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HomeMy WebLinkAbout1121 Grant Ave - BuildingElectical Permit 1121 Grant Ave 12 -1370 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN 0 /7- 4 Z 4A/7 (*AP FINAL 1 ki l COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc T -stat Owner ELSTROM JR ARLAND /CYNTHIA 124 NORTH POINT RD PORT ANGELES WA 98362 Permit Additional desc Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1.00 56.0000 ECH EL- LVT- THERMOSTAT Fee summary Charged Permit Fee Total Plan Check Total Grand Total ELECTRICAL NEW RESIDENTIAL 56.00 10/17/12 4/15/13 56.00 .00 56.00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 12- 00001370 109770 1121 GRANT AVE 06-30-14-5-6- 9180 -0000- ELECTRICAL ONLY Contractor PENINSULA HEAT INC 782 KITCHEN -DICK RD SEQUIM WA 98382 (360) 681 -3333 56.00 .00 56.00 Plan Check Fee Valuation Paid Credited Due .00 .00 .00 Date 10/17/12 Extension 56.00 .00 .00 .00 .00 0 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING OCT -16 -2012 11:48A FROM:PENINSULA HEAT COMPA 3606812086 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: idl/60 /Z Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: //z. 1 C7 Building Square Footage: I, 't Z Description of above AW 111. Owner inf c tipn Name: /��Y' if a n. d C (S y 1 Mailing ess• /Z /V ra i2 City. tate: /4 Zip: Phone' License 1 Exp Item Unit Charge Service /Feeder 200 Amp. S 120.00 Service/Feeder 201-400 Amp. 5146.00 Service /Feeder 401-600 Amp 205.00 Service/Feeder 601.1000 Amp. S 262.00 Service/Feeder over 1000 Amp. 373.00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/O Service Feeder 63.00 Each Additional Branch Circuit 5.00 Branch Circuits 1.4 S 75.00 Temp. Service/ Feeder 200 Amp. 5 93.00 Temp. Servloe &Feeder 201-400 Amp. 110.00 Temp. Service /Feeder 401 -600 Amp. 149.00 Temp. ServieelFeeder601 -1000 Amp 168.00 Portal to Portal Hourly 96.00 Signal CircuiU Energy 1 2 Family Dwelling 64.00 Manufactured Home Connecdon 5 120.00 Renewable Electrical Energy SKVA System or Less 102.00 Thermostat 3 56.00 Note: $5.00 for each additional TStet gm CONSTRUCTION ONLY: First 1300 Square FL 120.00 Each Additional 500 Square Ft. or Portion of S 40.00 Each Outbuilding or Detached Garage 74.00 Each Swimming Pool or Hot Tub 110.00 1 2 Single Family Dwelling OCT 1 6 2312 ELECTRICAL 98362 INSPECTIONS Contractor I l Name: Mailing Address' City Phone: License 1 Exp. TO:CITY PA PERMITS P.3/4 Heat Company Total (Qtv Multiplied by Unit Charge) s E S S a S S S S S S Total Owner as defined 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 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 I am the owner of the above named property or a licensed 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 296-468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signy of owner, electrical ctor or electrical administrator: Cash Char do card ,2/V ,-i l€; /t) 6 /L- motrat2 33 Electical Permit 1121 Grant Ave 12 -1299 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH 1 d'W /jZ c)'6f SERVICE /0/14h 2- ROUGH -IN /n/ I f ••t FINAL &,//5 ..i'r COMMENTS: Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning Application valuation Owner ELSTROM JR ARLAND /CYNTHIA 124 NORTH POINT RD PORT ANGELES WA 98362 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc N. PEN. EL./ 200A SVC. Sub Contractor NORTH PENINSULA ELECTRIC Permit Fee Issue Date Expiration Date 120.00 10/03/12 4/01/13 Qty Unit Charge Per 1.00 120.0000 ECH EL -0 -200 SRV FEEDER Fee summary Charged Permit Fee Total Plan Check Total Grand Total 120.00 .00 120.00 12- 00001299 236778 1121 GRANT AVE 06-30-14-5-6- 9180 -0000- ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 Contractor 120.00 .00 120.00 PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 Plan Check Fee Valuation .00 .00 .00 Date 10/03/12 NORTH PENINSULA ELECTRIC 761 FRESHWATER PARK RD PORT ANGELES WA 98363 (360) 477 -1764 Paid Credited Due .00 .00 .00 .00 0 Extension 120.00 REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING D�E� f 1 PERMIT I 5 IN ECTOR OWNER ti kA_ CONTRACTOR IQ D -R Y KI 1 kJ sot-111,- �.t x11 c ADDR 1 C.1Z- 7 1 ..A2 r +Of PORT 4 4 04, 0 j wOR s F ELECTRICAL INSPECTION WIRING REPORT 417 -4735 APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: p 17, 1 2 nlcY t R k Ogc. l b� 17L N c�}srt,� Lo) rl 11614 ®(z� 4e NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE 2012 -10 -03 10:40 NORTH PENINSULA ELEC 3609289409 360 417 4711 Plan Review C Pegtdred�Pl e Complete Electrical Plan Review Information Sheet Job Address: Building Square Footage: Description of above Name: i I s\ S F- 7 --N 1Y' t i M Marling Address: City, Si*. Zip: Phone Fax: License I Exp. Itggi ServicelFeeder 200 Amp. Service/Feeder 201-400' Amp, ServicelFeeder Arm Service/Feeder 601 -1000 Amp. Service/Feeder over 1000 M. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Branch Circuits 1.4 Temp. Service/ Feeder 200 Amp. Temp. Service)Feeder 201400 Amp. Temp. Servica!Feeder 401.600 A. Temp. Service/Feeder 601-1000 Amp Portal to Portal Hourly Signal CrcuN Limited Energy -18 2 Fanny Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat Note: $5.00 for each edditicnal TStat NEW CONSTRUCTIQN ONLY: First 1300 Square FI. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Gaaga Each Srvimr ing Pod or Hot Tub UM Charge 120.00 146.00 205.00 262.00 373.00 5.00 63.00 5.00 75.00 93.00 $110.00 149,00 $168.00 96.00 64.00 120.00 102.00 56.00 120.00 40.00 74.00 110.00 Contractor In/ A ICL Name: i1 Mdling Phone‘-- Ucense 41 Exp. rsdlt caws 'm CM: 9—f-- tom: d C [EC LAG Q 2E12 CITY OF PORT ANGELES PERMIT APPLICATION Building Dtvision/Electrlcal Inspections 321 East Fifth Street— P.O. Box 1150 Port Angeles Washington, 98362 ELECTRICAL Ph: (360) 417 -4735 Fax: (360) 417 -4711 Date: 1C; I 2 Single Family Dwelling V2.. k Y\ c, Stale: cup: Wit rry Totta( Mulbpileallaf Unit Charnel 1 G, Ch Total 0110112012 P 1/1 Owner as defined 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 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 I am the owner of the above named property or a licensed 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 296.468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature pl owner, electrical contractor or electrical administrator: ode Check Building Permit 1 121 Grant Ave 12 -275 Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000275 Application pin number 620450 Property Address 1121 GRANT AVE ASSESSOR PARCEL NUMBER: 06-30-14-5-6- 9180 -0000- Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 110000 Application desc 1912 SF SFR W /ATTACHED GARAGE Owner ELSTROM JR ARLAND /CYNTHIA 124 NORTH POINT RD PORT ANGELES Permit Additional desc Permit Fee Issue Date Expiration Date Permit Additional desc Permit Fee Issue Date Expiration Date Qty 1.00 4.00 Permit Additional desc Permit Fee Issue Date Expiration Date Print Name 14.8000 EA 7.2500 EA T:Forms /Building Division /Building Permit WA 98362 2-7 L C_ ELSE► a MECHANICAL PERMIT PLUMBING PERMIT Contractor OWNER BUILDING PERMIT RESIDENTIAL 1912 SF SFR W /ATTACHED GARAGE 1076.25 Plan Check Fee 3/27/12 Valuation 9/23/12 Qty Unit Charge Per BASE FEE 10.00 5.6000 THOU BL- 100,001 -500K (5.60 PER K) 93.80 Plan Check Fee 3/27/12 Valuation 9/23/12 Unit Charge Per BASE FEE ME FURN /HP /FAU OR 5 TON ME -VENT FAN (SINGLE DUCT) 184.00 Plan Check Fee 3/27/12 Valuation 9/23/12 Date 3/27/12 699.56 110000 Extension 1020.25 56.00 .00 0 Extension 50.00 14.80 29.00 .00 0 Qty Unit Charge Per Extension BASE FEE 50.00 9.00 7.0000 EA PL- PLUMBING TRAP 63.00 1.00 7.0000 EA PL -WATER LINE 7.00 6.00 7.0000 EA PL -DRAIN VENT PIPING 42.00 1.00 15.0000 EA PL -SEWER LINE 15.00 1.00 7.0000 EA PL -WATER HEATER 7.00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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. Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: Electrical Footings Stemwall PW Engineering 417 -4831 Foundation Drainage Downspouts Fire Piers 417 -4653 Planning Post Holes (Pole Bldgs.) 417 -4750 PLUMBING: Building Accepted b Under Floor Slab Rough -In Water Line (Meter to Bldg) Gas Line Back Flow Water FINAL Date AIR SEAL: Walls Ceiling FRAMING: Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceilin. Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Accepted by Heat Pump Fumace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit #s SEPA: ESA: SHORELINE: Parking Lighting Landscaping 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. T•Fnrme /Ri iiIrlinn rlivicinn /Rnilrlinn Pprmit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Page Application Number 12- 00000275 Date Application pin number 620450 Special Notes and Comments March 14, 2012 3:41:06 PM tamiot. Electrical service it to come from existing pedestal at the southeast corner of property. Electrical permit will be required and is not included in building permit cost. 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. March 14, 2012 2:54:03 PM sroberds. The project will result in a new sfr in the RS -9 for total lot cov of 20% and site cov of 311. No land use issues anticipated. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Public Works Inspection request line 417 -4831 Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T:Forms /Building Division /Building Permit RES OVERHEAD SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Charged Paid Credited 1354.05 1354.05 .00 699.56 699.56 .00 4964.50 4964.50 .00 7018.11 7018.11 .00 Due 2 3/27/12 440.00 2260.00 4.50 2260.00 .00 .00 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) 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 f* 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 ff 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 onstruction, Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Inspection Type Date Accepted By Comments FOUNDATION: TILi5F=11111111Y I A II Accepted By Electrical Footings Stemwall I Ir II CM Foundation Drainage Downspouts Piers 417 -4831 Post Holes (Pole Bldgs.) Fire PLUMBING: Under Floor Slab Planning Rough -In Water Line (Meter to Bldg) 1 S ..T�,� 417 -4815 Gas Line Back Flow Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: )heal) Vt4 L 1.17 J Joists Girders Under Floor Shear Wall Hold Downs 15 1 Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall Floor Ceiling MECHANICAL: Heat Pump Furnace FAU /Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE SEPA: ESA: SHORELINE: Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 PLANNING DEPT. Separate Permit ;Its SEPA: ESA: SHORELINE: Parking Lighting Landscaping 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. T•Fr rme /Rnilriinn rliuicinn /Ri iiIrlinn 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 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number 12- 00000275 Date 3/27/12 Application pin number 620450 Property Address 1121 GRANT AVE ASSESSOR PARCEL NUMBER: 06-30-14-5-6- 9180 -0000- Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 110000 Application desc 1912 SF SFR W /ATTACHED GARAGE Owner ELSTROM JR ARLAND /CYNTHIA 124 NORTH POINT RD PORT ANGELES WA 98362 Other Fees Fee summary Charged Permit Fee Total T:Forms /Building Division /Public Works Permit Contractor OWNER Permit SANITARY SEWER HOOK UP Additional desc Permit Fee 150.00 Plan Check Fee .00 Issue Date 3/27/12 Valuation 110000 Expiration Date 9/23/12 Qty Unit Charge Per Extension 1.00 150.0000 EA SAN SEWER HOOKUP 150.00 Special Notes and Comments March 14, 2012 3:41:06 PM tamiot. Electrical service it to come from existing pedestal at the southeast corner of property. Electrical permit will be required and is not included in building permit cost. 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. March 14, 2012 2:54:03 PM sroberds. The project will result in a new sfr in the RS -9 for total lot cov of 20& and site cov of 31%. No land use issues anticipated. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Public Works Inspection request line 417 -4831 RES OVERHEAD SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 150.00 150.00 Paid Credited Due .00 440.00 2260.00 4.50 2260.00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 41-7- 4815 BUILDING CALL 417 -4831 FOR UTILITY INSPECTIC)NS. 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. T: Forms /Building Division/Public Works Permit PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE or Application Number 12- 00000275 Application pin number 620450 Plan Check Total .00 .00 Other Fee Total 4964.50 4964.50 Grand Total 5114.50 5114.50 T:Forms /Building Division /Public Works Permit CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET, PORT ANGELES, WA 98362 .00 .00 .00 Page 2 Date 3/27/12 .00 .00 .00 REPORT SALES TAX on your state excise tax form to the City of Port Angeles (Location Code 0502) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date INSPECTION TYPE t t DATE ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W. PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT. 417 -4750 PLANNING DEPT. BUILDING 4I-7- 4815 BUILDING PERMIT INSPECTION RECORD o CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. T: Forms /Building Division/Public Works Permit KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE BUILDING PERMIT APPLIC TION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant R -f,,)b. Property Owner S/ M Property Owner's Address Port Ab Contractor O oJ- Contractor's Address 5ettA.e. License RRL_ l4 W. Expires 3 -3 l- (3 E -mail P one Phone Phone PROJECT ADDRESS 2 fz--A-017 S P012--r- ►4 E(-: Parcel Number Floor Areas Basement 1 Floor 2 Floor 3` Floor Garage Carport Covered Porch Deck Shed Other P51930 14 tD t'U Existing (sq. fJ Proposed (sq. ft.) 1 a y Lot For City Use Only:. Date Received 3- Permit Date Approved a11 r2_, 3(co Zoning Project Type Brief Description: Residential Multi- family Commercial Industrial Check all that apply 'New Construction 5 05 t.s7 f S rbewiC Addition Remodel Repair Demolition Re -roof House garage other tear off re -roof lay over one layer Heat System Heat pump wood- burning stove gas fireplace pellet stove other I Other per sq. ft. TOTAL VALUATION 114 DOD 2o$ SWIM RECEIVED• MAR 9 2012 OOP T1c QF PORT /ANCELCC BUILDING DIVISION Total footprint of structures 1 sq. ft. T Lot size ILA, sq. ft. Lot coverage (Ci.? Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage 31. �r Max. height of proposed structures l 1 ft. Occupancy group of bedrooms 3 N Will a lawn sprinkler system be installed? ,gyp Occupant load of full baths Will a fire sprinkler system be installed? Construction type of half baths o _I 4 I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand allib that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Date 3-'1-- t Z--- Print. Name it ikl A •JD e Signature �%LAJ''$9 --._C-. T:Forms /Building Division /Building permit application odwo- 3-APP" r otc ft -lig co CRY VERNIAENT Site Information: PRESCRIPTIVE APPROACH SIMPLE FORM For the Washington State Energy Code (WSEC) 2009 Edition Climate Zone 1 Lot: L.07 RA -Ls-ry S p V 33 P Address: LL 2 j CIkA -1— r S7 City: ?ate c e-c &--5 State: %.-0/1\-- Zip: 9 3 3c Contact: q-- K(_,A,..,D C Phone: 3(o So `C A 01 Phone 2: FAX: Building Department Use Only: Permit Notes: WSEC Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR SINGLE FAMILY RESIDENTIAL OR DUPLEX CLIMATE ZONE 1 (Unlimited Glazing Option Only) Option`;; Unlimited azi n aCti Ic 0.30 Ove 0.50 0.20 R-49 or R -38 adv R -38 R -21 int Interior;, Grade:; R -21 TB Wall Exterior Below,'. Goa. de, R -10 R -30 U =0.029 R -10 2' This Project complies with the following: Ni The project is a single family residence or duplex. The project is a wood frame OR all of the insulation is interior or exterior of the framing. "1 All building components meet the requirements listed above. 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. 602.6 Exception 2. One unlabeled or untested exterior swinging door, 24 sq.ft. or less, may be installed per unit for ornamental, security, or architectural purposes. Location of the door taking this exception: 602.6 Exception 2. If a door is mostly glass, it should meet the requirement of the vertical. glazing U- factor listed above. i Location of the door(s) taking exception: Type of Heat Source: fie-A-1 P tV M r T: Forms /Building Division /Prescriptive Approach Simple Form r Rat 2 I S 8676'3 AWAY LOT ,3 j I (11122) I I 16488 SQ.FT. 8'1 I S 8676'33" E 20 71.50' 0 o S 8 6'16'33" E N 56.45' N E "t.... .v... •s a u. ubv,......v, a a•v.,l 1 20; K I Zi tO 1 I i 1 21.59' l I 1 1 LOT 1 I i $1 9044 SQ. FT. of 1 I N GRANT' A 71.82' 8 COMPOSITION R0‘..11•1,S 154*SUJLN LT of: OS I5 ROOF SHEATHING 2X AP BL 11J/ 2". 51-1EATHIN6 81011N* AS SELECTED BY OUNER iPPRINGD 4.4ou5 WRAP RIM JOIST 4 BLOCKING F11%1151—I GRADE CoCreW .SPOL:er TIGHTL !NE STORM DRAIN IF FZEGVD. lv ON -PERP, IN FR RAFTER R--e2Q 3t w ,11:0240 1 7 z ti G.11.115. GEL 11' 2X6 DBL. TOP PLAN FR BATT. INSULATIC 1/2 2X STUDS 16 4klekOR-1/2"41) 10" AB. 48" OJ 4 l'*Os FROM EA_ END WAS14.m.r2s •4 VERT. Mt O HOOK CM "Tc> 4 HORIZ. Fr i 14(L. ALE, MAINTAIN 1" MIN_ AIRSPACE R- INSULATION bI.0 Zxi "c- Cel 5ig R— 30 INSULATION JOISTS F'ER FRAMING PLAN 2 X P.T. 511..L pLATE (2) *4 CT. 6 MIL. LACK POLY VAPOR BARRIER S ite Information P:TC tnstaqation Company. Blower Door House P .,,reSsorizeci to +50Pa. II Other: Pa Electric Utility r t_ealtagerTest- t ''''.:1" ppci CFM READING)Nith Duct Blasterat'OPii anctaltwier Door ©4-50Pa Door Cu torner Name Street Ad r ss C---T k'\ 1 i 2__.( S1- Site# /Mailing Address City State Zip Code, Phone Number iz-9,1Q- Poo-ir,"Pzic) &c:k.. P. .1e3CfaS DB Farr- P,ressuce s i g tite Built Home: iew GonstruCtion .1 .Q Manufactured Home: Sections 0 102 03 Year Built:r47- Energy-Star. Foundatien: °Full Basinent Crassl Space-Oplab Super Good cents' 5 Y ON Heating system: 0Efac: pumac:• .6,4,e Illt Ft.irriatte Heated ,,ted Arealsq ft) 11 °ther i Are at least 50% Otthe ducts in unconditioned spade? iill N &supply ofteturns If the majority of the ducts are in conditioned apace; the home does not =Pa', Pa qualify for Prcs Thief Sealing. DB CFM CFM MriaaG r IV* 0••41111/A4LIGNI I est ---Nequirea ror-ortsung.tiornes witritscisting Duct i and Manufactured Homes XE nergy Equipment OfietroTeCEqUiPrrierit Is this a Jest-OhlY? :OY': Blower Door House P .,,reSsorizeci to +50Pa. II Other: Pa Duct TYPICAL (DB):- t_ealtagerTest- t ''''.:1" ppci CFM READING)Nith Duct Blasterat'OPii anctaltwier Door ©4-50Pa Door Constiettion Existing-Horne New Ducts, Existing Homes Existing Ducts Manufactured Horne Pfe n9, (Circle .Pne) t`,PiPt APPEcable NorAppyeable 00Pen,01 02 03 OH DM ID L, 00pen 01. 02 03 014 0 m 0 L el iiI) CL DB Farr- P,ressuce s i i 4-.-.4;, 4. Not Applicable' L r-c^ a., ,f-. y Pa DB CEM in 7., Post Ftng (Cifeiti,,i t One) iNet Applicable- Cil Op li 1 t ii2 ir P1 4, ••,,,,,.4 .4 *Open 1 2 iii3 illOpanili 1, 12, OH 0M .0 L.. CFM Iii0pan,11111 a v •3 „•,!!1:1 01 011 1,4, 0 1.: CI it Nr• Di 7) op 1— PE3 Few. PrOSSUNO ,-....v. Pe =Pa', Pa 7,5 DB CFM CFM CFM Cl M CFM PTC Performance Teed Comfort Systeme PTCS Duct Sealing Certification Form Ib All sections must be filled out by a PTCS-certified Technician at the time of installation. A copy (Attie completedlonn must be promptly submitted to the utility and homeowner in accordance,with utility policy. Please enter oriiine'at www.otosnw,com or fax to 877-848-4074. Questions? Call 800-941-3867 or email reshvacgitboa.aov. Last ti dated: January 2011. Are t nere any combustion appliances in the home JY Combustion App$ ieni Type: []Fireplace or wood 'stov DGas. F urnace O as water heater 1:10ther Other Is there and functioning de is a`Com a UL p +roved CO instailecl in the Ely j' N' A carton monoxide (Ct3) detector Instal :in the homeis required itt..all.r rr here non= sealed ;corn t ticiri'ap liancae is (ocatetf in a c anditioned': space :or att stns "cture i.e. garage. RECOMMENDED CO detector tlorla:UL 20341CSA 6.1941, di�gkal dtspiay peak CO memo ry an d recall Air Zone`(CAZ)" bast "required by!the,electrlc uti fV Completethe Baseline exhaust folko Ct Pr s re w ith reference Z.t+et if required to outside fan crd ga ige by uC (af# Pa indy allter c ondit ons on day of tit QCalm' de ices grid fir handier With a han dlerrfan ON rec Readings (Pa) glow' Inter oars Interior doors,closed Zene fees iptron eading (Pa) Net (P a) Reading (Pa) Net `(Pa) Zone 1 w_ Zone2 ;I Zoned Depres attr h1et+('a) Ail fans or Reading (Pa)." %hus) Air Han x ample Basefine ieading ail fans f 1 Pa Reading wlth air rill fan on 2Pa Net Dep uri ton 1 (2) 3 blet C3epressui zat g "Net" equals' hoiN mu e dernm- wheri the air,handlet'Fs =tUrnEtl baseline pressure) For system to qu far d et sealing the air handier, rrtu t use tto mote;than fY O in anyfzone, uall s tttls s rn Y N Fan an Reading (compared tc� net depress urization (Pa the tan off No tes x 1 To be filled out by.the electrical utility accountholder. This form must be signed by the person whose name appears on the electric utility account. ENERGY INFORMATION RELEASE: The undersigned utility customer requests and authorizes the specified utility `torelease billing" and usage information for the account listed below to the PTCS program. With this atithorization, the PTCS program can request billing information for up to two years pre-installation and two years post-installation. The utility customer also hereby releases the utility company from any and all liability arising from or connected with providing this information, Electric Utility: I les kt_ Account Account holder name: Account holder signature: ACIallyMarifillilliEllil Date: z. i 3 By signing below, technician certifies that this Irirn and any accompanying documentation are complete and accurate, andlhat all measures associated with this projectvvere completed as of the signature date below. 110111 lb 1;2____ Techniciansignature:. lo, 1.. .4It +lh..—i. )1 v.11111a. Date: AM Required Customer and Technician Signatures PRIVACY ACTSTATEMENT Basic authority f6(collecting this information is authorized by 16 U.S.C, 832 et. seq., and 838 et. seq., pursuant to Power Administration's Conservation Program system of records established in 46 FR 31700 This information is primarily/ inter ded tolunthe but is'incidentailtiiihe'Performance af, BPA's overall Energy EfficiericYPrograrp;lhe'objective of Whierfiallo:aciauire energy resources through energy efficiency, to deterinirieWhateOst4ffective conservation and direct application renewable resources measures 'should be installed or adopted different circurnstances, and to provide incentives for the installation of such measures:, Other routinejsstieSittniS information include: aggregation into a public database on energy 'efficiency; 'furnishedstoatithorizedPersonnel for.instaliatiantrepair ofequipinent agg regated into a databaiielor program publicity; 'arldiii;SOrnia informationregArding ayailableito.subsequent pureitaserspf4htbtrildirigs., Your diaciatitretift,tti:e reatiestectinformaion.'is to Provid0reOefitOtr2irtiarrnation means that i thait pOsSiblefor yotita'ParticiPate in thiSSPA,'Energy Efficiency Arland Eistroin 1121 Grant St' Port Angeles, WA S8362 'Airilandier;installed Heeted Area House,TyPe Mentda Sections Heating System 'Type T YIt FoundationType "Eitel ;Cirtdication CompanyPeninuHejj ^7: UgrEdiVX. Service, rEntereciPate:Al2/14/2012.- CAZ Duci!SeaftYpe:New 12/14/2012 ejdpenneat ..4 PTCS Duct Seal *1260994 Site info UtHi TochniCian Technician Natne;:Brercher, E5t911,4 YCSJD:01866 Company attilZtatua.Updated By Status' AccePtd Owner: EIStromArland 14 Nipoint: PortAngeleS,WA 98363 Phone: '360-8084814 Email: Unknown 1425 NEVV :1400t :NOR Port ArteleS end:f4ght: Measure4 Funding PBP 'Tai Credit Litter: Manufatured Sections:, File Name Blower: St:Testf, preSealing'XIbw:. 77 PTcDuSat#1 260994 Duct Blaster Ring", Measure-Findings Duct Blaster Location: R/A grille Te n tans, es, ,AttadhitientS' Wpoad Date Pressure 5 1 Ogniractor Fndn Pressure Tap Location: Living room entry SlA PREPARED 4/01/13, 11:44:24 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS INSPECTION HISTORY REPORT 0 /00 /00 THRU 0 /00 /00 12 00000275 1121 GRANT AVE 06- 30- 14 -5 -6- 9180 -0000- 063014569180 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL1 0001 BLDG FOUNDATION FOOTING 4/10/12 APPROVED REQ COMM: April 9, 2012 8:23:58 AM hcatuzo. REQ COMM: ARLAND ELSTROM 808 -4814. AM PLEASE RES COMM: April 10, 2012 8:56:48 AM jlierly. RES COMM: ufr installed/j11 PAGE 1 ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE /STATUS INSPECTOR JLL 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BLEW 0001 BLDG FOUND FTG /STEM WALL 4/26/12 APPROVED JLL REQ COMM: April 26, 2012 8:29:32 AM hcatuzo. REQ COMM: ARLAND, AM IF POSSIBLE. 808 -4814 RES COMM: April 26, 2012 4:49:20 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL3 0001 BLDG FRAMING 5/21/12 APPROVED JLL REQ COMM: May 21, 2012 8:46:22 AM hcatuzo. REQ COMM: UNDERFLOOR FRAMING. ARLAND 808 -4814 RES COMM: May 21, 2012 3:58:34 PM jlierly. RES COMM: UFR ground rod installed SW corner. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BLSH 0001 BLDG SHEATHING 6/04/12 APPROVED PB REQ COMM: June 1, 2012 8:35:04 AM hcatuzo. REQ COMM: ARLAND ELSTROM 808 -4814 RES COMM: June 4, 2012 9:07:31 AM pbarthol. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL3 0002 BLDG FRAMING 10/30/12 APPROVED JLL REQ COMM: October 29, 2012 9:31:13 AM pbarthol. REQ COMM: Arland 808 -4814 RES COMM: October 30, 2012 8:21:16 AM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BAIR 0001 BLDG AIR SEAL 10/30/12 APPROVED JLL REQ COMM: October 29, 2012 9:32:48 AM pbarthol. REQ COMM: Arland 808 -4814 RES COMM: October 30, 2012 8:21:16 AM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BLI 0001 BLDG INSULATION 10/31/12 APPROVED JLL REQ COMM: October 31, 2012 10:06:17 AM jlierly. RES COMM: October 31, 2012 12:52:09 PM jlierly. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL PW99 0001 PUBLIC WORKS FINAL 2/13/13 APPROVED RV REQ COMM: February 14, 2013 12:42:01 PM rvess. RES COMM: February 14, 2013 12:42:21 PM rvess. 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL99 0001 BLDG FINAL 2/19/13 DISAPPROVED JLL REQ COMM: February 14, 2013 10:52:17 AM pbarthol. REQ COMM: Arland 808 -4814 RES COMM: February 19, 2013 4:43:34 PM jlierly. RES COMM: Door locked no access 000 000 BPR 00 BUILDING PERMIT RESIDENTIAL BL99 0002 BLDG FINAL 2/20/13 APPROVED REQ COMM: February 20, 2013 10:01:52 AM pbarthol. REQ COMM: Arland 808 -4814 RES COMM: February 20, 2013 4:57:32 PM jlierly. JLL PREPARED 4/01/13, 11:44:24 PROGRAM BP521L CITY OF PORT ANGELES APPLICATION PROPERTY ADDRESS INSPECTION HISTORY REPORT 0 /00 /00 THRU 0 /00 /00 PAGE 2 ASSESSOR PARCEL NUMBER ALTERNATE ID STRUCTR PERMIT INSPECTION RESULT DATE /STATUS INSPECTOR 12 00000275 CONTINUED 000 000 ME 00 MECHANICAL PERMIT ME1 0001 MECHANICAL ROUGH -IN 10/30/12 APPROVED JLL REQ COMM: October 29, 2012 9:32:12 AM pbarthol. REQ COMM: Arland 808 -4814 RES COMM: October 30, 2012 8:21:16 AM jlierly. 000 000 ME 00 MECHANICAL PERMIT ME99 0001 MECHANICAL FINAL 2/19/13 DISAPPROVED JLL REQ COMM: February 14, 2013 10:53:08 AM pbarthol. REQ COMM: Arland 808 -4814 RES COMM: February 19, 2013 4:43:34 PM jlierly. RES COMM: Door locked no access 000 000 ME 00 MECHANICAL PERMIT ME99 0002 MECHANICAL FINAL 2/20/13 APPROVED JLL REQ COMM: February 20, 2013 10:02:52 AM pbarthol. REQ COMM: Arland 808 -4814 RES COMM: February 20, 2013 4:57:32 PM jlierly. 000 000 PL 00 PLUMBING PERMIT PL6 0001 PLUMBING WATER SUPPLY 10/05/12 APPROVED JLL REQ COMM: October 3, 2012 1:22:28 PM permits. REQ COMM: 808 -4814 ARLAND REQ COMM: October 4, 2012 10:11:43 AM pbarthol. RES COMM: October S, 2012 12:55:10 PM jlierly. 000 000 PL 00 PLUMBING PERMIT PL2 0001 PLUMBING ROUGH -IN 10/30/12 APPROVED JLL REQ COMM: October 29, 2012 9:32:36 AM pbarthol. REQ COMM: Arland 808 -4814 RES COMM: October 30, 2012 8:21:16 AM jlierly. 000 000 PL 00 PLUMBING PERMIT PL99 0001 PLUMBING FINAL 2/19/13 DISAPPROVED JLL REQ COMM: February 14, 2013 10:53:30 AM pbarthol. REQ COMM: Arland 808 -4814 RES COMM: February 19, 2013 4:43:34 PM jlierly. RES COMM: Door locked no access 000 000 PL 00 PLUMBING PERMIT PL99 0002 PLUMBING FINAL 2/20/13 APPROVED JLL REQ COMM: February 20, 2013 10:03:05 AM pbarthol. REQ COMM: Arland 808 -4814 RES COMM: February 20, 2013 4:57:32 PM jlierly. 000 000 SSHU 00 SANITARY SEWER HOOK UP PW2 0001 PUBLIC WORKS SEWER CONNEC 10/04/12 APPROVED RV REQ COMM: October 5, 2012 9:58:06 AM rvess. RES COMM: October 5, 2012 9:58:34 AM rvess. CITY OF PORT ANGELES PUBLIC WORKS UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 09 00001204 Application pin number 901644 Property Address 1121 GRANT AVE ASSESSOR PARCEL NUMBER 06 30 14 5 6 0134 0000 Application type description CLEARING GRADING Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 250 cu yd fill C &G #09 07 Owner Contractor RALSTON JOHN M /GAIL T R J SERVICES INC PO BOX 1405 514 IRVING JACOBS RD PORT ANGELES WA 983620259 PORT ANGELES WA 98362 (360) 457 1420 Structure Information 000 000 250 CY FILL Permit CLEAR GRADE Additional desc C G #09 07 Permit pin number 156836 Permit Fee 150 00 Plan Check Fee 00 Issue Date 12/02/09 Valuation 0 Expiration Date 12/02/10 Qty Unit Charge Per Extension 1 00 40 0000 ECH CLEAR GRADE 40 00 2 00 55 0000 HR PW INSPECTION 110 00 Special Notes and Comments These plans are conditionally approved as follows 1 These plans are only site stabilization TESC plans and are only to be used to construct BMP s and stabilize the stockpiles of materials 2 Stockpiles of soil must be stabilized by mulching or completely covering with plastic sheeting Hydro seeding alone is not acceptable 3 No construction other than above is allowed before TESC plan is submitted and approved 4 Site must be stabilized within 7 days of the date of the conditional approval or the City will take steps to stabilize site at the property owners Cost Fee summary Permit Fee Total Plan Check Total Grand Total /s S /e of Contractor or Authorized Agent T• \Policies \1102 15 [10/08] Charged Paid Credited 150 00 150 00 00 00 00 00 00 00 150 00 150 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of constru tion. nA10 9 Date Date 12/02/09 Due Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W PW/ ENGINEERING 417 -4831 CONSTRUCTION R.W PW ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4750 PLANNING DEPT BUILDING 417 -4815 BUILDING PERMIT INSPECTION RECORD CALL 417 -4831 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE T ■Policies\1102 15 [10/08] Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Install water meter Owner RALSTON JOHN M /GAIL T PO BOX 1405 PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc' Permit pin number Permit Fee Issue Date Expiration Date Permit Fee Total Plan Check Total Grand Total T•\Policies \1102.15R [1/05] WA 983620259 RIGHT OF WAY 134072 50 00 9/09/08 3/08/09 Fee summary Charged 820 00 00 820 00 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00001129 312132 1121 GRANT AVg 06 30 14 5 6 0134 0000 PUBLIC WORKS UTILITES RS9 RESDNTL SINGLE FAMILY 0 Contractor OWNER PUBLIC WORKS RES WATER SERV Qty Unit Charge Per 1 00 770 0000 EA PW W/M 1 SERV 5/8 METER Qty Unit Charge Per 1 00 50 0000 ECH RIGHT OF WAY PERMIT Paid Credited 820 00 00 00 00 820 00 00 Date 9/09/08 134056 770 00 Plan Check Fee 00 9/09/08 Valuation 0 3/08/09 Extension 770 00 Plan Check Fee 00 Valuation 0 Extension 50 00 Due 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH i 1 I BAC FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL 4- DATE YES: No: Comivitiitiku- DATE- -ACCEPTED YES CONSTRICTION R.Av tpwir ENGINEERING 417-4807 CONSTRUCTION RW PW ENGINEERING' FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 1 BUILDING PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION tkPolicies\ i 102.15R KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Ralston SHP on Grant Ave Owner RALSTON JOHN M /GAIL T PO BOX 1405 PORT ANGELES Permit Additional desc Permit pin number 134031 Permit Fee 50 00 Issue Date 9/09/08 Expiration Date 3/08/09 Qty 2 00 00 Unit Charge 25 0000 50 0000 Permit Additional desc Permit pin number 134023 Permit Fee 165 00 Issue Date 9/09/08 Expiration Date 3/08/09 3 00 Fee summary Charged WA 983620259 Permit Fee Total 215 00 Plan Check Total 00 Grand Total 215 00 T\Policies\ 1102.15R [1/051 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 08 00001127 542256 1121 GRANT AVE 06 30 14 5 6 0134 0000 PW ENGINEERING REVIEW RS9 RESDNTL SINGLE FAMILY 0 Contractor OWNER PW ENGINEERING REVIEW STORM Per ECH ECH Plan Check Fee Valuation PW ENG REVIEW STORM WATER RIGHT OF WAY PERMIT PUBLIC WORKS INSPECTION Qty Unit Charge Per 55 0000 HR PW INSPECTION Paid Credited 215 00 00 215 00 00 00 00 Date 9/09/08 0 0 0 Extension 50 00 00 Plan Check Fee 00 Valuation 0 Extension 165 00 Due 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date TAPoiicies\1102.15k,[1/05]t:- PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE AMINIMUM 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 PW UTILITIES (Engineering Division) WATERLINE METER, SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL Rki**G. S CURB GUTTER IDRIVEWAYAPPROACO BACK-FLOW DEVICE YES NO COMMENTS FINAL INSPECTIONS REQUIRED PRIOR,TROCCUPANCyfIJSE \w" RESJDENTL&L CONSTRUCTION R.W' PW/' ENGINEERING 417-4807 FIRE 417-4653 PLANNING DEPT. 417-4750 BUILDING 417-4815 DATE YES' NO COMMERCIAL': CONSTRUCTION RW PW ENGINEERING FIRE DEPT. PLANNING DEPT BUILDING DATE ACCEPTED YES NO Site Address: 'BEADY FOR WILL CALL FOR 2 G° /Q4yl, f INSPECTION INSPECTION Installed By: c License Number: Phone: El.; ,f l y Owner /Business: atAis Phone: Owner /Business Address: Sq. Ft. Residential Heat KW Baseboard Furnace /Boiler Heatpump Other Commercial /Industrial load Total Connected load (attach breakdown) Total Motor load (attach breakdown) Details/Description W.S. No Service Capacity: O.K. Not O.K. Ditch inspection O.K. Rough -in /cover O.K. O.K. to connect service Final O.K. Installer: Permit /Receipt No. 21.2/ Site Address: New Met ate: t� D y�9v New Mete/ Notify the Department of City Li t by S et Address and Permi Number when ready for inspection. Wo k must not be covered or electrically energ ed before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT. 158 or EXT. 224. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT OLYMPIC PRINTERS. INC. 1 nspec o CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT New Construction Remodel Service update /alter /repair Add /alter circuits Auxiliary power (list below) Special equipment (list below) 1 PERMIT NO. C 126(12 DATE /57A2 Overhead Underground Voltage 10 30 Service size Amps Temporary Size Date Hold for: Easement Letter Comments Signed up for service /meter Meter Department notified for installation Fire Department notified of inspection Plan Review approved /pending Am7paid WHITE file by address YELLOW file by number PINK Top: Eng, Bottom: Customer GREEN Top: Inspector, Bottom: City Hall