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Home My WebLink About1611 S O St - Building , ,-~ FROM FAX NO. Oct. 25 2004 07:25AM Pi \ J tj, ..'~. a . . " ELECTRICAL PERMIT APPLICATION , i=0J< t)J'I;ff;,jjflt,l. \IS~(I"'l~.' . 1..1.1;.....;:1. ._n...".""__o._______ I'.,",D\. _____._____ J)~le"'j\J\h,.i:d _._.________ Llal')oj....II"...._......._..._ ~-'\ \ Ploul ryp~ or reprint in inIL If)'ouNt'''8eI7)''QuuUQnI. pl.... ulJ t36U, ..17....135 f=81 n'Utnbe>I'": ()SO. 417~711 . "hc Elecuital Permit ApglicatlQtl must ~ fUlled oUt eomD'-tetv. Own=,or El~e. con~'~'W'k., ~~2"~ Phone.HS:)~ tr/"'H fax: Property Owner _ ~ P~no Adltfll..' '2""0 ~ S.~ CIly; P v4- el.Cb1calcontr.c\Ol~ Sa..n,ir..l'lr"",,- ~;_Ir: 'jff.fr~.:1/l.Jf'~ ~':l... ~~(j'r PI .c;ty:..yA:. Lot ~ '1. -t, Lfr:LJf ~ S'L.- 1'& ~I Zlp:- q y~{.~ "t"'"=:.!jS':J.. ~4f2 Zop: 9~~c..-:L Address: INSTALLATION W1R~D BY: (J OWNER o ELE'CTRlCAL CONTRACToR BIlling Addre.s: Credit C"d Numt>er: -@.~ '-- . Cl'fldll Card Holder Name:_ o-n Zip: ,/ VlSA,__ Me: - - PROJECT AIl11RESS: llc>q 'S' 0 ,. ~ -\: TYPE OF ~ Check all that apply 0 New ~tlal :J Mulli-family ;::: Commercial o AlteratlonlAlldttion ::J Mobile Home Sq. ft !-(..oo ...( ---.! D Sign~ ." Cl Remote MeIer 0 Detached garage 0 Hol Tub 0 Swim Pool D Septic Pump :J Low Voltage 0 Telecom. NUlTlber of Circul18 added or altered:_. ~ (-J2., ()- Q. r.,.. ---. , l~ DESCRIPTION OF TH!; ELECTRICAL PROJl:CT: tv~J< ~ ~ Electrical Heat Load Addltlcms and or Subtractions Service Inform.tlan :.l 9,aeooard :l Furnace :J He.! Pump :J Fan-Wall _KW KW - 'TON LRA ~KW --- o O"erhead SefIIice ;J T ..mp S&rvIce C Unoarground Service Vollll\le: t'2.<> ~"-o Ph",e: ~ 3 Slotvlce Sixe: Zoo . Feeder Size: . , .~ i , , I herebycertlfy that I neve read and fJx,,/";necJ this application and know that same to be true and correct, and J a~~ 9lithorized /0 apply for lI,is permit. I understand It is not the City's legill responsibility to determine what permits 3r9 required; it remains the applicants responsibi/ily to determine what P&rmits Bre required and to obtain such. Credit Card Hold......" Slgnat~re:---li?~1.JijJ, ,-.I Oltl:~ Owner or Elee. Cont. Signature: ~.f 11 [j?1~ - II Olte: 1000-5____ ::/ELECTR.CALPERMIT APF'LICA TJON PERMIT FEE: $ 9r:.. ~O ~ ~ ~ IElE.tTRfi'CAl ~NSPIE(c"~ON W~IRl~NCG fRllElPOlRll 417-4735 .sf APPROVED NOT APPROVED o ................... DITCH ................... 0 ,.8f.. . .. .. . .. . . .. ROUGH IN/COVER. . .. . .. . . ... .. 0 o .................. SERVICE .................. ~ o ........... (j) . . . . . FINAL. . . . . . . . . . . . . . . . . . .. 0 CORRECTIONS NEEDED: ~,I7p /f'o/V,/p ~.....,.::>6K . , AfJl10rI 1) tJtlUrl t-i "I ( ;1P~ ? NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 \ IEllECTIPWCAIL ~IMSPrECT~ON W~IFa~INIG [R1IEPO~1f' 417-4735 .. , DATE PERMIT' ~ 9, "5' 01'-'f7b NERI NTAACTOR ~71Uc. SV1 ? ADDRESS /b// :5. 0.. :5/, APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN/COVER ..............0 o .................. SERVICE .................. 0 o .................... FINAL.... ... .............fir fj)/ CORRECTIONS NEEDED: l;?""C ( ~.uo r; /'79 .L.44;J< // "7 (2- LN~ C A/" /Z/.6<Jn1Jfl)_ \ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITH.IN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 45.2-1381 ." " , " IEIUEC11R~CAl ~NSIPIEC1r~<OJNI W~ IRWMG 1RllEIP<OJIRll 417-4735 6JC/' - PERMIT' IN$o ~.e/c:.. .sL.~/ce-- ADDRESS .... /b/l.:5" 0 Sf APPROVED NOT APPROVED o """"""""'" DITCH """",""""" 0 o "'",,''''''' ROUGH IN/COVER", " "",,'" 0 o """',""""" SERVICE """"""""" 0 o """";;f{[)""" FINAL, , , ' , , , , , , , , , , , , , , " 0 CORRECTIONS NEEDED: J /V ~r~ /7'7/0 (J .~ /9-fi." @Df:-;NS7nU- /17UOrZ-tN& hrc M.-rrr~ &PUN-.o ~..s /)v<< Pc.-rlI'P b~.(., /~D'Z- 7~ 'I" NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS OLYMPIC PRINTERS, INC. (360) 452-1381 - DO NOT REMOVE - IEllEt:ninCAl flNSPlEC1fU:llN Wfl~BNG REPORT 417-4735 " .' .. Ie, APPROVED NOT APPROVED o .".",."".,.,." DITCH .,..,.,."".".", 0 o """........ ROUGH IN/COVER... .. ... ... '" ~ o ,."..".,.".,.,. SERVICE ,.,.,."""""" 0 o ',.,.".,..,.,.,.". FINAL, , , , . , , , , . , , , , . , , , ,. 0 CORRECTIONS NEEDED: ~1 ~~f' IS ' O/l/..... Cb> Q /J.X Pa ~r ' ~vniJ , ~.~, ZA ~.. l.-Y\ l:...u.-. k ry I/v\ ~~ iW\ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE _ OLYMPIC PAINTERS, INC. (360) 452-1381 FROM : FRX NO. : RU9. 05 2003 08: 03PM P2 \., ;....~ FOk OFI'ICI.u. VS"..;,;.-tI o.a.r/bC: ~ P'tI'mk': --, ---- t.i ELECTRICAL PERMIT APPLICATION The EloelIICal P.....lt "~Ucatlon mdllt II. Riled out ,,_a_Iv. p ,.... type Q( "pMI'.. I..k. If V DU """. ..Y IIVMlIone. pia.. e.11 (380) 811-41. Fa .umb." (380)4170<6711 P,opOl\y Owner: i..t <;;2. (./1~ '1Fu:. "f 5 '2- It, lot?.. Lj Phon.: Lt Add_: \ 1 1:' e: c..F' . EI__ Contraatar; E.! ft ,'./ n (...- kv; ~ ,"lht...... Li......#:S & '32..", AddresS: .f!:'";).. ~..-.. 1/c.!lI..,f?J CIty:A:J /,,"'l'iJ.;!J..~ INSTALLATION WIRED BV; 0 OWNER ~ICAL CONTRACTOR CfrJdit Carrl Hold. Name: e",,: "'1 c"f ZIp: ~) Phone: 1., ~ . t.'f Zip: 9g:=:".. ~ City: ~ . , Exp. Date: OY\ PROJecT ADIIlU!!ss: It/I .5. &J. oS r. / n 1/ / . / ::2F WORK: Check il1l thllt apply: 0 New . eskIentlal 0 MultI-family . 0 Commercial CnHIIf Carrl Number: Zip: VISA: Bllllnll Addrass: .::5. cJ. S77 / /709 / a A1teratlan/Addlllon ....5.0.sr-;. .0 MobJIeHome Sq.Ft. o RemDte Meter 0 Detached glll'age" d Hol Tub Cl SwlmPDOl' 0 Septic Pump' o' 0 L-oW Voltage 0 Telecom. Number of Clrl:U/1I 8dded or all8nld: DESCRIPTION OF TH~ aECTR.lc~ PROJECT: ~-4-:e~ '0.~'- .(Q& o--.p .EI~I LnlU'i additions and Dr suhtnlctiaM service Inform.~ o Overlle8d Service o Temp Service o Underground Service vollilge; Ph"e: 1:11 03 Service Size: Feeder Size: o BlIS8boerd o Fumeae o Heal Pump o Fan-Well KW KW _TON_LAR. KW PAMC 14.05.060(B): For Induelrtel. comrnen:lel. & residential projects largerlhan a dUplell, a one .ltnedl'8Wlng ofllle EI8C\riCII/ Sen. Feeclel5, buil~lng slz It (sq. fl.), load calculations. and the ty pe & of CQnductolll sndIor racew ey is raqulrec:l and shsJI Deconn pany llIe Electrical Pennlt application. I hereby certify that I have read and examined this application and know that same to be tftJe and correct, tine authorized to apply for this permit. I understand II is not the City's legal responslbifIty to determine whet perm are reqUired; it remains the applicants rea"onslbility to determine what permits are required and to obtain SlJe, OWnor elf IiI,Go GClIll. Slgnatur.: (~) ! 0./7) j '~Vv._f.p.lCLI4H DII" .../'"1 ~y !/A.J ~ c:2 ,~I Dlw: ~ /17 (OV PERMIT FEE: $ +b.90x-3 Cnt~11 Cud Hal.". SI,netu..' PI/V.!101QJ7J03 MAR 26 2004 13:32 HOUS1NG AUTH CLALLAM 3604577001 p. 1 t ~.. 2603 S. Francis Street Port Anfleles, WA 98362 - I. .1 {'" . ., . Housing ~uthoritY"ofthe County o~CI~lIa~_".. -1'::;. \', (360) 45~!.7631 . (360) 457-7001 Fax Fax 1'be ilL. 01'14 n/ Fax: 'il7 - . if?11 Phor* '1/7- "I7'!;,s-" Rae -1EA"1(>. pow ~ From: (!,I!vc. E... (VIceop~bJ p..... J.... Date: 3-;;'(,.-0'( ,( cC: ~ o Ursem ~Por RtIVI8w o Please Cooul_ 0 Please Reply --LiL - If un IS A fJ111P ::> Ho W/ III c;.. C)// a. Tl/n I'. fb 4J U?. ,_ / It ~ .J:t Pole. AOCA-TloYIl5 t?N 0 s.,-reC{,ir; /-.0"-,<:' ~-'I-C 'i:AOI J:/:!1'5 A SfT- t-(J AND ADi'2>...ssCS AR$ ::5/-1o.....url. 1'= yo"; I.J!.1JO tncfli.. /NroflfYlA-TI6N j?J.t~E. C#.L lO~ck. €! !L1..;)"-7t~1 ~-t-r Y / OFAa' ~77 - /'1. '13 cat.. ( . -r/-{/t"tlks !3fZuc ~ I The hlonnallon _lWi...d In the facsimile message Is legally prlvlleged 8IId confid8nllal Information InlenCled only for the ... of the IndMdual or entlty to whom the fax Is addl'lSS4ld. If the I8lIder of fhfs ....... Is lIot the Intended recipient, Y\llI- notified that 8IlY dlssernnaUon, dlatrl>ution or copy of this tIlIecapy IS sIJ1cl1y prohIbll8d. If Y\llIIIaw .....1vlId fhfs lBlecopy III .nor, please I~ notify us by lIlIep/llOll8 and l!IIum the origlnal_lo us at the addresa lIbov8 via the united StatIls Postl"SioMce. 1hanIt you. ~1'ov<... I" b U-.:;. (.v if:t:. ,:, Z II VI' 'r'- -, ~ ,SI - 'I ~ II ~ 1 vJ L c,/f7V Pity fO/2.. fY/f/fE-(Z 0"'; "0 r 1% 'i jVe t.J W 1'711 7I'fE f< ~S., (0 FOL)...o<J frY' h3cvtr" fl..- W'lE.;CS ~~ MAR 26 2004 13:32 HOUSING AUTH CLALLAM 3604577001 p.2 " , ,\ l.!' .,...... fPJ/lA 71 @!? JJfjt9JDR@~ W@@D~ [g1E!H@ AJ fPJ@R71IJ@N @!? ~U[gIjJR[gAJN /1,@r lIfPlI, 71@WN$rrIE @!P t~R7r NIf((JIE/LIE$, (tUI1.UNJ (t@IjJNrYf, WA~/J#!N((J71@N _"'___QF7HE~DFCUUAII ~~ /ItJIlIRlIlIO.~\ ......_""'" -, ... ~ DIt 'I.n ... ~ " SEE NOTES' ON SHFET 2 . AUlJ/TOR 's Cf'RT/F'ltatt: ~ 1'Ull1'O'1UOIIO,...__tJ/Ilffl 2011I:I 1.'__"'__._lFl"tA'IS'''''~_ l.-oDlJltlGlll:l'll'!'lf'''-.. A'lHf~Oi'IIIJC\.!JII~"'__CIll IJU'UI"T WUN'11" NUl/UK -- -. 1"'_~_ 1'7U__.... no..-a'"O"_ 1'7G1M1llB-o-_ .AtIWlllOOO-~ 1.1~"O"'_ 1&61....... ,4U...". ... ''''_u. IU1'-~ IUllIlllO'ftlll ... IU'~IMI. 140' MIlmII 11MB 26fUMWIW.... IW,IDImlIUIIla zm~_ ."" UIl7IW .... iW.AIIOM .... ..U~_ I'll ____ $ . . U . U " " .. .. " .. .. .. -- -- -.arlgllllll:na .., .., .., .., - .... .... .... .... .... .." ..,. 11.. flU ilIlli ,4!1 ,.U '00' .... n" SUFNFYOR'S CERnF7CATE \ -TV". ..lItJU.~MCU I U 1-. ,a' t". JO .. 5CAIE " trrr ". LEGfND o . = ftUG llH '-....... ..yo....ssa/>lIItlDlH'llIlCIiUIfWr =~.ceu~~":l~....'" -.e ......,....,.... EUDoem: ... CD.CUID JO _ a,.,. "'~.-us"" _1UJ: SHEET 1 OF 2 '-- WJlI\/l",1 RII srnw.!mNG '" MAPPlNG en f 330 K4ST FlRSr ST.. sum 10 PORT AlfGELES,WASHING70N 983//2 (380) 457-9600 . FAX (380) 457-9556 . .. *" CDMCn.r.......... ....,... W 1/1' lllt 1II'~"~"_~fJIf'_ ....,._~AT....-.rlJ'___ Al/IIaIr(DrMCIIIUm'Of f VORT ~ '-~o~~'" (}".~ "-~ ~ "40:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000102 Date .649868 1611 S 0 ST 06-30-01-5-5-0060-0000- RES NEW SFR 4/09/04 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 69610 Owner Contractor BAMER, REBECCA 211 FORSBERG RD PORT ANGELES (360) 452-9654 Structure Information Construction Type Occupancy Type Other struct info OWNER WA 98362 NEW 1199 SF SFR W/ATT 524 SF 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 GARAGE 19.00 V-N 1. 00 1. 00 9004.00 1723.00 1723.00 1. 00 76.00 Plan Check Fee 4/09/04 Valuation 10/06/04 .00 o - ~ --- - " ~ -.. z. ~ ~ " ~ ~ Permi t Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT Qty Unit Charge Per 4.00 BASE FEE 7.2500 ECH ME-VENT FAN Extension 47.00 29.00 Permit PLUMBING PERMIT Additional desc Permit Fee 132.00 Plan Check Fee .00 Issue Date 4/09/04 Valuation 0 Expiration Date 10/06/04 Qty Unit Charge Per Extension BASE FEE 47.00 8.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 56.00 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 Permi t . . . . Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 807.25 4/09/04 10/06/04 Plan Check Fee Valuation .00 69610 Qty Unit Charge Per BASE FEE Extension 667.25 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 construe' n. ,'/vd: Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.1S [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I WALL / FLOOR / CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\ 11 02.15 [11/14/2003] --c__~ 1C pORT ~ $~O~~~ rEiii L~ ~ ~JC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000976 Date .798288 1611 S 0 ST 06-30-01-5-5-0060-0000- ELECTRICAL ONLY 10/26/04 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY o Owner Contractor BAMER, REBECCA 211 FORSBERG RD PORT ANGELES (360) 452-9654 WA 98362 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit Fee 96 .40 Plan Check Fee .00 Issue Date 10/26/04 Valuation 0 Expiration Date 4/25/05 Qty Unit Charge Per Extension 1. 00 73.0000 ECH EL-R-SQFT FIRST 1300 73.00 1. 00 23.4000 5C EL-R-SQFT ADDITIONAL 500 23.40 "'- ~ '" '" Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 96 .40 96.40 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 96.40 96.40 .00 .00 ~~ ~C) ~ ~1 ~ "'\. ~ ' 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. Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\PLANNING\FORMS\1 102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # n, R /r: (.,.,J2~1 <:: ~~. J.."1.~~ ROUGH-IN III -. '-~nf.J I .:.X I /; ! , PLUMBING \ I .r - UNDER FLOOR 1 SLAB r..~- .... .,""- . - ROUGH-IN r;,: 'r' ~A TER LINE (METER TO BLDG) ,I - ,: !.1 I 'f(' / ! GAS LINE BACK FLOW 1 WATER /0 ;)7 c) \..( 1\ , i i AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 !,-/J h 'S" kO ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W.I PWI , CONSTRUCTION - R- W. ENGINEERJNG 417-4807 PW 1 ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-48]5 BUILDING T:\PLANNING\FORMS\1102.15 [11/14/2003] 1C \,ORT ""'-\0: $~O~~~ ". L -=.:or :----= ~JC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property zoning . . . Application valuation 04-00000289 Date .041550 1611 S 0 ST 06-30-01-5-5-0060-0000- ELECTRICAL ONLY 4/12/04 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY o Owner Contractor BAMER, REBECCA 211 FORSBERG RD PORT ANGELES (360) 452-9654 WA 98362 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE 60A ELECTRIC SERVICE 40.90 Plan Check Fee 4/12/04 Valuation 10/09/04 .00 o ~ ~ Qty Unit Charge Per 1.00 40.9000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 40.90 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.90 40.90 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 40.90 40.90 .00 .00 t!" ". " , ~ l 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 orwork 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:\PLANNING\FORMS\1102.15 (11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. (I INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN W A !ER LINE (METER TO BLDG) ,/" ;#'S LINE .':..} aA,CK FLOW 1 WATER "" AtfI!kAL 't:A..LLS C iI1ING ,,,- Fa!nHNG rt5iSTS 1 GIRDERS SliiAR WALL/HOLD DOWNS A WA'tLS 1 ROOF 1 CEILING I'" IilRYW ALL (INTERJOR BRACED PANEL ONL Y) T~BAR INSULATION ~. SLAB " ~tL 1 FLOOR I CEILING I ~ tHANICAL ~ ... T PUMP G ~INE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: ..#FA TERLINE 1 METER . ~~ER CONNECTION 'J^N1T ARY TORM JL:4NNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 3h;?~'1' IAe'-O ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W.I PWI II' I' CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4 J7~4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\l102.15 [11114/2003] .. f!I fVORT~ $4.0~~~ ". "-~ ~ "40:<:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number 04-00000102 .649868 Page Date 2 4/09/04 Qty Unit Charge Per 20.00 7.0000 THOU BL-50,001-100K (7.00 PER K) Extension 140.00 Special Notes and Comments The site is within the Madrona Woods Subdivision. The residential structure may NOT be finaled until infrastructure improvements for the subdivision are installed and approved. Electrical load calculations and elctrical permits are required. 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 1015.25 1015.25 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2789.75 2789.75 .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 T:\PLANNING\FORMS\1102.lS [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417 -4 735 FOR ELECTRICAL 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 LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS c.. c.--O '-I ...JLL WALLS <:- -1I-D4 12v FOUNDATION DRAINAGE/DOWN SPOUTS :::--,fj,i_ CH iR ,) ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN R.. If)' 0 J.{ ~} J.. L- WATER LINE (METER TO BLDG) 'l.. - '1, -10 r j . L . GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS Ii/_Is-OJ-j j . L. CEILING FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS q- ?'--CJ) \ t-L-- WALLS 1 ROOF 1 CEILING i ;- U:J--O 1-1 ~1~ DR YW ALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING 111- , <{ - o~ l.i. \. . MECHANICAL 1'-1 El Ii r IN it L 4 .- 25' - C' s- )LL ,~\ HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. 1 PWI s=~~" #.")~ It) '-1"'';:- CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 71~l6-C5- .J t../.- BUILDING ;) T:\PLANNINGIFORMS\1102.1S [11/14/2003] f VORT ~ '-~o~%-'" (}hiiii~ "-~ ~ "40:~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description subdivision Name Property Use Property Zoning . . . Application valuation 04-00000102 Date .649868 1611 S 0 ST 06-30-01-5-5-0060-0000- RES NEW SFR 11/17/04 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 69610 Owner Contractor BAMER, REBECCA 211 FORSBERG RD PORT ANGELES (360) 452-9654 Structure Information Construction Type Occupancy Type Other struct info OWNER WA 98362 NEW 1199 SF SFR W/ATT 524 SF 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 GARAGE 19.00 V-N 1. 00 1. 00 9004.00 1723.00 1723.00 1. 00 ------------------------------------------------------- Permit Additional desc Permit Fee Issue Date Expiration Date FIRE SPRINKLER RESID .00 11/17/04 5/17/05 Plan Check Fee Valuation .00 o ----- Special Notes and Comments The site is within the Madrona Woods Subdivision. The residential structure may NOT be finaled until infrastructure improvements for the subdivision are installed and approved. Electrical load calculations and elctrical permits are required. ~ ........ ........... V) C; -------------------------------------------------------------- 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 .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 1774.50 1774.50 .00 .00 V) '-i 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. ("J) ,'\! r:: I 1- 1 :. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:IPLANNINGIFORMS\1102.IS [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS 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 FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN W '" TER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIRISEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYiUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. 1 PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. 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BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date RIle.: ~. - ~ -D4 Pennit#:~ Date~ed:~ Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. Hyou have any questions, caD (360) 417-4815 Applicant or Agent: 110 us, IV (j.. AiJ'fHO (l 'rt C() i! NTY of C~i.JA1?1 Phone: Owner: R E f3 z (' C' -4 f!:>,4-m 'fK.. Phone: Address: g /I Fb/(S~Zf1J; RSD City: fof((( fJ,.Jc;.-t:-l-es Architect/Engineer: LINDlOt'i( 6- ftRc I1lf~C,/~ Phone: . Contractor If4 ( G State License #: Exp: Phone: Address: :I- to '3 .5 (1, r(C1trJ ~ I S 51. City: (/6te 'f M ~ t)" C 5- Zip: /83(,. 1. PROJECT ADDRESS: / t II 56u'TH (oj +' 5'1"fl~'l'r, RA J ZONING: f( S-- 9 . LEGAL DESCRIPTION: Lot: + G. Block: (~ 5rl!~ v Subdivision: P1ArJJlaJ/V,It WoaD S CLALLAMCOUNTYPARCELNUMBER: Or:, "3 00 I r:~ - Dote c.;SJ..-763/ ,/5'";) - p t S-y Zip: Y 8'3 C 2- 'If,)- tIlt Credit Card Holder Name: BU6ng Address: City: Credit CardType VISA Me # Exp. ~.te: TYPE OF WORK: .sIZElVALUATION: gt. . ~ResidentiaI KNewCons1r. 0 Re-roof 0 Stove IIfr ~ SF:@$ .tjy ../SF.=$ ~~/ ?/f,) o Multi-family 0 Addition 0 Move X Garage ~ SF. @ $3{"7 ;"0 ISF. = $ I ~.;2. .~ o CoJJJIneI'Cial 0 Remodel 0 Demolition 0 Deck SF. @ $ . 'SF. = $ o Repair 0 Sign . 0 Other TOTAL VALUATION $ 61; t /0 BRIEF DESCRIPTION OF THE PROJECT: NEw\'JlrI?/..'f.., F/PnJJ..y je'iSFbfJ{<tg .- o/lli.. S'/ORy W J17tM-1'.A-C.Ht:O :).-eAll ~F~ COMMERCIAIJRESIDENTIAL: Occ1Jpancy Group: Occupant LOad:'. Colist1iiction Type: No. of Stories: --L Lot Size: 100 Lj Existing Sq. Ft. 0 & Proposed Sq. Ft. II;;' 3 = TOTAL Sq.Ft. / 7:2 3 Existing lot coverage ~ % & Proposed lot coverage -4-% = Total lot coverage I ? % ESAlWetIand(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN:~ BLDG:~ DPWU: FIRE: OTHER:_ PLANNING USE ONLY: BUILDING PERMIT APPLICATION SUBMIITAL: The Building Division can provide you with infonnation on the application and plan submittal requirements if you have questions. '--- VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure viill. be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it IIlQSt be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: lino permit is issued within 180 days oftbe date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 107.4 of the Uniform Building Code, current edition). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and conect.. I am authorized to apply for this permit. and understand that it is my responsibility to determine w~at permits are required , T~~4!f;~?\Bj~~~:':v ..APPJj.p!lP'~: hat :u~.~btain...s. uch.....,7.....pIB)...o...'. ~..1.' '.. . ~.. . 2c,/...L:i..'1... <~;:~~y~:~~ ~'~i:;:" .' ",. 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