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HomeMy WebLinkAbout905 Willow Ave - BuildingPREPARED 10/09/08 9 46 05 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/09/08 ADDRESS 905 WILLOW AVE SUBDIV TENANT NBR MAURISIO MARIA PENA CONTRACTOR A LOVE OF WOOD PHONE (360) 460 9816 OWNER MARIA PENA KONNING PHONE (360) 417 1115 PARCEL 06 30 15 5 2 0340 0000 APPL NUMBER 08 00000232 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL3 01 4/16/08 JLL 4/16/08 AP BL99 01 10/09/08 JLL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 10/09/08 `7 G JLL BLDG FRAMING April 16 2008 9 01 06 AM 1pangrle GEORGE 460 9816 FRAMING April 16 2008 4 03 45 PM jlierly BLDG FINAL TIME 01 00 October 9 2008 8 40 13 AM 1pangrle GEORGE 460 9816 BLDG FINAL AFTERNOON MECHANICAL FINAL TIME 01 00 October 9 2008 8 40 59 AM 1pangrle GEORGE 460 9816 MECHANICAL FINAL AFTERNOON COMMENTS AND NOTES PREPARED 4/16/08 9 49 16 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/16/08 ADDRESS 905 WILLOW AVE SUBDIV TENANT NBR MAURISIO MARIA PENA CONTRACTOR A LOVE OF WOOD PHONE (360) 460 9816 OWNER MARIA PENA KONNING PHONE (360) 417 1115 PARCEL 06 30 15 5 2 0340 0000 APPL NUMBER 08 00000232 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 8L3 01 4/16/08 BLDG FRAMING April 16 2008 9 01 06 AM 1pangrle GEORGE 460 9816 FRAMING COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application desc REMODEL BATHROOM INSTALL WINDOW VENT Owner Contractor Permit Fee Total Plan Check Total Other Fee Total Grand Total T Forms /Building Division/Building Permit (10 /01 /07).wpd 08 00000232 Date 2/26/08 850232 905 WILLOW AVE 06 30 15 5 2 0340 0000 MAURISIO MARIA PENA RES REMODEL RS9 RESDNTL SINGLE FAMILY 7000 MARIA PENA KONNING A LOVE OF WOOD 905 WILLOW AVE 223 VIEW RIDGE DR PORT ANGELES WA 98362 PORT ANGELES (360) 417 1115 (360) 460 9816 Structure Information 000 000 BATHROOM REMODEL WA 98362 Permit BUILDING PERMIT RESIDENTIAL Additional desc BATHROOM REMODEL Permit pin number 121574 Permit Fee 165 75 Plan Check Fee 66 30 Issue Date 2/26/08 Valuation 7000 Expiration Date 8/24/08 Qty Unit Charge Per Extension BASE FEE 95 75 5 00 14 0000 THOU BL- 2001 -_25K (14 PER K) 70 00 Permit MECHANICAL PERMIT Additional desc BATHROOM VENT FAN Permit pin number 121566 Permit Fee 57 25 Plan Check Fee 00 Issue Date 2/26/08 Valuation 0 Expiration Date 8/24/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 2500 ECH ME VENT FAN 7 25 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due 223 00 223 00 00 66 30 66 30 00 4 50 4 50 00 293 80 293 80 00 00 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 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. er /B f� e l Date Print Name ignature ontrictor or Authofzed 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 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 PLANNING DEPT SEPARATE PERMIT N's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 CONSTRUCTION R.W PW/ ENGINEERING I FIRE PLANNING DEPT BUILDING T Forms /Building Division/Building Permit (IO /0 I /07).wpd BUILDING PERMIT INSPECTION RECORD YES I NO -tb -v s SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL 417 -4807 417 -4653 I I I I 417 -4750 I I I I 417 -4815 110-9-o% I P')' I I FINAL DATE ACCEPTED BY. FINAL 10 0 g DATE 1'6 ACCEPTED BY. ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE ACCEPTED YES I NO I I I I I I I I I fi U PROJECT ADDRESS Parcel Number Project Type Brief Des Check all that apply New Construction Addition Remodel 'Repair Re -roof Demolition Sign Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other T Forms /Building Division /Bldg Permit Appl. 2006 Code doc BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant or Agent Property Owner 7�•,s e> v AA,A Property Owner's Address 9 tv Contractor /Engineer ,fi ,9 Contractor /Engineer's Address /23 y ,f License L o mew 11933 C z cription. Y'2Y GkktL AVE. fe:0-7.1,y J Lot i /Residential Commercial .ts._ Atigg C /.0 /.w,Lf..�/L .ard�s ,c .✓l /7�� i�I SSP /qty .0,/# ,J Lse, <7jolL wall- mounted projecting freestanding awning Total sign area sq ft. Maximum allowed sign area sq ft. Heat pump wood- burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) Total footprint of structures sq ft. T Lot size Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be installed? Occupant load Will a fire sprinkler system be installed? Construction type For City Use Only Date Received 2 2 Permit* Date Approved (15 2/211:0 4 g Phone 04,6) yLo -99, Phone 0,074&7 //Is' Phone C36o> Y4a 9B/AO6o)Y/7-6777 ,e; -7,10 &-AJ Gv— 5 z Expires 4/7/09 Zoning Multi- family Industrial per sq ft. TOTAL VALUATION '7o sq ft. Lot coverage of bedrooms of full baths of half baths other f 1 have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. k Date. /.00 Print Name 4 5(40' L��Evr40.4r L� Signature i ce. X d x.„„v_rrelot 14144115 4,X1 itY,3t.Pd. ‘4447 44.0.44A1 e Atilt l ao) fit 41 erxtsl�',� CITY OF PORT ANGELES Construction Plans The Issuance of this permit based upon these plans, specifi- cations and other data shall not prevent the building official from thereafter requiring the correction of errors in said pla ,s, specifications and other data, or from preventing building operations being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. Approval Date 21 1 B Y E ska( d`' t_tr 1 if•fsp.:041 ,0 4%* 4 0 40 'f p er. G ie 314 41 rrf Aegwoq• ®i Ac? Awe'" 4.13 d 41 t'Go -98l6 Ai_4 41141- ®'1 k III "[L 49'*- "fie-46011 ,v r 4 Ist. 0-141 ape IA AhoggeAl„ C p aozigs, Aar 0004 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 Application Number 06 00000928 Application pin number 669376 Property Address 905 WILLOW AVE ASSESSOR PARCEL NUMBER 06 30 15 5 2 0340 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Owner PENA MARIA 905 WILLOW AVE PORT ANGELES Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Qty Unit Charge 1 00 78 7000 Fee summary Permit Fee Total Plan Check Total Grand Total WA 983626768 COMMENTS /ACTION NEEDED Contractor Charged Paid Credited Date 8/25/06 SHAMP ELECTRICAL CONTRACTING PO BOX 383 PORT ANGELES (360) 452 1689 ELECTRICAL NEW RESIDENTIAL SHAMP/ MOVE 200A PNL +CIR 85464 SHAMP ELECTRICAL CONTRACTING 78 70 Plan Check Fee 8/25/06 Valuation 2/21/07 Per ECH EL RM 0 200 1ST SRV FEEDER 78 70 78 70 00 00 00 00 78 70 78 70 00 WA 98362 Due 00 00 00 00 0 Extension 78 70 GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. INSPECTION TYPE DITCI-1 ROUGH -IN COVEk SERVICE KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE ACCEPTED YES I NO FINAL I I I I I I I I COMMENTS Fiat° -as PW- 1102.15 08/23/2006 14:40 FAX 001/001 ELE �'RRICALWORK ERMITAPPLICATION� Install tion descriptian Job wlred by ❑�lectrical Contractor Owner C mmercial 49'Residen ial EI triCal COntr� name L�Cettse numbcr Date Expires N w �Altered/ ddition PuPC r�m ing sddross Ci y A O ta[e ZIP L� Tclep one numbcr FAX number Pr ow4�5 na e Addr ss of iaspectlon� l� J W Ciry Phonc num,ber to scMed le inspectio�: ��ti�»er ps dcfined by RCW.19.28,ab1;(1) Owner wi!! occupy the struclure jnr In�o years afier fhi�• eJecrrica! permtr (s fin�ifke (2) Owner i.r required ro hire aR elecrricu! S cun�r if ahov� SRrd pruperry is jor sa[e, r�nl pr 7eosP, 8S D Check Afler reading �hc sbove statement, T hereby ccrtiFy that 1 am lhe owner of the ahovc namcd pruperry ar o licenscd eleMtlCBI COnlructoc 1 am making tlie electrical instul- Cre it Cazd isa Mas ereard DisCOVet laliun ar el�eration in compli�,ncc wich the elecvical laWS, N.E.C-, RCW. Chap�er 19,23, wAC. Chaptcr 296•46B, The City of Pon Angeles Municipal Codc, and Card# Udllry Specifcations, f�� Signa e of ownor, electrical contrne�or or clectrical ad inistra or �xpug ionDate p iospec�ion fee Date of card Electrlcal Load Addltlons and or subtractlons Servlce Infor atlon 1 NO lOAD CHANGES O Baseboard KW Volt ge Furnace KW pverhead Sarvice Pha e D 1 D 3 Heat Pump Ton LAR O Temp Service Se ice SI2e: Fan-Wal� KW Underground Service Fee er Slze: SAME DA'Y INSPECTION, CALL BEFORE 7:00 AM 360-417-47 ROUGH TN TI3ERMOSTA'1' SER C'E v' r,�� nvrn Darc n������e ey Da� �ov� r FINAL DTT� gt DSIC Appro�ed �y Dorc Appro�ed By D6te ADO�ovcG 8r Ing Daco Area, Duilding or Equipment Iaspoctcd electricat Action Taken Inspector o t l �s 4 y •a S O �pORTq NCF V ��5� �N I a.`�� 7°�7.3 T DATE P�IT INSP CTOR a �y o G OW R/CONT CTOR ADDRESS DS �i��J APPROVED NOT APPROVED ....................DITCH.................... UGH IN/COVER ....................SERVICE................... .....................FINAL.................... CORRECTIONS NEEDED: �1� �c� .�z�� p�`� Gc..J�� ,�r ..�.�..�f� �t?� �/J� r-��,�F,�T�,�� ��o�us NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT F�EMOVE OLYMPIC PRINTERS, INC. (360) 452-1381 di?O'IT~ CITY OF PORT ANGELES !::-...~~'" 0"_ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION ~ -=- 32\ EAST 5TH STREET, PORT ANGELES, W A 98362 ~ ""cOd" BUILDING PERMIT ISSUED: 5/17/2002 PERMIT NO: 13350 OWNER/APPLICANT PROPERTY LOCATION MAITLAND & SHARON PEET 905 WILLOW AVE 905 WILLOW AVE Lot: 16,17,18 &VAC ALLEY Port Angeles, WA 98362 Block: 3 0 Long Legal 360/452-6193 Subdivision: CHAMBERS ADDNT T: S: Parcel No: 063301552034000 CONTRACTOR ARCHITECT HUTCHINSON CONSTRUCTION N/A PO BOX 1161 PORT ANGELES, WA 98362-0000 , 98360-0000 360/417-0575 360/000-0000 PROJECT INFO Project Value: $77,540.00 SFD Units: 1 Project Type: ADDN/REMODEL SFD SQ FT: 3,279 No PINAL-- Occupancy Type: RESIDENTIAL .s> Occupancy Group: MFD Units: 0 Q Construction Type: MFD SQ FT: 0 V) Zoning Use: PROJECT NOTES E ADD 4' X 16' AND 8' X 10' TWO STORY ADDITION, AND 900 SQ. FT. OF ~ ' SECOND FLOOR ADDITION, PLUMBING & MECHINICAL, 1-PROPANE FIRE PLACE, - 12' X 6' SECOND FLOOR DECK - 0 RECEIPT#9094 PLANS A-12 G FEES ASSESSMENT Building Permit: $839.75 Mise Fee 1: $0.00 :D Plan Check: $335.90 Mise Fee 2: $0.00 <- State Surcharge: $4.50 Mise Fee 3: $0.00 (\ House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $1,355.65 Plumbing: $123.00 AMOUNT PAID: $1,355.65 Mechanical: $52.50 BALANCE DUE: $0.00 Radon: $0.00 --- Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days aflerthe 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. ~ '~ J7 )10:). Si' natu~;n:r~Lne:ls builder) Signature of Contractor or Authorized Agent Date Date T:\PLANNING\FORMS\II02.15 [4/2002] Permit Conditions For: 13350 PLAN REVIEW COMMENTS FOR: 905 WILLOW, PERMIT#13350 LIGHT DEPT: NEW ATTACHED GARAGE WITH SECOND STORY BEDROOM; TWO STORY BUMP-OUT. ELECTRICAL LOAD AND PERMIT REQUIRED. TRANSFOMER MAY REQUIRE UPGRADING - NO COST TO CUSTOMER. PUBLIC WORKS: REQUIRES ZONING LOT COVENANT FOR ALL 3 LOTS. PUBLIC WORKS PERMIT NOT REQUIRED. 1 -') '. w\''€.G~ -r LlA 1M. 6 \ '1.() _ . cO 23,";-0 <> GO (,JI,) # " '7 ;p=:.. 9-0'- . '0 'N-."v t:j>< "1,! s.,,:::- G. cr 'jc"s l/vI"l ~,DU 5L ,5'6 '-:7 (,,;') 1'2> 1-{ x: 16 ~~ 6'-1 EI';~f ~ ~":'ID'<C00 I oS'" - - Ne..>> I Y'-{ of '" w-c.,,"" '-I e, '1 ~oo. -'(' -i;;?:S~ 'fr'- vael'::' 06ct /fleW goL{ ~ (Zl)c\ 'jc-f4/ ~? Z 7'117 ~ FOR OFFICIAL USE ONLY: Date Roc,: "" '-I I~ CJ"L BUILDING PERMIT. APPLICATION Pennit #: I ~"l. ~""O Date Approved' ~ -==:..:0, ce.tl Date Issued: - , The Building Permit - Pre-application must be filled out completely. ~ Please type or print in ink. If you have any questions, please call 417-4815 6>7d-I/8G Applicant or Agent I "'11\0 l/o...+ i () Ii\. h'l De=:,; q "'- Phone: 4/ 7 - ()t,L/. c;: Owner: ,JIlr...; .J.../c..IAJ c+- 5ka. vOlA Pec.+.1 Phone: uS 2--~ (q"5 Address: Cfos (,I); lIoGd Allt!!.- City: 'Povi- Aka (' Ie .s Zip' ~<{3G.z. I ArchitectlEngineer: N.1 ~ Phone: Contractor H4fl!.iJ.~"5L>i/1 Cr;,I/l":"'+ License #. Exp: Phone: Address: City: Zip: PROJECT ADDRESS: 'f OS (!J (' { (0 ~ I Ave. wr:;:;:G: 'R5 - If LEGAL DESCRIPTION: Lot: I~ l~ Block: ~4-ve.cA.I-e.l o.!S~iVision: ('''-c. jl"o V'S A;rI) N')ot.. CLALLAM COUNTY PARCEL ER: QW 'M 1<;,5,20 J.I.H) Credit C rd Holder Name: Billing Address: City: Credit Card #: Exp. Date: VISA MC TYPE OF WORK: SIZEN tf-UATION: ISF,=$ (,7.r~() '\111 Residential o New Constr. )11 Re-roof o Woodstove 104 SF.@$ (o~ o Multi-family , Addition o Move ""II Garage :!:l ~4 SF. @ $ "2-<::> ISF. =$ q... (,<;(0 o Commercial ~ Remodel o Demolition )A Deck SF.@$ ISF.=$ I o Repair o Sign 0 TOTAL VALUATION .~ 17-,!>~O BRIEF DESCRIPTION OF THE PROJECT: f;;'c..i/a.~_~_JMM'1 u..~ 1-<:/, ~ki I-e tAcidi I- iO/l Ctn,./ K<"IIIAr\rI../ O~ C..r;",/",'I\A P.."",~rlr'W.. . / Construction Type:....JL AJ COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: L Lot Size: 14,r<67S.f. % Lot Coverage: )~ % Existing Lot Coverage: It> c;S" 15<1. ft, + Proposed Lot Coverage: _10 1'l__/sq, ft, = TOTAL LOT COVERAGE: 207'-/ Isq.ft PLANNING USE ONLY: APPROVALS: PLAN Notes: . BLDG. ,DPW FIRE ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTIIER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must bejiUed out completely to be acceptedfor review. The Building Division can provide you with more detailed information on the application and plan submittal requirements, Your completed application, site plan (for additions) and building construction plans are to be submitted to the Building Division, 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 Pernrit Coordinator at 417-4815 for assistance, PLAN CHECK FEE: Your plan check fee is due at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance, EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, this application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certifY that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are, required,' it remains the applicant's responsibility to determine what permits are required and to obtain such Applicant' -....,.... / ~ - Date' I-l- 11- ~'l T:\FORMS\APPS\Buildingpennit -, . ~ SHALL BE USED N DRAWINGS REFER TO CATALOG NUMBERS OF TOTAL 2,619 S,F, THE SIMPSON STRONG-TIE COMPANY, EQUIVALENT DEVICES SUBSTITUTED. PROVIDED ICBO APPROVAL FOR EQUAL LOAD NEW GARAGE 484 S,F, -- -- -- -- .-.-- - I I . I?' V ACATED ALLEY I I I - -~,l .i. U - - - - - - - ~ ro I I N ~ NEW ADDITION , ,___ I I' --- 1.-_ ~ -1---- I I I III I I : i EXISTlNb .%i~ ! : IIIS,FD, . ~ I I I I ,I I I I ; IW/,,!;7~, ;: I I II I I I' I I I~ I I 'I I ~ I I I I I I NEW FLAGSTONE '\'1 I I 18'-0" , WALK 1\ I I I' SETBACK I I I I 'I I EXIST. DRIVE TO : I I BE REMOVED ---, I I ' I I I : NEW GRAVEL I ~ 15'-0" I I 'I DRIVE i I SETBACK I I I : L_~- I ! ___J I ~ I I I ~~;, ~ ~ -- ".' - ~':' ~ - I I WILLOW AVE I -L_~ -- -- -- - - -- -- I , ,.,;~.. '~'6~', ',. I' . "" ,.," "'#1 t. . 'L<:>.. 'iV.A . ,~~ 'L'"Y~~'''' "", "'.fof" " ~:'" "~'", ... ""V ""A'" 'j ,..,m. ,,'if1"'~""!~ ,it :tit '>lO'" , d(/!;",~ ''''';j~' ..- :t ..'""" ~K 1 ..J,'" ~ ,~, '..~. . ~M',"'. ,.,. . " 'l . .. J . ~ - ""~ 1r~~' . ~ ,~, ~'v: ' . '~:"J~ ~-;:~i ,'is {; (t.' ~~~"\~ .Q Q' ... . , :' ": ~l ' ~ !~,. . { !<i .'l'~~'~{k t ;~~l . . . ..,~,.>,' .,.. '!l"~' l .. . .. .,..;' ,',' _.. .."..,. .'. .'_.,'... ~ a ,J'fNE6ROOK 1 0 ~ 0.' ,', ,~'~ : . ..~Q,: ':~~~ .' I I L. 1 ' ~. .1 ,l.n'-,.. 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"... ~~~ l~ III " ! ,'~''''i .~. . " . ,. . .. PINEB OOK 1l .. " . 6 5 4 ;] 2 'lj~ ~ u I ~ "'-..' . " . I .. . ~ .0 ~ . . 0 'JI',~ '.! .. ..,'"', ;,1'.' ;. '. i.. .~, .~.. .. .... 1o'l':lG418 ~,';~\ ,- I.>,.. v.~tAl1.1.~,~ :.*. '1. ~:.. ~~:;~~f,~~:N'j~~", ';.l~ : . ::\;. MO,~:p.~ro~'''il?I' !( 1 'fIla TREY WERE INSTALLED a THE ACCURACY OF EXACT POSITIONS IS NOT GUARANTEED ,I Uf~ atorh' .;; . - .. ..-" -{ Po;t~~Aagd.;:'.~~:,~'.' # 'f;, ~~:Wi . "l~' ,~ R J.~:," ,~";j,.,..;~~, .~~, :~ '.':'~:.\.r.~ .. -"..''': oJ- ','. .' "'.' '.;. .,~, - '",'.' ,'.. .' '>-1 FILED fOR REeOAI) I... T THt "rOUES T ,IF S haIl.Qy.LFlp<,+- ~COP.OE:: :. i ~~.; ~;: ':.:- . ,'.l.L.~.M co , S~()..ron Pee.-\- 2002 APR I 9 AM 9: 56 :, 'ioS 'W I \\OW p.:{~ ~o'{i A~e.\{~ wA MIo2... ""~~" ~1I~~~~1I1 ~~'~I~I~~~II~I~"~ ~ 6) 2002 1083526 CI.n.m County ZONING LOT COVENANT IIWE the undersigned owner(s) of the following described property: (Insert legal description here) Lois /r.,n,/~W va.ca.kd qj(~1 8/ock.3 ~t gljLC~b.e'rs aAA,.!,c11... do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17,08,032 "Z" of the Port Angeles Municipal Code. This covenantereates one inseparable building lot which mav only be removed through compliance with Chapter 58,17 RCW (subdivision regulations) and/or the City of Port Angeles short subdivision regulations (Ordinance No, 2222, as amended), This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) in interest and ~ shall be filed with the County Auditor's Office, This covenant is for the mutual benefit of said owner(s), heir(s), assign(s), and successor(s) in interest and is for the fwther purpose of compliance with state and loca G land use and building regulations, This covenant may be enforced by i~unction or other lawful procedure Vl and covenant by the recovery of any damages resulting from non compliance. DATED this /9 day of dltJr, '/ 200P?., [ I ~~~ur- -' ( (' L-J (Owner)' (Owner) 0 [ (Owner) (Owner) STATE OF WASHINGTON) Y COUNTY OF CLALLAM ) ss (, 1,1;",- \ I \\ '~'k\--"" r1 ,~, NotaIy Public in and for the State ofWashin~n, do hereby certify (II - .. ~n this Lt day of " I 20126. personally appeared before me' \,.,,.., r-~,,~ "'''''J:''~''' I.-',..~i- and ' to me kno to be the individual(s) desribed in and who executed the within instrument and acknowledged that free and voluntary act and deed for the purposes herein / q-bPcday of /J y>L,'1 ,20f!3- k _Vyq~l~ NOTARY PUBLIC in an~or the State of Washington residing at Port Angeles, AJ.!Ill:I'OR ' ~ r.ER TIP! CA TF. p(> ~ +- Filed fo;q:,cord at the request of 5' hOifoVl this N day of , ,(H,' I 20 02.. ~~:~~~~ CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: RV Date.1-.> ~ [ ( - C> L-- Time Received by (phone, person) Location of Work to be inspected 90S' Wi IIOaJ Av~ /On-t. - Name of person requesting inspection Address of person requesting inspection Phone No. ~52 - 66 "St.r' Type of Inspection (circle appropriate one): Permit No, l :~ ~ ~ --:; C\ Sewer Foundation raming Chimney Plumbing Final Sewer Excav. Other WcJls .-, ES: I ,<, /'1 ~'.'" Inspected: Date ! /? ~ f t . <- Tim'" By Remarks: <~-.\ /' J . I ,C. t /-" RESTORATION REQUiRED...... YES NO / 0 / .5 () ,A fV1 \A/e c\ .. SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel o Asphalt Dpcc o Other o Repaired by City Work Order # o Repaired by Permittee o COMPLETE o No Damage Found o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . , . INSPECTION REPORT . . . . . . . . . . . REQUEST: QJ Date ID - 1.4 -D'L Tim" Received by (phone. person) Location of Work to be inspected qDC:; uJ~~l\ou.J Av-t!- Name of person requesting inspection . /VIo" tl'I1O...I:.V) veer- Address of person requesting inspection Phone No, ~C;/. -6 Cf l3 Type of Inspection (circle appropriate one): :,- -:. -~_...~ . , ". .-'-.. ' Permit No, , J --' " ( Sewer Foundation ~am~ Chimney (~I~mbing) Final Sewer Excav, Other / /;i ..'~</' it INSPECTION NOTES: / , ,-, .) -,/ Inspected: Date /:) - i Tim" By (,' Remarks: ......."""'.... -S: ~\ C: ,f' L,.,'../ ~/ ) .) \,,,-.. .. (j '. .' " /~ ~ /'~: t kl<'/,//' /fdC P ,'I' ' :'/ Z' ..~- '".., .- ," I :2 l~ I .". 'I / ~..../ RESTORATION REQUIRED . . . , .. YES NO - - " c:! Fr'-\ \ l\~ +~r ~. i -.- r, SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt Dpcc D Other D Repaired by City Work Order # [] Repaired by Permittee D COMPLETE D No Damage Found D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS '/ , . . . . . . . . . . . INSPECTION REPORT. . . . . . . , . . . REQUEST: I<L/ .., C; --, Oat.. ~:-> - _ -0_"'> .Timp Received by (phone, person) Location of Work to be inspected qD5 u),'fl tJuJ AvL Ph,'" . Name of person requesting inspection Address of person requesting inspection Phone No, "7'60 -2/.$-/ Type of Inspection (circle appropriate one): Permit No. Is =?50 Sewer Foundation ~ Chimney ~m~ Final Sewer Excav. Other J~ INSPECTION NOTES: r:bugh !,,~ Tim.. JQ ~()O A..<- By r~./ Inspected: Date '3-7-0"3- Remarks: F/lA~ ;'~o.-c k-.&. S'-vf{' i- Zv.&.ri-, qJ , L/~..., JC-""" A...R"'~ A.r~. ~'t' ;;r4- c~ fJ......___ -.6 ~__ ,I)^ L/ RESTORATION REQUiRED.,.... YES NO ""-- \ [- V' I · SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt Dpcc o Other [] Repaired by City Work Order # [] Repaired by Permittee o COMPLETE o No Damage Found o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS V . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQ~~ ~~ Time I ?-- : ('}..-{D Received by. ~~ ~person) Date '() 3 -, '-..:. Location of Work to be inspected 1'{/<..~ (J), I/o L() A LJ~ .:- Name of person requesting inspection 1")1 C....; f-Iov\ d (Jee I Address of person requesting inspection Phone No. )./SJ--6 9/3 H Type of Inspection (Ci~c.If!'::1ate one): Permit No,/-I /j S ~-6' u Sewer Foundatio( Fram~~g himney Plumbing Final Sewer Excav, Other f...iJ"". ~s.4M ~'Id 0 c9r T/7u('sdc;r;; aFkn100V} INSPECTION NOTES: f- (,L. C q /1 fc) S . u ) 7,'-) I e Inspected: Date ? ~&J ~o ~ Timp I; I) J"J<A. By -;;z;~./ Remarks: Mlt:of.r>jVA"" ~""'...-z.. 6.-wv, ;1J,~ /~ /f.Nt(, (A4 ~~;- fiw~,_,) .>-1'........,.,-( A; I/v~ 1~-~"._"'v'V5 &V I,.v""'~nrz. t/l/~ 41/.2., <;:::~. G~~~.~ I ~ RESTORATION REQUIRED. . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt Dpcc o Other o Repaired by City Work Order # [] Repaired by Permittee o COMPLETE o No Damage Found o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) pORT ANGELES WA 5 H I N G T 0 N, U, S. A, PUBLIC WORKS & UTILITIES DEPARTMENT July 7, 2003 Coldwell Banker Uptown Realty J, Lany McHone 330 East I" Street Port Angeles, W A 98362 RE: Willow Street properties Dear Larry: This letter is in regards to your request for infonnation regarding the Johansson property located on 'the north < side of Willow Street west of McDougal Street. As you know, the traveled portion of Willow Street is outside the north portion 30' right of way, At some point the southerly 30' of Willow Street was vacated but I have no. - . record of the date or bow it transpired, this would have been prior to the annexation of this area into the City. -'-- Willow Street is substandard in width at the easterly end. A minimwn of 20' all weather road is required for - residential access roadways. 0 In February, 2002 1 spoke with Sue Roberds regarding a proposed division of these lots into 2 possible building t sites. We determined that if the division of the property were for 2 or more building sites, they would need to be under separate ownership. Since the lots are smaller in size than the standard city lot, a zoning lot covenant would be required to make these lots build able. Division of the lots into more than 2 building sites may kick in short plat requirements, which mean additional street improvements and possible fire protection re.quirements . I would suggest you contact Ken Dubuc, City Fire Marshal (417.4653) regarding what would be required for fITe protection for these lots. It appears that the property may fall within the 4 minute response time from the fue hall, but installation of a fue hydrant at Willow and McDougal Street may be required, The water line down McDougal is only a 2" and would not support a. fue hydrant, but may support a sprinkler system. There would '<d need to be a turn around for the fire department some where on Willow Street., possibly a hanuner T. (J Sorry about the delay in getting this information back to you, Feel free to contact me at 417-4807 if you have 5 questions. ~ "'l Sincerely, (lo JI'lM<./~ ~ ' r:;, ~S Trenia Funston, ~ .G Engineering Permit Specialist 7;~ -r ~ 0 ~ 321 EAST FIFTH STREET. P_ O. BOX 11.50. PORT ANGELES, WA 98362~O217 ww I O? "'+1f J. LARRY McHONE Associate Broker 330 E_ FIRST 31., SUITE 1 PORT ANGELES. WA 98362 BUS. (360) 452-7861 FAX (360) 452-8665 UPTOWN REALTY 1-800-292-2978 larrycbu@olypen.com June 26, 2003 Trena Funston City of Port Angeles 32 I E. 5th st. Port Angeles, Wa. 98362 Hi Trena We have a pending sale on the Paul Johansson property located on Willow st. Port Angles. We have a 30-day feasibility study period and I thought sending this in letterform would be better than coming over and catch you in the middle of a project. I have a list of questions that we talked about in the past but I understand there may be some changes in development standards since we last checked on this site, The parcel number is 0630I5-520360 and the legal is lots 19 thru27 of Ben Chambers Addn. Maps are attached to help speed up the process. The buyer would like to split into the most sites allowed but we may not be able to widen Willow st. unless the neighbor to the south agrees to join in. L Road width required if divided into 2 building sites. 3 sites or 4 sites? 2, Fire hydrants required? 3. will gravel surface be allowed? 4. We have a 10 ft utility easement on the north IO ft. to provide access to McDougal st. this is over the old vacated alley, 5. Any other problems that we may need to solve? ~Your help , any McHone 1114~J I ~.' \.,1 oIOlNS 6JOl5 S€ N€ O~ /238.33' '!9tJ.II.,' BENJAMIN 6t1R./6' -' AVENUE/ '0' . ') ,... TO' . ,...-- , 67." '1NE8 Jr J7.S t' ", l" - 64~ 64.!ll 64..!..Q... 64'" ~ ~ 6 !l 4 2 2 I .. ... ~ AOLlIH! HA'''''I:'I' \\:>1. F"YER , , , ......y , , DITLEI"9!:H .. ... _".9' ,," . , To' J1'. '9' Jr.J" ], .. .. ~ '" CJ) ~ 16 ~ ....... '!:: , ~ ~ ''1 I;lC 7' Jr J( ~ "j ~ Y//A tI) - ~ >- MOlleA.. ,- . ..J 41~ :-::~ a;t....... " .. :.~: .~ ~ .. ~ WILLIA". '. -: ';")- .. .> ~ , ~;.:l "- _. c:.-" ,,- 0 4.500. . ,;:.;:;' .J.) __ ;, - . '0: ~ '" r. V) . Q) , c ,~. --= :=> ':,1,. E ~ ~ -. ,. ~; ;:j) If) '- ~,- -.. ,~. '.i (I") (V ~. " V !/?7 PSoO Cc: ~) \"G .... ~ . . .::-;::; ~: \J .'- .. D~301?4J01OD~ I - .~~.;~ ~ AVE,,; . "Q. .. ,.\ ~:; ;- - .e... - - - - (4fJ6.0") -- - - - - - v .0- - --- :>, . _ (J 0 c; ..n ....... WILLIAllIe C... . .- \.0 41111 '. D '. i..... , l" .- I ~ .. - 1.440, ~ .~ t.: U' " ...... ..!} c. ',<.' .c..-: ~97.48' x , l3'0 197.<#(1' 110' 110' 0;, . ,- 'b 59.!Q. 'I} ,r" .. f:E - 59ll.. ~Bk;t tii. _l.:::: 59~ :3 2 T~RHTON OOTSON ROSS 5 Ie' ~6f'S16' ./ . . /*tii!~".~~7 , "i,:,'~~,;";;"!Y.,, i ~J~,ill1~i~~ ii 'V() '., ;.'fl*'Mi~~1 1;:",.>I\'"iJir",1 :~~I ' ~ '~_ ri __. -- -.-. ' : I I .~;~"!"~:!"\.~'~~:' I <'" ~'''' -. ~ I! ~ . , "...,<<.....-;.,..-~-"..-. "~~ ~ "'""I 'W>. r-- I . .'. , ;:-:-:2;1, ~'-c':"';:; i':..~.. :-l:8; '". SOD ' ~,..-, , m ,N.., m_" .J. . ~'" . ' -- -~. .,,}, " : '" , ,'''' , :", 'F:)Oa;. "'- .i,~~_:-___.__c_ i 1..~.-.-F309CO_'--:',''';..'''''~'13:;c,-it8'~'X: 'if,~.- ,~,' :":, "L, 2;c,:),-.y.,."i,nr,X., Il!l-~ SO:) . -.. _ _- ! ~ '~_ _I I t ....., r r i I .J.... .+~ ' II '. I I , . I '. , . L.." """ .k. i _,I ~F. 5'0 ! .\ -{..!.-.-./:..:~.;"-'~=--"'-<C~.---;.-!...-":-~:f >:;0-f-:'''''::~::~;;::::-;-_'IS'~T : !:l, ~. , t)ll ' J-l'! ' , ,"-..= III '''', "" I , , "-':i:" 'J:,'" W',...,'... / :- j" ZJ i i-~.!'i,;~,:-fii ;r; .~. :_~~,a, , .~.~~t::: ;'fi.....: .ll.}~h;:t:';. .. " " :~' .' ''t.",.; 'f:.t"f'~ ' , '. '. ..-.-, , '-- '''u. " " 55') ..3<0 , ' ',. .'. "".' , it . m~li" ' --- . mtijli$~ . '. .. f. - "'n "-'. __ _ C..C..., 'n"~.""". -, '. h""~"',cW"IoWA",, . _...,,,,, .. ":'::-:"'j'.:::;:,:::::-->~..::.:,,::,.::..,,-:.. .ceo>."" ".. ',.'ce,'.., ::.. C,C' "".__ "I ....11 {i=.;:~--~:~~::~~~~', 1:,,1";\ . " -"'r" " ' I '_,,_. "":, " -~:-- .., :'1" ", ".ir-- , , . "", , -", ,.. , ' '" '--" y ,:: ' "; ; ,- 32007. ' , . I ;y, ~". ' <0 . . . . , ' \ ! ';" I ., ',,, i ". "-n1.' , --.., ~ i " , " I , I . . , I " ' , ' , i '~"" . . ',! .. '. ."'~ ... "'-"---'n_ ~ i ' ~ ' , , -~ 0 -.. Q ,. u 50 ;". I ~ 0.. ,,__,~ ,4:; ---.~~ -.i=~~~L'" ~'-. ~:__ ~~-~~-_!~. _ ' -_ _ _ ,_ ' ---~._-- -~, - - - -.~~ ;. .~...~~~~~_. '>r~ < ,.. ..,. , .l'..., .,.,,,..,,.,, ..".." '., ,,' . , T I\" ~,-/'" ~ '\ , - - ~ u_',) ;; I "'- 0 o I \: ~ 0* \ : ~ \ I "::::: *'- ... ~ '1)' ~ "'=' -v- I ~ I ~ - " ow, l',JnOOJf'i 0 no; _ , --.-.-.....--...., <:: \. iN I ~ \ I.~_,,~ -J 'A .~. -~ - I ..p ~ n, ~ I 'L I "> o ~ ~ f 0 ..lj.. Lt; 8 't ~~ w 7~)? i \s ~ ~ ' " '" t= ~ -- I ~ '\:::: ~ Ii \r I ~ - I - 9 I I ,I> I i I I i I I [/) w w n:: l- I ;""""""ei"""";;'!o;>mxS",;~~ "'-;e,..., "':rife":;' ' .. .':' /CfJ7 02.- ~ ~ PIONEER NATIONAL ",,"u, ........ 1- !!)J TITlE INSURANce THIS ~P""'Cf mfll'VfO FOf IIfCOllOfn USE }--/ ATICOR COMPANY /J"'IL~ll ~ I g--z.....--- fih.d (or Rt'Cord at Request of I I' - n t 10' ~fI TP =>0-- Fo",," L:li7" Quit Claim Deed I CORPORATE: FORM) THE GRANTOR, the CITY OF PORT ANGELES, a Washington municipal corporation, for and inconsideration of the benefit to and interests of the public, as determined in a public hearing held on August 10, 1977, and in accord- ~X3~~.~wxw ancewith Ordinance Number 1937 of the City of Port Angele.!?-,.- convef's and guit '.claims to EINAR JOHANSS'ON and LILA JOHANSSON, h\\~~~fJ~nga~,gCr-i'CJa r~ar-estate. sltuated in the County of Clallarn State of WashingtoD including any inferest therein which grantor may hereafter acquire: The South one-half of the alley in Block 3, Ben Chambers Addition to the City of Port . Angeles adjacent to and North of Lots 19 through 30, inclusive. IN WITNESS WHEREOF, said corporation has c.aused tbis instrument to be ueculed by its proper officers and its corp-oratt seal to be-hueunlo affix~ tbis II/a. day of July, 1982_ uu.tJ_.umuuuuu__'u:-uu ____ . By~n#4-d?~~~U_'-jj;~~~: Attest: By.~.~_tf!,~_um__uu_u Ci ty Clerk StltlllVli- ST.HE OF WASHINGTON, ( "" County o( Clallam Ontbis IJ.I~ day of July, 1982 ,beroreme,tbeundersigntd, a ~otary Public in and for the Stal-e of Washington, duly commissioned and sworn, personally appeared DeJ~"""7' OUA.ACI/I-N and /o.I"~JlIVC. PA~:t~ 10 me known to be the r1.ayor Pi~ and Clerk ~KI'Y~respC<:tively. of the Ci ty of Port Angeles, the municipal corporation :xKt;(~Mi.>>:i)b that e:u-cutcd the foregoing instrument, and acknowledged the said instrumcDt to be the fne and . voluntary act and deed. 0.1.~.~~.,.0l.~. ~a~,i,~.n, f~r ~be uses and purposes tht:rein mentio~cd, and on oatb stated that -rUE., "III' authuTlzed' ~\.e:\ccute ~..~Id Instrument and that the seal affixed 15 the corporate seal of said corporal ion. .,' .\. .....,.."..,. ), .... Witness my hand a:'~d' offitja,:~~i h~;~i~.)ff1xed lh~ day and year nrSI abov~ wrinen. / . , '.' "I' '\ .- i.!-! _ 0 ~ ,:' I,,: ..!': ):/i!::i1::i;;~~~~;;J!1!.:(a~~:: CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date -e; -- '9:::!l-o -__S Time Received by /2 v_C (phone, person) ... '-- ( ~ i J / (t') ( 1 ) AlI-e Location of Work to be inspected q /J/.., , .- &.e T Name of person re!questing inspection 10c;, n'1JO-If' I ' Address of person requesting inspection Phone No. m-{)-- 69/3 Type of Inspection (circle appropriate one): Permit No. j "?>~~(,)"-D Sewer Foundation Framing Chimney Plumbing 8 Sewer Excav. Other j \: ~'\ INSPECTION NOTES: ""<; Inspectedj'fate , < Time By ,- ~/r.e~d _~f. .9-OeJ ~ \ Remarks: :v ;-auJ C- " '" ~ ~ ~ . RESTORA TION REQUIRED. . . . .. YES NO bA- l..\e; f::s ~1 C::~1 CJ;.L_- (9 J )c~~'(_ 01"'- <PL-D U .~ , & ~ ------ i~J(( SURFACE RESTORATION: SURFACE TYPE: D Unimproved o Gravel o Asphalt OPCC o Other [] Repaired by City Work Order # [] Repaired by Permittee o COMPLETE o No Damage Found o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) r~ !ORT ..q "0 '~ CITY OF PORT ANGELES ;S .;l. rf" LIGHT DEPARTMENT PERMIT NO 0/.,..., LIG""''\ ELECTRICAL PERMIT DATF Cj'-C2y'-9/ . I Sit' Address: cu,';lou./ 19vt:. D READY FOR D WILL CALL FOR I 90S- INSPECTION INSPECTION Ilnslalled By: ~/r/C1e('$AJ r.41 I License Number: Phone: I low1er/Business: Phone: I I owter/BUSiness Address: Sq. Ft. I I 'J!f Overhead 1f Residenti~ o New Construction I Heat Kw~F o Remodel o Unde~%~ ~] Baseboard 0 Furnace/Boiler o Service update/alter/repair Voltage, J! ~ .- ] Heatpump 0 Other 10 03.0 ~] Commercial/lndustrial ioad ~ Addlalter circuits Service size ?dltJ Amps Total Connected ioad o Auxiliary power o Temporary (attach breakdown) (list below) Total Motor load o Special equipment (attach breakdown) (list below) Detai I slDescri ption: I ~ ~s4:e( I I(UU,'IlJ I . I I I I I I I I w,sJ No Service Siz" Oat" Hold for: 0 Easement 0 Letter Capacity: 0 O.K, 0 Not O,K. Commento I o Ditch inspection O,K. o Signed up for service/meter I V ~ ~ough.in/cover O.K, o Meter Department notified for installation o O.K, to connect service o Fire Department notified of inspection I iff Tal O,K. o Plan Review approvedlpending I SitelAddres9 &S- w/lloev /he rermi:;:c;tfk I \ Ins~rller; Ik-l'urJ,eJLP1 I New Meters I Da9 -,.;t/ -17/ I I . Notify the Department of City Light by Street Address and Permit Number when ready for inspection, Work mu~t not be covered or electrically energized before inspection and O.K, for covering or service has been given by tie inspec~riting on the Wiring Report or the Building Permit. PHONE 457.0411, EXT, 158 or EXT. 224, I ~ NO OCCUPANCY OR USE ESTABUSHED UNDER THIS PERMIT ~ [) f)O I lnslJector Amount paid WHir - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYM,. C PRINTERS. INC.