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HomeMy WebLinkAbout221 W 10th St - Building CITY OF PORI'ANGELES PE12MIT APPLICATION Building DivisionlElectrical Inspections 321 East Fifth Street— F.O. Box 11501 Port Angeles Washington, 98362 .„�,;� -41 Pia: (36 � 0) 417-4735 Fax: (350) 417-4711 Date. I Jf C ”`1 _1 &2 Single Family Dwelling * Plan Review May Be Required, Please Complete Electrical Plan Review Information Sf eet Job Address:-—?-'X% W Building Square Footage: Description of above Owner Information Contractor Information Name 91AM SNAjFf)Q Name: Mallin ddr ss: 221 W, 10'W Mailing Address: City: f'@ATAWAUj State Zip: rf.83 City: State: Zip: Phone:Ybl-013 Fax: Phone: Fax: License#I Exp. License#!Exp. Item Unit Charge tV Total (Qty Multiplied by Unit Charge) Service/Feeder 200 Amp. $120.00 $ ServicelFeeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W1 Service Feeder $ 5,00 $ Branch Circuit WIC Service Feeder $ 6300 [ $� Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 $ Temp. Service/Feeder 200 Amp. $ 93.00 $ Temp.Service/Feeder 201-400 Amp. $110.00 $ Temp.Service/Feeder 401-600 Amp. $149.00 $ Temp Service/Feeder 601-1000 Amp $168.00 $ Portal to Portal Hourly $ 96,00 $ Signal Circuill Limited Energy- I &2 Family Dwelling $ 6400 $ Manufactured Home Connection $120,00 $ Ronewabie Electrical Energy-5KVA System or Loss $102.00 $ Thermostat $ 56.00 $ Note:$5.00 for each additlonai T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hol Tub $110.00 $ $��Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that l am the owner of the above named property or a licensed electrical contractor, I am making the electrical installation or alteration in compliance with the electrical laws, N.E,C., IRCW Chapter 19.28, WAC. Chapter 296-46B,The City of Port Angeles Municipal Code, and Utility Specifications and PAK 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ check r� 27701 ELECTRICAL PERMIT 1 CITY OF PORT ANGELES 360-417-4735 Q Application Number . . . , , 12-00001547 Date 11/28/12 Application pin number . . . 009603 �4 Property Address . . . . . 221 W 10TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER; 06-30-00-0-2-9368-0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . , . t0 the City of Port Angeles Property Use (Location Code 0502) Property Zoning . . , . . , . RS7 RESDNTL SINGLE FAMILY ;application valuation , . , , 0 Owner Contractor RYAN/ JESSIE SANFORD OWNER 221 W 10TH ST PORT ANGELES WA 98362 (360) 457-1257 ------------------------------------------------------------------------------ Permit . . . , . , ELECTRICAL ALTER RESIDENTIAL Additional desc . . OWNER/ DUCTLESS HP Permit Fee . , , , 63.00 Plan Check Fee 00 Issue Date . , 11/28/12 Valuation , , . , 0 P Expiration Date . , 5/27/13 \`] Qty Unit Charge Per Extension r�i 1.00 63.0000 HCH EL-R-- BRANCH CIR WO/ SER FEED 63,00 ---- ----------------------------------------------------------------------- Fee summary Charged Paid Credited Due ------------ ----- ---------- ---------- ---------- ---------- Permit Fee Total. 63.00 63,00 .00 00 Plan Check Total .00 .00 .00 ,00 Grand Total 63.00 63.00 00 00 INSPECTION TYPE DATE: RESUL'T'S: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Signature of Owner or Electrical Contractor X __Date:__-_ C:\EXCHANGB73UILDINCi ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . 12-00001547 Date 11/28/12 Application pin number . . . 009603 Property Address . . . , . , 221 W 10TH ST REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-2-9368 0000- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name . . . . . , to the City of Port Angeles Property Use . , . . . . , , (Location Code 0502) Property Zoning , . . , . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . 0 Owner Contractor RYAN / JESSIE SANFORD OWNER 221 W 10TH ST PORT ANGELES WA 98362 (360) 457-1257 ----------------------------------------------------------------------------- Permit . , . . . . ELECTRICAL ALTER RESIDENTIAL Additional deac , . OWNER/ DUCTLESS HP Permit Fee , . , , 63,00 Plan Check Fee .00 Issue Date 11/28/12 Valuation . , . . 0 Expiration Date -5/27./7.3 Qty Unit Charge Per Extension 7.100 63,0000 BCH EL-R- BRANCH CTR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited, Due Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 00 ,00 .00 Grand Total 63.60 63,00 - .00 .00 INSPECTION TYPE DATE: ' RESULTS: INSPECTOR: DITCH SERVICE ROUGH-TN FINAL COMMENTS: PERMITWILL EXPIRE SIX(6)MONTHS FROM LAST INSPECTION Sigliature of otivller or Electrical Coutractoy X � T Date:� G AHXCHANGF\BIJ ILDING Building Permit 221 W 10`" st 12- 1492 on(n n o n ro cnb 00n o o p 0 ro H Nr1 " woip-nom cn H nPV z H m rtO cn r)U)Hnnn mro m ro coCS S UST> toN ?Or S'O 't 1010 m o H p Oa O rr H O H I O O O " :J r-(D G.Q w'U h7 r 10 10 F+• G O C" fn £ O a(D h w 1Fy� [y QI ✓y z 0 w tG -30 rID 0fDGr 0, 'd, wrtro-ro- n ary Hw n m(D w "{ fT CJ 3 rD w w N Iry1 N G a H M ri G ry 11 rt 11 (D r ri w r r G r r-rt r WU)''S rt (D a 0 3 R ro N 3 n rt H• r w N w w 0 (D G £ n m rt n n N n n H• <W z cn I. 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IA 0 H n C4 H o W W r p � I N ri ro r N w z b � N N (n ro o n (D a o O ro o h o r R7 v m 0 I z N H � O H a N G 3 N H w k , 0 N N ou I0 ON rr W n N N rt r- O 10 100(D 0 N � p r rt N rt N O H (D H rn rt H H 0 N N H a N O ((D N � N ro w IQ m H CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 0 Application Number . . . . . 12-00001492 Date 11/14/12 Application pin number . . . 483892 Property Address . . . . . . 221 W 10TH ST TAX ASSESSOR PARCEL NUMBER: 06-30-00-0-2-9368-0000- REPORT SALES TA Application type description MECHANICAL APPL. PERMIT Subdivision Name . . . . . . on your state excise tax form Property Use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 4825 (Location Code 0502) ---------------------------------------------------------------------------- Application desc DUCTLESS HEAT PUMP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ RYAN / JESSIE SANFORD ALL WEATHER HTG & COOLING INC 221 W 10TH ST 302 KEMP ST PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457-1257 (360) 452-9813 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc DUCTLESS HEAT PUMP Permit Fee 64.80 Plan Check Fee .00 Issue Date . . . . 11/14/12 Valuation . . . . 0 Expiration Date 5/13/13 Qty Unit Charge , Per Extension BASE FEE 50.00 1.00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 - -------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 64.80 64.8Q .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .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 any state or local law regulating construction or the performance of construction. l o% Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Bull ding Permit O I 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLAINS AT JOB SITE. `S _7Inspection Type Date Accepted By Comments n FOUNDATION: 3 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 FINAL Date Accepted by AIR SEAL: Walls Ceiling FRAMING: Joists I 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 FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab 1131ocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction- R.W. PW /Engineerin 417-4831 Fire 417-4653 r Planning 417-4750 Building 417-4815 11/09/2012 16:43 13604525177 ALL WEATHER HEATING PAGE 02/03 THiE CITY CAF For(City Use Y Permit# Z '., .A S H 1 ON G ..T O N, O . s. 321. Cast S Street Date Received-�//�/2. Port Angeles, WA 98362 Date A roved: //�-/Z P: 360-417-4817 F: 360-417-4711 hcatuzo@cityofPa.us Building Permit Application Project Address: 221 West loth Strect Main Contact: All weather floating&Cooling Phone 452.9813 Property Name Ryan Ssnforcl Pltone Owner 360461-0932 NIaiI1nR Address 2815 NE Rainier Drive Finail city Ecnd State zip Contractor Name All Wcatbor HeatingPhone OR&Cooling 452-9813 97701 Mailing Address Email 302 Kemp Strco( City awhc@olypen.cam Port Angeles State Zip p98362 Contractor license# Expiration: ALLWEHCISOKU 9/13 Project Value: Zoning: Tax Parcel# Lot# $ 4825.97 Type of Residential © Commercial ❑ Industrial ❑ Public ❑ Permit Demolition ❑ Fire ❑ Repair ❑ ReroOf(tear off/lay over) ❑ For the following, 611 out both pages of permit application: New Construction ❑ Remodel ❑ Addition ❑ Tenant Improvement ❑ Mechanical ❑ Plumbing ❑ Other ❑ Existing Fire Sprinkler System? Maximum height olfstructure Proposed Bedrooms Proposed Bathrooms Yes ❑ No 13 ProjectInstall ductless hest pump Description 1 have read and completed the 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 working on projects.I understand the plan review fee Is not refundable after review has occurred.I understand that l will forfeit 20%of the review fee if 1 cancel or withdraw the application before plan review has occurred.I understand that if the permit is not issued within 180 days of receipt,the application will be considered abandoned and the fees forfeit. Date print Name Signature 11/9/12 Ksren McKeown PREPARED 7/11/11 8 25 05 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/11/11 ADDRESS 221 W 10TH ST SUBDIV TENANT NBR RYAN/JESSIE SANFORD CONTRACTOR PHONE OWNER RYAN / JESSIE SANFORD PHONE (360) 457 1257 PARCEL 06 30 00 0 2 9368 0000 APPL NUMBER 11 00000069 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT --- -_ - REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME99 01 7/11/11 J MECHANICAL FINAL TIME 01 00 July 7 2011 8 18 05 AM 1pangrle RYAN 461 0932 (I CALLED HIM TO FINAL THIS PERMIT ) MECHANICAL FINAL WOOD-BURNING STOVE PLEASE INSPECT BETWEEN 1 00 4 00 PM COMMENTS AND NOTES V r J J ` -, CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION J 321 EAST 5TH STREET PORT ANGELES, WA 98362 ApplIcation Punwer ate 1/19/11 Application pin number 352002 Property Address 221 W 10TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 2 9368 0000 Tenant nbr name RYAN/JESSIE SANFORD REPORT SALES TAX Application type description MECHANICAL APPL PERMIT Subdivision Name on your state excise tax form Property Use to the Cit of Port Angeles Property Zoning RS7 RESDNTL SINGLE FAMILY Y Application valuation 1300 (Location Code 0502) Application desc INSTALL A WOOD-BURNING STOVE Owner Contractor RYAN / JESSIE SANFORD OWNER 221 W 10TH ST PORT ANGELES WA 98362 (360) 457 1257 Permit MECHANICAL PERMIT Additional desc INSTALL A WOOD BURNING STOVE Permit pin number 180612 Permit Fee 60 65 Plan Check Fee 00 Issue Date 1/19/11 Valuation 0 Expiration Date 7/18/11 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 10 6500 EA ME STOVE/FIREPLACE/MISC APP 10 65 Fee summary Charged Paid Credited Due Permit Fee Total 60 65 60 65 00 00 ♦ I Plan Check Total 00 00 00 00 Grand Total 60 65 60 65 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 any state or local law regulating construction or the performance of construction 119-11 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T Forms/Building 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. -F Inspection Type7 Date Accepted By Comments 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 FINAL Date Accepted b AIR SEAL. 1 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 Q MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Dater Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit:#s SEPA. Parkin /Lighting 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 C Planning 417-4750 Building 417-4815 5 T Forms/Building Division/Building Permit L BUILDING PERMIT APPLICATION Print in Ink CITY OF PORT ANGELES SIG For City Use Only: Attn Building Permit Technician Date Received Dt-0-�� 321 E. Fifth St. Port Angeles WA 98362 Permit# 1�1�-�q (360) 417-4815 fax (360)417-4711 Date Approved Applicant c Lesue Phone Property Owner S(L Phone Property O er's Address vj0T Contractor hone , o? Contractor's Add ss �p License # Expires E-mail PROJECT ADDRESS Parcel Number Lot Zoning Project Type & Brief Description. Residential ❑ Multi-family ❑ Commercial ❑ Industrial Check all that apply ❑ New Construction ❑ Addition ❑ Remodel ❑ Repair ❑ Demolition ❑ Re-roof ❑ House ❑ garage ❑ other ❑ tear off& re-roof ❑ lay over one layer Heat System ❑ Heat pump A wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existin-q(sq. ft.) Proposed(sq. ft.) Basement @$ per sq ft. _ $ 1 Sl Floor 2nd Floor ' 3rd Floor Garage Carport Covered Porch Deck Shed Other TAL VALUATION $ y X300. ob Total footprint of structures sq ft. _ Lot size - o Site Coverage = the amount of impervl us s rface on a parcel includ structures paved drivew ys sid alks patios and other impervious surfaces (see P C 17 94 135 for exempti Site co rage % Max. height of proposed structures ft. Occup cy group # bed oms Will a lawn sprinkler system be ins�Ile led? Occu ant load of full ba s Will a fire sprinkler system be ins d? Co truction type #of half bath I have read and completed this aplication and know it to be true and correct, /am authorized to pply for this pe Ian underst d that it ismyrre / esponsibility to determine what permits are required, a d t7Signature' permits prior to wor ' g on pr " cts. Date l0 ll Print Name /� T Forms/Building Division/Building permit ap ication CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT M _ 16997 -° t Port Angeles, Washington__.---.tr..'_----4.m-----••---•--••---------------------- 19..--- PZ 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 elect cal work as listed below. Address _c�!'. /- - ------- -^, ------------- '------------------- Occupancy-,et -r-':? -------------------- _. - Owner -----�� -- Tenant-----------------------...--------------------------- ----------------- Wiring Contractor Uli r-- £r�A- r --r + z By-------------------------------- Outlets..............................._._. .t/..I_t "r.', Type of Wiring: .... Service. volts .....---'`y-..--- ._..- Receptacle Outlets............................... No. wires .....-....... Armored Cable .............................. Dryer, KW.............._--------..-....---------- Size wires.......7.3!-(.!1-- r'- Non-Metallic ----............................ Range, KW A'f-044 /7 '. Boob & Tube...................... ...... ..-........ Main fuse........=. ..................... Rigid Conduit ............................... Water Heater: Enclosure ...............S------.----'----- Metallic Tubing .................... KW------------------------------- Type of wiring: y .............................__ i--``--�---- Raceway Heat: KW...... CC'S`. Lr... Entrance Cable...... -. Circuits, Light..................................._.. Motors: size, volts and phase: - Rigid Condult ------------------------------- Utility .................-.....-.................... ----------------------------------------------------------- Metallic Tubing ...:------................. Heat .........._.......---.------.--------_.._ Current transformers: Range ............................................ .........................................................- . No. & Size...................................... Water Heater ............................... ........................................................... Ser. No.............................................. Motor ............................................. ........................................................... Ser. No................ .............................. Dryer-.................................---.........__ Furnace.........................._......_........... Ser. No.............................................. TotalLoad----------------------------- Ser. No.................._.......................... Total ....................................... Remarks: '1..0 ?t=t k?-�"-- - - r ---------------------------------------------------------------------------- ------- -----------------------------------------------------------••----- ---------------'----------------------------------------- ------------------------- ----------------------------------------------------------------------------------- f t. Permit Fee Tress. Receipt $-------- ---- - No---_----------------------- B /r � -a i. 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 ;1 ELECTRICAL PERMIT N° 16997 Address ----------------------- Date...................................................... Owner ..................................._..........................._.......................................................... Tenant.............------------------------------. WiringContractor........................_.._...----------------------'---.........._..----------`------------------------- By.............................................................. Pr ' NOTICE-- Current must not be turned on until Certificate of Inspection has been Issued. It work is to be con- '\cealed duelnotice must be given the Inspector so that work may be inspected before concealment. f 1M Olympic Printers, Inc. CITY OF PORT ANGELES FIRE DEPARTMENT TERMIT 321 EastYh S r t, Port.Angeles, WA 98362 Application Number . . . . 03-00000298 Date 3/20/03 Property Address . . . . 221 N 10TH ST ASSESSOR PARCEL NUMBER: 0630000293680000 Application description . . . FIRE ABANDON TANK,�INspscmON . Application valuation . . . . 100 Owner Contractor RYAN & JESSIE SANFORD OWNER 221 W 10TH ST ' PORT ANGELES NA 98362 (360) 457-1257 ---------------------------------------------------------------------------- Permit . . - ----- --------Permit . UNDERGROUND TANK RES Additionaldeac Permit Fee 15.00 Plan Check Fee .00 Issue Date 3/20/03 valuation :._ 100. Expiration Date 9/16/03 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 v J, 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.eompled with whether specified herein or not.The granting of this permit does not presume to giveority violate or cancer the provisions of any state or local law regulating the work specified+i permit. T Signature of Contractor or Authorized Agent Date S` na of Owner(if Own is buil er) ate FIRE PERMIT INSPECTION RECORD Call 360-4174655 for fire inspections.Please provide a minimum 24-hour notice. Itis 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 Passed Comments 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 Completed by Contractor: Underground piping inspection/pressure test Test#1 Above ground piping inspection/pressure test Piping pressure test psi Time initiated Tank(container)inspection Test#2 Appliance inspection Piping pressure test psi Time initiated LP-gas final UNDERGROUND STORAGE TANK(UST)ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER(specify) permit final GENERAL COMMENTS: 2/15/00