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Home My WebLink About1619 S O St - Building FROM FRX NO. Oeo. ~ ,_ "".,~" , ELECTRICAL WORK PERMIT APPLICATION . ~tractor o 0"1Ier ti o Request Inspection ~~ [J Residential Malut. 0 Signs or -7'7 o Thermostat Q Telecom. I:J Annual Permit 0 Ala.rm D Carnival D Commenial r ~ical Contraetor II\SIallation description Job ..ired by o Owner E.lectrical conlrQctor name ~o-'\J~ License number I goD $1-A- ~ ~(<2-~~ '- b'L.J;"~S, l!.Z...oW' ~r m~~ ~ ' 4Ld) c~ ~ ~~ZIP - 0-= j", q~~6 L- Telephone number fAX nu.mber L,g- 2---.(p~...."f CSo---J '\ premiSl+:ll.erlS nSlm~ . . . '-<.~~'1 d1-u-.q. Address of Inspeedon l(PV~ ~ '6,. CICY~ f\ .n~ O'#-T 'p' o Cash o Check # I hl;fcby certify lbat I am the owner of the above named property or a licensed ~ ..-viSa Mastercard Discover electrical contractor (or the fifTll.... authorized agen.c) and am making the c1ccmcal installation or altCTlltion in compliance with tbe electrical law, Chapter 19.28 RCW. Card # --~~--------- '- ~gn""r. o~.<~ or .1.mlc.1 'dmlnl"~..or Expiration Date ($nspc~~c: ~ [) of card '- \ , ><:. WALLS Insulation Only I)lle Appro~twl By I. h Cove< ~..o /<-. /0. <' /Dalc/ Approv~(/By CEILING Insulation Only Dale ^~l'OvedBy ~ . Cover Av:J /5$/"''- Ual APJll'Oved Dy THERMOSTAT ~ App"wod 1:1... SERVICE ~ Ar1E1? n. DITCH tlCUll!R .C(qf?, Dal~ Approyed By 1 Electrical Load Additions and or subtract'oM t IJ NO LOAD CHANGES 1\ ~ ~~~:~:rd =: ~tfl,J.O~ IJ Ovemead SelVlce o H~at Pump Ton LAR D~ ~ Y}\ D Temp Service o Fan-Wall - KW - \' 0 Underground $etvioe ~ Service Information , VOltage Phase IJ 1 IJ 3 Service Size: _ ~eader SI:e: Inspection Area, Building or Equipment lnspcctcd Action Taken Electrical Datc Inspector . 1- Zt:> .- 05" /.?' n>I' , .' ~#-. "1 A'JO ,04- ,4-e-<9 O~ rOJ-+L I"lN~ " , ,. - .-.;., '- fEllECTlRliCAl ~NS/?lIEC1~OIM 'WilR~IMG ~1E/?lOIRnr 417-4735 PERMIT. ad-CJ $Vu//C6 .5" $'T, APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN/COVER.. ... .. .. .. ... 0 o .................. SERVICE .................. 0 o ........... tzr . . .. FINAL.. . .. . . .. . .. .. . .. .. .)( CORRECTIONS NEEOEO:Ot/rIz)/y"€... ::;rJ1cK..-5 (j)Ot-b?t.L5~ ,8-fl7-1 /T'~~ &P~ . 8t #00-<'- (stt.t- ~A?r.u, L?8 ~) &.,,0 /Nfr~ ~L:> ~-4"17ceLS /N ~~ , c. II )Iff CtJI7'7~~ ~,/J /"LiL ,4~~~/) NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 45,2.1381 FROM ~~ractor CJ( Q Annual Permit 0 Alarm Q Job wired by ~ Electrical contractor naIhe 1?\~~~ '-- ~tm~~ ~~ c~ ~ UltJ~ . TelePhon~mbcr FAX nUmbtl L..j ,2---.(.p~...-( Cc;,..... prcmjS~ner'i nHm~ . . "-~~'1 ~.-q- Address of htspecUon lu,tC\ <;:"6" CIIY~ n n" O~T I hereby eertif)' lhat I am the owner of the above electrical contractor (or the finn's authorized agent installation or alteration in compliance with the elec ;gn.,ure o'O:-.,~ or , / WALLS Insulation Only h DAle ApPNvllIo! By I),.Ie Cover Dgle Appro"~1! By 1)1IU '- 'I I c. " Electrrcaf Load Additions and or subtractJo" CJ NO LOAD CHANGES o Baseboard _ KW o Furnace _ KW o Heat Pump _ Ton _LAR o Fan-Wall KW v OJ ) ELECTRiCAL !NSPECT~ON W!iRING REPORT 417-4735 CL1 /Z 0 I OWN Z~C ! ADDRESS ~~/1 -<) D. ) IV fwt/.-.A'77~N fJ/1.4i!P1L TlJ ,IV .1fJt(..~'1 (.,~N APPROVED . NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH iN/COVER.............. j)( o .................. SERVICE .................. 0 CORR=T;~NS . ~~~~(2) ~,~; I ~F~~:~.~. . . . . ;;~~~; . . . ~,) . t5 If A') Jt4n, CY ,'-"(; I.,.~lc;r= t'6.rt. <<' ';'/'''' /1' .... "" V "".';.,i>",~"~- 4' f...<oCt:_ I ---< I I --1 ,:f:r. ~H-.! "'i ,4' , ~- r NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS tnspection Area,B - DO NOT REMOVE - Date OLYMPIC PAINTERS, INC. (360) 452-'351 , . '-.-- - ~'i-.'-'T~ $4.0~~~ ". L~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number pin number . . . . Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning . . . Application valuation 04-00000097 Date .833698 1619 S 0 ST 06-30-01-5-5-0050-0000- RES NEW SFR RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 71573 Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 OWNER Structure Information Construction Type Occupancy Type Other struct info NEW 1180 SF SFR W/ATT 520 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 Permi t . . . . Additional desc Permit Fee Issue Date Expiration Date MEC lANICAL PERMIT 76.00 Plan Check Fee 4/09/04 Valuation 10/06/04 Qty Unit Charge f'~r 4.00 BASE FEE 7.2500 ECH ME-VENT FAN Permit . . . . Additional desc permi t Fee Issue Date Expiration Date PLUMBING PERMIT 132.00 4/09/04 1 )/06/04 Plan Check Fee Valuation Qty Unit Charge F!r BASE FEE 8.00 7.0000 ECI PL- EA.FIXTURE ON ONE TRAI 1. 00 7.0000 ECI PL- EA. INSTALL WATER PIPE 1. 00 15.0000 EC I PL- EA. BLDG SEWER 1. 00 7.0000 EC I PL- EA.WATER HEATER permi t Additional desc Permit Fee Issue Date Expiration Date BUJ JDING PERMIT -RESIDENTIAL 821.25 1/09/04 . 0/06/04 Plan Check Fee Valuation Qty Unit Charge :C'er BASE FEE 4/09/04 GARAGE 19.00 V-N 1. 00 1. 00 9006.00 1700.00 1700.00 1. 00 .00 o --- ~ - -.Q " ~ Z ~ r \j ~ ~ ~. Extension 47.00 29.00 .00 o Extension 47.00 56.00 7.00 15.00 7.00 328.50 71573 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 construction. ~o T:\PLANNING\FORMS\1102.15 (11114/2003] Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 4] 7-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS WALLS . FOUNDA TION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DR YW ALL (INTERIOR 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 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. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1102.15 [11114/2003] 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 04-00000097 Date .833698 1619 S 0 ST 06-30-01-5-5-0050-0000- RES NEW SFR 10/25/04 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 71573 Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 OWNER Structure Information Construction Type Occupancy Type Other struct info NEW 1180 SF SFR W/ATT 520 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 9006.00 1700.00 1700.00 1. 00 ~ --- ..Q permi t . . . . Additional desc Sub Contractor Permit Fee Issue Date Expiration Date FIRE SPRINKLER RESID KNIGHT FIRE .00 10/25/04 4/24/05 PROTECTION INC Plan Check Fee Valuation .00 o If\ ~ Special Notes and Comments The site is located in the Madrona Woods Subdivision. The residence may NOT be finaled until infrastructure improvements for the subdivision are installed and improved. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association(NFPA) standards. Electrical load calculations and elctrical permits are required. o q 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 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 ~~~I~n~UrOri~ violate 0' canoe I the pm:s;ons 01 any state 0' local law ,egulal;ng construction 0' Ihe pertonnance of -W1k~ ~ Signature of ContracTor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PLANNING\FORMS\1102.15 (11114/2003] 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 LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDA TlON DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I PLUMBING UNDER FLOOR I SLAB ROUGH-IN W f'TER LINE (METER TO BLDG) dAS LINE BACK FLOW I WATER AIR'SEAL WALLS I CEILING I FRAMING JOISTS I GIRDERS SHEAR W ALLIHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I W ALL I FLOOR I CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEP ARA TE PERMIT #'s SEPA: PARKINGILIGHTlNG 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.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNlNG\FORMS\1102.15 (11/14/2003] PORT ANGELES FIRE DEPARTMENT 102 East 5th, Port Angeles, WA 98362 360-417-4653 Fire Sprinkler System Plan Review Project Name: Self-Help Housing Address: South 0 Street Installer: Knight Fire Protection Telephone: 360-417-0505 Type of System: 13D R-3 IX] R-1 D Com D Date: October 19, 2004 Permit #04-12 We have checked this plan and find that it conforms to the requirements of our ordinance. Additionally: 1. All systems including underground mains, shall be installed by a state licensed and certified company. The system shall be installed as per NFP A 13D. 2. All electrical components shall be compatible with the fire alarm system voltage and as per P AMC and Washington Administrative Codes. 3. All systems will require witness underground flushing, hydrostatic tests for system, and underground pipe schedule inspection by the Port Angeles Fire Department prior to being covered. (R-3 and R-1 requires design sprinkler flow.) 4. Before final acceptance of the system, an inspection will conducted by the Port Angeles Fire Department to ensure the system installation complies with NFP A 13D. D Contractor ~ Building Department D Fire Copy Reviewed by _~~ Date 'O.\~.ft}L' FP - 9 Page 1 of 1 , , , , , , , '~ I I-'I-'I-'t-' I ~NNNUlUl~.t:>.t:>.I:>o I ............................................................................................................ 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'" , :>;00 to to "'. to :uO, 0'" 8 C::::J c:: "'''' (J]O HUl H gJ~[:l "'0(') t' t''O t' :u , t' 0 0 0 t':U{J] ;J> Z HOj H >-3HH t' Z I> Z {J]'OO t' (') Q QP.Q '>-3~ ~ 0 " (')H H 3: '" '" 00 HZ 3: '" 01>0 3:ZH Z{J] '" 0 ~rT~ 3: ~ (J]'O Z ~ '" '0'" >-3 O-.J Z "'(') {J] 0 ;J>.. ;J> >-3 (')>-3 ;J> >-3W>-3 (J] >-3H ~ >-3 HOH 00 H 0 0 :uZ 0 0 ZI>Z Z OJ :u>-3 Z :>; '" OH 0 0 ;t:>'u.o 'O'O{J] Q(') >-3 :u t'HO gjgjg "'~ '" ;J> t'....>-3 :U'" {J] H -z ZZO >-3 Z "''''H <: ;J> t1Q <: '" Q 'i {J] '" " {J] n " " n " p. I> rT .. -.J -.J , H tv .. W 0'0 ;J>;J> >-3Q "'''' ll' , H H , 0 ..'" BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date RtJc.:L -3 <:Jlj .' ......" 0;- ~~ Date Approval: :;> J~ {; 1 Date Issued: F1II out COMPLETELY aDd ill INK. Your applie.tion md site plm MUST BE COMPLETE to be aeeepted for revi~. Ifyoa have aDY qaestiOIlB, eaII (360) 417-4815 ApplicantorAgent: /IOVSIN~ A'Jr\.Ho~/rt COClNT"'j oFC~Phone: 'I.sJ..-7631 ~(I / Owner:~IJ$ING- A~ll1GR 17/- or c~ rJ.[",-C:J:rH--f-h (ClAfCK)hone: ~r:J.::.2{3 / Address: ,:)/,0:;'1 SCJ. fJJ.M(it5<s},_ . City: potU' frY\l?l~~ Zip: 1&'3' l. Arcl1itectl&gineer: )..} ND6$ie~ A I2CkJ I tf'wrS Phone: //.0 - (lIt Contractor /I A- C C- State License #: Bxp: Phone: Address: :;..t:o?, .so, 'Pflbllel5 6". City: (J6d<<:r ANo:af:$' Zip: f~3 C;2 PROJECI' ADDRESS: It /9 Sa, ''c:/ Sr. PoRrr A1N~C;LE$ ZONING: /( S - 'I . LEGAL nEScRlPTIoN: Lot: .u;. s" Block: 0 5r: Subdivision: MHDf&d /t w C) at> S CLAU.AM COUNlY PARCEL NUMBER: 06.3 00 /.:).J - 0 0 ~ 0 Credit Card Holder Name: . BiIIiDg Address: City: Credit CardType VISA Me tI Exp. ~te: TYPE OF WORK: SIZElVALUATlON: ..' ~ ResideotiaI KNew Constr. tJ Re--roof C Stove Itg'o SFz @s. tj 7. "3'/SF. = S {f z:'} c Multi-family [] Addition. '0 Move )r'Garage ~f}.o SF.@S' "30~;> ISF.-$ _. ____ C CO.....~c;w [] RcDiodcl .'.. .[].Demolition ODeck SF.@$ '. . ../SF.=S [] Repair. . . Q Sign . c Other TOTAl. VALUATION $ '71. .J73 BRIEFDESCRIPTIONOFTBE'PR~: NE..w 'l'5Ir1t-h~ F~"1JJ..r (<.tz6/l'iVV<l,2.. - .' 'oAt.. STORy t.J'17f~'hT17J::C;1/U) .~-~ ~~_ .' COMMERClAl.lRESlDEN'Ib\L::~'GrouP:' Occu#mtU>a~..;' :', ;"-'~mi'type: No. ofStorics:i LotSize: Joot . BxistiDgSq.Ft. C:? &ProposedSq.Ft. /700 '=TOTALSq.Ft. 1100 Existiog lOt covemge . 0 % & Proposed lot coverage -'..2-% = TofallOt ~ /9 % . APPROVALS: . PLANNING USE ONLY: PLAN:~. ' BLDG:.~ DPWU: FIRE: ESAlWet1and(s): eyes 0 No SEPA Checldistrequired? 0 Yes c No Other. OTHER:_ BUILDING PERMIT APPUCA110N SUBMITrAL: The Building Division can provide you wid1 infonnation on the application and plan submittal requircmcDts if you have questions. . - V ALUA110N O~ CONSTRUCrION: Ia aD eases, a valuation amoaat mast be entered by the applicant. This figure viiIl be IeV:iewed and maybe revised by1he Building Division tacomplywithcurrentfee schedules. ContactthePermit Coordinator at417-481S for~e. PLAN CHECK FEE: IF a plan check fee is doe it mqst be submitted at the time the building permit application and coustmction plans are submitted. AU other permit fees are doe at the time ofpennit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued wi1bin 180 days of1he .date of application, the application wiD ~Ire. 'The Building Official can extend the time for action lJy 1he applicant up to 180 days upon written request by the applicant (see Section 107.4 of the UDiform Building Code. cmrent edition). No application can be extended more 1han ou,ce. I hereby certify that , have I88d and e~ed this application and know the same to be true and conect..., am authorized to apply for this pennit. and undeIlltlIIId thai f Is my Il>SpOIIl1i>IiIIo del..mi".."at pemIiIs... mquied .n IIJe cry. and '" ""';.~7: pemiI.r r;;::y ... ...... . . ..' " ~.. ..-:).. t...<.....~ . . . '.' '. . ~:~~r:.~;~~:i~;7-\:\'~;;.:';;':):}<;; CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . . REQUEST: Date J-/ - ~7 -oI-l . Time II '- 1)- Received by <..~ ~.-...A- (Q person Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Ins~circle appropriate one): ..-"f" .~', "-- .' \ Sew / FoundatiO? Framing Chimney Plumbing ~o/-. i-V /b19 Sn, B '" l) e--.J2...... 1\ .. t!) Phone No. ^/77-/::J-tJ5 Permit No. 04 - 97 Sewer Excav. Other Final NN~ o;jj C r 'I ; .,~\ \ Q ~\':f'l "l~:e-6~ By i; ( / ~cll-.'d t;>u -,. Inspected: Remarks: RESTORATION REQUiRED...... YES NO r ~~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE o 571<Z. z. r .._.._.._.._.~ .. '. eo. ~ '. t:'. v' . '" p \ \m___ ...........,......... 11 0 ;. I ~~ ,.(,2 . , ~ ~ ~ "" ~ '"'---.. " ~6' <& '" S tv' 4.1. r '~l -M Dt.4HoJ 14&-[ .. ~ : "'-.: ._.~ : ." . . . ,., ~. br. '" --... '/l ---------Jl----- -------- , i1 ~~ .." .: ---... p --- 1lJ.J. -- :&'1-' fL04t ,,'?J." 1'-' I I I I , , " , , I .r'1 I : , , , t<> : it i: I I I I I I , , , , I I L_____ , y~;' : I :; \} :\'! ~ ~ _mmm_m____j ~ '- ~-=-==:--~---1Iem-m--rm------ __J ~ .26' ~ -( ?"\ ,,"I \ . 12' '3' o ~~Lf~ ~ . ) ~ -- -- ~--SCALE:--r-=\<nr----------------- : I I' I jlf,...\1 . 0 ,., ,I' r TITLE:MADRONA WOODS SUBDIVISION SCALE: "'"" C/..../ff( K lOl5 1" = 20' JOB NO: 02030 CLIENT: FILE: HOUSING AUTHROITY OF THE COUNTY OF CALLAM LOT5.DWG 2603 S. FRANCIS STREET DATE: "- PORT ANGELES. WA 98362 11-25-0lJ d'O'II'~_ Jfi~~ D8 ~~,. CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 9ln62 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000097 Date .833698 1619 S 0 ST 06-30-01-5-5-0050-0000- RES NEW SFR 12/10/04 RESIDENTAL SF 9000 RS9 RESDNTL SINGLE FAMILY 71573 Owner Contractor HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS ST PORT ANGELES WA 983626710 OWNER Structure Information Construction Type Occupancy Type Other struct info NEW 1180 SF SFR W/ATT 520 SF TYPE V ~ON-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 9006..00 1700.00 1700.00 1. 00 ~ "- ,~ Permit Additional desc Sub Contractor permi t Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 1800 SQ FT SFR ELECTRIC SERVICE 96.40 12/10/04 6/09/05 Plan Check Fee Valuation .00 o ~ , 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 The site is located in the Madrona Woods Subdivision. The residence may NOT be finaled until infrastructure improvements for the subdivision are installed and improved. New subdivision outside the four minute response time shall be equipped with a residential sprinkler system that is installed and maintained in accordance with Uniform Fire Code (UFC) and National Fire Protection Association (NFPA) standards. Electrical load calculations and elctrical permits are required. LI\. ,\ 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 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECT.JON RECORD 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 IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT J08 SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO 11IT( 'H II 1I1(~~-IN I L:UVER ~h.K V lL:h I I -~ GENERAL COMMENTS: PW-II02.1S[~1 '{i "-'r"---" CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .l21 EAST 5TH STREET. PORT ANGELES. WA 9Rl62 Application Number pin number Other Fee Total Grand Total 04-00000097 . .833698 1774.50 1774.50 1870.90 1870.90 Page 2 Date 12/10/04 .00 .00 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECT.ION RECORD 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 IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO 51A ,#+; /N,,' " y.; ).J I.,f'J' FN" ;fL- n /I/AL "V - ;?-<'- 05'" ,0.1'1 ~" . ;1,,&.-(."::': ,4 /" ri':::t:.) ~....~ GENERAL COMMENTS: PW-II02.15 [41961