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Home My WebLink About3155 City Lights Pl - Building / :f pORT~ $".J..O~<(~ . ,r. 'IL~ ~ ~-;--~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00000629 Date 3155 CITY LIGHTS PL 06-30-15-7-6-0080-0000- RES NEW SFR 179129 ~f . Owner Contractor SPRINGOB, FRANK & LINDA 3803 CANYON EDGE DR PORT ANGELES (360) 452-2920 Structure Information Construction Type Occupancy Type . . . . . Other struct info . . . . 7/17/03 SCHOENFELDT CONSTRUCTION 682 BUCHANAN DR. PORT ANGELES (360) 457-1695 NEW 2644 SF SFR WATTACHED 901 SF GARAGE ----- TYPE V NON-RATED SINGLE FAM & CONGREGATES NUMBER OF UNITS WA 983624926 perm:j.t BUILDING PERMIT -RESIDENTIAL Additional desc I Permit Fee 1465.25 Plan Check Fee Issue Date 7/17/03 Valuation Expiration Date 1/14/04 Qty Unit Charge Per BASE FEE 80.00 5.6000 THOU BL-100,001-500K (5.60 PER K) Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 98.05 Plan Check Fee 7/17/03 Valuation 1/14/04 Qty Unit Charge Per BASE FEE 5.00 7.2500 ECH ME-VENT FAN 1.00 14.8000 ECH ME-INSTALL FLOOR FURNACE Permit 'Additional desc Permit Fee Issue Date Expiration Date PLUMBING PERMIT 153.00 7/17/03 1/14/04 Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 11.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1,.00 15.0000 ECH PL- EA. BLDG SEWER 1.00 7.0000 ECH PL- EA.WATER HEATER Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Fee summary Charged Paid Credited WA 98362 1. 00 586.10 179129 ().) Extension '101:7.25 448.00 -.. 0, Cr1 .00 o 'N[O -2 '" -;f ~\ ,.... Extension 47.00 36.25 14.80 .00 o :r-, ~ ==-\- ~ r Extension 47.00 77.00 7.00 15.00 7.00 745.00 4.50 1025.00 Due Separate Permits are reqUired for electncal 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 authonty to violate or cancel the provisions of any state or local law regulating construction or the performance of construction /- /7-t)5 Date T IPLANNlNGIFORMSIJ 102 15 [4/2002] Signature of Owner (if owner is bUilder) Date cft"ORT ""'Q . ~~ ~~<.- U,.~ "-~ ~ "t.oii:,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Permit Fee Total Plan Check Total Other Fee Total Grand Total 1716.30 586.10 1774.50 4076.90 03-00000629 1716.30 586.10 1774.50 4076.90 Page Date 2 7/17/03 .00 .00 .00 .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 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-IPLANNINGIFORMSIII02 15 [4/2002] BUILDING PERMIT INSPECTION RECORD ~ CALL 417-4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 NO FOUNDATION. FOOTINGS q -I"1-(J'2, . t I WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT. # ROUGH-IN PLUMBING slt~ ~y) 6-{}-t')J/. j ,)." UNDER FLOOR / SLAB f', Yl a I I 'd-- - 9-'3-01 j "J-~ ROUGH-IN t).-/()--- (pI{ J~L WATER LI,NE GAS LINE !l-JO-O /.{ _I. I... BACK FLOW / WATER AIR SEAL WALLS ,,,, 14. II,' 1111 ~ I CEILING [/ 1'1 v ( ~.r' FRAMING i JOISTS / GIRDERS SHEAR WALL 11- J IJ -I'J 1-/ J, J... WALLS / ROOF / CEILING ~. All' _;1 ) L -~./#7 DRYW ALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING Ir.{ -tJq _ (jJ./ I ) L I , JorJ-/ MECHANICAL FtJ..{fH_ I~-~-;ro{ HEA T PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'s. WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARA TE 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 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 ~fJ..;!J.~ ~JI .I"t.." BUILDING T \PLANNING\FORMS\1102 15 [412002] PREPARED 12/23/04, 12 44.52 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 3155 CITY LIGHTS PL SCHOENFELDT CONSTRUCTION SPRINGOB, FRANK & LINDA 06-30-15-7-6-0080-0000- 03-00000629 RES NEW SFR INSPECTION TICKET INSPECTOR JAMES L LIERLY PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS SUBDIV PHONE PHONE (360) 457-1695 (360) 452-2920 PAGE DATE 1 12/23/04 BL1 01 9/19/03 JLL BUILDING FOUNDATION FOOTING 9/19/03 AP Foundat1on foot1ng Inspect10n called 1n by Brent Barnes at 808-6367 for Fr1day BL9 01 2/17/04 JLL BUILDING SHEARWALL 2/17/04 AP REX 461-9500 BAIR 01 3/24/04 JLL BUILDING AIR SEAL 3/24/04 AP BL3 01 3/24/04 JLL BUILDING FRAMING 3/24/04 AP REX 461-9500 BLI 01 3/29/04 JLL BUILDING INSULATION TIME 17 00 3/29/04 AP INSULATION INSPECTION ANYTIME MONDAY BL99 01 7/29/04 RV BUILDING FINAL 7/29/04 DA Rex 461-9500 100 cfm range hood ducted to the exter10r of the bU11d1ng. whole house clock t1mer w/automat1c & manual control BL99 02 ~ JLL BUILDING FINAL ~ ----------------------------------- CONTINUED ONTO NEXT PAGE -----------------------------______ PREPARED 12/23/04, 12-44 52 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 12/23/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 3155 CITY LIGHTS PL SCHOENFELDT CONSTRUCTION SPRINGOB, FRANK & LINDA 06-30-15-7-6-0080-0000- 03-00000629 RES NEW SFR SUBDIV PHONE PHONE (360) 457-1695 (360) 452-2920 -----~---~---~---------------------------------------------------------------------------------- PERMIT: PL 00 PLUMBING PERMIT SUB APS ELECTRIC REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS (360)452-6753 ------------------------------------------------------------------------------------------------ PL2 01 2/10/04 JLL PLUMBING ROUGH-IN TIME 17 00 2/11/04 AP REX 461-9500 PLSP 01 6/02/04 JLL PLUMBING SHOWER PAN 6/03/04 AP REX 461-9500 PL99 01 ~ ~ PLUMBING FINAL -------------------------------------- COMMENTS AND NOTES --------------------------____________ PREPARED 12/23/04, 12 44.52 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 12/23/04 -------------------------------------~-------------------------------------------------~-------- ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER. 3155 CITY LIGHTS PL SCHOENFELDT CONSTRUCTION SPRINGOB, FRANK & LINDA 06-30-15-7-6-0080-0000- 03-00000629 RES NEW SFR SUBDIV PHONE PHONE (360) 457-1695 (360) 452-2920 ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ ME6 01 2/10/04 JLL MECHANICAL GAS LINE TIME 17 00 2/11/04 AP REX 461-9500 ME99 01 ~ ~ MECHANICAL FINAL --------------------------- ------- CONTINUED ONTO NEXT PAGE -------------------________________ PREPARED 7/29/04, 12:51 34 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 7/29/04 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER. 3155 CITY LIGHTS PL SCHOENFELDT CONSTRUCTION SPRINGOB, FRANK & LINDA 06-30-15-7-6-0080-0000- 03-00000629 RES NEW SFR SUBDIV: PHONE PHONE (360) 457-1695 (360) 452-2920 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------ BL1 9/19/03 9/19/03 JLL AP 01 BL9 01 BUILDING FOUNDATION FOOTING Foundatlon footlng Inspectlon 808-6367 for Frlday BUILDING SHEARWALL REX 461-9500 BUILDING AIR SEAL 2/17/04 JLL 2/17/04 AP 3/24/04 JLL 3/24/04 AP 3/24/04 JLL 3/24/04 AP 3/29/04 JLL 3/29/04 AP 7/29/04 ~I / ])/f Kv- -------------------------------------- COMMENTS BAIR 01 BL3 01 BUILDING FRAMING REX 461-9500 BUILDING INSULATION INSULATION INSPECTION BUILDING FINAL Rex 461-9500 BLI 01 BL99 01 called In by Brent Barnes at TIME 17:00 ANYTIME MONDAY AND NOTES , Q.. '^-:3 <<- C~l~ Hccc\ [roeS"",,) ~T +c.e.J~~or "+ ~ VV\,~ v-- ~r whcle- ~'C. ~ Appendix E: Sample Checklists & Worksheets l_ ~' ~ ~ -. J- Attacllnent C Pennlt No. Plans Examiner and Inspector Checklist Address 3 S'I / C I 'fy / '9lt.,}s R Plana Examiner: Inapector: Chec:k, write in N1A. or fill in value on shaded boxes. Chec:k off boxes at left as Items are found to comply. Compliance approach: (check one) 0 Systems analysis o Component perfonnanoe o Prescnptive path No~: Some specifics on this farm may not apply if A) compliance approach is systems analysis or component perlonnance; , B) compliance la minimum ventilation arteria is demonstrated through engineering calculations or performance testing, FOUNDATION PIfASE D Slab: A- D D 1 ! Exterior down to frostllne/slab bottom; or Intertor 24" horizontal or vertical; or. It radiant, under enUre slab 1 8efow gnde exterior wa" Inaulation: R- I (It Interior _ see Insulation Phase) Radon mIUgaUon:! 'If locally required, or aawlspace venUng <1tv300tt2 ot aawl, or vents Indude an operable damper FRAMING PHASE o framing: L-..;:.;,JStandsrd mlnttnnedlate k~~i!.J Advanced o 81d air ....: 8OIept1aubftr; rim JsVnuf alii; wfndow & door frms; p808tnltlon-wlro. pllATb, ,dud, pertfllon 1Iuds, flue, light ftxtures 1 . . o Source apec:tftc exhaust fans: SIz8 requremont-bath..launcfry (5Ocfni); kltdUHl (100dm) D Whole hOUM exhau.t fan I ~ lnIennlttent system has manual & auto controls; Outdoor afr supply req. 'or habftable rms or o Integrated fOrcecf.4lr eywtem D outside air dUd (wtrh damper) allowing between .35 and .5 ACH 1fS(U_ PHASE o R- 2. I I wen Insulation (above grade) o A-- I Wan InaulaUon (below grade): Intertor wall ~1811on o n. s () J Floor lnauleUon o B-..?B I CeIling InsulaUon: ndudlng attic hatctt o 8- I V....ed oefllng lnauldon o Vapor retarden: walla. ftoora. oelIlng o HMtfng~type: [ ( , I For~, 1st Ilze, HSPF, and COP I yo" FIW. PHASE o Radon monitor on aHe: wtlh InstrudJons and genorallnformdon o Thennoetet: heel r~. ss. 75; AC range, 70-85; both, 55-85. Badwp hee1 oontrob prevent aItmlIaneoua. operaUon, of prtmary ,ys. o Solid fuel app/lan<:ell: glass or metal doont; dlred comb. air aource. or ~. dI&.. ~ed, Indrect aouroe 'Of l.IlOOnd', areas o F1rep4aoea: 8" oombusUon air aupply duct wldampor direct 10 fireboX; ugrt ftUlng ~ or ~ doora. o DtfW hMt.ra: NAECA label; Mp81lde power or gas 8hut-of/; on R-10 pad It eIedrIc and In U'lOOrd. .,.. Of If on ooncrece o Mechanlcel ventfletJon ducta lnaul"~ to R-4: exhaust ducb In UlOOndIUoned erMlllauppfy duc:ta In oondIlloned erlNla o 0... '" ,] HV AC duotalpl.num nutdon: ducb In lMCondfUoned arau .... lnilula!ed and joIntI.... M&Ied o PIpe INuIaUon: R-3 tor hat and cold wat. piping In tI1CICInCtUoned at... (It MMoe or redrculdng, ... Table ~ 12) o Ground COVlr: 6 ml bead( poIytlthyfonelapproved equal lapped , 2" III foInta and extending to fouldaUon wall E"52 -;, Appendix E: &ampte Checkll8t8 & WOft(lhMt8 .. P&8r\s Examiner _ fill out thi.!J gldlng HCtion or anactt a window lIdledu" to thIS checklist Inspector - wrify "fllIdow tn- tormation during field inspections. Indude Ikytights. glass doors and all other glazmg on this tonn. Use rough opening .e. tor calculationS. IUZItG /- Size QuantitY ' A.... U-ValuelManufacturer I Verified A.oXs-E- )(0)<: I ~5C ,3lf i jbx-SO PiG :< /y ,3(D ',. ' . ,l)-C)yS~ )(0 /" ~ ,3L/ .- " , .. ,-, ' .6' . ,. - ~c;?y3e. Xo -j j7,S- ,:3Y " h l' r~ C(!2..x:3Q. Xo I 1:< ,3tf (/51l)(~ PIe, 'd eo " ~3o e.QYS-Q 'XCJ'X ~ ~o 13<'; 6 .Q xs" ><0 L; J~O ,3t( 6'9.y/ 6 'xO J 717S- ~3Lf " ;",1 ,,?,b)('3~ ~$to/. -:l / J:l,'S-: . fL Y 5:' S.d€.. ( ,'c;* -;z '0.'.;:."""';.'1 .. ; .. 1- . ~~)-' \', ," .; r ' , I ~. ~- c"~.~ " .1i , I> .." I ,'..~ . ~, ; '.. ? .. , '. Total glazing ...a: . 3~ 8 I'~ '5 Total conditioned a,..: 2 b '141 ~rcentave glamg: I 5.~ C> Vertfled , \\ ,- , ,> , i. l 0 L ," ., t,.. . ~ '0:: '. " -' ~.. < ., ~,' DOORS , ~ \, ., Plans Examiner - fISt opaq,ae doors by type (solid core, insulated. etc.), ~, lJ-v8Iue.1M manUtacturer. InspedOf - verify door Infonnation during field tnspeetion. , Type/Quantity . U-ValuelManufacturer V.rtned 36 X b ~ 20 , 3<;> X. b e ~a../A..",e...... ,200 : ,_ f' I , '...; ~Mtun of Butldlng Offtelal: 0... of RnallnlpecUon: I >"'- I ~~~.< ,to.' , C\ ESS ,.. I · :;._ ,t . '.1.I.-,~' '. ~. BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. Uyou have any questions, call (360) 417-4815 "-,)II . ApplicantorAgent: SGho~f<-\d+ ~s+n^cttM Phone:(~G.O) 4-)"7 - OZ.53 Owner: .,~V\~ f L'.Vld(;... S 06 . "Phone: ('3(.,0) tr 2.' 2~'2-o Address: '1gD3 Ut\~011 t~ O"";Vt. City: Y\-", J.e Zip:_1' ~ 3h V r<. .W . E P\~V\Vl '~'1 <)fI\r'" us ~~o~C\.O'''\~ne: (~"b) 45, - Otf S-, Contractor ~t . StateLicense#: bO/6f737SI Exp: Dj/3~/}.F;o3 Phon~)'t5"7-D2S3 Address: Io~L B"'~cu"i.1-\ On",- . City: ~-t A-n~t~ . WA-. Zip: q~ 360 '- PROJE,CT ADDRESS:' 3' 5 5 c...\~ 'L~~k{S f\II-.~('" I' I ZO~~: ~S~ LEGAL DESCRIPTION: Lot: ~f Block: Subdivisio~: (2/~Y /;jli--So CLALLAM COUNTY PARCEL NUMBER: t> ~ 30 I ~; ~ 00 8 0 Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: 18- ResIdential "I( New Constr, 0 Re-roof o Multi-family 0 AdaitIon 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 SIgn BRIEF DESCRIPTION OF THE PROJECT: . ~ '" City: Eipl Date: SIZEN ALUATION: ' 00 o Stove 2{.,Lj'( SF. @$ boD0 /SF. = $ I~C; ~ o:Garage '7bg SF.@$2/,3B /SF.=$ JCJ?~~,se o peck . , . ,.A SF. @ $ I 'I, 60 /SF. = $ /2 -Z ~'. '10 O.Other . TOTAL VALUATION $ 17Q/29,7P. fI~~"~o' " I " COMMERCIAL/RESIDENTIAL: \<?F~u~~cy';;Group: -g ... 3 Occupant Load: Construction Type: v-Ai No. of Stories: 2 Lot SIZe: 12929', !fxisting Sq. Ft. & Proposed Sq. Ft. 26/7 = TOTAL Sq.Ft. 26/ I EXISting lot coverage _ % & Proposed fot coverage _% = Total lot coverage ?-O I 2. % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESA/Wetland(s): 0 Yes 0 No SEPA ChecklIst requIred? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building DIvision can provide you WIth InformatIon on the applIcation and plan submittal requirements If you have questIons. 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 10' comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: W a plan check fee is due it must be submitted at the tIine the buIlding permIt applIcation and construction plans are submitted. All other permit fees are due at the time of permIt issuance. ,4' ' EXPIRATION OF PLAN REVIEW: Ifno 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 107.4 of the Uniform BUlldmg Co~e, current edition). No applIcation can be extended more than once. I hereby cerlify that I have read and exammed thIS applIcation and know the a e to be true and correct. I am authorized to apply for this permit and understand that It IS my responslblltty to determine what permits are reqUired I 0 he Cit~1 d that I must obtain such permits prior to work. T \FO~S\APPS\BUtldmgperrmt wpd Applicant: i l Date: ob I, V !o ? / I " <~ DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION APPLICANT: Sd!owrl.t-Ilf rJnS1, ,h- hont.1 Ltv/~ 5fO;e;a h PHONE: (3bO) t.f)"7. 01- )"3 PROJECTIDEVELOPMENT ADDRESS: 3\ 55 G~ GG)'vt -\-s P\,^~ (Lot '6) t'1( See Page 4 for inst'Jl!!ons on completing the site plan. For more information, call 417-4815. ^~ f\/ ~ A V / \ !J'." / 1 l) IV' J.i y ( I'J ^ , 1\ I 1\. n . ke: ... "" ~' - !,.,I (' '\ " \ j -n \1 ' t-' ( ...' IA\ . . '" I 1,1 ! 1 ~ ~ ~(tJ f' I I I k \ I' ,.t .; ltl' to 'J \ , I r .' II " \ / ~ . ~ ~ \ / " '" ~ V { 2e' V , - .. --- - I \ \. \.. ./ '\ Wi i~- o. J , If' ,~ I , 1\ \ 0 \ ~ \ / I J,. -, l ; \ '\ " , '<"'!i~' I 'I ~' , , 1\ .~ , 1\ ~ """ ^h '~lfJ 1'\ tt~ 11 /) \ '\ 1.11" \ 1 , / &t ~ a() \ \ ai, , , \ \ n / ~ J~ rJI' \\ , IF\. \ '\ " I " O\I , I~ I" ' 1 I.., ! ~1}Ji 1 \ \\ .~ J/ rrlJ ~ I" \ / I 'l~ ~ 1 0 1') V \ '\ I f , , ~~\ / 1/ ! 1\ \\ t-..... R- II """- . -. \ '\ Nb. -l - po - r..-.. - ~ ~ , 00;;::: ~ I~ , J' Dn . ~ ~ \. ~ ~ ~ ) I ....... ...... _~r "":::::""" h I-..... "'"-- I ~ ~ ~ :::::""" ~ "'- ""-- / ~ ~ ~ .......' Ii.--.. J / ~ . -~ '0 ...... ~ J -- , ~ ~ ...... PREPARED 6/02/04, 12 34 50 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 6/02/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 3155 CITY LIGHTS PL SCHOENFELDT CONSTRUCTION SPRINGOB, FRANK & LINDA 06-30-15-7-6-0080-0000- 03-00000629 RES NEW SFR SUBDIV PHONE PHONE (360) 457-1695 (360) 452-2920 PERMIT: PL 00 PLUMBING PERMIT SUB: APS ELECTRIC REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS (360)452-6753 PL2 01 2/10/04 JLL PLUMBING ROUGH-IN TIME 17:00 2/11/04 AP REX 461-9500 PLSP 01 ~/02/04 tfLh PLUMBING SHOWER PAN ~ REX - 461-9500 ------------------ ------------------- COMMENTS AND NOTES ----------------------------------____ -- PREPARED 3/29/04, 12 21,27 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 3/29/04 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 3155 CITY LIGHTS PL SCHOENFELDT CONSTRUCTION SPRINGOB, FRANK & LINDA 06-30-15-7-6-0080-0000- 03-00000629 RES NEW SFR SUBDIV. PHONE (360) 457-1695 PHONE. (360) 452-2920 --------------------------------------------------------------------------~--------------------- PERMIT, BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BL1 01 9/19/03 9/19/03 JLL AP BUILDING FOUNDATION FOOTING Foundatlon footlng Inspectlon 808-6367 for Frlday BUILDING SHEARWALL REX 461-9500 BUILDING AIR SEAL called In by Brent Barnes at 2/17/04 JLL 2/17/04 AP 3/24/04 JLL 3/24/04 AP 3/24/04 JLL BUILDING FRAMING 3/24/04 AP REX 461-9500 'C,__O'__~-~---:~:~~::::::::::::O:o::::'M:'Mg:oAY--------------__._____ ____ BL9 01 BAIR 01 BL3 01 PREPARED 3/24/04, 12 19 01 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 4 3/24/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 3155 CITY LIGHTS PL SCHOENFELDT CONSTRUCTION SPRINGOB, FRANK & LINDA 06-30-15-7-6-0080-0000- 03-00000629 RES NEW SFR SUBDIV PHONE PHONE (360) 457-1695 (360) 452-2920 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/19/03 9/19/03 JLL AP BUILDING FOUNDATION FOOTING Foundatlon footlng Inspectlon 808-6367 for Frlday BUILDING SHEARWALL REX 461-9500 BUILDING AIR SEAL called In by Brent Barnes at 2/17/04 JLL 2/17/04 AP BAIR 01 ~/ 4/04 j('~ BL3 01 ~ BUILDING FRAMING ~ REX 461-9500 -------------------- ----------------- COMMENTS BL9 01 AND NOTES -------------------------------------- PREPARED 2/17/04, 12.43 45 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 2/17/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER: 3155 CITY LIGHTS PL SCHOENFELDT CONSTRUCTION SPRINGOB, FRANK & LINDA 06-30-15-7-6-0080-0000- 03-00000629 RES NEW SFR SUBDIV PHONE PHONE (360) 457-1695 (360) 452-2920 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/19/03 9/19/03 JLL AP BUILDING FOUNDATION FOOTING Foundatlon footlng Inspectlon called In by Brent Barnes at 808-6367 for Frlday BL9 01 ~\l:~Or.( JLL BUILDING SHEARWALL ~~ REX 461-9500 ----------------------!:-~----------- COMMENTS AND NOTES -------------------------------------_ 'I \ PREPARED 2/10/04, 12 11 22 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 2/10/04 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER. 3155 CITY LIGHTS PL SCHOENFELDT CONSTRUCTION SPRINGOB, FRANK & LINDA 06-30-15-7-6-0080-0000- 03-00000629 RES NEW SFR SUBDIV PHONE PHONE (360) 457-1695 (360) 452-2920 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT SUB APS ELECTRIC (360) 452-6753 DESCRIPTION RESULTS/COMMENTS PL2 01 2~~/~41_1 (~L~ PLUMBING ROUGH-IN --'f-l-OfUV~ REX 461-9500 -------------------------------------- COMMENTS AND NOTES -------------------------------_______ TIME 17 00 30 i!1.'~ PREPARED 2/10/04, 12 11 22 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER. INSPECTION TICKET INSPECTOR JAMES L LIERLY 3155 CITY LIGHTS PL SCHOENFELDT CONSTRUCTION SPRINGOB, FRANK & LINDA 06-30-15-7-6-0080-0000- 03-00000629 RES NEW SFR PERMIT, ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ~:~__~:____:{\,~\~~-F;~~_____:~~H:::::::::S SUBDIV: PHONE PHONE LINE TIME 17 00 (360) 457-1695 (360) 452-2920 PAGE DATE 1 2/10/04 ONTO NEXT PAGE ----------------------------------- 3'0 'M II-..\. PREPARED 9/19/03, 12 09 54 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 1 9/19/03 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 3155 CITY LIGHTS PL SCHOENFELDT CONSTRUCTION SPRINGOB, FRANK & LINDA 06-30-15-7-6-0080-0000- 03-00000629 RES NEW SFR SUBDIV PHONE PHONE (360) 457-1695 (360) 452-2920 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLl 01 9/19/03 ~L BUILDING FOUNDATION FOOTING , Foundatlon footlng Inspectlon called In by Brent Barnes at 808-6367 for Frlday 'tl -------------------------------------- COMMENTS AND NOTES ------------------------------________ nr~-~-~u~ ~o.~o V I ~ I 11'1.... I I ",.~ 1.JC:" I UI'O I . HO<'<"''''''' ...... 0" ." " ... vJ' h '=*' ."..Je. ( ...... ".. , "'~ ".., ... w "... '" ~~, 0'" ~ f> . J f If: V~~C~E:.6~_ AY NLJE:- ~~;08'~"W ~ 31.4.04 QA -r: A - ~~ ~ '2.0 ~.~ ~ C <.t> I. Q C) ~~ c,g~ 8 9o(,;J.~ ~.;'~ ~ -~ L0 N~'~;?q'i3?'W Bq.\4 ~~ <J' 8 '"'1 ...:::J CI u.O 0 o - r ~~ l Jl III . !~ r-J ~1. o . * \I!-=' 13 JII' l- .t tI,> Jill "51 \ "-.. 8 " ',co co "2..C,CC ~ N o n @ 8 N N ~ /1l()jr1 ' '3 8 ~ I \pI , ~ '-t - 'Z ,\,"'1 CD g' 8 - 8 . ~ Z ill ~~ (i) . ~~ ('l - 7. 11 I~f r \<&0"'" I ~ t @ :} 1/ I g ~ [Z1 \i'O +\ .... --" :>NUW\~-r :.- \0 01'" I .~:;"5S- \~,:~ ""'\ U ... I 0/\ .,..._' _,...11' · I N <<) .. 8 . ~ 8 Z ~ . ~.IO.l : \ll' !Ul t- " "2: 62 ~~ ul ':t' r:t ~~ uJ; -:z:S j~ t()~- u . j~ ~ P~I{,~ ~6S,OOO ~~ _t7--t~ uJ \ I \ 1\ \\ \X \ I \ r i 0: \ , \ \ \ \ t/ o ~I 5CA~ .. ...~_,-I' _. I ".. ~/ / \ City of Port Angeles Applicant Project Review Sheet 3\:;5 L.~~ Gj~-\s Applicant: Sdt~Vl [t'-~~' ~s1Y\A.c.:h6'>-) Owner: r("ttVl ~ t L~JO\ Sf1Y"''''~o\,. Property Address: Proposed Use: Zoning: _ f\.e,-<- Is the proposed use lIsted as a "permitted use" or an "accessory use" In this zone? Is this the only use (busIness, residence, etc.) on this site? Has there ever been a subdivIsIOn, shortplat, or PRD approved for thIs site, or has one been submitted and IS pendIng approval? Does the proposed use require a new bUlsIness lIcense? Does the project extend into any reqUired setbacks or cross any lot lines (Intenor or extenor)? Does the project exceed the permitted height allowance or cause the property to exceed the allowed lot coverage In thiS zone? Does the project reqUire any additional parklng or special deslgn/landscape Improvements In thiS zone? Does the project elimmate any existing parklng spaces? Is the project located wlthm 200' of the shoreline? Are there any enVironmentally sensItive areas on or WlthIn 200' of the property, IncludIng: . wetlands or areas of standIng water (year round or seasonal); . streams (year round or seasonal); . areas with a slope of 40% or greater; or . areas that have eVidence of past ground movement or erosIOn? Have all the reqUired submittals been prOVided by the applicant? "ji. SIte Plan ~ Construction DraWIngs o ParklnglDramage Plan 0 CIVil DraWIngs o Energy Calc 0 Supporting Engr. Calc o Landscape/LlghtIng Plan 0 Other ~es:ok ~yes: ok ~ yes: requires PD reView o yes: requires CC reView o yes: reqUires PD reView o yes: requires PD review o yes: reqUires PD reView o yes: requires PD reView o yes: requires PD reView o yes: requires PD review ~s: ok o no: requires PD review o no: requires PD review o no: ok ~no: ok ~o: ok ~ no: ok ~o:Ok plno:ok }&lno:ok ~o: ok o no: mark reqUired Item(s) If Planning Department review is required, the processmg time may be extended If It IS determined a separate Planmng Department penmt(s) is needed, the Planning Department permit(s) must be approved prior to the issuance of any other permit. The infor ation provided above IS true to the best of my knowledge, I understand that in the event that any of this information is determined by the C ty 0 be incorrect, this project Will be stopped until such time the CIty determmes the correct mformation is provided and any subsequ n y requir rev and approvals are completed and granted. I I 0& r'~ _0" Applicant Date I Permit Category # Route to' 0 BD Staff Imtlals (see reverse side) o CC 0 FD 0 LD BuildIng Permit # o PD 0 PW 0 File Date CompletIOn of thiS form IS reqUired for all category 1 b, 2 & 3 permits CompletIOn IS not reqUired for category 1 a permits unless they result In a potential change of use or occupancy ~\ Master TrackIng # o Other RESIDENTIAL ZONING REGULATIONS SUMMARY FOR RESIDENTIAL ZONES The intent of the table below is to provide a Quick reference for some of the zoning requirements of residential zones in the City of Port Angeles. For specific detailed requirements the Port Angeles Municipal Code Title 17 must be consulted. ZONE/ MINIMUM MINIMUM MAXIMUM MAXIMUM YARD REQUIREMENTS (SETBACKS) DENSITY LOT LOT LOT BUILDING AREA WIDTH COVERAGE HEIGHT FRONT REAR SIDE [SQ FT.] [SQ. FT.] [%] [FT.] RS-7 7000 50 ft. 30% 30 ft. 20 ft. 20 ft., except 10ft. for 7 ft.(*),except 3 ft. for sq. ft. detached accessory bUilding detached accessory building Density 8.29 on rear 1/3 of lot. units/acre 1 dwelling unit/each 5,250 sq.ft. area * Corner lots' 13 ft. abutting a street 10ft. abutting an alley RS-9 9000 75 ft. 30% 30 ft. 25 ft. 25 ft., except 10ft for 8 ft. (*), except 3 ft. for sq. ft. . detached accessory building detached accessory building Density. 6.22 on rear 1/3 of lot. units/acre 1 dwelling unit/each 7,000 sq.ft. area * Corner lots. 18 ft. abutting a street RMO 7,000 --- 30% 35 ft. 25 ft. 25 ft., except 10ft. for 7 ft. (*), except 3 ft. for sq. ft. detached accessory bUilding detached accessory bUilding on rear 1/3 of lot. Density: 2 units for 1 st 1644 * Corner lots: units/acre 7,000 sq.ft., 1 for 13 ft. abutting a street each 3,500 sq.ft. thereafter RHO 7000 - 30% 35 ft. 25 ft. 25 ft., except 10ft. for 7 ft. (*), except 3 ft. for sq. ft. , detached accessory building detached accessory building on rear 1/3 of lot. Density: 2 units for 1 st 7,000 . 38.56 * Corner lots. units/acre sq.ft., 1 for each 13 ft. abutting a street 1,000 sq.ft. thereafter -- 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 Zoning . . . Application valuation 03-00000629 Date 10/15/03 3155 CITY LIGHTS PL 06-30-15-7-6-0080-0000- RES NEW SFR 179129 Owner Contractor SPRINGOB. FRANK & LINDA 3803 CANYON EDGE DR PORT ANGELES (360) 452-2920 Structure Information Construction Type Occupancy Type . . . . . Other struct info . . . . WA 983624926 SCHOENFELDT CONSTRUCTION 682 BUCHANAN DR. PORT ANGELES (360) 457-1695 NEW 2644 SF SFR WATTACHED 901 SF GARAGE ----- TYPE V NON-RATED SINGLE FAM & CONGREGATES NUMBER OF UNITS WA 98362 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 2800 SQ FT SFR APS ELECTRIC 150.00 Plan Check Fee 10/15/03 Valuation 4/13/04 .00 o ~ ............. ~ 1. 00 ---------------------------------------------------------------------------- Qty 1.00 3.00 1.00 Unit Charge Per 70.8000 ECH 22.7000 5C 11.1000 ECH EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 EL-METERS REMOTE INSTALL Extension 70.80 68.10 11.10 ~ ~Q ~~ ~ \'. ~~ ~cl ---------------------------------------------------------------------------- Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee swnmary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 150.00 150.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1924.50 1924.50 .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 0(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 IPLANNING\FORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. 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 LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I . YES NO FOUNDATION: - FOOTINGS WALLS FOUNDA TION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT II ROUGH-IN - PLUMBING - UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR/CEILING I MECHANICAL . . HEAT PUMP WOOD STOVE / PELLET / CHIMNEY IIOOD / DUCTS PW UTILITIES / SITE WORK (Engmeermg DIVISIon) SEPARATE PERMIT f1's WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT II'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 7/2.-1/0 'f ~ ELECTRICAL LIGHT DEPT , I CONSTRUCTION - R W CONSTRUCTION R W / PW/ ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T\PLANNINGIFORMSIII02 15 [4/2002] ~ VORT ~ $:-4.0~~~ ,. "- -=- ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number .3527 Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 03-00000629 Date 2/23/04 3155 CITY LIGHTS PL 06-30-15-7-6-0080-0000- RES NEW SFR RS7 RESDNTL SINGLE FAMILY 179129 Owner Contractor SPRINGOB, FRANK & LINDA 3803 CANYON EDGE DR PORT ANGELES (360) 452-2920 Structure Information Construction Type Occupancy Type Other struct info WA 983624926 SCHOENFELDT CONSTRUCTION 682 BUCHANAN DR. PORT ANGELES (360) 457-1695 NEW 2644 SF SFR WATTACHED 901 SF GARAGE ----- TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL T-STAT AIRFLOW HEATING 35.30 Plan Check Fee 2/23/04 ValuatIon 8/21/04 .00 o \\\ ......... t) ~ ~' . ~\ 20.20 V-N 2.00 12925.00 2617.00 1.00 Qty Unit Charge Per 1.00 35.3000 ECH EL-LVT-FIRST THERMOSTAT Extension 35.30 ~ ~ ~ \'- '" ~ ~ G1 Otll.~r Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Feecsurnmary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.30 35.30 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1809.80 1809.80 .00 .00 ~ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public Improvements. This permit becomes null and voidit 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 arid 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'IPLANNINGIFORMSI1102 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 UNLA WFUL 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 PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (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 (Englneenng DIVISion) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'s SEPA PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ?/~c, 1-) 'I k ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ I 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 [11/14/2003] d \,ORT ~ l'~ rea "- -=->r ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32] EAST 5TH STREET, PORT ANGELES, WA 98362 .n.J:o'J:o'.L.L~a."'.LU.u. .L'4WILLl~L Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00000834 Date 8/26/03 3155 CITY LIGHTS PL 06-30-15-7-6-0080-0000- ELECTRICAL ONLY o Owner Contractor SPRINGOB. FRANK & LINDA 3803 CANYON EDGE DR PORT ANGELES WA 983624926 ( 36) 452-2920 APS ELECTRIC 546 BENSON RD. PORT ANGELES PORT ANGELES (360) 452-6753 WA 98363 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE TEMPORARY SERVICE APS ELECTRIC 40.90 Plan Check Fee 8/26/03 Valuation 2/23/04 .00 o G) '-. ~ Qty Unit Charge Per 1.00 40.9000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 40.90 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.90 40.90 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40.90 40.90 .00 .00 ~ "- ~ ~ ~ ~ ~ ~\ ~ ~ A 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.\PLANNlNG\FORMS\1 10215 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL 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 I INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: II ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL , WALLS / ROOF / CEILING DRYW ALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIvIsIon) SEPARATE PERMIT tl's: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT II's SEPA' J1rnfJ 5t/!11l~ PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT 417-4735 8~i/o5 Aco ELECTRJCAL 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 ~ ~ORr ~ $4.0~~~ ,. ---~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Appl~cat~on Number pin number Property Address ASSESSOR PARCEL NUMBER: Appl~cation description Subdivision Name Property Use Property Zoning . . . Application valuation 5/04/04 04-00000305 Date .930370 3155 CITY LIGHTS PL 06-30-15-7-6-0080-0000- RES ADDITION 0 ,_ \ .,ec. ~..C1 !> for'; l)e.ct<.. RS7 RESDNTL SINGLE FAMILY 1500 Owner Contractor SPRINGOB, FRANK & LINDA 3803 CANYON EDGE DR PORT ANGELES ( 36) 452-2920 Structure Information Construction Type Occupancy Type Other struct info SCHOENFELDT CONSTRUCTION 682 BUCHANAN DR. PORT ANGELES (360) 457-1695 80 SF SECOND STORY DECK 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 983624926 WA 98362 20.80 V-N 2.00 2617.00 12925.00 80.00 2697.00 1. 00 Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 77.50 Plan Check Fee 31.00 Issue Date 5/04/04 Valuation 1500 Expiration Date 10/31/04 Qty Unit Charge Per Extension BASE FEE 47.00 10.00 3.0500 HND BL-501-2K (3.05 PER C) 30.50 Special Notes and Comments Property is zoned RS-9. The project is to add a detached garage to the lot for a total square footage of 24%. Setbacks are good. No land use ~ssues noted. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 77.50 77.50 .00 .00 Plan Check Total 31.00 31.00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 113.00 113.00 .00 .00 ~01'2et? 4/:n/a;, w ..-. ~ n .... ~ 1'""'--.. -- \..L\ ~ lI\ P' Separate Permits are required for electncal 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 penod 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 n rdlnances governing thiS type of work Will be complied with whether specified herein or not. The granting of a permit does not pres me give uthority to violate or cancel the provisions of any state or local law regulating construction or the performance of cons rucl" n. Date Signature of Owner (if owner is builder) T'IPLANNINGIFORMSll1 02.15 [11/ 14/2003] 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 FOR OFFICIAL USE ONLY Date Rec '-1- S.... o'-{ P,m,'" i)'lJ~ Date ApPl oved ~ Date Issued ,,' BUILDING PERMIT - APPLICATION Address: CIty: Pc,y,\; f+v,~\~..s Phone: (7)(,0) -~hone(~hO) f~fh I Ur5'f..... 0'2 ~ 3. I.( 5" 2- - 'Z.. ~ '2- 0 ZIp: qg~b2- ApplIcant or Agent 5c.ho~ k:'~ \ J" ~<;.~d10V) I \IlC , Owner: f.r?od<=- [, LlI.1tlv-. ~~n n"') c b ArchItect/Engmeer' ~~~~ Contractor 5Lho u,L.. \ M- G..-m1. \Nic. State LIcense #: (PD('l731$) Exp: o'6/~ (,~ Address: &fl2 r5uc.h(;t.nah '->r: CIty:!p./1- fh'ur.k.sr L.rJ.4-" PROJECT ADDRESS' 3/ S-~ ('_;~ tNjh-fr rl. LEGAL DESCRlPTION. Lot: f) Block: SubdlVlSlon: CLALLAM COUNTY PARCEL NUMBER: 0 C. 30 ( S-7 ~ D eJ g 0 Phone: Phone: LfS"7 - 02. 5""3 ZIp: erg 3 t J- ZONING: (2 S - 7 c:;' '7 Li', t, f-s Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: o ResIdentIal 0 New Constr. 0 Re-roof o MultI-fallllly 0 AddItIon 0 Move o CommercIal 0 Remodel 0 DemolItIOn o Reparr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT' City: Exp. Date: o Stove o Garage ~ Deck o Other 21'1-d SIZENALUATION: 80 SF.@$ /SF =$ /)f)p5!! SF @ $ /SF = $ SF. @$ /SF. = $ TOTAL VALUATION $ .s; 6('" '( 13 '><.. I D D€.(' k COMMERCIALIRESIDENTIAL: Occupancy Group' Occupant Load No of Stones' _ Lot SlZe.1 <. q" -S- EXIStIng Sq. Ft. 2.b 17 & Proposed Sq Ft. Total lot coverage 20 t ~ % ConstIuctIOn Type' 8a = TOTAL Sq. Ft.~ iO<17 APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESAfWetland(s). 0 Yes 0 No SEPA ChecklIst requrred? 0 Yes 0 No OtlIer BUILDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DIVISIOn can proVIde you WIth informatIOn on the applIcatIOn and plan subllllttal requrrements If you have questIOns VALUATION OF CONSTRUCTION' In all cases, a valuation amount must be entered by the apphcant. ThIS figure wIll be reVIewed and may be reVIsed by the Bmldmg DIVISIOn to comply WIth cunent fee schedules. Contact the Pernnt Coordmator at 417-4815 for aSSIstance. PLAN CHECK FEE. IF a plan check fee IS due It must be sublllltted at the trrne the bmldmg pernnt applIcatIOn and constIuctIOn plans are sublllltted All other permIt fees are due at the tIme of pernnt Issuance EXPIRATION OF PuAN REVIEW: If no pemut IS Issued withm 180 days of the date of applIcatIOn, the application will expire. The Bmldmg OffiCIal can extend the time for actIOn by the applicant up to 180 days upon wntten request by the applIcant (see SectIOn 107 4 of the Uruform Bmldmg Code, cunent edItIOn). No applIcatIOn can be extended more than once. I hereby certify that I have read and examined this applicatIOn and know he ame to be true and correct. I am authorized to apply for thiS permit and understand that If is my responsibility to determine what permlfs are reqwr d ot the City', nd that I must obtam such permits pnor to work D,te 8,tf()'( Lof I I Applicant: T \FORMS\APPS\BUlldmgpermlt wpd vJ L ~y ~ \~UvJ <. 1ft ~ i [{'IV'1 I n l} !I..X L. ;7/ I (_ :V--) , YlD r'L 'J<;. t\u~iV'",\ OM'\ ho.M"~ (~\ \~ ",r. 21<3 ..iO\s"'~ ColutnYl5 no1c-\..,.c...~~ ~k.& YL tja/V he If > 2- -h, hcltl u'T tJ tJo.1-, "~p," w49a ~'/.b fJ'l-SslAa 1(",t&~"''\ tlm bN';; L/~;tP -~-- 8&~AJ ~ L.~~ ~~ $1 m pSt.."'" pest b<l,S< '" U Lt."lWX L +- L f'A-,t~ z' X z.' >< C/' I,I~ /' / //r~ / "-, / - / / / //' / / / CITY OF PORT Al\lGElES - Construction Pln"z The Issuance of this permit based upon these plans. speclfl. catIOns and other data shall not prevent the bUilding official , from thereafter requiring the correction of errors In said p~'ns, speclftcatlons and other data, or from preventmg bUlldliig" operations oemg carned on thereunder when In violatIOn Of all codes and ordinances of thiS lunsdictlOn. (SECTION 3Q3(C),:~njf~~ 1U11~lrg CO~ Approval Date ~BY LL -'"'-------- - ,- f 1- --. - - -. , ! I II ! ~ I ' I ~ II ---r 10 , -" I 9 I S . ,1--\ :- ""',4\ . o' f I ~~.. ~''f: I I -\-t> be. I Co lLAW\s I I I LN (' ""IPP eJ. f, r-\ e-k:... I In , I f I I I )0 10 i 1 ! I I II I I I 6-~ I 1. ~ I It .. ( \(/1 LI .-l'd ,~ I Ie '. ~ (pI' yY\;~ FILt I ( ,,, I~" ~ '::S \::: DEPARTMENT OF PUBLIC WORKS, BUILDING DIVISION APPLICANT: S~h()il1hk/1 tlnsf( /<< kovri ILIV/J,.f;OI/;1iJb PHONE: OGl;) t.{-)"7- 0"2-)3 PROJECT/DEVELOPMENT ADDRESS: 3\5 5 c;.~ Lf'1 \., \-s P\~u- ( L~+ Y>) See Page 4 for instryt!!ons on completing the site plan. For more information, caI/417-4815. ^~ / \ A / / , ~'- t VI :> I ^ IV' U V I J I /\ \ 1\. f\ tl, <e.c IlO. ...-. It: i--'ll (' \ I , \ J r'(\ \1 t I} . { ,,\ IJI\ , . . '"" I f \~ ! \ l~ J ~ ((LI ,1\ / I I II. I' ~. l t 'J , , / ... I ,~ \ ~ 'I ,-' ,u ~, \ / ~ J I f . () -, '" ~ ~ \ I{ ~~ ~ 1 I ( A b ~ /~ 2e' t/ l~ I 7/J ; 1- \ \. I\. , / \ ; I~ , I \ ~ / .1 / I 1\ \ \ '( \ / . 'I' I , 1 t'- , \ ~ ~,..1 I I.,J I ! I I \ i 1\ 1\\ ...., 1111 r&vJ rY\ JIt, .i#}1 1']/ ./; \ , , I I.... '1\ ~ 'tf / " '- t., v oAf) I \ . III , \ / ~' : J~~[,V \1,t I./\. ~ - \ \ " f ,,' O\j , , ') ,J \.. r 'Q/i I \ \ '~ }/ 1 rrll ~ \ 'f I 'f l\J ~ "1 0 f/'/ /' \ '\ I f \ ~"-- / I ; \ \' -...... I r-- .... ""I, \ \ ......."", ........" - )0 - ~ --. --- , r-- -.. ,~ '}() ~ ~ ~. /- / . - I\..- -a;::: ~ ~ ., I - --- l' --= ~ , " "=::::::::::,... ~-- ~ ........ ~ ~ "" ....... , I ~- ~ ......... ......... ............ " J , -" .... U " J .~ iIa:".., r r-- ...... ...... FROM A.P.S. ELECTRICAL CONTRACTOR FAX NO. 360 452 6753 Aug. 25 2003 02:55PM P2 l,' \c 1) ~&- ,.~ . ELtTTRICAL PERMIT APPLICATION FOR OI"F1CLAL U~E ONL. Y ~=~:~: _:~"..~:~,-" -. -- ,''',:. D;J.l~hsued n. ....__. fhe ~Jec:lriC;.l1 Perrnit Application must ba filled out comolotelv. ;F 83'/ Please type or reprint in ink. If you have any quostlons. please call (360l4174735 Fax number: (36ll) 417-4711 Owner Qf E!ec. Contr;'Jclor Agent; A n (~Lj S i a ck. P'openyOwne, ~> t-'ct~ t ...., L i ,v!Ja CS-tl"1" 1 ^ 30 h Add,es, 3155 ('/ltj LI~H5 Flo.c.ec,r;: ~. 1\, Zip; q<g~hJ , ' . f' (C' I.J.. A P:'F l..C:::C.- "tz J ;IN II Electrical Contradoc: H ,p. S, tIe (J'f t? ,Jt1ffn (r rn--;::t~c ~;cen,e#: Exp; q -/'1-df Phone; -,5;) -t, 753' Addres, '3 't6 f)rXl 'fln rc.:>aJ/ City ~"I"''I- fLn~vj e <) Z;p; 9D' ,%3 )(ELECTRICAL CONTRACTOR 6/ e cTi'i ca.1 Lon t-l'ctL.--fo r Billing Address: f/lb &y)~fl Rcu& City: Pn r+ 4nLj -e.r~.5 Credit Card Number: PJaGu REQUEST INSPECTION 0 Phone; '1 t) do .. b 7 S 3 Fax; Sa. IY\ €.- Phone: INSTALLATION WIRED BY: CJ OWNeR Credit Card Holder Name: A, p. ~ Zip: 9 g 31:3 'VISA:_ MC:4- PROJECT ADORESS: 3165 LHj L; J hf-5 )(New 0 Alteration/Addition TYPE OF WORK; Check l!!! that apply: ~esidental 0 Multi-family ,'1 Commercial 0 Mobile Home Sq. Ft Remote Meier 0 Detached garage ; J HotT ub 0 Swim Pool 0 Septic Pump // I o LowVollage 0 Telecom. 0 Sign N~Jmber of Circuits added or altered: _.___....._ ',,,.._. DESCRIPTION OF THE ELECTRICAL PROJECT; - " , E M--?cn-o.~j t., ,..Sef U i Ce- .;;Iectrical Heat Load Additions PERMIT FEE: Service Infonnation -:'] Baseboard : ; Furnace ,~~; Heat Pump " Fan-Wall KW KW =TON_LRA KW 03 ho4 o Overhead Service ~emp Service o Underground Service Voltage: Phase: ~ 1 Service Size: Feeder Size: PAMC 14.05.060(B): For industrial. cOMmercial. & residential projec:ts larger than a duplex, a one - line drawing of the Electrical Service & reeders. building size (sq. ft,). load caiculations, and the type & of conductors and/or raceway is required and sha cation. I hereby certify that I have read and examined this application and know that same to be true and correct, and I am authorized to apply for this permil. I understand it is not the City's legal responsibility to determine what permits are reqUired; it remains the applicants responsibility to determine what permits are required and to obtain such. ~/t..!oJ :> <u.. ~ 1('\ A;I- LV" T~ 4 ~'- ~ ",+ rlt-~~ - I lJPod\~, Credit Card Holder's Signature: _?t K ~ Date:9- ;;15, 0 '3 Date: SS ')5,03 Owner or Elec. Cont. Signature: aiT~22:PLlC;;~~103 ~ 50 ,~O FROM A.P.S. ELECTRICAL CONTRACTOR FAX fn 360 452 6753 Oct. 14 2003 06:43AM Pi 1 1/ ~)~ ,( lLFC rRlCAL PERMIT APPLICATION FOR OFF1CLALUSF. ONLY P~I.-JR= n__ _~. Pami,<<: D.l1~~ppru"cd.:.~~- O.I"ISI;~~: .._' _,,__ The [18r:lri,;""I PBrmi! Applicalion mUst be "/led out comDlete/v. :E #"(;,.2 7 REQUEST INSPECTION '\( (Mmee De E'ec Conteac!oe Agent Arld ~ c'J ct ck Phone.I.ft)~ -b 753 Fax ")/t1Y\ e.- PeoDecry Owner ~, <1. 1\ k "" L; ~~ r-; 1\ S 0 J, Phone: Aadees,~)5S C:+jLj'~~5~~ Clly; ~ar-t "\~~eiC"L'1'lJt;JN lip 'fg3i~ . F'P.c'nce'Conleacloe 1',.P.:,. tlecll'I!j?( C~Jl'n(+(T,,:1:^Cl-icens.#: Exp: l.{-/CJ-CY1 Phone:'1S;;:J-(,75 Addeess 5'16 BeY) <yn ((e.o.& __ Clly: t\ \'-r A ng (') f: ") Zip: 933f.] INSTALLA TION WIRED BY ~ OWNER )(ELECTRICAL CONTRACTOR Credit Card Holder Name: A. p."; 6/ e c.+r- " Cui C a It'r i'a. cf Q ( BillingAddress:c;ifb &11'SOJ1 Rex::rJ city:_R'I'+ -4n~f!~5 Credit Card Number: PlcaSE type or reprint in ink. If you haVe any questions, ple~S0 call (360) 417-4735 Fax number (350) 4174711 OC-3l. '" Zip: I '6 .u VISA:_MC::( PROJECT ADDRESS 3) 5..5 t ,'+ ~ L II ~.fJ- 5 f> 'a C-'e- TYPE OF WORK: Check a!lthat apply: )(New 0 AlterationlAddition )(Residental D Multi-family CJ Commercial 0 Mobile Home Sq. Ft C Remote M~ 0 Detached garage 'J ,"01 Tub 0 Swim Pool U Septic Pump Numbel. of Circui\5 added Dr aHereQ' Y.q.~~..t.kwt- p~ n e.-{ Vle-0 ~goo o Low Voltage 0 Telecom. OSi, ,t:-:5; d f.,pC,f' / DESCRIPTION OF THE ELECTRICAL PROJECT: ".."'~, "... '0" """0" J~9,,~::f?; ,1 0 t $//, ~ ,.,_~'" Q /~ /50~ : S.seboard KWJ (\)"'t - Voltage: 'd40 X'Furnace ;~KW \... 0 Overhead Service Phase: ~ 1 0 3 ';XI-ieal Pump ;J...J::L TON_ LRA o Temp Service serviceSi:ze:~ 4 :: Fan-Wall ~ 1il. Underground Service Feeder Size: PI'...MC 14.05.050(8): For industrial_ CD(!l.'T'erc:a.I. & residential projects larger than a duplex, a one -line drawing of the Electrical Service & Feeders, building size (sq. ft.).lot3d caiculalions, and the type & of conductors and/orraceway is required and shaU accompany the hereby certify that I have read and examined this application and know that same to be true and correct, and I an authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits af required: Ii remains the applicants responsibility to determine what permits are requir#d and to obtain such. L,_{ A~( - /lih G-0.~ + '-'Y (.L~q t..J'/I(."-! -: _1kr"1(\ ~..,.ed;.- /1-1" P~'I""- &"Yl./ vJ <7/ f)'i:.- fJ+ -ovve IJ.,)~ --. ,,~ F"}7<- ~ . Credit Card Holder's Signature: Date: )0 -J 1-03 Owner or Elec. ConI. Signature: e Date: 16'/</.03 C/EL.ECTRICALPERMIT APPliCATION ~ C U___ /t?/5'/o3 ~. -:"... .:.t,I;: IT l- .~,T ,IL.EL.E :'..-, , @001 ". . 02/19/04 THU 12:07 FAX 360 683 3971 AIR FLO HEATING ELECTRICAL PERMIT APPLICATION fOfl Ofl'lCIAl USE.ONL Y o.l~ Ponnil.' DaIC" A"rwn,l!II': : The Electrical PennK Application must b. filled out comoletetv. Please type or reprint in Ink. If you have any questions. please can (360) 417. 473S Fu number: (360) 417-4711 1J3~(,Z' Ow EIe C '-~'A t Schoenfeldt ner or c. on....u.._ gen. Frank & Linda Springob Property Owner; 3155 City Lights Place Construction Phone- REQUEST INSPECTION 0 461-9500 Fait: 6t33-39?1 Phone: Port Angeles 98362 Address; City: Zip: Address: Elecl~cal Conk_clor: Air Flo Heatinll 221 W. Cedar City: License .,\IRFLHC009C%.p: SeQuim ""one. 683-3901 Zip: 98382 INSTALLATION WIRED BY: DOWNER o ELECTRICAL CONTRACTOR Credit Card Holder Name. Air Flo HeatinR Biffing Address. 221 W. Cedar City: SeQ uim Credit Card 98382 Zip: VISA. Y Me:.. PROJECT ADDRESS. 3155 City Lights Place TYPE OF WORK; Check all that apply: (IIJ New o Alleration/Addition ~ Resi!'ential 0 Multi..family o Commercial o Mobile Home Sq. FI Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump ll!I Low Voltage 0 Telecom. 0 S, Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: Thermostat Wiring Electrical Heat Load Additions PERMIT FEE: .3S"?;{) Service Information o Overheat! Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: o Baseboard o Furnace I'll Heal Pump o Fan-Wall _KW _KW ...2z-. TON '1:? LRA ~KW I hereby certify that I have read and examined this application and know that same to be /rue and correct, and I a authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what pennits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: ~ {Z-~- Date: Owner or Elec. Cant. Signature: C :IELECTRICALPERMIT APPLlCA TION Date: /1etJ ~/U>~t/ /35 r 30 'I