Loading...
HomeMy WebLinkAbout519 W 13th St - BuildingPREPARED 7/21/06 8 15 52 CITY OF PORT ANGELES PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 7/21/06 t INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS 519 W 13TH ST SUBDIV TENANT NBR DAILIDENS RES CONTRACTOR PHONE OWNER DAILIDENAS JOHN P PHONE PARCEL 06 30 00 0 3 7575 0000 APPL NUMBER 06 00000660 RES ADDITION BUILDING FINAL TIME 13 00 JOHN 457 0957 07/20/2006 11 14 AM DYASUMUR COMMENTS AND NOTES PAGE 19 DATE 7/21/06 A00CDVce &ctSr r f PORT 4N Application Number 06 00000660 Application pin number 457900 Property Address 519 W 13TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 7575 0000 Tenant nbr name DAILIDENS RES Application type description RES ADDITION Subdivision Name Property Use Property Zoning Application valuation Owner DAILIDENAS JOHN P 519 W 13TH ST PORT ANGELES Qty Unit Charge Per Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983627505 T \Policies \1102 15 building permit inspection record05 wpd 1/4/2005] RS7 RESDNTL SINGLE FAMILY 500 Contractor OWNER Structure Information 000 000 PORCH COVER Other struct info TOTAL LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE NUMBER OF UNITS Date 6/27/06 1 00 1 00 1 00 1 00 1 00 Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 80861 Permit Fee 50 00 Plan Check Fee 20 00 Issue Date 6/27/06 Valuation 500 Expiration Date 12/24/06 BASE FEE Special Notes and Comments Electrical load calculations and elctrical permits are required MAINTAIN CLEARANCES FROM SERVICE WIRES Extension 50 00 STATE SURCHARGE 4 50 Charged Paid Credited Due 50 00 50 00 00 00 20 00 20 00 00 00 4 50 4 50 00 00 74 50 74 50 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work 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. <1- o i Signature of Contractor or Authorized Agent Date gnature of Owner (if owner is builder) Date PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] 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 UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING FINAL FINAL SEPA. ESA. SHORELINE. DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES_ 1 _NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT 1 BUILDING r- 1 1 1 0\ PORT Total lot coverage PLANNING USE ONLY FOR OFFICIA USE •NLY BUILDING PERMIT APPLICATION DateRec. to L O Permit O (A Fill out COMPLETELY and in INK. our application and site plan MUST BE Date Approved Date Issued. COlvIPLETE to be accepted for review If you have an questio ns, call PERMITS (360) 417 -4815 FAX(360)417 -4711 pAILt.P NA Applicant or Agent: '�l /1))— P A A-i L ►111 ArA-4. Phone &/f 7 0 9 Owner I C:),/__/ OA -1/ 14 ernh}� Phone 9.() -/7 9i 1 Address i Ti 4 LA} _S City. 1r4- ,+J7,- if r Zip '5 '9.2 4 2.--- Archltect /Engineer Phone. Contractor S.r'L State License Exp Phone. Address City Zip PROJECT ADDRESS ZONING TYPE OF WORK. SIZE/VALUATION Residential New Constr Re roof Stove SF /SF Multi family ,e Addition Move Garage SF /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION C BRIEF DESCRIPTION OF THE PROJECT f°©Rcs4 G©0 1 FT X Fr/ 6 1. C;6 i/X fP is ,A)/- Poi r_ld A >I 1 /pA/A -L 4-C� i Ch ,f} .r i CONLIYIERGLIVE11.. Occupancy Group Occupant Load. Construction Type No of Stories. Lot Size. Existmg Sq Ft. Proposed Sq Ft. TOTAL Sq. Ft. ESA/Wetland(s) Yes No SEPA Checklist required? Yes 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 C1FCK FEE IF a plan check fee as 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 tine of pemut issuance. EXPIRATION OF PLAN REVIEW lino perna t 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 1 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 responsibility to determine what permits are required, not the City's, and that 1 must obtain such permits prior to work. T•\Policies\BL 1102_13.wpd KApphcant: C sate: Block. Subdivision. ER. O6 3 0 00 -O -3 7575 APPROVALS PLAN BLDG DPWU FIRE OTHER. 52 519 512 . ~~ ,,' CITY OF PORT ANGEtES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUll.DING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Pin,number Property ,Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning ~ . . Application valuation 04-00000628 Date .958432 519 W 13TH ST 06-30-00-0-3-7575-0000- PLUMBING REPAIR 7/20/04 5' RS7 RESDNTL SINGLE FAMILY 750 OWner Contractor DAILIDENAS JOHN P 519 W 13TH ST PORT ANGELES OWNER WA 983627505 --------------------------~-------------------- ~ Permit Additional desc Permit 'Fee Issue Date Expiration Date PLUMBING PERMIT 54.00 plan Check Fee. 7/20/04 Valuation 1/17/05 .00 o Qty uni t Charge Per Extension 47,00 7.00 BASE FEE 1.00 7.0000 ECR PL~ EA LAWNBACKFLOW Fee sununary Charged Paid Credited Due ----------------- ,..--------- ------_._-- ---------- ---------- Permit Fee ' Total 54.00 54.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 54.00 54.00 .00 .00 Cr-, '- ~ E - ~ 1 0\ ,:1- r,:'" Separate Permits are required tor electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements.Thi~,per.piJ,~comes -....' _"', .... ," . '.' -', . ,_ ,.. ',' ",' U", .~: ',.'" . ':. .' . '" ' < ". .." " '-:>- ,..... null and Void if work or construction authorized is not commenced within 180 daY$,if construction or work Is SUSP!!:t~~~,,9r;:sbandoned for a periog of 180 days after the work as commenced, or if required insp~ctl()ns have not been requested within 180.daysfrom the last Inspection. I hereb}' certify that I have read and examined this application and know the same to be true andcorrect.~A1I.provisions of laws and ordinances goveming .this type of work will be complied with whElther specified herein or not. The granting ota permit d()es not presume to give authority to violate or cancel the provisions of any state or local law regulating constructiorior theperfoimance of construction. . Signature of Contractor or Authorized Agent :J:\PLANNING\FORMS\II02,IS (1111412003] ,. INSPECTION TYPE .'. DATE I ACCEPTED .- COMM~'J.:S . .: I YES . NO , . .' FOUNDATION: FOOTINGS WALLS . FOUNDA nON' DRAINAGEIDOWN SPOUTS . .' ELECTRICAL (LIGHT DEM) SEPARATE PERMIT: # ROUGH-IN I I . PLUMBING :. i UNDER FLOOR I SLAB' " ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE . . . '. BACK FLOW I WATER AI~ SEAL . . 'WALLS . .... ,.' I CEILING I I , ... . FRAMING . . - .JOISTS I GIRDERS SHEAR W ALUHOLD DOWNS " WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR . .. INSULATION '. SLAB I I W ALi I FLOOR I CEILING I I . MECHANICAL " HEAT PUMP . GAS LINE WOOD STOVE I PELLET I CIDMNEY ., . 'f-i HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) .' SEPARATE PERMIT #'$: WATERLINE I METER SEWER CONNECTION .' '. SANITARY STORM ! PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKlNGlLIGHTlNG ESA: LANDSCAPING ,. ., SH~:" .. '. .' .' .. ;",fINAl; INSP~JONS REQUuu:g PRlOR,TO OCCUPANCYIl.!~, "" .' " RESIDENTIAL . ." DATE YES NO q)~MEIlCIAL '... DAT~ .'~ . ACCEfT~ : .. .,YES ' cl ""NO . ," , " "" i :,.. ELECTRICAL - LIGHT DEPT. 417-,4735 Ei.EcriutAL LIGHT DEPT .. , - '; " " CONSTRUCTION R. W.I PWI 417-4801,\ Iq~/1/-ot/, R13 CONSTRUCTION- R.W. ENG~~, <. , PW I ENGINEERING , ' FIRE . 417:46~~ \ / FIRE DEn. . ---.. " " -;' .. '!:-,'. .' PLANNING DEPT. 417-4750 PLANNING DEPT. . .; ," -' .. '. BUILDiNG ~ ,. -:;. :. ":f'. '{ BUILDING 417-4815 . BlJILDING PERMIT INS:pE,CTION RECORD , f CALL 417-4815 FOE. BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PROVIDE A MINIMUM 24 HOUR NOTICE. IXIS UNLAWfUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED ANDAc.€..EPTED. POST PERMIT IN A CONSPICUOUS LOCATION. . KEEP PERMIT CARD AND APPROVED PLA.NS AT JOB SITE. T:\PLANNlNG\FORMS\II02.15 (1111412003] BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.:7-Zo- Ot./ Pemlit #: et.-/ ' b 'Z~ 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 Address: .J 4+'!p sic, H Phone: Phone: "1..('7 - (J '7S7 Applicant or Agent: TO fhV D.4 Ii J,() .r .-'.45 Owner: - Architect/Engineer: City: P?l2.r- ~4/~?7 Phone: Zip: 9 S' ?" '2.--- State License #: Exp: Phone: City: Zip: ("J ,?~ C.- ZONING: Block: Subdivision: Contractor Address: . PROJECT ADDRESS: ~'Cj LEGAL DESCRJPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit CardType VISA MC TyPE OF WORK: ~. Residential 0 New Constr. 0 Re-roof o Multi-family 0 Addition D Move o Commercial 0 Remodel D Demolition D Repair D Sign BRIEF DESCRIPTION OF THE PROJECT: ::L tV..r~tA I. I rSjJIlJ~.J;/ M ,c:;~v~~ COMMERCIALIRESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage City: # Exp. Date: o Stove o Garage D Deck ~ Other SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ 1P >'w:/~ . - J l'he?L-.. . ""',,~ I!/h .JL. :1f) f'"i. ~- n{?~? Occupant Load: & Proposed Sq. Ft.' Construction Type: = TOTAL Sq. Ft. % ESNWetland(s): DYes D No SEPA Checklist required? 0 Yes D No Other:' APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted aJ the time the building permit application and construction plans are submitted. AILotherpermit feesaredueatthetime()fpennitj~,sllf1!lc:~.___ ____ _ _.. __ _ ___ ...._.. EXPIRATION OF PlJAN 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 I 07.4 of the Uniform Building Code, current edition). 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 afT! authorized to apply for this permit and understand that it is my responsibility 10 determine what permffs are requi,not Ihe City's, and that I must obiain such permffsprior to work. T:\FORMS\APPS\BuiIdingpennit.wpd Applicant: ~ ,/ LJ '~"i;.- Date:~vL,/ I" <""'PDl../ {/ - / / rJl'OIlT~ @ L -=- ~ "'<;;;ii" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT. BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 ~ulLu"v(;j PERM" PERMIT NO: 13567 OWNER/APPLICANT JOHN DAILlDENAS 519W.13TH Port Angeles, WA 98362 360/457-0957 T: S: ISSUED: 7/15/2002 PROPERTY LOCATION 51913THSTW Lot: 16 Block: 375 i:><:i Long Legal Subdivision: TPA Parcel No: 063000037575000 CONTRACTOR OWNER VARIOUS Port Angeles, WA 99360 206/000-0000 PROJECT INFO Project Value: $5,500.00 Project Type: ADDITION Occupancy Type: RESIDENTIAL Occupancy Group: Construction Type: Zoning Use: ARCHITECT N/A , 98360-0000 360/000-0000 SFD Units: 0 SFD SO FT: 0 MFD Units: 0 MFD SO FT: 0 6.\ Commercial: Industrial: Garage: ~ o o o r -..lo, e PROJECT NOTES 6' X 16' 6" ADDITION, BATH ROOM/BEDROOM EXTENSION RECEIPT#9461 FEES ASSESSMENT Building Permit: Plan Check: State Surcharge: House Moving: Manufactured Home: Sign: Plumbing: Mechanical: Radon: $125.25 $0.00 $4.50 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Misc Fee 1: Misc Fee 2: Misc Fee 3: !!.J " .... $0.00 $0.00 $0.00 TOTAL FEE: AMOUNT PAID: BALANCE DUE: $129.75 $129.75 $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 aflerthework 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 appiication and know the same to be true and correct. All provisions of iaws and ordinances governing this type of work will be compiied 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 iaw regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\II02.15 [412002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED_ POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS 07 /10/'~ J-.Cfl WALLS FOUNDA nON DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT; # ROUGH-IN I I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN 9.{()-oz. LE J-f WATERLINE GAS LINE BACK FLOW /WATER AIR SEAL WALLS I I CEIUNG I I I FRAMING JOISTS I GIRDERS SHEAR WALL WALLS I ROOF / CEILING q -10-02- /t=.H DRYWALL T-BAR INSULATION SLAB I I WALL I FLOOR / CEILING I 4-19. -0 L. I LEN MECHANICAL HEAT PUMP WOOD STOVE I PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES! SITE WORK (Engineering Division) SEPARATE PERMIT #'5: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA; LANDSCAPING SHORELINE: FINAL INSPECTIONS 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 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [4/2002] ~ \"ORT ~ ti ......-- 'tOt1C~ BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY, Date Rec.' ;-10 ..{:;z-- Permit#, ~ S-c, 7 Date Approved: Date Issued: The Building Permit Application must befilled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent: T ~ I L-,,,/,,dA / Owner: . f.41"l/ Address: .nq LJ, J'3 H.. . OAIL..llJE' A-lA:f . Phon{2iP J ~1r-7~ ~<t7.r? Phone: City:/vU 4"vr,;f;LT Zip: 71J>:s L ? ArchitectlEngineer: Phone: Contractor <;~, .;:;. License #: Exp: Phone: Address: City: PROJECT ADDRESS: ..fI '7 \.v, 1.1....... Jr LEGAL DESCRIPTION: Lot: I (., Block: CLALLAM COUNTY PARCEL NUMBER: Billing Address: Credit Card #: 17,r WNING: Subdivision: T'P A Credit Card Holder Name: City: Exp. Date: VISA MC TYPE OF WORK: o Residential 0 New Constr, 0 Re-roof o Multi-family ~ Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign o Wood-stove o Garage o Deck o STb"tf"UATION: ~ () SF. @ $ SO, /SF. ~.$ SF, @ $ /SF. = $ SF. @ $ /SF. ~ $' TOTAL VALUATION $ ___ II y-- ~S tJVo BRIEF DESCRIPTION OF THE PROJECT: i3ebRoot71 I ( (,-<rf~ R OJl1'\ ;;;y/ ~ jJTf()rJ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: Gl')7p /sq, ft ~ TOTAL LOT COVERAGE: 5<' '7:J /sq. ft. APPROVALS: PLAN BLDG. DPW FIRE ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you with more detailed information on the application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division. % Lot Coverage: /sq. ft. + Proposed Lot Coverage: I 0 ~ % No, of Stories: Lot Size: Existing Lot Coverage: II. If PLANNING USE ONLY: Notes: 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: Your plan check fee is due at the time the building permit application and construction plans are submitted, All other permil'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, this 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 107.4 of the Uuifonn Building Code, current edition). 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, and I am 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 applicant's responsIbIlity to determme what permits are required and to obtain fjc:" Apphcant: ,JJd::..~ / .{2.~;'::~-te: ? I 1;1 ~n L T \FORMS\APPS\Bulldingpermlt (;/ /IJ 1J:t ^I ..5.e~i:( l-t . fV} 1- A LL f:. Y I / ).0 > rt I &A" AV" i 7G<6 Sq _.,~"l :z {y. 31/ I~/-b" r - - ? ADD;-r7o'2---:7f ! I d-o'J S~ fT I~ ~--- ,4- HOCJIsf Jj ~ r: "'1' ~ , ~ Q:. () , ~q~ 7b t.J SG.., F7 / I 31.. x ~6 t$~'~ I ; { 1!;lpf,O'l. 1~d: f ~ '" ,- L_lk".A.:t!~__}h & 111/ i r-- :2_<(;,5~ 0 N !J eH:I)J< _. pJ~d___ 5".1. i" /3l4-" 51'R.~cl f;C4!€ ~ ~ /0-0 'OAT )"'IlJi-N~~_ sii~- S-r'KEEr ~3 IA -------1 w N ..y+E 5 /' "- :---+.-.~-~--'_. A LL EX r;" I ~ I -----.;.J ---1 -r- t , i. I , I -+ ~ . I \.S) ~ _ 5"1_ 'f yV, 1. 3 tiJ. ) II,'" - J.-:"O" ;;'CA G n - _ .1-7 : 6" X (, :.0'/ RCXJIY) ;rCbrTJ:.J)fy' ) i I J I J I I J -J T"u~__ ~ ~ --4j tf e~ -lT~.:v--;T---=c~ .( .; .j ; -~ ~ IPJ '''1 .A tl:J 1- -rr olJ i i f:,t; V f<m I'{ r I I r I I r .-----..-- ~ 1 I f , ., .J I I L 6" A1JDr-l - ~- i3...-t~ 5< ~ -. '" r{ r1 i _ o..-J ,...._ I I __ __I ~ - r "'1 c,rr-r I-J ' I ~ 00 y)'\ t- - -- - - I r . l.c ..I f, I-rC t];::..' r I ~ - --' - -... , R1l1 I ~'Vlrvo ~ - - -- - - Wt:sT 13 "!b.. ~TR.EE T WAIl SX&U.Of'/ D€:I'!~L (;,. . I J If'LL==.J.' :::-1,0 ]W> I' :2 " r . I -#~ r<el)f.;K.. I I I . - il '" C"\ IlJ - f-;) -L~ ~ '\ f~~;,; . ';j"!;fr -" II'...- 2...>L~.~'!l>..t-::t"!'J~O_. ,,'- CITY OF PORT ANGELES - c....- _ The Issua.ce oI!tIis permit bosed _ UIese pions, spocifi- cations and other data shaJI nal ....... tile boiIdinc oIliciaI nom thereafter ""luirina t!Ie ClIlI1dian II ...... in Slid plans, speeifications and _ dalt. II' '"'"' _ling IIuiIding operations being carried .. 1heo.1ldoo _ 10 _ of aU codes and 0Idi_ II tIliI ;o.~ jm:OON 303lcl' Unifuna 8liIdinc CodI.I ......, Dolt 7 - ZZ -Cii?,. Itt k tL' If s1em wAf, Bo PT. 5, T ~ Cl , , <;:)I:) " I ; I i.11 f I II Ii II! :1 :" .'.".Q \ i i' ' L':t A1e.~ Le-G--r:__$~R.\ftO::._____ II .----- j):.!;:b __ T.lJ_D'I s.! 1: IY Ii. . ~.pAN[) T&.l1.S~ CITY OF PORT ANGELES / DEPARTMENT OF PUBLIC WORKS . . . . . . .. . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date 1- Z Lt-d'Z- Time Received by Rv (phone, person) Location of Work to be inspected 5" I cr {).)!5; 't '-l Name of person requesting inspection _11:> L<. h Address of person requesting inspection Type of Inspection (circle appropriate one): Phone No. ~4'"/-O~1 Permit No. 13.Z::-h ? / Sewer Chimney Plumbing Final Sewer Excav. Other ~ c:/ INSPECTION NOTES: Inspected: Date (- 30. ;,.?Z_ Remarks: Time By ,/), (--"' f j .~.,~,,- ! RESTORATION REQUiRED...... YES NO I V\.,e .$., .!I SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 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 (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . INSPECTION REPORT. . . REQU~ST: -10......""'2.- Date (j Time Received by o /~-cg . . . . . . . ~L? (phone, person) Location of Work to be inspected S 19 Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle opriate one): Sewer Foundation Framing Chimney ~ Final //,,0,' ,;_, Phone No. Permit No. Sewer Excav. Other I 3.5b 7 INSPECTION NOTES:, r} ! Inspected: Date ' Remarks: Time By 0~:" / ,\ i' f/ l RESTORATION REQUiRED...... YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC o Other C! Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . .. . INSPECTION REPORT. . . . . . REQUEST: Date q - J't -0 2- Time 2: 1:;- Received by $K1 (phone. person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): 6;1 uJ /3'''-'> $HT-J ~;Lib&-N4S ~ PhoneNo.1~1-o9S7 Permit N~'G. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other -. ~ ' CC /J ........ /./ ';r o '. ,.' " INSPECTION NOqES:, :. Inspected: Date .' "c. Remarks: \ ,', r' / , '- Time By /'1 t .,,~ . ,.. /:' ,,_;F RESTORATION REQUiRED...... YES NO .-.---------^ s2-c b'~ I/'fA)4 ({211S fJ "V-m 13r4-t</t:, SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City D Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATEI "_<~l"i'l'"'"p""~",,,,~._r~~~~..1~""'~""""""-._'-""""'--'~-''''-- ~--........."...-__,- on ~,..,....- '-.,..-..... P, NA{- ~ q/(4!cY4 OfficIal Use Only A "em # Reeelvcd Backflow Assembly Test Report CIty of Port Angeles PublIc Works and UtIlItIes Department Water/Wastewater CollectIOn DIvISIon 5/9 LOCA nON OF DEVICE r If! 0 N -r WiL P<iNS ~ \ ~ ~ NAME OF PREMISES- _. t./ ,.I l-f ,.'\/ I''''' - J / A I / / /} C ~/ .-9 (~ W, /3 ~ ..P/J€.E6,r ~A;f!. T H IJ USE /) ;:f 0/ SO XL WEST I /I' SIJ/g" SERVICE ADDRESS ASSEMBLY Manufacturer Model Size Senal No IS THIS AN APPROVED ASSEMBLY? YES 19"No 0 IS ASSEMBL Y INSTALLED CORRECTL YO' YES I3....NO 0 DATE OF INSTALLATIONSEfJ:1;< bf;i UNKNOWN 0 CHECK VALVE#I CHECK VALVE #2 RELIEF VALVE RP 0 RPDA 0 DC 0 DCDA 0 PVB 0 An Gdp 0 SVB 0 AVB 0 PVB/SVB REDUCED PRESSURE PRINCIPLE ASSEMBLY DOUBLE CHECK VALVE ASSEMBLY In/hal Leaked 0 Leaked 0 Closed TIght 0 Held at ). / pSI DId Not Open 0 AIR INLET Or - Test Held at I . 4f pSI DId Not Open 0 --Q Opened at ~ p,' Opened at _ p" Repdn S Cleaned 0 Cleaned 0 Cleaned 0 CHECK VALVE c Leaked 0 Held at _ pSI Replaced 0 Replaced 0 Replaced 0 REPAIRS Cleaned 0 Replaced 0 -- OJ 1- ~ '-f-.. "\ Details 3 pSI ButTer YES 0 NO 0 Test Held at .I. t.; pSI Closed TIght 0 Held at ,)" I pSI Opened at ~ P,I AIR INLET Opened at _ pSI CHECK VALVE Held at _ pSI BACK PRESSURE NO 0 YES 0 Fmal AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES 0 NO 0 TYPE OF HAZARD L. /i1tP Ai COMMENTS Lme PressUle '15 pSI :rNSfee.r~p . 1E$1ie;p ,'r jJA~SEj;)' / Held Backpressure YES 0 NO 0 #2 Shutoff Held YES 0 NO 0 Rehel' Valve ExercIsed YES 0 NO 0 Date/Tnne Testel SIgnature Cert # Test KIt Passed Failed Imtlal Q"i3;-/) i - ;3 ~ i~i 1(~~eKefL ' ,r- '111. "J1.. c: 1!J-"'" - (.-+ _~, ,J/ {....} - - 0 Test ' . l , Repan s 0 0 Fmal 1"/~) -/)4- 1..138 tK-,g,i;.... - ~ /~:...~..., g'j,1pr . ~/ " u I/t r-~-' Test . f " C " 0 WHITE - CUSTOMER COPY YELLOW - PURVEYOR COPY PINK - TESTER COPY '... c/ . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 Site Address: .sIC; 4v, (,.{J :k<; !n;1-, Installed By: Owner/Business: Owner/Business Address: ELECTRIC HEAT o BASEBOARD KW _ o FURNACE KW _ o HEAT PUMP KW o FAN/WALL KW Details/Description: A-f-rR A-ocy; P-IJ. . ELECTRICAL PERMIT PERMIT NO. ,5' '7<!f / DATE Y' /t/Pt. o READY FOR INSPECTION License Number: o WILL CALL FOR INSPECTION Phone: Phone: Sq. Ft. ~- RESIDENTIAL o COMMERCIAL o NEW CONSTRUCTION o REMODEL ~ ADD/ALTER CIRCUITS o SERVICE UPGRADE/REPAIR o TEMPORARY SERVICE o RISER o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: 01)6 03)6 SERVICE SIZE FEEDER SIZE AMPS AMPS re-<-<ffd'.:f ~ ~~ ~~ ,.<,1.~ fU'-7 tk~.~ Ifck: 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. o Rough-in/cover O.K. o O.K. to connect service fJ Final O.K. Site Address: /.3 t--<< f -€e~ New Meters /iJ I Notify Port Ang les City Light by Street Address and Permit Number when 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 BU~it. PHONE 45~~~~~~~A:~:A:~:~STABLlSHEDUNDEATHISPEAMIT # ~ . $ ----- Electrical Inspector Installer: . WHITE - File by address OLYMPIC PRINTERS INC. perms;}/" Permit Fee PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept.. Bottom: City Hall ""-~~ ~ ~ if "iIi:~ ~~ ~SAtlO ELECTRICAL PERMIT APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: Permit II: 7r) .'13 Date Approved: ~ , 0...1.._ /d) / Z Vt.90 The Electrical Permit Application must be filled out completely. Please type or print in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 Applicant and/or Agent: ~ktY71hi ~;C- Phone: Property Owner: Fax # Phone: Address: Contractor City: License #: City: Exp: Zip: Phone: Zip: Address: 80hbit, O. OJkl#lf-u Bi/lingAddress: SZZ- W. /h ~I-. Credit Card Number Liq I? - II?/' 338<1- /77 I Permit Fee: f/f. Z~ Credit Card Holder Name: City IPd-!1.t'FJe.. Zip:7"J'Y6<... . . Exp.Date: QJ 10.-=1 VISA)(, MC_ t PROJECT ADDRESS: LEGAL DESCRIPTION: Lot: Sir IU. /J 14 ZONING Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: o Residential a Multi-family 0 Commercial a Mobile Home Electrical Permit fees are based 00 WAC 296-46-910 BRIEF DESCRIPTION OF THE PROJECT: 0/~E ?/f,P>f,~E. Electrical Heat Load Additions Service Information o Baseboard o Furnace o Heat Pump o Fan-Wall KW _KW KW KW o Riser a Overhead Service a Temp Service a Underground Service Voltage: Phase: a I a 3 Service Size:_ Feeder Size: Comments: I hereby certify that I have read and examined this application and know the same to be true and correct, and / am authorized to apply Jor this permit. / understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits ore required and to obtain suc. h. /: L~ n'. / _ . . 8/J,-,:u7 ur~4- /; ~ PW-II02.2l [Wll/.OO] Credit Card Holder's Signature: {'.LoUO ..0 ~ (!.Q. . Date::;; 'I (,p 00 Rug 23 02 09:26a Bobb':;l O. Coleman 360-452-7594 p. I ",' / v ELECTRICAL PERMIT APPLICATION fUltOFTICI...... USF.ONL't OIlllcJl<..-:__._._.______ J"oW... 1lbI....~:__._.__".. The Electrical Pennit Application must be fill" OUIl:omDleh~ly. .:::jI:- ?79Z Aease typo M ",print in ink. II you have any qUDsllons. please call (360) 417- 4735 Fa.. number: (360) 411-4711 ~. // . _ _~EQUEST INSPECTION 0 Owner or Ele,. COn"aolorAg-:nl:_ ~ J~O#t:d.--'\ ( tt\~::)...^ ? ~a>c PmpertyOnmer. ',r;. ~ ,) 1'3.V r ~ ~1A"' -Phone: Addr.ss .51 7 /.-( J / ~ ..B Coo/. r:::~4 Ele(;trical Contsaclor: (fJd b~~ ~'l/2.("'J~ license #: lip: &p: Phone' Address; City. Zip: INSrALLATlON WIRED BY: IJ OWNER ~ /J 0 ELECTRICAL CONTRACTOR Credit Card Holder Name: (.M~~ ~.c./;;</ Billing Address' City: Credit Card Number ~?91- 2~ 0 - 3crJ'I- '1'171 Exp. Date: l!J /0..3 I Zip: . VlSA~ MC,-- PROJECT ADDRESS' 5/ r fA) /3:tfI..- TYPE OF WORK: Check all thai apply: 0 New J1f Alteration/Addition ~esidenlial II Multi-family 0 Commercial 0 Mobile Home Sq. FI Remote Meier 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Vollage 0 Telecom. 0 Sign Number of Circuits added or altered: _;l. DESCRIPTION OF THE ElECTRICAL PROJECT: i1-1..t' .A .dI J-:J/'o U.d.- /n,.., .tt:., ~ I- /~~. ~/7f _KW _KW _TON_LRA -KW PERMIT FEel III, 1.,1) ~eaelff-F{ S@rvico Information Electrical Heal Load Additions :.J Baseboard o Furnace Cl Hear Pump o Fan-Wall ~-,S3 Voltage: ~tfO /;;::.0 Phase: ~ 1 '0 3 Service Size: ~ Feeder Size: G,~-. 90 "'/G ' 70 ~"'erhead Sel'\lice o Temp Service CJ Underground Senlice - I hereby certify that I have read and examined this application and know that same to be true and correcl. and I am authorized to apply for Ihl<< permil. I understand /1 is not the City's legal responsibility to determine what permils are required; it remains the applicants responsibility 10 determine what permits are required and to obtain such. Credit Card Holder s Signature: /~07U Dale: :;--,;1...3-02- ~ c 1/_____ Owner Or Elec. Cont. Signature: C:/ELECTRICALPERMfTAPPUCA TION -It }."- O~ ~~ 8p3/DL Dale: /t;;ru 51J~ 02 09: 2-8c ~. Boo:::t O. Co I em an ~~ ~~"" The Electri"", P6nnl, ApPU"""o. must be fillod ou' comol...',. 360-452-7594 p. I ELECTRICAL PERMIT APPLICATION ~' C" . J - c" //,/.,3/ I , fOltOFFICIA.l. un ONt. y DOI.nt.-:._.._,._________ 1'avU1/f' l>oo....~: Property Owner: Owner or Elee. Conl1aclor Agent: :S4' ~ Pteasll! type or rvprin1 in ink. If you have any q...o.Uon5. please call (J60) 411- 4735 Filx number: (360) 417-4711 CMm:d~ ',) 1'3~ (r~ '7/ <7 /-1/ /? --h= cI""r;,4 ~:.d .b~~ P/~ UC6.S.#, REQUEST INSPECTION 0 Address: ~-?~a~ I ...r Phone: Ele&1rical ConlraclOf": 7ip: Address: OJ,l: Phone. Clly' ZIp: INSrALLATJON WIRED BY: IJ OWNER /:J /1 0 ELECTRICAL CONTRACTOR Credit Card Holder Name: ( ~~~ M.c./;;-c-- Billing Address' city: Zip: Cre,m Card Number Exp. Date: VISA,-- MC,-- PROJECT ADDRESS' 5/1 w /3-t.f. ST TYPE OF WORK: Check all thai apply: 0 New % AlteralionlAddilion ~eSidenlial II MUIli-family 0 Commercial 0 Mobile Home Sq. Fl Remote Meier [J Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom. 0 Sign Number of Circuits added or altered: ~ DESCRIPTION OF THE ELECTRICAL PROJECT: /2/[f' A ;# n/OU(d- 17?~>~ I-- /~~ ~h U Baseboard o Furnace Cl Heat Pump o Fan--Wall _KW _KW - TON LRA -KW- PERM/HEEl I) /, (P 0 I?te- ""95~3 Service Information Electrical Heat Load Additions o Ovetftead Service o Temp Service o Underground Service Voltage:_ Phase: 0 1 0 3 Service Size: FeecJerSize:_ I hereby certify that I have read and examined this application and know that same to be true and correct, and I am authorized to apply for this permil. I understand it is not the City's legal responsibIlity to determine what perrm1s are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: .~(or.k Date: :Y-;L3--0Z- Owner or Elec::. Coot. Signature: C:/ELECTRICALPERMlTAPPLlCA TtON Date: ;/0 ;O~Ct7m5 o-~. dY ';j(z. b (0 2..- ~cLJ~ ~~ 8ft3/02-