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Home My WebLink About2504 W 16th St - BuildingApplication Number Pin number Property Address ASSESSOR PARCEL NUMBER Application description Subdivision Name Property Use Property Zoning Application valuation 04 00001182 395876 2504 W 16TH ST 06 30 00 4 4 0010 0000 RES MANUFACTURED HOME RS9 RESDNTL SINGLE FAMILY 77444 Owner Contractor PECK BARBARA JH CONSTRUCTION 212 FASOLA RD 708 3 CRABS RD SEQUIM WA 98382 SEQUIM (360) 681 2818 (360) 681 0871 Structure Information 1680 MFG HOME 576 GARAGE Construction Type TYPE V NON RATED Occupancy Type SINGLE FAM CONGREGATES Other struct info TOTAL LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit ELECTRICAL ALTER RESIDENTIAL Additional desc QUALITY EL/ 1 4 CIRCUIT GARAGE Sub Contractor QUALITY ELECTRIC Permit Fee 48 10 Plan Check Fee 00. Issue Date 2/18/05 Valuation 0 Expiration Date 8/17/05 Qty Unit Charge Per 1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS Special Notes and Comments 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 Manufactured home must be pit set so that no more than 12 of skirting is visable above grade A residential fire sprinkler system shall be installed per NFPA 13D will be required 2nd option is to install an out side alarm bell that is eletronicly connected to the residence s smoke detectors The alarm bell will be painted red in color and identified as Fire alarm The site plan identifies a 6 deviation of both side setbacks which has been approved by Director Collins due to the slope of the site toward 0 Street which restricts access from 0 Street Lot coverage is good and no land use issues are noted Public works electrical engineering has no requirements for this plan review Electrical load calculations and elctrical permits are required Date 2/18/05 WA 98382 24 00 1 00 9264 00 2256 00 2256 00 1 00 Extension 48 10 Application Number 04 00001182 Pin number 395876 Special Notes and Comments Power from pedistal at northwesr corner of lot Construct driveway to City Standards No concrete with exposed aggregate is allowed in the City road right of way Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 SEWER SYSTEM DELV CHARGE 745 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1025 00 Charged Paid Credited Due 48 10 48 10 00 00 00 00 1774 50 1774 50 00 1822 60 1822 60 00 Page 2 Date 2/18/05 00 00 00 00 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. DITCH ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO I'J'1 S -oS LtZ8 o 4g- -oS COMMENTS PW -I 102.15 (41961 -- ~/--'" ,--=--- f- ~ ~ CJ) !1:::' ~ :::> Q) EAGLE'S' 'LAIR 35' 8 ti ~ "- I ~l' 1 I 17~ 9~ ;;;;:;;;S Wi 120.00' ~'t /707 . ~QI~ :I \ 10 .' - t/f.JT'Y tu ~ 9000 SO.FT. 9,000 SO FT. g :;) NSfJ4,' S56"45'(}(fE ~ .:., , ~ 'CLaY.. ., - .' 120.00' r-'" _ . -} , .J, ~ _.._ --'t1. . (.....: ,.., ~~~i~\"p~ ~ .~~ 17~~ ,~ 3 ~ SOFT. K ~ 9,000 Sr~ ~ ;::~ . NSfJ -ts(){fw .., NS6" 4S'()(/W \!" E~', 10' .:.'1- .120.00' 120.00' ;] - I ~ "-' .::J ::,,'~ . ":;:; N!56.f.5.()O"W 120.00' /7L]; ~ SO.FT. 8 ~ 17~~ . - ':;Po so FT. S56" ;(s'(}(f E 120.00' :;;4 ::.' ;':" 35' g: .iiaD ~ 7"':rn: :::~l 10114 SO. . L :~''';-:::''-:-:'100Mr...'-7- _ _ '.il '",....." E 18th STREET a c::i ~ I ~ ~ (f) It P ~ ~ ~ 10' 40' '''~0!l~'-1~~ I WALK-IN WARDROBE !I ! S'.O. ~i i ~I I 8 -Jt!c.l~~,z~ WALK.IN 1 WARDROBE I r\O'i \ ~ OPTION FAMILY ROOM 19'.0' -- Sltl'l4&1I1 SOD ~~L .J '. . rr - , I , I K'ITCHEN fIN' BR 2 13'.1N DINING 11'.~' f1 I TI UC_~:9~{~~li:,j::~ c /\ BR 3 11'.4" TII I (f)fN:- ~-bl2 ..IT Linen Coati ~l -..--- - 8 ! FAU C i~ = ~ 1i-UT ~ -!~ ct..l~ H'i/l "'" I<N I W 1\ I WI Opl.Sldelll. 24'.0" ON.SITE GARAGE (Optional Get.gelble Cormerl .t- Oot Recessed Entrv - L. ISLAND -r LIVING ROOM 18'.$. 001 Orloamlc Windows ODIC~ Ii !< .i " o - Opl, WindOW ~ ~ ..... - ~...tH ]] !'" F~",'\.++ i . ,I Opt. ~AII ':!.~~ · D,,, MBA WALK.IN lrO ,'.,' ~ tl WARDROBE J~ 'g ': 5'.5' __ II f\@ :; - .- '- ~I >, "', !ii, ~, MBR 14'.0' ..t:::u.,.......,...."..<........,.:...>..,...,.......,.....,f.:........ - . . ' "'-'.. 'Jr::- "...,: I . . , , , . [ 'f '----.~ c~., ~;::: , >_ V~I ~ p~....~ 41l' ',. ,...:.::,,,,,,. . -., .... SOME FEATURES SHOWN MAY BE OPTIONAL. ..J~ .tl,f- panlfYt OPTIONAL KITCHEN KIT~~~N ISLAND \<Ill If.II . I '~'~N}",lN'= .-.' II '~___9.pJ.;Ji'::!tl-'J._ . ._ . I!---.-.:.:.:.:.:.:...-.---. _______ OPTION DELUXE BATH WI Corner T\lb Iii 8 c.c4~Jtd~ OPTION DELUXE BATH WI 6' Fiberglas. Ceck Tub 3/04 Hermiston DMC 72662-20G-2746/3290 A " J Z, ""7 A" OSlJ f ~ ?R€ - ('n A)-.),^~~iL{~~D ~lA~~E-'S ~ z' c), C. HURK I c..~Nt T I~-S tP I!AQ1 € W'P O' P ~AU( rf<.uss. +-0 f>.e -'"\- \ \ \ t::\. ,t .}4 ; e.--k- ~ ?//s L.~ DIYI~'P~ T- t II SlV/~ c~ TD \-l ~L1lf '7(N)( C~ 0 . tJ I t./J J ~ /till> / tJ ~'c., \ ~ to ~ l'L 0 I r~~ "DF" 5 TI..\ l>~ z.x 4 ~ lte" o,e. FILE ~ l0~~l> .~ r=-e-Dtl:~& ~ ?t-aIJ ~~\ 4 pClf\- b~ ~\i):;S CITY OF PORT ANGELES - Construction Plans The Issuance of this permit based upon these plans, specifi. cations and other data shall not prevent the building official from thereafter requiring the correction of errors i!l said plans, specifications and other data, or from preventing building operctions being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. 18EllFl0/J ~VV\" h... ~~ Approval Date ~BY ,)11 (3.0';-. p,r :z..)(y L{ II ~C)AJL u/.;/t"l -T /6" 1._ . IIi. K lO'l flit )J CJI c> ;a. "". 'lPL-i'S ~ ~ o.e. L'> v, 3~i:~~ It ~h~ u~~ \lo\- \);\' Z ~'6-k~1 G, t# J J . ~~L.-L~ ~~ ~~~~ :t:J if "3 PI f.. CD~T. :; ~/[ces -rr"' I "I " 1 .1..... ',' . " T -t.. -L t ........- '"".... " .t: ')(: '+- .' - ',J (1\~" _ ~ ~ .e, ':: ~ 'l\t1I. r~ '1~ 2,1.( , ~ tv o g r . w f "f\" ~ ~ T 4:.. - 1- 'Ii) 60 V IU~L +~bO wI L{I'X~( . :I? F. .;:t z.- E) f... ~ E'TT -E. 'R. I Y'P ~ , ~ ~"! -'" ()~ '!\ ("'\~ i 4 ~ ~ 1>1 ae>1b~ M rAL.- Dc"OR... " '1- --~. ~ 2~' ;.c, ~ ru>o~ ~LAI0 '/4,1 = " ~"'T'''"' T .~..": " "1 i $~ O''tr ~~ ~ .,-~ r -"- I +--.-..-,,-.------------, ".- 2 t ( I.,. ...~___ , 1~,1f =- if Wf:ST ~~e\J.. l~ - . ," -.. J. "'-<v"T" -A. "'l , ...II.... .........~.. C -- fELt; 'lu /1__ II .J-frS I,. ' V, [~ _ 1 :::1 ~ \{) -< , ~ ,f) - ~ ) ,<~~.:'" f" , _,' 'n__ '_~'__'_"___'_-"_j " . I. s' ~!'()k\T+( -6'~v. ~L/II;; f I . 24' .'--.......-.-... .lJo F-.T 1--1 e \....€ \J . tIt..{ , I ::: I J MINIMUM CONCRETE FOOTING SIZES <INCHES) SOIL BEARING CAPACITY 1500 PSI 2000 PSI 2500 PSI 3000 PSI MINIMUM ROOF LOAD (pm ROOF LOAD (pm ROOF LOAD (PSF> ROOF LOAD (PSn DIMENSIONS 20 30 40 80 20 30 40 80 20 30 40 80 20 30 40 80 'A' 6 81 S 10 6 6 8 10 6 6 6 8 6 6 6 8 'B' 81 81 10 10 6 6 B 8 6 6 6 8 6 6 6 8 1= MAY BE 6' PROVIDED (3) 1I2'x n4 REBAR ARE INSTALLED 9' APART CENTERED ON 'w'IDTH OF FOOTING. SET REBAR 3' FROM BOTTOM OF FOOTING. WHILE NOT A STRUCTURAL REQUIREMENT TO MEET CODE, MARLETTE HOMES RECOMMENDS PERIMETER WALL SUPPORT ON HOMES WITH 2x6 FLOORS, TO PREVENT COSMETIC CRACKING. MARLETTE HOMES WILL NOT HONOR ANY WARRANTY CLAIMS PERTAINING TO DRYWALL CRACKING IF PERIMETER SUPPORT IS NOT PRESENT ON 2x6 FLOOR HOMES. =,...., ..... c... 0<: >- <..... ..... '-" @5~ =fE5 a~ :z ~~ >< ..... ex> 0<: ~ :a: ~~ '--' n VI..... 'J~g . NW . -:E . =< :z ..... .....= ..... I >< - ..... .....0<: VI W <..... e... :z W n.,'--' - :E = <to :zW w= ..... I >< - W FULL 'w'ALL ALTERNATE REPLACES SIDE'w'ALL BLOCKING (2x4 STUDS 24' D.C. MAX.) (SEE NOTE ABOVE> .....0<: VI W J~~ . W . ?uw . ~~ . :z W U w= ..... I , ><- :::: w TYPICAL DOUBLE VIDE VITH FULL SLAB FOUNDATION GENERAL NOTES: 1. CONCRETE STRENGTH ASSUMED TO BE 2500 PSI AFTER 28 DAYS. 2. FOOTINGS MUST MEET ONE OF THE FoLLo'w'ING: . .... A) EXTEND BELO'w' FROST LINE. B) BE LOCATED ON NON-EXPANSIVE SOIL. C) REST ON COMPACTED GRAVEL THAT EXTENDS BELo'w' THE FROST LINE. GRAVEL TO DRAIN TO SUMP DR DAYLIGHT. 3. (2) 112' X n4 REBAR RECOMMENDED (BUT NOT REQUIRED> UNDER ALL PIERS. LoCA TE NO CLOSER THAN 3' FROM BOTTOM DR SIDES OF FOOTINGS. MINIMUM CONCRETE.. FOOTING.. SIZES ([NCHES) SOIL BEARING CAPACITY 1500 PSI 2000 PSI 2500 PSI 3000 PSI MINIMUM ROOF LOAD (PSF) ROOF LOAD (PSn ROOF LOAD (PSn ROOF LOAD (pm DIMENSIONS 20 30 40 80 20 30 40 80 20 30 40 80 20 30 40 80 'A' 6 81 e 10 6 6 8 10 6 6 6 8 6 6 6 8 'B' 81 81 10 10 6 6 8 8 6 6 6 8 6 6 6 8 1= MAY BE 6' PROVIDED (3) 1/2'x "4 REBAR ARE INSTALLED 9' APART CENTERED ON VlDTH OF roOTING, SET REBAR 3' FROM BOTTOM OF roOTING, WHILE NOT A STRUCTURAL REQUIREMENT TO MEET CODE, MARLETTE HOMES RECOMMENDS PERIMETER WALL SUPPORT ON HOMES WITH 2x6 FLOORS, TO PREVENT COSMETIC CRACKING. MARLETTE HOMES WILL NOT HONOR ANY WARRANTY CLAIMS PERTAINING TO DRYWALL CRACKING IF PERIMETER SUPPORT IS NOT PRESENT ON 2x6 FLOOR HOMES. FULL VALL ALTERNATE REPLACES SIDEVALL BLoCKlNG (2x4 STUDS 24' D.C. MAX') (SEE NOTE ABOVD TYPICAL FULL TRIPLE \.IIDE \.lITH FULL SLAB FOUNDATION ::: l-~ n VlW 'J ~gs .. ?uw . -::c . = <I: E5~ >- I >< - W e.... <I: W >- ~ Vl W <I: >- e....z w n.,w - ::c = <I: ZW w= >- I >< - W =.-., we.... ~ >- <I: >- >- ~ ~Vl ~t3 ~g !i?= >- ~ Vl W <I: >- e.... ::z W n.,w - ::c =<1: ::z W w= >- I >< - W t- ~ Vl W J~~ . W . ?uw .. ;;~ . ZW JJ w= >- I . ><- ~ W GENERAL NOTES: 1. CONCRETE STRENGTH ASSUMED TO BE 2500 PSI ArTER 28 DAYS. 2. fOOTINGS MUST MEET ONE OF THE FDLLOVING: A) EXTEND BELoV FROST LINE. B) BE LOCATED ON NON-EXPANSIVE SOIL C) REST ON COMPACTED GRAVEL THAT EXTENDS BELOV THE FROST LINE. GRAVEL TO DRAIN TO SUMP OR DAYLIGHT. 3. (2) 1/2' X fi4 REBAR RECOMMENDED (BUT NOT REQUIRED) UNDER ALL PIERS. LOCATE NO CLOSER THAN 3' FROM BOTTOM DR SIDES OF FOOTINGS, \~\"""F~ltfj"IIt,,<!t. ..~o'lo........P"';'~~. l ~ .~~\STEII~'''''"t;, ! l NO.4, \ \~.~~:OP L~J 21 60 Feel Vertical Datum = NA VD 88 Horizontal Datum = NAD 83/91 N Area Map This map is not intended to be used as a legal description. ~"""~\ This map/drawing is produced by the City oj Port Angeles Jor its own use and purposes. J~ Any other use oj this map/drawing shall not be the responsibility oj the City. W. ,. s ~~ ',' \:~.~,". ' CITY O~,~ORTANGELES .. . . DEPARTMENT OF COMMUNrIXPEVELOPMENT - BUILDINGDMSION 321EAST5THSTREBT, PORTANGELES, WA98362 Application Number Pin number property Address ASSESSOR. PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00001182 Date .3~5876 2504 W 16TH ST Q6-30-00-4-4-0010-0000- RES ~FACTURED ..HOME 12/30/04 RS9 REsbNTL SINGLE FAMILY 77444 owner Contractor -------.-.~~----~~-~----- PECK, . BARBARA 212FASOLA RD SEQUIM (360)681..2818 ...--- .Structure Information const:ructioIl'l'ype Occupancy Type Other struct info WA 98382 JH . CONSTRUCTION 708 3 CRABS RD SEQUIM (360)681-0871 1680 MFG HOME6c 576 GARAGIi: TYPE V NON-RATED SINGLE.FAM&.CO!iGREGATES TOTAL..% LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PRQPOSIi:D LOT COVERAGE TOTAL LOT COVERAGE NOMB:E:R OF WIlTS WA 98382 24.00 1.00 9264.00 2256;00 2256.00 1.00 Permit Additionaldesc . Permit Fee Issue Date Expiration.Dat.e BL MANUFACTURED HOMe 1680 SFMANUFHOME 230.00 Plan Check Fee 12/27/04 valuation 6/26/05 .00 77444 f'J ~ o .....c ------~------~~-----~-~------------_.~~*-~*._--~-------------~----~----~..~- Qty Unit Charge Per BASE FE;E; E:lCtenslon 230.00 E --~------~--____________w_~__________.~__~~___.___~_________~_______~~__~~~_ permit ... . Additional desc permit Fee Issue. Date Expiration Date BUILDING P:E:RMIT.-RESIDENTIAL 576 SF ATTACHli:D GARAGE 239.75 Pl,aIl Check f'ee 12/23/04Valua.tion .. 6/26/05 93.10 77444 ~ 0" -1- ..5 .Qty Unit Charge Per Extension . 232.75 7.00 BASE li'EE 1.00 7.0000 THOU BL-50,OOl-100K (7;00 PER Kl -....... - -.... - ....:~ -'..,;' ~ -- .'-..."';;" - - - - - - -.-~'------- ...,- - -.";'- -..;.... ........ - - -.;..... -.- ~ _...!-;..... ""'.........,;;.- - - - ...;,."".:.,...---- -_.- -- Specia.lNotes.and Comments Building address sign shall not be lessthan~n&not more than 12" in hE\ight. Numbers.colors mU13tcontrast with wall color they are mounted on,{Ord.14.36.0S0-E) When roof gutters are installed; drains will located in dry . wells, or piped to approved. storm drain locations. Manufactured home must be pit set so that no more than 12" of skirting is visable above grade; A. rel:lid~ntial fire sprinkler system shall .be. installed per NFPA13D ",ill be required. ... 2nd option is.tQ instal;L.an out.sidealarmbell.that is eletroniclyconnected to Che residencelssmo~edetectors~ The alarm bell will be painted red in color and identified as "Fire.. alarm" Separate ~~rmi~are required for electrical work, SEP/\,Shoreline,ESA, utiUties.privClfeand public improyefl19nt$.1'hltJ~l111lt~ornes null andvoid IfWOrk or construction authorized is not commenc~dwithln 180da~! ifeoostruction orworkl~\Su.,\Spe.n~ed.()r~~andoned for.a periOd of180.days. after the work as commenced, or if required InspectJon~havenot been requested within 180dliysfl'ornthe last inspec:tion.lilereby certify that.1 have read and eXaminedtnis application and know the same.to be true and correCt. "lIpl'Clvisions of laws and ordinaricesgoveming this type of work will be complied with whether specified herein or not. . Thegrantingofa permit does not pr~umeto give authority to..violate or cancel the provisions of any'state or Ipcallaw.regulating constnJction..orthe..performance.of consbUction. . (!)/J FILI:::-'- Signature of Col1tractor orAuthorized Agent Date Signatll~ of Owner (if owner is buDder) Date T:IPLANNING\F9RMS\ll02.JS.[l V14l2003j -,,'c, !'!t BUILDING PERMIT INSPECTION RECORD . ~. CALL 4174815 FOR BUILDING INSPECTIONS. CALL 4174735 FOR ELECTRICAL INSPECfIONS. PLEASE PROVIDE A MINlMUM24HOtJR:NOTICE.lT IS UNLAWFUL TO COVE&,lN8.lfLt1'lEJO&COlVCEALANr WORKBmfORQ. lNSPECTE1J ANDACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. . KEEP PERMIT CARD ANi:> APPROVED PJ..ANSATioBSITE .. .. .::' .... INSPECTION TYPE DATE I ACCEPTED -c ";;:"'. COMMENTS " :. 1 I '. ... '.' .,. . '. YES. NO . .' ..... .' .' FOUNDATION: .' ,... '. f()()TINGS W I\LLS '. FOUNDATION DRAINAGEIDOWN SPOUTS." .',.. , , .. ' '., ". . . .:-"_\- -'-,' .... . '. ELECTRICAL (LIGHT DEPI) sEPARATEI'mooT: # '. ,'.. ROUGH-IN .. >1 1 ....1 . .'. .. .' .,' .' -c PLUMBING '. . UNDER FLOOR I SLAB .. ROUGH-IN .. WATER UNE (METER TO BLOG) .., GAS LINE '. . BACK FLOW I WATER , . '. .' .. . . . AIRSEAL WALLS I CEILING 1 . ....,.. '.' . FRAMING .' '.. , .' . '.' JOISTS' GIRDERS . SHBAR WALUHOLD DOWNS WALLS' ROOF' CEILING . J c DltVWALL(INTERIORBRACEDPANELONL\') '.'.. .> . . T-BAI'. , .... . ..... . . INStlLATION' . SLAB . I I WALL I FLOOR I CEILING I I MECHANICAL .... HBAT PUMP '. GAs UNE WOOD STOVE 'PELLET I CHIMNEY HOOD I DUCTS '. .'.>. PW UTILITIEs/ ,SITE WORK (EngiDeeringDivisioD) SEPARATE PERMIT #'s: I WATERLINE /METER .' SEWER CONNECTION '.. .' '. C'". ,,' . " ., : SANITARY . : " ". STOltM ....i... '. '. . .'. PLANNING DEPT. SEPARATEPERMIT#'s ". . SEPA: PARKINGILIGHTlNG , " ESA: LANDSCAPING .... J,'. '.;..,." '. .'Sl!Q~., ; I.,':" > . I "..... , .' .;. '.. .'. " '.,'.h.\~nsA,L~llrECTIONS ~1J~PRJ:OR,TOoc:c'1P,~~(Y~y:\;;;y: '..' '.,' - RESIDENTIAL ",'" DATE . ,YES':' NO ........iCO~CW. DATE -ACCEPTED. ".' V" .' , > . '.' .' YES" NO . '.. '7' ELECTRICAL" LIGHT DEPT. 411-4?~5 EI.ECTRiCAL, LlGHT'DEPT . CONSTRUCTI9l'{ R.W./ PW/ 417-4801 CONSTRucTION .,;R.W. ENGINEERING PWI E!'{G~ERIN(j. FIRE 417~3 ...., FIRE.DEPT:. '. P~G~Eri. ,Co '. PLANNING DEPT. . 417-4750 417-4815 . .... .;,c .' , Bun..DING ", . BUILDING T:\PLANNING\FORMS\II02.IS {I 111412003) "^~,}"",,'r.\~,,~~,,,:;~f;-,';~,-': .', .( -.-. ' '- >_. ,- ',: :'::\:~::':~;~::~;<J\~, .~~:;" ~:,:,~~1i~dlt~_~~~Ri~~:::: .. j :", :'.'-:i'f';'':'<: -- " .- '_'..' .: , , ",' CITYqF~ORTANGELES , DEPARTMENT O~ C0~J>EVEL()PMENT - BUILDING DMSION, 321 EASTSTH S~T, PORT ANGELES, WA 98362 s ~~ Application Number pin number . . . . 04-00001182 . .395876 Special ,NPtes and Conunents , The site plan identifies's. 6-,deviatIon of'both side setbacks which has been approved by Director Collins'due,to the slope of the site toward o ,Street which restricts access from 0 Street. Lot coverage is,good and no' land use issues' are noted. Public works electrical engineering has no, re'quirements for this plan review. . Electr,icalload calculations and elctrical permits~re required. , ' Power ,from pedistal at northwesr corner of lot.' Construct driveway to City Standards. , 'No' concrete with exposed aggregate is allowed in the City road right of way. " " ' . . - . . -:- - - - - ~ -:- -~:-: - - :,:------ - - - - ,- ~.. -... - -.. - ----.... - -- - - -'-- - -,,,:,,,";' - ~.- '--:--:- ...:._-- - _._-~-~- - '-,-- -... - - ~.. Other Fees 745.00 4.50 1025,.00 Fee sununary, Charged DUe , Permit Fee Total Plan Check Total OthEirFeeTotal Grand Total 469.75 93.10 1774.50 2337.35 469.75 .00 93.10 .00 1774.50 " .00 2337.35 .00 SePar$tp:~a1:n!tS,arere:q(dredf.9r~l~cbicalW9f'1(. s null and,voldlfwork orcotlstructlon authorized is no d within f for a period of 180 days, a(ter the wOrk as commenced; 6'r if r,qOlred Inspe " ' InspeCtlon.lherebycMlfy that I have read and.e)1a. 'this applicatlon,eand ',the same to be , ' laws and ordlnaricesgovemil19 this type of work will, plied with whetherspecified herein or nOt. ' , elJra!'l ng,,, ' ,'lt~$ not presume to give authority to violate or cancel the .pro nS',of any 'state or looallaw regulating constn:!CtionoF the'perforrnance of construction; " . Slgna~re()fOwner (If owner Is builder) Signature QfCOntractor OF Authorized Agent BUILDING PERMIT INSPECTION RECORD CALL 417-4&15 FOR BUILDING INSPECflONS. CALL 417-4735 FOR ELECTRICAl INSPECTIONS. . . . . . . . PLEASE PROVIDE A MINIMUM 2UtoiJRNOTICE. . n ISUNUWFULTO COVER, INSUliATE QR CONCEAL ANl'.WOR&BEFORE lNSPECTEDANDAf;CEPTED. POSTPERl\UTIN ACONSPIcuQUSliOOATION. -" . KEEP'PERMIT CARD AND APPROVED PLANS:ATJOB'Sr:fE .... . .. . .' '. ..... .... iNSP.ECTlON TYPE .' .' DATE ACC.EPTED . . COMMENTS YES." I NO .... ..... . FOUNDATION: ~1()q<..IPl..LY..,.J . /-/8'-($ Jit- . .. t FCXmNGS/c:.L. 1.. , J.-3-Q..~ .J..1-~ ' . . ~14/h 0.. "r-Os-.J u... WALLS '. '. . ".. .. FOUNi)AnoN '. DRAINAGEIDOWN SPotrrs.'. ..... . '" '. ...... ELECTRICAL (LIGHT DEPT) SEPAIU\TEPBRMif: II "', . .. ROUGH-IN ....... J .... I .. ". . , . PLU~ING .' > .' ". . ..... .' UNDER FLOOR/ SLAB .: ... ROUGH-IN '. .. " WATER LINE (METER TO BLDG) J-QS -4::>S: -"1 UG . '. . GAS LINE .... BACK FLOW / WATER. ". .. .. AIR SEAL " ..... ." .. .'. -. wAU,s I CEILING cc- <I . I I ... ..... '. ... FRAMING' "./ .i '. ,. JOISTS / .GIRDERS SHEAR WALUHOLD DOWNS WALLS / ROOF / CEILING '.' .' 1f).-J6."r ~ l-t..- . . DRYWALL (INTE1UORBRACED PANELO~Y) '. T"IlAll '" . . .' ., . INSULA-TION . .. j SLAB '.. , I '" WALL / FLOOR 1 CEu.ING I '.. '.' MEC~CAL .....- .'. oO HEAT PUMP --:c- .' GAS LINE -c- WOOI)Sro~IPELLET 1 CHIMNEY . .... HOOD 1 DUCTS .'. ;.. .... .. ... . .' . .. PW UTlLmES/SlTE WORK (Engineering DiyisiOn~ SEPARATEPERMlT #'s: ...: . WATERLINE 1 METER .. i I . ".: '. SEWER C9NNEC110N .... ....... ..' .;' SANITARY ".' ... .' STORM PLANN~G DEPT. SEPARATE PERMlTf#'s SEPA: PARKINGILIGHTING .. EsA:': . LANDSCAPING ..... .;i,'.,., ii.". . .t",;, I.. . SHORELINE:, " ." .,;,..' ~ .. ~~t-- <- ,. .. ii .....:....:FII'!AL;~SPECTIONS'R1tQU~ PRIOR TO OCcy,M(CfN~!;\.;...V.....;< .' ....: .:" '" RESIDENTIAL .. , ; DATE ....>YiS. NO . C6MMERC~ 'J "DATE : .... .. Af::CEP'rED I. ., .... YEs" NO ..' . . '., . ELECTRICAL" UGHT DEPT. ..... . I. . . . 417-4735 'ELECrRICAL .'. . . UGHT.DEPT . .. . . - CONSTRUCTION R.W./PWI . CONSTRUCTION.. R.W. ENGINEERING 417-4807 . PW / ENGINEERING FIRE < 417~~ .,t FlRE'i>EP':l';, " >. --:- " ..' pLANNDilaI>EJ>T. cc- . , ." P~GDEPT. 4P-;4.75O' BUl:LDxNG> ... 4174815 i q..:.Ar-~ 3'.L. BUILDmO "<..)/ . ... T:\P~RMS\1102.15 [11/1412003] ^'_,-,::;t~:;j,.':t,:-:~i~t4i!tt~~;Li:,_:.>( ,',--; PREPARED 2/08/05, 12:53:49 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 8 2/08/05 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 2504 W 16TH ST JH CONSTRUCTION PECK, BARBARA 06-30-00-4-4-0010-0000- 04-00001182 RES MANUFACTURED HOME SUBDIV: PHONE (360) 681-0871 PHONE : (360) 681-2818 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLM 01 ..,2{~08IO 0~5 J~l) BUILDING FOUNDATION MONO SLAB ~ ~ kevin 460-8891 garage slab -------------------------------------- COMMENTS AND NOTES -------------------------------------- ~ PREPARED 2/16/05, 12:51:11 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: INSPECTION TICKET INSPECTOR JAMES L LIERLY 2504 W 16TH ST JH CONSTRUCTION PECK, BARBARA 06-30-00-4-4-0010-0000- 04-00001182 RES MANUFACTURED HOME SUBDIV: PHONE (360) 681-0871 PHONE : (360) 681-2818 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 2/08/05 JLL 2/08/05 AP d,\~\~< ~ -------------------------------------- COMMENTS 01 AND NOTES -------------------------------------- BLM 01 BUILDING FOUNDATION MONO SLAB kevin 460-8891 garage slab BUILDING FRAMING kevin 460-8891 PAGE DATE 10 2/16/05 PREPARED 2/25/05, 12:27:02 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 2504 W 16TH ST JH CONSTRUCTION PECK, BARBARA 06-30-00-4-4-0010-0000- 04-00001182 RES MANUFACTURED HOME PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS SUBDIV: PHONE (360) 681-0871 PHONE: (360) 681-2818 BLM 01 2/08/05 JLL BUILDING FOUNDATION MONO SLAB 2/08/05 AP kevin 460-8891 garage slab BL3 01 2/16/05 JLL BUILDING FRAMING 2/16/05 AP kevin 460-8891 BL99 01 2/.25/05 Jf:f BUILDING FINAL ~ CASEY PAGE DATE 6 2/25/05 COMMENTS AND NOTES -------------------------------------- l' PREPARED 1/28/05, 13:00:27 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 1/28/05 ADDRESS CONTRACTOR OWNER PARCEL. . APPL NUMBER: 2504 W 16TH ST JH CONSTRUCTION PECK, BARBARA 06-30-00-4-4-0010-0000- 04-00001182 RES MANUFACTURED HOME SUBDIV: PHONE (360) 681-0871 PHONE : (360) 681-2818 PERMIT: BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFS 01 1/03/05 1/03/05 1/18/05 1/18/05 JLL AP JLL AP BUILDING FOOT /SLAB BLBT 01 BUILDING BLOCK AND TIEDOWNS DAVE no permit on site/jll PLUMBING WATER SUPPLY jim 477-1581 water line shall be separate from elec service 12"/jll PL6 02 1/28/05 ~ PLUMBING WATER SUPPLY ~ jim 477-1581 ------------------------- ------------ COMMENTS AND NOTES -------------------------------------- 01 1/25/05 1/25/05 JLL DA PL6 .... ( BUIL~' DIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at 2~4 LA) l~~ Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: s~k _~ll)~ LV ~ tJ;Zf2.. [~1..J.-Ef r:- ~ M if f J~" Jic>.J-~/"-~ These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call t.//7 - t/I'/r for inspe ion. Date I ;jt~ Inspector for Building Division DO NOT REMOVE THIS TAG ,- PREPARED 1/25/05, 13:07:17 -- CITY OF PORT ANGELES . INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL _ _ APPL NUMBER: 2504 W 16TH ST JH CONSTRUCTION PECK, BARBARA 06-30-00-4-4-0010-0000- 04-00001182 RES MANUFACTURED HOME SUBDIV: PHONE (360) 681-0871 PHONE : (360) 681-2818 PERMIT: BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFS 01 1/03/05 JLL BUILDING FOOT /SLAB 1/03/05 AP BLBT 01 1/18/05 JLL BUILDING BLOCK AND TIEDOWNS 1/18/05 AP DAVE no permit on site/jll PL6 01 ~JLL PLUMBING WATER SUPPLY . D~ jim 477-1581 PAGE DATE 10 1/25/05 COMMENTS AND NOTES -------------------------------------- ,,\ t'L. ~t::1'~~~~-M ~ r;:-le c-. ~,t...J I,-€. PREPARED 1/18/05, 12:56:50 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 2504 W 16TH ST JH CONSTRUCTION PECK, BARBARA 06-30-00-4-4-0010-0000- 04-00001182 RES MANUFACTURED HOME PERMIT: BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS SUBDIV: PHONE \ : PHONE ,. i, (360) 681-0871 (360) 681-2818 PAGE DATE 11 1/18/05 " 1/03/05 JLL 1/03/05 AP ~~~~_::__~_~~_____~~~:~:N:o:::::sAN~T::::~:_____________________________________ ~ "e"~~ BLFS 01 BUILDING FOOT /SLAB 1)~ ~J-e .'".: PREPARED 1/03/05, 13:14:43 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 1/03/05 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 2504 W 16TH ST JH CONSTRUCTION PECK, BARBARA 06-30-00-4-4-0010-0000- 04-00001182 RES MANUFACTURED HOME SUBDIV: PHONE (360) 681-0871 PHONE : (360) 681-2818 PERMIT: BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFS 01 ~ ~ BUILDING FOOT /SLAB -------------------------------------- COMMENTS AND NOTES -------------------------------------- 4." ~, -r.- ----- r\\.....G BUILDING PERMIT - APPLICATION r-.~ Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 ~:;~~::~t: 2:~~.l:ce~$~:f,,=k... Address: r;; 1:1 FasoJa Q2ti. . City:.. 50/1.11)", Architect/Engineer: Contractor :); U . ~ns/.. Address: /Ob - 3 ~~s RrJ. PROJECT ADDRESS: ;2 So<{ 'Ph~~~;-"3CD:776r(jfjT'-':y;,O:.(;:li:::)"?I; Phone: 3~6>-~~(- :2~/~ Zip: 9!3~d.... Phone: ~S(Pt) - te81- jS/ R Exp: Phone:~(b8/- tJ;r? / Zip: Cjf3~ ZONING: State License #: City: S~fCl'M.. t..)qs,/ l{olA 5/- LEGAL DESCRlPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Block: Subdivision: cQ (9"'30 tt'O H i/ . t!) (0[0 e9oDO Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC # Exp. Date: ffi~~';':~ ~;::tr ~ ~~:~of ~ ~:~e !b"rL r~AL11JT ;~~:: ~i;~ D~ o Commercial 0 Remodel. 0 Demolition 0 Deck . . SF.@ $ /SF. = :;- . ~ o Repair 0 Sign .Y O~e~/ TOTAL VALUATION ~~r:lCl BRIEF DESCRIPTION OF THE PROJECT: Los/a(( ;VWIYILiJ1lJ:I1.cI-UI<<J lIomt:... tvi/A 2fC. - j ~ t<Q 5}-<- COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: L Lot Size: q;l(Q~Ff.ExiSting Sq. Ft. Tota lot coverage Occupant Load: Construction Type: o & Proposed Sq. Ft. = TOTAL Sq. Ft. % APPROVALS: PLAN: BLDG: DPWU: FIRE: . OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA CheckIistrequired? 0 Yes 0 No Other: BUILDING 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 permitfees. are due _aLthetime _of permit issuance;. ... EXPIRATION OF PLAN REVIEW: 1fno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written" request by the applicant (see Section R1 05.3.2 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 thai n ~ my msponsibllffy to delennine what pennito are required ,not Ihe . City's, and~ I m~ obtain 7J'h pennns prior to worlr. T:\RVESS\BLDG-forms-brochures\2003-Buildingpermit.wpd Applicant: ::s-~ ~ Date: - - . ,'- ,L_ .__' () r-D"" "tUIH'G U ~ YiM- 12.;~I~ ~~..\- ~~". 'i" " l '/' , " " , '" '. , '. :," , to, ;" ""'" :, "i ", ; " , > , ''',:.." ,,' : j ,"', I ,>,':': ':, . ');;, I: i,; 'Co ., ,.",' I",,:,!, "" .; , . 'I "~' , I; I", ' ":, ; , ", I " " '" > ,,:": ~" '''I '.. , ","", ,,(,,","1"':': "'", "". "I :~ .~ , ". '" -,~$'J ~.~.",'+ ,.Cc., I ..T."",': It " " ...~...-... ~ ~,'. se, l': ,~ . 7;1":1:::'" ",( r~:::" f "I~~ 1'1'" , " ".."">,;;,,. " ,.", ~ , ,,r '~j I" ,~ iF'~'~ ~-:ri{~, - l;;tl If! ~';." (f', .,',(~ .::. !;, .~, I'~: It. -'1;""'; u_ -, : I'~ ~ I!~~ ',:; V.I)". LT ',' . " _ .",1\: <: ~:~; -~~. t'~'~:~'~}~~~~~~:~; ~.' J ~,"", li)~~ ' I"'}' '7 II~:'~ . JW -;;- ;:;- h'~, ',!:; 'i'I :" Ii';i; " ,:',:. " " , "'i.;,' ,,' , " y, '1, . "". , . : :'.' ~.",I' ".":' lA, ""1::~J-. .<l' ~ ," ." ,,0 '0 . L:,. <i;;',' i.. I .' ;r"'~ ~~j(i;;f""i" ",' .': ;; . 'I~%< , ~'--' , ' ,I,,;', ' i. ,:', " ,'~ - ~',. .. I' I' .~, ' ,~,~;, .' _, f .~ ~' -,,", , --C ~': ,( f",.,' .~ I' ; :("l;,";;','!:;"!:'] ~~: , " ; '", '. .\~ \ "':\' , ,1 I {, ;~~~ I , , :.' ': " i' ,,' i; ~' p ',:; i!f![ '~c.:"' ~,. ~,: =-~'/~: :~ tJ Jt~L' I:J1i~: I":,q': I ,', I,;;:":\;i,'~ ," ',' . ~ . i' 0;, ,'.,J!<.Nm .' ,,' co. _ '~ ,,,, I; :~~~\ \,!;~' , '-, " !..:",-~: \' :'i: "\,,,"i. .. I, ~- " - ~ , \... ;I'~ ~,~r ~, .re.';....; ._~ ;.',' , , ",,' \. ~:~ ~i" I.,(*~:,:; "" " " "" ;fi~}~ '"::;::- I, ", " , ,,;;:.t '",;,', ., I' 'i'e" : ,cO ".;,:. '" -;c ,5 Elt~Jj S'\~;c;( !~', ;. ,1..1, ,;e" ",,,,,, I",:,':;'~' , ~::, , :i "', '" .' 'L.' I,', "~2;'" U t , , :li:~'~ i ~ " ) f"lJ ~>' - ~~li~k)({ ': i 1;.<: ~"'~~ :", '/ 'f;;;', " ", ,(;; L<I/ ,l,,""f~~~!ii' ," k<,I, ".1.",-' .... '" ';"; I<i",',' ";, ,... ....c ~, 'i 1,,--:; ,.'" k., I~'S~ '~~l I' I:";~::.; " , I, \ .:"' -:~.,~ :h:~H., , " ';'\ "c' " 10'; " '?';';: , "., I, I ~;};t L ..",'. 'c' l( Electrical Contractor D Annual Permit D Alarm a. ".~? o Owner ~....o D Carnival D Commercial ELECTRICAL WORK PERMIT APPLICATION ~equest Inspection i. ,,-~.Jy !V4v . , ~ Residential D Residential Maint. D Signs D Thermostat D Telecom. Job wired by QSf Electrical Contractor 0 Owner Installation description Electrical contractor..name nlJtA~ Purchaser's mailing addre .;zs I Ca.y.\ City "\ "("'~/JfVV\ Telephone n ber C.t3'- ~I E:.ld f?J. License number Ga..r e; 0 ..( State ZIP W"'- FAX number Premises owner's name Gr-O\\ Address of inspection .:J-So'-f () -\- '- rl 1\ sf. u, +~ w. Cit)' \ o Cash 0 Check # ~rcditCard @ ,Mastercard Discover Card# _ O~_..:&-D~_.____.___ I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the finn's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. Signat re of owner, electrical contractor or electrical administrator x Expiration Date of card WALLS Insulation Only CEILING Insulation Only THERMOSTAT SERVICE Dale Approved By Date Approved By ~Dale. Approved By .' Cover /1q.Q Oat Approved By Date Approved By zA !o~ovcr AcO ~e Approved By DITCH FEEDER Dale Approved By Dale Approved By Electrical Load Additions and or subtractions o NO LOAD CHANGES D Baseboard KW D Furnace KW D Heat Pump Ton LAA o Fan-Wall KW Service Information D Overhead Service D Temp Service D Underground Service Voltage Phase 0 , 0 3 Service Size: Feeder Size: Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector I '!~.V Hl&ll::.lwal.'c;&I rDlII"''''''''IoI'"_.....oIU 11........ uU I....... ~,~. ~_...~,_._... ~1 PJu.,e ~O~Jlprlnt In ."Ie; ,; yci.u 11";. &lIyqIlUUOM. pJ.ue caU (110) 41''''T.l8 Fix nu....b"" l)60l .01'7-4711 . 0"".'0' Eloc. c":'notor ~.nc d V c... \ \ ~ /'lw0l1J o"",or. 8<< r 'v::> r-c. Pc C- ""dIuo: e.<IIlco1 Canna"" S \ cc.. +... .. P~ono: J.{~o -..N'I i , F.:ut: Phone: Elql: Zi~: Pnoroo: 'CIlir. .... Uoeno. jj; ..1, . ,.'. . 'Cl~: ZJ~: N:tdrlUSl: INSTAlUTlCN WIRED BY: o OWNER ".q.EeTRlCAI. ~Of'ITAACTOR Ctedlt Card Hr;.rder N.m,,: ' -.J 0_"'" ? V\. -L :t< \ J' .s C,: ~ . MUng AckJlWa: ~l-S-I Co-. 'i oS ~cl. CIty; S ~1 tJ l "'" . I'IWJECTAOO_: ;)SO'\ ~'. ''''~ (E.jcJ<<, Jc,,;"') . 'TYPE OF WORK' Chock AlIlhet apply: ~New [J A1t8ra!lcnlACl~lllon .. ~R8sldllntllll C Mul!j.(llmRy 0 Comm~ .'F- MobIIIlH~, '. Sq. Ft C Remcla '-leia(' 0 Oetached gll'lllie ' c Hol Tub CI'Swiln Pllol 0 SeptIC Pump .. 0 L.ow Voi~g,,' 0 Telecom. 'ZJP: ~v4. VtSA:-+- Me: _ OSI, "Iwnbcr 01 C",ulhl lidded.... eJlerelt ' CESCRlPnON OP me ELECTRICAl. PROJecL; mL!~dl: \\OM~ '\-\ 0(') '? \.Jp l;1{ll;trlcal Heat LOl!d Additions IlI1d or Subtl"let!on8 . '501'\110& InfOrm2lrlon o Bllsaoo;>nj. ~WnllCB o Hoel PImp o Fan-Wall _KW 10 KW =TON_LRA _KW o OvwhW S".rv1= o Temp Servloo . , . 0' UndBrgroun~ SBNIc& VOllago; /)0 ... ~) Yo Pha...; Cl' D ~ . Servi""Stz8: F"B~9r SlzB: . . I hereby Ctlrtif'y /hat I have rBad and examlned this application and know that sama to bs true 8f1.d COIreCt,. end I an allfhorlzsd to appTy fcrthls permiL I under.Itsnd It Is not the CIty's 19981 rnsponslbllf/y to fietormlns whet pfJfTnits 9re IOqulred; It Tenmln$ tn." appllcant3 responslOility to ;t9rmlnrJ what Plit.s 8r8 requlrfJ,fi and to. obtain sUr;h, . " CredltCll'dH.Oldll~llSlg~.tu,.; 0..+ 'K)j~,Datn: J-,IJ--c,-S, Owrnlr Qr SOl:. Cent. SlgnllbJrQ; Dllto: :;JE.ECTRlCAl.PGW/T APP~IC.A.T\ON .'. 7"" . /'''' PERMIT FEE: $ ~ ( . Dt:-- NO \'fOi'.lW6GT IOtJ" ~ ~ --rhE oel'-il0Ac flf(lLiC'-A+tD,u 1.36fOC tS ,; 6u /X)[( ij . A ~ LUP;;- II-..) zoo I! 1-2:7- C'::;. /ltf) 1-;2-1-/)S ,d (;,(;S"i:89 t;:l3J!)i ear dS(;:W so ,(; uer 01/25/2005 08:39 3505830859 KIRSCH ELECTRIC INC PAGE 01 . . J:i( Reauest Inspection OL/- /lfJZ. I ~~ . . }4 Electrical Co~tractor e Annual Permit e Alarm .'" 0 Owner S ELECTRICAL WORK PERMIT APPLICATION e Caratval e Commerclal )( RetldentlB1 e Re,ldentlBI MalnL e Sign. e Thermo.tat 0 Telecom, Inlllallation dosoriptlon Job wired by Cl Electrical Contractor 0 Owner , .-0\ O~I \ ~ \.\OM-t ~~ 110 --th ((~:r) III I hereby certify tPRt I am the Q~e~ of the above named propeI1Y or a licensed electrIcal contractor (or the finn's. authorized aaent) and am -making the electrical inlIlBU.~on or alteration in compliance wilh the electricell.w, Chaptor 19.28 RCW. . . .' . o Cash Cl Check # Credit Card ~. Mastercard Discover Card# __Oru:J.\!.__"____-____ SI,ft.t.ue ~r owner, clem'eal e~~IIf1ctor or ~ll~rlnl .~ntlnl.t~.ror X Expiration Date of card ( WALLS lneu.lation Onl)' . D.IB ~Wld.Br' Cover Ol~~ ADIl"'YIld By, " / CEILING 1"..I.tlon Only': . Dill ApprDvId 81 Cover D'II APP"',,",8)' THERMOSTAT o.~o A"IVYocI 8:1 SERVICE Aa.-O . Appt'tlYe<I 6y FEEDER Dill ...00 P1 \ Eloctrlcal Load Addition. and "or aubtrBetlon. e NO LOAD CHANGES' .. e Bassboard _ KW e Fumace /" KW o Heat Pump _ Ton _ LAA e Fan-Wall _ KW. . o Overhoad Sorvlcn e Tomp SorvlCO )iI.. Undorground Sorvlce Service Information Voltage I j~ 'i 0 Phase (;J , 3 Sorvlco SIZ.:~ F98der Size: lnlpec:tion"" '. , Am, BuildioB orEqUlp.lrJent1n.peCled Electrical DIU ,. Action Taken Inspector , , . .. '$ - 4CV 1#5" /;;6