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1127 E 9th St - Building
PREPARED 6/01/10 8 44 08 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/01/10 ADDRESS 1127 E 9TH ST SUBDIV TENANT NBR RICHARD/ELIZABETH GEDDES CONTRACTOR FEELEY CONSTRUCTION INC PHONE (360) 452 7559 OWNER RICHARD C/ELIZABETH J GEDDES PHONE (360) 452 2978 PARCEL 06 30 00 0 2 7882 0000 APPL NUMBER 09 00001203 RES ADDITION REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS May 28 2010 3 22 21 PM 1pangrle RICHARD 461 0152 BUILDING FINAL AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE TO MAKE SURE HE LL BE THERE TO LET YOU IN PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 1/13/10 JLL MECHANICAL GAS LINE TIME 01 00 1/13/10 AP January 13 2010 8 46 36 AM 1pangrle BILL 461 2309 GAS LINE — AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE January 13 2010 4 05 06 PM jlierly ME99 01 5/25/10 PB MECHANICAL FINAL TIME 01 00 5/25/10 DA May 25 2010 8 37 32 AM 1pangrle BILL 461 2309 MECHANICAL FINAL AFTERNOON May 25 2010 4 34 42 PM pbarthol Downstairs fireplace inop Lights outside of downstairs exterior door need to operate manually without needing the motion sensor to be triggered T&P valve needs to be extended into laundry sink ME99 02 6/01/10 L MECHANICAL FINAL TIME 01 00 May 28 2010 3 23 54 PM 1pangrle RICHARD 461 0152 VV MECHANICAL FINAL AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE TO MAKE SURE HE LL BE THERE TO LET YOU IN PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 1/12/10 JLL PLUMBING ROUGH IN 1/12/10 AP January 12 2010 4 03 23 PM 1pangrle ROUGH IN PLUMBING PLSP 01 3/24/10 PB PLUMBING SHOWER PAN CONTINUED ONTO NEXT PAGE 0 PREPARED 6/01/10 8 44 08 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/01/10 ADDRESS 1127 E 9TH ST SUBDIV TENANT NBR RICHARD/ELIZABETH GEDDES CONTRACTOR FEELEY CONSTRUCTION INC PHONE (360) 452 7559 OWNER RICHARD C/ELIZABETH J GEDDES PHONE (360) 452 2978 PARCEL 06 30 00 0 2 7882 0000 APPL NUMBER 09 00001203 RES ADDITION REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 3/25/10 AP March 24 2010 8 37 04 AM 1pangrle BILL 461 2309 SHOWER PAN March 25 2010 8 55 08 AM pbarthol PL99 01 5/25/10 PB PLUMBING FINAL TIME O1 00 5/25/10 DA May 25 2010 8 37 53 AM 1pangrle BILL 461 2309 PLUMBING FINAL AFTERNOON May 25 2010 4 34 42 PM pbarthol Downstairs fireplace inop Lights outside of downstairs exterior door need to operate manually without needing the motion sensor to be triggered T&P valve needs to be extended into laundry sink PL99 02 6/01/10 PLUMBING FINAL TIME O1 00 May 28 2010 3 24 16 PM 1pangrle Y RICHARD 461 0152 PLUMBING FINAL AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE TO MAKE SURE HE LL BE THERE TO LET YOU IN COMMENTS AND NOTES PREPARED 5/25/10 8 46 31 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/25/10 ADDRESS 1127 E 9TH ST SUBDIV TENANT NBR RICHARD/ELIZABETH GEDDES CONTRACTOR FEELEY CONSTRUCTION INC PHONE (360) 452 7559 OWNER RICHARD C/ELIZABETH J GEDDES PHONE (360) 452 2978 PARCEL 06 30 00 0 2 7882 0000 APPL NUMBER 09 00001203 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFO O1 12/07/09 JLL BLDG FOUNDATION 12/07/09 AP December 7 2009 8 52 48 AM 1pangrle BILL 461 2309 FOUNDATION December 7 2009 4 09 04 PM jlierly BL3 01 1/13/10 JLL BLDG FRAMING TIME 01 00 1/13/10 DA January 13 2010 8 45 39 AM 1pangrle BILL 461 2309 FRAMING AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE January 13 2010 4 04 35 PM jlierly electrical rough inspection required before frame/jll BAIR O1 2/09/10 JLL BLDG AIR SEAL TIME 12 00 2/11/10 AP February 9 2010 8 53 24 AM 1pangrle BILL 461 2309 AIRSEAL PLEASE INSPECT BETWEEN NOON AND 3 00 PM HE HAS TO LEAVE AT 3 00 PM February 11 2010 10 39 48 AM jlierly BL3 02 2/09/10 JLL BLDG FRAMING TIME 12 00 2/11/10 AP February 9 2010 8 54 45 AM 1pangrle BILL 461 2309 FRAMING PLEASE INSPECT BETWEEN NOON AND 3 00 PM HE HAS TO LEAVE AT 3 00 PM February li 2010 10 39 56 AM jlierly BLI O1 2/11/10 JLL BLDG INSULATION TIME O1 00 2/11/10 AP February 10 2010 2 13 00 PM permits BILL 461 2309 INSULATION PLEASE INSPECT AS CLOSE TO 1 00 PM AS POSSIBLE February 11 2010 2 23 19 PM jlierly BL99 01 5/25 10 JLL BLDG FINAL TIME O1 00 l '� n May 25 2010 8 37 04 AM 1pangrle BILL 461 2309 BUILDING FINAL AFTERNOON PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 1/13/10 JLL MECHANICAL GAS LINE TIME O1 00 CONTINUED ONTO NEXT PAGE Awl--a- -el lid PREPARED 5/25/10 8 46 31 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/25/10 ADDRESS 1127 E 9TH ST SUBDIV TENANT NBR RICHARD/ELIZABETH GEDDES CONTRACTOR FEELEY CONSTRUCTION INC PHONE (360) 452 7559 OWNER RICHARD C/ELIZABETH J GEDDES PHONE (360) 452 2978 PARCEL 06 30 00 0 2 7882 0000 APPL NUMBER 09 00001203 RES ADDITION REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS 1/13/10 AP January 13 2010 8 46 36 AM 1pangrle BILL 461 2309 GAS LINE AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE January 13 2010 4 05 06 PM jlierly ME99 01 5/25/10 JLL MECHANICAL FINAL TIME O1 00 May 25 2010 8 37 32 AM 1pangrle BILL 461 2309 1)(,r MECHANICAL FINAL AFTERNOON ----- - - --- -- - - -- - PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 1/12/10 JLL PLUMBING ROUGH IN 1/12/10 AP January 12 2010 4 03 23 PM 1pangrle ROUGH IN PLUMBING PLSP O1 3/24/10 PB PLUMBING SHOWER PAN 3/25/10 AP March 24 2010 8 37 04 AM 1pangrle BILL 461 2309 SHOWER PAN March 25 2010 8 55 08 AM pbarthol PL99 01 5/25/10 JLL PLUMBING FINAL TIME O1 00 May 25 2010 8 37 53 AM 1pangrle BILL 461 2309 //✓/ �/ VVV PLUMBING FINAL AFTERNOON COMMENTS AND NOTES PREPARED 3/24/10 8 39 30 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/24/10 ADDRESS 1127 E 9TH ST SUBDIV TENANT NBR RICHARD/ELIZABETH GEDDES CONTRACTOR FEELEY CONSTRUCTION INC PHONE (360) 452 7559 OWNER RICHARD C/ELIZABETH J GEDDES PHONE (360) 452 2978 PARCEL 06 30 00 0 2 7882 0000 APPL NUMBER 09 00001203 RES ADDITION - - --- - ---- -- - -- - -- PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 1/12/10 JLL PLUMBING ROUGH IN 1/12/10 AP January 12 2010 4 03 23 PM 1pangrle ROUGH IN PLUMBING PLSP 01 3/ JLL PLUMBING SHOWER PAN March 24 2010 8 37 04 AM 1pangrle BILL 461 2309 SHOWER PAN COMMENTS AND NOTES PREPARED 2/11/10 9 12 43 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/11/10 ADDRESS 1127 E 9TH ST SUBDIV TENANT NBR RICHARD/ELIZABETH GEDDES CONTRACTOR FEELEY CONSTRUCTION INC PHONE (360) 452 7559 OWNER RICHARD C/ELIZABETH J GEDDES PHONE (360) 452 2978 PARCEL 06 30 00 0 2 7882 0000 APPL NUMBER 09 00001203 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFO O1 12/07/09 JLL BLDG FOUNDATION 12/07/09 AP December 7 2009 8 52 48 AM 1pangrle BILL 461 2309 FOUNDATION December 7 2009 4 09 04 PM jlierly BL3 01 1/13/10 JLL BLDG FRAMING TIME 01 00 1/13/10 DA January 13 2010 8 45 39 AM 1pangrle BILL 461 2309 FRAMING AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE January 13 2010 4 04 35 PM jlierly electrical rough inspection required before frame/jll BAIR O1 2/09/10 JLL BLDG AIR SEAL TIME 12 00February — 9 2010 8 53 24 AMM 1pangrle BILL 461 2309 AIRSEAL PLEASE INSPECT BETWEEN NOON AND 3 00 PM HE HAS TO LEAVE AT 3 00 PM BL3 02 2/09/10 BLDG FRAMING TIME 12 00 February 9 2010 8 54 45 AM 1pangrle BILL 461 2309 FRAMING PLEASE INSPECT BETWEEN NOON AND 3 00 PM HE HAS TO LEAVE AT 3 00 PM BLI O1 2/11/10 ,yjLL ^ BLDG INSULATION TIME 01 00 February 10 2010 2 13 00 PM permits BILL 461 2309 INSULATION PLEASE INSPECT AS CLOSE TO 1 00 PM AS POSSIBLE COMMENTS AND NOTES ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 09 00001271 Date 2/10/10 Application pin number 475972 Property Address 1127 E 9TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 7882 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 1, ndcnroom Living L_ot,j 1�b -.I A1,f_� Owner Contractor Geades Richard Elizabeth OLYMPIC ELECTRIC 1127 E 9TH ST 4230 TUMWATER PORT ANGELES WA 983626632 PORT ANGELES WA 98363 (360) 457 5303 111 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 160747 Permit Fee 63 90 Plan Check Fee 00 Issue Date 2/10/10 Valuation 0 Expiration Date 8/09/10 ¢ty Unit Charge Per Extension 1 00 63 9000 ECH EL SINGLE CIR LIMITED RES 63 90 Fee summary Charged Paid Credited Due Permit Fee Total 63 90 63 90 00 00 Plan Check Total 00 00 00 00 Grand Total 63 90 63 90 00 00 INSPECTION TYPE DATE. DITCH SERVICE ROUGH IN FINAL COMMENTS RESULTS Signature of owner or Electrical Contractor X Date INSPECTOR. W ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 09 00001271 Date 2/09/10 Application pin number 475972 Property Address 1127 E 9TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 7882 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 5 circuit remodel Bathroom Living Owner DATE Contractor Geades Richard Elizabeth OLYMPIC ELECTRIC 1127 E 9TH ST 4230 TUMWATER PORT ANGELES WA 983626632 PORT ANGELES FINAL (360) 457 5303 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit pin number 157743 Permit Fee 65 50 Plan -Check Fee Issue Date 12/07/09 Valuation Expiration Date 7/12/10 Qty Unit Charge Per 1 00 57 5000 ECH EL BRANCH CIRCUIT WO/FEEDER 4 00 2 0000 ECH EL ECH ADDNT BRANCH CIRCUIT Fee summary Charged Paid Credited Permit Fee Total 65 50 65 50 00 Plan Check Total 00 00 00 Grand Total 65 50 65 50 00 WA 98363 00 0 Extension 57 50 8 00 Due 00 00 00 INSPECTION TYPE DATE RESULTS DITCH SERVICE ROUGH IN FINAL COMMENTS Signature of owner or Electrical Contractor X Date INSPECTOR. r`► O 1 J PREPARED 1/13/10 8 48 35 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/13/10 ADDRESS 1127 E 9TH ST SUBDIV TENANT NBR RICHARD/ELIZABETH GEDDES CONTRACTOR DAVE S HTG & COOLING SRVC INC PHONE (360) 452 0939 OWNER RICHARD C / ELIZABETH J GEDDES PHONE (360) 452 2978 PARCEL 06 30 00 0 2 7882 0000 APPL NUMBER 09 00001356 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 1/13/10j MECHANICAL FINAL TIME O1 00 fj�VJanuary 13 2010 8 37 07 AM 1pangrle JEANNIE 452 0939 MECHANICAL FINAL HEAT PUMP AFTERNOON COMMENTS AND NOTES PREPARED 1/13/10 9 03 14 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/13/10 ADDRESS 1127 E 9TH ST SUBDIV TENANT NBR RICHARD/ELIZABETH GEDDES CONTRACTOR FEELEY CONSTRUCTION INC PHONE (360) 452 7559 OWNER RICHARD C/ELIZABETH J GEDDES PHONE (360) 452 2978 PARCEL 06 30 00 0 2 7882 0000 APPL NUMBER 09 00001203 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFO O1 12/07/09 JLL BLDG FOUNDATION 12/07/09 AP December 7 2009 8 52 48 AM 1pangrle BILL 461 2309 FOUNDATION December 7 2009 4 09 04 PM jlierly BL3 01 1/13/10 JLL BLDG FRAMING TIME O1 00 January 13 2010 8 45 39 AM BILL 461 2309 1pangrle FRAMING AFTERNOON PLEASE CALL HIM 30 MEET YOU THERE MINUTES BEFORE YOU GET THERE SO HE CAN PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME6 01 1/13/10 JL® MECHANICAL GAS LINE TIME O1 00 January 13 2010 8 46 36 AM 1pangrle BILL 461 2309 GAS LINE AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE COMMENTS AND NOTES PREPARED 1/12/10 16 04 23 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 1/12/10 ADDRESS 1127 E 9TH ST SUBDIV TENANT NBR RICHARD/ELIZABETH GEDDES CONTRACTOR FEELEY CONSTRUCTION INC PHONE (360) 452 7559 OWNER RICHARD C/ELIZABETH J GEDDES PHONE (360) 452 2978 PARCEL 06 30 00 0 2 7882 0000 APPL NUMBER 09 00001203 RES ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 1/12/10 JLL PLUMBING ROUGH IN Ad) January 12 2010 4 03 23 PM 1pangrle ROUGH IN PLUMBING COMMENTS AND NOTES ELECTRICAL PERA41T-- CITY OF PORT ANGELES 3_60-4174735 Application Number 09 00001362 Date 12130109 Application pin number 391948 Property Address-- 1_127 E 9TH ST ASSESSOR.PARCEL NUMBER 106-30 00 0 2 7882 0000 Application type description ELECTRICAL ONLY .Subdivi-sion Name FToperty qpe_ Property zoning RS7 RESDNTL SINGLE.FAMILY Application valuation 0 Application desc 15 KW furnace and 3 5 ton heat'pump Owner Contractor RICHARD C. J ELI ZABETH:-J-:--GEDDES -DAVE S -HTG '&--COOLING 'SRVC *INC 1127 E 9TH ST PO BOX 413 -PORT.ANGELES WA 98362 PORT ANGELES WA 983627 ow- -452 .2978 (360) 452 0939 Permit ELECTRICAL-HEATPUMP Adffit I; onal de_di� Permit pin number 158881 Permit Fee 43 75 Plan Check Fee 00 Issue Date 12/30/05 valuation 0 Expiration Date -.6/-28/10 Qty -Unit Charge Per Extension 1 00 43 7500 ECH EL LVT THERMOSTAT -43-75 Fee summary- Charg6d- -Paid Credited- --Due-- Permit Fee Total 43 7 5 43 75 00 co- Plan Check Total OF— -00 06 Grand Total 4"3 -75- 43- 75- —00, 0,0- .______1 --INSPECTION TYPE _DATE RESULTS INSPECTOR. DITCH SERVICE ROUGHIN FINAL COMMENTS Si -nature of owner or Electrical Conti -actor X _Bate. CITY OF PORT ANGELES (W321 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc HEAT PUMP INSTALLATION Owner RICHARD C / ELIZABETH J GEDDES 1127 E 9TH ST PORT ANGELES WA 98362 (360) 452 2978 09 00001356 Date 12/29/09 169080 1127 E 9TH ST 06 30 00 0 2 7882 0000 RICHARD/ELIZABETH GEDDES MECHANICAL APPL PERMIT RS7 RESDNTL SINGLE FAMILY 11845 Contractor DAVE S HTG & COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452 0939 Permit MECHANICAL PERMIT Additional desc INSTALL A HEAT PUMP Permit pin number 158816 Permit Fee 64 80 Plan Check Fee Issue Date 12/29/09 Valuation Expiration Date 6/27/10 Qty Unit Charge Per 1 00 Fee summary BASE FEE 14 8000 EA ME FURN/HP/FAU < OR = 5 TON Permit Fee Total Plan Check Total Grand Total Charged Paid 64 80 64 80 00 00 64 80 64 80 Credited 00 00 00 00 0 Extension 50 00 14 80 Due 00 00 00 RV, a le'j t- I3- Jo 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 has 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 c st ction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding Division/Building Permit BUILDING PERMIT INSPECTION RECORD -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date FOUNDATION Footings Stemwall Foundation Drainage / Downspouts 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 / Under Floor Shear Wall / Hold Downs Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall / Floor/ Ceiling MECHANICAL. Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking / Lighting Landscaping Accepted By Comments I I 1 I IFINAL Date Accepted by I I I FINAL Date J' Accepted by ��- I I SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type I Date Accepted By Electrical 417-4735 1 Construction R.W PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 G W (i r T:Forms/Building Division/Building Permit `� Dec 28 09 03 36p Dave s Heating & Cooling 3604520939 P1 IECEIVED ti soler •l:� City of Port Angeles Permit Application Building DivisioniElectrical inspections DEC 20 9 rs 321 East Fifth Street— P.O. Box 1150 1 Port Angeles Washington, 98362 ELECTRICAL Ph: (360)4174735 Fax: (360)417-4711 INSPECTIONS Date: Q9 011 ' 1 & 2 Single Family Dwelling (� M Multi -Family or Commerciar .D _ Commercial Addition I Alteration I Remodel 1 Repair* Plan Review May Be Required, Please Complete Etect rical Pian Review Information Sheet Job Address: j 1 -a 7 E C'L -T+ q -- + Budding Square Footage: 3 =-.7 0 0 Description of above c V1 s -(- ;t (k C-1 ,-1 C� f n a u 4;A Y" 0.C.0.. Owner Information Name: t2r ct, mv-S, d A�--kk(6 �2c�c�2s Maitin Address: 10 A:'b i� e, s-{ � �= Y-h---e.e.-t' City- Yi r-4- Ar,�,AJUl State: L4)A Zip: `1 K31v,� Phone:��. —'� -T-T Fax License #/ Exp. Contractor Information Name: i> a J2 `S K n d Mailing,¢ddress: P.0. A City Y� �-FS_ State: Zip: Phone: `/<A -,9 y3 1 Fax S - o 73•'7 License #I Exp. Z>. V --* -6' 9l Unit Chame CQt Total f(2ty Muuiolied by Unit Charael $ 93.75 $ ServicefFeeder 200 Amp. $113.75 $ SenviceJFeeder201-400 Amp. $160.00 $ ServicelFeeder401-600 Arnp. $205.00 $ ServicefFeeder 601-1000 Amp. $291.25 $ ServicefFeeder over 1000 Amp. $ 2.00 $ Branch Circuit Wt Service Feeder $ 57.50 $ Branch Circuit 00 Service Feeder $ 2.00 $ Each Additional Branch Circuit $ 72.50 $ Temp. Servicef Feed 200 Amp. $ 86.25 $ Temp. ServicefFeeder 201400 Amp. $116.25 $ Temp. ServicelFeeder401-600 Amp. $131.25 $ Temp. Service/Feeder 601-1000 Amp. $ 75.00 $ Portal to Portal Hourly $ 69.00 $ SignlOulline Lighting $ 75.00 $ Signal Circuit/ Limited Energy Cornmerc $ 50.00 $ SON Circuit! Limited Energy 1 & 2 Fam� Dwelling S 50Z $ Signal Circuill limited Energy. ML&Famil r Dwelling $ 93.75 $ Manufactured Home Connection $ $0.00 $ Renewable Electrical Energy 5KVA System or Less $ 86.25 $ First 1300 Square Ft. $ 27.5D $ Each Additional 500 Square Ft. or Portion of $ 57.50 $ Each Outbuilding or Detached Garage $ 86.25 $ Each Swimming Pool or Not Tub $ 43.75 T— $ 't3,75 Thermostat $ Lf 3--75 Total Owrwas defined by RCW.19 2&261: (1) Ownerwill occupy thestructure for two years allfer 1166: eiectrical permit is finalized. (2) Qxmer is required to hirean electrical contractord above said p"ertyis for sale, rent or fease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed elect`ical contractor. l am anking the electrical installation or alteration in compliance with the electrical laws, N.E.C. RCW. Chapter19.28, WAC. Chapter 296-t6B, Th -City of Port Angeles Municipal Code, and utility specifications. Signature of owner, electrical contractor oretectricai administrator ❑ Cash ❑ Check x ' }' �fi Date: a��l 6 1 l Cruet Card # 1' J , Dec 28 09 01 56p Dave s Heating & Cooling 3604520939 P1 BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417-4815 fax (360) 4174711 Applicant Phone Property Owner Geddesy'hi Phone Property Owner's Address 10 C -;Z 0 ( A.) 5-t. ID Contractor 1) ex Vim' S �1-,e a -i -i t Phone Contractor's Address Q. D Bb?C `{ t 3 License # .DA VF_ 5 k GGA Kc= Expires S a t I E-mail For City Use Oy' Date Received - - og Peimit# 001_ 135io Date Approved I�K5�z-0939 414'5�p—..;:L47� . _6 ve.� c✓� �.c c •_'1nla.. c.... r�. PROJECT ADDRESS -1 s -f Parcel Number Lot Zoning Prosect Tvae & Brief Description: o Residential ❑ Multi-famay o -Commercial o Industrial Check A that apply ❑ New Construction o Addition o Remodel a Repair o Demolition ❑ Re -roof o House ❑ garage ❑ other c tear off & re -roof ❑ lay over one layer "eat System W'Heat pump o wood -burning stove ❑ gas fireplace o pellet stove ❑ other ❑ Other Floor Areas Existina (sa. ft.) Proposed (sa. ft.) Basement @ $ per sq. ft. = $ 1'" Floor 2°d Floor 3" Floor Garage Carport Covered Porch Deck Shed Other Q: TOTAL VALUATION $ ht V � S Total footprint of structures sq. ft. T Lot size sq. ft: = Lot coverage % Site Coverage = the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17 94135 for exemptions) Site coverage % Max. height of proposed structures ft. Occupancy group # of bedrooms Will a lawn sprinkler system be installed? Occupant load # of full baths Will a fire sprinkler system be installed? Construction type # of half baths I have read and completed this application and know it to be true and correct l am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to worlong on projects. Date I Print Name .S �(d en kap f Signature T:FonmslBuilding Division/Bldg Permit.doc i Clallam County Assessor & Treasurer - Property Details - 58629 RICHARD C/ELIZABE Page 1 of 5 Clallam County Assessor & Treasurer Property Search Results > 58629 RICHARD C/ELIZABETH J GEDDES for Year 2009 2010 Property _ Account Property ID- 58629 Legal Description E2 LT16&W37 1/2' LT17 BL278 Geographic ID 0630000278820000 Agent Code Type Real Tax Area. 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11 Open Space N DFL N Historic Property N Remodel Property- N Multi -Family Redevelopment: N Location Address. 1127 E NINTH ST Mapsco PORT ANGELES WA 98362 Neighborhood: Cycle 5 Res Map ID - Neighborhood CD 10955130 Owner Statement Name RICHARD C/ELIZABETH J GEDDES Owner ID - Mailing Address. 1127 E 9TH ST % Ownership Amount PORT ANGELES WA 98362 Due Due Penalty Exemptions. Taxes and Assessments Due Property Tax Information as of 12/28/2009 Amount Due if Paid on 217 . 161843 100 0000000000% First Second Half Half Statement Base Base Base Amount Year ID Taxing Jurisdiction Due Due Penalty Interest Paid Due 2009 586292008 ST SCH STATE SCHOOL $32411 $324 10 $000 $000 $648.21 $000 2009 586292008 CC -GEN COUNTY $16402 $16404 $000 $000 $32806 $000 2009 586292008 PORT PORT $23.23 $23.24 $000 $000 $4647 $000 2009 586292008 PORT ANG PORT ANGELES $35977 $35978 $000 $000 $71955 $000 2009 586292008 SD #121 SCHOOL DISTRICT #121 $40080 $40081 $000 $000 $801 61 $000 2009 586292008 NTH OLY LIB NORTH OLYMPIC LIBRARY $4766 $4766 $000 $000 $9532 $000 2009 586292008 HOSP #2 HOSPITAL #2 $67.27 $6727 $000 $000 $13454 $000 2009 586292008 CITY STORMWATER CITY STORMWATER $3600 $3600 $000 $000 $72.00 $000 2009 586292008 WEED—CONTROL WEED CONTROL $082 $081 $000 $000 $1 63 $000 2009 586292008 TOTAL. $1423.68 $1423.71 $0.00 $0.00 $2847.39 $0.00 2008 586292007 ST SCH STATE SCHOOL $344 18 $344 18 $000 $000 $68836 $000 2008 586292007 CC -GEN COUNTY $16654 $16653 $000 $000 $33307 $000 2008 586292007 PORT PORT $2433 $2432 $000 $000 $4865 $000 2008 586292007 PORT ANG PORT ANGELES $35864 $35863 $000 $000 $71727 $000 2008 586292007 SD #121 SCHOOL DISTRICT #121 $401 45 $401 44 $000 $000 $802.89 $000 2008 586292007 NTH OLY LIB NORTH OLYMPIC LIBRARY $4839 $4838 $000 $000 $9677 $000 2008 586292007 HOSP #2 HOSPITAL #2 $1654 $16 53 $000 $000 $3307 $000 2008 586292007 CITY STORMWATER CITY STORMWATER $3600 $3600 $000 $000 $7200 $000 2008 586292007 WEED—CONTROL WEED CONTROL $082 $081 $000 $000 $1 63 $000 http.//vpn.clallam.net 8084/propertyaccess/Property.aspx?cid=0&year=2009&prop_id=5 12/28/2009 PREPARED 12/07/09 9 11 27 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/07/09 ADDRESS 1127 E 9TH ST SUBDIV TENANT NBR RICHARD/ELIZABETH GEDDES CONTRACTOR FEELEY CONSTRUCTION INC PHONE (360) 452 7559 OWNER RICHARD C/ELIZABETH J GEDDES PHONE (360) 452 2978 PARCEL 06 30 00 0 2 7882 0000 APPL NUMBER 09 00001203 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFO O1 12/07/09 J� BLDG FOUNDATION � December 7 2009 8 52 48 AM 1pangrle BILL 461 2309 FOUNDATION COMMENTS AND NOTES 'W CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation 09 00001203 Date 12/03/09 242074 1127 E 9TH ST 06 30 00 0 2 7882 0000 RICHARD/ELIZABETH GEDDES RES ADDITION RS7 RESDNTL SINGLE FAMILY 22098 Application desc 52 SF MEDIA ROOM ADDITION 75 SF DECK REMODEL Owner Contractor RICHARD C/ELIZABETH J GEDDES FEELEY CONSTRUCTION INC 1127 E 9TH ST 2606 DEER PARK RD PORT ANGELES WA 983626632 PORT ANGELES WA 98362 (360) 452 2978 (360) 452 7559 Structure Information 000 000 52 SF MEDIA ROOM ADDITION 75 SF DECK Other struct info HARD SURFACE AREA Permit BUILDING PERMIT RESIDENTIAL Additional desc DECK & MEDIA ROOM ETC Permit pin number 156828 PIPING 1 5 OUTLETS Permit Fee 389 75 Plan Check Fee Issue Date desc 12/03/09 Valuation Expiration Date 6/01/10 Qty Unit Charge Per 79 00 Plan Check Fee Issue Date BASE FEE 12/03/09 21 00 14 0000 THOU BL 2001 25K (14 PER K) Permit MECHANICAL PERMIT Additional desc 2 GAS FIREPLACES Permit pin number 157065 Permit Fee 92 60 Plan Check Fee Issue Date 12/03/09 Valuation Expiration Date 6/01/10 Qty Unit Charge Per Qty Unit Charge Per 253 34 22098 Extension 95 75 294 00 00 0 Extension 50 00 21 30 21 30 00 0 Extension 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 has 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. O , Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding Division/Building Permit BASE FEE 2 00 10 6500 EA ME STOVE/FIREPLACE/MISC APP 2 00 10 6500 EA ME FUEL GAS PIPING 1 5 OUTLETS Permit PLUMBING PERMIT Additional desc ADD A WET BAR SINK Permit pin number 156844 Permit Fee 79 00 Plan Check Fee Issue Date 12/03/09 Valuation Expiration Date 6/01/10 Qty Unit Charge Per 253 34 22098 Extension 95 75 294 00 00 0 Extension 50 00 21 30 21 30 00 0 Extension 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 has 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. O , Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FormsBuilding Division/Building Permit IM BUILDING PERMIT INSPECTION RECORD — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date Accepted By I Comments FOUNDATION Footings Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs) PLUMBING Under Floor / Slab I 1 Rough -In li Water Line (Meter to Bldg) Gas Line Back Flow / Water FINAL Date Accepted by AIR SEAL. Walls Ceiling 1 FRAMING Joists / Girders I Under Floor Shear Wall / Hold Downs Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab I Wall / Floor / Ceiling 1 MECHANICAL. Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts FINAL Date Accepted by MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking / LightingI ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T.Forms/Building Division/Building Permit «l` CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION �-� 321 EAST 5TH STREET PORT ANGELES, WA 98362 y Page 2 Application Number 09 00001203 Date 12/03/09 Application pin number 242074 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 EA PL -PLUMBING TRAP 7 00 1 00 7 0000 EA PL -WATER LINE 7 00 1 00 15 0000 EA PL -SEWER LINE 15 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments November 24 2009 3 56 30 PM sroberds The proposal will result in small additions to an existing sfr for total lot coverage of 26W and site coverage of 50W in the RS 7 zone No land use issues anticipated MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and electrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense Public Works Utility Engineering has no requirements for this plan review Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 561 35 561 35 00 00 Plan Check Total 253 34 253 34 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 819 19 819 19 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 has 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 anv state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T.ForrnsBuilding Div sion/Building Permit t� d BUILDING PERMIT INSPECTION RECORD 's' -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS — Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type I Date I Accepted By FOUNDATION? Footings ` Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs ) PLUMBING Under Floor/ Slab Rouqh-In 1— 17 —116 P(3 Water Line (Meter to Bldg) Gas Line Back Flow/ Water AIR SEAL. Walls I - Ceiling FRAMING to Joists / Girders / Under Floor Shear Wall / Hold Downs Walls / Roof / Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall / Floor / Ceiling MECHANICAL. Heat Pump / Furnace / FAU / Ducts Rough -In Gas Line 1— \moi —1 b TLIi Wood Stove / Pellet / Chimney Commercial Hood / Ducts MANUFACTURED HOMES Footing / Slab Blocking & Hold Downs Skirting PLANNING DEPT Separate Permit #s Parking / Lighting Landscaping Comments shower Pan 2 -L -to -s4j - FINAL Date 6'1 —10 Accepted by'TLI- ) I )FINAL Date 6— Accepted 0 Accepted by �— 1 SEPA, ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW / Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T•Forms/Building Division/Building Permit I V) 12/04/2009 10 23 FAX 360 452 3498 Olympic Electric Co PA CITY INSPECT 001/001, CEV CityPort Angeles PernsApplication DEC 7 2009 Building rirt g DtvlalonlEler�l Inspection$ 321•EeetFlfth Street-P.O, Boer 1150 Port Angeles Washington, 96362 ELECTRICAL (of Ph: (360) 417-4735 Fax: (360) 417.4711 INSPECTIONS i Date: 12 I L1 o q A 1 & 2 Single Family Dwelling _ Mulb-Family or Commercial, (� Commercial Addition I Alteration / Remodel I Repair' �Q 1 • Plan Review May Be Required; Please Complete Electrical Plan Review Information Sheet N Job Address: 11? -1 it q TH Sr Building Square Footage; Appryx 290 n SCJ F T' Descrlptlon of above S fn ale 'Fa m I I v %o w� hr? Y110c� Owner Information Name: tIizabe14 4 ferchad (�eAJES Mailing Address: 1020 W sT+t. City: port. angeles ,State: ,wa Zip: 98362. Phone: NS 2. 2A-10 Fax: License # I Exp, Contractor Information 'Name: Olympic Electric MaillhgAddress. .4230 Tumwater Tr_ - City' Port Angeles State; WA Zip: ;98363 Phone:4S7-5303 Fax; 452-3498 License # l Exp, OLYMPEC2 B 5Dz „ Unit ChargeGet Total (Otv Multiplied by Unit Charoe), $ 93.75 $ Service/Feeder 200 Amp. $113,75 $_ Service/Feeder 201400 Amp, $160.00 $ Service/Feeder401-600 Amp, $205.00 $ ServicelFeeder 601.1000 Amp, $291.25 $_ Service/Feeder over 1000 Amp, $ zoo _ $ Branch Circuit WI Service Feeder $ 52,00 _�_ $- _ 5 . Branch Circuit W/O Service Feeder �_ $ sQ 60` Each Additional Branch Circuit $ 72,50 $ Temp, Service/ Feeder 200 Amp. $ 66,25 $ Temp. ServlcelFeeder 201400 Amp, $116.25 $ Temp, Service/Feeder 401.600 Amp. $131.25 $ Temp. Service/Feeder 601-1000 Amp, $ 75.00 $ Portal to Portal Hourly $ 69.00 $ Sign/Outline Lighting $ 75.00 $ Signal CircuiU Limited Energy Commercial $ 50,00 $ Signal Circult/ Limited Energy 1 & 2 Famlly Dwelling $ 50.00 $ Signal ClrcuIV Limited Energy Multi -Family Dwelling $ 93,75 $ Manufactured Home Connection $ 60.00 $ Renewable Electrical Energy 5KVA System or Less $ 66,25 $ First 1300 Square Ft. $ 27.50 S Each Additional 500 Square Fl. or Portion,of $ 57.50 $ Each Outbuilding or Detached Garage $ 66.25 $ Each Swimming Pool or Hot Tub $ 43,75 $ Thermostat $ Total 6�✓ yo Ownera5 dermrd by RCW.19.,28.167- (1) Owner will occupy the structure for two years aRerthis electrical permit is rin4lWd, (x) Owner& required to hire an eftfrIca/ contraotor Ifebove sold property Is for sale, rent or lease. After rending the above statement, I hereby certify that 1 am the owner of tho above named property or a licensed electrical contractor. I am making the electrical Installation or alter atlon In compliance with the electrical lava, N.EC. RCW Chapter 19.28, WAC. Chapter 296.4618, The City of Port An9ele9 Municipal Code, and Utility Specification$. Signature of owner electrical contractor or electrical admtnletrator ❑ Cash 0 Check Q xv"w ��f7ate: t 0 ® Credit Card # ON. rORT,41N f Sir BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417-4815 fax (360) 417-4711 For City Use Only, Date Received1-175-09 Permit # 09— Date 9—Date Approve Applicant �=�A;Xy Ph e'° 452. -`75'e; -j Property Owner CaraiJl:,,w a Phone 4-52 - 241%6 Property Owner's Address ) 020 INS 51"11/ 45t I f��"1" A f� "= WA Contractor NS'flZ-UCn'Tv1 Phone-� - `7 F Contractor's Address ZGaa �Pw i" 1ZD , P107- #" jat�►f� . " i �J,i�; 99562, License # Fee.LeC 1055a -r Expires 5,Z0j 20(1 E-mail PROJECT ADDRESS j PrP 1�1 T�1/ S -1 4h.4rW!.S-e-:' Parcel" Number Lot Zoning k � -7 Proiect Tvpe & Brief Description. Residential ❑ Multi -family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction (j4 411)1 611 ,M Addition wrj }moogbf m a �1'`WG C! ?'ttlr"y N Remodel I�t 1 b TM �'Lf=t 1 N 1�L ';t'—�� irP. > it44�r /❑` Repair �� iY"P4 ,� C�tt�"i" t+t t. r i7 f R;Im ` fir^ ❑ Demolition — t ❑ Re -roof ❑ House ❑ garage ❑ other ❑ tear off & re -roof ❑ lay over one layer ❑ Heat System ❑ Heat pump ❑ wood -burning stove ❑ gaj fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Basement 15' Floor 2nd Floor 3`d Floor Garage. Carport Covered Porch Deck) u 11 co vete-A Shed Other Existin (sq. ft. Proposed s" -ft. i/ 4 S � ,Xv - 91$ , per sq ft. _ $ _ 11x85' SZ- Cr�roRao►�� • o©' 2� 5' est 1, aIO --- >3` waky-;h4 12 00 5vi,j tfe `00 Rewicow TOTAL VALUATION $ Total footprint of structures 22 8'Z sq ft. T Lot size 9G2U sq ft. = Lot coverage ' s % Site Coverage = the amount of impervious surface on a parcel including structures paved driveways sidewalkspatios and other impervious surfaces (see PAMC 17 94 135 for exemptions) Site coverage L4 `1' Z, % 1;113 zy� �►-°l`il %,2L>fo�22�3Z= 4`341 gS.20 Max. height of proposed structures ft. Occupancy group # of bedrooms Will a lawn sprinkler system be installed? Occupant load # of full baths Will a fire sprinkler system be installed? Construction type # of half baths /have read and completed this application and know it 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, and to obtain permits prior to v,orking on projects. Date Print Name_G j � '1'S1I� SignaturNe T Forms/ uildon/Bldg PFrmit.doc \ I r!' 10'.11/2" W-8 1/1° , ALLEY N -I Jf 1 1 1 CITY OF PORT ANGELES .1 FIRE DEPARTMENT PERMIT 321 East 5`h Street, Port Angeles, WA 98362 Application Number 09 00000863 Date 8/24/09 Application pin number 974694 Property Address 1127 E 9TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 7882 0000 Tenant nbr name BRUCE C BEANE Application type description FIRE ABANDON TANK INSPECTION Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc SLURRY FILL SLURRY FILL 500 GAL TANK Owner Contractor BRUCE C BEANE PETTIT OIL CO 1127 E 9TH ST 638 MARINE DRIVE PORT ANGELES WA 983626632 PORT ANGELES WA 98362 (360) 452 1732 (360) 457 9404 Permit UNDERGROUND TANK RES Additional desc SLURRY FILL 500 GAL TANK Permit pin number 152322 Permit Fee 15 00 Plan Check Fee 00 Issue Date 8/24/09 Valuation 0 Expiration Date 2/20/10 Qty Unit Charge Per Extension BASE FEE 15 00 Fee summary Charged Paid Credited Due Permit Fee Total 15 00 15 00 00 00 Plan Check Total 00 00 00 00 Grand Total 15 00 15 00 00 00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 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 recognized standards, laws and ordinances governing this type of work will be compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the permit. Authorized Agent Signat fe of Contractor or Dote Signature of Owner (if Owner is builder) Date FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire 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 ` FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection Alarm final LP -GAS Underground piping inspection/pressure test Above ground piping inspection/pressure test Tank (container) inspection Date Passed I Appliance inspection LP -gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final 9_+0q KDD PERMIT OTHER (specify) permit final GENERAL COMMENTS Comments Completed by Contractor - Test #I Piping pressure test psi Time initiated Test #2 Piping pressure test psi Time initiated 2/15/00 PORT ANGELES FIRE DEPARTMENT Abandonment of Residential Fuel Storage Tank 1,100 Gallons or Less `k I 001j�- �s Warr rx CA71 �p a- Uq _Mplication for Permit wtlli 5 -fink, Please call the Fire Marshal s Office at 417-4653 for assistance With the processing this permit. Site Address Name of Applicant: "6e Date: Address: Telephone Site Owner- 1�" Telephone: - 4V — I Permits are issued at the City of Port Angeles Permits Counter located at City Hall, 321 E 5c", Port Angeles, WA. Permit fee $15 00 paid to the City of Port Angeles Fire Department. Date paid. Date Issued. Date Issued. Issued by - Additional Comments I have read and understand the requirements of this application Applicant's Signature Fl? 25 A (Revised 12/9/04) Page 1 of 3 Section I - Required Information Applicant is required to furnish the following information on the space provided on the next page A site plan showing the number, size, and location of the underground storage tank with reference to the existing home. 2. Specify the type of liquid which was stored in the tank. Section II - Requirements and Limitations Issuance of a permit is subject to compliance with the listed requirements and approval by a field inspection of the Port Angeles Fire Department. Residential underground storage tanks may be abandon in place or removed. 1 There shall be no welding, cutting, or other sources of ignition in the area while abandoning operations are in progress. Welding or cutting on tanks require a separate permit.from the Port Angeles Fire Department. 2 Removal of all flammable and combustible liquids from the tank and all connecting lines shall be pumped. out. Please use a hand pump or other means to remove remaining flammable or combustible liquids as far as practical. 3 If the tank is removed and stored on site temporarily, the tank shall be placed in a secure location and blocked to prevent movement. The tank would be required to be inerted prior to being transported. The hole created by removing the tank shall be filled with a suitable material (earth, sand, etc.) 4 There are three options for the abandonment of residential fuel storage tanks. All three options require that the tank is first completely pumped out. Option #I — The tank and all associated fill and vent piping can be removed completely This is generally the best method, however it is also the most expensive. Option #2 — The tank fill and vent pipes are removed, then the tank is filled completely with an inert mixture such as a sand slurry If Option #1 (complete removal) is not chosen, then this method is REQUIRED if the tank is within 5 feet of a property line, driveway sidewalk, swimming pool, deck or building foundation. Option #3 — The tank fill and vent pipes are removed below grade and capped. The tank is left in place If using this method, the applicant must read, understand and sign the following statement. "In using this method, I understand that the void created by the tank may cause a collapse of the adjacent ground if the tank rusts out over time." Applicant Signature �i�ll/lti/ t�; i Date FP 25 A (Revised 12/9/04) Page 2 of 3 Site Diagram To be completed by Fire Department Method of abandonment: ( ) Tank removed ( ) Tank filled with inert mixture ( ) Tank vent and fill lines capped below grade FP 25 A (Revised 12/9/04) Page 3 of 3 E E • Site Address: 1129 EAST 911 Installed By: ` .4t vo.P.sEN Owner/Business: •n r pcC "• Owner/Business Address: ❑ Residential Heat KW ❑ Baseboard ❑ Furnace/Boiler ❑ Heatpump ❑ Other ❑ Commercial/Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) CITY OF PORT ANGELES LIGHT DEPARTMENT PERMIT Nn �Sy/ ELECTRICAL PERMIT DATE ell 17/�r7 El READY FOR XWILL CALL FOR INSPECTION INSPECTION License Number: Phone: ^ liALyaF2R�oA/ 959 `CJ tctC Sf Ani& Phone: Sq. Ft. ❑ New Construction ❑ Remodel ❑ Service update/alter/repair ❑ Add/alter circuits ❑ Auxiliary power (list below) Special equipment (list below) Details/Description: // IrW /-/a 7- %2L 8 W.S. No. Service Si7P Capacity: ❑ O.K. ❑ Not O.K. Comment% ❑ Ditch inspection O.K. ❑ Rough-in/cover O.K. ❑ O.K. to connect service Final O.K. _1#i1k_ natp ❑ Overhead El.Underground Voltage ❑ 10 E) 3z Service size Amps ❑ Temporary Hold for: ❑ Easement ❑ Letter ❑ Signed up for service/meter ❑ Meter Department notified for installation ❑ Fire Department notified of inspection ❑ Plan Review approved/pending Site Address: .�„Qr- \ Permit/Receipt No./ lla7 6E4AJc,) /Sy Installer: New Meters Date: l lv©eSFti f� � O V7/k Notify the Department of City Light by Street Address and Permit Number when ready for inspection. Work / must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457.0411, EXT. 158 or EXT. 224. ✓" \ NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT / 1/O / Inspector Amount paid WHITE—file by address YELLOW—file by number PINK—Top: Eng, Bottom: Customer GREEN—Top: Inspector, Bottom: City H,/ DIYMPIC PgINTERS. INC `7 / 0 CITY OF PORT ANGELES FEERECEIPT NUMBER DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT TOTAL FEE-- I ` - PER V I CONT. LIC N0. TIME TO COMPLETE NO. STORIES ELECTRICAL PER IT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT Site Address �1,� 7 f -, PERMIT NUMBER ��OCCUP ANCY �7 CORRECT ADDRESS IS RESPONSIBILITY OF APPLICANT PERMITS WITH WRONGADDRESSESARE CANCELLED ' Owner L7 7 Installation By C�1 .tylft,[C�ivl Owner's Address �/� % E 1 - Installers Address _r(7, /-5-" ' 7� 3 Day Phone - - - - Installers Phone Application Is hereby made for Permit ttto7'install Electrical Equipmentasfollows, ,/ J Wiring Method n��'�jt_• ILIGHT CONVENIENCE CONVENIENCE APPLIANCE (DISHWASHER (DISPOSAL (RANGE • I OVEN WATER HEATER (LAUNDRY DRYER (FURNACE GAS - OIL FURNACE ELECTRIC ELECTRIC HEAT I ELECTRIC HEAT A C. UNIT FEEDER SERVICE I SUB T I I I I I I - OTAL I / I I SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performJeddun eerr this permit will be done by the installer and in/confor nce wilN. E.C. Electrical Code. Date Application made / 7 �(J 7 19 By By /� _ I CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. A d/ED IRECTOR OF CITY LIGHT Date Permit Issued % C/ By PLANS APPR Notify Department,of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. WARNING I PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — AMP 240V USE OF CIRCUIT ClNUMBER RCU TS PER tP0 1 00R FEE 7CIR 30 I I SIGN 1 150 VOLTS I OR LESS MOTOR I I I I I MOTOR I I I I MOTOR FIRE ALARMS IIBURGLARALARM I Misc. I I I I I II I I I I I 11 1. I I I II REINSTALLATION LIGHT FIXTURE k SUBTOTAL FEE ENERGY FEE II BASIC FEE I TOTAL FEE SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP PHASE lI SIZE OF SERVICE ENTRANCE CONDUCTORS A.W.G. - WHITE Original CANARY Duplicate PINK Triplicate WHITE CARD Inspector's Report OLYMPIC PRINTER$, INC NUMBER AMP 240V '1 USE OF CIRCUIT CIRCUS PER 01 COR FEE CIR 30 LIGHT oA av // ILIGHT CONVENIENCE CONVENIENCE APPLIANCE (DISHWASHER (DISPOSAL (RANGE • I OVEN WATER HEATER (LAUNDRY DRYER (FURNACE GAS - OIL FURNACE ELECTRIC ELECTRIC HEAT I ELECTRIC HEAT A C. UNIT FEEDER SERVICE I SUB T I I I I I I - OTAL I / I I SIZE OF GROUND SIZE OF ENTRANCE SWITCH I certify that the work to be performJeddun eerr this permit will be done by the installer and in/confor nce wilN. E.C. Electrical Code. Date Application made / 7 �(J 7 19 By By /� _ I CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of the City of Port Angeles. A d/ED IRECTOR OF CITY LIGHT Date Permit Issued % C/ By PLANS APPR Notify Department,of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or current turned on before inspection and O.K. for covering or service has been given by Inspector in Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. WARNING I PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK — SEE OVER — AMP 240V USE OF CIRCUIT ClNUMBER RCU TS PER tP0 1 00R FEE 7CIR 30 I I SIGN 1 150 VOLTS I OR LESS MOTOR I I I I I MOTOR I I I I MOTOR FIRE ALARMS IIBURGLARALARM I Misc. I I I I I II I I I I I 11 1. I I I II REINSTALLATION LIGHT FIXTURE k SUBTOTAL FEE ENERGY FEE II BASIC FEE I TOTAL FEE SIZE OF SERVICE SWITCH OR CIRCUIT BREAKER AMP PHASE lI SIZE OF SERVICE ENTRANCE CONDUCTORS A.W.G. - WHITE Original CANARY Duplicate PINK Triplicate WHITE CARD Inspector's Report OLYMPIC PRINTER$, INC REPORT OF INSPECTOR s �� DATE OF VISIT MADEBY REMARKS \ F I' Q F I= I O.K.FORCOVERING O.K. TO CONNECT SERVICE 1 FINALO.K. r CITY OF PORT ANGMM LIGHT DEPART14MT ELECTRICAL PERMIT jv v 17469 Port Angeles, Washington......- -------- ---_._, 19r/ In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address-/---------` Owner-'k"-.c?�it�� t--- „,.: Wiring Contractor../r2 G Light Outlets ............................... ... ..... Receptacle outlets------------------------ ---- Dryer. KW .......................................... Range, KW---------------_....._.._-------------. Water Heater: KW...............`-----...............-/-/--------- Heat: KW ..... 3....... IL.....::'e"C^C'g:^ Motors: size, volts and phase: Total Load.. ----------------------- Occupancy.... I=a--�-`= – – �'g------ C . By ......... Service, volts ................. No. wires ...._.....(/�.....�j.-f_................ Size wires ...._!l...G�_--A--------------- Main fuse .::�.......i�... ............. Enclosure ..... S. ........................... Type of wiring: Entrance Cable Rigid Conduit Metallic Tubing .. Current transformers: No. & Size .............. Ser. No .............................................. Ser. No. Ser. No. Ser. No. Type of Wiring: Armored Cable Non -Metallic ... Knob & Tube ................................ . Rigid Conduit ... Metallic Tubing Raceway ............. Circuits, Light ........... Utility ................. Heat................., Range ................. Water Heater .., Motor ................ Dryer ................. _- Furnace ................ Total .-......... Remarks:` rJ •,. �-c .-�' ----------------------------------------cmc--• • –-------------------------------------- ------------------------------------------- Permit Fee Treas. Receipt 3 f/f ✓�,�/ I�jj �j/r'/� $ -------------------------------------- No.------------_--- –. –.– By J .................. tJ°.......C_,,.r+`/•le.�1J .e.+✓ NOTICE—Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con- cealed due notice must be given the inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT Address Owner N? 17469 WiringContractor.......................................................................................................................... By .............................................................. NOTICE—Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con- � coaled due notice must be given the Inspector so that work may be inspected before concealment. IM Olympic Printers, Inc. r ANGU CITY OF PORT EPA TIVIM s ELECTRICAL PERMIT l�� LIGHT DEPARTMENT jr u 17444 Port Angeles. Washingto>�. ���----_....----------------- ----------------, 19 In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. b C ��yy ,7r�r, /� r i_ — Address ----_.-=---- -'--- => ---------------------------- Occupancy---=----3'r----------------------- Owner ...... Wiring Contractor Light Outlets ............................... ... ..... Receptacle Outlets ............................... Dryer. KW .......................................... Range, KW--..---.. Water Heater: .................................................. Heat: KW....._�.6...... .......-------------- ....... Motors: size, volts and phase: Total Remarks: ----- :.! r s. k : --ra c �t�-c.+ Service, volts /1�1C`/.6.......�................................. No. wires.. Size wires.. R:...... ... Main fuse ..c.--.....----------..' ............. s Enclosure ....................................... Type of wiring: Entrance Cable ----------------------------- Rigid Conduit ...... Metallic Tubing .. Current transformers: No. & Size .............. Ser. No -- ---------------------------------- ------ -- Ser. No. Ser. No. Type of Wiring: Armored Cable ............................. Non -Metallic _ ............................... Knob & Tube ................................. Rigid Conduit ........................... _.. Metallic Tubing ....................... _.. Raceway............................... _.-.-- Circuits, Light ....................................... Utility....................... -.................... Heat._----....---_-------------- _----- ---- Range............................................. Water Heater ............................... Motor... ....... _....................... -------- Furnace Total -Permit Fee Tress. Receipt / _ r .r.......r......... -ter- r ,,e..._ $ No. - - By/ f -�--• -------- NOTICE—Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT Address Owner N° 17444 Date.......................................... __...... _ WiringContractor......................................... ____ ........ _................................ ............................. By ........... .------------------ ................................ NOTICE—Current must not be turned on until Certificate of Inspection has been Issued. If work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. Im Olympic Printers, Inc. \ ELECTRICAL PERMIT CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98162 OWNER/APPLICANT BRUCE BEAN 1127 E 9TH ST Port Angeles, WA 98362 360/452-1732 T: S: CONTRACTOR ANGELES ELECTRIC 524 E. 1 ST ST. PORT ANGELES, WA 98362-0000 360/452-9264 ;2:19111*01111IR1201 ISSUED: 1118/2002 PERMIT NO 7525 PROPERTY LOCATION 1127 9TH ST E Lot: 16 -E25',17 -W37.5' Block: 278 ® Long Legal Subdivision: TPA Parcel No: 063000027882000 ARCHITECT N/A , 98360-0000 360/000-0000 Project Type: RES.REMODEL Project Value: $0.00 Occupancy Type: Construction Type: ADD CIRCUITS Occupancy Group: Zoning Use: RS7 N Electrical Heat: �1 ❑ Baseboard 0 KW ❑ Riser ❑ Underground Service ❑ Furnace 0 KW ❑ Overhead Service Voltage: 0 fl ❑ Heat Pump 0 KW ❑ Temp Service Phase: ❑ 1 ❑ 3 a ❑ Fan Wall 0 KW Service Size: 0 N Feeder Size: 0 + PROJECT NOTES Kitchen remodel. 6 circuits Recpt. # 8517 FEES ASSESSMENT Service: $0.00 Additional Feeders: $0.00 Circuit Wiring: $55.70 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $55.70 AMOUNT PAID: $55.70 BALANCE DUE $0.00 COMMEN I S/AC'TION NEEDED .S f V A n 4 ELECTRICAL PERMIT INSPECTION RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE 1 ACCEPTED COMMENTS YES I NO DITCH ROUGH -IN / COVER SERVICE FINAL GENERAL. COMMENTS: 111716 A 1 I//8/0 3- 1 V.4- 1 M -1102.151m 1 CTTYOPS SRT. ANGELES _ PUBLIC WORKS - BUII,bING DMSION 321 EAST 3THeSTREET ,PORT ANGELES, WA 98362, - BUILDING PERMIT PERMIT NO: 12914 OWNER/APPLICANT PROgR WCA' ION BRUCE BEAN 1 f 27 9TFI ST E 1127 E STH ST Lot: 16-E 26',17 370 Port Angeles, WA 98362 Block: 278 Lang. Legal 360/482-1732 SuWivision: TPA T: S: Parcel No: CONTRACTOR wARCIiITEC' GREAT NORTHWEST ENTERPRISES NIA PO BOX 2963 Port Angeles, WA 98362 98 64-0000 206/452-9618 360/000-0000 10*0JEGT INFO Project Value: $2,960.00 SFD Units° 0 Commercial: o Project Type: REROOF SFD SO FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL _ Garage: 0 ^ Occupancy Group: MPD Units: 0 rJ Construction Type: WD $O FT 0 � 1 Zoning Use: RS7 PROJECT NOTES TEAROFF / FELT / COMP FEES ASSESSMENT Buildiing Permit: $83.25 Misc Fee 1: $0.00 Plan Check: $0.00 Mise Fee 2: AState Surcharge: $4.50 disc Fee 3: ` $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL. FEE: $87.75 Plumbing: $0.00 AMOAJNT PAID: $87,75 Mechanical: $0.00 . BALANCE DUE: Radon: $0.00 Separate Permits are required for eiectr%al work, $EPA, Shoreline, ESA, utilities, private and public improvem®nta' Tess p�nrtit beaomee null and void N work or construction authorized is not commenced withirr4BQ days, if construction or work is s or don fora ,period of 180 .days ager the work as commenced, or if nequlred l napections haven been requested with n 1 sfl d t the last Inspection. I hereby cerllfy that I have read and examined this application and know the,sarne to be true and carnet. Aliprcfvisions a laws and ordinancesovemin g g this type of work will be complied with"WPiether specified'herein or not. "the gn4nting of'a:piQrmit hoes. not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the pewat ace of o Signature ctor or Authora~ed Agent Dateigristuaa of Owner (if owner is buigsr) spate WELDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS: PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL 4`&COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATfON. KEEP PERMIT,CARD AND APPROVED PLANS AT JOB SITE', INSPECTION TYPE I ° DAt8 ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING I I I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF,/ CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I I MECHANICAL HEAT PUMP WOODSTOVE / PELLET/CHIMNEY'`/ INSERT HOOD/DUCTS PW UTILITIES / SITE WORK -�EnOneaing Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #•s SEPA: PARKINGIL LANDSCAPING HTING ( I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL •DATE ACCEPTED Y168 NO ELECTRICAL'- LIGHT DEPT. ` 417-4735 ELEC4ilCAL LIGHT DEPT ENGINEERINGENGIIR.W. f PW/ 417.4$07 PW Il�G W- FIRE 417-4653 FIRE DEPT, PLANNING DEPT. 417-4750 1 Yom. PLANNDVG DEPT. `< a BUILDING =: 4174815 JNs' i 9 v BUILDING. r C:\APPL.WPD