SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROllGH-1N THERMOSTAT /iP-/P-P./. n.lltc SERVICE ~ ^Vl'fovcd By O;al~ Approved Dy --0;;'[;'--' ~CiY.- FINAL 1~-II1-/)b Acn D:.I<: Allpr"vcdBy DITCfJ FEEDER /D--Ie>- "6 At-O D.111.' Appn>vcd II)' Datil ,\""r.aVC'd 9y In.spcction D3tc An:~a, Building or Equipment Tn!)pected Action Taken Elcctric~1 Inspcctor l'd S9G6 GS~ 09E ~NI ~I~~~313 S313~N~ HO~~ HdVV'G 90G-90-L