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911 W 14th St - Building
PREPARED 6/27/11 8 21 18 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/27/11 ADDRESS 911 W 14TH ST SUBDIV TENANT NBR CHARLES ARSLAN CONTRACTOR A P R CONSTRUCTION INC PHONE (360) 457 6761 OWNER CHARLES EMANUEL ARSLAN PHONE PARCEL 06 30 00 0 3 9580 0000 APPL NUMBER 06 00000214 RES ACCESSORY RESIDENTIAL UNIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS house address /fur down around plumbing in garage 5/8 type x gwb /enclose laundry /kitchen bath needs to be completed /hand rails per code /j11 BL99 02 6/17/11 JLL BLDG FINAL 6/17/11 DA June 13 2011 8 52 34 AM pbarthol Manny 457 7777 June 17 2011 4 43 47 PM jlierly house numbers /strap install water heater to code/ hand rail per code /vent a hood over stove /j11 note mow yard and clean property of debris/j11 BL99 03 6/27/11 J BLDG FINAL TIME 01 00 June 23 2011 4 26 50 PM 1pangrle MANNY 457 7777 BUILDING FINAL AFTERNOON PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 6/17/11 JLL MECHANICAL FINAL 6/17/11 DA June 13. 2011 8 54 11 AM pbarthol June 13 2011 9 04 28 AM pbarthol June 17 2011 4 43 47 PM jlierly house numbers /strap install water heater to code/ hand rail per code /vent a hood over stove/j11 note mow yard and clean e property of debris/j11 ME99 02 6/27/11 J A MECHANICAL FINAL TIME 01 00 II June 23 2011 4 27 20 PM 1pangrle 11 MANNY 457 7777 MECHANICAL FINAL AFTERNOON PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 3/07/08 PB PLUMBING ROUGH IN 3/10/08 AP March 6 2008 4 44 07 PM permits VINCENT 461 9635 ROUGH IN PLUMBING March 10 2008 8 29 13 AM pbarthol PL99 01 6/17/11 JLL PLUMBING FINAL 6/17/11 DA June 13 2011 8 53 53 AM pbarthol June 13 2011 9 04 44 AM pbarthol June 17 2011 4 43 47 PM jlierly CONTINUED ONTO NEXT PAGE PREPARED 6/27/11 8 21 18 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/27/11 ADDRESS 911 W 14TH ST SUBDIV TENANT NBR CHARLES ARSLAN CONTRACTOR A P R CONSTRUCTION INC PHONE (360) 457 6761 OWNER CHARLES EMANUEL ARSLAN PHONE PARCEL 06 30 00 0 3 9580 0000 APPL NUMBER 06 00000214 RES ACCESSORY RESIDENTIAL UNIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL99 02 6/27/11 house numbers /strap install water heater to code/ hand rail per code /vent a hood over stove /j11 note mow yard and clean property of debris/j11 PLUMBING FINAL TIME 01 00 June 23 2011 4 27 41 PM 1pangrle MANNY 457 7777 PLUMBING FINAL AFTERNOON COMMENTS AND NOTES' PREPARED 6/27/11 8 21 18 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/27/11 ADDRESS 911 W 14TH ST SUBDIV TENANT NBR CHARLES ARSLAN CONTRACTOR ANGELES PLUMBING PHONE (360) 452 8525 OWNER CHARLES EMANUEL ARSLAN PHONE PARCEL 06 30 00 0 3 9580 0000 APPL NUMBER 06 00000789 PLUMBING PERMIT PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 7/21/06 JLL PLUMBING ROUGH IN TIME 13 00 7/21/06 AP CHARLES 457 7777 07/20/2006 04 01 PM DYASUMUR 07/21/2006 03 40 PM JLIERLY PL99 01 6/17/11 JLL PLUMBING FINAL 6/17/11 DA June 15 2011 2 20 47 PM 1pangrle MANNY 457 7777 PLUMBING FINAL PLUMBING FOR BATH ONLY June 17 2011 4 43 47 PM jlierly house numbers /strap install water heater to code/ hand rail per code /vent a hood over stove/j11 note mow yard and clean property of debris/j11 PL99 02 6/27/11 PLUMBING FINAL TIME 01 00 June 23 2011 4 28 15 PM 1pangrle MANNY 457 7777 PLUMBING FINAL AFTERNOON COMMENTS AND NOTES PREPARED 6/17/11 8 41 18 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/17/11 ADDRESS 911 W 14TH ST SUBDIV TENANT NBR CHARLES ARSLAN CONTRACTOR A P R CONSTRUCTION INC PHONE (360) 457 6761 OWNER CHARLES EMANUEL ARSLAN PHONE PARCEL 06 30 00 0 3 9580 0000 APPL NUMBER 06 00000214 RES ACCESSORY RESIDENTIAL UNIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS house address /fur down around plumbing in garage gwb /enclose laundry /kitchen bath needs to be completed /hand rails per code /j11 BL99 02 6/17/11 •2% 0 BLDG FINAL June 13 2011 8 52 34 AM pbarthol Manny 457 7777 PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RES RESULTS /COMMENTS ME99 01 6/17/1 ou PERMIT PL 00 PLUMBING •:41 IT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 3/07/08 .PB 3/10/08 AP PL99 01 6/17/11 L) MECHANICAL FINAL June 13 2011 8 54 11 AM pbarthol June 13 2011 9 04'28 AM pbarthol PLUMBING ROUGH IN March 6 2008 4 44 07 PM permits VINCENT 461 9635 ROUGH IN PLUMBING March 10 2008 8 29 13 AM pbarthol PLUMBING FINAL June 13 2011 8 53 53 AM pbarthol une 13 2011 9 04 44 AM pbarthol COMMENTS AND NOTES 5/8 PREPARED 6/17/11 8 41 18 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/17/11 ADDRESS 911 W 14TH ST SUBDIV TENANT NBR CHARLES ARSLAN CONTRACTOR ANGELES PLUMBING PHONE (360) 452 8525 OWNER CHARLES EMANUEL ARSLAN PHONE PARCEL 06 30 00 0 3 9580 0000 APPL NUMBER 06 00000789 PLUMBING PERMIT PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 7/21/06 JLL PLUMBING ROUGH IN TIME 13 00 7/21/06 AP CHARLES 457 7777 07/20/2006 04 01 PM DYASUMUR 07/21/2006 03 40 PM JLIERLY PL99 01 6/17/11 JLL PLUMBING FINAL ��l\ June 15 2011 2 20 47 PM 1pangrle \5 MANNY 457 7777 PLUMBING FINAL PLUMBING FOR BATH ONLY COMMENTS AND NOTES Job Located at BUILDING DIVISION CITY OF PORT ANGELES Cotrection Notice Inspection of your work revealed tKat the following is not in accordance with the codes governing the work in this jurisdiction OUS L L t, tO Pi PC J74.11 (..1611,W 4E C r? 1=, L- 10 12 y Piscid't (›oop_) d-c-Ciel gralux. Lk -t P-4 1 j Date 11 Inspector for Building Division DO NOT REMOVE THIS TAG C6 -N. These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call Li for inspection VORT4A Ci hp, a L 1 mt �F 'OAKS 6� DA a OWNER d tT i&- ,.[I CONTRACTOR ADDRESS A\ I '5;V APPROVED 0 )2 CORRECTIONS NEEDED: Ng1F L S ?A t4 acs. ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT oU -c0 DITCH ROUGH IN /COVER SERVICE FINAL 3 FA ti1V TA UU. iZ, r I -L INSPECTOR 1 NOT APPROVED 0 0 0 131LFe V•Ott-Nri. C. k JEF s)+11 mac 146 DO NOT REMOVE NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS V Wit L DATE ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT INSPECTO rz a (to 0 8 CO77 OWNER/CONTRACTOR 15./AAN D ILL X1 5 L-4 Ty ADDRESS 1 1) Pi 5 4 APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL GFG l �r•�nT�c� C 1 A6 CORRECTIONS NEEDED: I m v t w;rIES re- 46.-1..L_ 1 U L c-7 b Cav ILL S �L1�H°�' yi V�TZ�j wife for cH 2a ao-r s NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE DATE PERMIT INSPECTOR <1, I, ra r r iP OWNE11/CONTRACTOR ELECTRICAL INSPECTION WIRING REPORT 417 -4735 OW- L-- k e. #4 ADDRESS c ?Zl c.0 J i APPROVED NOT APPROVED DITCH ROUGH IN /COVER 0. SERVICE FINAL CORRECTIONS NEEDED: 13 gj,c.1v ac..> P 1 lit 6F'Cc )Jrs' w irzImp C.o/ZR.OrJ-T L_49 aq.iv bC. L.L. X17 X41_ ti[ 2 NA.4 33 L414.1 k co Fe- l Vim-0'11E d-,r P !J— SA b 2 Fq-L j. O V`I-L T5„ tl i*re.. 71- rATD.S ",siE t 0- 6AlgW 61F 1-4 P i titerbs 1Ib w_ 1"�ti7 nv.`'71 ret7 be 41 1'te.o F■ O (z NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE ELECTRICAL INSPECTION WIRING REPORT 417 -4735 DATE PERMIT og '"oa OWNER/CONTRACTOR �z r Q r.I orr-c- A 2 C ADDRESS `311 1.1 ILI -T APPROVED 0 0 CORRECTIONS NEEDED: DITCH ROUGH IN /COVER SERVICE FINAL oT' r 'Al i7 AT'�-e dz 11M INSPECTOR NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE NOT APPROVED 0 )6, zH. 17_.-4. PREPARED 3/27/09 8 47 03 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/27/09 ADDRESS 911 W 14TH ST SUBDIV TENANT NBR CHARLES ARSLAN CONTRACTOR A P R CONSTRUCTION INC PHONE (360) 457 6761 OWNER CHARLES EMANUEL ARSLAN PHONE PARCEL 06 30 00 0 3 9580 0000 APPL NUMBER 06 00000214 RES ACCESSORY RESIDENTIAL UNIT PERMIT BBB 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 7/20/06 JLL BLDG MFG HOME MONO SLAB TIME 09 00 7/20/06 DA CURTIS 670 6915 07/19/2006 03 23 PM DYASUMUR 07/20/2006 04 43 PM PBARTHOL NO PLANS ON SITE UNDER SLAB PLUMBING NOT READY NO PLUMBING PERMIT ISSUED BL1 01 7/21/06 JLL BLDG FOUNDATION FOOTING TIME 13 00 7/21/06 AP CHARLES 360 457 7777 07/20/2006 04 00 PM DYASUMUR 07/21/2006 03 38 PM JLIERLY BL9 01 1/18/08 JLL BLDG SHEARWALL 1/18/08 DA January 17 2008 4 39 38 PM 1pangrle MANNY 457 7777 SHEARWALL January 18 2008 4 25 44 PM jlierly verify w/ eng on structural design and shear straps and nailing /j11 BLFO 01 2/01/08 PB BLDG FOUNDATION TIME 09 00 2/01/08 AP February 1 2008 8 32 06 AM 1pangrle ALAN 461 2675 FOUNDATION MORNING February 1 2008 4 50 07 PM pbarthol BAIR 01 2/02/09 JLL BLDG AIR SEAL 2/26/09 AP February 2 2009 9 11 21 AM 1pangrle MANNY 457 7777 AIRSEAL February 26 2009 3 51 20 PM jlierly BL3 01 2/02/09 JLL BLDG FRAMING 2/26/09 AP February 2 2009 9 10 54 AM 1pangrle MANNY 457 7777 FRAMING February 26 2009 3 51 20 PM jlierly BLI 01 3/27/09 JLL BLDG INSULATION March 25 2009 2 28 37 PM 1pangrle 'G MANNY 457 7777 INSULATION COMMENTS AND NOTES PREPARED 3/10/09 9 23 32 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/10/09 ADDRESS 911 W 14TH ST SUBDIV TENANT NBR CHARLES ARSLAN CONTRACTOR A P R CONSTRUCTION INC PHONE (360) 457 6761 OWNER CHARLES EMANUEL ARSLAN PHONE PARCEL 06 30 00 0 3 9580 0000 APPL NUMBER 06 00000214 RES ACCESSORY RESIDENTIAL UNIT PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 7/20/06 JLL BLDG MFG HOME MONO SLAB TIME 09 00 7/20/06 DA CURTIS 670 6915 07/19/2006 03 23 PM DYASUMUR 07/20/2006 04 43 PM PBARTHOL NO PLANS ON SITE UNDER SLAB PLUMBING NOT READY NO PLUMBING PERMIT ISSUED BL1 01 7/21/06 JLL BLDG FOUNDATION FOOTING TIME 13 00 7/21/06 AP CHARLES 360 457 7777 07/20/2006 04 00 PM DYASUMUR 07/21/2006 03 38 PM JLIERLY BL9 01 1/18/08 JLL BLDG SHEARWALL 1/18/08 DA January 17 2008 4 39 38 PM 1pangrle MANNY 457 7777 SHEARWALL January 18 2008 4 25 44 PM jlierly verify w/ eng on structural design and shear straps and nailing /j11 BLFO 01 2/01/08 PS BLDG FOUNDATION TIME 09 00 2/01/08 AP February 1 2008 8 32 06 AM 1pangrle ALAN 461 2675 FOUNDATION MORNING February 1 2008 4 50 07 PM pbarthol BAIR 01 2/02/09 JLL BLDG AIR SEAL 2/26/09 AP February 2 2009 9 11 21 AM 1pangrle MANNY 457 7777 AIRSEAL February 26 2009 3 51 20 PM jlierly BL3 01 2/02/09 JLL BLDG FRAMING 2/26/09 AP February 2 2009 9 10 54 AM 1pangrle MANNY 457 7777 FRAMING February 26 2009 3 51 20 PM jlierly BLI 01 3/10/09 J BLDG .�jj$jILA�F9iV �\L/// Manny 457 7777 After 2 30 /call 1st COMMENTS AND NOTES PREPARED 2/02/09 9 45 22 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/02/09 ADDRESS 911 W 14TH ST SUBDIV TENANT NBR CHARLES ARSLAN CONTRACTOR A P R CONSTRUCTION INC PHONE (360) 457 6761 OWNER CHARLES EMANUEL ARSLAN PHONE PARCEL 06 30 00 0 3 9580 0000 APPL NUMBER 06 00000214 RES ACCESSORY RESIDENTIAL UNIT PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 7/20/06 JLL BLDG MFG HOME MONO SLAB TIME 09 00 7/20/06 DA CURTIS 670 6915 07/19/2006 03 23 PM DYASUMUR 07/20/2006 04 43 PM PBARTHOL NO PLANS ON SITE UNDER SLAB PLUMBING NOT READY NO PLUMBING PERMIT ISSUED BL1 01 7/21/06 JLL BLDG FOUNDATION FOOTING TIME 13 00 7/21/06 AP CHARLES 360 457 7777 07/20/2006 04 00 PM DYASUMUR 07/21/2006 03 38 PM JLIERLY BL9 01 1/18/08 JLL BLDG SHEARWALL 1/18/08 DA January 17 2008 4 39 38 PM 1pangrle MANNY 457 7777 SHEARWALL January 18 2008 4 25 44 PM jlierly verify w/ eng on structural design and shear straps and nailing /j11 BLFO 01 2/01/08 PB BLDG FOUNDATION TIME 09 00 2/01/08 AP February 1 2008 8 32 06 AM 1pangrle ALAN 461 2675 FOUNDATION MORNING February 1 2008 4 50 07 PM pbarthol BAIR O1 2/02`09 Cam/^, V Jam. BLDG SEAL 2009 9 11 21 AM 1pangrle �-�p y I 1{ry-[!� AIRSEAL BL3 01 2/02/09 Lyj L BLDG aryMING K /J February 2 2009 9 10 54 AM 1pangrle MANNY 457 7777 FRAMING COMMENTS AND NOTES ELECTRICAL INSPECTION WIRING REPORT 417 -4735 DATE /D c -t07 OWNER/CONYRACTOR i LS i l_ P t rz- ADDRESS cr l) ►.J 14 PERMIT INSPECTOR 7 APPROVED NOT APPROVED DITCH CI ROUGH IN /COVER SERVICE p p FINAL p CORRECTIONS NEEDED: 6TAP1, W S l'-FE L 6rDXi r,r.1', t4b egg L#'/a IEPr L f L! U hi.VS OF -N) 1►44..S DRY YL Ft NI 1 I-4 c 1Z1C...L_ b I. II TIak OLYMPIC PRINTERS, INC. (360) 452 -1381 12„ rat g 1 s CL `i NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE O PORT 4 �`FN ti 16MII r G L 4y DATE /be OWIEIER/CONTRACTOR 88 ADDRESS 9 l) cam) 1 q APPROVED 0 0 0 0 ELECTRICAL INSPECTION WIRING REPORT 417 -4735 PERMIT INSPECTO OLYMPIC PRINTERS, INC. (360) 452 -1381 NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: (-01KA7PL 1 1 1 4S tA.LLA'C1 Op k o TL 1r2ES0 Tan? J2 'C'L atk.W-, r r� E�_ 5Y'P� Yom- W e z-ES 5vrc -R F 2 o I- CDC 191/) m rAnl ou i� 1TS 0\ fly 1) iii) _2 11-�fi, ►J Z'��Z OISTS Zi r2O ACT l� NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE Application Number 08 00000077 Application pin number 736500 Property Address 911 W 14TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 9580 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 1118 W 7TH ST PORT ANGELES WA 98363 Date 4/ Owner Contractor CHARLES EMANUEL ARSLAN OWNER Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER ADDED SQ FT FEE Permit pin number 122366 Permit Fee 44 00 Plan Check Fee 00 Issue Date 4/01/08 Valuation 0 Expiration Date 9/28/08 V Qty Unit Charge Per Extension 2 00 22 0000 5C EL -R SQFT ADDITIONAL 500 h44 00 Fee summary Charged Paid Credited Due Permit Fee Total 44 00 44 00 00 0 Plan Check Total 00 00 00 00 Grand Total 44 00 44 00 00 00 i INSPECTION TYPE DATE DITCH SERVICE ROUGH IN FINAL ELECTRICAL RESULTS INSPECTOR Look Up a Contractor, Electrician or Plumber License Detail Look Up a Contractor, Electrician or Plumber Printer Friendly Version General /Specialty Contractor A business registered as a construction contractor with LFtI to perform construction work within the scope of its specialty A General or Specialty construction Contractor must maintain a surety bond or assignment of account and carry general liability insurance License Information License I PRCONRC948CF Licensee Name I A PR CONSTRUCTION INC Licensee Type I CONSTRUCTION CONTRACTOR 602550178 Verify Workers Como Premium Status UBI Ind Ins. Account Id Business Type Address 1 Address 2 City County State Zip Phone Status Specialty 1 Specialty 2 Effective Date Expiration Date Suspend Date Separation Date Parent Company Previous License Next License Associated License 6897201 Search CORPORATION 181 WINTER RD PORT ANGELES CLALLAM WA 98362 3604576761 ACTIVE GENERAL UNUSED 2/6/2006 2/13/2010 PRCONRC968DE Topic Index 1 Contact Info Nome Safety Claims Insurance Workplace Rights Trades a Licensing Find a Law or Rule Get a Form or Publication Page 1 of 2 https fortress. wa. gov /lm /bbip /Detail.aspx ?License= PRCONRC948CF 3/26/2008 Look Up a Contractor Electrician or Plumber License Detail Page 2 of 2 Business Owner Information Name RICHARDSON ALAN P 1 PRESIDENT 102/06/2006 RICHARDSON PATRICIA L SECRETARY 02/06/2006 Bond Information Bond Bond Company Account Bond Name Number Effective Expiration Role Date Date Until #1 CBIC SF4293 12/14/2005 Cancelled Savings Information No Matching Information Insurance Information Company Policy Effective Expiration Cancel Impaired Insurance Name Number Date Date Date Date #4 ICBIC 11N55F4293 02/19/2008102/19 /20091 #3 ICBIC 11NSSF4293 02/19/2007102/19 /20081 #2 ICBIC 11NSSF4293 02/19/2006102/19 /20071 #1 ICBIC 11NSSF4293 02/19/2005102/19/20061 Summons Complaints Information No Matching Information Start a New Search Printer Friendly Version Effective Expiration Cancel Impaired Date Date Date Date Bond Received Amount Date $12,000 00 02/06/2006 Received Amount Date 1$1,000,000 00102/25/2008 1$1,000,000 00102/22/2007 1$300 000 00 102/06/2006 1$300 000 00 102/06/2006 About L &I I Find a job at L &I Information en espanol I Site Feedback 1 800 -547 -8367 Washington State Dept of Labor and Industries. Use of this site is subject to the laws of the state of Washington Access A reemont Ptivacv and security statement Intended use /external content policy Staff only link Visit access.wa.gov https. /fortress wa.gov /lm/bbip /Detail.aspx ?License= PRCONRC948CF 3/26/2008 Names 'Maintenance CITY OF PORT ANGELES SUNGARD "Pi8uC SECTOR H1E L VOK N! Exit Cancel Add name Add subcont. Sort type Exclude sub. II! Change view 'Contractor s. Remove cont. I User defaults Names Maintenance Application number 06 00000214 Property address: 911 W 14TH ST Name begins with: 11 APR CONSTRUCTION 181 WINTER RD PORT ANGELES ALAN RICHARDSON PORT ANGELES WA 98362 Phone: (457) 000 -6761 ,CHARLES EMANUEL ARSLAN Contractor STATE LICENSE Contractor type: GENERAL 562 PRCONRC948CF (3/26/2008) James Lierly letter to Jim.doc March 26, 2008 M i c h a e l Rivers CONSTRUCTION Licensed and bonded general contractor P 0 Box 4074 360- 417 -8014 Port Angeles, WA 98363 MICHARC21 RQ To Whom It May Concern, As a local contractor in Port Angeles I am occasionally approached by potential clients and friends as a source of information about the cost of a future building project. I have offered quick answers and even complete bids in an effort to be both helpful and (hopefully) gainfully employed. Emmanuel (don't know his last name) is one such friend. He has asked many questions and may even have asked to use my name to pull his permit back when he thought we were going to work together I did a complete "rough -in" bid for him and his project on West 14 He did not accept my bid and we have had no professional/busmess relationship or contract. We remain friends and he continues to ask questions. But I can not claim (nor could anyone else) that I am the contractor for his project. If you have any further questions, please feel free to call. Sincerely, Michael Rivers /General Contractor Page 04 /C T. el Vaal c 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 Adding Garage w/ living area storage above Owner CHARLES EMANUEL ARSLAN 1118 W 7TH ST PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 98363 Qty Unit Charge Per 2 00 10 1000 THOU Permit Additional desc Permit pin number 113480 Permit Fee 85 80 Issue Date 10/22/07 Expiration Date 9/06/08 Qty Unit Charge Per 2 00 2 00 7 2500 ECH 10 6500 ECH Permit PLUMBING PERMIT Additional desc T Forms /Building Division/Building Permit (10 /01 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000214 617704 911 W 14TH ST 06 30 00 0 3 9580 0000 CHARLES ARSLAN RES ACCESSORY RESIDENTIAL UNKNOWN 27000 Contractor APR CONSTRUCTION 181 WINTER RD PORT ANGELES 6.26,1 TOTAL LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL 72561 437 95 Plan Check Fee 3/10/06 Valuation 9/06/08 BASE FEE BL -25 001 50K (10 10 PER K) MECHANICAL PERMIT BASE FEE ME VENT FAN ME OTHER APPL N/R Plan Check Fee UNIT Date 3/25/08 WA 98362 36o— 4 -676( 28 20 2 i 0 0 1220 °00 7000 00 756 00 1976 Ib0 1 b0 175 18 27000 Extension 417 75 20 20 0 0 Valuation 0 Extension 50 00 14 50 21 30 6 00-\c' (v' Separate Perm its 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 thq rgvisions of any s to or local law regulating construction or the performance of construction P°411 N \./L const C o ,„,t€ 7 Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) CALL 4I7 -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 ti 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 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 1 FIRE 417 -4653 I I PLANNING DEPT 417 -4750 I 1 BUILDING 417 -4815 I T Forms /Building Division /Building Permit (10 /01 /07).wpd BUILDING PERMIT INSPECTION RECORD FINAL FINAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. PLANNING DEPT SEPARATE PERMIT H's SEPA. PARKING /LIGHTING ESA. LANDSCAPING I 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE I ACCEPTED YES I NO I I I M Application Number Application pin number Permit pin number 113498 Permit Fee 100 00 Issue Date 10/22/07 Expiration Date 9/06/08 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000214 617704 Other Fees STATE SURCHARGE Plan Check Fee Valuation Qty Unit Charge Per Extension BASE FEE 50 00 3 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 21 00 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 1 00 15 0000 ECH PL- EA BLDG SEWER 15 00 1 00 7 0000 ECH PL- EA WATER HEATER 7 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 03/09/2006 04 13 PM SROBERDS The proposal will add a detached garage in the RS 7 w /upper floor strictly for storage at this time NO residential occupancy of the second floor is permitted Electrical load calculations and elctrical permits are required Construct drivewap and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete Page 2 Date 3/25/08 I Permit Fee Total 623 75 623 75 00 00 Plan Check Total 175 18 175 18 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 803 43 803 43 00 00 Fee summary T Forms /Building Division/Building Permit I 0/01/07).wpd Charged Paid Credited Due 4 50 00 0 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) INSPECTION TYPE 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 I 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 BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS 't 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 J013 SITE. DATE ACCEPTED 1 YES NO -o 3 Pr3) I I 3 I P( 3 -)o -n9 rS L� l62J_o2-0 *ZLL. �7 Z -o FINAL I FINAL G) 2� D DATE DEPT SEPARATE PERMIT It's SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 1'W ENGINEERING FIRE 417 -4653 I I 1 I FIRE DEPT PLANNING DEPT 417 -4750 1 l 1 1 1 PLANNING DEPT (I) BUILDING 417 -4815 I L-- 11 1 fit/ 1 I BUILDING T Forms /Building Division/Building Permit (10 /01 /07).wpd COMMENTS -a- II �CN DATE ACCEPTED BY. ACCEPTED BY. DATE I ACCEPTED 1 YES 1 NO 1 1 I 1 1 I. 1 1 I C PREPARED 3/07/08 9 05 34 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/07/08 ADDRESS 911 W 14TH ST SUBDIV TENANT NBR CHARLES ARSLAN CONTRACTOR MICHAEL RIVERS CONST PHONE (360) 452 9292 OWNER CHARLES EMANUEL ARSLAN PHONE PARCEL 06 30 00 0 3 9580 0000 APPL NUMBER 06 00000214 RES ACCESSORY RESIDENTIAL UNIT PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 3/0 JLL 0 PLUMBING ROUGH IN March 6 2008 4 44 07 PM permits VINCENT 461 9635 ROUGH IN PLUMBING COMMENTS AND NOTES PREPARED 2/01/08 9 22 47 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/01/08 ADDRESS 911 W 14TH ST SUBDIV TENANT NBR CHARLES ARSLAN CONTRACTOR MICHAEL RIVERS CONST PHONE (360) 452 9292 OWNER CHARLES EMANUEL ARSLAN PHONE PARCEL 06 30 00 0 3 9580 0000 APPL NUMBER 06 00000214 RES ACCESSORY RESIDENTIAL UNIT PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 7/20/06 JLL BLDG MFG HOME MONO SLAB TIME 09 00 7/20/06 DA CURTIS 670 6915 07/19/2006 03 23 PM DYASUMUR 07/20/2006 04 43 PM PBARTHOL NO PLANS ON SITE UNDER SLAB PLUMBING NOT READY NO PLUMBING PERMIT ISSUED BL1 01 7/21/06 JLL BLDG FOUNDATION FOOTING TIME 13 00 7/21/06 AP CHARLES 360 457 7777 07/20/2006 04 00 PM DYASUMUR 07/21/2006 03 38 PM JLIERLY BL9 01 1/18/08 JLL BLDG SHEARWALL 1/18/08 DA January 17 2008 4 39 38 PM 1pangrle MANNY 457 7777 SHEARWALL January 18 2008 4 25 44 PM jlierly verify w/ eng on structural design and shear straps and nailing /j11 BLFO 01 2/01/08 JLL BLDG FOUNDATION TIME 09 00 °/1 `7�'7�� 1fO February 1 2008 8 32 06 AM 1pangrle FOUNDATION MORNING COMMENTS AND NOTES 4SEAS0/VS ENGINEERING, INC Jim Lierly City of Port Angeles Building Official PO Box 1150 Port Angeles, WA 98362 Subject: Bolt hole inspection, Emanuel Arslan, 911 W 14th St., Port Angeles, WA 98363 4 Seasons Engineering, Inc has provided an inspection of the drilled holes for epoxy in place anchor bolts and hold down bolts at the above address. All holes inspected on January 23, 2008 were in compliance If there are any questions, please give me a call at (360) 452 -3023 Sincerely, Donna J Petersen P.E cc Emanuel Arslan RECEIVED JAN 3 0 2008 art OF PORT DIVISION EXPIRES A O c J 3 35 .4e (360) 452 -3023 Fax (360) 452 -3047 619 S. Chase Street Port Angeles, WA 98362 January 30, 2008 PREPARED 1/18/08 10 00 23 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES ADDRESS 911 W 14TH ST SUBDIV TENANT NBR CHARLES ARSLAN CONTRACTOR MICHAEL RIVERS CONST PHONE (360) 452 9292 OWNER CHARLES EMANUEL ARSLAN PHONE PARCEL 06 30 00 0 3 9580 0000 APPL NUMBER 06 00000214 RES ACCESSORY RESIDENTIAL UNIT PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 7/20/06 JLL BLDG MFG HOME MONO SLAB TIME 09 00 7/20/06 DA CURTIS 670 6915 07/19/2006 03 23 PM DYASUMUR 07/20/2006 04 43 PM PBARTHOL NO PLANS ON SITE UNDER SLAB PLUMBING NOT READY NO PLUMBING PERMIT ISSUED BL1 01 7/21/06 JLL BLDG FOUNDATION FOOTING TIME 13 00 7/21/06 AP CHARLES 360 457 7777 07/20/2006 04 00 PM DYASUMUR 07/21/2006 03 38 PM JLIERLY BL9 01 1/18/08 JLL BLDG SHEARWALL INSPECTOR JAMES LIERLY DATE 1/18/08 January 17 2008 4 39 38 PM 1pangrle MANNY 457 7777 SHEARWALL COMMENTS AND NOTES IT 7 Application Number 08 00000077 Application pin number 736500 Property Address 911 W 14TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 9580 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor Arslan Emanuel 1118 w 7th st Port Angeles PORT ANGELES WA 98363 OWNER Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER EMANUEL ARSLAN Permit pin number 119362 Permit Fee 69 00 Plan Check Fee Issue Date 1/18/08 Valuation Expiration Date 7/16/08 Date 1/18/08 Qty Unit Charge Per Extension 1 00 69 0000 ECH EL R SQFT FIRST 1300 69 00 Fee summary Charged Paid Credited Due Permit Fee Total 69 00 69 00 00 00 Plan Check Total 00 00 00 00 Grand Total 69 00 69 00 00 00 II 00 0 INSPECTION TYPE DATE DITCH SERVICE ROUGH IN FINAL COMMENTS: FiLIHETRICAL RESULTS INSPECTOR ENTER APP TO PLAN REVIEW RETURN FROM PLAN REVIEW(APPROVED) RECEIPT TO CASHIER PAID PERMIT ISSUED FAXED TO CONTRACTOR INSPECTIONS FINAL IDATE /ak0$ /J /D 1[17/68 Job wired by Electrical Contractor Owner Electrical contractor name Purchaser's mailing address City State ZIP Telephone number FAX number 'Premises owner's name �i 29 V' Address of inspection `1 fl/ 411 City b'a Phon ?nim to2chele ins pe op. o Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW Inspection Date 1- -o0 License number Date Expires (Installation description Commercial 'yResidential *New Altered/Addition 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. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. /Signaturg..o owner electrical contra or or electrical administrator .X C Date 44 4 1 M y Electrical Load Additions and o sub ractions NO LOAD CHANGES Overhead Service Temp Service Underground Service ELECTRICAL WORK PERNIITAPPLICATION 7 G, SO? f 14o Rtf 2 033 Sc? 91) w Cash Check Credit Card Visa Mastercard Discover Card Expiration Date `f card Voltage Phase 1 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360- 417 -4735 ROUGH THERMOSTAT SERVICE D App Date Approved By Date Appr ved By FINAL DITCH FEEDER Date Ap roe By Date Appr ed By Date Approved By Area, Building or Equipment Inspected 50-_— 19 se/ Az_ 64't— Action Taken AP Pit O1(.517) A,° b• Inspection fee 61e52 f Se'rvice-Informafion Electrical Inspector VC 10Q \cl-NLYV raT \KaVe•-(a N oising ui. (-da ro J a` z noN m T91/) CO* r) .+L 5 /V( d r) H INd S if)/-t e 1_,/ yz). s Y9 /4 ,?)Q 0-)1_, yq-- I I 2.)f-dj,,,. 6 4 e* PORT N 4 Application Number 06 00000214 Date 10/22/07 Application pin number 617704 Property Address 911 W 14TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 9580 0000 Tenant nbr name CHARLES ARSLAN 10 125107 Ch con gam` Application type description —RE.S.—DE-WEeffED CA AGE- �j s r a o b r-n1" L I j Subdivision Name Q 7 L G`� v Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 27000 Owner CHARLES EMANUEL ARSLAN 1118 W 7TH ST PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 2 00 2 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 3 00 1 00 1 00 1 00 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98363 7 2500 ECH 10 6500 ECH MECHANICAL PERMIT 113480 85 80 10/22/07 4/19/08 PLUMBING PERMIT Contractor MICHAEL RIVERS CONST P 0 BOX 4074 PORT ANGELES (360) 452 9292 TOTAL LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Unit Charge Per BASE FEE ME VENT FAN ME OTHER APPL N/R Plan Check Fee Valuation 113498 100 00 Plan Check Fee 10/22/07 Valuation 4/19/08 Unit Charge Per Extension BASE FEE 50 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 21 00 7 0000 ECH PL EA INSTALL WATER PIPE 7 00 15 0000 ECH PL EA BLDG SEWER 15 00 7 0000 ECH PL EA WATER HEATER 7 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 03/09/2006 04 13 PM SROBERDS The proposal will add a detached garage in the RS 7 w /upper floor strictly for storage at this time NO residential occupancy of the second floor is permitted Electrical load calculations and elctrical permits are T.Forms/Building Division/Building Permit (10 /01 /07).wpd r 4 I/ T ✓J WA 98362 28 20 2 00 1220 00 7000 00 756 00 1976 00 1 00 00 0 Extension 50 00 14 50 21 30 0 0 0 See u(3 4+ 06 le Io )o -ob E)dSI Home. CC)os€A-- 4'D4h.e od ie 11 b-e_ numb-4.4 9(+y� ;ht R.RV is 9i/ I 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. Date Print Name Signa ,re Contractor or t orized Agent Signature of Owner (if owner is builder) 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 FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING FIRE I PLANNING DEPT 1 BUILDING RESIDENTIAL 417 -4735 ELECTRICAL LIGHT DEPT 417 -4807 417 -4653 417 -4750 BUILDING PERMIT INSPECTION RECORD T Forms /Building Division /Building Permit (10 /01 /07).wpd FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4815 1 YES NO I FINAL DATE ACCEPTED BY. FINAL DATE ACCEPTED BY. SEPA. ESA. SHORELINE. CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT 1 BUILDING I I I I I I I I r.' Page 2 Application Number 06 00000214 Date 10/22/07 Application pin number 617704 Special Notes and Comments required Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete Other Fees Fee summary T,Forms /Building Division/Building Permit (10/0 1 /07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 STATE SURCHARGE 4 50 Charged Paid Credited Due Permit Fee Total 185 80 185 80 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 190 30 190 30 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) 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 1 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 I MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 I FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T Forms /Building Division /Building Permit (10 /0I /07).wpd FINAL DATE ACCEPTED BY. FINAL DATE ACCEPTED BY. PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT 1 PLANNING DEPT BUILDING I I I I I I I I I I I Ay 6 1 Dcf Jour) S- 1/1_ Cu VC. 7O5 RECEIVEp OCT 2 2007 ANGELES DIV OF PORT BUILDING DIVISION ;47° 9 0 \NI 1(44-ki 54_ (8/21/2007) Sue Roberds Re 911 W 14th St. Page 1 1 From Permits City of Port Angeles To: Darrell Nelson Date: 7/12/2007 8 27 AM Subject: Re 911 W 14th St. CC: Sue Roberds Good morning Mr Nelson. A stop work order was attached to the structure last week. The carpenter came in and explained that he wanted to add a third story for storage. This is legal up to thirty feet in height( which I will measure) and we asked him to have the structure engineered and submit revised plans and not to do continue work except to brace the lose walls on the third floor for safety Also i have sent a copy of this email to Sue Roberds our planing director for clarity on your zoning question. I rely on her for definition of how this works and she should also respond to your question. Thank you again for you observation and concern. Jim Lierly Building Inspector 808 -0534 Darrell Nelson <dnconsultinoCa vahoo.com> 7/11/2007 7 28 PM Mr Lierly I wanted to take a moment and follow -up with you and inquire as to the results of your investigation. Will the work continue on the structure next door? Please let me know the status, and thank you for taking the time to look into the situation devoloping next door I was wondering if the zoning question I posed earlier could also be answered. Again, thank you for the time and consideration on this matter Thank you, Darrell C. Nelson Permits City of Port Angeles <Permitsecitvofoa.us> wrote: Thank you Darrell, sorry for the delay i have been on vacation and today Monday is my first day back. I will investigate the property this morning while i am out on site around 10 am. first i have to verify if any permits had been applied for any questions please call me on my cell 808 -0534 Jim Lierly Building Inspector Darrell Nelson 7/8/2007 12.04 AM To Whom it May Concern, I called previously on the construction occurring at 911 w 14th St. It was in reference to the three story garage which is being built. There was a work stop order issued, as they are currently at approximately 28 ft. before the roof has been installed. The reason for my email is two fold. The first; I was under the impression that a work stop order had been issued on this residence. If this is true, then I would like to inform you that work is being conducted on the weekends. They finished framing the third story walls. I would like confirmation please that this work is allowed. The second reason I am writing is the zoning of this plot. My question is: the owner of the property does not live on this plot, it is a rental piece. Is he allowed to build a second residence on this property if he does not live there? The primary residence which is located on the piece of land is currently occupied by the 'carpenter' which is building the three story garage. The property owners plan is to have the carpenter move into the three story garage (garage plus two stories of housing) and then rent the home to another party If my interpretation of the zoning of that piece is incorrect please let me know, but I was under the impression that the owner had to live as his /her primary residence before he /she could have more than one dwelling on a single parcel of land in the city Thank you in advance for your support on this issue. I would have been at the hearing originally but I was told by the property owner that he was building a garage. When the second story went up I thought 'oh well I made a mistake trusting (8/21/2007) Sue Roberds Re 911 W 14th St. my neighbor Now a third story is rising and the thirty foot limit will be exceeded and this travesty must stop. Again, I am sorry to take valuable time away from your work day to deal with a problem that could have been resolved by an honest and forthright property owner Thank you, Darrell C. Nelson Property owner of 915 W 14th St. (360) 565-1344 P.S. I do not believe the person conducting the work is licensed or bonded in the state of Washington. Please let me know if I need to file this complaint directly with L&I, or if this is a matter the city will deal with. Again, I am sorry to sound like the squeaky wheel, but this structure has been nothing but a lie since the beginning I understand an exception was extended to this property but now these standards of exemption are being disregarded and the very tenets which law abiding citizens adhere to are also being disregarded. ciT-i2 h.: v i (i6 4 1 7 ftl- fiA f A ri TT% Fda, 1 ff/5-19 T Tt rig L EY cex\o‘, nkt v?-70 o- /1"c) LQ /L lz l 141a n rpkMx2 a2 JA/ l?��f 7 .2 J ✓I/9 S 1 7 c g 30/4 i'U .01i1143 fi'T1 id AO Alts LOOZ L 0 NU a3A' 7433 1 (10i-\ J v t i 4dAk U` Ili S e g y_t_. I 7 (r Q� C tiL F U b .2)?,4 1 Ni__( (17 02/ Zloy,(0 P/t a 4 Lj s ./z1-7 2-) l kJ cr'y RECEIVED JAN 0 9 2007 CITY OF PORT ANGELES BUILDING DIVISION off% 4Aicece-s -Rk\ e �C 0 9 )2{ u1iv F //v/ T/'i' a k "19-7-R 6c)c'a/c-/L ew,441 lE� WASH 1 N G T Q N, U S A. Community Economic Development Department October 1.0 2006 Mr Charles Arslan 1118 W 7 Street Port Angeles, WA 98362 nditiona se it CUP 06 -05 911 West 14 Street Dear Mr Arslan. ORT a NGELES As you know, following a public hearmg conducted on September 13 2006, the City's Planning Commission approved a conditional use permit to allow the development of an accessory residential umt at 911 West 14 Street with the following conditions Conditions 1 Separate electncal meters are required for each dwelling umt. Addressing for each dwellmg unit shall be clearly identified as 911 and 911 West 14 Street. Address numbers must be at least six (6) mches in height and readily visible from the street and of contrasting color from their background. 2 Two (2) off street parking spaces are required for each residential dwelling umt for a total of four (4) spaces. 3 Dnveway and site access shall be constructed to Public Works and Utilities Standards. 4 All utility improvements including water, sanitary sewer storm drainage and electncal are to be completed to the satisfaction of the Public Works and Utilities Department pnor to occupancy Phone 360- 417 -4750 Fax 360- 417 -4711 Website www cityofpa us Email smartgrowth @cityofpa.us 321 East Fifth Street P 0 Box 1150 Port Angeles WA 98362 -0217 The appeai,has passed. without incident, and therefore, the Planning ..Commission decision is fmal..Please don't hesitate to contact this Department in the event that you have questions regarding any of the conditions of approval or. procedural issues. Sincerely Sue Roberds Planning Manager cc Public Works Utilities Building Division PREPARED 7/21/06 8 15 52 INSPECTION TICKET PAGE 20 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/21/06 ADDRESS 911 W 14TH ST SUBDIV TENANT NBR CHARLES ARSLAN CONTRACTOR ANGELES PLUMBING PHONE (360) 452 8525 OWNER CHARLES EMANUEL ARSLAN PHONE PARCEL 06 30 00 0 3 9580 0000 APPL NUMBER 06 00000789 PLUMBING REPAIR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 7/21/06 JLL PLUMBING ROUGH IN TIME 13 00 CHARLES 457 7777 07/20/2006 04 01 PM DYASUMUR COMMENTS AND NOTES PREPARED 7/21/06 8 15 52 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/21/06 ADDRESS 911 W 14TH ST SUBDIV TENANT NBR CHARLES ARSLAN CONTRACTOR MICHAEL RIVERS CONST PHONE (360) 452 9292 OWNER CHARLES EMANUEL ARSLAN PHONE PARCEL 06 30 00 0 3 9580 0000 APPL NUMBER 06 00000214 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLM 01 7/20/06 JLL BUILDING FOUNDATION MONO SLAB TIME 09 00 7/20/06 DA CURTIS 670 6915 07/19/2006 03 23 PM DYASUMUR 07/20/2006 04 43 PM PBARTHOL NO PLANS ON SITE UNDER SLAB PLUMBING NOT READY NO PLUMBING PERMIT ISSUED BL1 01 7/21/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 J l /J CHARLES 360 457 7777 07/20/2006 04 00 PM DYASUMUR COMMENTS AND NOTES PREPARED 7/20/06 12 34 32 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/20/06 ADDRESS 911 W 14TH ST TENANT NBR CHARLES ARSLAN CONTRACTOR MICHAEL RIVERS CONST OWNER CHARLES EMANUEL ARSLAN PARCEL 06 30 00 0 3 9580 0000 APPL NUMBER 06 00000214 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS SUBDIV PHONE PHONE (360) 452 9292 BLM 01 7/20/06 JLL BUILDING FOUNDATION MONO SLAB TIME 09 00 A A 0/1IS 670 6915 07/19/2006 03 23 PM DYASUMUR COMMENTS AND NOTES it/6 r 4,7 ave el- 5i-A We-lei/eta:7 Ale ie" ad °Rr CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00000789 Application pin number 702282 Property Address 911 W 14TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 9580 0000 Tenant nbr name CHARLES ARSLAN Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 500 Owner CHARLES EMANUEL ARSLAN 1118 W 7TH ST PORT ANGELES WA 98362 Permit PLUMBING PERMIT Additional desc Permit pin number 82941 Permit Fee 71 00 Issue Date 7/20/06 Expiration Date 1/16/07 Qty Unit Charge Per 3 00 Fee summary Charged T \Policies \1102_15 building permit inspection record05.wpd [1/4/20051 Contractor ANGELES PLUMBING P 0 BOX 1151 PORT ANGELES (360) 452 8525 Valuation BASE FEE 7 0000 ECH PL- EA FIXTURE ON ONE TRAP Paid Credited Due Date 7/20/06 WA 98363 Plan Check Fee 00 Permit Fee Total 71 00 71 00 00 00 Plan Check Total 00 00 00 00 Grand Total 71 00 71 00 00 00 0 Extension 50 00 21 00 f-) not Separate Permits are required forelectrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned fora period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection -I hereby certify that I have read and examined this application and knowthe 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. f Signature of Contractor or Authorized Agent Date Si nature of Owner (if owner is builder /l /Date 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 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 ELECTRICAL LIGHT DEPT T• \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD i 1 7/ (*I 7 YES NO FINAL V 1 TE ACCEPTED BY. FINAL PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING 1 ESA. LANDSCAPING 1 SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I 1 1 1 FIRE DEPT PLANNING DEPT 417 -4750 I 1 1 1 PLANNING DEPT BUILDING 417 -4815 1 1 1 1 BUILDING DATE ACCEPTED BY. DATE ACCEPTED YES 1 NO I I I 1 I 1 1 1 Fill out COMPLETELY and in INK. 1: our application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, can PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent. C t C ley Owner Address: City Zip Architect/Ensineer Phone: Contractor State License Exp Phone: Address: City Zip PROJECT ADDRESS 14 ZONING LEGAL DESCRIPTION Lot: Block. CLALLAM COUNTY PARCEL NUMBER. COMMERCIAL/RESIDENTIAL. Occupancy Group. No. of Stones: Lot Size: Existing Sq. Ft. Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION ESA/Wetland(s) Yes No SEPA Checkhst required? Yes No Other Phone: C 4 c-f>'_ l f ^J''` Phone. Subdivision. TYPE OF WORK. STZF/VALUATION Residential 0 New Constr Re roof Stove SF /SF Multi family Addition Move Garage SF /SF 5 s. Commercial Remodel Demolition 10 Deck SF /SF Repair Sign Other TOTAL VALUATION y 5 4 ,7 BRIEF DESCRIPTION OF THE PROJECT 1 (.0 1 f 4/l_7_ r Occupant Load. Construction Type Proposed Sq Ft. TOTAL Sq. Ft. FOR OFFIC USE N Y Date Rec. -7 7t- Permit !C/ Date °•pproved: Date Issued: w v APPROVALS PLAN BLDG DPWU FIRE. 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 Buildmg Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I must obtain such permits prior to work. TAFORMS\B1dgPermitform.wpd Applicant` Ci' ,x Date: 4SEASONS ENGINEERING, INC Jim Lierly City of Port Angeles Building Official PO Box 1150 Port Angeles, WA 98362 Subject: Foundation revision for Emanuel Arslan, PATS Block 395 Lt 17 (360) 452 -3023 Fax (360) 452 -3047 619 S. Chase Street Port Angeles, WA 98362 4 Seasons Engineering, Inc has been contacted to provide an alternate foundation detail for this project. Approved alternate design may be constructed per the attached foundation detail. If there are any questions, please give me a call at (360) 452 3023 Sincerely, ti)tt..L a. (:):2„,c), Donna J P rsen P.E cc Emanuel Arslan June 16, 2006 SEASONS ENGINEERING, INC. 619 South Chase Street PORT ANGELES, WA 98362 (360) 452 -3023 FAX (360) 452 -3047 TO J i I�1 Li AYLL`/ R3LLA2L WE ARE SENDING YOU .Attached Under separate cover via COPIES Shop drawings Copy of letter DATE -b-k NO Prints THESE ARE TRANSMITTED as checked below For approval For your use As requested For review and comment FOR BIDS DUF REMARKS Change order COPY TO OAklA O )412'S L.(1 Plans L Approved as submitted Approved as noted Returned for corrections SIGNEDCJ If enclosures are not as noted, kindly notify us at once. RA DATE Isj C in JOB NO 662 001- ATTENTION RE. Po O_Pler2 2 \tSl c 14 4 i Z AFL ?.A--c Li k DESCRIPTION Samples Resubmit Submit Return the following items. Specifications copies for approval copies for distribution corrected prints PRINTS RETURNED AFTER LOAN TO US DETAIL Q SCALE. NONE SIDING PER PLAN 7 46 OSB 2x_ STUDS 5/8 0 J- TYPE ANCHOR BOLT 3x3 x1/4 WASHER 2x_ PT SILL PLATE DBL PLATE #3 SHEARWALL AREAS 4 CONC SLAB with 6x6 7 10GA WWF OR FIBER MESH CONTROL JOINTS AT 15' -0 MAX SPACING EACH WAY 11 -1 2 SAND 8 MIL VAPOR BARRIER, OVER 2 SAND OVER 4 COMPACTED GRAVEL #4 REBAR CONT (2) #4 REBAR CONT EXPIRES ARSLAN 4SEASONS ENGINEERING, INC (360) 452 -3023 CHECKED: 619 S. Chase St. Port Angeles, WA 98362 1 SHEET: L,-«D OCo 'DATE. JUNE 2006 SCALE. DRAWN BY DJP v Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner CHARLES EMANUEL ARSLAN 1118 W 7TH ST PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 2 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98363 BUILDING PERMIT RESIDENTIAL 72561 437 95 Plan Check Fee 3/10/06 Valuation 9/06/06 Unit Charge Per BASE FEE 10 1000 THOU BL -25 001 50K (10 10 PER K) DRIVEWAY INSTALLATION 72413 170 00 Plan Check Fee 3/10/06 Valuation 9/06/06 BASE FEE Special Notes and Comments The Fire Department has reviewed the project application and has no comments 03/09/2006 04 13 PM SROBERDS The proposal will add a detached garage in the RS 7 w /upper floor strictly for storage at this time NO residential occupancy of the second floor is permitted Electrical load calculations and elctrical permits are required Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete 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. Signature of Contractor or Authorized Agent Date T•1Policies11102_15 building permit inspection record05.wpd [1/4/2005) 06 00000214 Date 3/10/06 617704 911 W 14TH ST 06 30 00 0 3 9580 0000 CHARLES ARSLAN `j22"3-4;'441/21.3 .mo, e tS ACcEso p.. R ESZU ENT.rA L u Nr RS7 RESDNTL SINGLE FAMILY 27000 Contractor MICHAEL RIVERS CONST P 0 BOX 4074 PORT ANGELES (360) 452 9292 TOTAL LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS I©'/ 2 5+o1 dh6n5eA t3 WA 98362 28 20 2 00 1220 00 7000 00 756 00 1976 00 1 00 175 18 27000 Extension 417 75 20 20 00 0 Extension 170 00 P 0(p-oT l de to -to Ex15-1-in5 h or e, Caner-'(-p Iti►.e_ all e k i ll bg h.0 h, b 'Ili; This 2 is ?ft. Signature of owner (if o4rneris_builder) Date FOUNDATION: FOOTINGS 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 WATE. AIR SEAL 4-4,4 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 PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 1 PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 1 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 1 NO 1 1 1 1 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 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 1 FIRE DEPT 1 PLANNING DEPT 1 BUILDING 1 p 4^ ,,r CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 06 00000214 Application pin number 617704 Page 2 Date 3/10/06 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 607 95 607 95 00 00 Plan Check Total 175 18 175 18 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 787 63 787 63 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 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 1 NO FOUNDATION: FOOTINGS 1 724 /Q6 I fi/ I WALLS I I 1 I FOUNDATION DRAINAGE DOWN SPOUTS 1 PIERS 1 I I POST HOLES (POLE BLDGS.) I 1 I PLUMBING UNDER FLOOR SLAB 1 ROUGH -IN 1 I I WATER LINE (METER TO BLDG) I I I ELECTRICAL LIGHT DEPT CONSTRUCTION KW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 1 BUILDING 417 -4815 1 T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW ENGINEERING I FIRE DEPT I PLANNING DEPT 1 BUILDING GAS LINE I I 1 FINAL DATE ACCEPTED BY. C BACK FLOW WATER 1 1 I AIR SEAL WALLS I I I CEILING 1 1 1 FRAMING JOISTS GIRDERS I I I SHEAR WALL/HOLD DOWNS I I I WALLS ROOF CEILING I I 1 DRYWALL (INTERIOR BRACED PANEL ONLY) I 1 I T -BAR I 1 I INSULATION SLAB I 1 I WALL FLOOR CEILING I I 1 MECHANICAL HEAT PUMP FURNACE DUCTS I I I GAS LINE I I 1 WOOD STOVE PELLET CHIMNEY I 1 1 FINAL DATE ACCEPTED BY COMMERCIAL HOOD 1 DUCTS 1 1 I MANUFACTURED HOMES FOOTING SLAB I 1 I BLOCKING HOLD DOWNS I I I SKIRTING I I I I I 1 PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING/LIGHTING I 1 I ESA. LANDSCAPING I 1 I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE 1 RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I 1 .1 '7° I 1 1 1 1 1 cy 's orn A( COval -oc ot 0r1WS J jS Not ft? Iperrs' 2-I- is meth Rich so-W-2_675 t.11$ Cont BUILDING PERMIT APPLICATION Pa ng, IS f-PIZ Cons* YV+✓ Igi Ulini-or Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 art An LOA q$36 36o- y5 676( Applicant or Agent: J ig-n/ t 1 144s &i. Phone 3 6'a S'r>- rf 7 Owner L`.{° 1 ,A-,e 4,2S (4.A/ Phone Address N /Q b( ti Architect /Engineer• TYPE OF WORK Contractor Address PROJECT ADDRESS LEGAL DESCRIPTION Lot: Block. Subdivision CLALLAM COUNTY PARCEL NUMBER ___06, 3 O /e a /o 5 590/d ea' Credit Card Holder Name Billing Address. Credit Card Type VISA MC Residential New Constr Re -roof Multi family Addition Move Commercial Remodel Demo Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT 0 arage ition COMMERCIAL /RESIDENTIAL Occupancy Group ,t' No of Stories: Lot Size' 96, Total lot coverage Z$ 2 PLANNING USE ONLY C r Cit ,T 42N (212 Zip 3 Phone State License t't eat 2-40 p 4 12 Z. /2On Zip ZONING City SIZE/VALUATION Stove i_5(a SF /SF SF /SF Deck SF /SF TOTAL VALUATION ESA /Wetland(s)• Yes No SEPA Checklist required? Yes No Other. OFFICIAL USE 0 e Red /A�� ermit //Ir/ 4' Date Approved ate Issued. �v.2lla/l�s 1 I=i✓'sT /=(t s ot Occupant Load. Construction Type q r Existing Sq Ft. t 2 751-.0 O Proposed Sq Ft. 75 TOTAL Sq Ft. l to VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building /Residential Code, 2003) No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what rmits are required ,not the City's, and that I must obtain such permits prior to work. Applicant.• Date: APPROVALS PLAN BLDG DPWU FIRE OTHER s 1 0E A -1 i ,z O P PORTA l'atc woo Application Number 08 00000133 Application pin number 845884 Property Address 911 W 14TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 9580 0000 Application type description PUBLIC WORKS UTILITES Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Owner Contractor CHARLES EMANUEL ARSLAN OWNER 1118 W 7TH ST PORT ANGELES WA 98363 CITY OF PORT ANGELES PUBLIC WORKS. UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Date 2/01/08 Permit PUBLIC WORKS RES WATER SERV Additional desc 2ND METER FOR ARU Permit pin. number 120154 Permit Fee 770 00 Plan Check Fee 00• Issue Date 2/01/08 Valuation 0 Expiration Date 7/30/08 Qty Unit Charge Per Extension 1 00- 770 0000 EA PW W/M 1 SERV 5/8 METER 770 00 Fee summary' Charged Paid Credited' Due Permit Fee Total 770 00 770 00 00 00 Plan Check Total 00 00 00/ 00 Grand Total 770 00 770. 00 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 fora period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. 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. Signature of Contractor or Authfirized Agent T •\Policies\ 1102.15R 102.15R[1105] Date Signature of Owner. (if owner is builder) Date PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE TA\Policies \1102.15R [1/05] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY 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 YES I NO COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING Application Number 08 00000186 Application pin number 013798 Property Address 911 W 14TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 9580 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning UNKNOWN Application valuation 0 Owner Contractor ARSLAN EMANUEL 1118 WEST 7TH ST PORT ANGELES (360) 457 7777 WA 98363 BRYAN DAVIS ELECTRIC 371 LOUELLA SEQUIM (360) 582 0170 Date 2/15/08 WA 98382 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 120956 Permit Fee 75 00 Plan Check Fee 00 Issue Date 2/15/08 Valuation 0 Expiration Date 8/13/08 Qty Unit Charge Per Extension 1 00 75 0000 ECH EL RM 0 200 1ST SRV FEEDER 75 00 Fee summary Charged Paid Credited Due Permit Fee Total 75 00 75 00 00 00 Plan Check Total 00 00 00 00 Grand Total 75 00 75 00 00 00 (I\ INSPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE ROUGH IN FINAL COMMENTS: 7///0 j,q1cA so) ve4CP. ~/ . CITY OF PORT ANGELES LIGHT DEPARTMENT 321 E. Fifth Street Port Angeles, WA 98362 (206) 457-0411 PERMIT NO -::tf!$3/ DATE /t:J-/.:J.9~ ELECTRICAL PERMIT Installed By: , READY FOR INSPECTION license Number: o WILL CALL FOR INSPECTION Phone: Site Add ress: Owner/Business: Phone: Owner/Business Address: Sq. Ft. ')16 RESIDENTIAL /Q COMMERCIAL o BASEBOARD KW o FURNACE KW _ o FAN/WALL KW _ o HEAT PUMP KW_ o SIGN Details/Description: OLd o TEMPORARY SERVICE o PERMANENT SERVICE o NEW CONSTRUCTION o REMODEL ~ ADD/ALTER CIRCUITS {] SERVICE UPGRADE/REPAIR o SPECIAL EQUIPMENT (LIST BELOW) ~ ~./--"Nh.t- o OVERHEAD SERVICE o UNDERGROUND SERVICE VOLTAGE: o SINGLE PHASE o THREE PHASE SERVICE SIZE AMPS . W.S. No. SERVICE SIZE CAPACITY: o O.K. NOT O.K. ACTION REQUIRED: 0 CHANGE TRANSFORMER o INSTALL SERVICE POLE DATE ENGR. o CHANGE SERVICE WIRE o OTHER o Ditch Inspection O.K. ~ ~ Rough-in/cover O.K. o O.K. to connect servicJ ~~ Final O.K. Site Address: II td /~7) Permit/Receipt No. Installer: New Meters - . Notify Port Angeles City Light by Street Address and Permit Numberwhen ready for inspection. Work must not be covered before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report or on the Buil in Permit. PHONE 457-0411, EXT. 224. '/S NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT $ 2IJ ( tJ t!J Permit Fee WHITE - File by address YELLOW - file by number PINK - Top: Eng, Bottom, Customer GREEN - Top: Meter Dept., Bottom: City Hall OLYMPIC PRINTERS INC .' , ELECTRICAL WORK PERMIT APPLICATION Job wired by o Electrical Contractor 0 Owner Installation description D Commercial dZt-Residential Electrical contractor name ~ r'("~ I:::a..." '-:, IE I e~/y ,:.. Purchaser's mailing address 31 \ L.Ol.A.dk City 5R-"{<-t, "" Telephone number S~:;;}-OI70 Date Expires Br'{o"D..13Ct V<- 3/1 ,/cJ'1 License number ~New D Altered/Addition 'J..CO N-@ '5"~12.V lC"F u.Jc.. State ZIP q '(1 'il' ~ FAX number Premises owner's name ~n"" N ~ L II tz.<;'LA ",) Address of inspectio~ I 911 IN I~ ST Cit~1ZI 1'tIJ.bEU;;S Wt7- Phone number to schedule inspection: 7-77 7 O\vner as defined hy RCW./9.28.26J:(/) Owner will occupy the slrllcture 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. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the clcctrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. S;gnatu of owner, :CJ~:~:~ or eleclrical admin;,trator X Date:;l / 08 Electrical Lo d Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW @ \ o ~ c}l () o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover Expiration Date of card Service Information )( Overhead Service D Temp Service D Underground Service Voltage :l.'it> Phase,i2l, 1 0 3 Service Size: ~ Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN ;- THERMOSTAT SERVICE ~ 2/6(,~8 Vil? Approved By ./ " Dale Approved By Approved By f ANAL ( DITCH f FEEDER ~/5'Joa 1lrP Dale Approved BY/ " Dale Approved By/ Dale Approved By/ Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector Look Up a Contractor, Electrician or Plumber License Detail Page 1 of2 I~:l Topic Index I Contact Info Search 1 ....;"~ --"',r -- -- -...::r- - . -. Y. -~ -- .., Home 'Safety Claims & Insurance Workplace Rights Trades & Licensing : Find a Law or Rule Get a Form or P~plication Look Up a Contractor, Electrician or Plumber fOri nteU:riend l y_ \iersion Electrical Contractor A business licensed by LEtI to contract electrical work within the scope of its specialty. Electrical Contractors must maintain a surety bond or assignment of savings account. They also must have a designated Electrical Administrator or Master Electrician who is a member of the firm or a full-time supervisory employee. License Information License BRYONDE936DL Licensee Name BRYON DAVIS ELECTRIC INC Licensee Type ELECTRICAL CONTRACTOR UBI 602687193 Verifl'-'t!m:!iecs_COlIJj)_Prernil!m S.tatus Ind. Ins. Account 10883201 Id Business Type CORPORATION Address 1 371 LOUELLA RD Address 2 City SEQUIM County CLALLAM State WA Zip 98382 Phone 3605820170 Status ACTIVE Specialty 1 GENERAL Specialty 2 UNUSED Effective Date 3/13/2007 Expiration Date 3/13/2009 Suspend Date Separation Date Parent Company Previous License DAYISE'946QG Next License Associated CRAIG.5.E066JB I License https:llfortrcss.wa.gov/lni/bbip/Detail.aspx?License=B R YON 0 E93 60 L 2/14/2008 Look Up a Contractor, Electrician or Plumber License Detail Page 2 of2 : Electrical Administrator Information License CRAIGSE066JB Name CRAIG, STEVEN E Status ACTIVE --, I : Business Owner Information Name Role Effective Date Expiration Date DAVIS, BRYON J PRESIDENT 03/13/2007 DAVIS, BRITANY J SECRETARY 03/13/2007 ----- -~ ~ - --~ - -.--. --.-- , Bond Information Bond Bond Company Account Effective Expiration Cancel Impaired Bond Received Bond Name Number Date Date Date Date Amount Date Until #1 CBIC SH1758 02/26/2007 Cancelled $4,000.00 03/13/2007 -- _. --~ - - --'-'-"'1 I -'-'~l ___~__I Savings Information No Matching Information : Insurance Information No Matching Information SHrt~a~NeYLSearch I'ciO(eLCCle.o.<lli'-Ygrsi,01} ~HU'" ".'j'~"'/"""-M~' ,-l.l-tv'I'1f:H'.1f;J llo<1I!H"!lll .\~~:. About Lftl I Find a job at Lftl I Informacion en espanol I Site Feedback I 1,800-547-8367 ...0 ;~) Washington State Dept. of Labor and Industries. Use of this site is subject to the laws of the : . - ;.;."washlngton state of Washington. Access A~le{'rnerll. I Privacy and secwitv statement I Intended use/external content policy I Visit access.wa.gov Staff only link https:!/fortress.wa.gov/lni/bbip/DctaiJ.aspx?Licensc=BR YOND E93 60 L 2/14/2008 CITY OF PORT ANGELES ~ ~ \D J} DEPARTMENT OF PUBLIC WORKS l\':l V'},} . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date 2 - 7 - u'!5 Time 9 /1M Received by lkl1Hf5 IE- (phone, person) - ~ Location of Work to be inspected q { ( W. I city- 5 t . Name of person requesting inspection D-e VI.. V'/' 6- r Address of person requesting inspection ~rgy(/ Va.-rd If '+-13 Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final Phone No. <II., -'-f 8{ '1 Permit 't; =-- Sewer Excav. Othe Wder ') INSPECTION NOTES: Inspected: Date Z. - 7 - 0 8. Time 3 .-4.wt.. Remarks: -r~t.ed 10" G.r -/ e zef-evt.d eJ t t, To By f}eMVlI; E. ~-t-e.r S-e+- a..+ frofecJr . RESTORATION REQUIRED . . . . .. YES X NO ~I rEI .+.: '" -l.: :;>t.f(.' 10" cr . 'f> I t:k.ejJ V) , ~ V) 0 " ~. 1t.. ro lAJ. /4 - ~ , Cl \A , ~ SURFACE RESTORATION: lftx.(",' . SURFACE TYPE: 0 Unimproved o Gravel ~sphalt OPCC OOther o Repaired by City Work Order # 303'ig-3'6~ o Repaired by Permittee 3hJot 00 COMPLETE o No Damage Found 0 INCOMPLETE ,1o':SI-r eel r:rotrf __(Continue on reverse side if necessary) !':TRFFT !':IIPFRII\fTFl\fnFI\fT tn4 TFI