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HomeMy WebLinkAbout531 E 7th St - Building ELECTRICAL PERMIT CITY OF PORT ANGELES F 360- 417 -4735 d Application Number 11- 00001049 Date 9/23/11 `\.V Application pin number 743488 REPORT SALES TAX Property Address 531 E 7TH ST ELEC ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -2 -0490 -0000- on your excise tax form Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name Property Use (Location Code 0502) Property Zoning UNKNOWN Application valuation 0 Application desc 4 circuit remodel Owner Contractor MARCIA L WILLIS EXTRA MILE TECH ELECT., LLC 12025 4TH AVE SW 418 N. RACE ST. SEATTLE WA 98146 PORT ANGELES WA 98362 (206) 548 -6786 (360) 457 -0198 e5 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 193102 v v Permit Fee 81.30 Plan Check Fee .00 r Issue Date 9/23/11 Valuation 0 Expiration Date 3/21/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 3.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 7.80 Fee summary Charged Paid Credited Due Permit Fee Total 81.30 81.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 81.30 81.30 .00 .00 C 2 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN /(3//Z FINAL 7 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: 4 N N a *ME ';APING REP* NT a mp; 4 c k"oRKS y. DATE: PERMIT INSPECT 11 OWNS ktik R, G I A 1Z 1 l__l._. i CONTRACTOR �1 I� 4 ��•C -4k ADDRESS APPROVED COT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: 1.141.7t_.- V z� ODE.)-4 C Lb1J N, kW Co v7 M 0 J�GIb �S R cF2dr NA) 6,0 r_L,rs o 4S g ©b 1- C ATR -c-t Cdr NOTOFY O SPECTOR WHEN C�z�s;,: ri�. 4 4D QC? RE COMPLETED WBTH N 15 DAYS otz. Il l t 'ryt9 DO t •T '�EMe 't� e; SEP-21-2011 •08 :00 PM E. JANSSEN 360 452 2982 P 01 E El VE i? ER SEP 2 2 2011 k)).--. Co/, C.2, CITY OF PORT ANGELES PERMIT APPLICATION ELECTRICAL AtilZfWg: c- Building Division/Electrical Inspections INSPECTIONS 321 East Fifth Street- P.O. Box 1150 Port Angeles Washington, 9S362 \%:lane"Allii.11/ Ph: (360) 417-4735 Fax: (360) 417-.4711 Date: ..L 1 2 Single Family Dwelling Multi-Family or Commercial Commerc;a Addition Alteration Remodel Repair' Plan Review May Be Required, Please Complete Electrical Plan Review Information Shw Job Address: r-i r Y 1 Building Square Footage: Description of above _Q,,__,: a- ---•k__..! i.21-_,2z-..e- Owner Information Contractor information Nanie: .r(\,...7 --vc c.... A Ntime 6er/1A. 0.1 c g •re4.re 4.7 C r.,,,, co L. Mailing AdflWS: 5 t ...a..._....2_• Mailing Addr E- ess; \If. iti.-_ P-Pc41-E 57_ City: .12 tate: !vik Zir' '''.4.- CO: 1 A7,..,;_,I., State: k.! iv 7 !ig...A..L___... Plione:. 7.713;2 J• Fax; 7._:, Ucense 'Exp License 1 Exp.. ..t:: 7 Z.4,'1 7 7 2.0 c... c L( a r LIP 7, /Ma pint Charge Total (Qtv Multiplied tht liot 11 Q.113SI Service/Feeder 200 Amp. 119.90 Service/Feeder 201-400 Amp, .5 145.50 Service/Feeder 401-600 Amp 204.60 Service/Feeder 601-1000 Amp. 262.20 Service/Feedee over 1000 Amp. 372.50 3_,. Branch Circuit WI Service Feeder 2.00 Branch Circuit W/O Servico Feeder 73.50 73... Each Additional Branch Circuit 2 60 Temp. Service/ Feeder 200 Amp. S 92.70 Temp. Servico/Feeder 201-400 Amp. 110.30 Temp, Service/Feeder 401-600 Amp. 5 '148.70 Temp. Service/Feeder 601-1000 Amp 167.90 Patel to Porter Hourly 95.90 s. Sign/Outline Lighting 5. 88.20 Signal Circuit/ Limited Energy First 1500 a- Commercial 95 90 Note: $5.00 for each eddlt1onal 1500 s Signal Circuit/ Limited Energy 1 2 Famils. 63.90 Signal Circuit/ Limited Energy Multi-Famih Dwelling 5 63.90 Manufactured Home Connection 5 119.90 Renewable Eiictrica) Energy 5KVA System or Leas 5 102.30 Thermostat 5 56 00 KEW CONSTRIgalMNIX Fast 1300 Square Ft. S, 1 i0.30 Each Additional 500 Square Ft. or Portico r f S 35 20 Each Outbuilding or Detached Garage 73.50 ..ceda Etwirarei).49 POlg or Hot Tub 5 110.30 Tota13` yi ..s Owner as defined by 11CW:19.26.26i (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. Permit expires after six months of last inspection. 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 296-416B, The City of Port Angeles Municipal Code, and Utility Specifications and RAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: 0 Cast .1 r.,),1 0 Credit Cara A x e... /VI .k.-7 Q Doted' I 1 nomixtur Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Application desc 1 circuit for hot water tank Owner MILLER MAXWELL B 531 E 7TH ST PORT ANGELES (360) 460 9903 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 73 5000 ECH Fee summary Permit Fee Total Plan Check Total Grand Total 177790 73 50 11/19/10 5/18/11 Charged 73 50 00 73 50 Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00001369 954300 531 E 7TH ST 06 30 00 0 2 0490 ELECTRICAL ONLY Paid Contractor EXTRA MILE TECH ELECT LLC 418 N RACE ST WA 983626912 PORT ANGELES WA 98362 (360) 45" 0198 46-' 5 6 c ELECTRICAL ALTER RESIDENTIAL 73 50 00 73 50 v F4 L112.2, h z' INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Plan Check Fee Valuation EL BRANCH CIRCUIT WO /FEEDER Credited 00 00 00 RESULTS WO 41 9 7 12 .Rt 8 Date 11/19/10 REPORT STATE SALES TAX 0000 on your excise tax form to the City of Port Angeles (Location Code 0502) 0 0 0 Extension 73 50 Due 00 00 00 INSPECTOR. FhP Date. NOV -18 -2010 12 05 PM E JANSSEN City of Port Angeles Permit Application Building OivlalonlElectrlcal Inspections 321 East Filth Street P.D. Box 119D Port Angeles Washington, 80382 Ph: (360) 417.4735 Fax: (380) 417.4711 Date ,_1IR /LP (L 1 2 Single Family Dwelling Multi- Family or Commercial' Commercial Addition Alteration I Remodel R WV. Plan Review May Be Required, Please CorrlplMe Ei'.ciricol Plan Review Information Sheet Job Adore65 I c Building Square Footage:._. Description of above \J Owner Information Name. 1.31 c 4. Mailing Address. 4 -5 r t '2 City t State: V Z T 5 G City __El. Slate _ILA. zip. 9k34. Z 1 Phone:.0/.. `I, 'Yc/ Fax: Phone: Y5 5' .2 Fax:. 5(5 i License I Exp I'cene If I Exp., EXTIC, J41 T j:_lia i /2 cr I jl Charoe QV Totalay Muhiolied by Unit Char g) 5119.90 Service /Feeder 200 Amp. 145.50 S Service/Feeder 201-400 Amp. 204,00 1 Service/ Feeder 401 -600 Amp. 5 262.20 Servicv/Feeder 601-1000 Amp. e 372.50 Service/Feeder over 1000 Amp. 2 60 3 Branch Circuit W/ Service Feeder S 73.51 j__ e Branch Circuit W/0 Service Feeder S 2.60 Each Additional Branch Circuit S 92.10 Temp. Service! Feeder 200 Amp. S 110.30 Temp Service/Feeder 201.400 Amp 5 148 70 Temp. service /Feeder 401.800 Amp. 167.90 Temp. SarvicelFeeder801 -1000 Amp 95 90 Portal to Ronal Hourly 85.20 Sign/Dame Lighting S. 96.90 Signal Circuit/ Limited Energy Commercial. Additional S 03.90 Signal Circuit/ Limited Energy 1 8 2 Family Dwelling 63.90 Signal Circuit) Limited Energy Multi-Family Dwelling 5 119.90 Manufactured Home Connection 102.30 Renewable Electrical Energy 51NA System or Less S 110.30 Fret 1300 Square Ft. S 35.20 Each Additions' 500 Square Ft. or Pomun nl 73 50 c Each Outbuilding or Detached Garage 5 110.30 Each Swimming Pool or Hot Tub 5600 I hermoetat rp Tatar 1 l Owner ea defined by RCW,19.78.281 (1) Owner wilt occupy the structure for two years alter this electrical permit Is finsflr ed I M ner is required to like an electrical comiactor it above said properly is for sale, rent or lease, Pennil expires after six montht of lest inspection. Alter reading the above etaternent, l hereby certif./ 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 lows, rt,E.C. RCW. Chapter 19.24, WAC. 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Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000312 Date 746536 531 E 7TH ST 06-30-00-0-2-0490-0000- RONALD ROGERS RES REMODEL 4/05/07 RESIDENTIAL HIGH DENSITY 2000 Owner Contractor ROGERS RONALD L 3011 S LAUREL ST PORT ANGELES WA 983626912 CLEAR HORIZON PO BOX 38 PORT ANGELES WA. PORT ANGELES WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL NEW DOORS & ENCLOSE PORCH 98061 95.75 Plan Check Fee 4/05/07 Valuation 10/02/07 38.30 2000 Qty Unit Charge Per Extension 50.00 45.75 BASE FEE 15.00 3.0500 HND BL-501-2K (3.05 PER C) Special Notes and Comments Building Division has no requirements. 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) The Fire Department has reviewed the project application and has no comments 04/04/2007 12:32 PM SROBERDS --Proposal will result in new front foyer in RS-7 zone. No land use issues anticipated. Public Works Utility Engineering has no requirements for this plan review. Other Fees 4.50 STATE SURCHARGE Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 95.75 95.75 .00 .00 Plan Check Total 38.30 38.30 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 138.55 138.55 .00 .00 ~ /'5 ~ 7~ ~ ~ ~ ~ v) - ~ ~ ()J --- "\ ...:J ~ (0 1-- 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. ~C;;;;UfP~ Signature of Owner (if owner is builder) 1- L(-$-6j Date Signature of Contractor or Authorized Agent Date T:\PoJicies\1102_15 building pennit inspection record05.wpd [1/4/2005] " 0,-3\2- BUILDING PERMIT INSPECTION RECORD CALL 417-48 15 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTJONS. CALL 4 I 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINJMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANJ' ,"VORK BEFORE INSPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TION. KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE. INSf'ECTION TYPE LJATE ACCEPTELJ COMMENTS YES NO FOVNDA nON: FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRAINAGE/ DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACI~ FLOW / WATER AIR SEAL WALLS CEILING FRAMING ~ing 'i 12DlolJU- JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) 5/10101 "J L(.. T-BAR INSULATION S 102-/0' :ru... SLAB ::fti SU IA-t\ OY\ WALL / FLOOR / CEILING MECHANICAL ROUGH-IN HEATPUMY/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE / PELLET / CHlMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMlT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. ",-,.1 .1 -rl L BUlLDING 417-4815 I BUILDING lie' e II 102 15 buildin ' ennit ins eelion reeord05.w d 1/4/2U05 · T.II'o I s gp p p [ Phone: 8'3 Lis-J ~" '8 S 7 Zip: 0; ~,J 62- ~"\ (\l.. '_.,~:.m "'l!\'GI{ 1#'....' ,""""tJJ..j1:l!/"'.,,,,' ?.J. . v' r .,,,,,,...,,," . .~~\ ~*:~_",;l "".-~"'--'''' ~. ~ BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MU T BE COMPLETE to be accepted for review. If you have any questions, c 11 I PERMITS (360) 417-4815 FAX(360)417-4711 Phone: City: JZ> C> R J A )./.Je/eS Architect/Engineer: Phone: ContractorTOI-1 Tb t:Ji-1 P S DN State License #: c.ICI~f{I-IL dfnrrTExp: I~ -30--0-:Fhone:1./S1.-3t.t 5/ Address:-i~t' -r~ ()X '1 Q, City:~+ AJ..1 'j ~/.pJ Zip: q gJ , 2- PROJECT ADDRESS: 53 I ~ ") 1 h P A LEGAL DESCRIPTION: Lot I 7 Block: ? 6 Lj CLALLAM COUNTY PARCEL NU1v1J3ER: Applicant or Agent:~ 0 N I~ ] J L Roca e/ZS Owner: R () )J l\ IJ f/ ^' ",e A-TC 0 C?,) e f2-S Address: '3 b II 5 I /J.lJ"~ € I L ZONING: Subdivision: TYPE OF WORK: SIZENALUATION: o Residential D New Constr. 0 Re-Toof 0 Stove SF. @$ /SF. = $ D Multi-family D Addition 0 MoveD Garage SF. @ $ /SF. = $ o Commercial D Remodel 0 Demolition D Deck SF. @ $ /SF. = $ o Repair D Sign 0 Other TOTAL VALUATION $ ~~~ ~ou BRIEF DESCRIPTION OF THE PROJEcry;- M OlJ i JJ -5 + l e +w ~ F fl., 0)>.1 + d . f-t. A-I jJ.1l p ~lk J~~d..Jo/Jl/dilJ5 14 )J~LJ "FoYPjl ~JV fhe<> t"'t'I",e~p'-I<=- Existing Sq. Ft. Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. OMMERClALIRESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Total lot coverage % ESAlWetland(s):oYesDNo SEPAChecklistrequired?D Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International BuildinglResidential 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. J am authorized to apply for this permit and understand that itJs my responsibility to determine what permits are required }not the City's} and that I must obtain such pennits prior to wor@WC T:\FORMS\BldgPennitform.wpd APplicant:' ~~ Date: 3. -.J{.; - 6 7 j) L j. GI_ ......_. r~=~~=---~s:~"~PX" "~:c"c Ln, ,c l I I I t ! ----------..---, \-" - ,~;~-~ i~ I r L",t./. t ;;-T'7 ; , I II J I : '1- I -' i ,I... , '.:.:.Idr ! p. I;'e' I DG :J-; ..' 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I> 00 f-< H :.: I>: r.l <>< :i! ~ ~ U r.l U ZNU'lCXlZN Z HNM.....-lHMl/lH '''\D''lnM:> :r:O"'~:I:CO\O C!}rl IOt?OO\O ::J r-4 ::J I (f) o I.D 0 ...-4 O:::r--.::tr--O:::r--\Df-t o 0 O~CI) C)a at..'Jo 0:: ZNO:::NZN H H.........W........H.......... tx.. a:lat?Oo:!r-lW ~~~~~~~j HI""lWMHI""lH,o::( ~OlIJOCllo:>U 00 f-< Z r.l :.: Z:.: 00 HU f-<'- <><00 Hf-< 1>:... U::> 0000 r.lr.l Cll>: '''' .....: I>U o 00 '- <>< >< f-< ...... 00 '-'- 00 NN '-'- MM .-< o N ..:l <>< ~ ... o '- .-< N '- M N o N ... <>< r.l I>: r.l '" f-< ::> o >< f-< r.l r.l :.: 00 r.l f-< o Z Cl :i! UJ f-< Z r.l :.: :.: o U I 0' .ORT ~ l~~ r....a ~ -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDlNG DMSION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ -.J g ~ -.::J Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000257 Date 795500 531 E 7TH ST 06-30-00-0-2-0490-0000- RONALD ROGERS RES REMODEL 3/13/07 RESIDENTIAL HIGH DENSITY 3000 Owner Contractor ROGERS RONALD L 3011 S LAUREL ST PORT ANGELES WA 983626912 INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES WA 98362 (360) 452-7583 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 97121 57.25 Plan Check Fee 3/13/07 Valuation 9/09/07 .00 o Qty Unit Charge Per Extension 50.00 7.25 BASE FEE 1.00 7.2500 ECH ME-VENT FAN Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 97113 100.00 3/13/07 9/09/07 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE 4.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP 1. 00 ".0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 15.0000 ECH PL- EA. BLDG SEWER Extension 50.00 28.00 7.00 15.00 ~ ~ -.. ~\ Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- --.,...------- ---------- ---------- ---------- Permit Fee Total 157.25 157.25 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 161.75 161.75 .00 .00 ~. /"" o -? ~?~ ~ ~. ~ ~ .....::::r S- ~ 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 orwork is suspended or abandoned for a period of180 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 oon~ 3-)167 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\11 02_1 S building permit inspection record05. wpd [1/4120051 " 0,-151 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. ' KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA nON DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN ~/fVl J n '7 ,-LI WATER LINE (METER TO BLDG) "1 -', GAS LINE FINAL 04 ~ 01 DATE -:s L.L- ACCEPTED BY: BACK FLOW I WATER AIR SEAL I WALLS CEILINd FRAMING JOISTS I GIRDERS SHEAR W ALLlHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I , W ALL I FLOOR I CEILING I MECHANICAL HEAT PUMP I FURNACE I DUCTS GAS LINE FINAL blo /2D/Dl DATE WOOD STOVE I PELLET I CHIMNEY :r LL, ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: P ARKlNGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL.lNSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL. DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING .,...\"_1:_:.....\ 11 n., 14\ hl1ilrlino t'\P.nnit in!mectiOD record05.wpd rl/41200S] ,,0' :..::'~'. 'liVe I &;r""'V.lf,~;("'J' ~-"~ l~~~) ~'I ~ BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: S/t'3 It> '1 Permit #: ~? - '2 oS 'J . Fill out COMPLETELY and ill 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 Date Approved: Date Issued: Applicant or Agent: Owner: f? 0 J..J A fJ R 0 c;j e (lj Address: 5~>" C"7 J;J. ~o 1 J S LJJ, u/{etity: p 6 J< .J. Phone: L/57- Cf 237 7- '-/837 Zip: q g3 , .1 Phone: A NfJe=>JeJ ArchitectlEngineer: Phone: Contractor_V J N C ~ ~ c +J(';jl:>~ate License #:1"1'41tJllf<;; o'll.J/U<Exp: :}.1) -rrJPhone:4S1~ c..;qCj Address: ~ J ~J eLJ 1-1 A I) C /-., LAAJt>,City: pi':) Jt t A }J5e le5; Zip: q 83 b L PROJECT ADDRESS: 5s ) F tfh ZONING: LEGAL DESCRIPTION: Lot: J 7 Block: :t. (J LJ Subdivision: r p A CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: o Residential. 0 New Constr. 0 Re-roof 0 Stove o Multi-family D Addition D MoveD Garage o Commercial ~Remodel D Demolition D Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: R.. bh \ .~ COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPffiA nON OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl 05.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that itis my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. Q~~~ Date: i,- J ~ - 6] T:\FORMS\BJdgPermitform.wpd Applicant: " 'I ~'I :) ,r ::J .....~ :~~ ,~'~ r1 .:J t), IJ ~. L,L) _~..J 1: ,) () 0:2- --(' -}t- 4- f.::J. -i- LL :::r II '1 i .",.. -:i",* :.) (l/ll -_S: i~., ~\'" -I .; ~\ / \ /) '~Q L@ l~ L ..J 2, ;.:. -i -\- ~ I 0 I ..., 0 ,... eJ (;::: I ~. \..i- r~---:--- .-...-----'t ! d,,-..., . 1 l...__-'..1 ,?i ~ tI +- " ;1 --:-'~I'~'''=--''- / ~ ~ ,.,-,.----t -~ ,." N ~V!?tl >f (1) z - __ 0 :z. 0 (lc.:. Cl ,/ J ""I ,_'I ,4,) '- ..> ,..., '~ ~ 7... ''\ \,. "\,' " "\ .::.~ ~~l --' --+I . .1"':" ,.., ;::J ._,( :,I"1L ,~.~, ..j tJ, V IJ ~.z. E,L) ~..) i -\- 5:" c .~ 0 ~. ():: \..i- r l ,/ 2: {) o oJ:. -'f" ,ti_ :.) 'vl, r~--' ----.'t ...L Ii i Vf1-<---" \ i...~,.j ,:V ~ 1ft" :! '-~I'on.v= :;:..),: ,.j .-~:.._. > --.t. ...C' -.It- 4. o ~i. k ::r 1\ .~ \" ........ 61s- z - o :z 0 p.c.:. ~:\' '3 ";-' Q...l -;- \ /) '~D I ,fNj r''71 L.~ kC~ --~ ..j Z, -I ~i ~Vi?tt >I <t:..... ,1- Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. ;;:C/ cf? 0 ';'-/3D/J'~ DATE Site Address: , /C- D READY FOR INSPECTION license Number: D WILL CALL FOR INSPECTION Phone: S-.3 Owner/Business: Phone: Owner/Business Address: Sq. Ft. Ii Residential Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load . (attach breakdown) o New Construction o Remodel p\ Service update/alter/repair o Add/aiter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead o Underground/. ,/. Voltage / dlO{!?70 ~10 0 30 i'ervlce size /(J2.0 Amps o Temporary' DetailslDescription: 3;u.s4// /co /hty $c0//Cc...- . W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. o Rough-in/cover O.K. . 'J1l O.K. to connect service /IJ~ Final O.K. Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Site Address: 5.3/ Installer: Eo Permit/Receipt No. 02/6' 0 . ~ Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. ~l NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT o:/t ~ ~/ ~~~- Inspector ' Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall 4.r'c..- OLYMPIC PRINTERS, INC.