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HomeMy WebLinkAbout1119 E 7th St - Building ,.. , . Applica.t:ion Number. . . Property AddreSl:f "..'. ~SESSORPARcEL NUMBER: ApJ;ll+~l).t+()Il..de~cript:ion ProPerty 'Zoning:'. . . Application valuation . ~.c..{"- . .,.o~~ \I I 'CITYOFPORTANGELES' .~. DEPARTMENT, OF CO~ DEVELOPMENT-BUILDING D . SIaN ; 321BASTSmSrnEBP9~TANGB~;WA98362 . ..... ,;",,,'- '. " ......".,.' '.' . """'Cf-', ...,'. ".c . . 03-00000396 Date 4/14/03 '1.119' E '7TH' ST 063000021l!.8.~90Ql!. MECHANICALAPPL . PERMIT 300 owner Contractor --------------~----~---.- 50.00 Plan Check Fee 4/14/03 Valuation . . 10/11/03 .00' o --------------------~--- CARR MICHAEL/KELLY 1U9. E 7TH "ST PORT' ANGELES WA983626624 OWNER ~ _ ~'.,;.. ~... ~'_._ -:,'~.r;;;;; _";';"_ _ _'_ _'_'_ _'_ _ _ _ _ _ ':"" _,_ _ _ _ _ _ _ _ _ _,~___._ _c_-'_';'__'"_ _'_ _ _ _ _ _._ _ ____ ____ __ _ _'__ Permit . . . . Additionaldesc Permit Fee .'. Issue Date Expiration Date MECHANICAL PERMIT Qty Unit Charge Per BASE FEE Extension 50.00 Fee' .summary Charged Paid Credited Due " .....,-.... ---------- Permit Fee Total Plan,.~eck. Total GrancfTotal 50.00 .00 50.00 50.'00 .00 50.00 .00 .00 :00 .00 .00 .00 sepijrat~P,irmlts are required forele~triAAI work, SEPA;Shoreline; E~t..utilities, private and public improvements"IhI$p~lt.~$qrt!e~ llul,llandvold..~ work or construction authorized is not commenced witJ1ln1 ~O dctyS, if construction or work Is suspfjnde.cffJ(al)andoneci ~()ra ~eriod of 180 days after the work as commenced,or if reqlllr~ciJn!5ReFlI(m.s. ~aven()t~een r~q~estedwithin18~ d~~frol11 ~e last 'InspectIPn. . I. hereby certify that I have read and examined thi~ appll~tiol1 and know tJi~salll~.ti?,be)rueand oorrel:f.;',t\trp(Clvrsl(fn1r~f laws ,and ordinances governing this type of work will be compliedwithlNhether specified herein or not The granting ofa'P13rmit does not pr~sume' to 'give., authority to violate or cancel the provisions of.any'stateor 10cal,law. regulating ,constructiCllJpr~~>~~rformance()f constrUcllon..l........ J~." _......'_"...... _....:. ........... .'...../1........ .. . ......... . ... ... -rvv~,-,~,~... 4t/l;;"/ic>~ ;Signature of COntractor or Authorized Agent Date Signature 'of Owner (If oWner.is builder) Date \r'""': . T:\PLANNING\FORMS\l102.IS (412002] . '. I BUILDING PERMIT INSPECnON RECORD ,.. .. ..' .... 11>:';,. '. !', . . ;':_ _ _'. ',_: ,.<. ~ .';':, . ,"_ : -. 'r ;". ..': .':- . ';. :', ,';,,',' "', -., .. CALL 417-48J5 FOR BUILDING INSfEGifION,S. PLEASE PROVIDE A M~I~ 24 HO,P]. NOTICEi It IS UNLAWFUL TQ G.Qy'ER; . INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED: POST P~ IN A CONSPICUOUS LOCATlO~;' ,..... . ..... ... I '. ' KEEP PERMIT CARD AND APPROVED PLANS.?T')~~ITE '.' Ii; .... DATE ACCEPTED1.::fV '~9!'.f~N!$" I YEs"I: NO.: 'tk" '<:ci,'J;::",,..":-;.,: . .... . .,',.. "! ,'" INSPECTION TYPE FOUNDATION: . . " .' FOOTINGS .,. WALLS FOUl'IDATION . DRAINAGE .... ELECTRICAL (LIGHT DEP1) GAS LINE . . . .' . .. . .. SEPARATE PERMIT: # . I . . I . . I... '..... ..... . if' ., I . I . . '. I .' .. .. '. '. I . I .' ". . : . l , '. . , I . . "-' .... ! " I ! j I" I I " i , I . ' , :. ROUGH.IN PLUMBING UNDER FLOOR/ SLAB ROUGH-IN .... WATERLINE BACK FLOW / WATER AIR SEAL WALLS , '. CEILING FRAMING (Ii JOISTS ~" GlRDERS SHEtJtW ALL W ALLSl ROOF / CEILING DRYWALL " . T-BAR INSULATION SLAB WALL / FLOOR/ CEILING . . ! ! ! , . .' ,;' MECHANICAL HEAT PUMP WOOD STOVE / PELLET / ClDMNEY HOOD/DUCTS' PW UTILmES I' SITE WORK (Engineering Division) SEI'ARATE PERMIT I#'s: -c WATE~/METER .. SEWER CONNECTION SANITARY STORM , ,- , PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKINGILIGHTING LANDSCAPING "'., '.,,' "., RES~ENrlAL ;-,},~~ ,.; " '.....'.' .. ',,' .,L"'t--.', ,', .,.'+"t ELECTRICAL - LIGHT DEPT. -,' CONSTRUCTlONR. W./ PWI ENGINEERlNG FIRE " , ' FIRE DEPT. '. . PLANNING DEPT. BUILDING 41,7.47~ol5>;?" .... 11 417-4815 k 'tr-'~" --'" AJV . PLANNING DEPT. BUILDING ',' '..' 1.,." ., ,'~"" I., h.... :Vn.,,J,.:,'. I: '-,"-, .., T:\PLANNING\FORMS\II02.15 [412002] FOR OFFICIAL USE ONLY: o~,O,T~. Building/Utility/Electric/Fire Permit Application Va~ R~.: /0~ ~0 - ~ 7 Please fill out completely. Type or print in ink. If you have questions Pre-Appl Complete: __ 8HB1724: Y N please call (360) 417-4815 or Fax: (360) 417-4711 Letter of Completeness: e-maih www. ci.port-angeles.wa.us Bldg. Permit Apph B.P. Issued: Applicant and/or Agent: .~e e~xa.L f ~(~-o,:,,.~ Phone: & ~ ~- Con,actor: ~,~ ~ a~ Licmse~: Exp: Phone: LEG~ DESerTION: Lot: I q ~ { ~ Bl~k: ~ ~ O Su~sion: CL~L~ CO~ P~C~ ~BER: .CI~t Card Holder Nam< Billing Address: .Ci~: ] Zip:.~ Cre~t Card g. .Exp. Date: VISCMC ~ R~id~ti~ ~N~ Cons~. ~ R~oof ~ Stov~s~ 7~ff SF. = Multi-f~ly m Ad~tion ~ Move ~Gmage~'~ ov(O 72 ~ , SF. ~ $ /SF. = $ ~ Co~ci~ ~ Rmodel ~ Demolition ~ D~k :~t? SF. ~ $ /SF. = $ ~ El<~c~ ~ LP-g~ ~ Si~ ~ UST TOT~ VALUATION $. Existing ~t Cov~age: ~Jsq. ff. + ~opos~ Lot Cov~age: /sq. ~. = TOT~ LOT COVE~GE: /sq.fl PLAN~G USE ONLY: APPROVES: PL~ P~its R~uir~: Not~: BLDG.~ M~. HeiSt: S~backs: Zoning: DPW Site PI~ ~d Use Approv~ by: Date: ES~etl~d(s): ~ Y~ = No SEPA Ch~i~ r~uff~? = Y~ ~ No ~: OTHER~ P~PLICATION S~TTAL: Your applica~on and site plan must be filled out completely to be accepted for review. Building Di~sion c~ pro'de ~u ~ more d~l~ infomation on ~e application ~d pl~ submi~M r~. B~D~G P~ ~PLICA~ON S~'I'I'~: Yo~ ~mpl~ ~on, site pl~ (for Mditions) ~d ~ildMg ~ns~ction plus ~e to ~ sub~tt~ to ~e Bmlding Di~sion. V~UA~ON OF CONSTRUC~ON: M ~1 ~, a ~u~ ~omt must be ~t~ by ~e applic~t. This fi~e ~11 be r~ md may ~ r~s~ ~ ~e Bml~g ~v. to ~mply ~ ~mt f~ s~. ~n~ ~e P~it Coordinator at 417-4815 for ~sist~ce. P~ C~CK ~E: Yo~ pl~ ~<k f~ is due ~ ~e time ~e building p~mit application ~d cons~ction pl~s oth~ p~t fe~ ~e due at the time ofp~mit issu~ce. EXP~TION OF PLAN ~V~W: If no p~t is issu~ ~in 180 days of the date of application, ~is application will expire by l~tafions. ~e ~g ~ci~ c~ ~t~d ~e time for action by ~e applic~t up to 1 g0 days, on ~tt~ r~u~t ~ ~e ~plic~t (see S~tian 107.4 of~e Uniform Building Cod~ c~t ~ition). No application c~ be ext~d~ more ~ once. I hereby certi~ that I have read and examined this application and know the same to be true and correct, and I am authod~d to apply for this pe~i~ I understand it is not the Ci~ ~s legal responsibili~ to dete~ine what pe~its are required; it remaim the applicant's responsibili~ to determine what ~ermits are required and to obtain suc~ Pw-1102 13[rev.6/o0] Applic~t: 7 ~~ d~ Date: BUILDING PERMIT INSPECTION RECORD CALL 417-481 $ FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE~ IT IS UNLAWFUL TO COVEP~ INSULATE OR CONCEAL ANY WORK BEFORE INSPECrED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERM~ CARD AND APPROVED PLANS AT JOB SITE SANliARY co~muc,~o~ ~w ~ oo~ucno~- ~w City of Port Angeles Applicant Project Review Sheet ./ Applicant: ^~A, I ,'~_ Propertyaddress: /[[~ ~, ~'~ ~Wc Owner: Proposed Zone: cz ? Is the proposed use listed as a "permitled use" or an "aecessory use" in this zone? [~yes: ok [] no: req.uires PD Is this the only use (business, residence, etc.) on this site? [~yes: ok [] no: requires PD review Has there ever been a subdivision, sho~tplat, or PRD approved for this site, or has one been submitted and is pending approval? [] yes: requires PD [~no: ok rev/~w Does the proposed use require a new buisness license? [] yes: requires CC ~no: ok review Does the project extend into any required setbacks or cross any lot lines (interior or [] yes: requires PD [~no: ok exterior)? review Does the project exceed the permitted height allowance or cause the properly to exceed I-I yes: requires PD [~no: ok the allowed lot coverage in this zorn:? review Does tl~ project require any additional parking or special design/landscape improveman[s [] yes: requires PD [~no: ok in this zone? . rewew Does the project eliminate any existing parking spaces? [] yes: req~res PD [~no: ok Is the project located within 200' of the shoreline? [] yes: req.uires PD [~no: ok ~anew Arc there any environmentally sansitive areas on or within 200' of the property, [] yes: requires PD {~no: ok including: . · wetlands or areas of standing water (year round or seasonal); ron~w · s~'cems (year round or seasonal); · areas with a slope of 40% or greater; or · areas that have evidance of past ground movement or erosion? Have all the required submittals been provided by the applicant? ~yes: ok [] no: mark I~ Site Plan IR Construction Drawings required ~Parking/Drainagc Plan 13 Civil DraWings item(s) I~Energy (2ale ~'~Supporting Engr. Cal¢ [] Landscape/Lighting Plan tn Other l~Planning Department review is required, the processing time may be extended. If it is determined a separate Planning l)etmrtment permit(s) is needed, the Pltmning Department permit(s) must be approved prior to the issuance of any other permit. Oy; the t~tO? ,to oc tne~, eet; ~t~ t~r_. oject v,~ll_ be ztOppe~ ~nttl such time the City detarrAmes the correct information is provtded ~ any su~equentO~ required review and/[ypprovals are Completed and#ranted. Applicant Permit Category # (see reverse side) Building Permit # Master Tracking # Route to: [] BD El CC [3 FD [] LD [] PD [] PW [3 File [] Other StaffInitials Date Completion off this form is required for all category lb, 2 & 3 permits. Completion is not required for category la permits unless they result in a potential change o fuse or occupancy. Page 1 of 1 Public Works - Lou Haehnlen From: Michael Carr <mcarr@olypen.com> To: <permits@ci. port-angeles.wa, us> Sent: Wednesday, March 21, 2001 4:57 PM Subject: Building Permit Extention Dear Lou and City of Port Angeles: I have been unable to start my garage for which the permit expires on 04/15/01. I would very much appreciate having an extension to allow time for financing the project. Thank you, Michael Carr 1119 E. 7th St. Port Angeles WA 98362 417-0965 3/22/01 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~/~ (~ © 1 Time Received by ~-~ (/~person) Location of Work to be inspected / [ IG~ ~ '-~'-~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of~lnspection (circle appropriate one): Permit No. Sewea~Fouj~ Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES:~. Inspected: Date ~ ~ ' - "~/ Time By ~. Remarks:. RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel [~Asphalt []PCC [~]Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE ~} No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~--~'~-0 t Time Received by ~ ~' ~person) Location of Work to be inspected /I Iff ~' ? '~<-~ /~'/~/~/~ ~0~V~ Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. I' ~ ~O7 Sewer~Foundation~ Framing Chimney Plumbing Final Sewer Excav. Other ~ ~LL~ INSPECTION Inspected: Date ~*' ~ ' (~/ Time, ~7~ Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel []Asphalt []PCC [~Other [] Repaired by City Work Order # ~--] Repaired by Permittee [-~ COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES PUBLIC WORKS - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELF~, WA 98362 BUILDING PERMIT ISSUED: 11/16/2000 PERMIT NO: 12307 OWNER/APPLICANT PROPERTY LOCATION 1119 7TH ST E MICHEAL CARR 1119 E 7TH ST Lot: 14 & 15 Port Angeles, WA 99360 Block: 210 [] Long Legal 360/417-0965 Subdivision: TPA T: S: Parcel No: CONTRACTOR ARCHITECT owner N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $15,000.00 SFD Units: 0 Commercial: 0 Project Type: GARAGE NEW SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 r Zoning Use: RS 7 PROJECT NOTES '-~ construct new detached garage with family room above 26x28 / 728sq/ft FEES ASSESSMENT --~ Building Permit: $251.25 Misc Fee 1: $0.00 ~ Plan Check: $100.50 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $356.25 Plumbing: $0.00 AMOUNT PAID: $356.25 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 RW SANITARY WATER DWY STORM DRA OTHER Separate Permits are required for electrical work, utilities, pdvate and public improvements. This permit becomes null and void if work or constnJc'aon autho~zed is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the won~ as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certJty that I have read and e~(amineq this applica',Jon and know the same to be true and correct. All provisions of 1~3ws 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 ~rovisions of any state or~al law regulating construction or the performance of construction. ~. Si~nsture of Contractor or Au~orized A~ent Date Si~lnature Of Owner (if owoer is builder} Date CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT REQUEST: Date d-//'~ -- ~)/ Time Received by (phone, person) Location of Work to be inspected // /9 ~" Name of person requesting inspection Address of person requesting inspection Phone No. Permit No. Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ~' ' "~ ' ~ Time By Remarks:. RESTORATION REQUIRED ...... YES NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~]Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE r-I No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ~ Date ! -- ~ ~ ~ ~'~'~ ~- Time Received by (phone, person) Location of Work to be inspected ~ , / Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav, Other .... INSPECTION NOTES: "-~ Inspected: Date / - ~ ~- ~ ~ _Time By Remarks: RESTORATION ~REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved ~:~Gravel []Asphalt I~PCC [::]Other [] Repaired by City Work Order # [] Repaired by Permittee ~ COMPLETE [] No Damage Found [:} INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date / -~ '~ -O ~ Time Received by (phone, person) Location of Work to be inspected /[,~q Name of person requesting inspection ../~ i J~o_ ~ ~.~ Address of person requesting inspection / Phone No. ~. [ 7 c~C~ ~.~- No.?~J-~_ Type of Inspection (circle appropriate one ')~ ~ Permit Sewer Foundation Framing Chi~)f~ey/,.)Plumbi,ng Fi~ SewerExcav.J ~' Other INSPECTION NOTES: ~, ~. '" / ~,. ?~,~ .~,~ _. / Inspected: Date I ~ ,~- "--.~.~ ~/ By Remerks: 'i~,.~L~2'~-' ,~,~_ ~. _. I- /"~-~?LJ,.h'~n ~ ...... RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt ~--~PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date _~ ?~o~//0 5 Time ~ *' ~'J>J/~'~/Received by ~~ ~person) Location of Work to be inspected j~///~.~ ///~ ~' ~ ~ ~' ~~ Name of person requesting inspection ~'~1~ ~ ~ Address of person requesting inspection Phone No.~/~ Type of Inspection (circle appropriate one): Permit No. Sewer Foundatio~ Fr~~himney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ~-5~-O~ Time /~) ~ By Remarks: ~ ~s A~ ~ ~ ~. ~ ~ ~ RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~]Gravel [~Asphalt I--IPCC ~}Other [] Repaired by City Work Order # El Repaired by Permittee [] COMPLETE E] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS v/ ........... INSPECTION REPORT ........... REQUEST: Date ?/-- 2 ~- ~ Time Received by P~? {phone, person) Location of Work to be inspected [ I ici ~- ~'7 'f ~ Name of person requesting inspection ~ ,,~ k~-- C ~ v F Address of person requesting inspection Phone No.L.//? Type of inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ~ INSPECTION NOTES: inspected: Date .z-~- 2 ~'~- ~---~ ~ Time By Remarks: RESTORATION REQUIRED ...... YES. NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel I~Asphalt I--~PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date /-//'~ ~'~ '~--'T_.~ Time Received by /~'~ ~'~ (phone, person) Location of Work to be inspected ///c-~ ~-- ~-~y~ Name of person requesting inspection /¥"J,'~:~ ~7~/"/-- Address of person requesting inspection Phone No. ~/~/ Type of Inspection (circle appropriate one): Permit No. Sewer Foundation ~Chimney Plumbing Final Sewer Excav. Other /d.,~ INSPECTION NOTES: Inspected: Date q-~-~ __Time ~;to/~-~' By Remarks: -/-~_~,~.. ~ .~ .z~.~ RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Location of Work to be inspected ..~//-~4 Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundatio~-Fra~himney Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date ~'~-~ __Time~ By Remarks: -~ ~' P RESTORATION REQUIRED ...... YES_ NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST,: Date l I.~---~ /~_~ Time Received by (phone, person) Location of Work to be inspected I I ~ ~ ~ -~ Name of person requesting inspection ~'/~ I I~'l~ ~ ~/~/~ Address of person requesting inspection Phone No. ~/ Type of Inspection (circle appropriate one): Permit No. l Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES:I l inspected: Date [/ j z_[ ©~ Time Remarks: RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary} STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date /~ ~ ~7~- ~:~ Time Received by ~--~l/ (phone, person) Location of Work to be inspected / l { ~ ~-- .. L Name of person requesting inspection ~'~ ~ ~:~ ~.~ ~v-~- Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing al ewer Excav. Other Inspected:INSPECTION NOTES:/~ ~ . ,. ~-~-°'~r~?~ ~, ['~-Y By ' Date I ~-'~J ! ~? Time [~-~ Remarks:, RESTORATION REQUIRED ...... YES, NO t~ SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel []Asphalt [~PCC []Other [] Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE) ' Englnee~ I~ ~ Por~ ~n~eles, ~ 98362 Por~ Angeles, WA, 98363 El. evo,-t;ion$ La F-',i ~ ~> F-, co~u~..~l~ Engineer CUer~'~' Mlcheo, L C~rr 1401 ~/, 7th (360)458-2098 1119 E~$t 7th gtreet Port An eles, VA 98362 Port Angetes, ~/A, 98363 1119 E~t 7th ~t~eet 1401 ~, 7th (360)45~-~098 Popt AngeLes, ~A 9836~ Popt AngeLes, ~A, ~8363 -- Englnee~ cu.~,Mlche~l C~rr 1119 E~s~ 7~h S~ree~ 1401 ~, 7~h (360)452-2098 Por~ An etes. ~A 98362 Por~ Angeles, ~A. 98363 Engineer o :heal Cart lll9 Ea$~ 7~h S~ree~ 1401 W, 7~h (360)45~-~0~8 Por~ Angeles, WA 98362 Por~ Angeles, WA, 98363 28' ~ t ~?- ~ o - Foundation Plan U ~ ~ e pConsuttin9 Engineer 1119 East 7th Street 1401 W, 7th (360)458-8098 Port Angetes, WA, 98363 Port Anseles, WA 98368 . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 ELECTRICAL PERMIT Site Address: E 771 o READY FOR INSPECTION License Number: WILL CALL FOR INSPECTION Phone: / c; Installed By: Owner/Business: Owner/Business Address: ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW o FAN/WALL KW \l( RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL Js{ ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE PERMIT NO. ~~ cJr,1'/ ..s;1/.:)/9~ DATE Phone: Sq. Ft. o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: Dq5 0316 SERVICE SIZE FEEDER SIZE AMPS AMPS DetailslDescription: ~Jt {-~y;~~-L/pmGv . W.S. No. SERVICE SIZE CAPACITY: o O.K. 0 NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o OVERHEAD SERVICE APPROVED o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. ~~~ROUgh-in/cover O.K. D.,O.K. to connect ke /J. lxiJFinaIO.K. iA ~ ~ '" fI'W-V' , Site Address: 7'T/j Installer: New Meters ~ . Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Building Per it. PHONE 457-0411, EXT. 224. ~. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ WHITE '- File by address PINK - Top: Eng, Bottom, Customer OLYMPIC PAINTERS INC_ -3cJ/ eo Permit Fee GREEN - Top: Meter Dept.. Bottom: Ci'y Ha~