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836 W 5th St - Building
w F� CITY OF PORT ANGELES (I'_ PUBLIC WORKS UTILITIES s 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 11- 00000571 Date 6/09/11 Application pin number 651679 Property Address 836 W 5TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-1-0140-0000- on yOUr'state excise tax form Application type description PUBLIC WORKS UTILITES Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Construct sidewalk along 5th St RCP #11 -17 Owner Contractor HALKETT JOHN H JAYBIZ INC P 0 BOX 4006 919 W 7TH ST PORT ANGELES WA 98362 PORT ANGELES WA 98363 (360) 477 -7846 Permit RIGHT OF WAY Additional desc Permit pin number 187179 Permit Fee 150.00 Plan Check Fee .00 Issue Date 6/09/11 Valuation 0 Expiration Date 12/06/11 Qty Unit Charge Per Extension 1.00 150.0000 ECH PW RW CONST EXCAVTION OTHER 150.00 GO Special Notes and Comments No wash water or debris to enter storm drain. Call City inspector prior to start of work 417 -4831 Fee summary Charged Paid Credited Due Permit Fee Total 150.00 150.00 .00 .00 Z Plan Check Total .00 .00 .00 .00 Grand Total 150.00 150.00 .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 an. e r-dinan .overning this type of work will be complied with whether specified herein or not. The granting of a permit does not pre e to give aut ority to violate or cancel the provisions of any state or local law regulating construction or the performance of Adiiillk Signature of ontracto or Autho zed Agent Date Signature of Owner (if owner is builder) Date T: \Policies \1102.15 [10 /08) PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS 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 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ CONSTRUCTION R.W. ENGINEERING 417 -4831 PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 417 -4815 BUILDING T; \Policies \1 102.15 [10/08J Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Halkett John 836 w 5 st PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98363 144428 93 75 4/23/09 10/20/09 Signature of owner or Electrical Contractor ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000089 659425 836 W 5TH ST 06 30 00 0 1 0140 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Application desc Detached garage with 5 circuits and future ditch Contractor OWNER ELECTRICAL ALTER RESIDENTIAL Plan Check Fee Valuation Qty Unit Charge Per 1 00 93 7500 ECH EL -0 200 SRV FEEDER Charged Paid Credited Permit Fee Total 93 75 93 75 00 Plan Check Total 00 00 00 Grand Total 93 75 93 75 00 Date 4/23/09 Due DATE RESULTS Extension 93 75 00 00 00 0 0 0 INSPECTOR. Date V A`'M DATE PERMIT h io9 O9 -00B OWNER/CONTRACTOR ADDRESS e3 G L3 s`7 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL SwRV fsc_ I q3.7 CORRECTIONS NEEDED: /JC i b6Z►E tn,te. k c1d.(' f S T') cor- i AL r iTS I r rry i jr 29,6 M$ 236 -00 S EAU rc.>_. MAs r To E. S 01;5'6 IZ C.r1 13 ski 6Iihy ste Ica(2, <.isc l 13 two oP_ 91 LOA c 2% q(13 236 VRAt.1rr.L45 Irn __Lr actr,VD tiNit Cra N,N.1�'T ,U 'Th cm ,1j cAs+ED 1z, K I A D TS r S r l M 4 r S T Rig Q Ut 2 s i7 LJRC Z41°_'46 Za© W51;26 c:r tc�rC //O t/�! NOTI INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE INSPECTOR cIVAP DATE PERMIT OWNER/CONTRACTOR c-150 rt NAI -WE: T ADDRESS APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED S -Pl. 1i01_ N 'MT? -'F 1io,]zfr— S PA ELECTRICAL INSPECTION WIRING REPORT 417 -4735 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation 09 00000226 714708 836 W 5TH ST 06 30 00 0 1 0140 0000 JOHN HALKETT RES DETACHED GARAGE RS7 RESDNTL SINGLE FAMILY 20280 Application desc 676 SF DETACHED GARAGE(FOUNDATION IS DONE ALREADY) Owner Contractor Special. Notes and Comments The Fire Department has reviewed the project application and has no comments March 18 2009 8 14 44 PM sroberds The proposal will result in a detached garage for total of 20% lot coverage 211 site coverage in the RS 7 zone No land use issues anticipated Accessory area may not exceed primary residential use area March 18 2009 10 22 21 AM banders Brian 417 4708 Customer to relocate electrical service after garage construction Service wire raised by city to maintain four feet of clearance over garage Work with caution around wires Public Works Utility Engineering has no requirements for this plan review Other Fees Date Print Name T:FonnsBuilding Division/Building Permit Date 3/19/09 JOHN H HALKETT MICHAEL RIVERS CONST 836 W 5TH ST P 0 BOX 4074 PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 504 2367 (360) 452 9292 Structure Information 000 000 676 SF GARAGE (FOUNDATION IS DONE) Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc 676 SF GARAGE Permit pin number 142851 Permit Fee 361 75 Plan Check Fee 235 14 Issue Date 3/19/09 Valuation 20280 Expiration Date 9/15/09 Qty Unit Charge Per Extension BASE FEE 95 75 19 00 14 0000 THOU BL -2001 25K (14 PER K) 266 00 STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due 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 fora period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that 1 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 aw regulating construction or the perforg ance of construction. 3 /14 p 5 Jane a%-' Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting T.Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By c CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Page 2 Application Number 09 00000226 Date 3/19/09 Application pin number 714708 Permit Fee Total 361 75 361 75 00 00 Plan Check Total 235 14 235 14 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 601 39 601 39 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 has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding Division/Building Permit FOUNDATION Footings Stemwall BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING JoistGirders Under Floor d Shear WJ!Y Hold Downs I `i S 09 Walls Roof Ceiling I I Drywall (Interior Braced Panel Only) 1 T -Bar I I I INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab 1 Blocking Hold Downs Skirting 5 -13 -09 :I'LL- PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping 1 SHORELINE. Inspection Type FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 1 G Planning 417 -4750 Q Building 417 -4815 -0q 3c- L L E sere N�� foundaL pQ4 mi Q r Cm 9 T.Forms/Building Division /Building Permit 0 PREPARED 4/08/09 8 26 27 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/08/09 ADDRESS 836 W 5TH ST SUBDIV TENANT NBR JOHN HALKETT CONTRACTOR MICHAEL RIVERS CONST PHONE (360) 452 9292 OWNER JOHN H HALKETT PHONE (360) 504 2367 PARCEL 06 30 00 0 1 0140 0000 APPL NUMBER 09 00000226 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL9 01 4/08/09 J BLDG SHEARWALL April 8 2009 8 24 08 AM 1pangrle MICHAEL 417 8046 1 'NAILING SHEETING TO START SIDING COMMENTS AND NOTES PREPARED 6/25/09 11 02 11 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/25/09 ADDRESS 836 W 5TH ST SUBDIV TENANT NBR JOHN HALKETT CONTRACTOR MICHAEL RIVERS CONST PHONE (360) 452 9292 OWNER JOHN H HALKETT PHONE (360) 504 2367 PARCEL 06 30 00 0 1 0140 0000 APPL NUMBER 09 00000226 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL9 01 4/08/09 JLL BLDG SHEARWALL 4/08/09 AP April 8 2009 8 24 08 AM 1pangrle MICHAEL 417 8046 'NAILING SHEETING TO START SIDING April 8 2009 4 37 55 PM jlierly BL3 01 5/13/09 JLL BLDG FRAMING TIME 01 00 5/13/09 AP May 13 2009 8 48 17 AM 1pangrle JOHN 504 2367 FRAMING AFTERNOON May 13 2009 5 02 16 PM jlierly BL99 01 6/25/09 L AP BLDG FINAL June 22 2009 3 00 44 PM 1pangrle ;kw JOHN 504 2367 BLDG FINAL COMMENTS AND NOTES PREPARED 5/13/09 8 50 05 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/13/09 ADDRESS 836 W 5TH ST TENANT NBR JOHN HALKETT CONTRACTOR MICHAEL RIVERS CONST OWNER JOHN H HALKETT PARCEL 06 30 00 0 1 0140 0000 APPL NUMBER 09 00000226 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE (360) 452 9292 PHONE (360) 504 2367 BL9 01 4/08/09 JLL BLDG SHEARWALL 4/08/09 AP April 8 2009 8 24 08 AM 1pangrle MICHAEL 417 8046 NAILING SHEETING TO START SIDING April 8 2009 4 37 55 PM jlierly BL3 01 5/13/09 J BLDG FRAMING TIME 01 00 May 13 2009 8 48 17 AM 1pangrle JOHN 504 2367 FRAMING AFTERNOON COMMENTS AND NOTES Parcel Number Proiect Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant 494,0 Property Owner CJ ,24,v Property Owner's Address 's 4- 1-7 ST Contractor t c Le 1 (2._t aee-S Contractor's Address P o c ,c t-t olc-+ License i`ii, 0 c -i 26Z Expires 2_-71- 1 O PROJECT ADDRESS C�- k 3 -le r o w st-7e 2 c' /L 1-(e o House garage other tear off re -roof lay over one layer Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) use sidential Multi- family ,0 q G7 e_ Proposed (sq. ft.) 6_1G 00 Total footprint of structures 3 0 sq ft. Lot size G9s Site Coverage the amount of impervious surface on a parcel including structures and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Max. height of proposed structu es ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type TOTAL VALUATION For City Use Only Date Received 5-12 W9 Permit 0 Date Approved Lot Zoning per sq ft. of bedrooms of full baths of half baths Phorie -S 0y- 236 Ph e -_S Z o 4 --3L 7 ekes u(3 A- Phone 3c,6- 4 z 9 z_? Email Commercial Industrial 2no as Gs S OP e r' I O U P1 .4 o� 2n z_go sq ft. Lot coverage f paved driveways sidewalks patios Site coverage Q,1 4 I have read and completed this application and know it 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, and to obtain permits prior to working on projects Date 3( Print Name 0 4 4--) �4 4 e- +T SignaturC mil, T Forms /Building Division /Bldg Perrnit.doc J 1 OF 5 O o I EXISTING I RESIDENCE t 636 SF 15 D' 1 0' I kb 9F II SITE PLAN O 10 WEST 5th STREET 20' SETBACK 50 PHONE 504 2367 PROJECT ADDRESS 635 W 5 TH ST J I G Gx...N v0.1.14 wl-14 1 r 51q t q.D -6 '26-0' 2T PROPOSED GARAGE G7Q, Op 6 I.RAVE APP-0a 50 Y Q u N 1 0' OWNER JOHN HALKINS PANCEL NO. 053000 010140 ZONING RS-7 JURISDICTION CITY OF PORT ANGELES' OCCUPANCY CLASSIFICATION GROUP R -3 TYPE OF CONSTRUCTION V -B AREAS LOT SIZE 7000 SF 50 140 LOT COVERAGE 20 5 I tI5F EXISTING HOUSE 536 SF PROPOSED GARAGE C24 CT I076 5� EXISTING PORCH 46 SF WIND LOADS 50 MPH EXPOSURE SEISMIC ZONE SNOW LOAD 25 PSF LIVE LOAD FLOOR 40 PSF DECK 60 PSF DEAD LOAD FLOOR ROOF 10 PSF DECKS 5 2 SF ASP ALTERNATE BRACED PANEL 37 MIN. WIDTH 10-0 MAX HGT 1 STORY 7/16' PLYWD SHTHG 1 SIDE 8066' EDGES/ 17 FIELD (2) PHD2 SDS3 w/ SSTB16 HOLDDOWNS OR (2) MSTC4O w /26-16d IF UPPER STORY BLOCK ALL HORZ. EDGES DOUBLE STUDS 6 EACH END (2) 1/7121A 10' ANC. BOLTS 1 sr STORY OF 2 STORY 7/16" PLYWD SHTFiG 2 SIDES 80 13 6' EDGES/ 17 0 FIELD (2) PHD2 -SDS3 w/ SSTB16 HOLDDOWN BLOCK ALL HORZ. EDGES DOUBLE STUDS EACH END (2) 1/7 DA. 10 ANC. BOLTS BP BRACED PANEL 48" WIDE MINIMUM 7/18' WOOD STRUCTURAL PANEL 1 SOS 60 EDGES/ 17 0 FIELD NO HOLDDOWNS REQUIRED IBP JOHN HALKETT 504 2367 8 3 6 WEST 5_th ST PORT ANGELFM W A 9 A '465 INTERIOR BRACED PANEL AR WIDE MINIMUM 1/7 GYPSUM BOARD BOTH SIDES NO HOLDDOWNS REQUIRED 5d @T THROUGHOUT WITH ALL HORZ. EDGES BLOCKED OR 50 S 4' THROUGHOUT -NO BLOCKING REQ SUr vR�ED BY EITHER FOUNDATION, `VALE. DOUBLE JOIST OR BLOCKING DRAvxl' DEC 2008 00" IRA 4: ^_nnrn N 820 7, 4., OF 5 NEW LDCA 110.00 Poc2 Mr, i C T3ASf eV kL ©vegat T4 WAG S GiNvce CI? Tn ROLA g c H -V T 1 1 SITE PLAN O 10 I, r 15 1 WEST 5th STREET 20 SE I I:SACK _011 coo A r erl j T� N PROPOSED GARAGE (07 Co ''F 5 cost 6 apl-oP Maave..l,. 50' EXISTING RESIDENCE 636 SF 20 0 0V (1 -1 C9 e Hp/A tQr 42) C,y 21-0" l o" c?2i J) N PHONE 504. 2367 PROJECT ADDRESS 836 W 5 TH ST OWNER JOHN HALKINS PANCEL NO 063000 010140 ZONING RS JURISDICTION CITY OF PORT ANGELES OCCUPANCY CLASSIFICATION GROUP R -3 TYPE OF CONSTRUCTION V -B AREAS LOT SIZE 7000 SF 50' x 140' LOT COVERAGE 20 96 1 EXISTING HOUSE 636 SF PROPOSED GARAGE 6 .,F' 407k, 5(✓ EXISTING PORCH 48 SF WIND LOADS 80 MPH EXPOSURE C SEISMIC ZONE SNOW LOAD 25 PSF LIVE LOAD FLOOR 40 PSF DECK 60 PSF DEAD LOAD FLOOR ROOF 10 PSF DECKS 5 PSF CITY OF PORT ANGELES Constreaciaon Pian The Issuance of this permit based upon these plans, ecifi- cations and other ciafe shall not prevent the building official from thereafter requiring the correcl;on of errors in said pIa ,s, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. UsitIet jej— Approval Date ABP inommisison BP IBP ALTERNATE BRACED PANEL 32" MIN. WIDTH 10 MAX. HGT 1 STORY 7/16" PLYWD SHTH'G -1 SIDE 81 EDGES/ 12" (2) PHD2 -SDS3 w/ SSTB16 HOLDDOWNS OR (2) MSTC40 w /28 -16d IF UPPER STORY BLOCK ALL HORZ. EDGES DOUBLE STUDS EACH END (2) 1/2" DIA x 10' ANC. BOLTS 1 st STORY OF 2 STORY 7/16" PL''WD SHTH'G 2 SIDES 8d "oc EDGES/ 12 (2) PHD2 -SDS3 w/ SSTB16 HOLDDOWN BLOCK ALL HORZ. EDGES DOUBLE STUDS EACH END (2) 1/2" DIA x 10 ANC. BOLTS BRACED PANEL 48' WIDE MINIMUM 7/16' WOOD STRUCTURAL PANEL -1 SIDE 6d C✓' 6' oc EDGES/ 12" oc FIELD NO HOLDDOWNS REQUIRED INTERIOR BRACED PANEL 48" WIDE MINIMUM 1/7 GYPSUM BOARD BOTH SIDES NO HOLDDOWNS REQUIRED 5d 07' oc THROUGHOUT WITH ALL HORZ. EDGES BLOCKED OR 5d 4 oc THROUGHOUT -NO BLOCKING REQ SUPPORTED BY EITHER FOUNDATION, WALL, DOUBLE JOIST OR BLOCKING JOHN H A LL K E T I 504 23007 DRAWN DEC 2008 836 WEST_ 5tr_ ST_ PORT ANGELES, __9.41 ___DON SCHUBA 452 -0207 aoaAnif k, LGC, VMi "c\ W /CON (N WALL Z2iV I:r Kt w f t C M TES W/ CON PO 1I IN wain FOUNDATION PLAN OF a b COistG wow w/ A- .rt• N 0' 26 0" 241 l- o (L/ ,.011 G gj' -O �j` O" 54 '7 `/2 6P1-i, 24 vk b� GPM6Ei2 0 t ti eot rG P F dolma.... I J 4' -o" JOHN H A L K E T T 504 -2367 8 3 6 WEST 5th ST PORT ,ANGELES, W A 9 8 3 6 2 T ae4-"r (/T4-. mo w/ fitOTO M V L461-1 i FLOOR PLAN 0 4 N N L II r DRAWN DEC 2008 DON SCHUBA 452 -0207 3 OININIMM 1 ROOF FRAMING PLAN 0 1 67 x 13' /b, &1.13 2-4F VA- r*,'b* I I I 0A j 0 31 I I 113' -0" 11/44 p0 1 TE t• I NG 1, ->r�v I: D,G I I I I I I I I I I I I I I I I I I I 12 I I I I I I I I I 1 I 1 I i I std -Du V 'k' t OF 5 8 3 0 WEST 5 th ST PORT ANGELES, W A 9 8 3 0 2 JOHN H A L K E 1 T 504 2307 024 oe. 0 4 r SOUTH ELEVATION 0 12 o DRAWN DEC 2008 DON SCHUBA 452 -0207 FL-1 SL 4 ELEVATIONS 0 4 OF 9I L -4 1PVt pL4 191N(a Gem 1 IrE ZNiNGL.ES 2 NORTH 1 pL.PN It-- i ��lhl lJ(p k Ada p- 1 4' I L GONG GiTGbp JOHN HALKETT 504 -2367 8 3 6 WEST 5th ST PORT ANGELES, W A 9 8 3 6 2 EAST WEST DRAWN DEC 2008 DON SCHUSA 452 -0207 5 PREMANUF TRUSSES 24 oc 12 1 5 'OT of G i6, (0 G[47 O i Z% A- O{2- C" 2x6 STUD Cdr 10 o.c. s/ 2 x 6 PT SILL 1/2' x 10' ANCHOR BOLT 6-0" OG w/ 2`x7x3/16' PL WASHER 6 MIL POLY Y 4 CONG. SLAB 4 GRAVEL #4 HORZ. 6 FROM TOP #4 48'OC VERT 2 #4 CONT COMPOSITE SHINGLES #30 FELT 5/8' OSB TYPICAL WALL SECTION 0 =1::m17:] 1 _0. 1111111111 H1 CLIP g EA TRUSS 2 -0' OF S. 8 36 WEST 5 th ST PORT ANGELES, WA 98362 1 4 0 s OFp4r HARDIPLANK TYVEK 7/16 OSB JOHN HALKETT 504 -2367 PREPARED 3/06/09 8 49 25 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS 836 W 5TH ST TENANT NBR JOHN HALKETT CONTRACTOR MICHAEL RIVERS CONST OWNER JOHN H HALKETT PARCEL 06 30 00 0 1 0140 0000 APPL NUMBER 09 00000082 RES FOUNDATION ONLY PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLFW 01 3/0¢/09 JLL SUBDIV BLDG FOUND FTG /STEM WALL TIME 01 00 March 6 2009 8 44 13 AM 1pangrle FRED 460 8063 FOOTING /STEMWALL AFTERNOON COMMENTS AND NOTES PHONE (360) 452 9292 PHONE (360) 504 2367 dEo dlc- PAGE 4 DATE 3/06/09 Application Number 09 00000082 Date 2/11/09 Application pin number 089126 Property Address 836 W 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 0140 0000 Tenant nbr name JOHN HALKETT Application type description RES FOUNDATION ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 4500 Application desc NEW 676 SQ FT FOUNDATION FOR FUTURE GARAGE Owner Contractor JOHN H HALKETT 836 W 5TH ST PORT ANGELES (360) 504 2367 Other Fees W I/ .aLf) r T.FormsBuilding Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 WA 98363 MICHAEL RIVERS CONST P 0 BOX 4074 PORT ANGELES (360) 452 9292 WA 98362 Permit BUILDING PERMIT RESIDENTIAL Additional desc 676 SF GARAGE FOUNDATION Permit pin number 140749 Permit Fee 137 75 Plan Check Fee 89 54 Issue Date 2/11/09 Valuation 4500 Expiration Date 8/10/09 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL -2001 25K (14 PER K) 42 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments February 5 2009 3 53 12 PM sroberds The proposal is a foundation only at this point for a future garage The location of the foundation is appropriate for a detached garage in the RS 7 zone No land use issues are anticipated at this time Any modifications to the City s electrical facilities will be at the customer s expense MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and electrical permits are required The existing sewer lateral may be located under proposed foundation Any damage to this line requires an inspection by Public Works Engineering before covering the repair Call 417 4831 for inspection STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due 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 has commenced, or if required inspections have not been requested within 180 days from the last ins tion 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 nances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to giv it ority to violate or cancel the provisions of any state or ocal law regulating c or th perfo a anc�of construction. IOU bate Print Name Signatie of Contractor or Authorized Agent Ro 6 -25 Signature of Owner (if owner is builder) IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor I Shear Wall Hold Downs Walls Roof Ceiling I Drywall (Interior Braced Panel Only) I T -Bar I INSULATION Slab Wall Floor Ceiling I I MECHANICAL. Heat Pump Furnace FAU Ducts I Rough -In Gas Line I Wood Stove Pellet Chimney I Commercial Hood Ducts MANUFACTURED HOMES Footing Slab I Blocking Hold Downs I Skirting I PLANNING DEPT Separate Permit #s SEPA. Parking Lighting ESA. Landscaping I SHORELINE. T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Date Accepted By CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Page 2 Application Number 09 00000082 Date 2/11/09 Application pin number 089126 Permit Fee Total 137 75 137 75 00 00 Plan Check Total 89 54 89 54 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 231 79 231 79 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 has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding DivisionBuilding Permit FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking Lighting Landscaping BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments 3/6 /o9 Inspection Type pe, i 20 U FR ol< 0 N FINAL Date Accepted by 00 FINAL Date Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 (Q -25 -09 I 5 �erm`I- 4 4 69 for *ve, due t-4 o e, fih. ob. -z5-09 <pi 6-- F c T:Forms /Building Division /Building Permit t� 1(91I A i i4 40E 7 Property Owner .To lt,__D 1-14 -(_K E Property Owner's Address ,fc Contractor /Engineer )2c s ConslivctiohPhone Contractor /Engineer's Address pr, pox 1 -tri74 PA W A- q License r .rrd 21 RCS Expires 12,- Z7 -20i0 E -mail PROJECT ADDRESS ¶3 5 69 2f -,c el es s "363 Applicant or Agent Parcel Number Proiect Type Brief Descriotion. (Residential Check all that apply New Construction Addition Remodel Repair Re -roof ;Demolition Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor o Garage SL-e' o0 Carport"- Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 4)V tit fie 1 -M S r- 63&- i- Lt$ =6a9 SF t' Li Total footprint of structures In re KW- 5 a.r e, S Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? F ')Ac-)2e f Commercial a n ti d4---) m Existing (sq. ft.) Proposed (sq. ft.) frittit 107 (0 03618ito sq. ft. Lot size to, 6 l D 66 H 1, s-F ft. Occupancy group Occupant load Construction type For City Use Only Date Received O9 Permit nQ- $Z Date Approved 2111 0 1 Phone SD y Z3 7 Phone Lot Zoning Multi- family oOKI 076, 0 1 S 1 01 y Ca44Z- Heat pump wood burning stove gas fireplace pellet stove other TOTAL VALUATION 360 4 29'2- per sq. ft. Industrial ‘f cL7 sq. ft. Lot coverage l 9.� I e-i- c of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply forth understand that it is my responsibility to determine what permits are required, and to obtain permits prior projects. ll Date 'Z�v )a Print Name h 'K c Signature R permit and o working on r rt 1 SITE PLAN OF 51 0' 10 o EXISTING RESIDENCE c 636 SF I. I5 O' 20 0 J I I WEST 5th STREET 50 20 SETBACK F" '1 /1 n. J r� PROPOSED GARAGE 6 it 5' cop c Arp-60 loPAV l;L PROJECT ADDRESS 836 W 5 TH ST 4139F 4 (9 QL-0' :1 u FacWif'� GvNG. WA* I JOHN H A L K E T I ABP BP 5O' 2367 8 3 6 'EST 5_ ST, PORT ANGELES, \MA 9_8 A.62 OWNER JOHN HALKINS PHONE 504 2367 PARCEL NO. 063000 00140 ZONING 25-7 JURISDICTION CITY OF PORT ANGELES OCCUPANCY CLASSIFICATION GROUP 5 -3 TYPE OF CONSTRUCTION V -B AREAS LOT SIZE 7000 SF 5O x 140 LOT COVERAGE -14066.5r' 20 (3405F EXISTING HOUSE 636 SF PROPOSED GARAGE C- (o75 6� EXISTING PORCH 48 SF WIND LOADS 80 MPH EXPOSURE G SEISMIC ZONE SNOW LOAD 25 PSF LIVE LOAD FLOOR 40 PSF DECK 60 PSF DEAD LOAD FLOOR E ROOF 10 PSF DECKS 5 PSF ALTERNATE BRACED PANEL 37 MIN. WIDTH 10'-0' MAX HOT 1 STORY 7/16 PLYWD SHTHG 1 SIDE 84 0 6' EDGES/ 17 oc FIELD (2) PHD2 SDSS w/ SOTB16 HOLDDOWNS OR (2) MSTC40 w /28-16d IF UPPER STORY BLOCK ALL HORZ. EDGES DOUBLE STUDS S EACH END (2) 1/7 DIA x 10' ANC. BOLTS 1 sr STORY OF 2 STORY 7/16 PLYWD SHTHG 2 SIDES 84 0 6 EDGES/ 17 oc FIELD (2) PHD2 -SDS3 w/ SSTS16 HOLDDOWN BLOCK ALL HORZ. EDGES DOUBLE STUDS S EACH END (2) 1/7 DIA 1O ANC. BOLTS BRACED PANEL 48' WIDE MINIMUM 716' WOOD STRUCTURAL PANEL 1 SIDE 64 6 EDGES/ 17 oc FIELD NO HOLDDOWNS REQUIRED IBP INTERIOR BRACED PANEL 48' WIDE MINIMUM 1/7 GYPSUM BOARD BOTH SIDES NO HOLDDOWNS 'REQUIRED 54 07 THROUGHOUT WITH ALL HORZ. EDGES BLOCKED OR 54 04' oc THROUGHOUT -NO BLOCKING REQ I SUPPORTED BY EITHER FOUNDATION, WALL. DOUBLE JOIST OR BLOCKING DRAWN DEG 2008 DON SCHUBA 452-0207 I' SITE PLAN OF 5 0 r 10 15 EY) L WEST 5th STREET 20' SE I t3ACK 0 I N 50' PHONE 504 2367 PROJECT ADDRESS 836 W 5 TH ST PROPOSED GARAGE 01 C7 L r r o� f1 9 a n y N C g-, n n 2 sa 0 636 SF 2S' o r EXISTING RESIDENCE 0 11, ns 50' 10' SET 4a SF c ,Y1 tn N Ge,NG VJAtI.w JOHN H A r� K E T T 504 2367 OWNER JOHN HALKINS PANCEL NO 063000 010140 ZONING RS-7 JURISDICTION CITY OF PORT ANGELES OCCUPANCY CLASSIFICATION GROUP R -3 TYPE OF CONSTRUCTION V -B AREAS LOT SIZE 7000 SF 50' x 140 LOT COVERAGE -14 20 16,9 EXISTING HOUSE 6636 SF PROPOSED GARAGE 6-24.-5F (9 EXISTING PORCH 46 SF WIND LOADS 80 MPH EXPOSURE C SEISMIC ZONE SNOW LOAD 25 PSF LIVE LOAD FLOOR 40 PSF DECK 60 PSF DEAD LOAD FLOOR e. ROOF 10 PSF DECKS 5 PSF ABP ALTERNATE BRACED PANEL 32" MIN. WIDTH 10' -0" MAX. HGT 1 STORY 7116" PLYWD SHTH'G -1 SIDE 8d /12" (2) PHD2 -SDS3 w/ SSTB16 HOLDDOWNS OR (2) MSTC40 w/28-16d IF UPPER STORY BLOCK ALL HORZ. EDGES DOUBLE STUDS 0 EACH END (2) 1/2" DIA. x 10' ANC. BOLTS 1 sr STORY OF 2 STORY 7/16" PLYWD SHTH'G 2 SIDES 8d OP 6" oc EDGES/ 12" oc RELD (2) PHD2 -SDS3 w/ SSTB16 HOLDDOWN BLOCK ALL HORZ. EDGES DOUBLE STUDS EACH END (2) 1/2" DI?. x 10 ANC. BOLTS BP BRACED PANEL 48" WIDE MINIMUM 7/16" WOOD STRUCTURAL PANEL -1 SIDE 6d 0 6' oc EDGES/ 12" oc FIELD NO HOLDDOWNS REQUIRED IBP INTERIOR BRACED PANEL 48" WIDE MINIMUM 1/2' GYPSUM BOARD BOTH SIDES NO HOLDDOWNS REQUIRED 5d 07' oc THROUGHOUT WITH ALL HORZ. EDGES BLOCKED OR 5d 0 4 oc THROUGHOUT -NO BLOCKING REQ SUPPORTED BY EITHER FOUNDATION, WALL, DOUBLE JOIST OR BLOCKING DRAWN DEC 2008 8 3 6 WEST_ 5th_ ST PORT ANGELES, _W. A. _98 t_6_2 DON SCHUBA 452 -0207 *c k 1 x FOUN `t14N 91,1 4. F r. Q 07 90 I ti G D n o I I i i i k" 640o 47047 1 I 1 1 h11 ©it'll l cJ i a 1t v 0, _"1� {n t 1 jV, 6 p 7, e ;65-41\ 0" P ©V �GErES 83 6W Sth9 o Z SO4 -2301 9x562 •■h ROOF FRAMING PLAN O Z6 0 1 I I I I I I I I 1 I I I I I I I I I I I I I I I I I I I I Ia -IoGl I I I I I I I I I I I I S /2 �4 X 13'/6, 6i.13 24F I 70Awke I D e2 �c�R ITE e2kIN &1-E 3 JOHN H A L K T T 504 2367 OF 5 8 3 6 WEST .5 th ST PORT ANGELES, W A 9 8 3 6 2 2-O SOUTH ELEVATION O 4 Iza 0 0 DRAWN DEC 2008 DON SCHUBA 452 -0207 4 ELEVATIONS 0 OF 5 r F I, PV t'I,k•W-- L F-L L 4 L 4 GONG Ta p J GoMposiTE ZNiNGI, 42 2 JOHN H A L K E r' T 504 -2367 8 3 6 WEST 5th ST PORT ANGELES, W A 9 8 3 6 2 NORTH -_Th 14-Al2-9117I.PN{4 17I IJ(� t7oO p- I EAST WEST 11 DRAWN DEC 2008 DON SGHUBA 452 -0207 12 PREMANUF TRUSSES C� 24 oc s 214 012. V 2x6 STUD Q 16 o.c. 2x6 PT SILL 1/2' x 10' ANCHOR BOLT C+9 6-0' OC w/ 2 "x2x3/10 PL WASHER 6 MIL POLY Y 4 CONC. SLAB 4 GRAVEL to 01- Gi P i #4 460C VERT 2 #4 CONT G�V TYPICAL WALL SECTION COMPOSITE SHINGLES #30 FELT 5/8 O5B I >G T-0" 2 -0" H1 CLIP aci EA TRUSS 0 S oFF 4 T HARDIPLANK TYVEK 7/16 OSB JOHN H1ALKETT 504 -2367 8 36 WEST 5 th ST PORT ANGELES, WA 9 8362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Detached garage with 5 circuits Halkett John 836 w 5 st PORT ANGELES WA 98363 Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS 67 50 00 67 50 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 09 00000089 659425 836 W 5TH ST 06 30 00 0 1 0140 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 and future ditch Owner Contractor OWNER Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 140913 Permit Fee 67 50 Plan Check Fee Issue Date 1/28/09 Valuation Expiration Date 7/27/09 Qty Unit Charge Per 5 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT 1 00 57 5000 ECH EL R OUTBD /DTCH GAR IN /SEP Paid Credited 67 50 00 67 50 DATE /zzfn� a 00 00 00 Date 1/28/09 0 0 Extension 10 00 57 50 Due 00 00 00 RESULTS tt,? Signature of owner or Electrical Contractor X Date INSPECTOR. City of Port Angeles Permit Application Building Division /Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362 Ph. (360) 417 -4735 Fax: (360) 417-4711 Date: 1/249' 54-1 2 Single Family Dwelling Multi- Family or Commercial* Commercial Addition I Alteration Remodel Repair* Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: R 3h t c) S r Building Square Footage: Description of above 171g._1 -1%-D CoA IzA 4. V i GH 1 .iz. ?=u u rzYz Owner Information Name:- 3oi -lwl H 14t_Kf I Mailing_Address: R 3& a 1 s 1 City State. '34 Zip. i /o3 Phone. '9 23t,7 Fax: License Exp. Unit Charge 93.75 $11375 $160.00 $205.00 $291.25 2.00 57.50 2.00 72.50 86.25 $116.25 $131..25 75.00 69.00 75.00 50.00 50.00 93.75 80.00 86.25 27.50 57.50 86.25 43.75 1l RECEIVED JAN 2 8 2009 UCH' DEPT Signature of owner electrical contractor or electrical administrator Cash rv/ C► 12c rr4 2v 'L5 e- Contractor Information Name' Mailing Addres City Phone: License Exp State. Fax: Total (Qtv Multiplied by Unit Charael Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp. Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder /0 Q° Each Additional Branch Circuit Temp. Service/ Feeder 200 Amp Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit Limited Energy Commercial Signal Circuit/ Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of S7 Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub Thermostat (=7 SO Total Owner as defined by RCW 19.28.261 (1) 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 installation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. Date. I i Check Credit Card z. e IMO PREPARED 2/20/09 8 36 55 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/20/09 ADDRESS 836 W 5TH ST SUBDIV TENANT NBR JOHN H HALKETT CONTRACTOR PHONE OWNER JOHN H HALKETT PHONE (360) 504 2367 PARCEL 06 30 00 0 1 0140 0000 APPL NUMBER 09 00000081 DEMOLITION PERMIT DEMO 00 DEMOLITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 2/20/09 4 BLDG FINAL February 20 2009 8 32 13 AM 1pangrle /WV JOHN 504 2369 1 BLDG FINAL DEMO GARAGE COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 00000081 Application pin number 547201 Property Address 836 W 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 0140 0000 Tenant nbr name JOHN H HALKETT Application type description DEMOLITION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 100 Application desc DEMOLISH 576 SF GARAGE Owner Contractor JOHN H HALKETT OWNER 836 W 5TH ST PORT ANGELES WA 98363 (360) 504 2367 Structure Information 000 000 DEMOLISH 576 SF GARAGE Qty Unit Charge Per Other Fees Fee summary BASE FEE Special Notes and Comments The Fire Department has reviewed the project application and has no comments February 5 2009 11 43 38 AM sroberds The permit is to demolish an existing garage No land use issues anticipated MAINTAIN CLEARANCES FROM SERVICE WIRES An approved Public Works Waste Disposal Application is required prior to taking material to transfer station Date 2/11/09 Permit DEMOLITION Additional desc DEMOLISH 576 SF GARAGE Permit pin number 140731 Permit Fee 50 00 Plan Check Fee 00 Issue Date 2/11/09 Valuation 0 Expiration Date 8/10/09 Extension 50 00 STATE SURCHARGE 4 50 Charged Paid Credited Due Permit Fee Total 50 00 50 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 54 50 54 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 has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agen T:Forms/Building Division/Building Permit Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking Lighting Landscaping T /Building Division /Building Permit FINAL Date Accepted by FINAL Date Accepted by SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Sincerely, �lMr�u(t, pORT NGELES W A S H I N G T O N U S A Public Works Utilities Department January 26 2009 John Halkett 836 W 5 Street Port Angeles, WA 98363 IA) DA--0 RE Port Angeles Landfill Transfer Waste Disposal Application, WDA 09 -03 building demolition at 836 W 5 Street We have received your application for disposal ofbuilding demolition debns from the referenced site and reviewed the application. Based on the information submitted the debris appears to be acceptable for disposal at the transfer station. A copy of your approved application is attached. This approved application must be shown to the transfer station scale attendant at the time of disposal. Please be advised that this disposal application is only for the matenals and quantities listed in the application. Matenals not listed or in excess of the quantities noted may require separate applications and approval. Please call if you have questions. Stephen Sperr, P.E. City Engineer Encl. WDA 09 -03 Copy Claudia Stromski N:\PWKS \ENGINEER \WDAPPLIC 09 -03 File: Landfill Solid Waste Disposal Applications Phone 360 -417 -4805 Fax 360- 417 -4542 Website www cityofpa.us Email publicworks @cityofpa.us 321 East Fifth Street P 0 Box 1150 Port Angeles, WA 98362 -0217 c) pORTA �1 NMI m -c AKS AN 1 Phone To City of Port Angeles City Engineer 321 E Fifth Street P O Box 1150 Port Angeles Washington 98362 l�7 bAr Oct— 03 See, 1 0 Pear mi PORT ANGELES LANDFILL a 09— g WASTE DISPOSAL APPLICATION Phone (360) 417 -4803 FAX. (360) 417 -4709 NOTE All questions must be answered for waste to be approved 1 Generator Information Company Name C 0 11 ,c) f�E?T Mailing Address c tom 5 Pc(a ej 5'k 3 Contact: J Phone Q ,50cez, St) `i Z3 C,7 Project Name Project Location 3l� c� 5 5�: Wort ic��� 1.0 "1- c� 2. Other Contacts (if applicable) Consulting Firm Contact: Phone Contractor Name Contact: Laboratory* Contact. Phone City of nr Angeles Landfill Waste Dispose r.',plication Page 1 of 5 i 3 Source of Waste Check the appropriate box below and briefly describe the project, process and /or cleanup that will or has produced the waste requiring disposal Include the gasoline service station number (if applicable) CERCLA/MTCA Remediation Agency Contact: Independent Remedial Action UST Removal Unused Chemical Product Spill Other Source 4 Waste Material Composition (check all that apply and include percent of total) Soil Concrete /Asphalt Preserved Wood Coal Ash Wood Ash NOTE Total must equal 100% Unknown OA A JO 4Q� grti,c)7 5 Waste Material Contaminants (check all that apply) Foundry Slag Dredge Sediments Debris Other (list) Gasoline Metals Solvents Heating Oil Unused Motor Oil Used Motor Oil /Waste Oil Other Other Petroleum Product NOTE Supply any MSDS information with application if available Diesel PCBs Cy pg.: k s L .4 6 City of Port Angeles Lanc. 'I VVP,ste Disposal App ication Page 2 of 5 6 Estimated Quantity of Waste for Disposal .2 ‘1 S Cubic yards Drums Other 7 Frequency of Disposal One time Number of DISCRETE samples NOTE 1 NOTE 2 0 -25 25 100 101 500 501 1000 1001 2000 >2000 cubic yards cubic yards cubic yards cubic yards cubic yards cubic yards Monthly Tons (estimate both) Tons (estimate both) NOTE Estimated quantity for disposal must be within 20% of the quantity actually disposed (10% for projects over 7 500 tons or 5 000 cubic yards 1 composite sample 3 composite samples 5 composite samples 7 composite samples 10 composite samples Annual Other 8 Waste Sampling Proper characterization of the waste for disposal requires the collection of representative samples The methods and equipment necessary for obtaining representative samples of a waste and the frequency of sampling will vary with the type and form of the waste Check the appropriate box and briefly describe how and where the waste was sampled Include site maps with sampling locations if possible Number of COMPOSITE samples number of discrete samples per composite Unless prior approval has been granted by Port Angeles the following sampling frequency will be used 10 plus one sample for each additional 500 cubic yards One composite sample shall contain a minimum of three /maxiriurn of five discrete samples City of Port Al aeles Lardfill Waste Disposal P c ,tion Page 3 of 5 9 Waste Analysis The Dangerous Waste Regulations (WAC 173 -303) shall be utilized to determine the appropriate analytical requirements for waste characterization Ecology Publication #91 30 (Revised April 1994) Guidance for Remediation of Petroleum Contaminated Soils shall also be used to characterize petroleum contaminated soils from UST releases Submit all laboratory analytical results QA/QC data, and Chain of Custody sheets along with this application (NOTE The laboratory must be accredited by the Washington State Department of Ecology a) List all analytical test methods used b) Provide a narrative as to why the above analytical methods were selected NOTE Additional sheets attached YES NO 10 Soil Classification *FOR PETROLEUM CONTAMINATED SOILS ONLY Based on the analytical data and Ecology Publication #91 -30 the soil classification is (check one) Class 1 Class 2 Calculated Hazard Index 11 Dangerous Waste Affidavit. Dangerous Waste (DW) Extremely Hazardous Waste (EHW) and Waste Code Class 3 Class 4 Based on a review of the analytical test results site history and the applicable regulations this waste is classified as (check one) Neither Dangerous Waste (DW) nor Extremely Hazardous Waste (EHW) and Waste Code City of Por Angeles Lanufiil W Qte Disposal Application Page 4c 3 Certification 1 12 Special Notes for Asbestos Disposal All asbestos containing materials (with the exception of roofing material in good condition that is not peeling cracking or crumbling with petroleum based binder that still exhibits plasticity to prevent the release of asbestos fibers) must: be tightly wrapped or bagged in 6 mil plastic with no excess air in the packaging not exceed 50 pounds per bundle be labeled as asbestos with required information regarding its origin be transported with a manifest in the vehicle arrive at the transfer station only by appointment with Brian Tate of Waste Connections so that the material can be deposited in a lock box (his cell number is 360 -912 7080) We THE UNDERSIGNED certify that this application is true to the best of our knowledge All information provided is correct and the -n'closed analytical results represent the propose aste material to the bes our abilities Was Printed Name City Engineer /ZIP /0 1 Date enerator Signature r Date City of Port Angeles Approval 412_11 DPI Company )wLosix-- 4-p-vou Approval Expiration bate N \PWKS \ENGINEER \Waste D :osal Appli.adc: \waste disposal application 20C version.wpd City ct Port Ai r Landfill Waste Dis; osal A. p c i.r Page 5 of 5 Floor Areas Applicant or Agent Property Owner Parcel Number Proiect Tvne Brief Des Check all that apply Jew Construction Addition Remodel Repair Re -roof jdDemolition Heat System Other Basement 1 Floor 2nd Floor 3 Floor Garage 17¢04o Carport Covered Porch Deck Shed Other BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 c 1(9% At.1 gig-Lee-r- To li (-4-c_k Property Owner's Address ic 3&, S +1' 5 Contractor/Engineer s' r 1 0' Contractor /Engineer's Address License crintion. Expires' PROJECT ADDRESS 3 G s 1--4 s (2-+- lq-i efeS 9 Lot Zoning g5---7 X I-Residential Commercial Multi- family Industrial t m o a 4}txZz1 s ubnn I Ierl a tpas dks pasQl a-n r a h t-o fitf t\ ict F WO Rex ..0 cle WO S l ab e-1 Roof t'ro.ns S417:thon 1J o Le- ►�d P o a� ..53 A/c) Clete c p- ceDa- T5c id Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) Total footprint of structures sq. ft. T Lot size Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type -Z 3 6 7 Z3' 7 Pho e hone "bo ;t t.:j E -mail per sq. ft. For City Use Only Date Received I-23 Permit 0' I Date Approved TOTAL VALUATION /v c eT) sq. ft. Lot coverage of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits rr required, and to obtain permits prior to workin projects. Date t (2-3 a Print Name SignaturE� 1`` -A- ,re Gone w(11 Duna 39 -V• 82 qr *1 4 *it 81 r Owner GLADAN DAVID 836 W 5TH ST PORT ANGELES (360) 457 -7400 T• \PLANMNG\FORMS \1102.15 [11/14/2003] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 04 00000249 Date 3/30/04 Pin number 870707 Property Address 836 W 5TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 1 0140 0000 Application description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 WA 98362 Contractor OWNER Permit ELECTRICAL ALTER RESIDENTIAL Additional desc REPLACE FURNACE Sub Contractor OLYMPIC ELECTRIC Permit Fee 46 70 Plan Check Fee 00 Issue Date 3/30/04 Valuation 0 Expiration Date 9/26/04 Qty Unit Charge Per 1 00 46 7000 ECH EL -R OR RM 1 -4 ALT CIRCUITS Fee summary Charged Paid Credited Due Permit Fee Total 46 70 46 70 00 00 Plan Check Total 00 00 00 00 Grand Total 46 70 46 70 00 00 Extension 46 70 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE /DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT ROUGH -IN PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE PELLET CHIMNEY HOOD DUCTS PW UTILITIES SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE METER SEWER CONNECTION SANITARY STORM PLANNING D EPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \PLANNING \FORMS \1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO 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 SEPA. ESA. SHORELINE. ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15146 Port Angeles, Washlngtonm.r::.:::hh_.~._._....mm___"'hm___________., 19.]...,~ In accordance with the City Ordinance to regulate the installatlon, extensIon, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address .m~'[h3..__(,'2.mh.hl~Lh.~.h..Ll'\.hh_m_h_.mh'" Occupancy___.n....-!J.!=:.-__m.._....__..._ ~:~:: ~:~:::~~.S:~:,::::~~:~~1ig~~{:~~:;::::::::::::::---::-:::::::::::::::::::::::::::::::::::::::::::::::::::: Light Outlets.___....___..........___.................. Receptacle Outlets............................... Dryer, K\Vi .un.u..............h.................. Range, KW m..m.m.......... Water Heater: KW.....h Heat: RW..............................n............._ Motors: size. volts and phase: Total Load..............._.....__...... Service, volts ..l~g_::::.?:.._.t.j...S?_... No. wires ............~....__...._...___..._ . %/ LfJ Size wlres_m._.....~__...._.............__.. y ~ Main fuse ___:___~.~../L____ Enclosure ......................._.__...._____... Type of wiring: Entrance Cable _....____...___.......___.... Rigid Conduit _..........'::::................ Metall1c Tubing ....m..............___._. Current transformers: No. & Size___..__._.______....____...____.._..___ Ser. No...................___.........____.....__.... Ser. No.,......_........................_..__.....__.. Ser. No......._.._......................_______.____ Ser. No...._....____.......................__..._____ Type of Wiring: Armored Cable _.._______....._..._.......__ Non-l\letaIUc ..........................__..... Knob & Tube___......._............____...... Rigid Conduit ..n.....__.....___.......__... MetallJc Tubing mmm____._............ Race\vay .....n.__......._____.._.._____..._...... Circuits, LighL............__......._........m_... Utility ..__..._____..__..........__................. Heat Range .........____.............._....____.....____ Water Heater ............................___ Motor ______.....____...____.____.___...____....._ Dryer......___...___._......_..________....____..__.... Furnace .-.......................'_..m..... Total..........._____.____.____......__._... Remarks: nnooooh..h..oo.nh.mnn.n.nnmh_nnn...._n__oomh.hh___m.__n____.oooo_m.h....mm.n_...._..oomoomm.ooh.hh____oo_..___. Permit Fee $h_.___....________oommoo___moo. Treas. Receipt No..__.______oo____..___.._... By n_i{/."<f...~..h_h:...___.._________...._.oo__m..noo NOTICE--Current must not be turned on until Cert1f1cate of Inspection has been issued. It work is to be con. cealed due notice must be given the Inspector 80 that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ~ crD 1\ G/) ..---nA kr.JJ C/Jt.UAr' ELECTRICAL PERMIT Nf! 15146 Date called lo~<:?nsP.~t1fm----nk.cJ.......n~.nL~n'---n...n-_n...mnn........---......mnn......n nn........Z::::.._J,;>__."'_....J....'-L.nn_._.... ~::~~::::ry~::~::~~:~~:::::::::::::::.:::::::::::::::::_::::::::::::::::":::::._:::::::::::::::::::::::~:;::=:::::::::::::::: 1M 3.72 Olympic Printers, Inc. Total Load ..u____...____.____..._....____......................_____..__...n_______.. ....__.._____.............n.........................__..._n_............__._nn__.~~......_.n..._ j350.j.,7...7, , I4J 01 . 2/ 'I 03/25/2004 13:36 FAX 3604523498 7-,~-O~; Q:664MiCIT~ PORT ANG~L~S OL1~PIC ELECTRIC ti , I ~ ELECTRICAL PERMIT APPLICATION fOR ClPFtCU,l. usa CUllt.v - "'--iI-=' -- -- fc.1JJ OwnefatEla..CanIro"""Aoont Olympic Electric Co., Inc. Ph..., 457-5303 PftlportyOomor; 'j)AVt./ ~/~~.n -.....: {(roC v ~ Clty: J6rf-A~vkr E_eonlllClDr. Olympic Electric Co., Inc. L1_1: a.~lE",,: ~ 4230 Tumwater a~ Port Angeles INSTAllATION WIRED ay: 0 OWNER ill ELECn:tICAl CONTRACTOR Th. E 18QtrIcal 1=I.",(f Applic8(jon Ift_! bI ttlled 01.1' eotrI"'''' P..... oype at "',,"nlln Ink. If you hove any Q....,_ p_..n (310) .11..1'5 fax nurnbv,.; (300) 417,",,711 et.f - ;z '19 Fax: "52-3498 ,/.,7-7~&?c? Z1~: '?J1;f..7 p_: 457-5303 lip: 98363 PhOne: 3/31/03 CrHltc.rd~""": Charles T. Burkhardt, Olympic Electric Co., Inc. 81111118 AddrN4: Same CnIdIt Card Number. City: &p. DBI8: ~r/ 4"/,J ".I" - o New ~lIon1Addlllon Zip: VISA: X Me: PllG./ECT _: %J6 ;./60 Check illllhst apply: TYPE OF WORK: G'f'les/dentlal 0 Multi-family o Commercial 0 Mobile Home SQ. Fl o Ramol8 Meter ODelached garage [] Hol Tub 0 Swim Pool [] Septic Pump . [] Law Voltage [] Telaoom. 0 SIg Number of CJrcultII 8dcIeeI or BItarad: I OES.CRlFTION OF THE ELECTRICAl. PIlQJECT: ~ ~ ;::;-r/7~7/"<", Cl Baaebosnl 01'.- o_tPump OF_Willi KW =uiKW TON LAR -KW- ~'fPI~D 8el'ViCB IftlDrInIItmn E".c:t",",-II ,""..... Addltlan. and Dr aubtr'Ktlon. o Owmeed SBlVlce o Temp SeMce Cl Undergtl)Ulld Sorvlce Vol1Bge: I'lIass: 0 1 D 3 SllfVi"" Slzo: Feeder 5120:__ . PAMC 14.05.060(8): For industllaJ, commerci8l. & nmklenlisl prtljects latger than 0 duPl8IC. a OIIe -line dlawl~ of the ElBCIrieal8erviao 6 FIIeCl8l1I. building SIZe (SE!. n.). "*' c:sIculatlona. encllhe type & of c:onauc:lllnl sndIDI' _BY I9l9llUlred and BhallBCCOlTlPllllY!he EleclJlc:al PemIIt appIlcatlon. I hereby certify thaI I have retJd IUId examined this apP//cBtion and know thaI same /0 b6 ttue and correct. encJ I 81 authorlzed to apply for this permit. IlJnderstand'it Is nol the City's JegsJ msponsibility 10 determine what petm/ts are reqlJlred; it remains the BPP!nnts fTiI$POIIaibltity 10 determine what permits are required snd /0 obtein such. &;00 of!- #' "2.. T P () (:.- )j~ 3 \zfl(O i - Cted.e.nt_"Ba.........: 0._ '" l!_ ConL e.....tu"', D....: pw.90191l'108 t./h. - ;1m -iu~r ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: PV system NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 6/16/2022 22-294 TAP OWNER CONTRACTOR Solgen Power PROJECT ADDRESS 836 W 5th St