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HomeMy WebLinkAbout1159 Eckard Ave - Building IF" ", ~,/ d,ORT ~, ti~ ~DI '~~ CITY OF PORT ANGELES DEPARThffiNT OF COMMUNITY DEVELOPMENT -BUILDING DMSION 321 EAST 5111 STREET, PORT ANGELES,WA 98362 -:-':i.- :~:j~t~,::";~ c, ,J~,:~;'\ Application Numbe:r ,2',:~,,',lq)plication pin number , >\.property Adc1l:'ess . . . , , "ASSESSORPARCEL NUMBER: , ~'9, ,,";, Application. type description 'f;)""" Subdivision Name . . . . . . '.:"'\' property,Use "j_~~_c:'~::, Property Zoning . - . ." ~pplication valuation 05-00000604 Date 7/25/05 652080 1159 ECKARD ~VE T6-30-14~5-4-0560-0008- RES NEW SPR ,: Q,wner Other,' struct 'info RS7 RESDNTL SINGLE ~AMILY 123565 - /IIV~ L 1- ~/ -or; COntractor OWNER \S' ~ C" \\ ~ ~ \J ~ t'1 TOTAL t LOT COVEAAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF ,UNITS 21.74 1.00 9635.00 2095.00 1.00 ~-~-----------------------~,~-.~--~-------------------------~--------------~~- Permit . . . . . Additi'6na:l desc . Permit pin number Permit Fee Issue Date Expiration.Date . BUILDING PERMIT .-RESIDENTIAL 55699 ~151.6S >,7/25/05 1/21/06 Plan Check Fee. Valuation 460.66 123565 Qty Unit Charge per Extension 1017.25 134.40 t,1fJ ~v BASll: FEE 24.00 5.6000 THOU BL-l00,001-500K (5.60 PERK) -----~---------------------------------------------------------~------------ Permit . . . . . Additional desc . Permit pin number Pexmit Fee Issue Date Expiration Date .. MECHMlICAL PBRMIT 55707 101.35 7/25/0$ ;.1/21/06 Plan Check Fee Valuation Qty Unit Charge per BASB FEE 1.00 14.7000 ECH ME.. INSTALL 100- FAU 4.00 7.2500 BCH ME-VENT FAN 1.00 10.6500 ECH ME-GAS PIPB 1 TO 5 Extension 47.00 14.70 29.00 10.65 -----~----------------------------------------------------~~---------------- Permit . . . . . Additional desc . Permit pin number permi t Fee . Issue Date Expiration Date . PLUMBING PERMIT 55715 146.00 7/25/05. 1/21/06 Plan Check Fee Valuation .00 o Qty Unit Charge Per 10.00 1.00 1.00 1.00 7.0000 BCH 7.0000 BCH 15.0000 ECH 7.0000 ECH BASE FEE PL- EA. FIXTURE ON ONE TAAP PL- EA. INSTALL WATER PIPB PL- EA. BLDG SEWER PL-'EA.WATBR HEATBR Extension 47.00 70.00 7.00 15.00 7.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This p~rmit becomes null and void if work or construction authorized is not commenced within 1.80 days, if construction or work is suspendedora,bandofl'ed for a period of 180 days after the work as commenced, or if required inspections have not been reque,sted within 180 days'from the last Inspection. I hereby certify that! have read and examined this application and know the same to be true and correct. All provisions of s and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not pr sume to. give authorjty to violate or cancel the provisions of any state or local law regulating construction or the performance of co stru 'on. . --=t- Date j t Signature of Owner (if owner is builder) T:\Policies\1102_15 building permit inspection record05.wpd [1/412005] .".odj I , . . ~_;-:;:~~' ~. ',:,;!:~~~.;rr'~' -. ,......... ~~. -. BUILDING PERMIT INSPECTION RECO;RD f#IJi ..- ,.., CA~L 417-4815 FOR BUILDING INSPECTIONS, CALL 417-4735 FOR ELECTRICAL INSPECTIoNS. . CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTIoN TYPE DATE ACCEPTED COMMENTS I YES , NO , . FOUNDATION: '. FOOTINGS WALLS ." ' '-. FOuNDATION' DRAINAGE / DOWN SPOUTS . PIERS , . "'-', " POST HOLES (poLE BLOGS.) . . PLUMBING . . UNDER FLOOR/ SLAB ROUGH-IN ' ..... .... WATER LINE (METER TO BLOG) ........ .... GAS LINE " BACK FLOW /WATER ...... ,; .'. AIR SEAL .' ; WALLS . CEILING' FRAMING .. JOISTS / GIRDERS SHEAR'W ALLlHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/ FLOOR/CEILING I MECHANICAL . HEAT PUMP / FURNACE / DUCTS GAS LINE . WOODSTOVE/PELLET/C~Y . . COMMERCIAL.HooD / DUCTS MANUFACTURED HOMES. FOOTING / SLAB . BLOCKING & HOLD DOWNS SKlRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKlNGILIGHTING ESA: LANDSCAPING SHORELINE: '. . FINAL IN~PECTIONS REQUIRED PRIOR TO OCCVPANCYIUSE '. " 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' . . BUILDING 417-4815 T:\Policies\1102_15 building permit inspection record05.wpd [11412005] .f(i ~~ " . ,.CITY OF EOR] ANGELES DEP ARTMENTOF'>~OMMJINITYI?E\1'EL9PMENT - BUILDING DIVISION . 321EAST 5riISTRE1!.T1~\PORl'ANGELES,WA98362 . '~)~, ',," ..~R;1J,c;:ation Number . . . .. 05-00000604 Application pin number S52080 Page 2 Date 7/2?/p5 .. .Special Notes and Connnents Building address sign shall not beless.than 6" & not more than 12" in height. Numbers colors mUstcdntrast wit4 wall color they are mounted on. lOrd. 14..36~050-E).. I..:.... When roof gutters are installed, drains, will located lindry-. wells or pipe,d to approved' storm drainloca.~ioll. No~l'" ......':> .' pl'-eJl~tiri2:ed. or pumping to curbs a:r;:e.alloweti, An inspeqtion by B\lilding Department is required prior to_backfill. . 07/19/2.005 .11:25 AM SROBERDS u_ The,pr<Jpos/;ilwill . ".,"f!i!~m+~in a, single story s. f. resw/attach~l:i garage in the RS.-9 2:.()ne .for, total lot coverage of 22t.. No . land use issues are noted. $713,c:Onnect Fee Electri,caF load calculations and permits are required. 0.,/14/2005 07:07 AM UHEBNER ------"-----"----------------- Any modifications to the electrical facilities will be at the .(:Ustomer' s expense. 07/1~/2005 07:07' AM JHEBNER -----------.,---------------- . .p~~s!te.s and 12" culverts will be installed.t() City Stanards ~ See Public Works Engineering for Standards. 07/21/2005 03:07 PM RvESS __"-__n_u..__,,~n_____________ Sanitary sewer connection inspection is required by Public Works prior to back' fill of ditch. . --- ------.--- - - - ------ ----- -;- --------...;---...;-----~-~.;.;.--- - - -- - - - - - ---,- - - - -- ---- Other Fees SEWER SYSTEM:DELV CHARGE STATE. SQRc:HAR.GE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee sunnnary Charged Paid ,Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1399.00 1399.00 .00 .00 Plan Check ' Total 460.66 460.66 .00 .00 ''-Glther Fee Total 1774.50 1774.50 .00 .00 .~~~;':;,' Grand Total 3634.16 3634.16 .00 .00 T:\Policies\1102_1S building permit inspection recordOS.wpd [1I4!.i()OS)" Date - .. .. .... .. : :-,.-.,.....,.::.'"':}',.' '.",..,:;;..,. Separate Permits are required forelectrical work, SEP~, Sho[elil'le,E$A, utilities; private and public improvemen.ts.,T~i~R~I11)I~~~c:omes null and void if. work or construction authorized is not ~rnrTl~~c~d,witJlin 18Q dilYS, if construction or work is~usperid~~~qrab~i:Jd()ned for a period of 180 days after the work as cOmmenced, or ifrequfredjn~pectlons have not been requestedwithiI'l1~o-#~YSTr9m'the last Inspection. I'.hereby certify that I have.readandexall1in~dthilrapplig~tic>n ~nd know the same to be true ~Qd c6ijEl~r";Anpf,c>yision~ of laws and ordinances governing this type of work will becoJ!1plied witl]~hetherspeclfied herein or not. The granting ottpepnit}loes not presume to give authority to violate or cancel the provisions of any state or,locallaw regulating construction Qrthepeiformance of construction. . '.' . Signature of Contractor or Authorized Agent Date Signature of Owner (if ownerisbuilder) BUILDING PERMIT INSPECTION RECORD ~". '" ,;.", INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO << FOUNDATION: , FOOTINGS ~../~-()S- JJ.y WALLS Pf-~-<9~ ~'~ FOUNDATION' DRAINAGE/DOWN SPOUTS , ". . PIERS , POST HOLES (l'OLE BLDOS.) . PLUMBING , UNDER FLOOR/ SLAB ROUGH-IN r-", 'V1 ! ft.! <ftl.- I WATER LINE (METER TQ BLOO) 1'?J!(4-!Ot- ;]?v GAS LINE BACK FLOW / WATER ... >;, .';j) AIR SEAL '. . ",< WALLS CEILING' . I '. FRAMING JOISTS /, OIRDERS . SHEAR W ALUHOLD DOWNS I " / WALLS / ROOF / CEILING '/''),./D~ 1l-t, ._.l_I_________________..._~-:---'.-. ~_.- ~~~jO DRYWALL (INTERIOR BRACED PANEL ONLY) , T.BAR INSULATION SLAB I -' WALL/ FLOOR/CEILING I \1L1 f~ cJ~ . MECHANICAL . HEAT PUMI' / FURNACE / DUCTS Rt - Y/~fo, lit(" GAS LINE WOOD STOVE/ pELLET / ClWdNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES .' f FOOTING / SLAB . BLOCKING & HOLD DOWNS S.KlRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECpONS REQUIRED PRIOR TOOCCUPANCY/uSE ..< <'.' .<...,'.... DATE . YES NO. COMMERCIAL DATE ' AC<;EPTED RESIDENTIAL '. . ; .Y.ES' NO . . ..... : ELECTRICAL - LIGHT DEPT. 417-4735 ELEcnUCAL , LIGHT DEPT CONSTRUCTION R. W. / PW/ CONSTRUCTION - R. W. ENGINEERING .'. '. 417-4807 , PW / ENGINEERING FIRE .'. 417-4653 FIRE DEPT. PLANNING DEPT. .' PLANNING DEPT. 417-4750 , .. BUILDING 417-4815 W/J11n~. d /..tV BUILDING - T:\P icies\1102 '15 buildin nniti ction recordOS. ({/41200S CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. . . CALL 417-4807 FOR PUBLic WORKS UTILITIES . PLEASE PRQVIDEA MINIMuM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,INSUUTE OR CONCEAL ANY WORKBEFORE INSPECTED AND ACC~PTED. PQST PERMIT IN A CONSPICUQUS LOCATION_. _~ KEEP PERMIT CARD AND APPROVED PLANS,ATJO:a SITE. \S1 ~ ~ - \f\ z...s> ~ff ~ 1~ <It 01 g pc nspe wpd[ . ] PREPARED') 4/04/06, 13:00:50"'(' CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1159 ECKARD AVE \ , , ~ .'~ INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 1 4/04/06 GLELNN-TERRA 06-30-14-6-8-0080-0000- 05-00000604 RES NEW SFR SUBDIV: PHONE PHONE : PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BUILDING FOUNDATION FOOTING ROD 360-908-5510 09/12/2005 04:10 PM JLIERLY ---------------------------- 20' ground rod ok/jll BUILDING FOUNDATION WALL TIME: 17:00 09/29/2005 11:24 AM PBARTHOL --------------------------- ROD 908-5510 09/30/2005 11:49 AM PBARTHOL --------------------------- BUILDING FRAMING TIME: 13:00 * OVERRIDE TAKEN BY DYASUMUR DATE:, 01/11/06 TIME: 11:57:12 01/11/2006 11:56 AM DYASUMUR --------------------------- BONNIE 565-0100 FRAMING INSPECTION 01/12/2006 04:46 PM JLIERLY ---------------------------- BUILDING INSULATION TIME: 13:00 * OVERRIDE TAKEN BY DYASUMUR DATE: 01/17/06 TIME: 13:56:25 01/13/2006 10:57 AM DYASUMUR --------------------------- ANDY 621-9433 01/17/2006 05:02 PM JLIERLY ---------------------------- 4/04/06 JLL BUILDING FINAL' TIME: 13:00 m 04/04/2006 07:45 AM DYASUMUR ~ ~~ l)~ ---------------------------ANDY 360-621-9433 _____c__ ---- -------------------__ COMMENTS AND NOTES --____________________________________ BL1 9/12/05 9/12/05 JLL AP 01 BI2 9/30/05 9/30/05 JLL AP 01 BL3 1/12/06 1/12/06 JLL AP 01 BLI 1/17/06 1/17/06 JLL AP 01 BL99 01 fTW1-!.- bOWlP ~C ~- - ,>,:>;.._~,.;':>~'>~::~"':/:~;!'':',;;.)~::. T'~ ~.c _ 'B.U~fl~I,&G:'DIVJSfON" ' '-. "--; ~, -; -;" ".. .; , _':'-' - ~' :.-' -, "" ,\'-- , " .' -. -", ". '" .~... ..,.::,~~ .....? .... !d t '. l"e7 0.';4"; 11 . ...... ... ..: :~~~}.k~~.~~t:\~~'~:.~ic'~"~ .....c ..., . ....... cc...... '.' ... .' c , <. ..' : ..} ;:'.f''.~~ftfl;;;t~0~;;''~~~f:/ :::1.;A'~! !.(3UiJ-:j?,i&.fi;;;;;;Pid.t;;,; 'tv] ". ,:;,. '._ >;) .'. ..,... >i' ". ~~~/~ ill~ ,yfJij7tP '-,.,---;, ..: - ~ ;-'. '~"- <-.:'::' :~ ",~":::~ "":'." -, -, . Y}:.:t"".These'correbtJqrJs':,rTIlJst..,.b,e made' and are ,',.nofto-;b;~"';;' :,', ',< _~_: ':","::"-:,,.., '---: ',: ._.:' :, ',', <~" ':{ ;:~_~~:__-_ ::,':<', -"',-" _:~ ,~_~,!.<-:--:::. .\..,,:~_::-":~-'::' ': '_';.' -_' -,; _,' .:, . .__.' ";', _-'..: " _, .' ~'>'_"-', _"; :s' ",_: \__ .~.:: _ - t7rJ:~()v;~red,' ~~ti I'Jerrl'~Pf39t!.or;is ll1~d;e.When..:correct'ions---,;;;,. ~Z:~_;t)ayebeenrria~~~,(j~i~~~~.~~tt' ",' ~f<?...4fjl<: ' ',." ,-;, "-forin.s~~c:ti~!l'<,' · ,//'9/ r ' .' ... . _,,' Jjate '~~.7orq;: " ~__2)~:_, , " . ',I: "''':'-~!i;)?_.; ''.. '. ",.,', InspectorforBuil;~~~~,i~islon' .....OCfNOtREMOVETHISTAG >: .;.' '. .,...,:',<.,.:.........-~...,'...~*.....'....:..._..'~.,..'...',.,....,'....,...,.,....,'.-:'.'"".'.','........-.:-';.....,~.,....~~':,:~:,~~...<~.,~..~,....};!O.~,'~.-;.::;..,~~h.:;,'~::_t,..;,'.......,...,'.';.......,.,.......,...,.'...'.:. < -'.: - '-"'~:'- ,","~~, " . '. - ~,- - ~ ~~, .~~ : - -<-'~~.::~t/:};:;~'~7t~~~~~~, I I I PERMIT INSPECTION ImCORD '~i}>\',t~-/. ;';.X;:i~~r'-;"'" t/.. c. e."-,',J',.T"'",,':,>._:'l', ." ~-~-. CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWF(JL TO COVER, . / INSULATE OR.CONCEAL ANY WORK BEFORE INSPEC1jED AND ACCEPTED. POST PERMITIN A CONSPICUOUS LOCATION. , , KEEP PERMIT CARD ANI) APPROVED PLANS AT JOB SITE ) . . INSPECTION TYPE , DATE .' ACCEPTED . COMMENTS , YES NO PW UTILITIES (Engineering Division) '. WATERLINE/ METER SEWER CONNECTION . SANITARY) ..' .J.. .... .' STORM . SITE DRAINAGE '. . .. \ I SITE EROSION CONTROL I PARKING / SIDEWALK CURB & G{)TTER I . ; , DRIVEWAY APPROACH BACK-FLOW DEVICE I .' ." . . .. . . . I \ . .' f .:. .... r , . I . J . , ...;- , . .. . . . . ,'. . ) \ '. . .... FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE - r .. RESIDENTIAL j / DATE YES NO COMMERCIAL DATE . I ACCEPTED '. "YES NO .' . 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 r '. .: ./ . '. - , ( T:\Pol~cibs\1102.15R [1105] ~ , PREPARED 3/14/06, 13:12:37 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 5 3/14/06 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1159 ECKARD AVE SUBDIV: PHONE PHONE : GLELNN-TERRA 06-30-14-6-8-0080-0000- 05-00000604 RES NEW SFR PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 12/27/05 12/27/05 JLL AP TIME: 17:00 PLUMBING ROUGH-IN PAUL 808-0174 12/27/2005 04:47 PM PL6 01 ~/ /0 JLL PLUMBING WATER SUPPLY ~~ 03/13/2006 11:14 AM greg 477-1862 -------------------------~-------- COMMENTS AND NOTES ------------------------------------__ / M- VU- PBARTHOL --------------------------- TIME: 13:00 DYASUMUR --------------------------- PREPARED 1/12/06, 12:14:18 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 4 1/12/06 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1159 ECKARD AVE SUBDIV: PHONE PHONE : GLELNN-TERRA 06-30-14-6-8-0080-0000- 05-00000604 RES NEW SFR PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/12/05 ~/12/05 JLL AP BUILDING FOUNDATION FOOTING ROD 360-908-5510 -09/12/2005 04:10 PM JLIERLY ---------------------------- 20' ground rod ok/jll BUILDING FOUNDATION WALL TIME: 17:00 09/29/2005 11:24 AM PBARTHOL ------------------------___ ROD 908-5510 09/30/2005 11:49 AM PBARTHOL -------------------------__ BL3 01 ~12 06 ~ BUILDING FRAMING TIME: 13:00 . OVERRIDE TAKEN BY DYASUMUR DATE: 01/11/06 TIME: 11:57:12 01/11/2006 11:56 AM DYASUMUR --------------------------- BONNIE 565-0100 FRAMING INSPECTION -------------------------- --------------------------------------------------------------------- 01 9/30/05 9/30/05 JLL AP BI2 PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME1 01 ~-JSf MECHANICAL ROUGH-IN TIME: 13:00 · OVERRIDE TAKEN BY JLIERLY DATE: 01/11/06 TIME: 13:31:27 01/11/2006 11:59 AM DYASUMUR --------------------------- BONNIE 565-0100 MECHANICAL ROUGH-IN. -------------------------------------- COMMENTS AND NOTES ----------------------------__________ PREPARED 1/17/06. 14:02:10 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1159-ECKARD AVE INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 6 1/17/06 GLELNN-TERRA 06-30-14-6-8-0080-0000- 05-00000604 RES NEW SFR SUBDIV: PHONE PHONE : PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/12/05 JLL 9/12/05 AP BI2 01 9/30/05 JLL 9/30/05 AP BL3 01 1/12/06 JLL 1/12/06 AP BLI 01~ ~ BUILDING FOUNDATION FOOTING ROD 360-908-5510 09/12/2005 04:10 PM JLIERLY ---------------------------- 20' ground rod ok/jll BUILDING FOUNDATION WALL TIME: 17:00 09/29/2005 11:24 AM PBARTHOL --------------------------- ROD 908-5510 09/30/2005 11:49 AM PBARTHOL --------------------------- BUILDING FRAMING TIME: 13:00 * OVERRIDE TAKEN BY DYASUMUR DATE: 01/11/06 TIME: 11:57:12 01/11/2006 11:56 AM DYASUMUR ------------------------___ BONNIE 565-0100 FRAMING INSPECTION 01/12/2006 04:46 PM JLIERLY --------------------------__ BUILDING INSULATION TIME: 13:00 * OVERRIDE TAKEN BY DYASUMUR DATE: 01/17/06 TIME: 13:56:25 01/13/2006 10:57 AM DYASUMUR -------------------------__ ANDY 621-9433 -------------------------------------- COMMENTS AND NOTES -------------------------------_______ PREPARED 12/27/05, 14:34:08 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE : DATE 1 12/27/05 ------------------------------------------------------------------------------------------------ ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1159 ECKARD AVE SUBDIV: PHONE PHONE : GLELNN-TERRA 06-30-14-6-8-0080-0000- 05-00000604 RES NEW SFR PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/12/05 9/12/05 JLL AP BUILDING FOUNDATION FOOTING ROD 360-908-5510 09/12/2005 04:10 PM JLIERLY ---------------------------- 20' ground rod ok/j11 BUILDING FOUNDATION WALL TIME: 17:00 09/29/2005 11:24 AM PBARTHOL --------------------------- ROD 908-5510 09/30/2005 11:49 AM PBARTHOL -----------------------____ BI2 01 9/30/05 9/30/05 JLL AP PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ~~:__::_~~;~~~~___~______:~~::N~O~~~~~~IN ~_~~~;-:;;__?;~__m___ TIME: 17:00 PREPARED 9/30/05, 11:42:23 CITY OF PORT ANGELES INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 5 9/30/05 ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1159 ECKARD AVE SUBDIV: PHONE PHONE : GLELNN-TERRA T6-30-14-5-4-0560-0008- 05-00000604 RES NEW SFR PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/12/05 9/12/05 JLL AP BUILDING FOUNDATION FOOTING ROD 360-908-5510 09/12/2005 04:10 PM JLIERLY ---------------------------- 20' ground rod ok/j11 ." " ~';;...tc~ If:;-L BUILDING FOUNDATION WALL TIME: 17:00 09/29/2005 11:24 AM PBARTHOL --------------------------_ ROD 908-5510 -------------------------------------- COMMENTS AND NOTES --------------------------------______ PREPARED 9/12/05, 12:34:17 CITY OF PORT ANGELES 1159 ECKARD AVE INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: GLELNN-TERRA T6-30~14-5-4-0560-0008- 05-00000604 RES NEW SFR PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/12/05 ~ BUILDING FOUNDATION _________~---~-~-----~:~---3::~:::::5::D SUBDIV: PHONE PHONE : FOOTING 5 9/12/05 NOTES -------------------------------------- ~ .' ~ BUILDING PERMIT - APPLICATION . Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have an~' questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: AK~ "". \~~ Phone: ?foO.JI~'" C toe Owner: ~N - T~ ,:::t::'hl C- Phone: ~ · ~.. CJ \0 0 Address: \~.E~~'&"" "7~~ City: ~ ~~ Zip:~e~ Architect/Engineer: ~ ~ ~~LL;C:':. Phone: Z?~.. 194-.~\~ Contracto~N..TESUA~StateLicense~~~ Exp;8J \ JOfe:r Phone:~.~'. Address:\~'5B'""" f>~ '*Zz.~ City~ ~ Zip:~~~2 PROJECTADDRESS:~" "e..~ ~ ZONING: "LEGAL ImscRiP:rloN: L~t'~ - """~" ""," Block: Subdivision: ~ r~ \t-h'S CLALLAM COUNTY PARCEL NUMBER: 'O"..~.. \.-+. ?4o'='='o - 10 - e~ ... Credit Card Holder Name: Billing Address: Credit Card Type VISA TYPE OF WORK: }t Residential )( New Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial 0 Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: A\\~ ~TZ^c,E. COMMERClAL/RESIDENTIAL: Occupancy Group:---3:'3 No. of Stories: 1- LofSize: elx 11.& Existing Sq. Ft. Total lot coverage .. 1<, % C'\ ~I? 1::/1 City: MC # Exp. Date: SIZEN ALUATION: o Stove ~SF.@$ /SF.=$ ~ Garage ~ SF. @ $ /SF. = $ )ll ~~ +0 SF.@$ /SF.=$ o Other TOT~:;:"~.TION $ ~\ N(~ ~ ~ \'-''{"\ \1::e:,....\(';1: ~l Occupant Load: Construction Type: '11'4 &ProposedSq.Ft. ~ =TOTALSq.Ft.~ \tPZE:>-t ~-+,.O APPRO V ALS: PLAN: BLDG: DP"WU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This :figure will be reviewed and may berevised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plancheckfeeis due it musthe-snbmitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days ofthe 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 R1 05.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. I hereby certify that I have read and xa . ed this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility det mine hat permi a equired ,not the City's, and that I ust obtain such permits prior to work. T:\Policies\BL-ll02_13.wpd Date: Lt t:J::!:, ~ ,", Prescriptive Approach - Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 Site Information . .Suiiding Departrl1entUse Ol'lly' P.~r~it!#;' \..aT" e> Address: \\~ ~t:M-D ~e City: '1'~ AN.~ ~ State: \N A lip: t:\6% Z Contact: A~~ 1'>1. .T~ 6 Phone: ~..~. C!::)\~ Phone 2: ~.. fdZ. \ . ~4~~ Cen..L- Fax: ~f:o'" ~. 0\0 \ Lot: . Un umte azmg Jl bon ny Glazing Glazing U-Factor Door9 Wall Wall Wall Slab4 Option Area lO U- Ceiling2 Vaulted Above Int4 Ext4 Floors On % of Floor Vertical Overhead] 1 factor Ceiling3 Grade Below Below Grade Grade Grade ill Unlimited e B - Group R-3 0.40 0.58 0.20 R-30 R-21 R-IO ( V-R ~~. R-IO Occupancy -:>y ~ Only Table 6-1 PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY CLIMATE ZONE 1 r . d GI . O' 0 I ) See the code text for footnote references Thi~oject complies with the following: cQ. The project is a single family residence ~ eh:l13leox. ~he project is wood frame OR all of the insulation is interior or exterior 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 602.6 Exception 2. Doors with a U-factor of 0.40 allowed without calculations, Option III only. Location of the door(s) taking this exception . Ty\pr:;:. DF , l-\ G A -\- SOu'iG-C-E"' ( ~CE.:P A1~ '6l~~ ~-a. t=i~ Copyright 2002, WSUCEEP02-056 Copied by permission from the Washington State University Extension Energy Program Prescriptive - Simple Form - Climate Zone 1 7/26/2004 ~ ---,' <' t-\ -~ i .. ~ . , :t - ~.oo '0 l~\ r \~~~ , -te- 'U) , , t/ ~.; ~ ~ ' U> 4>.r ~ ,~ ~ t \ --at- > ~~~ ~ca -ec..~ ~v--t:= \\~ ZO + N !(J ,J,.(\ ~ . -+- - - ~ <t fIi "SGAt.e. \h=~O "- ,I \' '/~ . <, 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: 1159 Eckard Ave. Port Angeles, WA 98362 .. Glenn-Terra Homes is authorized to construct .our plan # 1625R/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. . - Mark Myers, P.E. Project Engineer Sincerely, - pORTA,NGELES WAS H I N ~ T 0. N, U. S. A. - Community & Economic Development Department April 13, 2006 - ---.: 0\ ~ ~ ~ ~ tv ~ ~. Glenn-Terra Inc. Mr. Andrew M. Terris 136 East 8th Street Port Angeles, W A 98362 RE: Temporary Occupancy Dear Mr. Terris: This letter is in regards to the request for a temporary occupancy certificate for the proposed buyer of Lot 8, Eckard- Heights, more commonly know as 1159 Eckard Ave. Approval for the temporary occupancy will be for the above referenced dwelling unit only, . Conditions for the temporary occupancy are as follows: .' All requirements and improvements to Eckard Heights shall be completed by August 3, 2006, to City Standards as required by the City Engmeer as identified m Assignment of Savmg Agreement established between JeffPriest,Westsound Bank and The City of Port Angeles. All building inspections have been completed and approved by the Department of Community Development. Completion of the driveway approach, culvert installation and walking path per approved engmeering plans submitted by Zenovic and Associates no later than April 28, 2006. No occupancy will be permitted to any other dwellmg unit within the Eckard Heights Subdivision until all requirements and improvements are mspected, completed and approved by Public Works and Utilities. If you have questions, feel free to contact Trenia Funston at 417-4807. Sincerely, 7J~{-71/~ City Manager cc: buildmg file Phone: 360-417-4750/ Fax: 360-417-4711 Website: www.cityofpa.us / Email: smartgrowth@cityofpa.us 321 East Fifth Street- P.O. Box 1150/ Port Angeles, wA 98362-0217 PREPARED 4/13/06, 12:56:41 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 1159 ECKARD AVE INSPECTION TICKET INSPECTOR: JAMES L LIERLY PAGE DATE 1 4/13/06 GLELNN-TERRA 06-30-14-6-8-0080-0000- 05-00000604 RES NEW SFR SUBDIV: PHONE PHONE : PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 9/12/05 JLL 9/12/05 AP BI2 01 9/30/05 JLL 9/30/05 AP BL3 01 1/12/06 JLL 1/12/06 AP BLI 01 1/17/06 JLL 1/17/06 AP BL99 01 4/04/06 JLL 4/05/06 DA BL99 02 ~Ef- BUILDING FOUNDATION FOOTING ROD 360-908-5510 09/12/2005 04:10 PM JLIERLY ---------------------------- 20' ground rod ok/jll BUILDING FOUNDATION WALL TIME: 17:00 09/29/2005 11:24 AM PBARTHOL --------------------------- ROD 908-5510 09/30/2005 11:49 AM PBARTHOL --------------------------- BUILDING FRAMING TIME: 13:00 . OVERRIDE TAKEN BY DYASUMUR DATE: 01/11/06 TIME: 11:57:12 01/11/2006 11:56 AM DYASUMUR --------------------------- BONNIE 565-0100 FRAMING INSPECTION 01/12/2006 04:46 PM JLIERLY ---------------------------- BUILDING INSULATION TIME: 13:00 . OVERRIDE TAKEN BY DYASUMUR DATE: 01/17/06 TIME: 13:56:25 01/13/2006 10:57 AM DYASUMUR --------------------------- ANDY 621-9433 01/17/2006 05:02 PM JLIERLY ---------------------------- BUILDING FINAL TIME: 13:00 04/04/2006 07:45 AM DYASUMUR ---------------------------ANDY 360-621-9433 04/05/2006 08:28 AM PBARTHOL --------------------------- FINAL GRADE, HAND RAIL ON DECK, DETERMINATION WHERE SUMP CAN BE PUMPED TO. BUILDING FINAL 04/12/2006 04:48 PM PBARTHOL ANDY 360-621-9433 REINSPECT ION FOR FINAL -------------------------------------- COMMENTS AND NOTES -------------------------------------- 'S .....r..", CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION "l21 EAST 5TH STREET. PORT ANGELES. WA 91B62 ~ ~ Appllcation Number Appllcatlon pln number_ Property Address ASSESSOR PARCEL NUMBER Application type descrlptlon Subdlvislon Name Property Use Property Zonlng Appllcatlon valuation 05-00000604 Date 652080 1159 ECKARD AVE 06-30-14-6-8-0080-0000- RES NEW SFR RS7 RESDNTL SINGLE FAMILY 123565 Owner Contractor GLELNN-TERRA 136 E 8TH ST. # 223 PORT ANGELES WA 98362 OWNER Other struct info 1/05/06 TOTAL % LOT COVERAGE 21 74 NUMBER OF STORIES 1 00 LOT SIZE 9635 00 TOTAL LOT COVERAGE 2095 00 NUMBER OF UNITS 1 00 Permit Additlonal desc Permlt pln number Sub Contractor Permlt Fee Issue Date Explratlon Date ELECTRICAL NEW RESIDENTIAL ELECTRIC SVC/ 2025 SFR 68395 ELECTRIC SERVICE 119 80 1/05/06 7/04/06 Plan Check Fee Valuation Qty 1 00 2 00 Unit Charge Per 73 0000 ECH 23 4000 5C EL-R-SQFT 2IRST 1300 EL-R-SQFT ADDITIONAL 500 Speclal Notes and Comments Building addres's sign shall not be less than 6" & not more than 12" ln rie'ight Numbers colors must contrast with wall color they are mounted on (Ord 14 36 050-E) · When roof gutters are installed, dralns wlll located in dry wells or piped to approved storm draln locatlon No . pressurized or pumplng to curbs are allowed An inspection' by BUllding Department is required prlor to backfill 07/19/2005 11 25 AM SROBERDS --- The proposal wlll result ln a slngle story s f res w/attached garage in the RS-9 zone for total lot coverage of 22% No land use issues are noted $713 Connect Fee Electrlcal load calculatlons and permlts are requlred 07/14/2005 07 07 AM JHEBNER ---------------------------- Any modifications to the electrical facilities will be at the customer's expense 07/14/2005 07 07 AM JHEBNER ---------------------------- Ditches and 12" culverts wlll be lnstalled to Clty Stanards See Public Works Engineering for Standards. 07/21/2005 03-07 PM RVESS ------------------------------ Sanltary sewer connection inspection is required by Public Works prlor to back flll of dltch Other Fees SEWER SYSTEM DELV CHARGE COMMENTS/ACTION NEEDED 00 o Extension 73.00 46.80 745 00 "" -- "" ~ \'\ () ~ ~ , , \ \.. ./' '{i ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 12\ EAST 5TH STREET. PORT ANGELES. WA 98362 ,. , " Application Number Application pin number 05-00000604 652080 Page Date 2 1/05/06 Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4 50 1025 00 Fee summary Charged Paid CredJ.ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 119 80 119 80 .00 .00 Plan Check Total 00 00 00 00 Other Fee Total 1774 50 1774 50 00 00 Grand Total 1894 30 1894 30 .00 00 COMMENTS! ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD ,i ,cALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MlNIMUM 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 I GENERAL COMMENTS: I I I PW-II02.J5 (4196) // Cfl)x Job wired by s ELECTRICAL WORK PERMIT APPLICATION . DOwner Installation description -'- ~' CI Commercial IJl..,P.esftIeitial Elec~ contractor na~, Licens: n~~er, Date Expires \2\........".,.,.<. ~_..9- ~'--TSI\~~~ vA t2J o New o Altered/Add,tlon Ci1y~ ...t'D~'\ Telephone number I.< " .... -i.>'-i 2 "( State ZIP 10...... '11 \~ l.- \ 000 $',+::I- r' - Q. ;:;1".2.<' 0 pr . FAX Jlumber Sc..--...,' PremheS' .orr:5 ~Jl~ 12. ' J'~"""""c,.... Add.-ess ot Inspection f!2 l \ ~ 'l 7..C >c::-f'\"<'J' Clly p Pi Pbone nnmber Co u~bedll.l. in'peeUoD~ Owner as defined by RCWJ9.28.261:(J) Owner will occuPy the Slrucr'Ure for two years after rhl$ eleartcfJl permit ~ flflu.lized. (2) OW{,l:r i$ n;qu;rea to hirv:an eJecl17caI contractor if above said propYry is. for sale. rem Or lease. After reading the above statemenl, I hereby certify that I am the ()wner of the above named property or a licensed electrical contractor. I am nuking the electtictll instal- lation or alteration in- compliance with the electrical laws. N,E..C., RCW. Chapter 19.28, WAC, Cllaptcr 296-46B, The CilY of Port Angeles Muuicipal Code. and Utility Specifications. Si~nllcure of ow onCrActor ,or electrJul 9.dministrator o Cash 0 Check # x Date: ::dilcard ;_r;:;;:~_~::ove~_ Expiration nate of card ~ ~ ,~ '\) I C:~ ,<::) Electrical Load Additions and or subtractions o NO LOAD CHANGES Q BasQb(}atd KIN o Fumace ~w o Heat Pump _ Ton _LAA o j:an-Walt KW 'J\~ , CJ Overhead Service .U Temp Service o Underground Service Service InformBtion Voltage ; J....,J:>>.v Phase I!I'11J 3 Service Size: ~ (:)() ~ Foodor SI,o: ~ SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 J~/3-Db Dlte Appro'i<ed By ,,- SERVICE f:irfi!p-. 1'160 \. o.~ .A.pr.m\:~B.y /' fEEDER DUll Approved By ROUGH-IN ~42 "'iprOve y THERMOSTAT DJl~e AfpnlVedBy DrrCll 15Q FlNAL a~.30-06 Tl? " (;, .C-f- lnspeclioo D~le Area, Building or Equipment Inspecred Action Taken .~~ ...... 10 39'dd .- , , .' , ~1:~91:S~G9E 51:L0. 9G01:/PG/10 " ELECTRICAL INSPECTION, WIRING REPORT 417-4735 DATE -6 I PERMIT /I boLl I INSPECTOr G: 3 - Z <7 - 0 0.:5 ~ OWNER/CONTRACTOR E/.ec. .sel/. ADDRESS lc Ir"t'! y.d f/5Cf APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . .. . . . ... . . .. . . . . . . SERVICE. . . . . . .. . . . . . . . . .. . 0 D.....................AN~....................D CORRECTIONSNEEDE~ furjUtfce f3~e.-f/re'/iil vf'~,de .[J~,v C s.,.e C-brl-€,t:.T'lb,v cI/f7ecl {- 6~ Db} cbv,c.n ll:~ Re'Cf"T l,u k,7c~e,v- ;VOl (,rZ -/,l-oTec.7eel 01- t.-i"r ~<.> Le-('T 15,,,,.,. oT' RA^'3e ~,I'I ,v",,,.. 1'esr NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 -t:Jb OW~C ADDRESS //S"'! IE C-.k -..... ELECTRICAL INSPECTION. WIRING REPORT 417-4735 ~ APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. .. . . . .. . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . .. . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . .. . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . .. . 0 ~o /<.- - .....,0 CORRECTIONS NEEDED: /3~tPr1 11-_ h W€./e.... CD ~lrcP 8.~/';" ,e/U C-A"L/ _ ~ AIk~/ #f7 - '/735'" c:JtQn,/'/ ~~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 ~ ELECTRICAL I NSPECTJQN,=. WIRING REPORT 417-4735 OWNER/CONTRACTOA L". <:1- I ADDRESS I \ ~-<- (:.~ APPROVED ~ '6't,VO',) NOT APPROVED )(. . 5t. . . . . . . . . . . . . . . DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . , . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: (j) 5€JI..''/I<:..<1f. c. ,-u:v.:; ".....~ (4D, f"'"' It <" .!!t -1: ? J=:)' ("11) :1" "7 ,'S ~<:> (b @ (i) <Y ~ ~ .sUA,? :'Slb\-, LD N (')..1. 'T T l.i' t-D ;r I' f) "-1 $.../ ~,~ r.ie"J ", tcU Pt-lc~..>-: I 1'\'\ DIT~ \V ~-"rcX:- I::: l u.- ( .- -,t-L \ Hc..A ;.,'c.: \A.fff.(t (21~(P'T Lo6~; i ()~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 ~?' , . ELECTRICAL INSPECTIO~ ~ WIRING REPORT 417-4735 PERMIT 1/ OS t,o</ OWNER/CONTRACTOR ADDRESS //51 ,e..~~ Av& APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 )f. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . .:. . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . :. . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDEO@ r?<-~A-C.If:.. ~A' tlrfl< P A.. . @s~;:~ !.?"",)^/ ALL- w/LJI'.<J CJu7.5/{7f!. ~ L-/0#r5 ;:::b;t' ,{? A/'~//. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, If\!C. (360) 452.1381