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HomeMy WebLinkAbout1526 W 15th St - Building PREPARED 4/10/09 8 33 09 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/10/09 ADDRESS 1526 W 15TH ST SUBDIV TENANT NBR KEVIN & JANICE TACHELL CONTRACTOR PHONE OWNER KEVIN& JANICE TACHELL PHONE (360) 417 3992 PARCEL 06 30 00 0 4 3507 0000 APPL NUMBER 08 00001317 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 10/21/08 JLL BLDG FRAMING TIME O1 00 10/21/08 AP October 21 2008 8 27 51 AM 1pangrle KEVIN 670 5022 FRAMING AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THRERE October 21 2008 4 41 10 PM jlierly BL99 01 4/10/09 JLL BLDG FINAL TIME O1 00 April 9 2009 4 16 42 PM 1pangrle KEVIN 417 3992 BLDG FINAL AFTERNOON COMMENTS AND NOTES PREPARED 10/21/08 8 49 13 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/21/08 ADDRESS 1526 W 15TH ST SUBDIV TENANT NBR KEVIN & JANICE TACHELL CONTRACTOR PHONE OWNER KEVIN & JANICE TACHELL PHONE (360) 417 3992 PARCEL 06 30 00 0 4 3507 0000 APPL NUMBER 08 00001317 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL3 01 10/21/08BLDG FRAMING TIME 01 00 J0 October 21 2008 8 27 51 AM 1pangrle KEVIN 670 5022 FRAMING AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THRERE COMMENTS AND NOTES i CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION v 321 EAST STH STREET PORT ANGELES, WA 98362 Application Number 08 00001317 Date 10/17/08 Application pin number 005651 Property Address 1526 W 15TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 4 3507 0000 Tenant nbr name KEVIN & JANICE TACHELL Application type description RES REMODEL Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation I 910 Application desc ENCLOSE A CARPORT INTO A SHOP Owner Contractor KEVIN & JANICE TACHELL OWNER 1526 W 15TH ST PORT ANGELES WA 98363 (360) 417 3992 Structure Information 000 000 ENCLOSE CARPORT INTO A SHOP I Permit BUILDING PERMIT RESIDENTIAL Additional desc ENCLOSE CARPORT INTO A SHOP Permit pin number 136424 Permit Fee 65 25 Plan Check Fee 26 10 Issue Date 10/17/08 Valuation 910 Expiration Date 4/15/09 Qty Unit Charge Per Extension BASE FEE 50 00 5 00 3 0500 HND BL-501 2K (3 05 PER C) 15 25 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 65 25 i65 25 00 00 Plan Check Total 26 10 I26 10 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 95 85 4 95 85 00 00 I I � /o 09 Separate Permits are required for electrical work,SEPA,Shoreline ESA,utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work has commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. i Date Print Name Signature of Contractor or Authorized Agent Sig ature of Owner(if owner is builder) T Forms/Building Division/Building Pennit O BUILDING PERMIT INSPECTION RECORD _OQ I.N — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 —� y Public Works Utilities 417-4807 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By- Comments FOUNDATION Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs) PLUMBING Under Floor/Slab Rough-in Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL. Walls Ceiling FRAMING � _v$ aLl_ Joists/Girders Shear Wall/Hold Downs ---- Walls/Roof/Ceiling [ n Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab ' ^ Wall/Floor/Ceiling V ' MECHANICAL. Heat Pum /Furnace/Ducts Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date: Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE �d RESIDENTIAL DATE Accepted By- Commercial Date Accepted By- Electrical 417-4735 Electrical Construction R.W Construction R:W PW /Engineering 417-4807 PW/Engineering Fire 417-4653 JRre Planning 417-4750 1 Planning Building 417-4815 11- [^,6 1 IBuilding 1 T:Forms/Building Division/Building Permit BUILDING PERMIT APPLICATION Print in ink CiTY OF PORT ANGELES Attn. Building Permit Technician For City Use Only - 321 E. Fifth St. Port Angeles, WA 98362 ate Received k0 -1 8 # (360)417-4815 fax(360)417-4711 Permit CZS ` Date Approved Applicant or Agent v/A,1 u ` Pho l_//7-7s 992 Property Owner / „� ,�, � � ,��, �� Pho e Property Owner's Address Contractor/Engineer V lkl Phone Contractor/Engineer's Address License # Expires E-mail PROJECT ADDRESS /S 2 6 t,t/ / *14 1.21 6tlq 4/, Parcel Number 6/ocl( Z/3,5— Lot Zoning Proiect Type&Brief Description. a Residential ❑ Commercial ❑ Multi-family ❑Industrial Check all that apply ❑ New Construction o Addition aS / ov7– s Remodel ❑ Repair o Re-roof ❑ Demolition o Heat System ❑ Heat pump ❑wood-burning stove ❑ gas fireplace o pellet stove ❑ other ❑ Other I Floor Areas Existing(sg, ftp) Proposed(sq. ft.) Basement @$ per sq. ft. _ $ 1St Floor 2nd Floor 3`d Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION $ IC).A Total footprint of structures sq. ft. T Lot size sq. ft. = Lot coverage % I Max. height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half baths /have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to dtermine what permits are required, and to obtain permits prior to working on projects. Y Date /0—/0'09Print Name 1 e2V/il Signature I ,{ 77, 76 f \`\ � �� ��• '✓: � its.r;- .,,�, I Q r-1C J,- r � d c (t 1� abs I l I SAMPLE SITE PLAN Include one 8 '/Z x 11 site plan (even if larger plans are submitted) Site plan should include. 1 Street address (or parcel number & lot number if there is no known street address) 2 Property lines 3 Dimensions and descriptions of all structures (existing and proposed) 4 Separation distances of structures from each other and from property lines 5 Show a North orientation arrow 6 Identify access streets alleys and entrance(s) to site X' = a measurement in feet Alley N X' X' X' Proposed Workshop X'4-110. X' X' —► t X' X' X t-- X' X' X, —► xi E sting House X Existing Xg X'—► Garage X---► ,---X,-. 1 X' T X X' Driveway X' Property 123 Adeline Ave Line F 2008-1227335 Page 7 of 1 Wa ranty Deed OlymPL Pe i ula T tle Company Clalla Co my --"— 1010112008 1A 00 39 PM When recorded return to: Kevin W Tachell and Janice E.Tachell 1526 West 15th St. Port Angeles,WA 98362 STATUTORY WARRANTY DEED TRANSACTION EXCISE TAX Escrow No. 2446 DATE Title Order No. 03091436A(= PAID OCT �!0 1�ry`2008 / AMOUNTO/6 00/ THE GRANTOR(S) CO Summer Properties LLC,a Washington limited liability company for and in consideration of ten dollars and other good and valuable consideration in hand paid,conveys, and warrants to Kevin W Tachell and Janice E.Tachell,husband and wife the following described real estate,situated in the County of Clallam,State of Washington: Lot 7 Block 435,Townsite of Port Angel les,Clallam County Washington Subject to: Covenants, conditions, rel trictions,reservations,easements or other servitudes,if any disclosed by Survey recorded under Auditor's File No.2004 1129754 Covenants, conditions and restrictions imposed by instrument recorded under Auditor's File No. 20041143826 Easement recorded under Auditor's File No.2006 1179370 Tax Parcel Number(s): 063000 043507 Dated: I Summer Properties LLC / BY & Its: Member STATE OF WASHINGTON ) )ss COUNTY OF CLALLAM ) I certify that I know or have satisfactory evidence that Dennis D Lee is the person who appeared before me,and said person acknowledged that he signed this instrument and on oath stated that he is authorized to execute the instrument and acknowledged it as the Member of Summer Properties,LLC to be the free and voluntary act of such party for the uses and purposes mentioned in this instrument Dated: 1 L �/ z- CLAUDETTE I MINGORI Notoly Public Notary in and for t state of Washington State of pton Residing at r Mfr Commisssionsion Expires My appointment expire -y yL March 09 2012 LPB 10-05(ir-1) i� 6 nn I pofT �yt (�U ' CITY OF PORT ANGELES—Construction Flans The Issuance of this permit based upon these plans,specifi- cations and ofr ata shall not prevent the building official from t miring the correction of errors in said pia, specifica ions and other data, or from preventing 7 building operat ons being carried on thereunder when in violation of all codes and ordinances of this jurisdiction. Approval �. te �� By Al nI �V1J 4V < J ZS /a'� v i - - — — , 7D b 111M 9'tir/5�� ,j�(ri�c CJS supy'' i Z�� sQ�oNT i wRI) U-0 Air GS B A-rt46 Xaa rsi 9? g,yy I Sa ZX�/ ra' -2 t2ygo30 I Sid L V l ru/ X6 a ai-Y I I R wa(1 _ L _ .. �...� 10 —�7— \ Sa 2Xy lay,,o� side vlew/ \� 20 vd s ,3 .� .� • 1 z y saj w yd -7� Q� �X6' (Q�,VaII �6K61 g� �/O i Application Number . . . . . 08-00001320 Date 10/17/08 Application pin number . . . 134600 Property Address . . . . . . 1526 W 15TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3507-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Circuits for garage ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ Tachell, Kevin OWNER 1526 w 15 st PORT ANGELES PORT ANGELES WA 98362 ` (� ------------------------ ------------------------------------------- v �` Permit . . . . ELECTRICAL ALTER RESIDENTIAL I� Additional desc . . l V Permit pin number . 136457 Permit Fee . . . . 46.00 Plan Check Fee .00 Issue Date . . . . 10/17/08 Valuation . . . . 0 Expiration Date . . 4/15/09 Qty Unit Charge Per Extension 1.00 46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS 46.00 --------------- ------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ,--------- ---------- Permit Fee Total 46.00 46.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.00 46.00 .00 .00 V INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE SUCH - IN 113 FINAL COMMENTS : CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION v 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 07-00000754 Date 7/20/07 Application pin number . . . 068330 Property Address . . . . . . 1526 W 15TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3507-0000- Tenant nbr, name . . . . . . SUMMER PROPERTIES LLC Application type description RES ADDITION Subdivision Name . . . . . . Property Use . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 4500 Owner Contractor ------------------------ ------------------------ SUMMER PROPERTIES LLC M & C CONSTRUCTION INC 514 MOUNTAIN TERRACE WAY 653 N. 7TH AVE PORT ANGELES SEQUIM WA 98382 PORT ANGELES WA 98362 (360) 683-4571 --- Structure Information 000 000 260 SQ. FT. CARPORT --- ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . 260 SQ. FT. CARPORT Permit pin number . 105593 Permit Fee . . . . 137.75 Plan Check Fee 55.10 Issue Date . . . . 7/20/07 Valuation . . . . 4500 Expiration Date . . 1/16/08 Qty Unit Charge Per Extension BASE FEE 95.75 3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00 ---------------------------------------------------------------------------- Special Notes and Comments The Fire Department has reviewed the project application and has no comments 07/19/2007 05:00 PM SROBERDS --The site plan identifies a 6'4" side yard setback on the west side of the carport. This minor deviation is acceptable. The carport is reasonably sized being only 10' wide. The mfg home is not oversized for the neighborhood. Electrical load calculations and elctrical permits are required. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. --------------------- ----------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- 7 Permit Fee Total 137.75 137.75 .00 .00 Plan Check Total 55.10 55.10 .00 .00 \ Other Fee Total 4.50 4.50 .00 .00 Grand Total 197.35 197.35 .00 .00 Separate Permits are required forelectrical 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 const tion or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:\Policies\I 102_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 1 PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL AN3'WOP.K REFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. �1 KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW/WATER AIR SEAL WALLS CEILING ^, FRAMING 10—H-0-7 0,_ _0 JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL �'� ROUGH-IN 1 HEATPUMP/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE/PELLET/CHIMNEY MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING 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 V1 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. 4 PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 —0 L BUILDING T:\Policies\1102 15 building permit inspection TeCord05.wpd[1/4/2005] PREPARED 10/18/07, 9:30:17 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/18/07 --- ----------------------- --- -------- ----------------------- ADDRESS . : 1526 W 15TH ST SU13DIV: TENANT, NBR: SUMMER PROPERTIES LLC CONTRACTOR M & C CONSTRUCTION INC PHONE (360) 683-4571 OWNER : SUMMER PROPERTIES LLC PHONE PARCEL 06-30-00-0-4-3507-0000- APPL NUMBER: 07-00000754 RES ADDITION ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------—--------------------------------------------------------------------------------- BL1 01 8/29/07 PB BLDG FOUNDATION FOOTING TIME: 10:00 8/29/07 AP 08/29/2007 08:18 AM LPANGRLE JIM 477-3514 FOOTINGS & 6X6 POSTS FOR ENGINEERED CARPORTS REQUESTED A 10:00 AM INSPECTION 08/29/2007 11:59 AM PBARTHOL --------------------------- BL3 01 10/04/07 JLL BLDG FRAMING TIME: 02:00 10/05/07 AP October 4, 2007 9:03:30 AM 1pangrle. CODY 477-7040 FRAMING - CARPORT REQUESTED AN INSPECTION BETWEEN 2:00 - 3:00 PM IF POSSIBLE BL99 01 10/18/07 BLDG FINAL October 17, 2007 2:58:06 PM 1pangrle. DENNIS 460-5753 BLDG FINAL - CARPORT PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE, SO HE CAN MEET YOU THERE. --------------- COMMENTS AND NOTES PREPARED 10/04/07, 11:34:25 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/04/07 ------------------------------------------------------------------------------------------------ ADDRESS . : 1526 W 15TH ST SUBDIV: TENANT, NBR: SUMMER PROPERTIES LLC CONTRACTOR M & C CONSTRUCTION INC PHONE (360) 683-4571 OWNER : SUMMER PROPERTIES LLC PHONE PARCEL 06-30-00-0-4-3507-0000- APPL NUMBER: 07-00000754 RES ADDITION ---- --- --- ----- ----------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -----------------------------------—---------------------------- -------------—----— BL1 01 8/29/07 PB BLDG FOUNDATION FOOTING TIME: 10:00 8/29/07 AP 08/29/2007 08:18 AM LPANGRLE JIM 477-3514 FOOTINGS & 6X6 POSTS FOR ENGINEERED CARPORTS REQUESTED A 10:00 AM INSPECTION 08/29/2007 11:59 AM PBARTHOL --------------------------- BL3 01 10/04/07 JLL BLDG FRAMING TIME: 02:00 October 4, 2007 9:03:30 AM 1pangrle. CODY 477-7040 FRAMING - CARPORT REQUESTED AN INSPECTION BETWEEN 2:00 - 3:00 PM IF POSSIBLE -------------------------------------- COMMENTS AND NOTES -------- PREPARED 8/29/07, 9:07:20 INSPECTION TICKET PAGE 15 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/29/07 --- - ------ ------------------------------------------------ ADDRESS . : 1526 W 15TH ST SUBDIV: TENANT, NBR: SUMMER PROPERTIES LLC CONTRACTOR M & C CONSTRUCTION INC PHONE (360) 683-4571 OWNER SUMMER PROPERTIES LLC PHONE PARCEL 06-30-00-0-4-3507-0000- APPL NUMBER: 07-00000754 RES ADDITION -- --- ---------------- ---- --------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------ ----------------------------------------------------------------- BL1 01 8/ JLL BLDG FOUNDATION FOOTING TIME: 10:00 08/29/2007 08:18 AM LPANGRLE JIM 477-3514 FOOTINGS & 6X6 POSTS FOR ENGINEERED CARPORTS REQUESTED A 10:00 AM INSPECTION -------------------------------------- COMMENTS AND NOTES - • j W N Qp �1!1 F W Im C V W;�_� O W C N 10't Z J X R � a a � W 2'0 X 4' DEEP ,T FOOTINGS W/ 6" �1v PAD BELOW POST r 6 X 6 POST V) U � J P.T. H.F. 3 ,ti-v O 0 0 O 4 T z 16" T O.C. TD WALL WITH STUDS AT O BOTTOM OF TRUSS, ¢ s] Q z SHEATH WALL WITH J" SHEATING NAILED 8d AT 6/12. BLOCK ALL JOINTS, PROVIDE (3) }" DIA. OPEN a N OR BOLTS IN SILL PLATE F2 ANCHw CLIP TRUSS TO TOP 12" WIDE X APPROX. 30" h PLATE WITH (3) A35 DEEP FOOTING WITH (2) #4 � 016 '- till CLIPS EQUALLY SPACED" BARS TOP AND BOTTOM, Q j FOOTING TO EXTEND TO BOTTOM OF MANUFACTERED HOME SLAB _Z s- ._ 0. EXISTING 3 "� MANUFACTURED tAJO HOME SIDE ELEVATION ° L W 3 fes. � c 4" CONCRETE SLAB W/ Z J Z 6/6/10/10 WWM OR-7 13 FIBERMESH 2 ^ 0 N RECEIVED Jia u, i AUG 13 2007 _j LLJ 12" WIDE X APPROX. CITY OF PORT ANGELES SCALE: CLIP TRUSS TO TOP 30" DEEP FOOTING BUILDING DIVISION PLATE WITH (3) A35 WITH (2) #4 BARS A CLIPS EQUALLY SPACED TOP AND BOTTOM, CLIP TRUSS TO TOP PLATE OF August 13, �,tt WALL WITH (3) A35 CLIPS V EACH WALL SECTION FILE: 07050 — POLE BUILDING.dwg STUD WALL NTH STUDS T JOB N0: TO BOTTOM OFS TRUSS G 07050 SHEATH NAILED 8d AT 6/12. BLOCK ALL IN JOINTS, PROVIDE (3) }" DIA. EXISTi"!! ` 0 ANCHOR BOLTS IN SILL PLATE MANUFACTURED ��PCpf W HOCFC z OPEN �F, tiC QC 0 _j r A o a 6X6POST QL 3 P.T. H.F. g2 Ln a 1 �O ip�.32777�0 2'0 X 4' DEEP t'2 S CNA EN FOOTINGS W/ 6" S OVAL G PAD BELOW POST _ EXPIRES: POST FOOTING, SHEET SEE SECTION ON SHEET 2 PLAN VIEW EXTEND FOOTING TO BOTTOM OF MANUFACTURED HOME SLAB OF 2 FRONT ELEVATION /BOTTOM CHORD OF TRUSS �_N CAP DESIGNED PREFABRICATED TRUSSES / All i DESIGNED BY OTHERS ///rrr I.:, i O s W ^ SEE DETAIL B/2 v1•�+ " SHEATHING, 15# FELT N c do COMP. ROOFING >1/2" MACHINE BOLTS (2) to W W 2X6 PURLINS 2 ~9 O 24" O.C. 4� ��� POST PER PLANS--- C/) NOTCH POST FOR W BOTTOM C)OF o C,6 TRUSS 2' SEE DETAIL A/2 Z O Cn U DETAIL A o w ¢ NTS .� ; N PT 6X6 HF#2 POST Q N NAIL EA PURLIN TO p BLOCK W/ 2-16D PURLIN Q TOTAL 4 NAILS EACH CROSSING Ci e W Z 3 2X6 X 16" BLOCK � BETWEEN TRUSSES p W 4" SLAB W/ 6/6/10/10 WWM OR FIBERMESH x W V W IK \ TRUSS BOTTOM Q y5 X 16" REBAR THROUGH \/ \ /\/\ / /�\ \\\ CHORD V 0. J N CL \\ POST WITH 5" INTO CONCRETE 2" SAND AND VISOUENE r \ EACH SIDE (TOTAL 2) OPTION AT ACTORS NAIL BLOCK TO TRUSS W/ Z \ a 2-16D EACH END ` W J \\ NATIVE SOIL SCALE: U 114»-1 SECTION - 1, DETAIL �B� August 13. "'S 2:7 FILE: 07050 — POLE BUILDING.dwg JOB NO: 07050 GENERAL NOTES: WOOD FRAMING NOTES: ��pG f WAG 1. All framing shall be Hemlock Fir as follows: CONCRETE NOTES: 1. ENGINEERING DESIGN LOADS a. Pressure treated posts shall be as noted on plans. 1, Concrete shall be a commercially available transit—mix properly proportioned y� ROOF LIVE LOAD: 25 psf (SNOW) b. Purlins shall be No. 1 or better, Y p p y p p + c. Blocking and other misc. framing shall be No. 2. and delivered to the site in ready—mix trucks. Aggregate size shall be a WAND LOADING BASED ON: 100 mph/Exposure C maximum of 1-1/2" in foundations. SEISMIC ZONE: "D2" PER I.B.C. 2. Holes for bolts shall be the bolt diameter plus 1/16". 2. All cement shall conform to ASTM Standard C-150• All aggregates shall 32777 SOIL BEARING CAPACITY: 1500 PSF �O �v 3. All bolts, lag screws and threaded rod shall be provided with washers conform to ASTM Standard C-33. All reinforcing bars shall conform to �` G/STER where the nut or head bears on the wood. Washers shall hove a ASTM Standard A-615 (Grade 40). SSfONAL ANG 3. Construction shall conform to theselans and oil applicable minimum dimension of at least two times the diameter of the p pp boll t. 3. Concrete shall hove a minimum 28—doy compressive strength of 2500 psi. codes and tocol ordinances including the 2003 Edition of the and shall not contain less than 5 socks of cement per cubic yard. International Building Code. 4. All noils for structural work shall be common wire noils as indicated EXPIRES: ' on the plans or ICBO approved mechanically driven fasteners of SHEET equivalent holding strength. Nail size and spacing shall be as required by the UBC and as specified on these plans. 2 OF 2 SITE INFORMATION: Street address: 1,3-Z6o Legal description: Z4 r 7 3 GK 3`� Zoning designation: &5 7 Property dimensions: 50 /fib Property area(total square feet): Physical characteristics and current improvements (i.e., flat, sloped, developed, vacant, etc. .S0&7'44 5«� v o 5;r-o,o ov VARIANCE INFORMATION: What standard are you requesting a variance from? State the variance you are requesting: Lot Coverage v Setback(state front, ,rear) Height Other(explain) State the unusual property characteristics(i.e.,slope,bluff,ravine,dense vegetation,other) that exist on your property that prevent you from observing the standard development regulations (attach additional pages if necessary): .540#0eF ox) 40 T' ,D,�v��75 2L- A BGG HOySE :5-/725r WLR lv/S* ?o 19,O e GftRi T h►N� ti D /1�'fl 5oirrit tgG E wed 7W SIGNATURE: Icertify that all of the above statements are true and complete to the best of my knowledge and acknowledge that wilful misrepresentation of information will terminate this permit application. I have read this application in its entirety and understand that my submittal will be reviewed for completeness and, iffound to be complete, will be scheduled for the next available Board of Adjustment meeting. Signature Date 2<- O 7 Owner(if other than applicant):lam the owner of the subject property identified herein and approve of this application. Signature Date TAFORMSWPPSWariance.wpd Page 2 of 2 -7- 12'-6' 12'-6' 16' 6' 15'-6' 8' 16' 6' 201 Driveway Driveway ►.--16' •� d ° d a d � d d a d a a d Property , Line ° a d a d Gd d e O de d d a d ° -6• a a d ea ad °° � ° e d OD A d I 4.1 7'-6'---� ~ a d a d d ° ° d '} a ° d d it a e a a N d e 8'-8• a (U F4OD a �0 tn ° u LO I X ID X d a ID a �O v e e a - de a 1530 W. 15th St. 6' a 1526 W. 15th St. Cafrport Existing house b Carport d Existing house d d 00 a d a I OD d a d a M 26`8' in I 6'-8' 0h FOR OFFICIAL USE ONLY: D(Q- 6-07 BUILDING PERMIT - APPLICATION DateRec.: Fill out COMPLETELY and in INK. Your application and site plan MUST BE Date a.PP,o.-ed. "1 COMPLETE to be accepted for review. If you have any questions,call ate Issued: PERMITS (360) 417-4815 FAX(360)417-4711 lb Applicant or Agent: F A/Nr�j L�� Phone: Owner: 1�J aim FOf— �/1�i1 fry-71 5 C,LG Phone: Address: UN'A< �City: 00 • • Zip:Phone: Z- Architect/Engineer: Contractor M�C LO�tig�/�i�taU��rvG State License#: �t � –1�� Exp: 10107 Phone: `63'' 7 Address: .53 41 7� City: I eEi?L/r^1 Zip: j g yl Z PROJECT ADDRESS: 15��— ,�- �7 ZONING: 983 8Z �Z� LEGAL DESCRIPTION: Lot: 7 Block: r Subdivision: CLALLAM COUNTY PARCEL NUMBER: 06 30 00 0 of d 7 TYPE OF WORK: SME/VALUATION: X Residential ❑ New Constr. ❑ Re-roof ❑ Stove SF. @S /SF.=$ ❑ Multi-family ❑ Addition ❑ Move❑ Garage SF.@$ /SF.=$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF.=$ ❑ Repair ❑ Sign ❑ Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: 1100 �,gR/Jp tom? 'o COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No.of Stories: Lot Size: 7Gb� Existing Sq.Ft.� —&Proposed Sq. Ft. 260 =TOTAL Sq.Ft. � Total lot coverage_/1ghm % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FUZE: ESA/Wetland(s): ❑Yes❑No SEPA Checklist required? ❑ Yes ElNo Other: OTHER: 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 Coordinator at 417-4815 for assistance. PLAN CHECK FEE:IF a plan check fee is due it must 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: 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 RI 05.3.2 of the International Building/Residential Code,2003). 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 correct. 1 am authorized to apply for this permit and understand that it is my respons' ility to determine what permits are required,not the City's, and that I must obtain such permits prior to work. Date: TAFORMSBIdgPermitform.wpd Applicant: • ��° �;F.N CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 07-00000354 Date 7/13/07 Application pin number . . . 257746 Property Address . . . . . . 1526 W 15TH ST e ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3507-0000- `M _ Tenant nbr, name . . . . . . SUMMER PROPERTIES Application type description RES MANUFACTURED HOME -" •�� Subdivision Name . . . . . . 1 Q11( Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY v ,1 \C, r Application valuation . . . . 99590 -4`n n 0 t �� 6 VN Owner Contractor \Y 5 ------------------------ ---------------------- SUMMER PROPERTIES LLC M & C CONSTRUCTION INC O"1 5014 MOUNTAIN TERRACE WAY 653 N. 7TH AVE PORT ANGELES WA 98362 SEQUIM WA 98382 (360) 460-5753 (360) 683-4571 ' --- Structure Information 000 000 1531 SQ MANUFACTURED HOME --- Other struct info . . . . . TOTAL W LOT COVERAGE 22.00 EXISTING LOT COVERAGE 1.00 LOT SIZE 7000.00 PROPOSED LOT COVERAGE 1531.00 TOTAL LOT COVERAGE 1531.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- Permit . . . . . . BL MANUFACTURED HOME Additional desc . . 1173 SF MANUFACTURED HOME Permit pin number . 98970 Permit Fee . . . . 230.00 Plan Check Fee .00 Issue Date . . . . 4/19/07 Valuation . . . . 82000 Expiration Date . . 1/06/08 Qty Unit Charge Per Extension BASE FEE 230.00 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit pin number . 98988 Permit Fee . . . . 57.00 Plan Check Fee .00 Issue Date . . . . 4/19/07 Valuation . . . . 0 Expiration Date . . 1/06/08 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 -- - -7.0000-ECH PL- EA. INSTALL WATER PIPE- - --7.00 / ------ ------ ----------------------- �G Special Notes and Comments / Address numbers shall be plainly visible from the street. !O e Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All dead-end streets in excess of 150, shall have an CJ approved turn around, Municipal Code 16.04.070 04/18/2007 03:13 PM SROBERDS --The proposal will result O/ in the placement of a mfg home in the RS-7 for total lot coverage of 17%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. Customer connection fee $713.00 04/09/2007 10:41 AM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by 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. on Me -7/1 Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd[1/4/20051 BUILDING PERMIT INSPECTION RECORD CALL 417-4515 FOR BUILDING INSPECTIONS.CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAN FUL TO COVER,INSULATE OR CONCEAL ANF WORN BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPEDATE ACCEPTED COMMENTS IVES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS I I PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-DN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: 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 ROUGH-IN HEAT PUMP/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE/PELLET/CHIMNEY MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT 11'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:\Policies\1102 15 building permit inspection record05.wpd(1/4/2005) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION r' 321 EAST 5TH STREET, PORT ANGELES,WA 98362 qa� Page 2 Application Number . . . . . 07-00000354 Date 7/13/07 Application pin number . . . 257746 ---------------------------------------------------------------------------- Special Notes and Comments Public Works prior to back fill of ditch. 24 hour advance notice is required. Water meter setters will need to be adjusted to proper hieght when building water line connection is made to setter. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . RES UNDERGRND SERVICE FEE 713.00 SEWER SYSTEM DELV CHARGE 1000.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 1230.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 287.00 287.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2947.50 2947.50 .00 .00 Grand Total 3234.50 3234.50 .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 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_15 building pennit inspection rccord05.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 F Ok PLEASE PROVIDE A TAINIIAUTA_4 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT.JOB SITE. INSPECTION TYPEDATE ACCEPTE-7ll COMMENTS YESNO FOUNDATION: FOOTINGS I+ 1,4 SHEAR.WALLS/WALLS p FOUNDATION DRAINAGE DOWN SPOUTS p cn ('jI'LL I PIERS POST HOLES(POLE BLDGS.) PLUMBING INFI'[tCCLSU?PL�l (0(0:: 0Wt ju, UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) Q 7 1 GAS LINE FINAL O-� �D.ATE J �� ACCEPTED B1' BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING JOISTS/ GIRDERS �7 V` SHEAR WALL/HOLD DOWNS WALLS/ROOF/CEILING 'V DRYWALL(INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL/FLOOR/CEILING MECHANICAL ROUGH-rN a r� HEAT PUMP/FURNACE/DUCTS �J GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE/PELLET/CHIMNEY TI£Db(d* (0 2/p=-,PLL MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: 70 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE � RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT C CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUJLDING 417-4815 BUILDING T:\Policies\1102 15 building permit inspection Tecord05.wpd[1/4/2005) C POR r,_%. CITY OF PORT ANGELES PUBLIC WORKS -UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 07-00000354 Date 7/13/07 n Application pin number . . . 257746 ", ASSESSOR PARCELProperty S NUMBER: 06-30-0050x4 -3507-0000- � �\�^lr• •`� Tenant nbr, name . . . . . . SUMMER PROPERTIES Application type description RES MANUFACTURED HOME fJ,�/ `�ON Subdivision Name . . . . . . Ga O 0 Property Use . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 99590 r Owner Contractor W acs ------------------------ ------------------------ _ SUMMER PROPERTIES LLC M & C CONSTRUCTION INC 5014 MOUNTAIN TERRACE WAY 653 N. 7TH AVE PORT ANGELES SEQUIM WA 98382 PORT ANGELES WA 98362 (360) 683-4571 (360) 460-5753 --- Structure Information 000 000 1531 SQ MANUFACTURED HOME --- Other struct info . . . . . TOTAL LOT COVERAGE 22.00 EXISTING LOT COVERAGE 1.00 LOT SIZE 7000.00 PROPOSED LOT COVERAGE 1531.00 TOTAL LOT COVERAGE 1531.00 NUMBER OF UNITS 1.00 ---------------------------------------------------------------------------- Permit . . . . . . PUBLIC WORKS RES WATER SERV Additional desc . . 5/8" DROP IN METER Permit pin number . 99374 Permit Fee . . . . 200.00 Plan Check Fee .00 Issue Date . . . . 4/19/07 Valuation . . . . 82000 Expiration Date 1/06/08 Qty Unit Charge Per Extension BASE FEE 200.00 ---------------------------------------------------------------------------- Permit . . . . . . SANITARY SEWER HOOK UP Additional desc . Permit pin number 99382 Permit Fee . . . . 120.00 Plan Check Fee .00 Issue Date 4/19/07 Valuation . . . . 82000 Expiration Date 1/06/08 Qty Unit Charge Per Extension 1.00 120.0000 EA SAN SEWER HOOKUP 120.00 ---------------------------------------------------------------------------- Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All dead-end streets in excess of 150' shall have an approved turn around, Municipal Code 16.04.070 04/18/2007 03:13 PM SROBERDS --The proposal will result in the placement of a mfg home in the RS-7 for total lot coverage of 17%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. Customer connection fee $713.00 04/09/2007 10:41 AM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by 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. -7 3 07 Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:\Policies\1102.15R(1105) PERMIT INSPECTION RECORD I CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R(1/05] 60* CITY OF PORT ANGELES PUBLIC WORKS -UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Page 2 Application Number . . . . . 07-00000354 Date 7/13/07 Application pin number . . . 257746 ---------------------------------------------------------------------------- Special Notes and Comments Public Works prior to back fill of ditch. 24 hour advance notice is required. Water meter setters will need to be adjusted to proper hieght when building water line connection is made to setter. ---------------------------------------------------------------------------- Other Fees . . . . . . . . . RES UNDERGRND SERVICE FEE 713.00 SEWER SYSTEM DELV CHARGE 1000.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 1230.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 320.00 320.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2947.50 2947.50 .00 .00 Grand Total 3267.50 3267.50 .00 .00 Separate Permits are required forelectrical 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\1102.15R[1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\l 102.15R[1/051 CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 07-00000354 Date 6/22/07 Application pin number - . . . 257746 Property Address . . . . . . 1526 W 15TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3507-0000- Application type description RES MANUFACTURED HOME Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 82000 Owner Contractor ------------------------ ------------------------ SUMMER PROPERTIES LLC M & C CONSTRUCTION INC 514 MOUNTAIN TERRACE WAY 653 N. 7TH AVE PORT ANGELES SEQUIM WA 98382 PORT ANGELES WA 98362 (360) 683-4571 Other struct info . . . . . TOTAL & LOT COVERAGE 17.00 EXISTING LOT COVERAGE 1.00 LOT SIZE 7000.00 PROPOSED LOT COVERAGE 1173.00 TOTAL LOT COVERAGE 1173.00 NUMBER OF UNITS 1.00 ---------------------------------------- ----------------------------------- Permit . . . . ELECTRICAL NEW RESIDENTIAL Additional desc . . QUALITY/ MOBILE HOME Permit pin number 104968 Sub Contractor QUALITY ELECTRIC Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 6/22/07 Valuation . . . . 0 Expiration Date . . 12/19/07 Qty Unit Charge Per Extension 1.00 75.0000 ECH EL-MANF HOME SERVICE & FEEDER 75.00 ` ---------------------------------------------------------------------- Special Notes and Comments Address numbers shall be plainly visible from the street. ' Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All dead-end streets in excess of 150' shall have an approved turn around, Municipal Code 16.04.070 04/18/2007 03:13 PM SROBERDS --The proposal will result in the placement of a mfg home in the RS-7 for total lot coverage of 17%. No land use issues anticipated. Electrical• load calculations and elctrical permits are required. Customer connection fee $713.00 04/09/2007 10:41 AM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Water meter setters will need to be adjusted to proper hieght when building water line connection is made to setter. ---------------------------------------------------------------------------- Other Fees . . . . . . SEWER SYSTEM DELV CHARGE 1000.00 STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 1230.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due COMMENTS/ACTION NEEDED ELECTRICAL PEWAIIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE ITIS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT TOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH SERVICE FINAL GENERAL COMMENTS: Pw-t toz.t s[�1 CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET, PORT ANGELES.WA 98362 Page 2 Application Number 07-00000354 Date 6/22/07 Application pin number . . . 257746 ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 2309.50 2309.50 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERWT lloISPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A Ivi1TT0"24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO DITCH ROUGH-IN /COVER SERVICE FINAL GENERAL COMMENTS: PW-tlD2A5[av6) 0, ORT,,,,, CITY OF PORT ANGELES N DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION r 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 07-00000354 Date 4/19/07 Application pin number . . . 257746 Property Address . . . . . . 1526 W 15TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3507-0000- Application type description RES MANUFACTURED HOME Subdivision Name . . . . . . Property Use Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 82000 a O� Owner Contractor �( SUMMER PROPERTIES LLC M & C CONSTRUCTION INC 514 MOUNTAIN TERRACE WAY 653 N. 7TH AVE �l \�\© n PORT ANGELES 5WA 98382 A\ 0 PORT ANGELES WA 98362 (360)360) 683-4571 Other struct info . . . . . TOTAL % LOT COVERAGE 17.00 EXISTING LOT COVERAGE1.00 ,O LOT SIZE 7000.00 �1 PROPOSED LOT COVERAGE 1173.0 TOTAL LOT COVERAGE 1173. 0 NUMBER OF UNITS .00 Permit . . . . . . BL MANUFACTURED HOME Additional desc . . 1173 SF MANUFACTURED HOME Permit pin number . 98970 Permit Fee . . . . 230.00 Plan Check Fee .00 Issue Date . . . . 4/19/07 Valuation 82000 Expiration Date . . 10/16/07 Qty Unit Charge Per Extension BASE FEE 230.00 ----------------------------------------------------- ---------------------- Permit . . . . . . PLUMBING PERMIT Additional desc . . Permit pin number . 98988 Permit Fee . . . . 57.00 Pla Check Fee .00 Issue Date . . . . 4/19/07 V uation . . . . 0 Expiration Date . . 10/16/07 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 ECH PL- EA. NSTALL WATER PIPE 7.00 --------------------------------------- ------------------------------------ Special Notes and Comments Address numbers shall be plain visible from the street. Address numbers shall be a mi imum of six inches high and be of contrasting color from t background. All dead-end streets in ex ss of 150, shall have an approved turn around, Municipal Code 16.04.070 04/18/2007 03:13 PM S OBERDS --The proposal will result in the placement of a g home in the RS-7 for total lot coverage of 17 5 * No nd use issues anticipated. Electrical load calc at ions and elctrical permits are required. Customer connection fee $713.00 04/09/2007 10:41 AM GMCLAIN ---------------------------- Sanitary sewer c nection inspection is required by Public works prior to back fill of ditch. 24 hour advance Sepayord.1na its are quired forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null awork r construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a 80 ys after the work as commenced,or if required inspections have not been requested within 180 days from the last inspeher by certify that I have read and examined this application and know the same to be true and correct. All provisions of laws a ces governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presua authority to violate or cancel the provisions of any state or local law regulating construction or the performance of const Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:\Policies\I 102_15 building permit inspection record05.wpd[1/4/20051 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. ITIS UNLAWFUL TO COKER,INSULATE OR CONCEAL ANFH,OjiK BEFORE LNSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE!DOWN SPOUTS PIERS 1 POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACKFLOW/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 ROUGH-IN HEAT PUMP/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE/PELLET/CHIMNEY MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT s SEPA: PARKIN G/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. BUiLDTNG 417-4815 BUILDING T:\Policies\l 102 15 building permit inspection record05.wpd[1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Page 2 Application Number . . . . . 07-00000354 Date 4/19/07 Application pin number . . . 257746 ---------------------------------------------------------------------------- Special Notes and Comments notice is required. Water meter setters will need to be adjusted to proper hieght when building water line connection is made to setter. ----------------------------------------------------------------------- --- Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE 1000.0 STATE SURCHARGE 4 0 PW WATER SYSTEM USE FEE 123 .00 ----------------------------------------------------------------- --------- Fee summary Charged Paid Credited ue ----------------- ---------- ---------- ---------- --- ------ Permit Fee Total 287.00 287.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 2521.50 2521.50 .0 .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:\Policies\I 102_1 5 building permit inspection record05.wpd[1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPEC IONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAN FUL TO C01 ER,INSULATE OR CONC AL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATI 0. KEEP PERMIT CARD AND.APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED UMNIENTS YES NO FOUNDATION: FOOTINGS Li SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW/WATER AIR SEAL WALLS 04 CEILING FRAMING JOISTS/ GIRDERS SHEAR WALL/HOLD DOWNS OF WALLS/ROOF/CEILING DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB W'ALL'/FLOOR/CEILING MECHANICAL ROUGH-rN HEAT PUMP/FURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE/PELLET/CHIMNEY MANUFACTURED HOMES FOOTING/SLAB BLOCF.ING&HOLD DOWN SKIRTING PLANNING DEPT. S ARATE PERMIT#'s SEPA: PARKING/LIGHTIN ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECT -LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CON RUCTION R.W./PW/ CONSTRUCTION-R.W. ENG ERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\I 102 15 building permit inspection TecordD5.wpd[1/4/2005] °'.w"` CITY OF PORT ANGELES PUBLIC WORKS -UTILITIES DIVISION , 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 07-00000354 Date 4/19/07 Application pin number . . . 257746 Property Address . . . . . . 1526 W 15TH ST ASSESSOR PARCEL NUMBER: 06-30-00-0-4-3507-0000- Application type description RES MANUFACTURED HOME Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY C) Application valuation � 82000 Owner Contractor ------------------------ ------------------------ SUMMER PROPERTIES LLC M & C CONSTRUCTION INC 514 MOUNTAIN TERRACE WAY 653 N. 7TH AVE PORT ANGELES SEQUIM WA 98382 PORT ANGELES WA 98362 (360) 683-4571 0 ©� Other struct info . . . . . TOTAL % LOT COVERAGE 17. EXISTING LOT COVERAGE 1 0 LOT SIZE 70 .00 PROPOSED LOT COVERAGE 73.00 ^\ TOTAL LOT COVERAGE 173.00 ----------------------------------NUMBER OF UNITS ------100 - Permit . . . . . . PUBLIC WORKS RES WATER SERV Additional desc . . 5/8" DROP IN METER Permit pin number . 99374 n� Permit Fee . . . . 200.00 Plan Che Fee00 Issue Date . . . . 4/19/07 Valuat' n . . . . 82000 Expiration Date . . 10/16/07 Qty Unit Charge Per Extension BASE FEE • 200.00 -------------------------------------------- ------------------------------- Permit . . . . . . SANITARY SEWER HO UP Additional desc . . Permit pin number . 99382 Permit Fee . . . . 120.00 Plan Check Fee .00 Issue Date . . . . 4/19/07 Valuation . . . . 82000 Expiration Date 10/16/07 Qty Unit Charge Per Extension 1.00 120.0000 EA SAN SEWER HOOKUP 120.00 ------------------------------- -------------------------------------------- Special Notes and Commen Address numbers shall e plainly visible from the street. Address numbers :shall be a minimum of six inches high and be of contrasting colo from the background. All dead-end stree s in excess of 150' shall have an approved turn aro nd, Municipal Code 16.04.070 04/18/2007 03: PM SROBERDS --The proposal will result in the placeme of a mfg home in the RS-7 for total lot coverage of 1 No land use issues anticipated. Electrical 1 ad calculations and elctrical'permits are required. ustomer connection fee $713.00 04/09/2007 10:41 AM GMCLAIN ---------------------------- Sanitary ewer connection inspection is required by Public orks prior to back fill of ditch. 24 hour advance notice is required. Sepa/vol its are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements.This permit becomes null awork or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned forap80 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspeereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws ances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presue authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. / "C Signature of Contractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T:\Policics\1102.15R[1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, ' INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE 4--L FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 4174815 BUILDING T:\Policies\l 102.15R[1/05) CITY OF PORT ANGELES PUBLIC WORKS -UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Page 2 Application Number . . . . . 07-00000354 Date 4/19/07 Application pin number . . . 257746 ------------------------------------------------ --------------------------- Special Notes and Comments Water meter setters will need to be adjusted to proper hieght when building water line connection is made to setter. Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE 1000.00 STATE SURCHARGE 4.50 - - PW WATER SYSTEM USE FEE 1230.00 --------------------------- -------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- -------- Permit Fee Total 320.00 320.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 2554.50 2554.50 .00 .00 Separate Permits ar4 required forelectrical 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\1102.15R[1/05] PERMIT INSPECTION RECORD CALL 4174807 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 INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRU ON RW./PW/ CONSTRUCTION-RW. ENGINEE G 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PL G DEPT. 4174750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\l 102.15R[1/05] PREPARED 10/29/07, 9:02:41 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/29/07 ----- ------- ----- ADDRESS . : 1526 W 15TH ST SUBDIV: TENANT, NBR: SUMMER PROPERTIES CONTRACTOR M & C CONSTRUCTION INC PHONE (360) 683-4571 OWNER SUMMER PROPERTIES LLC PHONE (360) 460-5753 PARCEL 06-30-00-0-4-3507-0000- APPL NUMBER: 07-00000354 RES MANUFACTURED HOME ------------------------------------------------------------------------------------------------ PERMIT: BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------- ------- BLFS 01 4/23/07 PB BLDG MONO SLAB TIME: 09:00 4/23/07 DA 04/20/2007 03:30 PM LPANGRLE JIM 477-3514 MORNING INSPECTION 04/23/2007 03:09 PM PBARTHOL --------------------------- hold downs not in place BLFS 02 4/24/07 JLL BLDG MONO SLAB 4/24/07 AP 04/24/2007 08:02 AM LPANGRLE JIM 477-3514 REQUESTS 9:00 AM INSP. WILL POUR AT 10:00 AM. 04/24/2007 11:35 AM JLIERLY ---------------------------- BLBT 01 6/22/07 JLL BLDG MFG HOME BLOCK/TIEDOWNS 6/22/07 AP 06/22/2007 08:36 AM PBARTHOL --------------------------- 461-1999 06/22/2007 04:37 PM JLIERLY ---------------------------- BLFD 01 8/09/07 JLL BLDG FOUNDATION DRAINAGE 8/09/07 AP 08/08/2007 10:31 AM LPANGRLE MEL 683-4571 OR 477-3513 FOUNDATION DRAINAGE 08/09/2007 04:30 PM JLIERLY ---------------------------- DSD 01 8/09/07 JLL BLDG DOWN SPOUT DRAINS 8/09/07 AP 08/08/2007 10:27 AM LPANGRLE MEL 683-4571 OR 477-3513 DOWNSPOUT DRAINS 08/09/2007 04:30 PM JLIERLY ---------------------------- PW6 01 9/25/07 RV PUBLIC WORKS DRIVEWAY 9/25/07 AP 09/25/2007 01:38 PM RVESS ------------------------------ 09/25/2007 01:38 PM RVESS ------------------------------ BL99 01 10/18/07 JLL BLDG FINAL 10/19/07 DA October 17, 2007 3:06:02 PM 1pangrle. DENNIS 460-5753 BLDG FINAL - HOUSE PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE, SO HE CAN MEET YOU THERE. October 19, 2007 11:52:24 AM jlierly. wains tag to be installed on rear of unit next to hud tag/jll BL99 02 10/29/07JLL BLDG FINAL October 29, 2007 8:08:58 AM 1pangrle. / DENNIS 460-5753 c BLDG FINAL - WAYNE'S TAGS ---------------------- --------------- COMMENTS AND NOTES -------------------------------------- PREPARED 10/18/07, 9:30:17 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 10/18/07 ------------------------------------------------------------------------------------------------ ADDRESS . : 1526 W 15TH ST SUBDIV: TENANT, NBR: SUMMER PROPERTIES CONTRACTOR M & C CONSTRUCTION INC PHONE (360) 683-4571 OWNER SUMMER PROPERTIES LLC PHONE (360) 460-5753 PARCEL : 06-30-00-0-4-3507-0000- APPL NUMBER: 07-00000354 RES MANUFACTURED HOME ---------------------------------------------------------------------------------------------- PBRMIT: BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BLFS 01 4/23/07 PB BLDG MONO SLAB TIME: 09:00 4/23/07 DA 04/20/2007 03:30 PM LPANGRLE JIM 477-3514 MORNING INSPECTION 04/23/2007 03:09 PM PBARTHOL --------------------------- hold downs not in place BLFS 02 4/24/07 JLL BLDG MONO SLAB 4/24/07 AP 04/24/2007 08:02 AM LPANGRLE JIM 477-3514 REQUESTS 9:00 AM INSP. WILL POUR AT 10:00 AM. 04/24/2007 11:35 AM JLIERLY ---------------------------- BLBT 01 6/22/07 JLL BLDG MFG HOME BLOCK/TIEDOWNS 6/22/07 AP 06/22/2007 08:36 AM PBARTHOL --------------------------- 461-1999 06/22/2007 04:37 PM JLIERLY ---------------------------- BLFD 01 8/09/07 JLL BLDG FOUNDATION DRAINAGE 8/09/07 AP 08/08/2007 10:31 AM LPANGRLE MEL 683-4571 OR 477-3513 FOUNDATION DRAINAGE 08/09/2007 04:30 PM JLIERLY ---------------------------- DSD 01 8/09/07 JLL BLDG DOWN SPOUT DRAINS 8/09/07 AP 08/08/2007 10:27 AM LPANGRLE MEL 683-4571 OR 477-3513 DOWNSPOUT DRAINS 08/09/2007 04:30 PM JLIERLY ------------------ PW6 01 9/25/07 RV PUBLIC WORKS DRIVEWAY 9/25/07 AP 09/25/2007 01:38 PM RVESS ------------------------------ 09/25/2007 01:38 PM RVESS ---- BL99 01 10/18/07 ���'''���L^ BLDG FINAL b( October 17, 2007 3:06:02 PM 1pangrle. DENNIS 460-5753 BLDG FINAL - HOUSE PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE, SO HE CAN MEET YOU THERE. --------------------------------------------------------------------------------------------- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------—------------------------------------------------------------------------------- PL6 01 6/07/07 JLL PLUMBING WATER SUPPLY 6/07/07 AP 06/06/2007 03:54 PM LPANGRLE JIM 477-3514 WATER SUPPLY LINE 06/07/2007 04:06 PM JLIERLY ---------------------------- PL99 01 10/18 07 J PLUMBING FINAL October 17, 2007 3:06:38 PM 1pangrle. DENNIS 460-5753 PLUMBING FINAL - HOUSE PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE, SO HE CAN MEET YOU THERE. -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 8/09/07, 8:43:22 INSPECTION TICKET PAGE 11 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/09/07 --------------—-------------------------------------------------------------------------------- ADDRESS . : 1526 W 15TH ST SUBDIV: TENANT, NBR: SUMMER PROPERTIES CONTRACTOR M & C CONSTRUCTION INC PHONE (360) 683-4571 OWNER SUMMER PROPERTIES LLC PHONE (360) 460-5753 PARCEL 06-30-00-0-4-3507-0000- APPL NUMBER: 07-00000354 RES MANUFACTURED HOME ----------------------------- PERMIT: BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BLFS O1 4/23/07 PB BLDG MONO SLAB TIME: 09:00 4/23/07 DA 04/20/2007 03:30 PM LPANGRLE JIM 477-3514 MORNING INSPECTION 04/23/2007 03:09 PM PBARTHOL --------------------------- hold downs not in place BLFS 02 4/24/07 JLL BLDG MONO SLAB 4/24/07 AP 04/24/2007 08:02 AM LPANGRLE JIM 477-3514 REQUESTS 9:00 AM INSP. WILL POUR AT 10:00 AM. 04/24/2007 11:35 AM JLIERLY ---------------------------- BLBT 01 6/22/07 JLL BLDG MFG HOME BLOCK/TIEDOWNS 6/22/07 AP 06/22/2007 08:36 AM PBARTHOL --------------------------- 461-1999 f 06/22/2007 04:37 PM JLIERLY ---------------------------- BLFD 01 8/09/07 BLDG FOUNDATION DRAINAGE of08/08/2007 10:31 AM LPANGRLE MEL 683-4571 OR 477-3513 FOUNDATION DRAINAGE DSD 01 B/09/07 JLL BLDG DOWN SPOUT DRAINS 08/08/2007 10:27 AM LPANGRLE TvMEL 683-4571 OR 477-3513 DOWNSPOUT DRAINS -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 6/07/07, 9:03:38 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/07/07 ------------------------------------------------------------------------------------------------ ADDRESS . : 1526 W 15TH ST SUBDIV: CONTRACTOR : M & C CONSTRUCTION INC PHONE (360) 683-4571 OWNER SUMMER PROPERTIES LLC PHONE PARCEL 06-30-00-0-4-3507-0000- APPL NUMBER: 07-00000354 RES MANUFACTURED HOME ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------------------------------------------------------------------------------------- PL6 01 6/07/07 LL PLUMBING WATER SUPPLY f 06/06/2007 03:54 PM LPANGRLE JIM 477-3514 WATER SUPPLY LINE ----------------------- ------------ COMMENTS AND NOTES -------------------------------------- PREPARED 6/22/07, 8:48:19 INSPECTION TICKET PAGE 18 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/22/07 ---------------- ADDRESS . : 1526 W 15TH ST SUBDIV: CONTRACTOR M & C CONSTRUCTION INC PHONE (360) 683-4571 OWNER SUMMER PROPERTIES LLC PHONE PARCEL 06-30-00-0-4-3507-0000- APPL NUMBER: 07-00000354 RES MANUFACTURED HOME ------------------------------------------------------------------------------------------------ PERMIT: BLK 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------- ------------------------------------------------ ---------------- BLFS 01 4/23/07 PB BLDG MONO SLAB TIME: 09:00 4/23/07 DA 04/20/2007 03:30 PM LPANGRLE JIM 477-3514 MORNING INSPECTION 04/23/2007 03:09 PM PBARTHOL --------------------------- hold downs not in place BLFS 02 4/24/07 JLL BLDG MONO SLAB 4/24/07 AP 04/24/2007 08:02 AM LPANGRLE JIM 477-3514 REQUESTS 9:00 AM INSP. WILL POUR AT 10:00 A.M. 04/24/2007 11:35 AM JLIERLY ---------------------------- BLBT O1 6/22/07L BLDG MFG HOME BLOCK/TIEDOWNS 06/22/2007 08:36 AM PBARTHOL --------------------------- -� 461-1999 -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 4/24/07, 8:18:52 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 4/24/07 ------- ADDRESS . : 1526 W 15TH ST SUBDIV: CONTRACTOR M & C CONSTRUCTION INC PHONE (360) 683-4571 OWNER SUMMER PROPERTIES LLC PHONE PARCEL 06-30-00-0-4-3507-0000- APPL NUMBER: 07-00000354 RES MANUFACTURED HOME ------------------------------------------------------------------------------------------------ PERMIT: BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BLFS 01 4/23/07 PB BUILDING FOOT /SLAB TIME: 09:00 4/23/07 DA 04/20/2007 03:30 PM LPANGRLE JIM 477-3514 MORNING INSPECTION 04/23/2007 03:09 PM PBARTHOL --------------------------- hold downs not in place BLFS 02 4/2t4/07A 07L BUILDING FOOT /SLAB 04/24/2007 08:02 AM LPANGRLE JIM 477-3514 REQUESTS 9:00 AM INSP. WILL POUR AT 10:00 AM. -------------------------------------- COMMENTS AND NOTES -------------------------------------- CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date Y( Z3 W7 Time � Received by 1—� phon , person) Location of Work to be inspected ( 5 2 'S Name of person requesting inspection i v✓� Address of person requesting inspection Phone No. LA 7 -7 -3 5 LLt Type of Inspection (circle appropriate one): Permit No. - Sewer Foundation Framing Chimney Plumbing Final Sewer Excay. Other INSPECTION NOTES: Inspected: Date Time By Remarks: RESTORATION REQUIRED . . . . . . YES NO F3412- lei- SURFACE RESTORATION: SURFACE TYPE: [] Unimproved ❑Gravel ❑Asphalt ❑PCC ❑Other ❑ Repaired by City Work Order # ❑Repaired by Permittee ❑ COMPLETE ❑No Damage Found ❑ INCOMPLETE Wnntinua nn rPVP_rSP.sIfIP.If nPCP.ssarv) CTDPPT CI IPFPInITFN1nV-1UT MATH PREPARED 4/23/07, 12:23:31 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR: JAMES L LIERLY DATE 4/23/07 -- ------------- ------------------------------------------ ADDRESS . : 1526 W 15TH ST SUBDIV: CONTRACTOR M & C CONSTRUCTION INC PHONE (360) 683-4571 OWNER SUMMER PROPERTIES LLC PHONE PARCEL 06-30-00-0-4-3507-0000- APPL NUMBER: 07-00000354 RES MANUFACTURED HOME ------------------------------------------------------------------------------------------------ PERMIT: BLM 00 BL MANUFACTURED HOME REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------- ----------------------------------------------------------------------- BLFS 01 4/23/07 ,L A BUILDING FOOT /SLAB TIME: E .i;J-/\�-1F/f/�-` 04/20/2007 03:30 PM LPANGRLRLE JIM 477-3514 MORNING INSPECTION -------------------------------------- COMMENTS AND NOTES -------------------------------------- Clallam County Assessor's Department Pam Rushton,Assessor � 223 East 4th Street, Suite 2,� f i Shirley Almaden, Administrative Manager Port Angeles,WA 98362 Mike Hopf,Technical Operation Manager Phone: 360-417-2400 Fax:360-417-2299 REQUEST TO SEGREGATE For Tax Purposes Only Parcel# �3D � � 3�� LAND ONLY QI LAND&BUILDING ❑ Parcel# LAND ONLY ❑ LAND&BUILDING ❑ Parcel# LAND ONLY ❑ LAND&BUILDING ❑ Parcel# LAND ONLY ❑ LAND&BUILDING ❑ Parcel# LAND ONLY ElLAND&BUILDING El Soo f-t Ov' 1-0 S 5'i G, 7i $ wore, Requested by: 50,61mcf- �/Looc 7��5iu.G (LE L OWNER(9) OF RE RD) Date: 170 7 Phone # ** Please have this acknowledged by the City of Port Angeles Planning Department before returning to the Assessor's Office for processing: ************************************************************************* We acknowledge that we have been notified of the above request for segregation and understand it is for tag purposes only and does not represent a legal segregation of land. Signed by: Date-Z )I City Code: (IF APPLICABLE) ************************************************************************* ** DISCLAIMER** Any changes made by the Assessor's Office are for tag purposes only. Your decision to request the Assessor's Office to segregate these parcels may or may not affect present or future ability to build or subdivide the subject land. Please contact the City of Port Angeles Planning Department regarding the future consequence of segregation of these parcels. Processed - Date: APR 1 72007 S� S /v C�L� C�k�r✓'.:�r .ASSESSOR :ST TO SEGREGATE2.da 5-7 Lot i s J C� W . 6*) SA- (-P z ct -7 i5z4o n d�I P-,� j i 1 'V I I i 1 e - c I -- 7 — 1- YA 27-7 A ! lo ool A L � - I I ! I I i J i I • r I i I I G � i i I ' o I • • I I I I I 30x58\/ 2-304-3aV *x58\/46x58\/ 1} I� LS DW Rifer m r � � Jtilitti a } Pz'A Kitchen Erealda5t Nook I Master Bedroom I Bath FinI x ak I Brldael I I�7 Fa,tryl —____ � Iffa 4ptioual bll H�,Roof , Porch 'KBedroom 2ew Lmnq mornLimn11 d � I 46x-:3qP 46x58\/ 46x56\/ 46x58\/46x58\/4bx58\/ ab5ux'e-501`e1;9 'O"�—I I'O"–�-10'8" 2310" 14'2"-I 58'8" Opt. Deluxe Model: 58734 Model: 58734 HP Master Bath 1,531 50[. FT. 1,531 5cL. FT. "Hing 18 04 02: 35p Mount Vernon Staff 360-419-9063 p.2 SAC IND. CONCRETE TIE DOWN ANCHORS CHASSIS - ® � #4002 PIER BOLT-ON TOP - ;� #7002 ,L)I 7' STEEL #7000 7' STEE. u I i WHOLE STRAP w/BvCKLE q6005 S-L,' #7000 j/7001 ,#7002 #6005 � BOLI m hV' 1n. e ® ® O ® pfd OR 3, 6 CONCRETE Tl —DOWN J #4002 #6003 #6004 INSTALLATION INSTRUCTIONS i EXISTING CONCRETE -- 96003 1. CONCRETE MUST BE A MINIMUM 3 1/2" THICK AND IN GOOD CONDITION. ,ALTERNATE 2. MINIMUM SLAB AREA OF EACH ANCHOR IS 2S'SQUARE FEET. 'f,ONNECT]QN 3. DRILL PROPER SIZE HOLE IN SLAB, A MINIMUM OF 12" FROM ANY SIDE. 4. EXPANSION BOLT IS 5/8" x 3 1/2" WITH MINIMUM 2 3/4" EMBEDMENT AND 6.180 POUND PULL OUT, 7,160 POUND SHEAR. NEW CONCRETE — i6004 I. PLACE CONCRETE ANCHOR INTO WET CONCRETE, AND ALLOW TO PROPERLY CURE. 2. ALTERNATE CONNECTION REQUIRES #5 REBAR PROPERLY EMBEDDED IN CONCRETE. CHASSIS CONNECTION 1. ATTACH STRAPS TO CHASSIS BEAM IN MANNER SHOWN. 2. IF ANGLE OF SIDE STRAP IS GREATER THAN 60', STRAP CONNECTION CAN BE MADE FROM ANCHOR TO OPPOSITE CHASSIS BEAM. 3. INSERT STRAP THROIJGH SPLIT BOLT. CUT OFF EXCESS STRAP AND TIGHTEN BOLT UNTIL STRAP 1$ SNUG. DRILL x/16." HOLE AT MID HEIGHT OF BEAM AND INSTALL 1/2' A307 BOLTV _ 4 (TYPICAL) i ,r SIDE VICW SIDE VIEW I "C" REAM CHASSIS , - "13M BEAM CHASSIS SEE "I'BEAM CHASSIS NOTE 13 SEE 'I'BEAM CHASSIS NOTE ,q3 SIDE YIEW ENO VIEW SHEET ,{I FOR TIE DOWN INFO. SHEET HI FOR TIE DOWN INFO, gND TI DAWN CONTRACTORS CERTIFICATION I CERTIFY THAT I HAVE INSTALLED THE SAC IND., INC.. ANCHORING SYSTEM AS PER THE INSTALLATION INSTRUCTIONS, I HAVE MADE NO., MODIFICATIONS TO THE ANCHORING 35'STEM OR T0.THE BUILDING .STRUCTURE. COMPANY NAME; CONTRACTORS LIC,# i i I I i r I i I i I i 1 - a t � a � a t � • � I i • I t L Ii FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION ateRrC.: • Fill out COMPLETELY and in INK.Your application and site plan MUST BE Date Approved: COMPLETE to be accepted for review. If you have any questions,call ate Issued: PERMITS (360)417-4815 FAX(360)417-4711 Applicant or Agent: - Phone: Owner: lr�pG®,or�/t��«� LLC Phone: X75 Address: l� City: �a Zip: Architect/Engineer: Phone: Contractor/l�L `� State License#�'1�e�.v� ' AGE Exp: G O 7 Phone:�i,� Address: S N 7 City: � q �r (.« Zip: 2�3p' Z PROJECT ADDRESS: 1.5 Z (D `rte 5 l" ZONING: LEGAL DESCRIPTION: Lot: 7 Block: Subdivision: CLALLAM COUNTY P ER: 350-7 TYPE OF WORK: IZes fSF. /VALUATION:Residential ❑ NewConstr. e-roof ❑ Stove @$�G /SF._$ ❑ Multi-family ❑ Addition ❑ Move Garage SF. @$ /SF._ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF._$ /p ❑ Repair ❑ Sign ❑ Other TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: C4-., /iJAN v f=A c ef 0,44 4C•21 / M� COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: /Construction Type: PS No.of Stories: Lot Size:2'Y� Existing Sq.Ft.�_&Proposed Sq.Ft., =TOTAL Sq.Ft� Total lot coverage a % D PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: ESA/Wetland(s): ❑Yes❑No SEPA Checklist required? 11Yes El No No Other: FIRER: 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 Coordinator at 417-4815 for assistance. PLAN CHECK FEE.IF a plan check fee is due it must 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 PI AN 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 I have read and examined this application and know the same to be true and correct. 1 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 1 must obtain such permits prior to work. T:�FORMS0dyPermitform.wpd Applicant: Date: 3 // a 7 JUN-8-2007 02: 19P FROM:KIRSCH ELECTRIC 3606830869 70:4174711 P.3 ELECTRICALWORKPERNIITAPPLICATION r Installation description Job wired by Electrical Contractor ❑Owner ❑ Commercial Residential s Electrical can" to name License number Date Expires O New O Altered/Addition Purchaser's mailing add ss s I l�3 C-2�-1-�-+ua�• City ``9"_ M State ZIP 0183e> Tclephon number AX number t ' Premises owner's name• � �n•� I� Address of Iftayecttol\"zA`a`1 ' ��C/tD L City For+ VAOZAeS , WA- 993",Phone number to echedu Ing loo: Owner as defined by RCW19.78.26f-(1) Owner will occupy the structure far two years after this elernical permit is flnallccd. (2)Owner is required to hire an electrical contractor if abum said property Is for sale, rent or lease. ❑Cash ❑Check# After reading the above statement, 1 hereby certify that i am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- ❑Credit Card Ytsa Mastercard Discover lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-96B, The City of Port Angeles Municipal Code, and Card# Utility ifica[iona. --------- - --!�, --- Sig ature f owner, elter7l contractor or electrical administrator Expiration Date Inapeetion tee ee Date: ofcardZl $ El rica died r subtractions Service Information O NfN ROD CHA GES O Baseboard —KW Voltage O Furnace —KW ❑ Overhead Service Phase O 1 O 3 O Heat Pump _Ton_LAR ❑ Temp Service Service Slze: O Fan-Wall —KW ❑ Underground Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT SERVICE Dne w00nrtl or once Ar,-W By oae 7 AD �lFINAL DirCH FEEDER /U/o ? one ADWovN 0Y our ADWaveO BY Drr< ADgevea BY Inspection Arca,Building or EquipmentInspectedElectrical r Date Inspected Action Taken Inspector / -20 -D rhotim, rrda� J A,PPOW QP A 2171117 "LGE1VE® o OCT 15 20WECTRICALWORKPERMIT APPLICATION • 2 fp®S. Installation description Job wired by ❑ Electrical Contractor adOwner Cl Commercial ❑ Residential Electrical contractor name License number Date Expires Cl New Ea Altered/Addition (� Purchaser's mailing address 3. City Stam ZIP ou�Z{fs Z Telephone number 17AX number Premises owner's name Q Address of inspection /S Z l.✓ city 6i e7 All" Cj Phone number to schc n e inspec� :9_Z 1 7 Owner os defined by HC0:19.28.261:(1) Owner will occupy the structure for two vearr after this electrical permit is finalised (2) Owner is required to hire at,electrical cwnractor if above said property is for sale, rent or lease. ❑ Cash ❑ Check# 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 instal- &I-Credit Card ISa Mastercard Discover lation 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 I sp cti n fee 11.�X - - Date: J(/-/S=O- of card $ O Electrica . oad.Additions and or-sukt actions Service-information ❑ NO LOAD CHANGES ❑ Baseboard _KW Voltage ❑ Furnace _KW ❑ Overhead Service Phase ❑ 1 ❑ 3 ❑ Heat Pump _Ton_LAR ❑ Temp Service Service Size: ❑ Fan-Wall _KW ❑ Underground Service Feeder Size: $AME DAY I NLSPE�'I'I.O1N CALL-BEEORF Z:99 A_M_30-417-4735 r ROUGH-IN THERMOSTAT SERVICE Dv¢I� I Appro%ed By omc Approved fly Dam ADproced Inc FINAL�`���'ryy],`1\/J�'� DITCH FEEDER Unlc AppruFeV Ny Ilatu Apprond fly Dvte Appro-d nv Inspection Area,Buildingor Equipment Inspected Action taken Electrical Date Inspector Of VORTgNC ELECTRICAL INSPECTION �Wy WIRING REPORT 417-4735 �RKS b DATE PERMITp INSPECTOR II o8 OWNERICONTRA((CTOR (� ADDRESS '2(o t,,j / APPROVED NOT APPROVED ❑ . . . . . . . . . . . . . . . . . . . . DITCH . . . . . . . . . . . . . . . . . . . . ❑ fes. . . . . . . . . . . . . . . ROUGH IN/COVER . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . SERVICE . . . . . . . . . . . . . . . . . . . ❑ ❑. . . . . . . . . . . . . . . . . . . . . FINAL . . . . . . . . . . . . . . . . . . . . ❑ CORRECTIONS NEEDED: ec'2no,-1 ) Qoys t=oItz AN�_L J2 t--j g�R� NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTER$,INC.(360)452-1381 W N o a d0 oa1'�e� out- c� c v �