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HomeMy WebLinkAbout1803 W 13th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation CHILDS MICHELLE /T L 1803 W 13TH ST PORT ANGELES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Owner Contractor WA 98363 07 00000709 108222 1803 W 13TH ST 06 30 00 0 3 6295 0000 TIMOTHY L CHILDS RE ROOF RS7 RESDNTL SINGLE FAMILY 1420 OWNER Date 6/15/07 Permit BUILDING PERMIT NO PR FEE Additional desc TEAR OFF AND RE ROOF Permit pin number 104703 Permit Fee 80 50 Plan Check Fee 00 Issue Date 6/15/07 Valuation 1420 Expiration Date 12/12/07 Qty Unit Charge Per BASE FEE 10 00 3 0500 HND BL -501 2K (3 05 PER C) Other Fees Fee summary Charged Permit Fee Total 80 50 80 50 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 85 00 85 00 00 00 T \Policies \1102 15 building pennit inspection record05 wpd [1/4/2005] Paid Credited Due Extension 50 00 30 50 STATE SURCHARGE 4 50 Separate Permits are required forelectrical 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 as commenced or if required inspections have not been requested within 180 days from the last inspection !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 oor struction or the performance of construction. C 156 Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A 1vIINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN 4 CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /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 ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING I FIRE 417 -4653 I PLANNING DEPT 417 -4750 I 1 I. BUILDING 417 -4815 I k,1 If T \Policies \1102 15 building permit inspection record05.wpd (1/4/2005 BUILDING PERMIT INSPECTION RECORD ACCEPTED COMMENTS YES NO FINAL FINAL MANUFACTURED HOMES FOOTING SLAB BLOCKING &1 -TOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE I ACCEPTED I YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W 417 -4807 PW /ENGINEERING I FIRE DEPT 1 -4 -I I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. BUILDING PERMIT APPLICATION 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 Applicant or Agent: %ri tcThY L Phone. (;3Lr,\ '-4 I I'° o 4 Owner 7i L Ci.; Phone 17a:0 4 CT -c:IG It s Address: 1 c)3 i ST City c r f}t,c °-6 Zip l Architect/Engineer Phone: Contractor State License Exp Phone: Zip ZONING Address: City PROJECT ADDRESS S O -3 (A 3+ Si- LEGAL DESCRIPTION Lot: Block. CLALLAM COUNTY PARCEL NUMBER. COMMERCIAL/RESIDENTIAL. Occupancy Group No. of Stones: Lot Size: Existing Sq Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other T'\FORMS\BIdgPermitform.wpd Applicaac Subdivision. TYPE OF WORK. STZ.F/VALUATION )g- Residential New Constr X Re -roof Stove SF /SF Multi- family Addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALU TION 1 O BRIEF DESCRIPTION OF THE PROJECT i c‘ 4i e L 0c� el i ke CC Occupant Load. Construction Type: Proposed Sq Ft. TOTAL Sq Ft. 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 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 R105.3.2 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 that it is my responsibi ity)o determine what permits are required ,not the City's, and that I must obtain such permits prior to work. Date: C J FOR OFFICIAL USE ONLY Date Rec. ©o --(5 07 Pennit Qj 7_0 Dat.. Approved: ("(0.—( 5 Date Issued: APPROVALS PLAN BLDG DPIVU FIRE. OTAER. s ~ CITYOFPO~l',AN~ELES ..... .. ' DEPARTMENT OF COMMUNITY DEvELOgMENT - BUILDING DIVISIO~ 321 EAST 5TII SlREET, . PORT:ANGELES, W A 98362 ' , t,.' , . ~- ',. Application Number Pin number . . . . 'Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Pl:'operty Use . . . . Property ZOning . . . A~plication valuation 05-00000014 Date .410374 1803 W 13TH ST 06-30-00-0-3-6295-0000- RES REMODEL '1/06/05 RS7 RESDNTL SINGLE FAMILY 2500 OWner Contractor ----------------------~- CHILDS.' MICHELLE/T L 1803 W 13TH ST PORT ANGELES 'WA 98363 OWNER -------~---------------------------------~--~~------------------------------ Permit . . . . Additional desc peilliit Fee Issue Date Expiration Date MECHANICAL PERMIT 54.25 Plan Check Fee 1/06/05 Valuation . . 7/05/05 .00 o Qty Unit Charge Per , . Extension:. 47.00 7.25 BASE FEE 1.00 7.2500 ECH ME-VENT FAN -------------------------~---------------~--~~------------------------------ Permit .. . . Additionaldesc Permit Fee Issue Date Expiration Date BUILDING PERMIT,-RESIDENTIAL CONVERT GARAGE TO LIVING' SPACE 106.75 Plan Check Fee 1/06/05 Valuation 7/05/05 '""""'- 42.70, 2500 ~..', ~ Qty Unit Charge Per Extension 92.75 14.00, J BASE FEE 1.00 14.0000 THOU BL-2001-25K (14 PER K) .... ....... ____~-_~~__---~---------------------------------------__________w__~____~___ Other Fees STATE SURcHARGE '4.50 t Fee swnmary Charged Paid Credited Due, --------~-----:--- ---------- ---------- ---------- ---------- Pe:gnitFee Total 161.00 161.00 .00 .00. Plan Check'Total 42.70 42.70 .00 .00 Other Fee Total 4.50 4.50 .00 ,.00 Grand Total 208.20 208.20 .00 .00 - \Y ~, 'V\ (-:..J . Separate ~erR1lta are requlredfo~electrical work, SEPA,ShoreUne, ~SA, utilities, priyt:itf;l.al1d/pU)j)lIc lR1proY;$R1~~tst,' . null and void It work or construction authorized Is not commenced WIthin 1.80' days; It CQnstructlon or wol'ftrs.$US~ri . '.' for,a perio~of 1~0 days after the wOrk as commenced, or It reqUited Inspections have riot been requested wjthln"180'".""'hf.#1eJast in~pectlon:)ll1ereby certify that I have read and eXamined' ttlls :application .and. know.the:same 'to'.~.tra;e -t:l~~;C9~icl~i!ltP'r9Xi.~i.~I'I~ .of laws and orainances governing this type of work will be'complied With whether speclfieclherein or.nOtTheg@iitirig .Qr.a~perm.iltdoes' not presume .to give authority to violate or cancel the provisions of any state or local aw regUlatidJ1ng co . n. Or the:"penomlance of construction. . , ..,. . ~_.~_ I-S-6S- Signature of Contraqtor or Authorized Agent . Date ' "Signature,ofCh"vner(if owner. is ,buDder) Date T:\PLANNlNG\FORMS\II02.15 [11/141lO(3) ,-. ...,. ~< ,," . iC"'--':.----.''..-.' ,- -,,,",",_",,__,-~ 7\: . ;.,.. ~'-';:;'~~;:",,?;;7~"~F';'<' r'~~ :1,<:1;':."7: ,,.:,~,_:\rf;;;Jt_;:?~; ":'~':~':~" "'''-''~-5e:((\" 'J:"/:'r;:t~?'o/;\"Y'Y;:_"-~/~' ":""-::-0~ BUll.J)ING PERMIT INSPECTION RECORD 'CALL 4.1 7-4815. FOR BUILDING INSPECflONS. CALL 417-4735 FOR ELEctIuCALtNSJ>>EcrH:>NS~ ,PLEASE PROVIDE ~MINIMUM 24 HOURNOTIpE.'IT IS UNLAWFUL TO CO~INSpq.TE.(JR,(JQNCBAL'A.ia'WORIiBEFORE 'INSPECTEDAND4CeEP7"ED:,POSTPERMJTINACON~PIgJ(lllSLOe\.tIO'N... ". -,.", 'KEEP'PERMITCARD'ANDAPPROVEDPLANSATJOB'SIm" ',' ;, '," :{/.. INSPECTION TYPE. 'DATE I ACCEPTED . " ....~. ~~ .... I .YES. I ,NO ". . .' FOUNDATION: .' ...., " FOOTINGS .... "." , WALLS " .;-;- " " " , , '. DRAINAGEIDOWN sroms ,. FOUNDATION . . .. . . " - ELECTRiCAL ~. '''. , ...,' (UGHTDEPT) SEPARATE PERMIT: # . . ...... '" - " :..,--'.,. " ROUGH-IN I l " I " " .. PLUMBING ',' . " '. 0 .., UND1?R FLOOR/ SLAB . , ,. " " : - ROUGH-IN " ~ '.,' . .. WATER LJNE (METER TO BLDG) . . ., '" " " . "-"'.-" . .. ,,-. " GAS LINE . ,,- .- " oO " BACltFLOW / WATER . AIR SEAL . . , " .- " ; . " WAllS h_,^ ~ ..I . L, l .. r I " CEILING .' FiWuNG . "C .C'~>>(1,6~}+~-or-,.J~L-,.Aj" JOISTS / GIRDERS . . '" .". -" "...."" ,,' -" . . SHEAR WAUJHQLD DOWNS .- ....-. " ,. '.' l-IQ..-ot' j~ 1 .. .- , .. W ALi.S / ROOF / CEILING " " " " : DRYWALL (INTERIOR BRACED PANEL ONLY)- ~ . " .. .. " .' . .' ,. '. " .' , T-BAR lN$tiI:ATtON~ .. SLAB I '- .. WALL / FLOOR/ CEILING 11....I~r I ~J.L L I MECHANICAL " -- .r; tt...1 D--7-cs- /H." J 1.4- '. HBATPUMP I. GAS LINE . WOOD STOVE'lPELLET / CHIMNEY HOOD'/' DtJCTS " . . PW U'l'iLmESI'SITE WORK ~Divisioa) SEPARATE PERMIT /I's: '. " .. .' .' WATEItLINE lMETB& : . .. , SEWER CONNECTION .' .' . . , .. .- " " ,.. .'- .. . ; SANITARY , " S"l'OR'.M . PLANNING DEPT. SEPARATE PERMlT#'s .". . SEPA: . , .. .. .' " PARKING'tIGBTING ESA: .. .. '..- LANDSCAPING ',' =' ~ ,.. : ~~ 2gtQ~ " . ',.,"'< ' . ',0. " " .' 'fl...JlJNAl;.~<<>Ns~P~QRTOOCC1,l!~ro~,' '., ' i .' , RESIDENTIAL ,"'- "." ij DATE . .. 'YES.. <~:i, NO I COMMERcIAL .DATE , '" A,c;;qu'1'ED, . . .' YE$. NO '. ';,":' '-: \ ..,' ELECTRICAL - UGHT DEPI:; 417-4735 , .. ELEC'IlUCAI; , . UGHTDBPT'.' . , ,.': coNsnwcnONRW./PW/ CONS1'IWC'I'iON ~ It. W. ENGINBERING . . 417-4807 PWIENGJNEERJNG ..... FIRE ~17~~, .' ... FIRE..J?EI'T; . " .. "- PLANNING DEPT. 417-4750 PLANtOlNG DEPT. n_ It\. ...7.#',f) ('"'" ~.-,. . ".'-.<< - , Bun.DING '417-4815 BUJJ.DING . .. ", . r . I' I..' ~T:\PI.A!OONG\F()RMS\II02.15 [11/1412003] l ,..",....' PREPARED 2/07/05, 12:44:03 CITY OF PORT ANGELES 1803 W 13TH ST INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: CHILDS MICHELLE/T L 06-30-00-0-3-6295-0000- 05-00000014 RES REMODEL PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BAIR 01 1/12/05 JLL BUILDING AIR SEAL 1/12/05 AP BLI 01 1/12/05 JLL BUILDING INSULATION 1/12/05 AP BL3 01 1/12/05 JLL BUILDING FRAMING 1/12/05 AP BL99 01 ~ JLL BUILDING FINAL -D~ TIM CHILDS417-0573 SUBDIV: PHONE PHONE : PAGE DATE 8 2/07/05 ----------------------------------- CONTINUED ONTO NEXT PAGE ----------------------------------- ~\c- "De~ . t. <<) f ~ III j\.14-~~ Se~IIl"te \ gu~ ) ~J PREPARED 2/28/05, 12:56:19 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 8 2/28/05 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1803 W 13TH ST SUBDIV: PHONE PHONE : CHILDS MICHELLE/T L 06-30-00-0-3-6295-0000- 05-00000014 RES REMODEL PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BAIR 01 1/12/05 1/12/05 1/12/05 1/12/05 1/12/05 1/12/05 2/07/05 2/07/05 BUILDING FRAMING BL99 01 JLL AP JLL AP JLL AP JLL DA BUILDING AIR SEAL BLI 01 BUILDING INSULATION BL3 01 BUILDING FINAL TIM CHILDS417-0573 smk detectors reqd/jll ::::_::_-~~---~:~:::~:::::::: :::-::::S ~~~~~~~<L CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . ::~~l~~lbc" "...!im~=r~. Received by ~ ~~e'sonl Location of Work to be inspected .. Name of person requesting inspection T\ """"'- Address of person requesting inspection Phone No. Type'of Inspection (circle appropriate one): Permit No. Sewer Foundatio8 Chimney Plumbin~ewer Excav. Other 180 'b t;0 l'?, ~ '71- /3507 INSPECTION NOTES: Inspected: . Date .9-' d- (?; ~c~ Remarks: Time , ?(lIl By ~L, ~~) RESTORATION REQUIRED . . . . .. YES NO J- ;\. Sf' ou G<41I.-I1G.,;- ~ F.:r;; ~0 - ~~ fL . . r-~e \' S { <--t'?- I DK ~ ~ 0LC SURFACE RESTORATION: SURFACE TYPE: 0 UriimpRjved o Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE PREPARED 2/07/05, 12:44:03 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 9 2/07/05 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1803 W 13TH ST SUBDIV: PHONE PHONE : CHILDS MICHELLE/T L 06-30-00-0-3-6295-0000- 05-00000014 RES REMODEL PKRMIT: ME 00 MECHANICAL PKRMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS M"'_O'__~~___MECHAN'~":::~ AND ,,"BE ______________________________________ PREPARED 1/12/05, 12:27:16 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 1/12/05 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1803 W 13TH ST SUBDIV: PHONE PHONE : CHILDS MICHELLE/T L 06-30-00-0-3-6295-0000- 05-00000014 RES REMODEL PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BAIR 01 \'lri<fo~l= BLI 01 ~ --'JL BL3 01 ~ JL ~ ~e -------------------------------------- COMMENTS AND NOTES -------------------------------------- BUILDING AIR SEAL BUILDING INSULATION BUILDING FRAMING I BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: . ~at~~~~-i-=<::'.=-6$" Permit #:0 S -' j Y Date Approved: Date Issued: 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 Applicant or Agent: ~ Owner: / /I~ ~- /,I/lc.. / /.tt( L .--fll j.( J-/ t tXlt" heU€ (hA.~ s ( !3( (:) .~ L.U i :> 1'-\ City: Phone: 4-/7-05'73 ~Ol Phone: t..f/7 -OS 73 fJt'>FI !luyeLes L0A Zip: 9~36 '=3 Phone: Address: Architect/Engineer: Contractor 0 ~ '^-~ Address: PROJECT ADDRESS: i~.3 LEGAL DESCRIPTION: Lot: :J() CLALLAM COUNTY PARCEL NUMBER: State License #: Exp: Phone: City: Zip: ~ l~~ ZONING: 'te~ Block: 3~tL Subdivision: -r:. P. 1.-\ Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 'IZi Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: o Stove o Garage o Deck o Other ~e..v--<-o~ eL SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF.@$ /SF.=$ TOTAL ~UAT~N~ $ ~. 5"'0c> j 1;-c..)-5-€' (~ ~~~_ 00 ----- COMMERCIAL/RESIDENTIAL: Occ).lpancy 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: ESNWetland(s): 0 Yes 0 No SEPA Checklist required? 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. V ALUA TION 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 Rl 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby ceriify that I have read and examined this application and know the same to be true and correct. I am auth rized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that ust obtain u ermits prior to work. Date: i -S ~ T:\RVESS\BLDG-fonns-brochures\2003-Buildingpermit. wpd FILE 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 in said plans, specifications and other data, or from preventing building oper~tions being carried on thereunder when . violation of all codes and ordinances of this . ction. Approval Date e-~S"--I Nl> ~ .... ..r: ~ T 1<- ~ ,~ s:~~i~ t 0 ~ ~ f"~"~ b;O'!'~~ ::: p ~:L'-t t . ~ ~ ~'t~f g.-\) ~ j V r (tl \]\ \II ~ i~ r} \.1& G"~ tit 6 "/. IS,.-' ~ - ~ @> .-<<.,.~ ~~'. ""'- o "", i. i~ 11\~ "\) ~ ~:.\) ~ ,. ~l~"" to""' ~ "'--. ~ ~, - ;2.-38/rJS~(.,...- I tJ ce..f...t ~6 ~ I' s+lH--TUJt..It.- ON avPrc...L.-$ t. C6tc....t uf. II 0 t./ f) \J uJ ~c.... 1=~~6,./ 4-tA-c..F StrI06- w J "'~/() I L/ ' ~ft;Q'Q;.. .~." - S'6' .. 'S ~r..? CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :l21 EAST STH STREET. PORT ANGELES. WA 9R:l62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000014 Date .410374 1803 W 13TH ST 06-30-00-0-3-6295-0000- RES REMODEL 2/07/05 RS7 RESDNTL SINGLE FAMILY 2500 Owner Contractor CHILDS MICHELLE/T L 1803 W 13TH ST PORT ANGELES WA 98363 OWNER Permit Additional desc Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL OWNER 48.10 Plan Check Fee 1/06/05 Valuation 8/06/05 .00 o Qty Unit Charge Per 1.00 48.1000 ECH EL-R OR RM 1~4 'ALT CIRCUITS Extension 48.10 ,. .~ \) \;v Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ------------------ ---------- ---------- ---------- ---------- Permit Fee Total 48.10 48.10 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 52.60 52.60 .00 .00 l , " ~ \J.\. CI\ ,\ COMMENTS! ACTION Nf;EDED ELECfRICAL PERMIT INSPE~JON RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPIt DATE COMMENTS NO GENERAL COMMENTS: PW-\\02.lS(4I96) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST Date to - (5-04 Time II' 3D At..v\.. Received by Vei--tv\.('s ~ (phone, person) Location of Work to be inspected 180"3 W , Name of person requesting inspection De ~ \A. \ ~ Address of person requesting inspection Type of Inspection (circle appropriate one) Sewer Foundation Framing Chimney Plumbing Final '3~ ~ Phone No eft '7 -<.{-fl'-{ 9 Permit No ~ Sewer Excav Oth~~f-ev INSPECTION NOTES Inspected Date ("6 --I '!) -ot..{ Remarks R~tiA..1 or zn p.. t/' <:.... , Time g, 5<> PItA- By De",,- V\. (S E ~ ~~ """ bre4-k RESTORATION REQUIRED YES NO >< ~ 6 \....I, c:::;. ~ ~ "~ " ~ 'I ..:.. 2" I! II.. L . c.{ I f)e~ ~fl'~ .V vJ "3(( I - )... ~\ ~...j .~ SURFACE RESTORATION SURFACE TYPE D Unimproved MGravel D Repaired by City Cl Repaired by Permittee D No Damage Found o Asphalt 0 PCC D Other Work Order # 1'58z.8~03 t o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) City of Port Angeles Public Works Department Water DIstribution Repair Report IWork Order No /3?JZ& ,--03 ( 'Crew 71~ "4-. Cre..'../ DATE REPo.RTED (0 --- (c.f - oc.f P tv{. CONDITIo.N E1'v1ERGENCY 0 Ro.UTINE 0 CITIZEN COMPLAINT K LEAKAGE SURVEY 0 o.THER 0 DATE OF REPAlR. ID -15'" -oLf TIME ((' s:-o A!A.M. DP.M. REP AIR LOCATION ADDRESS I fl () '3 4J ! g 14- ,(), J SIZE Z(' TYPE o.F MAIN ~ VL-- _ ,/ ( ,/ I DEPTH o.F MAIN '-f CLOSEST VALVE DEPTII. r COlvfPo.NENT REPAIRED. MAIN JOINT 0 CIR. BREAK 0 SPLIT BELL}f LONG BREAK 0 HOLE 0 CLAMP 0 OTHER SER'lICE TAP 0 CaRP STap 0 PIPE 0 CURB STOP 0 FITTING 0 METER SETTER 0 METER 0 LINE VALVE FLANGE NUTS/BOL TS 0 STEM 0 BONNET 0 HYDRANT BRANCH 0 VALVE 0 BARREL 0 OTHER. COlvfPONENTS OF REPAIR. CLAMPO DRESSE~ OllIER ~~.~. 8.(~.,s NtjJf I ~ SITE CONDITION GRA VEL)( ASPHALT 0 SIDEW ALK 0 CURB 0 TOP SOIL AREA 0 SOIL TYPE CUTS ASPHAL T CUT _FT CURB CUT _FT SIDEWALK_FT DRlVEW A Y CUT _FT MAIN COND ITION INTERN AL LINING 6 () Dei 1lJBERCULA TlON-MINOR 0 SEVERE 0 EXTERNAL CORROSION LOCALIZED 0 EXTENSIVE C CHLORlNE RESIDUAL SNvfPLE ~ <Sz P.P M. WATER OFF FROM I f? M. TO. 2f'M. FRaM M. TO. M. APPARENT CAUSE OF LEAK. fJj'e s..eff Ie .... CITY OF PORT ANGELES °~' DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ¢3~.1i1_1.~11Y~ I"I;I~MII ISSUED: 7~08~2002 PERMIT NO: 13507 OWNER/APPLICANT PROPERTY LOCATION TIM CHILDS 1803 13TH ST W 1803 W. 13TH STREET Lot: 20 Port Angeles, WA 98363 Block: 362 [] Long Legal 360/417-0573 Subdivision: TPA T: S: Parcel No: 063000036295000 CONTRACTOR ARCHITECT OWNER N/A VARIOUS Port Angeles, WA 99360 , 98360-0000 206/000-0000 360/000-0000 PROJECT INFO Project Value: $5,782.00 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 ~ Zoning Use: ~/~ PROJECT NOTES NEW DETACHED GARAGE 672 SQ. FT. RECEIPT~9314 FEES ASSESSMENT Building Permit: $125.25 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 '~ House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $129.75 Plumbing: $0.00 AMOUNT PAID: $129.75 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. AI~ 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 ~,sregulating constructi~on~r the performance of Signature of Contractor or Authorized Agent Date Signature of Owner (if ownU"~r i~ I~u~lder) Date T:\PLANNING~FOKMS\ 1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNL/IWFUL TO COVER, INSUL/ITE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE I DATE ACCEPTED COMMENTS YES [ NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PEILMIT: # PLUME1NG UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL CE1LING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS/ROOF/CEILING I0 'll-o'g f~v" Ioa_.~ ~.~)~) flr~%,vco[ ~,n~h~,," DRYWALL T-BAR INSULATION WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD/ DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STOR34 PLANNING DEPT. SEPARATE PERMIT O's SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQU1RED 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 / ENGINEEKING FIKE 417-4653 FIRE DEPT, PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\ 1102.15 [4/2002] ~ eOR? FOR OFFI IAL US ONLY: BUILDING PERMIT- APPLICATION Date 2- The Building Permit application must be filled out completely. DaM tssu~d: ---------'~-- Please type or print in ink. If you have any questions, please call 417-4815 ~ ~ Applic~t or Agent: //~ ~(~9 Phone: (~) Owner: ~ ( <,'~ 5 Phone: Address: /~&~ ~ [~ City: ~~e~ Zip: ArchitecVEngineer: ~ f~&,'[h~., Phone: Contractor 4/~ License g: Exp: Phone: Address: City: Zip: PROJECT D SS: 18 3 t3% zos sG: LEGAL DESC~PTION: Lot: ~D Block: .~ ~ Subdivision: ~ ~ ~ CL~L~ COUNTY PARCEL NU~BER:DG~C~gE; 3 [;t(~O(~it Card Holder Name: Billing Address: CiW: Credit Card g: Exp. Date: ~SA MC T~E OF WO~: SIZEN~UATION: ~ Residential ~ New Consm ~ Re-roof ~ Wood-stove sr. ~ $. /sr. = $ ~ Multi-fa~ly ~ Addition ~ Move ~ Garage ~ sr. ~ $~/SF. = $ ~ Co~ercial ~ Remodel ~ Demolition D Deck sr. ~ $ /sr. = $ ~ Repair D Sign D TOTAL VALUATION $ ~mEF DESCmPT~ON OF THE PRO. CT: M & ~~ (> ~C~ e. COMMERCI~SIDENTI~: Occupancy Group: Occupant Load: Cons~ction T~e: No. of Stories: [ Lot Size: ~O0 O % Lot Coverage: ~ O ~" % Ex,sUng Lot Coverage: ~/sq. fl. + Proposed Lot Coverage: ~/sq. ~. = TOTAL LOT COVE~GE: ~ ~ /sq. fl. PLANING USE ONLY: ~PROV~S: PL~ Notes: BLDG. DPW FI~ ES~etland(s): ~ Yes ~ No SEPA Checklist required? ~ Yes ~ No Other: OTHER BUILDING PE~IT APPLICATION SUBMITT~: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed infomtion on the application ~d plan sub~aal requffements. Your completed application, site plan (for additions) ~d building cons~ction plans are to be submaed to ~e Building Division. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by ~e applicant. T~s fig~e will be reviewed and may be revised by the Build~g Division to comply with cu~ent fee schedules. Contact the Pemt Coordinator at 417-4815 for assistance. PL~ CHECK FEE: Your plan check fee is due at the time the building pe~t application and cons~ction pla~ are subdued. All other pemt fees are due at the time of pe~t issuance. EXPIATION OF PL~ REVIEW: If no pemt is issued within 180 days of~e date of application, this~pplication will expire. The Building Official can extend the time for action by ~e applicant up to 180 days upon ~i~en request by the applicant (see Section 107.4 of the Unifo~ Building Code, cu~ent edition). No application can be extended more than once. I hereby cert~ that 1 have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the Ci~'s legal responsibili~ to determine responsibiIi~ to determine what permits are required and to obtai~such. ~ what ~i~ required; it remains the applicant's Applicant:~ ~ 4~/~ Date: '~-/ ','i ~ SITE PLAN .~.~.,,~--~,,~w DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION APPLICANT: "T";¢,',, ~.~.~ ~.~ PHONE: (':~.o')':tl7-'o~7.:~ PROJECT/DEVELOPMENT ADDRESS: See Page 4 for instructions on completing the site plan. For more information, call 417-4815. ~ SITE PLAN ~,~ DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION APPLICANT: PROJECT/DEVELOPMENT ADDRESS: See Page 4 for instructions on comPleting the s~e plan. For more info~ation, ca11417-4815. INSTRUCTIONS FOR WORKING DRAWINGS: WALL SECTIONS Section Drawings show a cross-section - Grade and type of materials used (Douglas through the building to show construction details, fir, etc.). Your drawings need not be complex, but they should include the following: - Minimum distance of 18" from wood joists to dirt. - How wall frame connects to the foundation. - Ceiling heights. How walls connect to ceilings/roof. - Insulation locations and R-values. - Roof/slope. - Size of framing members (rafters, studs, joists, etc.). (E~MPLE - NOT TO SCALE) Page 6 INSTRUCTIONS FOR WORKING DRA WINGS: FOUNDATION PLAN The Foundation Plan is used to determine how - Vents. the weight of the building is distributed over the land on which it sits. (Note: Ifyou are notadding - Grade and type of lumber used. on to any structure, you may omit this drawing.) - Floor joist sizes, spacing, direction and length The Foundation Plan should include: of span, support, hangers, solid blocking, and floor sheathing. - Shape and size of foundation, footing, walls, and reinforcing steel (rebar). - Slab insulation and vapor barrier. - Location and size of beams, posts, and interior footings. 'i SLAB ON GRADE (EXAMPLE - NOT TO SCALE) Page 5 City of Port Angeles Applicant Project Review Sheet [Applicant: Property Address: /~o~ LO I'~ Owner: -'V; ~. ~. lis. Proposed Use: .o e ~s~ .'.~\ ~,.e~ Zoning: 1~.-5 "7 Is the proposed use listed as a '"permitted use" or an "accessory use" in this zone? ~ yes: ok [] no: requires PD review Is this the only use (business, residence, etc.) on this site? 1~ yes: ok [] no: requires PD review Has there ever been a subdivision, shortplat, or PRD approved for this site, or has one [] yes: requires PD ~ no: ok been submitted and is pending approval? review Does the proposed use require a new buisiness license? [] yes: requires CC ~i~ no: ok review Does the project extend into any required setbacks or cross any lot lines (interior or [] yes: requires PD ~i~ no: ok exterior)? review Does the project exceed the permitted height allowance or cause the property to exceed [] yes: requires PD ~ no: ok the allowed lot coverage in this zone? review Does the project require any additional parking or special design/landscape improvements g-I yes: requires PD ,[~ no: ok in this zone'? review Does the project eliminate any existing parking spaces? [] yes: requires PD ~ no: ok review Is the project located within 200' of the shoreline? [] yes: reqmres PD ~ no: ok review Are there any environmentally sensitive areas on or within 200' of the property, including: [] yes: requires PD ~ no: ok · wetlands or areas of standing water (year round or seasonal); · streams (year round or seasonal); review · areas with a slope of 40% or greater; or · areas that have evidence of past ground movement or erosion? Have all the required submittals been provided by the applicant? '[~yes: ok [] no: mark [] Site Plan [] Construction Drawings required [] Parking/Drainage Plan [] Civil Drawings item(s) [] Energy Calc [] Supporting Engr. Calc [] Landscape/Lighting Plan [] Other If Planning Department review ia' required, the processing time may be extended. If it is determined a separate Planning Department permit(s) is needed, the Planning Department permit(s) must be approved prior to the issuance of any other permit. The information provided above is true to the best of my knowledge, 1 understand that in the event that any of this information is determined by the City to b~incorrect, this project will be ~top~fd until such time the City determines the correct information is provided and any subsequenily.~quired r%vi~w and aPl~OV~ ale ~t~eted and granted~ ~ ,-, ~ Applicant Date Permit Category it (see reverse side) Building Perrnit it Master Tracking # Route to: []BD rnCC []FD []LD []PD []PW []File []Other Staff Initials Date Completion of this form is required for all category lb, 2 & 3 permits. Completion is not required for category la permits unlexs they result in a potential change of use or occupancy. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: ? Date Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection ,? ~/ t ~j // . · Address of person requesting inspection_ Phone No. Type of InsPec!ion (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 [~]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 /~) ~/d''~- (~)~' Time Received by ~[/// {phone, person) Location of Work to be inspected ! ~::>(~ L~ I 3 Name of person requesting inspection 'T i ~ C [,~; [~ ~ Address of person requesting inspection Phone No. /'2//'~ Type of Inspection {circle appropriate one): Permit No. /'~ Sewer Foundation ~'~ Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: ~ ~, Inspected: Date /~ ~' / ' ~ ~ Time By ~i~ ~/ Remarks:. RESTORATION REQUIRED ...... YES NO SURFACE RESTORATION: SURFACE TYPE: [] Unimproved [~Gravel []Asphalt []PCC ~lOther [] Repaired by City Work Order # ~] Repaired by Permittee [] COMPLETE []No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ~ ~ORT...~ .J,O~~ t~~ 'L -=... ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Property Zoning . . . Application valuation 03-00000207 1803 W 13TH ST 0630000362950000 ELECTRICAL ONLY o Owner Contractor CHILDS MICHELLE/T L 1803 W 13TH ST PORT ANGELES WA 98363 OWNER Permit Additional desc Permit Fee Issue Date Expiration Date EL-DETACHED GARAGE 46.70 Plan Check Fee 4/08/03 Valuation 10/05/03 Qty Unit Charge Per 1.00 46.7000 ECH EL-R-OUTBD/DTCH GAR SEP Date 4/08/03 -.00 o Extension 46.70 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 ~ ~ ~.t Q \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 corr ct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The gra tin of a permit does not presume to give authority to violate or cancel the provisions of any state or local I regulating co rucl' n the performance of construction. Signature of Contractor or Authorized Agent Date T \PLANNING\FORMS\II02 15 [4/2002] Signature of Owner (if owner is builder) Lj-8-(j3 Date BUIU)ING PERMIT INSPECTION IU~CORD CALL 417-4815 FOR aUILDlNG INSPECTIONS. PLEASE PRQVIDE A MINIMUM 24 HOUR NOTICB IT IS lINLAWFUL TO COVEll, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KBEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO - - - FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) . SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATERLINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL - WALLS / ROOF / CEILING DR YW ALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING 1 MECHANICAL HEAT PUMP . - WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeering DIVision) SEPARATE PERMIT #'5. WATERLINE / METER SEWER CONNECTION SANITARY STORM . . - . . PLANNING DEPT. SEPARt\ TE PERMIT #'5 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 ,,--Z -s; CJ S'" 4et? 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. BUILDING 417-4815 BUILDING T \PLANNING\FORMS\1102.15 [412002] . CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT Site Address: Installed By: Owner/Business: o Residential 0 New Construction Heat KW 0 Remodel o Baseboard 0 Furnace/Boiler 0 Service update/alter/repair o Heatpump 0 Other o Commercial/Industrial load iAdd/alter circuits Total Connected load 0 Auxiliary power (attach breakdown) (I ist below) Total Motor load 0 Special equipment (attach breakdown) (I ist below) DetailslDescription: ~ J.,aU-<. r/d1t1' 11 Af'!A"/J'~tiJ '''=-;;> . !- PERMIT NO. ,-5 ;7 0... //-?,-91 , DATE I READY FOR 0 WILL CALL FOR INSPECTION INSPECTION License Number: Phone: Phone: Sq. Ft. o Overhead o Underground Voltage 010 03.0 Service size o Temporary Amps . 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. o O.K. to connect service to Final O.K. ~ Date Hold for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department nolif.ied for installation o Fire Department notified of inspection o Plan Review approved/pending ~ Notify e Department of C' y Light by treet 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 Insp~or in Iti g on the Wiring Report or the Building Permit. PHONE 457.0411, EXT.158 or EXT. 224. a ~ 1 NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 'J ,71), m In acto Amount paid WHITE - file by ddress YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall Site Address: .&/~ . , l\ OLYMPIC PRINTE 5, INC. Permit/Receipt No. t3Sb New Meters - Date: _ 1/-6-'1/ Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT . ELECTRICAL PERMIT PERMIT NO. 330S- /() -.;1. -f// DATE Site Address: D READY FOR ~WILLCALL FOR INSPECTION INSPECTION License Number: Phone: OwnerfBusiness: Phone: Owner/Business Address: Sq. Ft. ~ Residential,r- Heat KW v pg Baseboard 0 Furnace/Boller o Heatpump 0 Other o Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) }!:I New Construction o Remodel o Service update/alter/repair o Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead )8" UndergrOun~.h"> Voltage /?IO, V'.., ~10 03.0' Service size ~ Amps o Temporary Detai IslDescription: !VFw ~ . W.S. No. Service Size Capacity: 0 O.K. 0 Not O.K. Comments o Ditch inspection O.K. AJ1I'\lJ. Rough-in/cover O.K. jll' 0 O.K. to connect service o 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 Installer: New Meters '3 . Notify the Depart ent of City Light by Street Address and Permit Number when ready for inspection. Work must not be cove ed 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~XT. 224. ~~ NO OCCUPANCY OA USE ESTABLISHED UNDEA THIS PEAMIT to - spector A aunt paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall o Electrical Contractor ....~-~!,. .~ ..- ..~'l \,~~ ........ ELECTRICAL WORK PERMIT APPLICATION o Request Inspection . ;,..- ..' ~ .. Il!I. Owner o Annual Permit 0 Alarm 0 Carnival 0 Commercial .. Residential 0 Residential Maiol. 0 Signs 0 Thermostat 0 Telecom. Electrical contractor nam(9 oJ V\ E(.(' Purchaser's mailing address License number Installation description u..)l~'^5 \?~ ~ b ~~lco\.'-A.. 1- ~ ~ / /C.<1.-14 /-r'<. Job wired by o Electrical Contractor !Jl. Owner City State ZIP Telephone number FAX number Premises owner's nam~ /"vUo!k;t Address of inspection L Q,-LJ..s, I 3 T"\ o Cash 0 Check # 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. o Credit Card Card # Visa Mastercard. Discover Expiration Date of card / WALLS "- Insulation Only L-/;~'~5 coverfjl'BY Dale Approved By /' CElUNG Insulation Only 1- ;!'-6 Sover P"l:( Dale Approved By " TIIERMOSTAT Dale Approved By DITCH Dale Approved By / /' SERVICE " Date Approved By /' FEEDER " Dale Approved By Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW Service Information o Overhead Service o Temp SelVice o Underground Service Voltage PhaseD 1 03 Service Size: Feeder Size: Inspection Area, Building or Equipment Inspected Action Taken Electrical 4 Date Inspector .2hloj ~/I-I-n.- A7" ~,O ~ / bfl /}/:,-;;' ( 5 '-..... au () iltuV'.<-~ _ FOI<OffiCIAL USE ~ ~t}V TheE:~:~::~:~i:t:~::~:::~~::~~:W' SI=~". ~ \ '1. -'\ Please type orreprlnlln ink. If you have any questions, please call (360. 417-47:lh _ . _ (1'3 I .) . Fax number: (360)417-4711 rr:2D7 C-'^-: U <, Phone: ~-c>S-75 Fax Owner or Elee. Contractor Agent: ^ W ^<"..r --r-, M. p';'perty ~er ----r. M.. C- h. 1 \l S ~. 'f\" Address: ~p.()":ll, LV e~:.;:r l~- Phone: Electrical Contractor: City: 1kt- A~ t'J." <:\ Ucense #: Zip: 183/0 '3 Exp: Phone: City~/ o ELECTRICAL CONTAApTOR -.~~':?' Zip: Address: INSTALLATION WIRED BY: )tbWNER \ Credit Card Holder Name: "t. Exp. Date: Zip: VISA: Billing Address: City: Credit Card Number: MC:_ PROJECT ADORESS: 'A()~ l.ved- l'=j~ 'Vnr\- A~de.,s /, _ I: Check alllhal apply: ~N~W "',. 0 Alteration/Addition ,? ' o .Commercial 0 Mobile Home Sq. FI. (4 7 J... TYPE OF WORK: ~ Residental 0 Multi-family o Remote Meter ~ Detached garage Number of Circuits added or altered: i., ' 5" o Hot Tub 0 Swim Pool ) , o Septic p.Wnp q Low Voltage 0 Telecom. OSi 'X1I,,+C\..\l .e:\Ah 9~;e\ /'D,^+-\~ /~w\'\.-c"'e<, c\> DESCRIPTION OF THE ELECTRICAL PROJECT: l;~ \".+- 'F-~ xt""re.S . Electrical Heat Load Additions .$ 4"'.70 D.t.'1fr<:.\-I1to ~t 6tA.,6.wL.D.",b Service Information . o Baseboard o Furnace o Heat Pump o Fan-Wall _KW _KW _KW _KW o Overhead Service o Temp Service )! Underground Service Voltage: /!J.D h4n . Phase: ~ Service Size: '0..4 (fIfl Feeder Size: 'r:J. /.I U RD' PAMC 14.05.060(B): For industrial, commercial, & residential projects larger than a duplex. a one -line drawing of the Electrical Service! Feeders, building size (sq. fl.), load calculations, and the type & of conductors and/or raceway is required and shall accornpany the Electrical Permit app~cation. I hereby certify that I have read and examined this application and know that same to be true and correct, and I a authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required: it remains the applicants responsibility to determine what permits are required and to obtain such. I!W. Uj6 Of. J~I 3/IZ/0:3 Credit Card Holder's Signature: Owner or Elee. Cont., Signature: / ...d ~ jtlJ Date: Date;Llc-o j" 0 . PW-9019 (}lcR 2.1 Z. 8/03