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HomeMy WebLinkAbout619 E Lauridsen Blvd - Building ELECTRICAL PERMIT 1,* CITY OF PORT ANGELES 360 417 -4735 d Application Number 12- 00000639 Date 7/30/12 Application pin number 133419 Property Address 619 E LAURIDSEN BLVD REPORT SALES TAX ASSESSOR PARCEL NUMBER: 06- 30- 00 -0 -3- 3880 -0000- your excise tax form Application type description ELECTRICAL ONLY on y Subdivision Name to the City of Port Angeles Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY (Location Code 0502) Application valuation 0 Application desc 1 circuit for garage Owner Contractor HANSON KEVIN /HUBBARD KATHLEEN OWNER 819 SO. G STREET PORT ANGELES WA 98363 (360) 452 -0109 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc Permit Fee 63.00 Plan Check Fee .00 ---0 Issue Date 7/30/12 Valuation 0 Expiration Date 1/26/13 Qty Unit Charge Per Extension ft 1.00 63.0000 ECH EL -R- BRANCH CIR WO/ SER FEED 63.00 Fee summary Charged Paid Credited Due c; Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 V' 4 V V INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH gt, `r2— yi,/ SERVICE ROUGH -IN C3/ 01 FINAL 01I t 7 Z l i 1 COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G: \EXCHANGE \BUILDING 1 O i� CITY OF PORT ANGELES PERMIT APPLICATION rf C L' L'•:' o t� ff Building Division /Electrical Inspections ra=a7 0\1 321 East Fifth Street P.O. Box 1150 Port Angeles Washington, 98362° �l 2 3 2 .W —D Ph: (360) 417 -4735 Fax: (360) 417 -4711 y ELECTRICAL Date: L 7 Z 1 2 Single Family Dwelling INSPECTIONS Plan Review May Be Re uired, Please Comp)ete Electrical Plan Review Information Sheet La 1,. as a Job Address: 1 1 F La i f v-o� Building Square Footage: `2fi{- Description of above du R we j O. ✓'N j c 1'6— .moo Ic z c) -t tZG1) n Vr,tz 0107,- Owner Information Contractor Information Name: (Lod i w. 4? 0-.S v Name: Mailing Address: S (1 5 s Mailing Address: City: A A. State: t•' Zip: 9 b3 (.3 City: State: Zip: Phone: VC I- 6t 0 8 Fax: Phone: Fax: License Exp. License Exp. Item Unit Charge Qty Total (Qty Multiplied by Unit Charge) Service /Feeder 200 Amp. 120.00 Service /Feeder 201 -400 Amp. 146.00 Service /Feeder 401 -600 Amp 205.00 Service /Feeder 601 -1000 Amp. 262.00 Service /Feeder over 1000 Amp. 373.00 Branch Circuit W/ Service Feeder 5.00 Branch Circuit W/O Service Feeder 63.00 _L (-,3 Each Additional Branch Circuit 5.00 Branch Circuits 1 -4 75.00 Temp. Service/ Feeder 200 Amp. 93.00 Temp. Service /Feeder 201 -400 Amp. 110.00 Temp. Service /Feeder 401 -600 Amp. 149.00 Temp. Service /Feeder 601 -1000 Amp 168.00 Portal to Portal Hourly 96.00 Signal Circuit/ Limited Energy -1 2 Family Dwelling 64.00 Manufactured Home Connection 120.00 Renewable Electrical Energy 5KVA System or Less 102.00 Thermostat 56.00 Note: $5.00 for each additional T -Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. 120.00 Each Additional 500 Square Ft. or Portion of 40.00 Each Outbuilding or Detached Garage 74.00 Each Swimming Pool or Hot Tub 110.00 (03 4 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 -46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: Cash Check 0 Credit Card X �/v Dated: 3 7 01/0112012 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T \Policies \1102.15R 1/05] Qty Unit Charge Per 43976 640 00 11/14/05 RIGHT OF WAY 43968 45 00 11/14/05 05 00000075 587800 619 E LAURIDSEN BLVD 06 30 00 0 3 3875 0000 RES NEW SFR Permit SANITARY SEWER HOOK UP CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 RS7 RESDNTL SINGLE FAMILY 94752 BASE FEE Contractor HANSON KEVIN /HUBBARD KATHLEEN OWNER 819 SO G STREET PORT ANGELES WA 98363 (360) 452 0109 Structure Information 000 000 NEW 800SF SFR Construction Type TYPE V NON RATED Occupancy Type SINGLE FAM CONGREGATES Other struct info TOTAL LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS PUBLIC WORKS RES WATER SERV _f/ a 2 j— Plan Check Fee Valuation Qty Unit Charge Per 1 00 640 0000 EA PW W/M 1 SERV 5/8 METER Plan Check Fee Valuation Date 5/18/05 13 20 V N 2 00 1 00 6036 00 800 00 800 00 1 00 00 47376 Extension 640 00 00 47376 Qty Unit Charge Per 1 00 45 0000 ECH RIGHT OF WAY PERMIT Permit STREET ALLEY RESTORATION Additional desc Permit pin number 43992 Permit Fee 230 00 Plan Check Fee 00 Issue Date Valuation 47376 Expiration Date 11/14/05 Extension 45 00 Extension 230 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T- \Policies \1102.15R 1/05] PERMIT INSPECTION RECORD YES I NO 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 KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING I I I I I I I I I Application Number Application pin number Additional desc Permit pin number Permit Fee Issue Date Expiration Date Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total T \Policies \l 102.15R [1/05] 43984 11/14/05 Charged 1010 00 00 1774 50 2784 50 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000075 587800 95 00 Plan Check Fee 00 Valuation 47376 Qty Unit Charge Per Extension 1 00 95 0000 EA SAN SEWER HOOKUP 95 00 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 installed drains will located in dry wells or piped to approved storm drain locations The proposal is to construct a new s f res in the RS 7 for total lot coverage of 13% A Zoning Lot Covenant is required No other land use issues are noted Electrical load calculations and elctrical permits are required $410 00 Residendial Service Connection Fee applies MAINTAIN CLEARANCES FROM POWER WIRES An Easement may be required for the existing down guy and anchor in the alley 04/28/2005 09 46 AM JHEBNER Any modifications to the electrical facilities will be at the customer s expense Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch WATER IS ON SOUTH SIDE OF LAURIDSEN BLVDOR MAY NEED LINE EXT FROM EUNICE ST SAN SEWER IN ALLEY (6 MAIN) SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Paid Credited Due 1010 00 00 1774 50 2784 50 00 00 00 00 Page 2 Date 5/18/05 745 00 4 50 1025 00 00 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T \Policies \1102.15R [1/05] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 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 KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I 1 I I I I I I CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05 00000075 Application pin number 587800 Property Address 619 E LAURIDSEN BLVD ASSESSOR PARCEL NUMBER 06 30 00 0 3 3875 0000 Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 94752 Owner Contractor HANSON KEVIN /HUBBARD KATHLEEN OWNER 819 SO G STREET PORT ANGELES WA 98363 (360) 452 0109 Structure Information 000 000 NEW 800SF SFR Construction Type TYPE V NON RATED Occupancy Type SINGLE FAM CONGREGATES Other struct info TOTAL LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per BASE FEE 3 00 7 2500 ECH ME VENT FAN Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date 47910 Qty Unit Charge Per BUILDING PERMIT RESIDENTIAL MECHANICAL PERMIT MECHANICAL PERMIT 11/14/05 BASE FEE T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] Date 5/18/05 13 20 V N 2 00 1 00 6036 00 800 00 800 00 1 00 43927 982 25 Plan Check Fee 392 90 2/16/05 Valuation 94752 8/15/05 Qty Unit Charge Per Extension BASE FEE 667 25 45 00 7 0000 THOU BL -50 001 100K (7 00 PER K) 315 00 43950 68 75 Plan Check Fee 00 2/16/05 Valuation 0 8/15/05 Extension 47 00 21 75 61 50 Plan Check Fee 00 Valuation 0 Extension 47 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING I I ESA. LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I I I I PLANNING DEPT BUILDING 417 -4815 I I I BUILDING T-\Policies \1102_15 building permit inspection record05 wpd [1/4/2005] I I I I I I I I CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Application Number 05 00000075 Date 5/18/05 Application pin number 587800 Qty Unit Charge Per Extension 2 00 7 2500 ECH ME VENT FAN 14 50 Permit PLUMBING PERMIT Additional desc Permit pin number 43943 Permit Fee 111 00 Plan Check Fee 00 Issue Date 2/16/05 Valuation 0 Expiration Date 8/15/05 Qty Unit Charge Per Extension BASE FEE 47 00 5 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 35 00 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 1 00 15 0000 ECH PL- EA BLDG SEWER 15 00 1 00 7 0000 ECH PL- EA WATER HEATER 7 00 Permit PLUMBING PERMIT Additional desc Permit pin number 47928 Permit Fee 75 00 Plan Check Fee 00 Issue Date Valuation 0 Expiration Date 11/14/05 Qty Unit Charge Per Extension BASE FEE 47 00 4 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 28 00 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 installed drains will located in dry wells or piped to approved storm drain locations The proposal is to construct a new s f res in the RS 7 for total lot coverage of 13% A Zoning Lot Covenant is required No other land use issues are noted Electrical load calculations and elctrical permits are required $410 00 Residendial Service Connection Fee applies MAINTAIN CLEARANCES FROM POWER WIRES An Easement may be required for the existing down guy and anchor in the alley 04/28/2005 09 46 AM JHEBNER Any modifications to the electrical facilities will be at the customer s expense Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch WATER IS ON SOUTH SIDE OF LAURIDSEN BLVDOR MAY NEED LINE EXT FROM EUNICE ST SAN SEWER IN ALLEY (6 MAIN) Other Fees T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745 00 4 50 1025 00 Fee summary Charged Paid Credited Due 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 FOUNDATION. FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT 4's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT FIRE 417 -4653 I PLANNING DEPT 417 -4750 I I BUILDING 417 -4815 I T\Policies \1102_15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I I I I I I I I Page 3 Application Number 05 00000075 Date 5/18/05 Application pin number 587800 Permit Fee Total 1298 50 1298 50 00 00 Plan Check Total 392 90 392 90 00 00 Other Fee Total 1774 50 1774 50 00 00 Grand Total 3465 90 3465 90 00 00 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 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 T \Policies \1102_I5 building permit inspection record05 wpd [1/4/20051 CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER I AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T BAR INSULATION I SLAB I WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD YES NO I(414f.lo I w 1 .7(A/ /fro /01 I VI 166, Ti [IV lot- I Jw r i $1K. I iw r 7/ 77--- I BUILDING 417 -4815 111310 I T \Policies \1102_15 building permit inspection record05 wpd [04/101)5] 10.4 c.1 SEPA. ESA. I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO &IL ea 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 (IA PW ENGINEERING FIRE 417 -4653 I y PLANNING DEPT 417 -4750 I r 11 I FIRE DEPT PLANNING DEPT BUILDING I I I I I I I I I I I PREPARED 2/09/07 9 52 21 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/09/07 ADDRESS 619 E LAURIDSEN BLVD SUBDIV CONTRACTOR PHONE OWNER HANSON KEVIN /HUBBARD KATHLEEN PHONE (360) 452 0109 PARCEL 06 30 00 0 3 3875 0000 APPL NUMBER 05 00000075 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/23/05 JLL BUILDING FOUNDATION FOOTING 6/23/05 DA 06/22/2005 01 56 PM DYASUMUR KEVIN 452 0109 06/23/2005 04 35 PM JLIERLY identify property line and provide plans on site/j11 BL1 02 6/24/05 JLL BUILDING FOUNDATION FOOTING 6/24/05 AP 06/24/2005 11 19 AM DYASUMUR 06/24/2005 04 56 PM JLIERLY 20 ground in footing BI2 01 7/05/05 JLL BUILDING FOUNDATION WALL 7/05/05 AP 07/05/2005 01 45 PM DYASUMUR KEVIN 452 0109 07/05/2005 04 52 PM JLIERLY BLFD 01 7/18/05 JLL BUILDING FOUNDATION DRAINAGE TIME 17 00 7/18/05 AP 07/18/2005 12 35 PM JLIERLY 07/18/2005 04 01 PM JLIERLY BSI 01 12/30/05 JLL BUILDING SAFETY INSPECTION 12/30/05 DA 11/29/2005 03 38 PM PBARTHOL 12/28/2005 09 10 AM DYASUMUR This is a stair rise inspection Please call Kevin B 461 9169 before going building is locked up 12/29/2005 02 47 PM PBARTHOL 12/30/2005 12 40 PM PBARTHOL BL3 01 1/18/06 JLL BUILDING FRAMING 1/18/06 AP 01/18/2006 03 55 PM JLIERLY 01/18/2006 03 56 PM JLIERLY BAIR 01 1/18/06 JLL BUILDING AIR SEAL TIME 13 00 1/18/06 AP 01/17/2006 04 25 PM DYASUMUR KEVIN 461 9169 PLEASE CALL FIRST SO HE CAN MEET YOU AT SITE 01/18/2006 03 57 PM JLIERLY BLI 01 4/07/06 JLL BUILDING INSULATION 4/10/06 AP 04/06/2006 04 30 PM PBARTHOL KEVIN 461 9169 04/10/2006 08 34 AM JLIERLY BLDR 01 7/06/06 JLL BUILDING DRYWALL IBWP TIME 13 00 7/06/06 AP KEVIN 461 9169 CALL BEFORE GOING 07/05/2006 11 41 AM DYASUMUR 07/06/2006 04 08 PM JLIERLY PW99 01 12/06/06 RV PUBLIC WORKS FINAL 12/07/06 AP 12/07/2006 08 28 AM RVESS 12/07/2006 08 28 AM RVESS BL99 01 12/29/06 JLL BUILDING FINAL 12/29/06 DA KEVIN 461 9169 CALL FIRST Final grade 6 fall in 10 away from foundation house has only one outside hose bib dishwasher air gap missing handrail returns smoothed out dryer vent extended into house further water in crawl space at access opening BL99 02 2/09/07 JLL 0UI08ING 7INAL 02/08/2007 02 58 PM PERMITS KEVIN 461 9169 PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION PREPARED 2/09/07 9 52 21 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/09/07 ADDRESS 619 E LAURIDSEN BLVD SUBDIV CONTRACTOR PHONE OWNER HANSON KEVIN /HUBBARD KATHLEEN PHONE (360) 452 0109 PARCEL 06 30 00 0 3 3875 0000 APPL NUMBER 05 00000075 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 12/29/06 JLL MECHANICAL FINAL 12/29/06 DA 12/28/2006 04 38 PM PBARTHOL Final grade 6 fall in 10 away from foundation house has only one outside hose bib dishwasher air gap missing handrail returns smoothed out dryer vent extended into house further water in crawl space at access opening ME99 02 2/09/07 L� L MECHANICAL FINAL 02/08/2007 02 59 PM PERMITS PERMIT PL 00 PLUMBING pHI2MIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 1/18/06 JLL PLUMBING ROUGH IN TIME 17 00 1/18/06 AP 01/18/2006 03 56 PM JLIERLY 01/18/2006 03 57 PM JLIERLY PL6 01 7/03/06 JLL PLUMBING WATER SUPPLY TIME 13 00 7/03/06 AP KEVIN 452 0109 06/30/2006 01 58 PM DYASUMUR 07/03/2006 12 50 PM PBARTHOL PL99 01 12/29/06 JLL PLUMBING FINAL 12/29/06 DA 12/28/2006 04 39 PM PBARTHOL Final grade 6 fall in 10 away from foundation house has only one outside hose bib dishwasher air gap missing handrail returns smoothed out dryer vent extended into house further water in crawl space at access opening PL99 02 2/09/07 L1 L PLUMBING FINAL 02/08/2007 03 00 PM PERMITS COMMENTS AND NOTES PREPARED 12/29/06 9 51 21 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/29/06 ADDRESS 619 E LAURIDSEN BLVD SUBDIV CONTRACTOR PHONE OWNER HANSON KEVIN /HUBBARD KATHLEEN PHONE (360) 452 0109 PARCEL 06 30 00 0 3 3875 0000 APPL NUMBER 05 00000075 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/23/05 JLL BUILDING FOUNDATION FOOTING 6/23/05 DA 06/22/2005 01 56 PM DYASUMUR KEVIN 452 0109 06/23/2005 04 35 PM JLIERLY identify property line and provide plans on site/j11 BL1 02 6/24/05 JLL BUILDING FOUNDATION FOOTING 6/24/05 AP 06/24/2005 11 19 AM DYASUMUR 06/24/2005 04 56 PM JLIERLY 20 ground in footing BI2 01 7/05/05 JLL BUILDING FOUNDATION WALL 7/05/05 AP 07/05/2005 01 45 PM DYASUMUR KEVIN 452 0109 07/05/2005 04 52 PM JLIERLY BLFD 01 7/18/05 JLL BUILDING FOUNDATION DRAINAGE TIME 17 00 7/18/05 AP 07/18/2005 12 35 PM JLIERLY 07/18/2005 04 01 PM JLIERLY BSI 01 12/30/05 JLL BUILDING SAFETY INSPECTION 12/30/05 DA 11/29/2005 03 38 PM PBARTHOL 12/28/2005 09 10 AM DYASUMUR This is a stair rise inspection Please call Kevin 461 9169 before going building is locked up 12/29/2005 02 47 PM PBARTHOL 12/30/2005 12 40 PM PBARTHOL BL3 01 1/18/06 JLL BUILDING FRAMING 1/18/06 AP 01/18/2006 03 55 PM JLIERLY 01/18/2006 03 56 PM JLIERLY BAIR 01 1/18/06 JLL BUILDING AIR SEAL TIME 13 00 1/18/06 AP 01/17/2006 04 25 PM DYASUMUR KEVIN 461 9169 PLEASE CALL FIRST SO HE CAN MEET YOU AT SITE 01/18/2006 03 57 PM JLIERLY BLI 01 4/07/06 JLL BUILDING INSULATION 4/10/06 AP 04/06/2006 04 30 PM PBARTHOL KEVIN 461 9169 04/10/2006 08 34 AM JLIERLY BLDR 01 7/06/06 JLL BUILDING DRYWALL IBWP TIME 13 00 7/06/06 AP KEVIN 461 9169 CALL BEFORE GOING 07/05/2006 11 41 AM DYASUMUR 07/06/2006 04 08 PM JLIERLY PW99 01 12/06/06 RV PUBLIC WORKS FINAL 12/07/06 AP 12/07/2006 08 28 AM RVESS 12/07/2006 08 28 AM RVESS BL99 01 12/2 /06 JLL KEILNING 1INAL KEVIN 461 9169 CALL FIRST PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 12/R 9/os JLL MECHANICAL FINAL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION 12/28/2006 04 38 PM PBARTHOL Ow PREPARED 12/29/06 9 51 21 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER REQUESTED TYP /SQ COMPLETED 619 E LAURIDSEN BLVD PL2 01 1/18/06 JLL 1/18/06 AP PL6 01 7/03/06 JLL 7/03/06 AP PL99 01 12/29/06 HANSON KEVIN /HUBBARD KATHLEEN 06 30 00 0 3 3875 0000 05 00000075 RES NEW SFR JLL INSP DESCRIPTION RESULT RESULTS /COMMENTS PLUMBING ROUGH 01/18/2006 03 01/18/2006 03 PLUMBING WATER KEVIN 452 0109 06/30/2006 01 07/03/2006 12 PLUMBING FINAL 12/28/2006 04 IN TIME 17 00 56 PM JLIERLY 57 PM JLIERLY SUPPLY TIME 13 00 58 PM DYASUMUR 50 PM PBARTHOL 39 PM PBARTHOL COMMENTS AND NOTES SUBDIV PHONE PHONE (360) 452 0109 PAGE 3 DATE 12/29/06 BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job Located at. f/ o /9._.!c i�i/l src/ Inspection of your work revealed that the following is not in accordance with the codes governing_ the work in this jurisdiction 4 ,774 -z. /A- 7 /,e .�►,.i.� 1)0, /AeSl 0'— i2 /SS /.1# 17 4 7i /6/2/ /L. it/A6 -n 1 J /e t/4 .e.. 1 A/d_ f" 17F /4M n 7- -2) 49 Plig rIziP, 5 6, DO NOT REMOVE THIS TAG These corrections must be made and are not to be covered until reinspection is made When corrections have been made, please call 9/7 -7e for inspection Date l -d Inspector for Building. Division PREPARED 7/06/06 12 32 49 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/06/06 ADDRESS 619 E LAURIDSEN BLVD SUBDIV CONTRACTOR PHONE OWNER HANSON KEVIN /HUBBARD KATHLEEN PHONE (360) 452 0109 PARCEL 06 30 00 0 3 3875 0000 APPL NUMBER 05 00000075 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/23/05 JLL BUILDING FOUNDATION FOOTING 6/23/05 DA 06/22/2005 01 56 PM DYASUMUR KEVIN 452 0109 06/23/2005 04 35 PM JLIERLY identify property line and provide plans on site/j11 BL1 02 6/24/05 JLL BUILDING FOUNDATION FOOTING 6/24/05 AP 06/24/2005 11 19 AM DYASUMUR 06/24/2005 04 56 PM JLIERLY 20 ground in footing BI2 01 7/05/05 JLL BUILDING FOUNDATION WALL 7/05/05 AP 07/05/2005 01 45 PM DYASUMUR KEVIN 452 0109 07/05/2005 04 52 PM JLIERLY BLFD 01 7/18/05 JLL BUILDING FOUNDATION DRAINAGE TIME 17 00 7/18/05 AP 07/18/2005 12 35 PM JLIERLY 07/18/2005 04 01 PM JLIERLY BSI 01 12/30/05 JLL BUILDING SAFETY INSPECTION 12/30/05 DA 11/29/2005 03 38 PM PBARTHOL 12/28/2005 09 10 AM DYASUMUR This is a stair rise inspection Please call Kevin OD 461 9169 before going building is locked up 12/29/2005 02 47 PM PBARTHOL 12/30/2005 12 40 PM PBARTHOL BL3 01 1/18/06 JLL BUILDING FRAMING 1/18/06 AP 01/18/2006 03 55 PM JLIERLY 01/18/2006 03 56 PM JLIERLY BAIR 01 1/18/06 JLL BUILDING AIR SEAL TIME 13 00 1/18/06 AP 01/17/2006 04 25 PM DYASUMUR KEVIN 461 9169 PLEASE CALL FIRST SO HE CAN MEET YOU AT SITE 01/18/2006 03 57 PM JLIERLY BLI 01 4/07/06 JLL BUILDING INSULATION 4/10/06 AP 04/06/2006 04 30 PM PBARTHOL KEVIN 461 9169 04/10/2006 08 34 AM JLIERLY BLDR O1 7/06/06 L KEIINING DRYWALL ILWP RIMG 13 00 KEVIN 461 9169 CALL BEFORE GOING 07/05/2006 11 41 AM DYASUMUR COMMENTS AND NOTES PREPARED 7/03/06 9 48 32 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/03/06 ADDRESS 619 E LAURIDSEN BLVD SUBDIV CONTRACTOR PHONE OWNER HANSON KEVIN /HUBBARD KATHLEEN PHONE (360) 452 0109 PARCEL 06 30 00 0 3 3875 0000 APPL NUMBER 05 00000075 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 1/18/06 JLL PLUMBING ROUGH IN TIME 17 00 1/18/06 AP 01/18/2006 03 56 PM JLIERLY 01/18/2006 03 57 PM JLIERLY PL6 01 7/03/06 JLL PLUMBING WATER SUPPLY TIME 13 00 4 P 9 KEVIN 452 010 0 EVIN 4 006 09 58 PM DYASUMUR COMMENTS AND NOTES PREPARED 4/07/06 13 30 05 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS 619 E LAURIDSEN BLVD CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/23/05 JLL 6/23/05 DA BL1 02 6/24/05 JLL 6/24/05 AP BI2 01 7/05/05 JLL 7/05/05 AP BLFD 01 7/18/05 JLL 7/18/05 AP BSI 01 12/30/05 JLL 12/30/05 DA BL3 01 1/18/06 JLL 1/18/06 AP BAIR 01 1/18/06 JLL 1/18/06 AP BLI O1 q/ 43 HANSON KEVIN /HUBBARD KATHLEEN 06 30 00 0 3 3875 0000 05 00000075 RES NEW SFR INSPECTOR JAMES L LIERLY PAGE 1 DATE 4/07/06 COMMENTS AND NOTES SUBDIV PHONE PHONE (360) 452 0109 BUILDING FOUNDATION FOOTING 06/22/2005 01 56 PM DYASUMUR KEVIN 452 0109 06/23/2005 04 35 PM JLIERLY identify property line and provide plans on site/j11 BUILDING FOUNDATION FOOTING 06/24/2005 11 19 AM DYASUMUR 06/24/2005 04 56 PM JLIERLY 20 ground in footing BUILDING FOUNDATION WALL 07/05/2005 01 45 PM DYASUMUR KEVIN 452 0109 07/05/2005 04 52 PM JLIERLY BUILDING FOUNDATION DRAINAGE TIME 17 00 07/18/2005 12 35 PM JLIERLY 07/18/2005 04 01 PM JLIERLY BUILDING SAFETY INSPECTION 11/29/2005 03 38 PM PBARTHOL 12/28/2005 09 10 AM DYASUMUR This is a stair rise inspection Please call Kevin B 461 9169 before going building is locked up 12/29/2005 02 47 PM PBARTHOL 12/30/2005 12 40 PM PBARTHOL BUILDING FRAMING 01/18/2006 03 55 PM JLIERLY 01/18/2006 03 56 PM JLIERLY BUILDING AIR SEAL TIME 13 00 01/17/2006 04 25 PM DYASUMUR KEVIN 461 9169 PLEASE CALL FIRST SO HE CAN MEET YOU AT SITE 01/18/2006 03 57 PM JLIERLY BUILDING INSULATION 04/06/2006 04 30 PM PBARTHOL KEVIN 461 9169 PREPARED 1/18/06 13 16 38 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/18/06 ADDRESS 619 E LAURIDSEN BLVD SUBDIV CONTRACTOR PHONE OWNER HANSON KEVIN /HUBBARD KATHLEEN PHONE (360) 452 0109 PARCEL 06 30 00 0 3 3875 0000 APPL NUMBER 05 00000075 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/23/05 JLL BUILDING FOUNDATION FOOTING 6/23/05 DA 06/22/2005 01 56 PM DYASUMUR KEVIN 452 0109 06/23/2005 04 35 PM JLIERLY identify property line and provide plans on site/j11 BL1 02 6/24/05 JLL BUILDING FOUNDATION FOOTING 6/24/05 AP 06/24/2005 11 19 AM DYASUMUR 06/24/2005 04 56 PM JLIERLY 20 ground in footing BI2 01 7/05/05 JLL BUILDING FOUNDATION WALL 7/05/05 AP 07/05/2005 01 45 PM DYASUMUR KEVIN 452 0109 07/05/4005 04 52 PM JLIERLY BLFD 01 7/18/05 JLL BUILDING FOUNDATION DRAINAGE TIME 17 00 7/18/05 AP 07/18/2005 12 35 PM JLIERLY 07/18/2005 04 01 PM JLIERLY BSI 01 12/30/05 JLL BUILDING SAFETY INSPECTION 12/30/05 DA 11/29/2005 03 38 PM PBARTHOL 12/28/2005 09 10 AM DYASUMUR This is a stair rise inspection Please call Kevin 461 9169 before going building is locked up 12/29/2005 02 47 PM PBARTHOL 12/30/2005 12 40 PM PBARTHOL BAIR 01 '6 L BUILDING AIR SEAL TIME 13 00 1 J�, 01/17/2006 04 25 PM DYASUMUR KEVIN 461 9169 PLEASE CALL FIRST SO HE CAN MEET YOU AT SITE COMMENTS AND NOTES I« 1) 1,Y P 1691)i PREPARED 12/30/05 7 52 55 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/30/05 ADDRESS 619 E LAURIDSEN BLVD SUBDIV CONTRACTOR PHONE OWNER HANSON KEVIN /HUBBARD KATHLEEN PHONE (360) 452 0109 PARCEL 06 30 00 0 3 3875 0000 APPL NUMBER 05 00000075 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/23/05 JLL BUILDING FOUNDATION FOOTING 6/23/05 DA 06/22/2005 01 56 PM DYASUMUR KEVIN 452 0109 06/23/2005 04 35 PM JLIERLY identify property line and provide plans on site /j11 BL1 02 6/24/05 JLL BUILDING FOUNDATION FOOTING 6/24/05 AP 06/24/2005 11 19 AM DYASUMUR 06/24/2005 04 56 PM JLIERLY 20 ground in footing BI2 01 7/05/05 JLL BUILDING FOUNDATION WALL 7/05/05 AP 07/05/2005 01 45 PM DYASUMUR KEVIN 452 0109 07/05/2005 04 52 PM JLIERLY BUILDING FOUNDATION DRAINAGE TIME 17 00 07/18/2005 12 35 PM JLIERLY 07/18/2005 04 01 PM JLIERLY BSI 01 12/30/05 JLL BUILDING SAFETY INSPECTION 11/29/2005 03 38 PM PBARTHOL )l") 12/28/2005 09 10 AM DYASUMUR This is a stair rise inspection Please call Kevin B 461 9169 before going building is locked up 12/29/2005 02 47 PM PBARTHOL BLFD 01 7/18/05 JLL 7/18/05 AP COMMENTS AND NOTES PREPARED 7/18/05 12 40 59 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/18/05 ADDRESS 619 E LAURIDSEN BLVD SUBDIV CONTRACTOR PHONE OWNER HANSON KEVIN /HUBBARD KATHLEEN PHONE (360) 452 0109 PARCEL 06 30 00 0 3 3875 0000 APPL NUMBER 05 00000075 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/23/05 JLL BUILDING FOUNDATION FOOTING 6/23/05 DA 06/22/2005 01 56 PM DYASUMUR KEVIN 452 0109 06/23/2005 04 35 PM JLIERLY identify property line and provide plans on site/j11 BL1 02 6/24/05 JLL BUILDING FOUNDATION FOOTING 6/24/05 AP 06/24/2005 11 19 AM DYASUMUR 06/24/2005 04 56 PM JLIERLY 20 ground in footing BI2. 01 7/05/05 JLL BUILDING FOUNDATION WALL 7/05/05 AP 07/05/2005 01 45 PM DYASUMUR KEVIN 452 0109 07/05/2005 04 52 PM JLIERLY BLFD 01 7/18/05 JLL BUILDING FOUNDATION DRAINAGE TIME 17 00 07/18/2005 12 35 PM JLIERLY COMMENTS AND NOTES PREPARED 7/05/05 13 49 07 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/05/05 ADDRESS 619 E LAURIDSEN BLVD SUBDIV CONTRACTOR PHONE OWNER HANSON KEVIN /HUBBARD KATHLEEN PHONE (360) 452 0109 PARCEL 06 30 00 0 3 3875 0000 APPL NUMBER 05 00000075 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/23/05 JLL BUILDING FOUNDATION FOOTING 6/23/05 DA 06/22/2005 01 56 PM DYASUMUR KEVIN 452 0109 06/23/2005 04 35 PM JLIERLY identify property line and provide plans on site /j11 BL1 02 6/24/05 JLL BUILDING FOUNDATION FOOTING 6/24/05 AP 06/24/2005 11 19 AM DYASUMUR 06/24/2005 04 56 PM JLIERLY 20 ground in footing BI2 01 7/05 05 ((��LL//�� BUILDING FOUNDATION WALL l 07/05/2005 45 45 PM DYASUMUR 7 y KEVIN 452 0109 COMMENTS AND NOTES PREPARED 6/24/05 13 22 56 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/24/05 ADDRESS 619 E LAURIDSEN BLVD SUBDIV CONTRACTOR PHONE OWNER HANSON KEVIN /HUBBARD KATHLEEN PHONE (360) 452 0109 PARCEL 06 30 00 0 3 3875 0000 APPL NUMBER 05 00000075 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/23/05 JLL BUILDING FOUNDATION FOOTING 6/23/05 DA 06/22/2005 01 56 PM DYASUMUR KEVIN 452 0109 06/23/2005 04 35 PM JLIERLY identify property line and provide plans on site /j11 BL1 02 6/. 4/0 L BUILDING FOUNDATION FOOTING 06/24/2005 11 19 AM DYASUMUR COMMENTS AND NOTES C1)12001.0 I2 PAGE 3 PREPARED 6/23/05 12 25 54 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/23/05 ADDRESS 619 E LAURIDSEN BLVD SUBDIV CONTRACTOR PHONE OWNER HANSON KEVIN /HUBBARD KATHLEEN PHONE (360) 452 0109 PARCEL 06 30 00 0 3 3875 0000 APPL NUMBER 05 00000075 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/ LL BUILDING FOUNDATION MOOTING 06/22/2005 01 56 PM DYASUMUR KEVIN 452 0109 COMMENTS AND NOTES tie BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job Located at (.01 q C L' 1 0 Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction l r These corrections must be made and are not to be covered until reinspection is made When corrections have been made, please call 4/rc-13 for inspection La og Inspector for Building Division Date DO NOT REMOVE THIS TAG Applicant or Agent: /L co s o Owner I-t. J c Address 819 5. G sr Architect /Engineer 13dd EL/ V.- Contractor Address. PROJECT ADDRESS 6 9 LEGAL DESCRIPTION Lot: 1 c/ I .Y Credit Card Holder Name: Billing Address: Credit Card Type VISA MC TYPE OF WORK. Residential New Constr. Re -roof Multi- family Addition Move Commercial Remodel Demolition Repair Sign BRIEF DESCRIPTION OF THE PROJECT COMMERCIAL/RESIDENTIAL. Occupancy Group No of Stories: Z. Lot Size Ya 0 3 C. Existing Sq. Ft. Total lot coverage 3 2._ PLANNING USE ONLY 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 any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 City State License City I SQ 1... Stove Garage Deck Other 2 S9 City a //0i Block: 3 3 2 Subdivision. fi, A CLALLAM COUNTY PARCEL NUMBER. 06,3 00 0 o ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other T\RVESS\BLDG- forms- brochures\2004- Buildingpermit.wpd Applicant: FOR OFFICIAL T TSF ONI V te Rec. j l— emit OS e Approved. ate Issued. Phone c l 32 -0/09 LA v' s2-8 Phone 1 /5 2 O /aq Exp Zip 9 83 C 3 Phone. s• 7 3 Phone Zip ZONING S 7 Exp SIZE/VALUATION /G o o SF 5 22 /SF SF /SF SF /SF TOTAL VALUATION L��l ry a fie, Date: 'II 7-»"Y 4" 1 -4 5�L 00 40 us Occupant Load. Construction Type Proposed Sq Ft. /C. 0 0 TOTAL Sq Ft. //'oo VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordmator at 417 -4815 for assistance PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the buildmg 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 of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003) No application can be extended more than once. I hereby certify that 1 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 responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. APPROVALS. PLAN BLDG DPWU FIRE OTHER. Date. L/ /Z/ Jo s" Au A5 y I I Prescriptive Approach Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 S.L I n f erma t lo n Building Department U s e Only Lot: 4- I ne /4 3 c 1 'P.ermit:# Address. Notes. City r©t) 1 F 4 r r. (c State. L c. Zip C 2_ Contact: l h s u Phone if ST 2 0 Phone 2: YG '-/33 5 Fax: See the code text for footnote references Table 6 -1 PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) Glazing I Glazing U- Factor I Door' Wall Wall Wall Slab Option Area U- Ceiling' Vaulted Above lnt Ex-t Floor' On of Floor Vertical Overhead" factor Ceiling' Grade Below Below Grade Grade Grade III Unlimited Group R 3 0 40 0.58 0.20 R 38 R 30 R 21 R 21 R 10 R -30 R 10 Occupancy Only This project complies with the following The project is a single family residence or duplex. The._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 Ill 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 1 One door that is 24 ft: or less, that does not meet the standards is allowed. Location of the door taking this exception 602.6 Exception 2. Doors with a U- factor of 0 40 allowed without calculations, Option Ill only Location of the door(s) taking this exception Copyright 2002, WSUCEEP02 -056 Copied by permission from the Washington State University Extension Energy Program Prescriptive Simple Form Climate Zone 1 7/26/2004 "fi "Ioir..1o'" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION l21 EAST 5TH STREET. PORT ANGELES. WA 98]62 Application Number Application pln number_ Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation 05-00000075 Date 12/27/05 587800 619 E LAURIDSEN BLVD 06-30-00-0-3-3875-0000- RES NEW SFR Lasered CEO RS7 RESDNTL SINGLE FAMILY 94752 Owner Contractor HANSON KEVIN/HUBBARD 819 SO G STREET PORT ANGELES (360) 452-0109 Structure Information Construction Type Occupancy Type Other struct info KATHLEEN OWNER WA 98363 000 000 NEW 800SF SFR TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 13 20 V-N 2 00 1 00 6036 00 800 00 800 00 1. 00 Permlt Addltlonal desc Permit pin number Sub Contractor Permit Fee Issue Date Explration Date . ELECTRICAL NEW APS/1600 SQ FT 67777 APS ELECTRIC 96 40 12/27/05 6/25/06 00 o RESIDENTIAL SFR Plan Check Fee Valuation Qty 1. 00 1 00 Unit Charge Per 73 0000 ECH 23 4000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 73.00 23.40 Special Notes and Comments Buildlng address sign shall not be less than 6" & not more than 12" in helght. Numbers colors must contrast wlth wall color they are mounted on (Ord 14.36 050-E) When roof gutters are installed, drains will located in dry wells or plped to approved storm drain locations The proposal is to construct a new s.f res in the RS-7 for total lot coverage of 13% A Zoning Lot Covenant is required No other land use issues are noted Electrical load calculations and elctrical permits are requlred $410 00 Residendial Service Connection Fee applles MAINTAIN CLEARANCES FROM POWER WIRES An Easement may be requlred for the eXlsting down guy and anchor in the alley 04/28/2005 09-46 AM JHEBNER ---------------------------- Any modlflcatlons to the electrical facilities will be at the customer's expense Sanltary sewer connection inspection is required by PubllC Works prlor to back fill of ditch WATER IS ON SOUTH COMMENTS/ACTION NEEDED , / ~ .......... ~ ~ f ~ ~ ~ Q ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 12\ EAST 5TH STREET. PORT ANGELES. WA 9lB62 , /I . Application Number Applicat~on pin number 05-00000075 587800 Page 2 Date 12/27/05 Special Notes and Comments SIDE OF LAURIDSEN BLVDOR MAY NEED LINE EXT FROM EUNICE ST. SAN SEWER IN ALLEY (6" MAIN) ------------------------------------------------------------------~--------- 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 96 .40 96 .40 .00 00 Plan Check Total 00 .00 .00 .00 Other Fee Total 1774 50 1774 50 .00 .00 Grand Total 1870 90 1870.90 .00 00 COMMENTS/ACTION NEEDED I! \ ,I ELECfRICAL PERMIT INSPECflON RECORD CALL-417-47~~ FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, I INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. I \ KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE . J: I' I I' GENERAL COMMENTS: I I I I I I i. I 1 ! i I I I I I I ~ : } , . INSPECTION TYPE i: ~ Ii COMMENTS DATE NO PW-II02.JS (04196\ --0-- "'" CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . REQUEST: Date I - /7 -D(" CJ- Time 7,( iM.. Received by Dc....",;., € _ /phone. I1-erson) location of Work to be inspected I:, (<7 t Name of person requesting inspection Uc",-,^-; '5 Address of person requesting inspection ~.- j) Type of Inspection /circle appropriate one): I Sewer Foundation Framing Chimney Plumbing Final La.u ri d S-e"" E. Y o...rJ i5lvd. ( 7"1- f3 Phone No. L{ /7 - <.( R'-I. Cf Permit tro. ~ Sewer Excav. Oth~..!::!.~+e r___) INSPECTION NOTES: Inspected: Date I' - I 7 - 0 " Remarks: I AI) 12 '. "D.T. S <- + 1'\^'L+.!.l,,-. 1\.10 +e:+-c -d'-A+- ed Time e )(+e~ (0 ~-~ By h-e!.-\.",,;S L. d2 /" P.E.... +-'" j) ro(~rnJ~"'-.d I ( Bit ( t-Ic>..k: '/ t'-R- I z." 0'1 3ivd 4VLd i). r. re ....<::.es / (15 SO A/ b....rt. r-~ Z" C..L, i- \.. ~ ""'C RESTORA TION REQUIRED. . . . " YES X NO . \" t ~ ,..... ~... ~~4A'lI - .. 0 (J 1.." -- - \9 ~ ~ yiI ohOrolJ '- ~ -1!F1. 5"13'<: .~ , '-.\l I~ 371' ~ '\J - ~ ~ E. lA.V...'I<:!.,eV\. B'I \I'd. SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Repaired by City o Repaired by Permittee o No Damage Found 2'x /0' ~Asphalt OPCC o Other Work Order # 363"?l _ I (I( II COMPLETE ?/I to '5 _ / o INCOMPLETE (Continue on reverse side if necessary) ~TI:lJ:CT C"'lln..........___"_ lj~\ S tJ ~+cfJ ELECTRICAL WORK PERMIT APPLICATION o h IOL-9..7 Job ",ired by '1i:l Electrical Contractor 0 Owner AL$S6nL~izr~iTe~ In!lt;l.lIa~ion de~criptjoe ~ o Commercial L!l.Residential Electrical conTractor name A fS6/ectr-{ 62-1 P~C~65~ ~~"'~ -b""153 ~.w a Altered/Addition eJ . fAL:r 7!f'2""s63 FAX number <Sam ~ 10zq ~~. ~ fta:; i/7 rT r'\ /lA' ) "Premises o)Y!!er's naH k'~ ~ A~iSqr iD;r:ion~ UruRA 05€tv CitY~ cl~ I>>-A. Ph ne Dumber to 5chcd e lupectjon: " f' -tq37 \. 8L//. , Owller as defined by RCW.19,28.] 1:(1) Owner wfll occupy the structure for ntlO years afte1' tllis electrical permil is jUlaJi::ed. (2) Owner is n:quircd tv hire an electrh:al CO'lfracror if ahmle said propel'ty is for sale. refit or lease. After reading the above statcment, I hereby certify th.u I 3TI1 the OWJwr of tbe 3bovc Damed property or 3. licensed electrical conlractor. I am making the clccnical in!lt:d- Jation or a.lteration in complia.nce with the clectrical laws, N.E.C., RCW. Chapter 19.28, WAC. Cbapler 296-4(1), The City of Port AJigele$ Municipal Code, nnd Utility Specifications. '4.bJ - '1 i& 7 49-010'1' Q Cash I:l Check # Q Credit Card Vtsa Card # ~/?z Mastercard Discover . . ---------------- of owner IBric~ot1tract+: or electrical administrator F-: ~ Date: 1;; ~O- lectrlcalload . 'ons and or subt o NO LOAD CHANGES o Saseboard KW Cl Furnace KW a HGlat Pump _ Ton _ LAR o ~an-Wall KW x Expiration Date of card $"'"".,ion tfh !oJ 0 SerVice Information s (J Overhead Service Q Temp Service CJ Underground Service Voltage Phase 0 1 03 Service Size: ~ Feeder Size: ~ f'- ~ \) ~ ~ SAME DAY INSPECTION, CALL BEFORE 7:00 A.'\1 360-417-4735 /J/:Jl;UGH~ ' THERMOSTAT '\ SERVICE /Z(/}~ APif:? '\.../ J.J,n~ Approved Ry 1)~lC APPfQv~d hly FINAL nITCH FEEDER /1-3 -(7b .It;) /7ii~ .~ D~te -APIlI1l"CllBy 0:1.18 .'\t>pruvcdDy Inspection Area, BUilding or Equipment Inspected Eteclncal Date J Actjon Taken \-. In!\pcctor rU't/e/O) Vf::::- "M 4-1 () (J::. (~~ i{) I . -- .- - -- --=F-- - --.- f---___ ---'- -'-' -'-- -. .- -~_ ./..;?J",.?:Jd .d Wd60:L0 ~~'~da ZSL9 GS~ 09Z 'ON Xl:tJ ~O~J~~~NOJ l~JI~~J3l3 '5'd'~ WO~-,