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Home My WebLink About1815 W 12th St - BuildingPREPARED 11/20/06 9 02 52 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/20/06 ADDRESS 1815 W 12TH ST SUBDIV TENANT NBR STEVE SCOTT CONTRACTOR ANGELES PLUMBING PHONE (360) 452 8525 OWNER SCOTT STEVEN MARIE PHONE PARCEL 06 30 00 0 3 6173 0000 APPL NUMBER 06 00001231 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 11/20/06 JLL MECHANICAL GAS LINE TIME 13 00 MARK 477 0626 11/17/2006 09 40 AM DYASUMUR COMMENTS AND NOTES Subdivision Name Property Use Property Zoning Application valuation T \Policies \I IO2_I5 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 06 00001231 Application pin number 553220 Property Address 1815 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 6173 0000 Tenant nbr name STEVE SCOTT Application type description MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 400 Owner Contractor SCOTT STEVEN MARIE ANGELES PLUMBING 92 6020 KALEMAKAPALI ST P 0 BOX 1151 KAPOLEI HI 96707 PORT ANGELES' (360) 452 8525 Fee summary Charged Paid Credited Due Date 11/15/06 WA 98363 Permit MECHANICAL PERMIT Additional desc Permit pin number 90563 Permit Fee 60 65 Plan Check Fee 00 Issue Date 11/15/06 Valuation 0 Expiration Date 5/14/07 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 10 65 Permit Fee Total 60 65 60 65 00 00 Plan Check Total 00 00 00 00 Grand Total 60 65 60 65 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. 4567_, Signature of Contractor or Aiithoe�zed Agent Date Signature of Owner (if owner is builder) Date I MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING 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 I POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) SHOWER PAN MEDICAL GAS LINE 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 PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I I BUILDING 417 -4815 I T Policies \I 102_I5 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD I 0/74 I (w 1 FINAL FINAL SEPA. ESA. SHORELINE. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING DATE ACCEPTED BY, DATE ACCEPTED BY, FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I I I Fill out COMPLETELY and in INK. You 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 Applicant or Agent: Alkier(44 l YV M 'vim Le Owner /6 J Address: City Architect/Engineer Contractor State License Address: VI, City ty� PROJECT ADDRESS t 019 II 2.,* Ci�' LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr Multi- family Addition Commercial Remodel Repair Sign BRIEF DESCRIPTION OF THE PROJECT RC jr\ dAS U �1 Re -roof Stove Move Garage Demolition Deck Other COMMERCIAL/RESIDENTIAL Occupancy Group No. of Stories: Lot Size: Existing Sq. Ft. OA AT•\FORMS\B1dgPennitform.wpd Applicant: BUILDING PERMIT APPLICATION Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone. Subdivision. Phone: Exp SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION Zip Phone: Zip ZONING ocd— Occupant Load. Construction Type: Proposed Sq Ft. TOTAL Sq Ft. C. Date: //XS FOR OFF1 QNLy Date Rec. 1 Permit Z Date Approved. .6 Date Issued: 1 4 Phone: b '4 "O 29 APPROVALS. PLAN BLDG DPWU FIRE. OTHER. 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 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 apphcant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003) No application can be extended more than once. I hereby certify that 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 it is my responsibility to determine what permits are required not the City's, and that I must obtain such permits prior to work. ~:.JIIIII'- ,. f "ORT "'v. ., c]~O~~~ na "-~ ~ 'tiii:JC~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number'- Property A~dress ASSESSOR PARCEL NUMBER: Application\description Subdivision'Name Property Use Property zoning . . . Application valuation 04-00000374 Date .131778 1815 W 12TH ST 06-30-00-0-3-6165-0000- RES NEW SFR 5/19/04 RS7 RESDNTL SINGLE FAMILY 89795 Owner Contractor RYKER CONST & ENGINEERING 3558 DEER PARK RD. PORT ANGELES (360) 417-6619 Structure Information Construction Type Occupancy Type Other struct info OWNER WA 98362 NEW 1510SF SFR WITH 953SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 22.30 V-N 2.00 1. 00 7000.00 1561.50 1561.50 1. 00 ~, ~ ----------------------------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc Permit Fee 86.65 plan Check Fee .00 Issue Date 5/19/04 Valuation 0 Expiration Date 11/15/04 Qty Unit Charge Per Extension BASE FEE 47.00 4.00 7.2500 ECH ME-VENT FAN 29.00 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 ;s. ? ---.. ---------------------------------------------------------------------------- Permit PLUMBING PERMIT cy Additional desc Permit Fee 139.00 Plan Check Fee .00 Issue Date 5/19/04 Valuation ~ 0 ~ Expiration Date 11/15/04 Qty Unit Charge Per Extension BASE FEE 47.00 9.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 63.00 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00 1. 00 7.0000 ECH PL- EA.WATER HEATER 7.00 ---------------------------------------------------------------------------- Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 947.25 Plan Check Fee 378.90 Issue Date 5/19/04 Valuation 89795 Expiration Date 11/15/04 Qty Unit Charge Per Extension 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 b, n reques ithin 180 days from the last inspection. I hereby certify that I have read and examined this application and know thesa e to brand correct. All provisions of laws and ordinances governing this type of work will be complied with whether ,specified her n or n he granting of a permit does not presume to give authority to violate or cancel the provisions of any state 'local laW r gu i onstruction or the performance of construction. ' + Signature of Contractor or Authorized Agent Date 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 LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF 1 CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR 1 CEILING MECHANICAL HEA T PUMP GAS LINE WOOD STOVE / PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEP ARA TE PERMIT #' s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. / PW/ 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:\PLANNING\FORMS\ 1102.15 [] 1/1412003] \1 ".:IT ~ ~~~"'~ .r. "-~ ~ 'tiii:i:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . 04-00000374 .131778 Page Date 2 5/19/04 ---------------------------------------------------------------------------- 40.00 BASE FEE 7.0000 THOU BL-50,001-100K (7.00 PER K) Extension 667.25 280.00 Qty unit Charge Per special Notes and Comments proposal is to construct a 1562 sq. ft. s.f. residence in the RS-7 for a total lot coverage of 22.3%. Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Electrical load calculations and elctrical permits are required. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . CITY ORA % DRA FEES PLUS INTEREST SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 54.88 1575.86 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1172.90 1172.90 .00 .00 plan Check Total 378.90 378.90 .00 .00 Other Fee Total 3405.24 3405.24 .00 .00 Grand Total 4957.04 4957.04 .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) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11114/2003] BUILDING PERMIT INSPECTION RECORD CALL 4]7-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVID'E 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 h.,:)6- - n;./ Rl/ WALLS -r -{, -O~ " .L ~ FOUNDA TION DRAINAGE/DOWN SPOUTS .f; -It -e'l L ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN J I PLUMBING fii'tc.-/I//'-2-for JJ.J.- M UNDER FLOOR 1 SLAB ROUGH-IN II' '--}oj .L 1.. I U"'f. J. WATER LINE (METER TO BLDG) 'J-J-oJ-j - \ L-L GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS 1<7 -'1J -<,"01-/ ,J~ CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS rJ. 'J -01-1 ,b-I.-- WALLS / ROOF 1 CEILING _" i\ ..I.,.."J -L J--L. (T;or V"' DR YW ALL (INTERJOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL 1 FLOOR / CEILING cr -14' A')!oJ J '--\ J MECHANICAL , +;1-10..1 If !J.-'7.! or J J-t- f}p HEA T PUMP GAS LINE ~(h'-Orl 1>..),1 WOOD STOVE / PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. / PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. , BUILDING 417-4815 t.} /~/ 0 r j j-J- BUILDING .. T:\PLANNING\FORMS\ 1102.15 [11114/2003] ~ykfr Properties Park &' Jean Rvker 3588 Deer Par'k Rd. Port AI19 eLf S , WA 98362 , i ~~ ~},- i Ai/ c1.Tj' ,N ,#4T dY~c..!EJ '&'/U:J/~'.h-hC"7iJ...e--1 J!::u- ~/7://t?~t"/ ft; /',.?/J?f &'l# ! ~.Jk/ 4~ A c7a6{~.r!' /) ~("" .d?o/"/ d?,/bo1 /~/ t1?/?~-d- & i /UttJ,.- .5~tPh? r;, fl X /6'/{/&~4J A i /)c: fld/Q/e o!~r ~ ~ .?~'/ /%/t ~~I ?1f/J ,,(vo/t"'r /..1' t? 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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 YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN T 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 1 CEILING DRYWALL (INTERJOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL 1 FLOOR / CEILING I I MECHANICAL HEA T PUMP GAS LINE WOOD STOVE / PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. / 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:\PLANNING\FORMS\1102.I5 [11/14/2003] BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec. '1-27 -'04 Porn," # Ci-j ~ f Date Approved: ~ Date ]ssued: Fill out COMPLETELY and in INK. Your application and site plan MUS COMPLETE to be accepted for review. If you have any questions, c I PERNIITS (360) 417-4815 FAX(360)417-4711 Appl1cant or Agent: ;J;/2.k;(1/ J:::eL Owner: ~ ~. Address: ~t,s-r~] i~-At..' ~/?jC-_g City: Architect/Engineer: ;;;~, 4 A:::::..6R_ Contractor ~~~ ,c: State License #: r...s-/fiy7 /!E PROJECT ADDRESS: I <6 \ ~ LEGAL DESCRIPTION: Lot: /1 Block: , , CLALLAM COUNTY PARCEL NUMBER: Db.'?, 6OC~ .? b ( bS~ #7--~6/9 r , Phone: tk4-':;~..?<'3/2- '92 7) ~r #Y6r-LEI Zip: c/'?Sj{; ?- , , S'~6 Phone: Phone: Phone: Address: City: Subdivision: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # T}pEOFWORK: SIZ~ALUATION: ~ Residential Ji.New Constr. 0 Re-roof 0 Stove ~ SF. @$ 0:)0 /SF. = $ o Multi-family 0 Addition 0 Move 0 Garage ~ SF. @$ /~ /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair 0 Sign 0 Other TqTAL Y-4LUATION $ BRIEF DESCRIPTION OF THE PROJECT: ....6/'"/60;::. (~r' I ~/ner/(~ ~- f(? - p ) bl'Js~,,,,-) ~4;-<4.5e qq/ Pc:.~cta ~% COMMERCIALIRESIDENTIAL: Occupancy Group: J?S - 7 Occupant Load: Construction Type: /k ~ No. of Stories: ~ Lot Size: <50 X/t/o Existing Sq. Ft.. / _ & Proposed Sq. Ft. i 5'{'L-$ = TOTAL Sq. Ft.) 5"6. r I~ .L -:J . f..,l. Total lot coverage_'Z.~ % T I'I!7Y;-';L v.JM / , APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER: City: Exp. Date: :?t5'a> .--=.- :. ~~:s ---- ,q~ ~1S:- , PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BillLDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other pennit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no pemut is issued within 180 days of the date of application, the application will expire. The Building Official can extend the tinle 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. T:\FORMS\APPS\Bui ldingpermit. wpd Applicant: Date: I hereby certify that I have read and examined this application and know the same to ru and c rrect. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are require{ ,not th eit , nd t I must obtain such permits prior to work. EJ1r.-~~~~------t)~"~--~'~~~SL1EJJEC:"______~~~::__~~~!~~_____________________ C:HKt). BY ..--____ D~TE -_____.__. -----------u.___u__uuuu___u____..____u__u_____u__ . - - - _k: - - LZ--?,- _~. _~<< ~..t'~t'~.!'"L~~~;~:t~~ _. _ u_.______ ________ _________ _ ___ __ 1~1S- \IV J2-f-~ !lHRtn' NO. __l.___.O~ _Iu_ JOB NO. u_____uh___uu__u__ ~-~~~~~~-------------- .L Lit. '~i;/ 1 ---1f,_....a~ +- l~ __ ___ z50 ~~~I ~---- ~c/ -----.--~---::r-.-- } ~I t~1 , I /! i _ ".. ___1" I I ! ! L___ --r --- -' ! -" I ~~' : \i · / \~ - /';;' -\:; ~~' ---1 --'" I "- :;r- .-' -- 1- ! -- ~ -- - , .~ r ~~r~--.;;:;::::.~::~--~~ \, 'i _ttO .-- r ....-t.-' ....--' --... ~ ./]......... ., 6/1f2 ;;58. D ,__,/' i e ~ It :/~~ ~j /ff ~~ y-c ~ bIJ ---..... f"".(:r F '...., \t,! '.' 2 ,', 11 ,<-~ .,.r, I: ".: , _~.r ~ - ( ~ r - l~~ _ .15' . j '. -- ---.--,- -----------.--. .----J _ --' If . .- r ~~</n~2(7l/ /l_ ~ /~r~,/ ! ___ / -.'-.~T-~-~ ;"~V/ --1 .-- I ~~.~ V",1"1 - __ I '\' / ? IV fl -- J ~ '..-- ..--" -- . fLl)/ r -- - I~- -1-- ~ _- /' 1*, I - ;70 - ;.- ! ~ _ ~t -- ..- L--/- - -111 i _/; -,~ ~~_<~:1(t~~ i --- . \ ~.....\ \.-'-\ \ '. \ ~ .' ~\\,:, ., ~., i \. '. ~' \ \ - --./' / j/ - - J i t i 1--- ./'! ....- ---- '.~,,, ~r1(C~:..~ ' 1/0::- p/) -- 1" ...." /~/'.~ ,- r' /;{-: ;- ~ --;../ -~.,. ~/ 1.1-~ -'?,..--" ';'''';' ..t.fAr ;. i/ r.,. f ,"- ; ..-r' \,>-'--- '. "'! : , . A' 0/ / ,', ' .,..'"r/'~ ;<', \ i' , -~> './ i /..' '.. _,' ". /"'1/'" /'.<;:: r.. .J,./!.....,.. '-:-.f-.-'" .',. "..... (/'/.. .Y /f .~r,- I ] . ~/'.' " .;.- ,. -,~ f2:,;...."'_ j..... . /( yC;~k:;.. f)t e 17 l~"f L/ 4-;) ~~ - <;~ /~, ,~- a~;7/ ~;> / c-' ___'0 t:.-~ JS.it3 /f/..(:~f ,4~\'c;ECf((/ 1;;/ +/;7-- 66~/.1 I . . I~ I ~ . \ ,,\, '. ,~.i <{ k1l. /2 rt! . .J-r \ ' ._.._._.:L____ ;,'" of .0Rr ~ $4,~~ ha t:...-- 'tiii:JC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000374 Date .131778 1815 W 12TH ST 06-30-00-0-3-6165-0000_ RES NEW SFR Owner ------------------------ RYKER CONST & ENGINEERING 3558 DEER PARK RD. PORT ANGELES (360) 417-6619 Structure Information Construction Type Occupancy Type Other struct info WA 98362 Permi t Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 2463 SQ FT SFR./ ELECT. SER. ELECTRIC SERVICE 143.20 Plan Check Fee 9/15/04 Valuation 3/15/05 Qty 1. 00 3.00 Unit Charge Per 73.0000 ECH 23.4000 5C RS7 RESDNTL SINGLE FAMILY 89795 Contractor 9/15/04 ------------------------ OWNER NEW 1510SF SFR WITH 953SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS ----------------------------------------------------------- EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 ----~----------------------------------------------------------------------- Special Notes and Comments Proposal is to construct a 1562 sq. ft. s.f. residence in the RS-7 for a total lot coverage of 22.3%. Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Electrical load calculations and elctrical permits are required. Other Fees . . . . . . . . . ----------------------------------------------- ----------------------------- Fee summary Charged ----------------- ---------- Permit Fee Total 143.20 CITY DRA % ORA FEES PLUS INTEREST SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Paid Credited ---------- ---------- 143.20 .00 22.30 V-N 2.00 1. 00 7000.00 1561.50 1561.50 1. 00 -. ~. ~ \"\ - ~ V'1 ~ L .00 o 1'1 - Extension 73.00 70.20 t f'.j .l> r \):. ----------------- (J, ~\ 54.88 1575.86 745.00 4.50 1025.00 Due .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date T:\PLANNINGIFORMS\1102.15 [11/14/2003] Signature of Owner (if owner is builder) Date -. BillLDING PERMIT INSPECTION RECORD 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 CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAlNAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPn SEPARATE PERMIT: # ROUGH-IN T PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING T FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R. W. 1 PWI CONSTRUCTION - R. W. ENGINEERJNG 417-4807 PW 1 ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 (11/14/2003] :ft>ORT~ $~O~~~ ,. "- -=..a> ~ 'tiii:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Pin number Plan Check Total Other Fee Total Grand Total 04-00000374 .131778 .00 3405.24 3548.44 Page Date 2 9/15/04 .00 3405.24 3548.44 .00 .00 .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNINGIFORMS\I 102.15 [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. I INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # C!--tJ.,V '(- y~ . ck. <') . ROUGH-IN q~-nt./ ..()(. 1 K ~t./t,) ., PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLiHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 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 OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 tj /z-' l!c j' ItcO ELECTRJCAL LIGHT DEPT CONSTRUCTION R. W. / PW/ -, , CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003] rJ:t>ORT~ t~'(<;. na ilk -- 'tiii:C~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name property Use property Zoning . . . Application valuation 04-00000374 Date .131778 1815 W 12TH ST 06_30_00_0_3_6165_0000- RES NEW SFR RS7 RESDNTL SINGLE FAMILY 89795 Owner Contractor ------------------------ ------------------------ RYKER CONST & ENGINEERING 3558 DEER PARK RD. PORT ANGELES (360) 417-6619 Structure Information construction Type Occupancy Type Other struct info OWNER WA 98362 NEW 1510SF SFR WITH 953SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 6/11/04 22.30 "'" \J3 ""'- ~. '\ ~t V-N 2.00 1. 00 7000.00 1561.50 1561.50 1. 00 ---------------------------------------------------------------------------- Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE 60 A TEMP SERVICE MAX. ELECTRIC SERVICE 40.90 Plan Check Fee 6/11/04 Valuation 12/08/04 Qty . unit Charge Per 1.00 40.9000 ECH EL-TEMP SRV - 0-60 SRV FOR .00 o " ~ ~~ ~'" '\ ---------------------------------------------------------------------------- Extension 40.90 Special Notes and Comments proposal is to construct a 1562 sq. ft. s.f. residence in the RS-7 for a total lot coverage of 22.3%. Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color th~y are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Electrical load calculations and elctrical permits are required. Other Fees ---------------------------------------------------------------------------- CITY DRA % DRA FEES PLUS INTEREST SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 54.88 1575.86 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.90 40.90 .00 .00 plan Check Total .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and corr~ct. 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\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 LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR/ SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS 1 ROOF / CEILING DRYW ALL (INTERJOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. / 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:IPLANNING\FORMSII102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Other Fee Total Grand Total 04-00000374 . .131778 3405.24 3405.24 3446.14 3446.14 Page 2 Date 6/11/04 .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or Ithe performance of construction. \ Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11/14/2003] BillLDING 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 A T JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TlON DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN 'w A TER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING : FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DR YW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEA T PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO hi I I ~/) ELECTRJCAL ELECTRJCAL - LIGHT DEPT. 417-4735 ill/(,cJ LIGHT DEPT CONSTRUCTION R.W. / PW/ / I CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:IPLANNING\FORMSIII02.15 [11/14/2003] ,. FROM : FAX NO. Jun. 09 2004 11:29AM Pi . ELECTRICAL PERMIT APPLICATION POR. OflllLUU_ usa ON~ y [);>>~: ..- Pc."",,, _.__"__ OllIe ApprgVlld: bilC~l.Ie'tl. TM Electrical Permit Application must be filled OLJt coftlDletelv. Of- 37'1 Ple.1lI type or reprint in ink. If you have any qLlesnons, please call (360) 41t-473S Fax numbor: (360) 417-4711 ::'':':'"'-1J;i.. - ~ll.~ J '" - ,- ;;~::: '<!' 'l-~'I Address: lJ~I':> c...V I -- City: ~ ~ Zip: qn,,~ Electrical contraclor~rl~ WVIQ. \1"-<_ , ' Llcenoe#: ~~f~2""""P: q 1''1/0'5 Phone: ~~'2.- t.tH~ Address: 8'2- Dr-u.p..t..... Va Lt." ~,CIIYyl\~+ A:-njl\~ WA- Zip: q Ii"] (,,"'1 . INSTALLATION WIRED BY: L:J OWNER W E~EC1"RICAL CONTRACTOR Billing Address: CredIt Card Number: Ollt f1~ Credit Card Holder Name: Exp. Oat8: Zip: V/SA:_ Me: ~&) w 12..)- Vj "ROJECT IdlDRESS: TYPE OF WORK: Check 1!\! thai apply: 0 New o A1leration/Addltion o Residential 0 Multi-family o Commercial D Mobile Home Sq. FI [J Remote Meier 0 Delach..d garage 0 HOI Tub 0 Swim Pool 0 Septic Pump o LOW Voltage 0 Telecom, 0 Sign Number of Circuli. added or altered: DESCRIPTION OF THE ELECTRIC,D.L PROJECT: +- -e. rn -rm rc,.:rf _~ (l r A..J ' ft; 0 . Ci ''^''''p Electrical Heat Load Additions and Dr Subtractions Service Information o Ba...board CJ Furnace o Heat Pump C1 Fer>-Waf! _KW KW TON LRA _KW- o Overhead S"Mce Cl Temp Seorvice o Underground Ssrvice Voltage: Phase: 0 1 CJ 3 Service Size: Fe..der Size; J hereby certify that I have read and examined this application and know thai same to be true and correct, and I am authorized to apply for this permit, I understand it is not the City's legal responsibility to determine what permits are required, it remains the applicants responsibility to determine what permits are required and to obtain such. &, ":IV . "'"'" "'" H.Id.... S'M,"~'~ 'tl ~ ...., lb*" ~ J Ow'''''''~ C." "S"'"~'~ ----I D.t" , ~ (]Ife::n6 (::> f) /JJoE.f- PERMIT FEE: $ ~. 9 D ?:IHECTRICAlPERMITAPPLlCATION _ L KP,Nl f) " . , :::;1::.676 --(0 (iJ'5Tt- v,,~ iltC t f; ~ y -fO? -ti1G ? GQ2vP )wcJ~rS2 u.J5f17?4 FROM FRX NO. Sep. 14 2004 06:50RM P1 ti .. ... ~ ~. "A. . ~\ ~ ELECTRICAL PERMIT APPLICATION FUR OF'PIC1AL llSB ONL V l)OUo:lll": ______ f'1II'OI1I1'-_~_ O;a~A.flotI'O""" _ CAle h~llftl:__._.~_.___ nll~ EJec:triear Permit Application must bo fllte-d out comDletl!!ll..... CJ<( -37r' Pl.... ty~ or r.print in ink. Iryou hove any questiom;, please 08111360)417-4735 Fl. numb.r: (360) 417-4711 Own.r or Eloe. contra~r Ag.nt:--rr.... Proportyown.r: ~$..\L ~ ~ Add",." 19$' W \~ City: .,. Eloclrteal Conlracw:~ 'c [<i'll" '/\'o.- j t""J Ueonse#: 1~~1Y\'I E",,: Addre$S: ~ '1 D.~.u- 'if 4 ll-J raJ Ciri P e>rT A n a,t.l.ts INSTAl.LAT:ON WIRE[) BY: n OWNER' J<EL.ECTRICAL CONTRACTOR -b=:t Lv c... Phone: '1 '5 'J. -(, 't'2'/Fax: '1 '5 '::i.. - (p 'i '2 'i Phone: c.i77-oq~-, Zip: '11'3 I. "2- os- Phone:""I'5':1~ 17'1:1..<1- Zip: lJg3 "2 . C2 -T. \ Credit Card Holder Name: v. .... BIlling Address: Zip: V/SA:_ Me: .-{ Credit Card Number; Exp. Date: PRO,jEeT ADDRESS: l Bl') W \ 2..-- -L..... _ Check ell that apply: ~ (] Alteration/Addition o Multi-family o Commercial 0 Mobile Home Sq. Ft /::)/0 ~ r5.3 ,iho ~1 C--eJit':i) o Low Vollage 0 Telecom. 0 Sign ::J Remote Meter 0 Detached garege [1 Hot Tub 0 Swim Pool 0 Septic Pump Number of Circuits added or altered: __~__ 1\~ k ~- J) o ~ DESCRIPTION OF THE EI.ECTRlCAI. PROJECT: Electrical Heel Load Additions and or Subtractions o Baseboard o Furnace o Heat Pump o Fan-Wall _KW KW TON lRA KW-' o Overhead Service o Temp Service :J Underground Service Servlce'n'ormatlon Voltage: 10/11.-'-b Phase: D1 i:l 3 ServICe 51%.: ',,!.o/::'-, Feeder Size: -r:r/o t:.~l;-rI0h ['6 Dr- ....-- I hereby certify that I have read and examined this application and know that same to be true and correct, and I am ' authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permjts aTe required; it remains the applicants responsibility to determine what permits are required and to obtain such, fr!~ oatg:~/13 _ I. Date: 4/~ i f'['v\IZ-, Credit Card Holder's Signature: j ,; , I .1 , Ownor or Elee. Cant. Signature: /!v:J 1/t5/0 Y PERMIT FEE: $ /i/5,,;2.() ~:IELECTRICALPERMIT APPLICATION r/ttJ 9ft'! ~V @ i J ~ I ELECTRICAL INSPECTION WIRING REPORT I 417-4735 I I ADDRESS I 'IS ~ /.2 75 s;r AP~~6 L~CI'tL P~""'/7'''''' NOT ~PPROVED o .................... DITCH. . . . . . . . . . . . . . . . '1" . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. .. . . . .. . . . . . . .. . . . . SERVICE. . . . . . .. . . ... . . . . . . 0 D. ... . . .. . . . . . . .. . . .. . FINAL. . . .. . . .. . . .. . . . !. . .)1(' ([) I CORRECTIONS NEEDED: /-/~,O~ 6/'-v~~ I 5,,-~-<,,"''''.I' I r'/RAL ~..-. e.uJ. I ~/) {iJ I //"'~'-"'~G r:'~vtt!-L- I (~ .../N'4"~ ~?ny~) I -r/7 ~--I73~ I @ 2 - b~~ ~ -. ./11'07 ...11"",... l>.N /'Aw.,u. ..5cH1WJLI.~L A:K.~ ~t//'fr. J..,~_J"" v;,;, . ,. . ..' , I ~/f:>"/T5 .... ,PL._~5 ..t._J'r.t!.~';.;'1 ON: Ja.~,,,,,,Z /"'lfr n--~p.71C-a ,q €... ,." (1~ ,o;.$c.<U}=> 77 "E NOTIFY INSPECTOR WHEN CORRECTIONS - ARE COMPLETED WITHIN 15 DAYS PERMIT # O.t./~3'l ~/&-tc: s 7ZJ -'n J'9 7'ek" ~/"hu.L; . f'V O~T.S"_,CJ-e.. "77 L.p 7Z> SI'M o~ LJ~~__-n~_ c;: /'CSf ~"r,/fZ~ - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381