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Home My WebLink About1135 Eckard Ave - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 \fir Application Number 11- 00001177 Date 10/20/11 Application pin number 439293 Property Address 1135 ECKARD AVE a q ASSESSOR PARCEL NUMBER: 06- 30- 14 -6 -8- 0050 -0000- REPORT SALES TAX Tenant nbr, name ROSEMARY S THOMPSON. our state excise tax form Application type description MECHANICAL APPL. PERMIT on y Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning R57 RESDNTL SINGLE FAMILY Application valuation 6690 Application desc 2 1/2 TON HEAT PUMP SYSTEM Owner Contractor ROSEMARY S THOMPSON DAVE'S HTG COOLING SRVC INC 1135 ECKARD AVE PO BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457 -7481 (360) 452 -0939 Permit MECHANICAL PERMIT Additional desc 2 1/2 TON HEAT PUMP Permit pin number 194878 Permit Fee 64.80 Plan Check Fee .00 Issue Date 10/20/11 Valuation 0 Expiration Date 4/17/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 14.8000 EA ME- FURN /HP /FAU OR 5 TON 14.80 Fee summary Charged Paid Credited Due Permit Fee Total 64.80 64.80 .00' .00 Plan Check Total .00 .00 .00 .00 Grand Total 64.80 64.80 .00 .00 ligat, H 10'11 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction, Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 -4815 Electrical Inspections 417 -4735 Public Works Utilities 417 -4831 Backflow Prevention Inspections 417 -4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage Downspouts Piers Post Holes (Pole Btdgs.) PLUMBING: Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date Accepted by AIR SEAL: —o,,ll Walls W Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs (j� Walls Roof Ceiling t Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: 56- Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted by MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 3 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 J f40 1 3-1,GO r H I H I 1 1 o I 1 N 1 rl I H I C.0 a 4 Q 01 C0 M W o r o r ro r 1-0L0 i v w m 0 o G o i P a 1 0 a 1 w 01 a H H 1 0 H0 01X O 00 H 3>3> 1 O a 01 F 1Q 1 oa 3> W 0 1 0 0 2 1 H w x w I a x x 11 F 0 H£ i cn as H X L0 0 H HV aw z F h F n x 0 Q H F HO I F i m a,� 1.1 /1 W w 1 a 1 W ,000 z as 1 G7 1 3> W w z z u a 1 0 0 H Q H H <Z O H a 1 F\ u 00 0 u a i 040 H W H H O a I i u 0 O o X X n or i w 0 W 00000 O 0u 1 HQa 00b X KC Z Z Z O H I H OHO 1 w0 ra< 1 fk a 0 a 1 00000 0 3> l F �o >ou 0 T l 0.10 o a x x 1 8 cna H a F m z Va H 1 Q 3 r 1 H w in a 01 0 01 1 .0 r i Z H a v] l u a a H 0 1 x W w o 1 ono a o i pA w W 3 0 0 r') 0 0 r 3 o 1 1 c a w 0 O FC O Oo H 1 0 01 3> 0 I H a Q a 0 H 1 0 0 a H 00 H w 0 ri H 0 1 a a l a U H H0 1 20 w I P7 al zo w F 0 w 0 i U1 U I a o n a z I H 0 0 a>+ a E+ u a H m m 0 1 E I 2 2 2 2 1 X 1 1 1 i 0.'I a m a l Q w 0 1 a 1 >-3 w au RCHUOw F 3> Oct 18 11 01:45p Dave's Heating Cooling 3604520939 p.1 BUILDING PLUMBING MECHANICAL PERMIT APPLICATION SHORT FORM (To be used for projects that do not require plan review.) Date Received `0 1$' 11 Permit 11-1t City of Port Angeles Please print in ink. Date Approved Attn: Building Permit Technician Approved by 321 E: 5 St., Port Angeles, WA 98362 360 417 -4815 fax: 360 -417 -4711 Credit card payments are accepted Mon -Fri 6 -5 pm (no American Express) Hours: Mon through Fri 8 5 pm Cash checks are accepted Mon -Thurs 8:30 -4 pm Fri 8:30 -12:30 pm Contact person: Phone: e S ac o av,v� -2. �o.�f��s ec�-l'tY,� 1 1 Property ovvrier: C fs-? Ro s �rnav �('o v-h -e s o 1N Phone: 7 f Property owner's mailing address: 1 X 35 Eckar�V�►�u� Contractor's business name: �ar -�-�s f(, Phone: (or property owners name if he /she is doing /overseeing the work? YSa,O j 3 '7 Contractor's mailing address: 6 D o>C `f 1 3 f p ar* ,-4 Contractor's L &I license number: Expiration date: Dr4VES1 4 c_q (K Project Address: L3 GK cC. A ve v -e. Project Type: 'Residential c Commercial c Industrial Multi- family Project Business Name: (for commercial, industrial, or multi- family projects) The following permits are usually issued over the counter immediately, without the need for plan review. Complete only the portions of this permit that are relevant to your project. Re -roof: o•house garage other n tear off•& re -roof lay over one layer Licensed contractor: Submit a copy of your re -roof bid. Project Valuation (labor materials, not including sales tax) Re- side: n house o garage in other Project Valuation (labor materials, not including sales tax) Repair: (explain the project) Project Valuation w *Homeowner: If you will be doing overseeing the work, then the project valuation will be determined by doubling the cost of materials, to reflect the value the repair adds to your property. Cost of materials x 2 Project Valuation T:Forrns/Building Division /Building /Plumbing /Mechanical Permit Application Short Form (Revised" 20111) Page loT Oct 18 11 01:45p Dave's Heating Cooling 3604520939 p.2 Swimming Pool or Spa r> 24" deep): For prefabricated swimming pool or spa projects that do not require plan review: Obtain the City of PA handout entitled "Pools Spas" follow the requirements. Project Valuation Demolition: A demolition permit is needed when an entire building gets demolished. What will be demolished? a house garage n other Note: some demolition permit applications need to be reviewed by various City departments, and may take approximately two weeks to obtain. Agree to ensure that all utilities are /will be properly turned off (and capped off if needed) prior to demolition. (1) Obtain (from the City of PA) an aerial view map of the parcel and put an "x" over the structure(s) to be demolished. Submit the map with this application. Obtain (from the City of PA) a copy of the Olympic Region Clean Air Agency (ORCAA) Demolition Permit Application. Contact ORCAA at 360 -417 -1466 to discuss whether or not an ORCAA Demolition Permit will also be needed. cr yes no Will the debris be going to the Regional Transfer Station in Port Angeles? 0 yes No If yes, wilt a licensed contractor be taking it there? if yes, obtain (from the City of PA) a copy of the Waste Disposal Application. Complete and submit the waste disposal application to the Building Permit Technician, now (or later if asbestos testing is needed). Plumbino Permit: (explain the project) Project Valuation Mechanical Permit: (explain the project) in s;ha- t l cL- t-- a►-� c .2 p'u py,y9 Project Valuation Co fv 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. Date I 1 Signature i r'' Print Name J D fk w ka,n.f Page2of2 Clallam County Assessor Treasurer Property Details 67542 ROSEMARY S THOM... Page 1 of 6 Ciallam County Assessor Treasurer Property Search Results 67542 ROSEMARY S THOMPSON for Year 2011 2012 Property Account Property ID: 67542 Legal Description: ECKARD HTS V14 P72 LOT 5 SURVEY V58 P96 Geographic ID: 0630146800500000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location ‘0 Address: 1135 ECKARD AVE Mapsco: PORT ANGELES, WA /c Neighborhood: PA South Res Map ID: 2 Neighborhood CD: 4151000 Owner Name: ROSEMARY S THOMPSON Owner ID: 56088 Mailing Address: 1135 ECKARD AVE. Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: Taxes and Assessment Details Property Tax Information as of 10/18/2011 Amount Due if Paid on: 7 NOTE: If you plan to submit payment on a future date, make sure you enter the date and click RECALCULATE to obtain the correct total amount due. Click on "Statement Details" to expand or collapse a tax statement. First Half Second Half Year Statement ID Base Amt. Base Amt. Penalty Interest Base Paid Amount Due 11 Statement Details 2011 161080 $1533.55 $1533.46 $0.00 $0.00 $1533.55 $1533.46 Statement Details 2010 49373 $1468.43 $1468.38 $0.00 $0.00 $2936.81 $0.00 Values Improvement Homesite Value: N/A Improvement Non-Homesite Value: N/A Land Homesite Value: N/A Land Non-Homesite Value: N/A Ag Timber Use Value Curr Use (HS): N/A N/A Curr Use (NHS): N/A N/A Market Value: N/A Productivity Loss: N/A Subtotal: N/A Senior Appraised Value: N/A Non-Senior Appraised Value: N/A Total Appraised Value: N/A Senior Exemption Loss: N/A Exemption Loss: N/A Taxable Value: N/A Taxing Jurisdiction Owner: ROSEMARY S THOMPSON Ownership: 100.0000000000% http://websry8.clallam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop id=67... 10/18/2011 ELECTRICAL PERMIT l CITY OF PORT ANGELES 360 -417 -4735 d Application Number 11- 00001202 Date 10/26/11 Application pin number 142290 REPORT SALES TAX Property Address 1135 ECKARD AVE on your excise tax -form ASSESSOR PARCEL NUMBER: 06-30-14-6-8- 0050 -0000- Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 2 circuits Heat pump Owner Contractor ROSEMARY S THOMPSON EXTRA MILE TECH ELECT., LLC 1135 ECKARD AVE 418 N. RACE ST. PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 457 -7481 (360) 457 -0198 Permit ELECTRICAL ALTER RESIDENTIAL .1 Additional desc Vv Permit pin number 195222 Permit Fee 76.10 Plan Check Fee .00 U 7 1 Issue Date 10/26/11 Valuation 0 Expiration Date 4/23/12 Qty Unit Charge Per Extension 1.00 73.5000 ECH EL- BRANCH CIRCUIT WO /FEEDER 73.50 0 1.00 2.6000 ECH EL -ECH ADDNT BRANCH CIRCUIT 2.60 Fee summary Charged Paid Credited Due Permit Fee Total 76.10 76.10 .00 .00 T1 Plan Check Total .00 .00 .00 .00 Grand Total 76.10 76.10 .00 .00 .y C 'PH 1)16/1) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 1 it L I �d'1 FINAL `Y l' 44P it l COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTI FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING OCT -24 -2011 11:12 PM E.JANSSEN 360 452 2982 P.01 ptlkl J' CITY OF PORT ANGELES P'ERM1T APPLICATION N Building Division /Electrical inspections OCT 2 5- 2011 ''''i Q 321 East Fifth Street P.O. Box 1150 t Port Angeles Washington, 918362 0 Ph: (360) 417 -4735 Fax: (360) 417 -4711 ELECTRICAL .INSPECTIONS Date:_ IU11. -I 1 1 2 Single Family Dwelling Multi Family or Commercial' rt Commercial Addition Alteration Remodel Repair" Plan Review May Be Re ufred�falease Complete Electrical Plan Review Information Sheet Job Address: 3 5 c. Ic.. s., tn.. c J—t ...t a Bullding Square Footage: Description of above 1 eci c L 1 A-xr, -41. v. 14-7 oken rf Owner Infonration Contractor Information Name: L2.S.c G r y Name: &M14 er1, 7 (.:71.-E !"Uac ii. i- Mailinp d _75� T 4 ,aril ./.77.% 7 w •.-6. Maling -t Cl .4,•:,_4-t, 74:icii f; sl: C_ State: te✓ Zero .1 Y_:/ i City 1-)......e �...e /1..i rr.c State:./ i4 ZiP: z. Phone: qf_j 7Y tT Fax: Phone: ✓s 7 Fax: 45 g 54. s_ Utxertse d Exp. Lleenso Exp. a :C 7 %m r 7 j *3 0.(... item Unit Charge f3t TOJ,(gtV Multinlied lay9nit Chardel Service /Feeder 200 Amp, 5119.90 Service/Feeder 201 Amp. 5145.50 Servloe/Feeder 401 600 Amp 5 204.60 Service/Feeder 801 1000 Amp, 262.20 Service/Feeder over 1000 Amp. 372,50 S__.-.-._.- Branch Circuit W/ Service Feeder 5 2.60 Branch Circuit W/0 Service Feeder 5 'x3.50 __i______ __i______ 73 ;r7' Each Additional Branch Circuit 5 7.60 5 -2 G d Temp. Service/ Feeder 200 Amp. 5 92.70 Temp. Service/Feeder 201-400 Amp. 5110,30 Temp. Service/Feeder 401-800 Amp. $140.70 Temp. SorvioelFeeder 601 -1000 Amp 167.90 Portal to Portal Hourly S 95.90 5 SpNOuiIIne Lighting S 88.20 Signal ClrcuiV Limited Energy First 1500 sf Commercial 5 95.90 Note. 55.00 for each additional 15011 sl Signal Circuit/ IJrnited Energy 2 Faintly Dwelling 53.90 Signal Circuit/ Limited Energy Multi Family Dwelling 63.90 5._ Manufactured Home Connection 110 90 Renewable Electrical Energy 5KVA Syslern or Less 5102.30 Thermostat 5 58 fireagaiffigigiNatiptilt First 1300 Square Fl. 5110.30 Each Additional 500 Square Ft. or Portion of 5 35.20 Each Outbuilding or Detached Garage 5 73.50 Each Swimming Pont or Hot Tuh 5 110.30 i S ./._0,_ Total Owner as deined by RCW. 19.28.261:.1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor ii above said property is for sale, rent or lease, Permit expires after six months of last inspection, Alter readinc, the above statement, hereby certify that I am the owner of the above named property crr a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.26. ''VAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit /+pnhcations. Signature of owner, electrical contractor or electrical administrator n cash I cm(!c). ,:..I Crodlt Cord y j X anted: 01101(2010 ELECTRICAL PERMIT i CITY OF PORT ANGELES d, 360 -417 -4735 J Application Number 11- 00001175 Date 10/19/11 1 Application pin number 220875 REPORT SALES TAX Property Address 1135 ECKARD AVE on your excise tax form ASSESSOR PARCEL NUMBER: 06-30-14-6-8- 0050 -0000- Application type description ELECTRICAL ONLY to the City of Port Angeles Subdivision Name (Location Code 0502) Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 2.5 ton heat pump Owner Contractor Thonyson, Rosemary DAVE'S HTG COOLING SRVC INC 1135 east Eckard Ave PO,BOX 413 PORT ANGELES WA 98362 PORT ANGELES WA 98362 (360) 452 -0939 LiS 09_3 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc �J Permit pin number 194852 Permit Fee 56.00 Plan Check Fee .00 Issue Date 10/19/11 Valuation 0 Expiration Date 4/16/12 Qty Unit Charge Per Extension 1.00 56.0000 ECH EL- LVT- THERMOSTAT 56.00 Special Notes and Comments A October 19, 2011 8:01:44 AM tamiot. Existing underground service. n Fee summary Charged Paid Credited Due Permit Fee Total 56.00 56.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 56.00 56.00 .00 .00 2 flH /11 et II 1 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN dl FINAL Li COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:\EXCHANGE\BUILDING Oct 18 11 01:57p Dave's Heating Cooling 3604520939 p.1 t 1 R E' vi City of Port Angeles Permit Application n 20 11 Building DivisionfElectrical Inspections U t �f 321 East Fifth Street— P.O. Box 115D Port Angeles Washington, 98362 ELECTRICAL Ph: (360) 417.4735 Fax: 60)417-4711 INSPECTIONS L Cate: i� g (1 241 2 Single Family Dwelling Multi- Family or Commercial' Commercial Addition /Alteration 1 Remodel 1 Repair' Plan Review May Be Required, Please Complete £lec cal Plan Review InfR rmation Sheet Job Address: I L3 S c k t/2 v; ■A -e. Building Square Footage: G, e PI-ok 1 f$00 Description of above, i n spa ((wk 1 c. r.c u� t F r- -5 -5 i er. (^e-f° (0- c-12--- .A (s -ti In (.r'_ c.- c.- i G T eTher, ->.c a Owner Inforn tion Contractor Information Name: K O S Z vr, o_ r`� b v Y+, r 'r-, Name: D 5 at e Q'ti Nailing ddresk: I I3 rjc-ka-v car PrVein.J!- Mailirg ddress: f C. $o t 3 City: or State: G J A Zip: 13 City r 5 r+ An tate: w Zip: 36a- Phone: 8 1 Fax Phone: c'{.Sa 0 1ag Fax: .5 Licenses 1 Exp. License 4; Exp. b 4 'IS c 4''l Unit Charge Total ;Ctv Multipt:ed by Unit Charge) 119.90 ServicelFeeder 200 Amp. 145.50 ServicelFeeder 201 -400 Amp. 5 204.60 Service/Feeder 401.800 Amp. 5262.20 ServicelFeeder 601-1000 Amp. 5 372.50 ServicelFeeder over 1000 Amp. 5 2.60 5 Branch Circuit W/ Service Feeder 5 73.50 Branch Circuit W/0 Service Feeder 5 2.60 5 Each Additional Branch Circuit 5 92.70 Temp. Service/ Feeder 200 Amp. 110.30 Temp. Service/Feeder 201-400 Amp. 148.70 Temp. Sery ceJFeeder 401.600 Amp. 167.90 Temp. Service/Feeder 601 -1000 Amp. 95.90 Portal to Portal Hourty S 88.20 Sign(Ou ine lighting 5 95.90 Signal Circuit/ Limited Energy-Commercial. Additional 1500 55.00 63.90 Signal Circuit/ Limited Energy -1 2 Featly Dwelling 63.90 5 Signal Circuit/ Limited Energy Multi- Family Dweling S 119.90 Manufactured Horne Connection S 102.30 '5 Renewable Electrical Energy 5KVA System or Less 5 110.30 First 1300 Square Ft 5 35.20 Each Additional 500 Square Ft. or Portion of 5 73.50 Each Outbuilding or Detached Garage 5110.30 Each Shimming Pool or Hot Tub 5 56.00 i .56. C'()Thermostat 5 ..15 o OTotai Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two year after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that t am the owner of the above named property ora li electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296463, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator Cash �Qj�� r o Check X Date: 'v (g lW Credit Card* Ij Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc 1 circuit for fan in living room Owner Thonyson Rosemary 1135 east Eckard Ave PORT ANGELES WA 1 98362 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL 180489 73 50 1 /18 /11 X7/17/11 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 11 00000057 654335 1135 ECKARD AVE 06 30 14 6 8 0050 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor EXTRA MILE TECH 418 N RACE ST PORT ANGELES (360) 457 0198 Plan Check Fee Valuation Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER Fee summar Permit Fee Total Plan Check Total Grand Total DPI 1 ~i eh I INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS Charged SILnature of owner or Electrical, Contractor X Paid Credited 73 50 73 50 00 00 00 00 73 50 73 50 00 DATE 42,6t t< PERMIT WILL EXPIRE SIX 161 MONTHS FROM LAST INSPECTION Date 1/18/11 ELECT LLC WA 98362 451 $61.5" RESULTS Due Extension 73 50 00 00 00 00 0 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date !iudng urvisionl tectricai Inspections 3 71 East Fifth Street P,0. Box 1150 Port Angeles Washin3ton, 98362 ?11• (36d1417.4'735 NI; 1J60) 411.4711 Ile 1 l r 1 2 Single a:niiy Dwelling Multii muly or ,orlimerciil,: Commercial kd.itron I Alteration !Rein t r�l en2 -iar, Review May 3e Hequrred, Please Con pirre Electrical Pian Review Information Sheet w idina Sgn��re ocuar e r,1 Q• r A) ;weer Inlornrailion .name 5 Y' r� -4 -f. r 5,9 .,1ailirg Address -.L/ i re jAy A- State: Lip r1 G:k 2 'hoe ax: !cense it I E: p. Signature of nwrer. Metrical contractor or elet.rr.al administrator f 0C,u '�1 1'd�lM� ate REC RECEIVE IJAN 14 2011 ELECTRICAL INSPECTIONS Cgqntractor Information Name: ex P2 /t4, T Ec -r4 1 IY I Ctk' Mailing Address: 4T 8 .1 Z a City P it State: Zip: `t re 3 W Z... Phone:,} 5.2A2. Fax: w 1_ki License #1Ex E�Ti q I P Total (Qtv Multiplied by_ )nit Chart ServicelFeeder 200 Amp. S ServicelFeeder 201.400Amp. ServicelFeeder 401.600 Amp, ServicelFeeder 601-1000 Amp. ServicelFeeder over 1000 Amp. Branch Circuit WI Service Feeder S 1S/VD Branch Circuit WIp Service Feeder Each Additional Branch Circuit I Temp. Service) Feeder 200 Amp. Temp. Service /Feeder 201.400 Amp. Temp. ServicelFeeder 401600 Amp. Temp. ServicelFeeder 601.1000 Amp. Portal to Portal Hourly SignIOuUine Lighting Signal Circuit/ limited Energy Commercial. Additional I 01 S Signal Circuit! Limited Energy 1 2 Family Dwelling g w Signal Circuit/ Limited Energy Multi-Family Dwelling S Manufactured Home Connection 0 CreditCardd_ ,;rrl Chart Ii99, x(14 iy ;12 7" :%,1: t. 149 57 iii 38 081.1 n5 56 83 zie Ogg 9 Alter reading the above statement,' hereby cert f y that t am the owner Of the above Chapter propedy 6Bo a licensee n of Port Angeles Municipal Code, and Utility Specifications, in comphnce with the electrical laws N E.C. HOW Chapter 19.28, WAC. p L :ash e ~,.~ "-~ ..-.- 'tiO:c~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32\ EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000932 Date 055000 1135 ECKARD AVE 06-30-14-6-8-0050-0000- ROSEMARY THOMPSON PLUMBING REPAIR 8/09/07 RS7 RESDNTL SINGLE FAMILY 5000 Owner Contractor ROSEMARY S. THOMPSON 1135 ECKARD AVE PORT ANGELES WA 98362 (360) 457-7481 LANDSCAPING BY COCKBURN INC. 4950 SEQUIM-DUNGENESS WAY SEQUIM WA 98382 (360) 681-0132 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT LAWN IRR. DBL-CHK BCKFLW 108720 57.00 Plan Check Fee 8/09/07 Valuation 2/05/08 .00 o Qty Unit Charge Per Extension 50.00 7.00 BASE FEE 1.00 7.0000 ECH PL- EA LAWN BACKFLOW Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .00 .00 /;': //7. o q~ /" ~ ~ %;> Separate Permits are required for electrical work, SEP A, 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 construe' Signature of Owner (if owner is builder) Date es\ll 02 _15 building pennit inspection record05. wpd [1/4/2005] o ---1 CALL 417-48]5 FOR BUILDING INSPECTIONS. CALL 4J7-4735 FOR ELECTRICALlNSPECTIONS. 1 CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES ~ PLEASE PROVIDE A JvllNIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL AN}' WORK BEFORE vJ INSPECTED 4.ND 4.CCEPTED POST PERMIT IN A CONSPICUOUS LOCATJON BUILDING PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. N INSI'ECTlON TYPE DATE ACCEI'TED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDA nON DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLOG) FINAL q /20/07 DATE ~~ GAS LINE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALlJHOLD DOWNS WALLS / ROOF / CEILING f\1 DRYWALL (INTERJOR BRACED PANEL ONLY) () T-BAR INSULATION SLAB WALL / FLOOR / CEILING I MECHANICAL ROUGH-IN HEATPUMY/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE / PELLET I ClflMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HaLO DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: 5" PARKING/LIGHTING ESA: \l LAtlDSCAPING SHORELINE: r!J FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYfUSE - , RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED 0 YES NO T ('b ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL ~ LIGHT DEPT CONSTRUCTION R.W./ PWI CONSTRUCTION - R.w. ENGINEERJNG 417-4807 PW / ENGINEERING CO FIRE 417-4653 FIRE DEPT. R PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING ~ - -- vJ \S1 7\. ~ ~ f T:\Policies\1102 15 bUlldmg penmt mspeclIon record05.wpd [1/412005] Q""- t<.... .~ () 1- q ~'Z--- Official Use Only Ass~Ill.# NAME OF PREMISES: SERVICE ADDRESS: Backtlow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division ') - , -- ? \ 'I ) r 11 ,1 /' (1/ I If ,I '/1 If I{~~ ,t'I!1 R~.:~ivcd ASSEMBLY: LOCA nON OF DEVICE: fA" , L I A f f' , 1/ ;- I{/- . ~ ) I-, f ,:'-1 I ,,~ ') I ~ t. jt Y( ( I ) t -; t f'- ;1' "1/ ;J P t / /, ((AI, _ l/1r.v ~ I 7,,; C I ) Manufacturer Model Size Serial No. /' IS THIS AN APPROVED ASSEMBL Y? YES 0 NO 0 IS ASSEMBL Y INSTALLED CORRECTLY? YES [rN"o 0 DATE OF INSTALLATION C/ -; . ) tt 1 UNKNOWN 0 REDUCED PRESSURE PRINCIPLE ASSEMBLY RP 0 DC D- PVB 0 SVB 0 RPDA 0 DCDA 0 Air Gap 0 AVB 0 DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #1 CHECK VALVE#2 RELIEF VAL VE PVB/SVB Initial Leaked 0 L~aked o Did Not Open 0 AIR INLET Test r Held at ~'psi Closed Tight 0 Held at ~ psi Did Not Open 0 Op~ned at _ psi Opc'ned at _ psi R~pairs Cleaned 0 Cleaned 0 Cleaned 0 CHECK VALVE Leaked 0 Held at _ pSI Replaced 0 Replaced 0 R.:plaeed 0 REPAIRS Ckan.:d 0 Details R.:pla.:.:d 0 3 psi Buffer YES 0 NO 0 T~st ~ ,. Held at ~ psi CI()s~d Tight 0 H~ld at U psi Open~d at _ psi AIR INLET Op~ned at _ psi CHECK VALVE Held at_ psi BACK PRESSURE NO 0 YES 0 Final AIR GAP INSPECTION: REQUIRED MINIMUM SEPARATION: YES 0 NO 0 TYPE OF HAZARD .... /Jitp ,(/ COMMENTS Line Pressure l If, psi I ~I , -- I') )/[/'c::;.f/ ,. t: [,---:~;J .J /" } l.Jt tJ Held Backpr~ssure YES O~O 0/ #2 Shutoff Held ./ YES 0 NO 0 Relief Valve Ex~reised YES 0 NO 0 Date/Time Tester Signature Cert.# Test Kit Passed Failed Initial , Test - ] I I ( J t-i?. '/I! 7 .... ( , 7I--f~'r 11' fJrl- l:. - - El 0 ,~ ) ( Repairs 0 0 Final ..,-):.~ , 1 , 0 0 ) . ,: l r /.. t ,l "\ J1 / - ) ~r, 't (,1/t/J4L. f,- Test ........ WHITE - CUSTOMER COPY YELLOW - PURVEYOR COpy PINK - TESTER COPY -- - -- ----- - -- - - ---------- -l ::tfOl- g3L- Official Use Only Backtlow Assembly Test Report City of Port Angeles Public Works and Utilities Department WaterIWastewater Collection Division Ass<:m.# R<:<:<:iv<:d /~ NAME OF PREMISES: , I JI1AJ L- 1/1 ,..I ) ~ /t / SERVICE ADDRESS: II ., /} / ./ I, 1 , LOCATION OF DEVICE: CC '\ ' I ,~ ,? t- V,- !Y J I~ J) :- ~ . I , ~ , 'I ./ ,'- - ASSEMBLY: ,- L .... .' I / I " 1: ;' / 'v /J /, /(/ Manufacturer Model IS THIS AN APPROVED ASSEMBLY? YES gt\i'o 0 Size J 7) ) Serial No. ~ r J IS ASSEMBL Y INSTALLED CORRECTL Y? YES g-NO 0 DATE OF INSTALLATION) Ct'>- ]o'} UNKNOWND REDUCED PRESSURE PRINCIPLE ASSEMBLY RP 0 DC p.- PVB 0 SVB 0 RPDA 0 DCDA 0 Air Gap 0 AVB 0 DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE#] CHECK VALVE#2 RELIEF VALVE PVB'SVB Initial Leaked 0 Leaked o Did Not Op<:n 0 AIR INLET Test r' Held at ~ psi Closed Tight 0........ Hcld at ~ psi Did Not Open 0 Op<:ned al _ psi Op<:n<:d at __ psi Repairs Cleaned 0 Cleaned 0 Cleaned 0 CHECK VALVE Leaked 0 Held al _ pSI Replaeed 0 Replaced 0 Replaced 0 REPAIRS Clean<:d 0 Delails Repla<:ed 0 3 psi Buffer YES 0 NO 0 Test Held at J. ~ psi Closed Tight 0 Held at I .'1 psi Open<:d al _ psi AIR INLET Opened at _ psi CHECK VALVE Held al_ pSI BACK PRESSURE NO 0 YES 0 Final AIR GAP INSPECTION: REQUIRED MINIMUI'vl SEPARATION: YES 0 NO 0 TYPE OF HAZARD L. /~ ~ ( ..{" COMMENTS Line Pressure 7 (; psi , '- ) T f /} /,1(/) ),C ,( C. , -r E:: /) '1 / /1)) c b Held Ba<:kpressure YES I9/NO 0 #2 Shutoff Held YESD/NO 0 Relief Valve Exercised YES 0 NO 0 Date/Time Tester Signature Cer1.# Test Kit Passed Failed Initial Test 1- )(-.7 ) ". A)l:..( I' t I? ) 11...., , )", ,J" , ,J",'rfll /,//) 1- ,I -; D ...:.- o Repairs o o Final Test - I 7 ~ '\ J 1 >((lfl< .." ..,. ) t ?,~ ,f1.1 'f l1l1/ t1; f. I r~k o WHITE - CUSTOMER COpy YELLOW - PURVEYOR COPY PINK - TESTER COPY I--- LC Landscapes by Cockburn, inC. 4950 Sequim-Dungeness Way Sequim, Wa. 98382 (360) 681-0132 FAX (360) 681-0644 Ibcockburn@qwest.net LANDSC1963DZ Rosemary Thompson 1135 Erckard Road Port Angeles, Wa. 98362 457-7481 1olI:~:~->>:"" /-tf01J- t{ :J-LI- ,~SSS- Proposal UNIT DESCRIPTiON SlZE UNIT AMOUNT PRICE .2000 Sq. Ft of Sod Lawn $ 0.39 $ 780.00 10 Cu Yds of Crushed Rock $ 29.00 $ 290.00 60 Cu yds of Topsoil $ 29.00 $ 1,740.00 200 Trex.lawn Edging $ 1.25 $ 250.00 6 Large Quarry Rock $ 35.00 $ 210.00 324 Windsor Wall Stone $ 1.39 $ 450.36 1 Crabapple 8-10 foot $ 85.00 $ 85.00 2 Japanese Maple 3-4 foot $ 150.00 $ 300.00 12 Hybrid Rhododendrons 21-24" $ 50.00 $ 600.00 12 Dwarf Rhododendron # 2 gallon $ 22.00 $ 264.00 3 Pieris Japonica #5 gallon $ 40.00 $ 120.00 2 Lilacs #5 gallon $ 36.00 $ 72.00 18 Winter Heather #1 gallon $ 9.00 $ 162.00 1 Weeping Norway Spruce 36" $ 150.00 $ 150.00 1 Mugho Pine #2 gallon $. 30.00 $ 30.00 1 Hydrangea #5 gallon $ 36.00 $ 36.00 1 Flowering Plum 8-10' $ 85.00 $ 85.00 ~ )' / / / " 8 Hebe buxifolia #2 gallon $ 25.00 $ 200.00 1 Weeping Japanese Maple 21-24" $ 150.00 $ 150.00 3 Viburnum Spring Bouquet # 5 gallon $ 30.00 $ 90.00 3 Nandina domestica #5 gallon $ 30.00 $ 90.00 5 Tractor Day $ 280.00 $ 1,400.00 5 Crew Labor Day $ 800.00 $ 4,000.00 5 Dump Truck Hours $ 49.00 $ 245.00 1 Misc. $ 150.00 $ 150.00 $ 11,949.36 Sprinkler System $ 5,122.47 Total for Landscaping $ 17,071.83 (A\l RDV\ Buke;r 4\ 1- Y<6<6b -rvr ,V\?~c*-7 0 V\ BUILOlNG PERMlT;" APPLICATION FOR OffiCIAL USE ONLY: Dati: Rea.: ~ - "1-'07 Permit#: 0, - '13 . Date Approved: () 'i> -0'1 - 7 Date fssued: ' , Fill out COMPLETELY and in INK Your application, prescriptive energy form, plans, specs, and a 8 ~" x 11" site plan MUST BE COMPLETE to be accepted for review. (360) 417-4815 FAX (360) 417-4711 Residential projects: submit two sets of plans Commercial projects: submit three sets of plans Owner 6 t-\ I . :).:.~ {J t. Owner's Address I \.~ . 1- -,e,. (1'11\ I..A ~ A~ ContractorlEng~neer t-on~~,- ;?t'~ 10 r [CCkbt.vv,Ji,~ S~ate License # t-AA'Jl"'xSC ~ q ~3~"Z. Expires II /08 ContractorlEngineer's Address '11 S-O .-C"l-'C v"i III - ~Vj\ ('t't,t"'.>J ()'I..\. L("('<'U'" Phone 6<1-/- Of:? 'if ( i/ / -r - PROJECT ADDRESS: ~"",nr '. ZONING: Phone o f?/~O t:s :) (IS 7 .,-? Cirri Phone . LEGAL DESCRIPTION: Lot: Block:' CLALLAM COUNTY PARCEL NUMBER: . Subdivision: SIZENALUATION SF.@$ ISF. = $ SF.@$ /SF. = $ SF. @ $ /SF. = $ TOTAL VALUATION $ ~~ TYPE OF WORK XResidential 0 New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition 0 Move. 0 Garage o Commercial 0 Remodel 0 Demolition 0 Deck ~. Repair 0 Sign XOther ~ BRIEF ~SCRIPTION OF 'l'HF,.?ROJECT: . Lc..(..\) ~ -r: v v ~ ,) C^ t:; en\.; lJ u ~ ~ I,. -cR e ch COMlYIERCIAL/RESIDENTIAL: Occupancy Group: Existing Structure(s) basement Sq. Ft 1 st floor Sq. Ft. 2nd floor Sq. Ft. 3rd floor . Sq. Ft. . Existing Structure(s) TOTAL . Sq. Ft.. Ma.,{1mum Height of Proposed Structure(s) Ft. tsa.LK~ot..v Occupant Load: Construction Type: & Proposed Structure(s) basement Sq. Ft. & 1 sl floor Sq. Ft. & 2nd floor Sq. Ft. & 3rd floor Sq. Ft. & Proposed Structure(s) TOTAL.. Sq. Ft. . TOTAL Sq. Ft. of existing & proposed structures Lot size Sq. Ft. Existing Structure(s) Sq. Ft. Footprint Proposed Structure(s) Sq. Ft. Footprint TOT AL Structure(s) Sq. Ft. Footprint Total Lot Coverage % (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.) VALUATION o FCONSTRUCTION: In all cases, a valu~tion amount must be entered by the applicant. .This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. . PLAN CHECK FEE: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are due at the time of permit issuance. ' EXPIRATION OF PLAN REVIEW: An application for a permit for any proposed wor!( shall be deemed to have been abandoned 180 days afterthe date of filing unless such application has been pursued in good faith or a permit has been.issued;. except thatthebuilding official is authorized to grant one or more extensions oftime for additional periods not exceeding 180 days (90 days for commercial projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (TRC/IBC 2006 105.3.2) I hereby certify that r have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibiC determi what permits are required, and that I must obtain suchpermitspriorto' work.-- . ...... . ..... ...n'. . Date ?Y C;' 0 ., Applicant DIVISION\BldgPermitAppl.-2006 CODE.'(Vpd LOT COVERAGE '~ \!J! CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION "l2\ EAST 5TH STREET. PORT ANGELES. WA 98~62 .. Application Number Application p~n number Property Address ASSESSOR PARCEL NUMBER Appl~cation type description Subdivis~on Name Property Use Property Zoning Application valuation 05-00000635 Date 048025 1135 ECKARD AVE 06-30-14-6-8-0050-0000- RES NEW SFR 3/05/07 RS7 RESDNTL SINGLE FAMILY 144023 Owner Contractor GLENN TERRA INC. 136 E 8TH ST PORT ANGELES (360) 621-9433 Other struct info GLENN-TERRA, INC. 9689 7TH AVE, NE # WA 98362 POULSBO (253) 853 -3535 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 124 WA 983707531 26 40 1. 00 9660.00 2547 00 1 00 ~ \N "\ Permit ELECTRICAL NEW RESIDENTIAL Addit~onal desc Permit pin number 57570 Permit Fee 36 40 Plan Check Fee 00 Issue Date 8/12/05 Valuat~on 0 Exp~ration Date 3/07/07 Qty Unit Charge Per Extension 1 00 36 4000 EC EL-LOW VOLTAGE 36 40 ~\ ~ ~~ Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on (Ord 14 36.050-E) When roof gutters are ~nstalled, dra~ns will located in dry wells or piped to approved storm drain location. No pressurized or pumping to curbs are allowed An inspection by Bu~lding Department is required prior to backfill Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrast~ng color from the background 08/10/2005 09 48 AM SROBERDS -- The proposal is to construct a new s f res w/attached garage and porch for total 27& lot coverage No land use issues are anticipated. $713 Connect fee 07/26/2005 10 44 AM JHEBNER ---------------------------- Electrical perm~ts are required 07/26/2005 10 44 AM JHEBNER ---------------------------- Any modifications to the C~ty's electrical facilit~es will be at the customer's expense. Ditches and 12" culverts will be installed to City Stanards. See Public Works Engineer~ng for Standards Sanitary sewer connection inspection is requ~red by Public Works prIor to back f~ll of ditch Construct dr~veway and S~dewalks to City Standards No concrete w~th exposed aggregate allowed in the C~ty road right of way An inspection by Public Works ~ COMMENTS/ACTION NEEDED '~ YJ!! CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98362 " ~ Application Number . . . . . 05-00000635 Application pin number '. 048025 Page Date 2 3/05/07 Special Notes and Comments Engineering ~s required pr~or to prour~ng concrete Other Fees RES UNDERGRND SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 713 00 745 00 4 50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 36,40 36 40 00 .00 Plan Check Total 00 00 .00 00 Other Fee Total 2487 50 2487 50 00 .00 Grand Total 2523 90 2523 90 00 00 . COMMENTS! ACTION NEEDED , ELECTRICAL PERMIT INSPECTION RECORD (!ALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-II02 1514'961 Application Number Appl1cation p1n number Property Address ASSESSOR PARCEL NUMBER: Applicat10n type description Subdivis10n Name Property Use Property Zon1ng . Applicat10n valuat10n 05-00000635 Date 048025 113 5 ECKARD AVE 06-30-14-6-8-0050-0000- RES NEW SFR RS7 RESDNTL SINGLE FAMILY 144023 Owner Contractor GLENN TERRA INC. 136 E 8TH ST PORT ANGELES (360) 621-9433 Other struct info GLENN-TERRA, INC 9689 7TH AVE, NE WA 98362 POULSBO (253) 853-3535 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 3/27/06 # 124 WA 983707531 Permit Additional desc . Permit pin number Permit Fee Issue Date Exp1ration Date ELECTRICAL NEW RESIDENTIAL EL.SVC/ 2471.SFR 73460 143.20 3/27/06 9/23/06 Plan Check Fee Valuation Qty 1. 00 3.00 Unit Charge Per 73.0000 ECH 23.4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Spec1al Notes and Comments Building address slgn shall not be less than 611 & not'more than 1211 in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are 1nstalled, dra1ns will located 1n dry wells or p1ped to approved storm drain location. No pressur1zed or pumping to curbs are allowed. An inspection by BU1ld1ng Department 1S required prior to backfill. Address numbers shall be pla1nly visible from the street. Address numbers shall be a min1mum of SlX 1nches hlgh and be of contrasting color from the background. 08/10/2005 09:48 AM SROBERDS -- The proposal is to construct a new s.f. res w/attached garage and porch for total 27& lot coverage. No land use issues are ant1cipated. $713 Connect fee 07/26/2005 10 44 AM JHEBNER ---------------------------- Electr1cal perm1ts are required. 07/26/2005 10.44 AM JHEBNER ---------------------------- Any mod1f1cat1ons to the City'S electrical facilities will be at the customer's expense. Dltches and 1211 culverts will be 1nstalled to City Stanards See Publ1C Works Eng1neering for Standards. San1tary sewer connect1on 1nspect1on 1S required by Publ1C Works pr10r to back fill of d1tch Construct driveway and Sldewalks to City Standards. No concrete with exposed aggregate allowed in the C1ty 26 40 1. 00 9660.00 2547.00 1 00 .00 o Extension 73.00 70.20 .. ~ ~ ~~ (\~ ~ ~ ~ ~ .. Applicat10n Number Appl1cat1on p1n number 05-00000635 048025 Page Date 2 3/27/06 Special Notes and Comments road r1ght of way. An 1nspection by Publ1C Works Engineer1ng 1S requ1red pr10r to prouring concrete Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4 50 1025.00 Fee summary Charged Pa1d Cred1ted Due ----------------- ---------- ---------- ---------- ---------- Perm1t Fee Total 143.20 143 20 00 .00 Plan Check Total .00 .00 .00 00 Other Fee Total 1774.50 1774.50 00 00 Grand Total 1917.70 1917.70 .00 .00 " ELECfRICAL PERMIT INSPECfION RECORD OALL 417-4735 FOR ELECTRICAL INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW -II 02 15 (4196) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type descr~pt~on Subdivis~on Name Property Use property Zoning . . . Application valuation Owner GLENN TERRA INC. 136 E 8TH ST PORT ANGELES (360) 621-9433 Other struct info Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 8/12/05 05-00000635 Date 048025 1135 ECKARD AVE T6-30-14-5-4-0560-0005- RES NEW SFR ~ ~ ~ RS7 RESDNTL SINGLE FAMILY 144023 ;=1 NALI3P (Jl..- q !7!tJ? Contractor GLENN-TERRA, INC. 9689 7TH AVE, NE # POULSBO (253) 853-3535 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 124 WA 983707531 26.40 1.00 9660.00 2547.00 1. 00 BUILDING PERMIT -RESIDENTIAL 57547 1269.25 8/12/05 2/08/06 ...- Plan Check Fee valuation 507.70 144023 -- ~\ 45.00 Qty Unit Charge Per BASE FEE 5.6000 THOU BL-100,001-500K (5.60 PER K) Extension 1017.25 252.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 57570 36.40 8/12/05 2/08/06 Plan Check Fee Valuation .00 o ..{1\ , t F' Qty Un~t Charge Per 1.00 36.4000 EC EL-LOW VOLTAGE Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Exp~ration Date Extension 36.40 MECHANICAL PERMIT 57554 108.60 Plan Check Fee 8/12/05 Valuation 2/08/06 - .00 o Qty Un~t Charge Per BASE FEE 1. 00 14.7000 ECH ME- INSTALL 100- FAU 5.00 7.2500 ECH ME-VENT FAN 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 Permit . . . . . Additional desc . Permit pin number Extension 47.00 14.70 36.25 10.65 PLUMBING PERMIT 57562 Separate Permits are required for electncal work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes nu II 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 ordmances governing this type of work Will be complied with whether specified herein or not. The granting of a permIt does not esume to give authonty to violate or cancel the provisions of any state or local law regulating construction or the performance of c stru ion. ' s Signature of Owner (If owner is builder) T \Pohcles\1102_15 bUlldIngpenmt InspectIOn record05 wpd [1/4/2005] f t'ORT ~ J'~O~~~ ~.. it .:!II ....~ ~ 'l.8i:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Permit Fee Issue Date Expiration Date Page 05-00000635 Date 048025 153.00 Plan Check Fee 8/12/05 Valuation 2/08/06 2 8/12/05 .00 o 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 Extension 47.00 77.00 7.00 15.00 7.00 Special Notes and Comments Building address s~gn shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. lOrd. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain location. No pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. 08/10/2005 09:48 AM SROBERDS -- The proposal is to construct a new s.f. res w/attached garage and porch for total 27& lot coverage. No land use issues are anticipated. $713 Connect fee 07/26/2005 10:44 AM JHEBNER ---------------------------- Electr~cal permits are required. 07/26/2005 10:44 AM JHEBNER ---------------------------- Any modifications to the City'S electrical facilities will be at the customer's expense. Ditches and 12" culverts will be installed to City Stanards. See Public Works Engineering for Standards. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1567.25 1567.25 .00 .00 Plan Check Total 507.70 507.70 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 3849.45 3849.45 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes nu II 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 IPohcleslll02_15 bUlldmgpenmt mspectlOn record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD 0-5- cO 3 5 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO /!o 114 3/th j()(p JlV FOUNDATION. FOOTINGS I tlJ-''''.n. r;. ~\ LL WALLS 10 - :2().o...r::; .\ L 1. r \);2l.IW~ l1Il ~ \ "'~-6) ~ FOUNDATION DRAINAGE/DOWNSPOUTS !1/3/or -~~ PIERS POST HOLES (POLE BLDGS ) PLUMBING r-/~A-L.:l:5o Ojl,lo~ UNDER FLOOR 1 SLAB " ROUGH-IN '~/~/Ob J0 WATER LINE (METER TO BLDG) OS IS: 10e, rr/ GAS LINE BACK FLOW 1 WATER AIR SEAL r , 1 WALLS Iq.,/~ Irth 11,...) CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS / I WALLS / ROOF / CEILING I~/~/Ov Jtu DRYWALL (INTERIOR BRACED PANEL ONLY) , T-BAR INSULATION SLAB I WALL 1 FLOOR 1 CEILING j / '+10& I 7 "t , MECHANICAL lfw-~.~- ~/Yi,!O~ ~ HEAT PUNWI FURNACE 1 DUCTS GAS LINE rtIJltl.:/fp qft!fJC:> ~ WOOD STOVE / PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA P ARKING/LIGHTING ESA LANDSCAPING SHORELINE' FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTIONR WI PWI CONSTRUCTION - R W ENGINEERING 4 I 7-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 J J PLANNING DEPT. BUILDING 417-4815 Q/7/0C, ~ BUILDING 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 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 ~ ~ ~ ~ '-S\ vJ Z~ ! ~~ ~ ~ T \Pollcles\1 102_15 bUlldmg pennlt mspectlOn record05.wpd [1/4/2005] PREPARED 9/0-7/ 06,- 11.10 06 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY 5 9/07/06 PAGE DATE 1135 ECKARD AVE GLENN-TERRA, INC. GLENN TERRA INC 06-30-14-6-8-0050-0000- 05-00000635 RES NEW SFR SUBDIV PHONE (253) 853-3535 PHONE, (360) 621-9433 TYP/SQ REQUESTED COMPLETED INSP RESULT BL3 02 5/02/06 JLL 5/03/06 AP BLI 01 5/04/06 JLL 5/04/06 AP BL99 01 9/07/06 + " DESCRIPTION RESULTS/COMMENTS top plate/] 11 BUILDING FRAMING ANDY360-621-9433 05/01/2006 03,42 PM 05/03/2006 08 33 AM BUILDING INSULATION 05/03/2006 02 30 PM ANDY 360-621-9433 05/04/2006 04,39 PM BUILDING FINAL TIME 09/06/2006 01 41 PM SHAWN 360-621-9786 LATE AFTERNOON IF POSSIBLE TIME 13 00 DYASUMUR --------------------------- JLIERLY ---------------------------- TIME' 13 00 DYASUMUR --------------------------- JLIERLY ---------------------------- 16 00 DYASUMUR PERMIT, ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS MECHANICAL ROUGH-IN ANDY 360-621-9433 04/27/2006 09 55 AM DYASUMUR --------------------------- 04/28/2006 04 06 PM JLIERLY ---------------------------- 9/07/06 ~ MECHANICAL FINAL TIME 13 00 _I 09/06/2006 03 55 PM DYASUMUR --------------------------- --------------~------- - ---------------------------------~----------------------------------- PLUMBING ROUGH-IN TIME 13 00 03/29/2006 04 12 PM DYASUMUR PAUL @ 460-8896 03/31/2006 12 05 PM PLUMBING WATER SUPPLY 05/05/2006 08.10 AM GREG 477-1862 05/05/2006 04 36 PM JLIERLY ---------------------------- PL99 01 9/07/06 JLL PLUMBING FINAL TIME, 13'00 ______________~~_____~---:~~::~2:::ME::S5~DP:OT::A~~~_~~~~~~~~~~~~~~~~~~~~~~~~~~~_____ MEl 4/28/06 4/28/06 JLL AP 01 ME99 01 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT PL2 3/30/06 3/31/06 JLL AP 01 PL6 5/05/06 5/05/06 JLL AP 01 TIME. 13 '00 DESCRIPTION RESULTS/COMMENTS JLIERLY ---------------------------- TIME 13 00 DYASUMUR --------------------------- v PREPARED 5/05/06, 12:14 46 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR. JAMES L LIERLY PAGE DATE 7 5/05/06 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1135 ECKARD AVE GLENN-TERRA, INC. GLENN TERRA INC 06-30-14-6-8-0050-0000- 05-00000635 RES NEW SFR SUBDIV. PHONE (253) 853-3535 PHONE: (360) 621-9433 PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 3/30/06 JLL 3/31/06 AP PLUMBING ROUGH-IN TIME. 13:00 03/29/2006 04.12 PM DYASUMUR PAUL @ 460-8896 03/31/2006 12:05 PM PLUMBING WATER SUPPLY 05/05/2006 08 10 AM GREG 477-1862 JLIERLY ---------------------------- TIME: 13:00 DYASUMUR --------------------------- PL6 01 ~~ -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 5/04/06, 13 09 34 CITY OF PORT ANGELES -INSPECTIbN--'nCKE~ INSPECTOR JAMES L LIERLY PAGE DATE 2 5/04/06 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER: 1135 ECKARD AVE GLENN-TERRA, INC GLENN TERRA INC 06-30-14-6-8-0050-0000- 05-00000635 RES NEW SFR SUBDIV- PHONE PHONE (253) 853-3535 (360) 621-9433 TYP/SQ REQUESTED COMPLETED INSP RESULT DESCRIPTION RESULTS/COMMENTS top plate/) 11 BUILDING FRAMING ANDY360-621-9433 05/01/2006 03-42 PM 05/03/2006 08:33 AM BLI 01 ~O /0,6 +GJLL BUILDING INSULATION 05/03/2006 02:30 PM ANDY 360-621-9433 -------------------------------------- COMMENTS AND NOTES -------------------------------------- BL3 02 5/02/06 5/03/06 JLL AP TIME 13 _ 00 DYASUMUR --------------------------- JLIERLY ---------------------------- TIME 13 00 DYASUMUR --------------------------- PREPAR~5102/06, 13,15 25 CITY OF PORT ANGELES ~ fNSPEtT~fON - ffcKET- INSPECTOR JAMES L LIERLY PAGE DATE 5 5/02/06 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1135 ECKARD AVE GLENN-TERRA, INC GLENN TERRA INC 06-30-14-6-8-0050-0000- 05-00000635 RES NEW SFR SUBDIV PHONE PHONE (253) 853-3535 (360) 621-9433 TYP/SQ REQUESTED COMPLETED INSP RESULT DESCRIPTION RESULTS/COMMENTS top platelJ 11 BL3 02 ~2/;06 ~L BUILDING FRAMING ~ ANDY360-621-9433 05/01/2006 03-42 PM DYASUMUR --------------------------- -------------------------~ -------------------~------------------------------------------------- TIME 13 00 PERMIT: ELNR 01 ELECTRICAL NEW RESIDENTIAL SUB. ELECTRIC SERVICE REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS (360)452-6424 ELI 01 4/20/06 ACO ELECTRICAL ROUGH - IN TIME 17'00 4/20/06 AP 04/20/2006 02:59 PM AOMAN ------------------------------ 04/20/2006 03,00 PM AOMAN ------------------------------ EL3 01 4/20/06 ACO ELECTRICAL UNDERGROUND TIME: 17:00 4/20/06 AP 04/20/2006 02 59 PM AOMAN ------------------------------ 04/20/2006 03 00 PM AOMAN ------------------------------ EL5 01 4/20/06 ACO ELECTRICAL SERVICE TIME: 17 00 4/20/06 AP 04/20/2006 02:59 PM AOMAN ------------------------------ 04/20/2006 03,00 PM AOMAN ------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME1 01 4/28/06 4/28/06 JLL AP MECHANICAL ROUGH-IN TIME: 13 00 ANDY 360-621-9433 04/27/2006 09,55 AM DYASUMUR --------------------------- 04/28/2006 04,06 PM JLIERLY ---------------------------- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 3/30/06 3/31/06 JLL AP PLUMBING ROUGH-IN TIME 13 00 03/29/2006 04:12 PM DYASUMUR PAUL @ 460-8896 03/31/2006 12 05 PM JLIERLY ---------------------------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- BUILDING DIVISION A~I CITY OF PORT ANGELES * * Job Located at JJ.5 s:- Correction Notice ~4?ofl Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: * 1-l A-./ ~ ~ 1f.~/~ ~~c-y_ ~ hlLE f6[z,c,1L (1k~tr "'- tiJJ ~~ CFf) These corrections must be made and are not to be covered until reinspection is mad . Whe corrections have been made, please call for inspect'on. Date 3r Inspector for Building Dlvision--.J DO NOT REMOVE THIS TAG PREPARED 4/28/06, 12 15 31 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER. INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 4/28/06 1135 ECKARD AVE GLENN-TERRA, INC GLENN TERRA INC 06-30-14-6-8-0050-0000- 05-00000635 RES NEW SFR (253) 853-3535 (360) 621-9433 SUBDIV PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 10/13/05 JLL 10/13/05 AP BI2 01 10/20/05 JLL 10/20/05 AP BLFD 01 10/31/05 JLL 11/01/05 AP DRW 01 10/31/05 JLL 11/01/05 AP DSD 01 10/31/05 JLL 11/01/05 AP BLFD 02 11/04/05 JLL 11/04/05 AP DRW 02 11/04/05 JLL 11/04/05 AP DSD 02 11/04/05 JLL 11/04/05 AP BL9 01 3/10/06 JLL 3/10/06 DA BL9 02 3/16/06 JLL 3/16/06 AP BAIR 01 ~~ ~~ BL3 01 BUILDING FOUNDATION FOOTING 10/13/2005 08 03 AM PBARTHOL --------------------------- ROD 10/13/2005 12 55 PM PBARTHOL --------------------------- 10/13/2005 01 05 PM PBARTHOL --------------------------- 20 'ground rod ok BUILDING FOUNDATION WALL TIME. 09,00 10/19/2005 03,51 PM PBARTHOL 908-5510 MORNING PREPOUR INSPECTION BY 9 00 A.M. 10/20/2005 11,44 AM PBARTHOL --------------------------- BUILDING FOUNDATION DRAINAGE 10/31/2005 07,52 AM PBARTHOL --------------------------- gary 460-6807 11/01/2005 12,41 PM BUILDING DRYWELL 10/31/2005 07 51 AM PBARTHOL --------------------------- 11/01/2005 12 41 PM JLIERLY ---------------------------- BUILDING DOWN SPOUT DRAINS 10/31/2005 07 51 AM PBARTHOL --------------------------- 11/01/2005 12 41 PM JLIERLY ---------------------------- BUILDING FOUNDATION DRAINAGE 11/03/2005 04,54 PM PBARTHOL --------------------------- 11/04/2005 08,19 AM PBARTHOL --------------------------- BUILDING DRYWELL 11/03/2005 04,54 PM PBARTHOL --------------------------- 11/04/2005 08,19 AM PBARTHOL --------------------------- BUILDING DOWN SPOUT DRAINS 11/03/2005 04.54 PM PBARTHOL --------------------------- 11/04/2005 08 19 AM PBARTHOL --------------------------- BUILDING SHEARWALL TIME 13 00 03/09/2006 02 08 PM DYASUMUR --------------------------- ANDY 621-9433 03/10/2006 04 53 PM PBARTHOL --------------------------- HD GALV IN MUD SILL ALONG ENTRY WALL CHECK OTHERS MISSED NAILING EAST OF BAY WINDOW BLOCK AND NAIL AT STRAP NW CORNER CORRECT MISSING NAILING ALONG BOTTOM PLATE SEAM. BUILDING SHEARWALL TIME 13,00 03/15/2006 03,36 PM DYASUMUR --------------------------- ANDY 03/16/2006 04 09 BUILDING AIR SEAL ANDY 360-621-9433 04/27/2006 09 42 BUILDING FRAMING 04/27/2006 09,43 ANDY 360-621-9433 JLIERLY ---------------------------- PM JLIERLY ---------------------------- TIME 13 00 ~ \ ~ AM DYASUMUR TIME 13 00 AM DYASUMUR PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PREPARED 4/28/06, 12 15 31 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 3 4/28/06 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1135 ECKARD AVE GLENN-TERRA, INC GLENN TERRA INC 06-30-14-6-8-0050-0000- 05-00000635 RES NEW SFR SUBDIV PHONE (253) 853-3535 PHONE. (360) 621-9433 TYP/SQ REQUESTED COMPLETED INSP RESULT DESCRIPTION RESULTS/COMMENTS MEl 01 ~~ MECHANICAL ROUGH-IN TIME 13 00 ANDY 360-621-9433 04/27/2006 09 55 AM DYASUMUR --------------------------- -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 3/30/06, 12:23 36 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER: 1135 ECKARD AVE GLENN-TERRA, INC GLENN TERRA INC 06-30-14-6-8-0050-0000- 05-00000635 RES NEW SFR PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP TYP/SQ COMPLETED RESULT PL2 ~~ 01 SUBDIV PHONE (253) 853-3535 PHONE : (360) 621- 9433 DESCRIPTION RESULTS/COMMENTS PLUMBING ROUGH-IN TIME 13:00 03/29/2006 04 12 PM DYASUMUR PAUL @ 460-8896 PAGE DATE 1 3/30/06 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 3/16/06, 13:45 39 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 2 3/16/06 1135 ECKARD AVE GLENN-TERRA, INC GLENN TERRA INC 06-30-14-6-8-0050-0000- 05-00000635 RES NEW SFR (253) 853-3535 (360) 621-9433 SUBDIV PHONE PHONE PERJ4IT: BPR 00 BUILDING PERJ4IT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 10/13/05 JLL 10/13/05 AP BI2 01 10/20/05 JLL 10/20/05 AP BLFD 01 10/31/05 JLL 11/01/05 AP DRW 01 10/31/05 JLL 11/01/05 AP DSD 01 10/31/05 JLL 11/01/05 AP BLFD 02 11/04/05 JLL 11/04/05 AP DRW 02 11/04/05 JLL 11/04/05 AP DSD 02 11/04/05 JLL 11/04/05 AP BL9 01 3/10/06 JLL 3/10/06 DA BL9 02 ~1tfL BUILDING FOUNDATION FOOTING 10/13/2005 08 03 AM PBARTHOL --------------------------- ROD 10/13/2005 12 55 PM PBARTHOL --------------------------- 10/13/2005 01 05 PM PBARTHOL ----------------------_____ 20 'ground rod ok BUILDING FOUNDATION WALL TIME: 09 00 10/19/2005 03 51 PM PBARTHOL 908-5510 MORNING PREPOUR INSPECTION BY 9:00 A M 10/20/2005 11 44 AM PBARTHOL -----------------------____ BUILDING FOUNDATION DRAINAGE 10/31/2005 07.52 AM PBARTHOL --------------------------- gary 460-6807 11/01/2005 12:41 PM JLIERLY ---------------------------- BUILDING DRYWELL 10/31/2005 07:51 AM PBARTHOL --------------------------- 11/01/2005 12:41 PM JLIERLY ---------------------------- BUILDING DOWN SPOUT DRAINS 10/31/2005 07.51 AM PBARTHOL --------------------------- 11/01/2005 12'41 PM JLIERLY ---------------------------- BUILDING FOUNDATION DRAINAGE 11/03/2005 04 54 PM PBARTHOL --------------------------- 11/04/2005 08 19 AM PBARTHOL --------------------------- BUILDING DRYWELL 11/03/2005 04 54 PM PBARTHOL --------------------------- 11/04/2005 08 19 AM PBARTHOL --------------------------- BUILDING DOWN SPOUT DRAINS 11/03/2005 04 54 PM PBARTHOL --------------------------- 11/04/2005 08 19 AM PBARTHOL --------------------------- BUILDING SHEARWALL TIME: 13:00 03/09/2006 02 08 PM DYASUMUR --------------------------- ANDY 621-9433 03/10/2006 04 53 PM PBARTHOL --------------------------- HD GALV. IN MUD SILL ALONG ENTRY WALL CHECK OTHERS MISSED NAILING EAST OF BAY WINDOW BLOCK AND NAIL AT STRAP NW CORNER CORRECT MISSING NAILING ALONG BOTTOM PLATE SEAM. BUILDING SHEARWALL TIME 13:00 03/15/2006 03:36 PM DYASUMUR --------------------------- ANDY -------------------------------------- COMMENTS AND NOTES -------------------------------------- ... PREPARED 3/10/06, 12.59.28 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER, INSPECTION TICKET INSPECTOR. JAMES L LIERLY PAGE DATE 3 3/10/06 1135 ECKARD AVE GLENN-TERRA, INC GLENN TERRA INC 06-30-14-6-8-0050-0000- 05-00000635 RES NEW SFR (253) 853-3535 (360) 621-9433 SUBDIV PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING FOUNDATION FOOTING 10/13/2005 08 03 AM PBARTHOL --------------------------- ROD 10/13/2005 12.55 PM PBARTHOL --------------------------- 10/13/2005 01 05 PM PBARTHOL --------------------------- 20 'ground rod ok BUILDING FOUNDATION WALL TIME, 09 00 10/19/2005 03.51 PM PBARTHOL 908-5510 MORNING PREPOUR INSPECTION BY 9,00 A M 10/20/2005 11 44 AM PBARTHOL --------------------------- BUILDING FOUNDATION DRAINAGE 10/31/2005 07 52 AM PBARTHOL --------------------------- gary 460-6807 11/01/2005 12 41 PM BUILDING DRYWELL 10/31/2005 07 51 AM PBARTHOL --------------------------- 11/01/2005 12 41 PM JLIERLY ---------------------------- BUILDING DOWN SPOUT DRAINS 10/31/2005 07 51 AM PBARTHOL --------------------------- 11/01/2005 12,41 PM JLIERLY ---------------------------- BUILDING FOUNDATION DRAINAGE 11/03/2005 04 54 PM PBARTHOL --------------------------- 11/04/2005 08.19 AM PBARTHOL --------------------------- BUILDING DRYWELL 11/03/2005 04,54 PM PBARTHOL --------------------------- 11/04/2005 08,19 AM PBARTHOL --------------------------- BUILDING DOWN SPOUT DRAINS 11/03/2005 04,54 PM PBARTHOL --------------------------- 11/04/2005 08,19 AM PBARTHOL --------------------------- BL9 01 3/r/10/ 6 JLL BUILDING SHEARWALL TIME 13'00 ~~ 03/09/2006 02,08 PM DYASUMUR --------------------------- ANDY 621-9433 -------------------------------------- COMMENTS AND NOTES -------------------------------------- BL1 10/13/05 10/13/05 JLL AP 01 BI2 01 10/20/05 JLL 10/20/05 AP BLFD 01 10/31/05 JLL 11/01/05 AP DRW 01 10/31/05 JLL 11/01/05 AP DSD 01 10/31/05 JLL 11/01/05 AP BLFD 02 11/04/05 JLL 11/04/05 AP DRW 02 11/04/05 JLL 11/04/05 AP DSD 02 11/04/05 JLL 11/04/05 AP JLIERLY ---------------------------- /hJ 6PhVi!jkwJ ~'fA- - ~'1' /JItSf'j NIJ1":J /4t;r <,),H- oF 87 &uti? ~ i/Jit.- e S'rV'-I ;J J tuw-- .... ~t- g~_ Cd /JUtr 1Ut~ fI'J N * {..JI./; A-z--IJ P '7 .~ 1JI7 ~ ., ~, .' "'"'l00'''_. ~__-....---..+' BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice Job L~cated at / / 3 " L e..,kM-b . . Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: l/t) r; I't-U/ //1-/ ~s:.<:lfiCf. 7;2:V! 7e:/) ~ - C#€t::J( ;11{/o S/'~~ A//'1-/~/'A~9 PijoA/f ) - kA-/T/ZV - / f11rs~ /AJt; A/A/ul-tlt} , , &"57 S; /)'i.. 0 pC 31'1 j) Ct) /t'V Da, /' 'Pt-od/p/? er~L- /IT 5172n--,o aA/ )..Iv/' 4Ae. ~f/cr:d ~ (/;JC~t:t?-T MIS)IIf/f ~Utv<' (l BOTTOM t1p1"i& . / S~ These corrections must be made and are not to be covered until reinspection is ma, e. Wh n csu:rections have been made, please call for inspection. Date ;If?- Inspector for Building DIvision DO NOT REMOVE THIS TAG PREPARED 11/03/05, 16 58.55 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER INSPECTION TICKET---- INSPECTOR' JAMES L LIERLY - PAGE DATE 1 11/04/05 1135 ECKARD AVE GLENN-TERRA, INC GLENN TERRA INC 06-30-14-6-8-0050-0000- 05-00000635 RES NEW SFR (253) 853-3535 (360) 621-9433 SUBDIV: PHONE PHONE PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 10/13/05 10/13/05 JLL AP BI2 01 10/20/05 JLL 10/20/05 AP BLFD 01 10/31/05 JLL 11/01/05 AP DRW 01 10/31/05 JLL 11/01/05 AP DSD 01 10/31/05 JLL 11/01/05 AP BLFD 02 5 ~ DRW 02 5 ~ DSD 02 BUILDING FOUNDATION FOOTING 10/13/2005 08:03 AM PBARTHOL --------------------------- ROD 10/13/2005 12.55 PM PBARTHOL --------------------------- 10/13/2005 01:05 PM PBARTHOL --------------------------- 20 'ground rod ok BUILDING FOUNDATION WALL TIME 09:00 10/19/2005 03:51 PM PBARTHOL 908-5510 MORNING PREPOUR INSPECTION BY 9 00 A M 10/20/2005 11 44 AM PBARTHOL --------------------------- BUILDING FOUNDATION DRAINAGE 10/31/2005 07 52 AM PBARTHOL --------------------------- gary 460-6807 11/01/2005 12 41 PM JLIERLY ---------------------------- BUILDING DRYWELL 10/31/2005 07 51 AM PBARTHOL --------------------------- 11/01/2005 12 41 PM JLIERLY ---------------------------- BUILDING DOWN SPOUT DRAINS 10/31/2005 07 51 AM PBARTHOL --------------------------- 11/01/2005 12.41 PM JLIERLY ---------------------------- BUILDING FOUNDATION DRAINAGE 11/03/2005 04'54 PM PBARTHOL --------------------------- BUILDING DRYWELL 11/03/2005 04:54 PM PBARTHOL --------------------------- BUILDING DOWN SPOUT DRAINS 11/03/2005 04:54 PM PBARTHOL --------------------------- ----------- -------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 10/31/05, 14.07 14 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . APPL NUMBER. INSPECTION TICKET INSPECTOR JAMES L LIERLY 1135 ECKARD AVE GLENN-TERRA, INC GLENN TERRA INC T6-30-14-5-4-0560-0005- 05-00000635 RES NEW SFR SUBDIV PHONE (253) 853-3535 PHONE: (360) 621-9433 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 BI2 01 BLFD 01 DRW 01 DSD 01 10/13/05 JLL 10/13/05 AP 10/20/05 JLL 10/20/05 AP 10/31/f5 __ JLL IO~'\' ~ ~f' 10/31/05 \\ 10/31/05 . '" 'IN') -M-- ~f' BUILDING FOUNDATION FOOTING 10/13/2005 08.03 AM PBARTHOL ROD 10/13/2005 12 55 PM PBARTHOL 10/13/2005 01.05 PM PBARTHOL 20 'ground rod ok BUILDING FOUNDATION WALL TIME: 10/19/2005 03 51 PM PBARTHOL 908-5510 MORNING PREPOUR INSPECTION BY 9 10/20/2005 11 44 AM PBARTHOL BUILDING FOUNDATION DRAINAGE 10/31/2005 07'52 AM PBARTHOL gary 460-6807 BUILDING DRYWELL 10/31/2005 07:51 AM PBARTHOL BUILDING DOWN SPOUT DRAINS 10/31/2005 07 51 AM PBARTHOL 09 00 00 A M PAGE DATE 3 10/31/05 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 10/20/05, 11 28 30 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR' JAMES L LIERLY PAGE DATE 12 10/20/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER, 1135 ECKARD AVE GLENN-TERRA, INC GLENN TERRA INC T6-30-14-5-4-0560-0005- 05-00000635 RES NEW SFR SUBDIV PHONE PHONE (253) 853-3535 (360) 621-9433 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 10/13/05 10/13/05 JLL AP BI2 01 ~ ~/.- ~ BUILDING FOUNDATION FOOTING 10/13/2005 08,03 AM PBARTHOL --------------------------- ROD 10/13/2005 12,55 PM PBARTHOL --------------------------- 10/13/2005 01'05 PM PBARTHOL --------------------------- 20 'ground rod ok BUILDING FOUNDATION WALL TIME. 09 00 10/19/2005 03.51 PM PBARTHOL 908-5510 MORNING PREPOUR INSPECTION BY 9,00 A M -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 10/13/05, 12:39 12 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR JAMES L LIERLY PAGE DATE 7 10/13/05 ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 1135 ECKARD AVE GLENN-TERRA, INC. GLENN TERRA INC T6-30-14-5-4-0560-0005- 05-00000635 RES NEW SFR SUBDIV PHONE (253) 853-3535 PHONE . (360) 621-9433 PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 . r...0t:~f5 _ JLL ~ Art> BUILDING FOUNDATION FOOTING 10/13/2005 08 03 AM PBARTHOL --------------------------- ROD -------------------------------------- COMMENTS AND NOTES -------------------------------------- \ -zo Gt i2-c0lltCJ :t:?'"\...J.. ~~~ .' BUILDING PERMIT.. APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BrtL'~ COMPLETE to be accepted for review. Hyou have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 FOR OFFICIAL USE ONLY $ Date Rec - - Pel111lt # - JJ. Date Approved ~!. 6 ,Date Issued' A ~. G.?Z.l .. ~~ l...E:1..L.- ApphcantorAgent: #;t\l:>~ M .~~t? Phone: ~. 'Sld=::,. cOt~ Owner ~N" \~ :::+:tiC- Phone: 8'=0. ~Oloo Address: \Oto = cc,-m 5T ...,..ZZ~ C1ty'_~ ~ zIp,--.:iE;S"Z ArchItectJEl1glleer: ~ l=tAN ~l t.;E., Phone: :z~. ~..? \ Contracto~\.l.~::tH.c. Stat~~#-:r"X. ~AAExp.e \ ()~ P~ ~t..q4~ Address: \"% e. e41\ 5r ~ 2Z-=3 CIty. ~ AN ~ ZIp: 4~~ Z PROJECT ADDRESS:-1} ~ ~~ ~ LEGAL DESCRfilnON: Lot' . 'E:=> Block: CLALLAM COUNTY PARCEL NUMBER: ZONING: SubdIVISIOn: a::-~ ~,~.~.~.,O"~ \..l.el6rK=r~ Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # Tl7J'E OF WORK: ~ ReSIdentIal )( New Constr. 0 Re-roof o MultI-family 0 AddItIOn 0 Move o CommerCIal 0 Remodel 0 Demolition o Reparr 0 SIgn BRIEF DESCRIPTION OF THE PROJECT: City: Exp. Date: SIZEN ALUATION: o Stove ~SF @$1tPC:; /SF.=$JZQ,770 ~ Gara~ .. ~SF @$~l.?~ /SF.=$ [g.~41 14 ~ INt.M 1''' SF. @$ \1.00 /SF = $ ~ I ~ o Other TOTAL VALUATION $ ~44 01-~ YJ -e t-O S F r( COMMERClALIRESIDENTIAL: Occupancy Group:_~- ? No ofStones.l Lot-Size:~ EXlShn~q. Ft Total lot coverage · '2.1 % q~ q1 Occupant Load' Construction Type' \J N & Proposed Sq. Ft. Z~ = TOTAL Sq. Ft. 2~ L \64=t-;- &:'2.4 +::fG:, ESAlWetland(s): 0 Yes 0 No SEPA Checklist requrred? 0 Yes 0 No Other: APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applIcant. Tlns figure WIll be reVIewed and may be revised by the Buildrng DlVlslOn to comply with current fee schedules. Contact the PermIt Coordrnator at 417-4815 for assistance. PLAN CHECK FEE' IF a plan check fee IS due It must he subDJltted at the hIDe the bmldrng permit application and construction plans are subnntted All other peIIDlt fees are due at the hIDe of peIIDlt issuance EXPIRATION OF PLAN REVIEW: Ifno peIIDlt IS Issued WIthrn 180 days of the date of applIcatIOn, the application will expire. The Buildrng Official can extend the trme for action by the applicant up to 180 days upon wntten request by the applIcant (see SectIOn R105.3.2 of the InternatIOnal Buildrng/ResIdentlal Code, 2003). No applIcation can be extended more than once. I hereby certify that I have read and understand that it IS my responsibilit to mmed this application and know the same to be true and correct. I am authorized to apply for this permit and termm what e e required ,not the City's, and that I must obtam such permits pnor to work. Date:~ T \Pohcles\BL-ll02_13 wpd 1 N e>4- ,- . I It\ N I - t~- I u 1'1 54 I ~ ~\~r ~ t \S4f t# I , ...- 's . I ...., ...... , ..... , I I . . , . ~ ~~ ~{i # ~. z-4- ~ -...- ~ . ~ - - N \!'\ .. :t' - / I I 4" I . c., I ~' z., _ i f 8t_~ 1.cr6 l\~o a:~ Me. ...10 I .~ II l~T ..---------....---- S7..10f" . ..er " R '" .. .- II , r'- -, r- -.,.s " . 5 7 8- . ~I~ ~.~~ ~~~ ~1~1 L" amD "L' Q.iED L (ifIID L' Q!@ L<::i1ID,~ [ PIn) --. '- --' '- -. -..-.J L =-.J " 8;" 10. 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LA.'lO SlJl1l'l\!'YlJIf BY ~ STAlE: or WASliINl11QY, CERTJFY 1NM THJS UHD 5l1!0'lo1~ IS SAsro G!t" ~.., ACWA!. ~y or 1UE t.AYD DESC.'lIWED JltRa14 CQVOfJCTf'D BY ItE' ~ t/Ioo"lMR ...... SIJI'fR""src.Y: AN) DCClA"E: 11-'.1. T 1Ht: D.'STANCl!i, aJ.'.A'l.."E"S NI!J Al'1Q.ES ~Rf. Sli'OIW HeREIllI a:f".m::Cn.~ A'1!) 1Jt..tr Ir........n~..... _____ _._.~ _.___ ____ 2 -f I I . -_-1 1! o:"l!'rI'W f.. , . L I . J ME 1'1 " jIIA11(' A.\4 f: ~!I2'U.! fl r~.m-:--: . tlW a& see. r4 ff (e.c.cr. 'IJIlllJ_Sl'. 1:1" f'CI1.t<<J (il'.IiHJ 1I'CI'4'~ C(Sl:l!\3Et) W ~"\I!' RQOOltr q, r.Q/J ~ ... 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Ar En PI.(. iN ~(lMt ~ OF PLUS AT lh'E KClIfSr M zrftWC .t ,4ssmA~~ ,.., CASCADE RESIDENTIAL DESIGN INC. 102 S 26th Street Tacoma, WA 98402 253.284.3170 Fax 253.284.3183 June 29,2005 Attn: Port Angeles Building Department Building Site: 1135 Eckard Ave. Port Angeles, WA 98362 Glenn-Terra Homes is authorized to construct our plan # 1847R/2A for a single use on the site address referenced above, based on the criteria In the accompanying construction documents and calculations. Any, revisions or alterations must be authorized by Cascade Residential Design, Inc. prior to commencing work. , . [EXPIRES: ~ -)...07] Mark Myers, P.E. Project Engineer Sincerely, . . . Prescriptive Approach - Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 Site Information Building Department Use Only Lot. Permit #: Notes: Fax: l , > ~ ,( !, , t~ ~ , '0 .l- " +~ - ,', ~-- OptIOn Glazmg ArealO % of Floor Table 6-1 PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazmg 0 tion Only) Door9 U- Vertical Overheadll factor Glazmg U-Factor 058 Vaulted Ceiling3 Wall Above Grade Wall Int4 Below Grade Wall Ext4 Below Grade FloorS Slab4 On Grade ill UnlimIted Group R- 3 Occupancy Onl 040 0.20 R-30 ~ R-21 R-IO R-IO See the code text for footnote references roject complies with the following: The project is a single family residence ()l"'JufJld. The project IS wood frame OR all of the insulation is intenor or extenor of the framing All bUilding components meet the reqUIrements listed in Table 6-1, Option III The project will meet all other provIsions of the WSEC and VIAQ The project will take advantage of the following exceptions to the prescriptive option: o 602 6 Exception 1. One door, that IS 24 ft 2 or less, that does not meet the standards IS allowed Location of the door taking thiS exception o 6026 Exception 2 Doors With a U-factor of 0 40 allowed without calculations, Option III only Location of the door(s) taking thiS exception T)"pe:. DF t-h~ A t- SouTLC'...E'" ? m~ Aw.. ~~lG Tho"PArNe.. ti ~ COPYright 2002, WSUCEEP02-056 Copied by permission from the Washington State University Extension Energy Program Prescnptlve - Simple Form - Climate Zone 1 7/26/2004 -~ Lonuactor .,~ o Owner ~ ELECTRICAL WORK PERMIT APPLICATION o Request Inspection' o AnDual :Permit 0 Alarm 0 Cnnlval 0 Commercial 0 ResidellUal Cl Residential Mnint. 0 Sie.ns 0 Tbermoiltat a Telll!eom. Job ",ired by ~al Contractor o Owner ~_v......, License number ~,-\t,C,SI 1'3 ~ \?L/ Telephone number.. 4 )",--<..~"-'i Prelll15u ('.;&(S na~ \.r.-. ,..........-" Address ot inspection 1\3) ~~,'\.'t.t:I City 'P Il -~-(.'..." r hereby certify U1at I am (bo QWller of the Above named property Qr :a liccnsed electrical concractor (or the firm's authQrized agenC) and am mal;ng the electrical installation or alteration in compliance with the etectricallaw, Chapter 19.28 RCW. Sie:niture r'jnerl .91/5iC31 connaclor or electrical admiDlUrator X ~ ~ . . WALLS Insulation Only ai:nlNG Insulation Only Approved By Cover J..J r'\ ~ J7J;ove;{i(2 ~proVy Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard '!<:oN o Furnace T6K'N o Hgat Pump _ Ton _ LAR Q Fan-Wall KW InstallatiOn description \ "< ').~ ~A~ ,f'. ~ - p~ \ (6 <{7 10 1r '{ 2-L{ 7 I '/1 o Cash 0 Check # ~a:illtCard _::_1Ar~_ ~=o:~_ Expiration Date of card /' TIlERMOSTAT "- D.~ r,ppfO\'cd By /' DITCll D~, ApP/'Ovell By D.IO SERVICE 6 .4zD Approved By FI!lDER .' D~le Appro"ed By Service Information Voltage ~'2...-~ Phase CJ 1 Service Size: '1.. b C Feeder Size: . 4./1'\ CI Overhead Service o Temp Service Q Underground Service Inspection Date. Area, Building or Equipment Inspected Action Taken Electrical Insp~ctor Se r'/ IV A- 3*0" 10 PGP9G5P09E 95:90 900G/PG/E0 ELECTRICAL INSPECTION' . WIRING REPORT 417-4735 PERMIT It Cf5 - 03S- ADDRESS 1135 f-ct:::..A-Jt..() AvL v APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D................ ROUGH IN/COVER...............~ D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . .J'( D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDE~ s TLo-e. (}~ 1/I1/#-AI ["A-'::,. ~rov e....rs s~' /.,A,,~~ . I '"' .JAI 7: c... c..&n,r:Jdfl. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS }/o-nt.. _ DO NOT REMOVE - ~J4RINTE~~)';'2-138;o P'~ (J&tVNU-tIP/Y- ~ rf;v/2 -5/6,AI-y leme 1'Iz. '1 h-7,u--vt'_