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Home My WebLink About819 W 8th St - BuildingInitial Test Repairs Details Final Test Initial Test Repairs Final Test NAME OF PREMISES P 6 r A A A g SERVICE ADDRESS (J /p r /e c 7( LOCATION OF DEVICE. 0 ,1 i /i! i• C )4/ 4 T e—, ci p 6 e ASSEMBLY r t (t iis H 4 Manufacturer Model Size Serial No IS THIS AN APPROVED ASSEMBLY'? YES 'NO IS ASSEMBLY INSTALLED CORRECTLY' YES C1`NO DATE OF INSTALLATION UNKNOWN REDUCED PRESSURE PRINCIPLE ASSEMBLY DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE I CHECK VALVE #2 Leaked Held at t psi Cleaned Cleaned Replaced Replaced Held at 2 'psi AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES NO COMMENTS fit f c f C Date/Time Tester rt Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division Leaked Closed Tight Held at ei 7 psi Closed Tight Held at e psi Signature %"i7 1) z RELIEF VALVE I PVB /SVB Did Not Open Opened at psi Cleaned Replaced k 3 psi Buffer YES NO Opened at psi Cert. TYPE OF HAZARD Line Pressure psi WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY Official Use Only Assem.# L d� Received AIR INLET Did Not Open Opened at psi Replaced RP RPDA DC DCDA PVB Air Gap SVB AVB CHECK VALVE Leaked Held at psi REPAIRS Cleaned AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES Held Backpressure YES 0/1;0 142 Shutoff Held YES C]` NO Relief Valve Exercised YES NO Test Kit Passed Failed t) "C` 1' it? 14 f .J W V .. ~~ORT~ "'....O~~ i1~t. ...~ ~ ~lC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use property zoning . . . Application valuation 04-00000019 Date 819 W 8TH ST 06-30-00-0-2-3976-0000- RES NEW SFR 1/27/04 RS7 RESDNTL SINGLE FAMILY 84231 Owner Contractor E G ENTERPRISES INC 1324 JAMESTOWN RD SEQUIM (360) 461-2744 Structure Information Construction Type Occupancy Type Other struct info WA 98382 E G ENTERPRISES INC. 1324 JAMESTOWN RD. SEQUIM (360) 683-5731 NEWE 1270SF SFR W/ATTACHED 605SF GARAGE ----- TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98382 26.70 V-N 1. 00 1. 00 7000.00 1875.00 1875.00 1. 00 Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 912.25 Plan Check Fee Issue Date 1/27/04 Valuation Expiration Date 7/25/04 364.90 84231 :(1tl;V' ~ \ "" ...- t/ U> ~ '3\ ~~ r- OO + $ Qty Unit Charge Per Extension 667.25 245.00 BASE FEE 35.00 7.0000 THOU BL-50,001-100K (7.00 PER K) permi t . . . . Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 76.00 Plan Check Fee 1/27/04 Valuation 7/25/04 .00 o Qty Unit Charge Per Extension 47.00 29.00 BASE FEE 4.00 7.2500 ECH ME-VENT FAN Permit PLUMBING PERMIT Additional desc permi t Fee 132.00 Plan Check Fee .00 Issue Date 1/27/04 Valuation 0 Expiration Date 7/25/04 Qty Unit Charge Per Extension BASE FEE 47.00 8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 56.00 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 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 . e a rity violate or cancel the provisions of any state or local law regulating construction or the performance of construc . Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\! 102.15 [11/14/2003] BillLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I 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 I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNINGIFORMS\1102.15 [11114/2003] ~~Olilli"~ . <,O~~ il".t. ...~ ~ ~-;--~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 04-00000019 Page Date 2 1/27/04 ---------------------------------------------------------------------------- Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be in contrast in color of there background. Electrical load calculations and elctrical permits are required. ---------------------------------------------------------------------------- Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1120.25 1120.25 .00 .00 Plan Check Total 364.90 364.90 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 3259.65 3259.65 .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 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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL 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 ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS ).. -.If),.,.,1-I J. L- WALLS f'l c_'^ --., .j,L FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN 1_'J-q j)~ ,I,I- WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALUHOLD DOWNS ~ - !JJ/-oH J. L WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) J./ - il.--O!/ J .J , T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING 14 - t;::071 ,~T" MECHANICAL I HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED r YES NO ELECTRICAL - LIGHT DEPT. 417-4735 I;; -I (p --e-4 A-GJ ELECTRICAL LIGHT DEPT 1- -. CONSTRUCTION R.W. 1 PWI It. _ ~-(JH -7:" j/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 1(;' "17--,,1/ BUILDING T:\PLANNINGIFORMS\I 102.15 [11/1412003] '" , .-3 '" ::;;giJ8Ei ()'" t"' , >< ~ H:O '" '" "':OZZO .-3l':! '- t"'()l':!.-3:O ><'" Ul .... tI:I::O~tI:I O~ 0 0 ... Zt"' Pul H , ~. ()ul "1l':! .-3 0 ~. 'Cl tD 0 '" t"' l':!. :0. 0 , ():o :0 :OW , Ol':! .-3'- '- , 3:0 '" '" , ",C::o ootIjtIjoo ~~ '" , t"'l':!o ""'" H '- , l':!ul , , QQ'" QO 1.,1-3"t! ow l':!"" ~1tr:1tr1tt ootrltr:l~ t"'- _ : tHJ ~ 0 , ZZ l':! 001-3"00 UlH ootJjtI:lr-3 '" 'ft" 0 , :O:O:I: '-<':0 IzI l--'Ol-dl-d '" ItIjHG':l '" , :O:Oul H 'ulZ NHHI-3 C::ul'Cl :0 UlUl '" 't"''''~ tI:!wtI:ltI:I -J '.-3 UJI..OC/)(J) , -J , .... ZO\HH , ... l':! , ZZ ~O()() 3 :I:'" :00 0 0 "'t"' l':!l':! Ulo " O~ UlUl "10 " C::() :0 , e<. "'tD t"':o " HH .-3H Ul " Z ul'" () ~Q '-.-3 0 ()H H 3: e<. :0 00 HZ 3: " 0 3:Z Zul l':! UlC:: 3: ul'" Z Q l':! 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"'H Ul H 0 rt '- u. t;'O H pp H >-3G:l "'''' w '- tv '" '- 0 "'''' ~Q Tlte B..ilding Ptmtll Appllcatiolt -... H JIlW fHII c.-pletely. "'i'::::;;iiI" Pie.. type or print ID ink. If you ...". ..Y quettienl. pl.... ea1l417-4115 Applicant or Agent: ~ c;,. E~Pfljt:. -.! _. /,.<..1(.... Phone: _~( I Owner: _ Phone' AdcIre5s.,L~~ <lWJW.....J.4v.<./ t?cL City Z~ W ~ _ Zip: 9 j>-J,P.3 ArchitectlEnaineer: ~/"'~ c! -be ~ tf ~ S"'"...... T Phone: t.J~.). - '=' I I~_ ContractorE'G- ~~ /"c....;~ Licenfip,cNrr ~iI~~J//OH.5 Phone:~'/.~7Y'l'_ Address: / 3 ~ </0~f-j~~ _ nJ City: <? Cf uJfi- ~IP: 9/lJJ 2.-- PROJECT ADDRESS a I 'l W e 'i "'- _ ~O~ING: LEGAL DESCRIPTION: Lot: / ~ Block:;;' ~ 4' SUbdlvi.jon:--1""~______ CLAl.LAM COUNTY PARCEL NUMBERu1oCQ:)2~7~~ Credit Card Holder Name: BUllne Add.....: _ City: Credit Carel fh Exp. Data: IIUILDING PERMIT. APPLICA TIOH FOR OfFK:lAL U~E ONLY_ .._~.~-q._~} tic ....... .Permit II: '- .1.!. .. Appro_: o.w \INIId. _ J -~ 7 'IV: VISA. MC ___ ~ 0' WORK: SIDIVALUATION:",""2. rlesid~nttal ~wcon.slr. a Re-roof a Wood. stove /~ 70SF.@$..f~ ISf,",$ '"7' q7 o Muiti-tanuly C Addition 0 Move 0 Oar.,. . ~O ' SF. @ $ 2~/SF - S_~, 2. 9 ~4 o Comrnen:w C Remodel 0 DemoutiOll 0 D<<k SF. @$ /SF. .. S Cl Repair 0 SLp 0 ___ TOT AL VALVA TION S ~ ~ t.j 2:$ I BRIEF DESCIUPTION 0" THE ,,-IECT :1~ L.5 1..:,... Y _If Co. <; i d (3"" c. ~ 0 "--' .s . 1V91 t: -.4. ) d/ ~ ~ = _ . '" _______________.__ .............u.- ,\,LIllESIDltNnA.L: cupaoc)' Group_.__ Occupant Load. COll$trucol)n Type: ~ . No. ofStoriell:.-L-. Lot Ssze' SO X /</ () ''10 Lot Coverage: .;2 ~ . 7 % ExilitUli Lot Coveraic: 6 lsq. ft. + Propoaed Lot Coveraae: /? 7 1"1. ft ... TOTAL LOT COVERAOE:..L.P 7 ~ ilq. ft. PLANNING llSE ONL'V: . APPROVALS: PLAN Not..:_ __.___. _ 8LD<;.______ - .. PPW_'___hh __._._. .______ __nRJ:___~._ ESAlWetland(s): a Yes 0 No SEPA Checklist requ\led') 0 Yes 0 No Otha: _ . OTHER BUILDING PERMIT APPLfCA TJON SUBMITTAl..: ,..,,. cpplkflti",. .",4 sil, JIll." "'fI." ~ ftlUd (Jut c,,,,.pl,,.,j' ,. H .cc",'~tll'" rntlw. lbe Budd.ing Division can proVl(1e YOU With more dettiled information on ttIt application and plan lut>minal requirement', Your co~le'ed application, site plan (for addttlonS) and buildml constructioD plan. are to he submined to the BuHdiDl Division. v ALUATION OF CONSTRUCTION I.. aU u.... a ".Iuation amount mutt be entered by the Il'phcant. Tbls fi'Ule will be reviewed and may be revised by the BulldUll DiviSion to comply 'Nith current fee schedules. Contact the Permit Coordinator It 4 J '''81 , for assistance. PLAN CHECK FEE: YOW' pl&.D check ree 1$ due at t.he tinw the buildina permit a))pUCatlon and constrUction plans .te submined. All other f..ennll fees Ife due at \.he tune of permit Issuance. EXPIRATION OF PLA..~ UVlEW: Ifno pemutl' I$Sloled wlthm180 days of the date oflpphcltion.lills .pplintioll will up.re. The BI1i1dl.l'l8 Offici.l can e~tend me tU1'le for .~tlon by the applir.ant up to 1.0 day. upon written request hy the applicant (see Sectlon 107.4 of ~ Unif0m18uildin, Code, 'WTenl el1Ilion). No Ipphcation ~an be extended more than once. J ht"f:.b,'lI ce,,(fy Ileal/have read aNi exam'lIed tlm application and knol+' the saMe to be true und CQrrecrl and I am QlJlltonz,d If) apply for I.... ".""U. l...dentond" Is .... t', Ci"" 1~Q/ re'p".'ibili'y to d.. I.. I n'UD'" " .,rn/.. " '_i~ZsPliM"," mpor."biJuy I. d.""",.. w"" ..'m", 0" ....,,,d ::,:::'0" ""'. '\ D.., L ~ t% t2L ' IFOt<..\1SIAPPSI8..,idlMgpc:rm,1 ;/-.f ( J\f. t:~7"'{1\ i"'.' f1{.~., ".' -.......#i. v. ~ t; u .rt~ (1 R "lTk rf. <" -f.- r- ~ C: -~ + I ~ I. , _ I ~316 ____._ 11- ~ ;:J.; r ~r. . ~: I \. <J ' If, , . ,... " tt' - L J") - 5~ 1) (... f..A.)n -- r ;~ i 'r I I ~ -'- ~ '" \'....... \, II.> ~ \\. ~;'" b /' - -. -'Li () +-, , _ ,c'L _ ~ r G,ft'. ;) C A r I lr- ~ \ " . II v..J I .~ )\).{ 0"'0 · Ii LL1 y ... , .,.' ./ ~~ .,r ~(.,.. r> I I l' .~ ;~, I I I 8t'l uJ 8'\-~ , - - ('.r.c '--.. ";:'"A/Te./7 PI,) I., c.:> ~G-.c/5/A. )'59 c;... crT /6 oaf CC:. L.. -# -> 0 '" ! r' / 1" .: d- TAJ(. rp/l "....., ,~/ /;2 7{) 7> ~~.~/ 0tr //,r /;/ k0- EV.kvPJ/Is.G S ~ /,' x / /*' f ~ \ ~ W ~)';:i",\ Appendix I: ...... CtIeok.tata & WOltqheet. -.u. - Size au.ntlty I Area U-ValuelManufacturwr...5 q ,f:'f. IVerrtled e?1 '~H' /~ ;;;'0., .;:J.o /3Jt.MS /11 . &c!YWI ~1'1#" 'I'M J .. ,. . ..'" "'" . I... .. ,." .. TotaIglGIng --= / ~h ., ;;; 7tJ #I Total condItIcIMd ...: __ _ /3 % ':-.) t... Peroemage gtutftg: V..mM ,. ., ';..' IIIORS InsuI8ted. *l qI81tIty tJ.ftIue. end ~..... Ex8niner -list opaql" dacn by type (aoId ~. .. Pl8ns during field lllIpeCtiOil. L lnspecIor - ~ door InIormaIion - V.rIfted U-ValuelManufacturer . Type/OuenUty . J.. () ;S .J--'---'r / /rtJ , I I ,~() t..? L-N fr II Ir " -30 (,L L{,f.,'L .c1() " . .f 86grMlture of 8u1d1ng OfId..: 0... of An"lnepeOtIoA: ""I ,., ~J:., -- ,{~ E"VlIY ,1111 , ,,; , , OJ OJ OJ OJ >-3 '0 ~~~8E; n'O , 0-< 0-< H 0-< >< ~ H:U w '" '" H '0 'O:UZZO >-3t'l , , o-<nt'l>-3:U ><'0 , w H tI:I::O::OtIj ;po , 0 0 0 0 0 >-3 Zo-< ;pow O:u , H H H H !ii. nw "'t'l , >-3 0 , III OJ 0 '0 tr '0 t'l. :u. 0 n:u:u :u :u",. NNNN Ot'l >-3' I ::--.......................... ........................................... 3:0 0 I aNN 1--'1--'1--'1--' 'OC:;O ootl:ltI:loo ~~ I N.p.,p,. NNI--'O 0-<010 ",.'" H I .............................. ......................................... t'lW ' , '",J '" G)O I 000 0000 >-3 >-3 III ow t'l",. I ,l:>.,p..,::.. ,p,.,p,.,p,.,p.. t'lt'lC:: ootIjtI:l~ 0-<- , OOH 0 , ZZ t'l b 001-31-300 WH , ootIjtIjl-3 w .~ H 0 , :u:u::r: , ;poc.., ;POc..,:>>c.., :u i2i I--'O"OI-d H I ~"O~ "Ot"ltOr-' t'lHG"J '" , :u:uW 0 , 0-< 0-< 0-< 0-< wZ NHHI-3 C:;W'O :u , ww '" ~"O~ tI1WtIjtrj '" , (f}\DWCIJ , -J , H ZCT\HH , >-3 t'l ZZ , ~O()() , "'OJ OJ'O:UOJ:UOJ :u0 , 0 , " c:; C:;Ct'lc:;roc:; t'lt'l WO , 0> H HO'XH>::H gji'l~ ",0 , 3 0-< 0-<>-' 0-< 0-< :u , , f-'- 0 t::11-'. of:>. t::;I,p,. t:l o-<:UW , ::; H HOCT\HQ'\H >-3HH lOZ Z OZo2:; W'OO n G) G)>: G) , G) '>-3~ 0 f-'- o -J -J nH H 3: ::; "' Wl-iWI"tjWI'yj 00 HZ 3: [Jl :u :I: X'I--'O 1--'0 3:ZH Zw t'l '0 :>> ~[Jl-J~-J~ 3: ~ W'O Z ro 3: t'l '001 >-3 n H :U" 0"'0 Z t'ln W rTZ ";ro :>> .. :>> >-3 n>-3 f-'. G) :>>.0 >-3W>-3 W >-3H ~ 0 O-<C HOH 00 ::; o-<ro 00>0 :UZ 0 [Jl Z3Z " rT c..,>-3 Z ro ,.; "' ~n 0 .0 ro :>> 0 'O'OW >-3 C " 0-< 0 6661 t'l~ 01 ro 0 0-< >-3 Wt'l W [Jl [Jl z zzo >-3 rT f-'- t'lt'lH 0-< ro 0 G) , < 0. ::; 0-< H t1 n t'l '< 0 W W :u ::; "'''' 0-< "' rT 00 >< " " ro 0 0. >-' ",.'" "'''' 0> 0 H W rT ::; , , "'''' ",. rT -J-J '" :or ""w H f-'. ""H , [Jl '" -J >-' ",. 0 ",. rT , ~- 0'0 >-' :>>:>> >-' >-3G) t'lt'l ",. , 0 '" , 0 ",.'" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000019 Date .968419 819 W 8TH ST 06-30-00-0-2-3976-0000- RES NEW SFR 6/21/04 RS7 RESDNTL SINGLE FAMILY 84231 Owner Contractor E G ENTERPRISES INC 1324 JAMESTOWN RD SEQUIM (360) 461-2744 Structure Information Construction Type Occupancy Type Other struct info WA 98382 E G ENTERPRISES INC. 1324 JAMESTOWN RD. SEQUIM (360) 683-5731 NEWE 1270SF SFR W/ATTACHED 605SF GARAGE ----- TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98382 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 1875 SQ. FT. SFR. KIRSCH ELECTRIC INC. 116.20 Plan Check Fee 6/21/04 Valuation 12/18/04 .00 o ~ ........... -.a ~~ ~~, ~. ~ ~ 'Z., ~~ ~~ ~ ~ 1II ~ "'-.) " , ~ ~ I" 26.70 V-N 1. 00 1. 00 7000.00 1875.00 1875.00 1. 00 Qty 1. 00 2.00 Unit Charge Per 70.8000 ECH EL-R-SQFT FIRST 1300 22.7000 5C EL-R-SQFT ADDITIONAL 500 Extension 70.80 45.40 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be in contrast in color of there background. Electrical load calculations and elctrical permits are required. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 116.20 116.20 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1890.70 1890.70 .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:\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERlvHT INSPECTION RECORD CALL 417-4815 FOR BU]LDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECT]ONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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 I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEP ARA TE PERMIT #'s: WATERLINE / METER SEWER COl\'NECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 t/;6/o'; /kO ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ , CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLAl\'NING\FORMS\1102.I5 [11I14/2003J ~. ~... i , CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: _ ) Date c;;-:// {) ,/ Of' Time Received by (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): e>oundation Framing Chimney f{ I CJ lJJ gtb (7 ~ . nJ - /nIJJ)/U.IU/Y1 / Phone No. Permit No. Oq-{)/i Plumbing Final Sewer Excav. Other INSPECTION NOTES: I Inspected: Date 5-)///01 Time <; 'PM By U-I L. Remarks: ~0 - c-f//? 10 <;1)e""~oF /lrLl.'2"-/ - Al LP'-I 1\1i'fPP<; ASP ~T,~e." . M. RESTORATION REQUIRED...... YES NO 7/b "ALl'iN C:cc~'i /1.~ 1"J..1 .---. "~7r.. 7 I ~ 6~~( I E/I.-~- 1;.?,-=-"(i'.~.':..Z'j.. f3"-(6<u /rsp 10 -!T'f=- P,p",- 457"- '" I~ ~ e'Pt> l-" ~$S' r;Pr---<r 4" fi' fto.l j!l ,i_Dr ~ 1 - ""<0. ~ \-\'-"<...>7<::; iM ~L 1 SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel ~sPhalt 0 pcc 0 Other o Repaired by City Work Order # \~ \C'\ ~ t o Repaired by Permittee QSj COMPLETE ~ l'"<:J~:f:'),\}-;::d 0..'1\ \"'~ /' 0 No Damage Found ~ 0 INCOMPLETE ~'t M ('I- "S ~ \1-0<< /(Q_._Sit~__... sJ; / //)1 . CITY OF PORT ANGELES DEPARTMENT. 'oF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date 2-- J 8 '04- Time (0 /itt/( Received by DeVf0rS E . (PhOnS 01/, Location of Work to be inspected 8'/1 q). C)- Name of person requesting inspection J)eVl iA. I S E-. Address of person requesting inspection ~r() Yo.rJ f Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Final Phone No. Permit No. C!=J~ Sewer Excav. Ot~uJcel-e r INSPECTION NOTES: Inspected: )late 2 ~ ( g~()(1 Time /5 11M. Remarks: J-K-'S+cJ( 11-e.?J I ^'~ .5erv. ;) . C- By et1Vl (5 J_. r-:/71 It' r I"'J~/ ~z.?1 0'l 1t\\ Bir cL 2 ~ i (}efLp \t- .-' , .3181 "- - / g $X ~ RESTORATION REQUIRED . . . . .. YES x: NO ~. / t- uu. 1/0 IF S-><.?jf J8J Asphalt 0 PCC 0 Other Work Order # N 7o<J- 00<] ~ COMPLETE At~ \....e..~~ 'I'd o INCOMPLETE w\i\\. ,,\0\ .M.~ y .~ I-'A -\O~~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel o Repaired by City o Repaired by Permittee o No Damage Found .~- 5/Yf&f O'f:9'ORT~G' "'....~~~~ i1".~ ...~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property zoning . . . Application valuation 04-00000019 Date 819 W 8TH ST 06-30-00-0-2-3976-0000- RES NEW SFR 1/27/04 RS7 RESDNTL SINGLE FAMILY 84231 Owner Contractor E G ENTERPRISES INC 1324 JAMESTOWN RD SEQUIM (360) 461-2744 Structure Information Construction Type occupancy Type Other struct info WA 98382 E G ENTERPRISES INC. 1324 JAMESTOWN RD. SEQUIM (360) 683-5731 NEWE 1270SF SFR W/ATTACHED 605SF GARAGE ----- TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98382 26.70 V-N 1.00 1.00 7000.00 1875.00 1875.00 1. 00 (\) - ...Q Permit PUBLIC WORKS RES WATER SERV Additional desc Permit Fee 640.00 Plan Check Fee Issue Date 1/27/04 Valuation Expiration Date 7/25/04 .00 84231 E Qty Unit Charge Per 1.00 640.0000 EA PW W/M SFR 5/8" Extension 640.00 \9 + ~ Permit STREET ALLEY RESTORATION Additional desc Permit Fee 230.00 Plan Check Fee Issue Date 1/27/04 Valuation Expiration Date 7/25/04 .00 84231 Qty Unit Charge Per Extension .00 230.00 BASE FEE 1.00 230.0000 ECH STREET ALLEY RESTORATION Permit SANITARY SEWER HOOK UP Additional desc Permit Fee 95.00 Plan Check Fee Issue Date 1/27/04 Valuation Expiration Date 7/25/04 .00 84231 Qty Unit Charge Per 1.00 95.0000 EA SAN SEWER HOOKUP Extension 95.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be in contrast in color of there background. 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. Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\PLANNING\FORMS\II02.15 [11/14/2003] ?, Li(i3J003 it ~ ~ ~ FROM : KIRSCH ELECTRIC ,UUliMAKi U\! HI U I: 381M FAX NO. : 3606830869 Jun. CITY OF FA BLOC DEFT FAX !ir" 360 417 47i: 17 2004 10:47AM Pi fi FOItC"!ICtA.!...!J$fj.ONL.':' D-= _ '!:fmiIIllJ D~^".lPW4; D"",lJ.w~ ELECTRICAL PERMIT APPLICATION T1'\eElectl!ca! ~e.cmItA,ppJlcaUon IIl1Igt b~ 'Wad out comaletelv PIas&e twe Dr reprint In It'llt .fya.u'hsvu IInyqUMcUOna:. pla~18 call (J150J 41747'3.5 Fax 00""'",: (a80) ~17-4711 ,0"",... or Ele.. ConQolor AlI8nl: ;rOe... ~ rb cJ..-. ,ProP~O"""":,, 66 € ~ pl""i se.s Add.....: 1~?4 :\~tDWVlCI\y. Elaclllcol Co_or. ~ I(""Su---,' .eteetr\ Co Add....: ~ D ,0 f3-'1' ','":?:'=7"'I'jd>' ,.- , City: Phone: 6~yv-), " ' , " uce",fI;!:=-l~tO~jv0- c-~~ Ph...:c;<636gL<?r Fax: b~ OlS-bCr b<6-3c;~~l Zip: '1 ~'8"2- P!ione. G~ '=-&-l'1 ZIp: 0G'i?2 ,INSTAlilTION WIRED BY: OO\\lNER AELECTRICAq:OIIITIlACTOR CredltCsnJHDIderName: c)()~ r- ~\'S~ ,~'~~ -5t-ec1-.,lc..... Bl7/ingAddrsss: '~ 0Bz<:,' ~ "Ylk> City; ,~ r-....... 'ZiP: q~ ,CIWfltCatdNumbv. Exp.".,&: . ' ' VlSA.4- MCc_ I'RWECTAIl~: <3\q Wi ~~ ':):r-r.e.e..f- - PD-y'~ ~ "~1'W~1~2- .TYPE OF WORk- Chllckl!J!thBlapply; ~New ' OAlterattonlACScrllion.: .' ' ,',' , ~Ri:sIdBnllaJ 0 Mulll-famn~ 0 Commercial 0 MO~ileHome, "Sq. Fi , Z-f era Cl RemoIs MBIer 0 Detached g,.,.ge ' C HOt Tllb trSwim Pool C SeptlC Pump Cl Low VOlhi,oe' C, Telecom. 0 SI", 'Number of Circ:ul1B addod or BH9nId:' 2:0 DESCRIPTION Of l1tE ELECTRICAL. PROJacr; , Electrical Heat Load AdditIon" and or Subt~cttO"8 , .S9rvlce Information o Ila!lellOanj E'macs ~p F.,..WoJl _KW L!L KW ~TON_LRA _KW )!t OIIGII1ead Se,Ntce o Temp SelvlcB ' , 'OUndorg,ouod Sorvioe vOIIBP~lZbt:: Phase: 1 3 Service Size, ~f' Feeder SIZe: ' , , hereby certify thet I have read and examined thIs epplication and knew tIl/lt same to, be trve and correct. and I am eLt/horized to apply fDr tills permit 'understand It Is not tile City's legal re8ponsibJlity tD determIne what pfJrmIts 'ire roquired; If remains tM spplicani3 responsibility to d rmine what parmiJs ars required and to. obtain SUC17. er.dlt Card Holdets Signature: Date; ??/2.2-/n't: . " ! Owner or EIIIC. Cont. SilJnlllure Date: ::JELECTRlCAl.PEIlMlT APPUOATlON I1NI'ftUJ &/7}1 (~\n(Of) PERMIT FEE: $ H fo 2-0