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Home My WebLink About1519 W 10th St - Building " .',".;. j ',ii',',". " .' O,J,',V . cItY OP;P@RT,iANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST5THSTREET,.PORTANGELES,WA98362" , . , >.~/' ';- ; AppiicationNumber ;'.Proper1:,yAddress.> . ' . , ASSESSOR PARCEL NUMBER: App~icat~on description "~opertY' Zoning.";' . ,. Applici1t~on valuation Property owner Owner ,address . . . . Date 1/28/03 , , 03-00000082 1519 W10TH.ST 0630000306750000 MECHANIcALREPAJ:R Contractor . 6000 SCHOOL D!STIUCT#121 216 E 4TH.ST PORT ANGELES ( ) . ." . ALL WEA~~ HEATING & ,COOLING Structure Info~tion ------------------------- TYPE V NONi'RATED, SINGLEFAM'..& CONGREGATES". WA 983623200 Construction Type . . OccupancyType . .. -------------~-----------------~---~----~-~---------~-----------------~----- pe:r:mit . . . . Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ~TER RESIDENTIAL Plan Check Fee Valuation 35.30 1/28/03 7/27/03 .00 o Qty Unit Charge Per 1.00 35.3000 EC EL-LOW VQLTAGE Extension. 35.30 ---------~----------------------------,~------~----------------------~-~----- Permit . . . . Additional desc Permit Fee "']:sSue''Date . 'EXPiration Date MECHANICAL' PERMIT Plan Check Fee Valuati~n . . 61.70 1/28/03 7/27/03 .00, o Qty, Unit Charge Per Extension 47.00 14.70 BASE FEE 1.00 14.7000 ECH ME- INSTALL 1oo~ FAU Fee' summary Charged Paid Credited Due permit Fc!~ Total Plan Check Total Grand Total 97.00 .00 97.00 97.00 .00 97.00 ,00 .00 .00 .00 .00 .00 " ;(1 ......,. , 01'~; -,':':, -D .~.. <:.. ~;:~ '~' ~; S ~::; Sep~ratePern1it$ are required for electrical wOrk,'SEP A;Shor~line, EsA;iltilities, private and public improvements. Thispermlt becQines null anclcY9Ia,ifY(ClrkorconslructJonauth6iized.is not commen(;E!d Within 180 days, if construction orwork Is suspendedO{~~bi~onict for a.~og9f1~gdi!ysa{ter..~e wOrk,a~ con;l'!!~,llgedJor. ~r~q":llred Inspections have not been ~quested within 180 days:tll)l1lthela~t Jrspec:tlon.,1 hej'eby certify that I have readand' ~xaminedthlsapplicatlon~and know thesarn'~ to be trueandalrrect.,< A11'Rl'Oylslonsof Il:lw~ and9r~inal1.'ces gov~ming this type of vv?rk will be complied with whether specified herein 'or not.,' The granting of apj:irrilittdo'esnot presume 'to"giveauthciritY to iolate (if cancel, the provisions of any state or local law regulating construction or the perforrj1arice of construct' ' '\, . ' 1""'2 ~ - C>3 Date Signature of oWner (if ovmer is builder) T:\PLANNING\FORMS\I 102.15 [412002] BUlLDINGRER.MI'E INSPE(JfIONRECORD CALL 417-481? FORBUILDINqINSPECTION,S,l,PL~SE PRoviDE A ~iN~l!M)4~O~ NOTICE. #~ UNLAWj1ULti/~~~R: INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUSroCATtON. "'''''''6';' ;'~:P~',~:, _;' f;'~~~.i~~ "'~;:~';'-~::.:::: ,:,,:~:~,~:_;,. ' f - ,,- . ...._.~i"~ KEEP PE~~J ,CARD AND APPROVED PLANSr,A T JOB SITE,~ "\-:'\~":";~:;',~\\. . ' \,:-,;.~ -,:,:, DATE ACCEPTED i a' ~. " YES I.' NO J n INSPECTION TYPE FOUNDATION: FOOTINGS' 7 , ,.: ", ,,;t .j. ", : {'. WALLS . FOUND,6.TlON, DRAINAGE .... ..... '... : ~.c ELECTIu(:At (L.lGHT DEPT) "SEPARATE PERMIT: # ROUGH~~ ....... ....... '" ..t PLUMSIrlG ". .. ", UNDER FLOOR iSLAB ROUGH-IN T> 1, ,:C' " "', , .': I ',:C . . . " . . . '~~. ~.~, iJ. . " WATER LINE GAS LINE '. BACKFLOW/WATER ..... c . . . . "':;., . AIR SEAL . .' ,,^,,. ,,'.< ". c" .,:: .. d. ...., ". WALLS CEILING. FRAMING JOISTS I GIRDERS SHEARW ALL WALLS I ROOF I CEILING DRYWALL T-BAli INSULATION SLAB , W ALiJFLOORI CEILING MECHANIC.u. . .: . .' :--"., . ~ t'.; ',. .' . .... , '.i' .,,'..,. . T J : ',.. . .' ,,;-.: .., '-',k. .. . .:'.: - ,. , i"': ".,."... ;'(i.'. .',." . ,.~ ,..,. d.;;. . .. '. . ., . r ~.'~ :;" ,... ::.;: " , - . . .,c. . ": . :':~" ,lei " . . . .~" : "J. ','. "", .: --:-- . '. . y,.,' :. h' """ _'.1 " ,- I . . HEATPUMP .... " WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS .... PW UTILI't:lES' SITE WORK (Engineering Division) SEPARATE PERMIT #'s: - . .',' W A1'ERL1NE I METER SEWER CONNECTION SANITARY " . STORM .\ . . PLANNINGI>,EPT. SEPARATE PERMIT #/'s SEPA,: .... E8A: PARKlNGlLIGHTING LANDSCAPING I .. ELECJ;RICAL - llGHT J?BPT. = ..... '. SHq~lNE: ,-i;tF;m~ ~s~~gIO",I1~,REQUlRED P~9,~,~,:,.,-,., .~~;:. .,'" " ~ ," ,:r;Te DATE ... YES '.. NOi",ft,9.\f,~F~AL . c'6"'D C': ".' . < ....; ,,',i).. ;:;)fl1fl1....". "L",~: .' .... '417';;735,: ".' " .... '",,,. ''EiJiCMcA'i.;s,.,,,- . ,. '" ':'i' iUGHTI),)En'f?~v ." .0' {oo~m.YcTI8N~R:W.' PW1 moGINE~RlNG c, FIRE bEPT. '. l ,""". . .. ......( .;' ''',- " RESIDENTIAL CONSTRUCTION R. W.I PWI eNGINEERING FIRE 417-4807 417-4653 .' PLA!;<NING DEPT. BUILDING .In:.'.. A .,r.f,..~ 'I ~q/os- RV -,.. - W-47~0, '. .', 417-4lnS . PL~Ogpt. BUILDING ." T:\PLANNING\FORMS\1102.15 (412002) " ". ..' ,":'. ," . .. . .. " ..." "...:' ,'. ~ "'~,4.t;;~m.~';:'" .; .;.; ".lYJ!:S;5.? -:C~I'N.O", ..,j ",. ''';1.".",. . ".Jie), .... ./ . ';-'1',..' ..;: , :.,i , ...., . ,.,c .~t. . " ". - -----------, 'f' FROM : ALL WEATHER HEATING & COOLING SPORT I}. , TIle BuUdiIlg Penra,tr . he-upplktJdon -rutH Jllld "lit colllpletely. ~~ Please type or priDt iD ink. If you bave ah)' questioas, plea.se caU 417-4815 Applicant cr Ageat: If / ( t1kJ1 u' Ilea/; Ilf Phone: <(72- -ftfl ? 'Owner: f/zrln / JJ tll/ If 1"5 , Phone: ~: / t ft1 LUt'IP! City: PK-t f/tpd/-S , ~~[~!!! ~=~~~kExp: 9ffh~:;;:q~1frt ._'.~. :~/' ',loth 8" .._ ZONING: LlGAL"D.~ON: Lot I ~~ Block: ~ Subdiv1Sloa: T P A a.., .J...... COUNTY PARCEL NUMBER: <')rP~!!2__ hdlt Card Bu!der Name; BDIIq AcId~: ' City: CredIt Card ,; E~p. Date: 95s0~ FAX NO. : 360 452 5177 Jan. 21 2003 08:51AM Pi BUILDING PERMIT. APPLICA liON FOR OFFICIAL USE ONLY; 0. ~.L-'-1-~ 0"3 ~t'; .~ Date AppIoved: DI1p Imr' Zip: ? I"?iJl2- VISA. Me !:f"~( '. ' T.ft'C:.WOItK:' SIZIl:IV ALUAt10M: ' 0 D.~.I ' 0 New Coutr. 0 Rc.roof c Woodatovo SF. @ $ ISF. :;; S o MulD-family Q, Addition C Move 0 Garage SF. @ S /SF. _ S o Cmou.....cial 0 '--del 0 Demoliqon 0 Deck SF. @ $ ISF. - s (2 c} o Rqtair 0 Sign C TOTAL VALUATION $ tel!1{jj. 0 ,., ,,' BIUU~ON OFTBI PaOJECI': -/ktJ-(t.J1? f} } 11 r-kel'; J 1/ f:SW . . T ' ~ . CQMMlaCIAIIUSJDENTL\L: Occupancy Group: " ' " ,No.,of~ Lot Size:, % Lot Coverage: Bmtini LOt 'Coverage: . Isq. ft. + Proposed Lot Coverage: ~G 1.18 ONLY: '-', 'N.,:" ' , , Occupant Load: Construction Type; % .. Isq. ft. = TOTAL LOT COVERAGE: APPROVALS: PLAN BLDG. DPW J"JRE O~. Isq.ft ESAlWctlaod(s): CJ Yes C No SEPA Checklist required? C Yes lJ No Other: ", 'BllILDING 1'IRMIT APPLICATION SUBMI1TAL: y"", lIpplkfI/kJ" atl site pltue 1111181 beJlll" DIll CfI~'" be ~./i' rniew. The Building Division can provide you with more detailed iDfonnation OQ the application and plan submittal rcquimneuts. Your completed application, site plan (fol additions) ud building construction plans are to be submiucd to the Building Division. '. VALlJA1101lf-C)lr CONSlRUcnON:. ID all cues.. ~ 8I!IOunt mut be entered by the appliGaDt. Thia figure will be ~ and may be revised by the BuildiQg Division to comply with current fee schedules. Contact the Pennit CoontiDator at 4174815 for assi.s~. PLAN CRICK'IEE: Your plao check fee is due at the time the building pennit application and ~ODllrUctioll pJaus ~ submitted. AU other permit feca an; due at the time of permit issuance, EXPIRAnON OF PLAN REVIEW: If no pennie is issued within 180 days of the date of application. this ,applicatioll,1IriII apin. 'I'he BuildiQg Official call extend Ihe time for action by the applicant up to 180 days Upon written request by the applicant (see Section 107.4 of the UnifolDl Building Code, cunent edition). No application can be extended more than onCe. ., I ho8by ~,tMt 1 ~ 1Wd tmtlll%llmtned this application and know the same tD be trwe aM COmIC', and I am authorized to tJP/l1y for this pennlt. J undersllJnd it is Mt the City's legal respoTlSibility to determine what permits are requi1'ed; it remains the applicant's ,up..ulbililY to _I.. what _Irs .... requlr<J and to obr4in suc/o. .. .11/ / I . ~fj&"f--S DaIo: tLZlIO? ' T:\FOItMS\APPS\BuildinJpennit V /, ' ' ,-°..,-~.~, CITY OF PORT ANGELES ~(~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~;)~-L~'HV~.~ r'~-t'T~VH ~ ISSUED: 9/20/2002 P'~-h~m~ NO: OWNER/APPLICANT PROPERTY LOCATION NPBA 1519 10TH ST W P.O. BOX748 Lot: 15 Port Angeles, WA 98362 Block: 306 [] Long Legal 360/452-8160 Subdivision: TPA T: S: Parcel No: 063000030675000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $143,500.00 SFD Units: 0 Commercial: 0 Project Type: SFR NEW SFD SQ FT: 1,435 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 439 Occupancy Group: MFD Units: 0 ~.~ Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES CONSTRUCT 1435 SQ. FT. SFR WITH ATTACHED 439 SQ. FT. ATTACHED GARAGE PERMIT FEES WAIVED BY M. QUINN 8/12/2002 RECEIPT~Cg706 ?1~,.~ ~"- ~ FEES ASSESSMENT Building Permit: ;0.00 Misc Fee 1: $0.00 Plan Check: 0.00 Misc Fee 2: $0.00 State Surcharge: ;4.50 Misc Fee 3: $0.00 House Moving: ;0.00 Manufactured Home: ;0.00 Sign: ;0.00 TOTAL FEE: $4.50 PJumbing: ;0.00 AMOUNT PAID: $4.50 Mechanical: ;0.00 BALANCE DUE: $0.00 Radon: ;0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of aws and ordnances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give auth/ority to violate or cancel the provisions of any state or local law regulating construction or the performance of constructJ,on. / ~ S~ n ~/~tractor ora Signature of Owner (if owner is builder) Date 'g atu~roo~ ~uthorzed Agent Date T:\PLANNING\FOKMS\I 102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE I YEsACCEPTEDI NO COMMENTS FOUNDATION: FOOT,NOS zo 'Z-~2- FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL JOISTS / GIRDERS SHEAR WALL //'7 g WALLS/ROOF/CEIL~G : 2-~-~% ~ DRYWALL T-BAR INSULATION HEAT PUMP WOOD STOVE / PELLET / CHIMNEY ~OOD/ DUCTS PW UTILITIES / ~ITE WORK (Engineering Division) SEPA~TE PE~IT ~'s: SEWER CO~ECTION SANITARY STORM PARKING/LIGhTING ESA: RDSIDENTIAL DATE YES NO COMMERCIAL DATE ACCePTeD ELECT~CAL - LIGHT DEPT. 417-4735 ELECT~CAL CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. PLA~ING DEPT. 41%4750 PLA~G DEPT. Permi, #:.~..~ Date Approved:~j Date Issued: ~v~_.~wc~g, The Building Pe~it Application ~ust be filled out completely. ~~ Please ~pe or print in in~ If you have any que~tion~, please call 417481~ Applic~t or Agent: ~ ~[~GO~ ~Ot~ ~%~ Phone: ~~t~O Owner: Phone: Address: ~0, GO~ ~4~ City: ~,~, Zip: q~ ~chitect/Engineer: ~1~~ ~ ~?~t~ Phone: ~Z- Con.actor ~¢~ License ~: Exp: 2/(4[~ Phone: Address: Citx: ~¢6~q~ ~ Zip:. ¢ LEG~ DESC~PTION: Lot: I ~ Block: ~ ~ Subdivision: CL~L~ CO~TY P~CEL N~BER: Credit Card Holder Name: Billing Address: City: Cr~it Card ~: Exp. Date: VISA MC T~E OF WO~: SI~N~UATION: ~'c ~Residenfial Cons~. D Re-roof D Wood-stove [~SF.~$ [O~ /SF.=$ ' ~, . "' ' D MOti-fa~ly O Ad~tion O Move O~ ~ SF.~$ /SF.=$ D Co~ercial ~ Remodel ~ Dmoli~an ~ SF. ~ $ /SF. = $ ~ Repair ~ Sign ~ TOTAL VALUA~ON $ COMMERCIAL/RESIDENTIAL: Occupancy Group:. Occupant Load: __ Construction Type:. ~o. of Sto~ies: I LotSize: '~(D~ ¢ % Lot Coverage: ~ % Existing Lot Coverage: /sq. ft. + Proposed Lot Coverage: /sq. fr. = TOTAL LOT COVERAGE: /sq. fr. PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. DPW ESA/Wetland(s): r~ Yes C] No SEPA Checklist required? [] Yes rn No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on thc application and plan submitlal requirements. Your corr~lcted application, site plan (for additions) and builcYmg construction plans are to bc submitted to the Building Division. 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 thc Building Division to comply with current fee schedules. Contact thc Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: Your plan check fee is duc at the time the building permit application and construction plans arc submitted. AIl other permit fccs arc due at the time ofpemait issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, this application will expire. The Building Official can extend the t/me for action by thc applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Unifoma Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. 1 understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain such. Applicant:~ ~ ~{:>~_~& Date: T:~FO RM SLzJ'P S~Buildingpermit City of Port Angeles Applicant Project Review Sheet Applicant: ~,~ ~ ~:~ Propen'y address: Owner: ~5:~OT~.~ ~ ~c~ Proposal use: Zoning: Is the proposed use listed as a "penintted use" or an "accessory use" in this zone? .~yes: ok 1'~ no: ~iras PD ~ ~ ok I~ no: requirosreview Is this the only use (busin etc.) on this site? ~ves: PD re~iew Has there ever becn a subdivision, shorlplat, or PRD approved for this site, or has ene i~ yes: requires pD i~ no: ok been submitted and is pending approval? . review Does the proposed uso r~quire a new buisuess license? [] yes: requires CC Does the project extend into any required setbacks or cross any lot lines (interior or [] yes: roq.uiras PD ~no: ok exterior)? Does the project exceed the permitted height allowance or cat~s~ tho property to exceed [] yes: requires PD ~no: ok the allowed lot coverage in this zone? . re~aew Doesin ~histhezune?Pr°ject require any additional perking or special design/landscape im~ents [] yes: req~res PD /~no: ok Does the project eliminate any existing parking slxaces? [] yes: req.uiros PD ~no: ok review Is the project located within 200' of the shoreline? [] yes: req.uires PD ,,[~no: ok renew Are there any anvironmentally sansitive areas on or within 200' of tho property. including: [] yes: req.uh'as PD /°: ok mv~ew i 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 evidanc~ of past ~'ound movement or erosion? Have all the required submittals been provided by the applicant? ~to Plan ,,~'C~r~ctiun Drawings [] yes: ok [] no: mark required [] Parking/Drainage Plan [] Civil Drawings item(s) [] Energy Cal¢ [] Supporting Engr. Calc [] Landscape/Lighting Plan [] Other I~ePparlmlanning Department review is required, the processing time may be extended. If it is determined a separate Planning ent permit(s) is needed, the Plan~ing Department permit(s) must be approved prior to the issuance of any other permit. Permit Category # (see reverse side) Building Penint # Master Tracking #. Route to: [] BD [] CC [] FD [] LD [] PD [] PW [] File [] Other Stafflnitials Date Completion off this form is required for all category lb, 2 & 3 permits. Completion is not required for category la permits unless they result in a potential change of use or occupancy. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date/~ '- ~ *-~-'~ ~-- Time Received by (phone, person) Location of Work to be inspected I -~ ~/ c~ ~4J [ ~ Name of person requesting inspection Address of person requesting inspection Phone No. Permit No. Type o~circle appropriate one): Sewe~/F/~,~,,~ Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date Time By Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~]Gravel [~Asphalt []PCC I~Other [] Repaired by City Work Order # ]--] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ///~-) '? ~' ~'~ ' .... ~ Time Received by ~ (phone, person) Location of Work to be inspected? - Name of person requesting inspection Address of person requesting inspection Phone No. Type of nspeCt[QO (circle appropriate one): Permit No. Sewer ~ Foundat,on ~:raming Chimney Plumbing Final Sewer Excav. Other INSPECTI NOTES: '- ~*:~' Inspected: Date /'~'~ ~"~ . ~ ~*~ ~ Time By Remarks: / RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # r-] Repaired by Permittee ~ COMPLETE r-I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date'/~-- 7-~ ~'~ Time Received by ~i~ (phone, person) Location of Work to be inspected /"~'/'~' -- Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES:' Inspected: Date Time By Remarks: RESTORATION REQUIRED ...... YES NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel ~]Asphalt I-~PCC I~Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE El No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE} CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS --~ ........... INSPECTION REPORT ........... REQUEST: Date O . ~ Time ///' _~'~/~,~,~?eceived by .~ ~ e, person) Location of Work to be inspected /~/ ~ Name of person requesting inspection Address of person requesting inspection Phone No. Permit No. Type of Inspection (circl~ ~r~riate one): ~n~ Sewer Foundatio imney Plumbing Final Sewer Excav. Other INSPECTION NOTES: ' Inspected: Date ~' ~ ~ ~ ~. ~ ., ,~ Time By RESTORATION REQUIRED ...... YES. NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~]Gravel I-]Asphalt []PCC [~Other [] Repaired by City Work Order # [-} Repaired by Permittee L-~ COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date 2 ~ ? 0 --(~)..~ Time Received by /~// (phone, person) Location of Work to be inspected /~/~ ~ Name of person requesting inspection /I/J' Address of person requesting inspection Phone No. /-'~ Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ~.~'(_ INSPECTION NOTES: Inspected: Date i~ ~ '"-~ Time By Remarks: /~ ~ RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt {~PCC [~Other [] Repaired by City Work Order # ~1 Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE {Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date (~L~2- O d -O"z) Time ~,'/-/~ Received by c~'~-~- (phone, person) Location of Work to be inspected /~.~--! Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. ,)~,er Foundation Framing Chimney Plumbing F~al~ Sewer Excav. Other ,.SgECT~ON dOTES: . ~ Inspected: Date ~4~1 1[I [ O'~ Time j~ vl~ By ~-~ L--- Remarks: RESTORATION REQUIRED ...... YES NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved E~]Gravel I-]Asphalt []PCC [~Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ~-~--~'~' ...... CITY OF PORT ANGELES '(~IL~) PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5Tit STREET, PORT ANGELES, WA 98362 E/ECTJI~ICA/PER/'~rr ISSUED: 10/25/2002 PERMIT NO 7863 OWNER/APPLICANT PROPERTY LOCATION NPBA 1519 10TH STW P. O. BOX 748 Lot: 15 Block: 306 Port Angeles, WA 98362 Long Legal 360/452-8160 Subdivision: TPA T: S: Parcel No: 063000030675000 CONTRACTOR ARCHITECT SHAMP ELECTRICAL CONTRACTING INC N/A P.O. BOX 383 Port Angeles, WA 98362-0000 , 98360-0000 360/452-1689 360/000-0000 PROJECT INFO Project Type: RES. MISC. Project Value: $0.00 Occupancy Type: RESIDENTIAL Construction Type: Occupancy Group: Zoning Use: Electrical Heat: [] Baseboard 0 KW [] Riser [] Underground Service [] Furnace 0 KW [] Overhead Service Voltage: 120,240 [] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3 [] Fan Wall 0 KW Service Size: 100 Feeder Size: 100 PROJECT NOTES TEMP. SERVICE RECEIPT#9844 FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $46.70 Misc Fee: $0.00 TOTAL FEE: $46.70 AMOUNT PAID: $46.70 BALANCE DUE $0.00 COMMt~NTS/ACT1ON NEEDED ELECTRICAL PERMIT INSPECTION RECORD 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 I y~sACC g~/~Di NO COMMENTS DITCH ROUGH-IN / cOVER SERVICE GENERAL COMMENTS: Pw-Ho2.15 [4o6] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Nu~oer ..... 03-00000111 Date 3/25/03 Property Address ...... 1519 W 10TH ST ASSESSOR PJKRCEL NL~4BER: 0630000306750000 Application description . . . ELECTRICAL NEW RESIDENTIAL Property Zoning ....... Application valuation .... 0 Owner Contractor Expiration Date . . 9/21/03 Grand Total 9~,~0 93.50 ,00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA1 utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS~1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOURNOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SiTE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAH WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS EEQU]RED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCT OHR W./FW/ CONSTRUCT,ON-R.W. FI P~ 417-4653 FIRE DEPT. PLANNING DEPT, 417 4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:~dPLANNING\FORMS\1102.15 [4/2002] -, . Pl@o~se type cr reprint in Ink. If you have any questions, please call (.360~ 417-4735 Fax numl>er: (3M) 417.01711 REQUEST INSPECTION :J phone: t{'5Z- 1!;Q'l' Fax: ~ 4I<c. Phone: 'f.;z.- <arb'" Zip C?~ 2- PhonB:I/S'~-( bfJ9 Zip _, 'i.:$4::!:....- Ow,;er or "'.~: Cnnl'.Clor Agent: JIll\A.l 12 S "\l.W1 ~~c. O lJo~ 0. ,,(-lUtA- B>v( U:>,,,,,- A... <:.c.., Property owner:;,-, ~~ I c Po.cr A-,vl> GRJ:1 Address:,,<::>,/iO><r ' -. ity: -- .L c., SiV\,"'f' C'e "-:3f?,..> .-,~ . c- _..~, .. .-< '-'""1."":_ I...C L,cene" <- Electrical contraclor;";;)rt~TM~, ~ ~,--:.--v .....l.....n-t' II,! . ..,,,. '" [-' _ _ ..".;>:;. I C,N', p,,~ .4r..:.s"'tr6 Address: 1'''-11 . _-'7l;:.;c::. ,::) --' I " INSTALLATION WIR~D Sy::J ibWNER ).<:~L~CTAICALCONTRACTOR C' \1. G" =-l <;; flM...p Credit Card Holder Name: ""~, - S'/I' Add '1:(0 l/.>-, i" ~ <;;, City' ~or.%_"" A"'b>l.S.<; I mg ress: .' , , . ,_ r 0 \!i Sr. fc>~ AA.J("'iUJr TYPE OF WORK: Check all that apply: 'j.New 0 Alteration/Addition feSidental' L Multi-family u Commercial 0 Mobile Home Sq, Ft l~<:> ":J Remote Meter' -::c; DetaChedgarage:JHot Tub, :::Swim Pool :J SoptiePump, 0 LowVC\lt"g~, 0 r"l"onm_ 02/02/2003 23:00 13504521589 SHAMP ELEC ELECTRICAL PERMIT APPLICATION The Electrical Permit Application must be fill~d out cOl"l'loletelv. o.J4 Exp: <::.3 ~ PAGE 01 rOR Oi-'FICII\~~~i.~ '/ ;' f),nc;R~,:: _.-r7....:>..r---~-11' PerTlll: ~. ---f-r I . D;11~ Ar~r1w~J: _._------ D~!~ l.<MmJ: .~~ uAr F'ROJECT ADDFll!5S; I~{"T .0' wI\- . , Zip: (;( 9.3-<;;3 VISA:LMC;- Number of Circuits added or altered: DESCRIPTION OF THE ELECT~ICAL PROJECT: IJU..:," rto6~t.- 2:6.>4 ' ,~ rJ.,..~ !is , - Electrical Heat Load Addltior:1s ~~>~ Service Information fJ BasetJOard !' Furnace '_ Heal Pump , Fan.Wall _KW ~KW '3::::..KW _KW Voltage: Iz.. Phaee: . 1 C 3 Service, Ize: z-..o.- Feeder Size:~ fir. o Overhead Service ..., T"mp Service (J Underground Service PAMC 14.05,060(8): For induS\ri~l, commercial. & residential projects larger than a duplex, a one -line drawing of the Electrical Service Feeders, 'building'slze (sq_ fl.), lead calculations, and the type & of conductors and/or raceway is required and shall accompany the, Eiectrlca! Permit :!pplieatiol"l. ' I hereby certify that i haw> read and examined this application and know that same to be true and correct, and ( .- authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permirs . are required; it remains the applicants responsibility to determirie what permits are required and to obtain such, MO'l1 tI-(I,U~ e:ltJ/.Jt2 H-n rZw p(2.6 Ap - Asf:- (2'cC....,e.<L- , credit, Card Holder's Signature:, ~~' 511 ~t Owner Dr Eloe_ conu:::;gnature,1 ? , -, L- I iJ P L-A-e...6 - GrAIL-- /J PW.9019 ~fLC ~~ .2/S/0 3 u0 f7AC 1'- (7/'55- t).j:;., Dale;~ Dale;~ ~ hp")!n7,