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Home My WebLink About1531 W 16th St - BuildingPREPARED 7/24/09 8 12 53 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/24/09 ADDRESS 1531 W 16TH ST SUBDIV TENANT NBA W GREG ADAMS CONTRACTOR SUNSHINE PROPANE PHONE (360) 683 4010 OWNER W GREG ADAMS PHONE (360) 775 6757 PARCEL 06 30 00 0 4 3580 0000 APPL NUMBER 09 00000708 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 7/24/09 C MECHANICAL FINAL TIME 01 00 July 23 2009 1 18 59 PM 1pangrle GREG 775 6757 MECHANICAL FINAL PROPANE TANK SET GAS FIREPLACE NOTE THE GASLINE INSPECTION WAS APPROVED ON 10 25 06 ON THE NEW SFR PERMIT #06 71 E TS ANTY pr NOTES Subdivision Name Property Use Property Zoning Application valuation W GREG ADAMS 1531 W 16TH ST PORT ANGELES (360) 775 6757 CITY OF PORT ANGELES DEPARTMENT OF COM vIUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 09 00000708 Application pin number 457816 Property Address 1531 W 16TH ST ASSESSOR PARCEL NUMBER 06 30 -00 0 4 3580 0000 Tenant nbr name W GREG ADAMS Application type description MECHANICAL APPL PERMIT Application desc GAS FIREPLACE AND TANK SET RS7 RESDNTL SINGLE FAMILY 2800 Owner Contractor WA 98363 SUNSHINE PROPANE 10853 RHODY DR PORT HADLOCK (360) 683 4010 Permit MECHANICAL PERMIT Additional desc GAS FIREPLACE TANK SET Permit pin number 150235 Permit Fee 121 30 Plan Check Fee Issue Date 7/15/09 Valuation Expiration Date 1 /11 /10 Qty Unit Charge Per BASE FEE 1 00 10 6500 EA ME STOVE /FIREPLACE /MISC APP 1 00 10 6500 EA ME FUEL' GAS PIPING 1 5 OUTLETS 1 00 50 0000 HR ME INSPECTION MIN 1 HR Fee summary Charged Paid Credited 1-1S-2W1 W GreA Adams T:FormsBuilding Division/Building Permit Date 7/15/09 WA 98339 Due Permit Fee Total 121 30 121 30 00 00 Plan Check Total 00 00 00 00 Grand Total 121 30 121 30 00 00 00 0 Extension 50 00 10 65 10 65 50 00 Rikti 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. Date Print'4Name Sign. urepf Contractor or Authorized Agent Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. 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 AIR SEAL. Walls Ceiling FRAMING Joists Girders Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION. Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. Inspection Type Electrical 417 -4735 Construction R.W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 T:Forms /Building Division /Bdilding Permit FINAL Date Accepted by Node `The, 1115. I he wog S t h S t p rb Ved O rt 1 25 h -Wt e Ki.ew h one_ pe4 if 0641 FINAL Date 1 Zy Accepted by LL FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By Applicant \X) Grail Av..a BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360).417 -4711 Property Owner I Phone Property Owner's Address IS31 es+ Contractor Sv+iShl ne Pr oDaV� Contractor's Address lo$53 Rho44 Dr %rt Radioc>I<., \iA License Su Ns 14 P oil 9 I Expires PROJECT ADDRESS 1531 West ltoAti Parcel Number Project Type Brief Des Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System Other Floor Areas Basement 1 Floor 2 Floor 3rd Floor Garage X Carport Covered Porch Deck Shed Other Total footprint of structures Site Coverage the amount .f impervious s and other impervious surfaces see P Max. height of proposed structure Will a lawn sprinkler system Will a fire sprinkler syste Date Print Name T Forms /Building Division /Bldg Permit.doc criotion. iResidential Multi family Commercial Industrial Si 06—i1 9rrpt not i nclualadl. I vt T Tl�ferjl ace, w4..S OnShc.Ilecf G.t nay l r new cor►sl'rvc(7o--... and_ 2Xi s)ecf SFK r.M¢h I nurcViksiecf 41z 17.6n iv( /'4 ai 2w7. Svrlstil;n.e Provave., twi II in'IJ)) 41- pvp i4A._ 1st. ioo c,/ff.,.) "4 maL. 4e, ri,•-e pIAcc ode c%Aeti'arldl e 5 rou nd House garage; other Heat pump wood burning stove ',gas fireplace pellet stove other Existing (sq. ft.) "Proposed (sq. ft.) N ft. stalled? N e installed? Occupancy group Occupant load Construction ty Phone cte) 33 E -mail OTAL VALUATION '2'600 ft. T Lot size sq. ft. L. coverage ace on a parcel including st ures pave C 17 94 135 for exemptions) Site coverage Signature For City Use Only Date Received- 5--09 Permit Date Approved Phone 3(cL7 7 75 3100 3g5 5 797 Lot Zoning tear off re -roof lay over one layer per sq ft. of bedrooms f full baths of half baths s, patios I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. Peylyirt_ 1- -O l E nrresf 1 -4•x 87(1.b B17) oc S (2/A 1 0 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner SOVDE TTE ROGER C /OK CHA 1517 W 16TH ST PORT ANGELES Other struct info Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Other Fees WA 983636817 Fee summary Charged' COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000071 775069 1531 W 16TH ST 06 30 00 0 4 3580 0000 MIKE CAUDILL RES NEW SFR RS7 RESDNTL SINGLE FAMILY 126876, Contractor ACE MICHAELS INC 431 VASHON AVE PORT ANGELES (360) 417 9579 TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL liOT COVERAGE NUMBER OF UNITS RES OVERHEAD SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEMt FEE Paid Credited Due F 7 to ,_ut a1 lot rautr r 1 i,;SJ 16 Np Date 11/15/06 WA 98362 15 60 2 00 7000 00 1090 00 1 00 ELECTRICAL NEW, RESIDENTIAL JEDI 2026 SQ FT SFR 88617 JEDI ELECTRIC 119 80 Plan Check Fee 00 11/15/06 Valuation 0 5/14/07 Qty Unit Charge Per Extension 1 00 73.0000 ECH EL R SQFT FIRST 1300 73 00 2 00 23 4000 5C EL -R SQFT ADDITIONAL 500 46 80 1 M 4T1 'T i Special Notes and Comments' NF' !FP 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 01/30/2006 01 44 PM SROBERDS The proposal will result in a new sfr in the RS 7 for total lot coverage of 16% No land use issues are anticipated Electrical load calculations and elctrical permits are required Connection fee of $410 00 required 01/24/2006 04 13 PM GMCLAIN Sanitary sewer connection inspection_isFx'egi irea,,S Public Works prior to back fill of ditch C24'Ehour• advance notice is required Construct driveway and Sidewalks 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 410 00 870 00 4 50 1200 00 GENERAL COMMENTS: ELECTRICAL PERMIT 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 IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES NO DITCI1 I I I ROUGH4N I COVEk i I SERVICE I I I FINAL I I I I I I I I I I I COMMENTS PW- 1102.1311 Application Number 06 00000071 Application pin number 775069 Permit Fee Total 119 80 119 80 00 Plan Check Total 00 00 00 Other Fee Total 2484 50 2484 5.0 00 Grand Total 2604 30 2604 30' '00 COMMENTS/ACTION NEEDED CITY OF PORT ANGELES putluc*01138: DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 u loUo071 1 .50q9 Page 2 Date 11/15/06 Dal 00 00 00 00 DITCI1 ROUGH -IN COVER SERVIC1 TISTAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD v CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 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 YES I NO COMMENTS IV-I102.151496) (1. 711 y r ar s Job wired by E lectrical Contractor Owner Electrical contractor name License number Date Expires Purchaser's mailing address P.(9 S? City State ZIP —F36 Telephone number FAX number 1 I 7 c Premi owner's name le e-. c c.o t t I I Address of inspection S3l City Phone number to schedule inspection Owner as defined by RCW 19.28.261 (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is re to hire an electrical contractor if above said property is for sale, rent or lease. 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- 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 Utility Specifications. /Signature of owner ectrical contractor or electrical administrator X/ l /1// Da ElectricaPCoad Additions and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW Inspection Date iD /i,9 /c 2- 2-0 01 ROUGH-IN A /0 /a d6 Date Approved By J FINAL Date Approved By ("&l tl /0, Date Overhead Service 0 Temp Service Underground Service SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360- 417 -4735 THERMOSTAT /O GD /D 0o Je "'Date Approved By Date Approved By J FEEDER DITCH Area, Building or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATION \(Installation description Commercial Residential 117„) oZao Cash Check Credit Card ��isa� Mastercard Discover Approved By .°2 k'..C'. t pT- fe New Altered/Addition /e6 S Voltage Phase 1 3 Service Size: Feeder Size: SERVICE Date Approved By Action Taken 1 Inspection fee N 9,/R o Service Information Electrical Inspector l lJ '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 321 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number. Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000856 Date 791992 1531 W 16TH ST 06-30-00-0-4-3580-0000- ELECTRICAL ONLY 8/07/06 RS7 RESDNTL SINGLE FAMILY o Owner Contractor CAUDILL, MICHAEL 1517 W 16TH ST PORT ANGELES (360) 460-6172 OWNER WA 983636817 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE JEDI/ 60A TEMP 84384 JEDI ELECTRIC 42.20 Plan Check Fee 8/07/06 Valuation 2/03/07 .00 o U\ (jJ Qty Unit Charge Per 1.00 42.2000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 42.20 - Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 42.20 42.20 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 42.20 42.20 .00 .00 s ()' I- ~. COMMENTSI ACTION NEEDED ELECTRICAL PERMIT INSPECTION.RECORD CALL 4174735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MJNIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECfED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-IID2.15(4I96J 'S L~ ~ ~"'~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ ~ I Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner 7/25/06 ~ "'- 06-00000071 Date 775069 1531 W 16TH ST 06-30-00-0-4-3580-0000- MIKE CAUDILL RES NEW SFR RS7 RESDNTL SINGLE FAMILY 126876 ~ /1<<11 -<- J :,) /5fo; Contractor SOVDE TTE ROGER C/OK CHA 1517 W 16TH ST PORT ANGELES Other struct info . Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ACE MICHAELS INC. 431 VASHON AVE. PORT ANGELES (360) 417-9579 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS WA 983636817 WA 98362 15.60 2.00 7000.00 1090.00 1. 00 BUILDING PERMIT -RESIDENTIAL 70391 1171.45 7/25/06 1/21/07 Plan Check Fee Valuation 468.58 126876 Extension 1020.25 151.20 Er27 - Qty Unit Charge Per BASE FEE 27.00 5.6000 THOU BL-100,001-500K (5.60 PER K) Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ~ <..N ELECTRICAL NEW RESIDENTIAL 70425 36.40 7/25/06 1/21/07 t Plan Check Fee Valuation .00 o Qty Unit Charge Per 1.00 36.4000 ECH EL-LVT-FIRST THERMOSTAT Extension 36.40 - <3"'- ~ Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 70409 100.95 Plan Check Fee 7/25/06 Valuation 1/21/07 .00 o V) ~ Qty Unit Charge Per BASE FEE 1.00 14.7000 ECH ME- INSTALL 100- FAU 5.00 7.2500 ECH ME-VENT FAN Extension 50.00 14.70 36.25 ----------------------------------------------~---------------------------- Permit . . . . . Additional desc . Permit pin number PLUMBING PERMIT 70417 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 n inspection; +hereby-certifythat I-have readand-examiRed-this-application-and-know-thesame to_be.trueandcorrecLAII provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ~ J I /' .V', ~ ,- ~ ~ /~dS'-~ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH. IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE . ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS '0 SHEARWALL/HO~D DOWNS WALLS 1 ROOF 1 CEILINd' DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GASLlNE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKlRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKlNG/LlGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL 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:\Policies\1102_15 building pennil inspeclion record05.wpd [1/4/2005] cf ,ORT ~ l~~~ ~,.... L~ --- 'lti:,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32\ EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Permit Fee Issue Date Expiration Date Page 06-00000071 Date 775069 177.00 plan Check Fee 7/25/06 valuation 1/21/07 2 7/25/06 .00 o Qty Unit Charge Per Extension BASE FEE 50.00 14.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 98.00 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1. 00 15.0000 ECH PL- EA. BLDG SEWER 15.00 1. 00 7.0000 ECH PL- EA. WATER HEATER 7.00 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. 01/30/2006 01:44 PM SROBERDS -- The proposal will result in a new sfr in the RS-7 for total lot coverage of 16%. No land use issues are anticipated. Electrical load calculations and elctrical permits are required. Connection fee of $410.00 required 01/24/2006 04:13 PM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by". . , Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks 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. ----------------------------------------------------------~i~-----;J--~~-:-- Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE., . 870.00 . STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 1200.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1485.80 1485.80 .00 .00 Plan Check Total 468.58 468.58 .00 .00 Other Fee Total 2074.50 2074.50 .00 .00 Grand Total 4028.88 4028.88 .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 Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD ... CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS ~ YES NO \ l/~Zb/q; ;;to ~ ~;/'3, / n h- Pii: I . FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS / I '1/'J{ I (J(;, dJIM / IJ f) , IJltI .uJ....... V' FINAL 3,h?J/n 7 DATE ACCEPTED BY: I I 1/0/ 1O/0~ \J~ I I SHEAR WALL,!'m ~ 1?1l"11l1 r t-s'/Ob Vk-- )f(D!tJr;i ~ I/tq/00 IJk./ WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CEILING MECHANICAL HEAT PUMP I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET I CHIMNEY COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING I I U/167Ob .:ttv FINAL 3)~) DATE ACCEPTED BY: RESIDENTIAL ESA: SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ~ ~ I~~~ t^~ ~~, ~ PLANNING DEPT. SEPARATE PERMIT #'s P ARKlNG/LlGHTING LANDSCAPING SEPA: ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION - R.W. PW I ENGINEERING CONSTRUCTION R. W. I PW I ENGINEERING FIRE 417-4807 417-4653 /! /1 7 /7 L, 11// '-fv/ FIRE DEPT. PLANNING DEPT. 417-4750, I BUILDING 417-4815 3/'..../er> T:IPoliciesIII02_15 building permit inspection record05.wpd [1/4/20{)5j PLANNING DEPT. BUILDING I s ~~ CITY OF PORT ANGELES PUBLiC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner 7/25/06 06-00000071 Date 775069 1531 W 16TH ST 06-30-00-0-4-J580-0000- MIKE CAUDILL RES NEW -SFR RS7 RESDNTL SINGLE FAMILY 126876 Contractor SOVDE TTE ROGER C/OK CHA 1517 W 16TH ST PORT ANGELES Other struct info . Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ACE MICHAELS INC. 431 VASHON AVE. " PORT ANGELES (360) 417-9579 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS WA 983636817 WA 98362 15.60 2.00 7000.00 1090.00 1. 00 PUBLIC WORKS RES WATER SERV 69989 715.00 7/25/06 1/21/07 Plan Check Fee Valuation .00 126876 Qty Unit Charge Per 1.00 715.0000 EA PW W/M 1" SERV 5/8" METER Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Extension 715.00 RIGHT OF WAY 69971 50.00 7/25/06 1/21/07 Plan Check Fee Valuation .00 126876 Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Extension 50.00 SANITARY SEWER HOOK UP 69963 110.00 7/25/06" 1/21/07 Plan Check Fee Valuation .00 126876 Qty Unit Charge Per 1.00 110.0000 EA SAN SEWER HOOKUP Extension 110.00 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. 01/30/2006 01:44 PM SROBERDS -- The proposal will result in a new sfr in the RS-7 for total lot coverage of 16%. No 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 constructio"n or the performance of construction. Signature of Contractor or Authorized Agent Date T:\Policies\J J02.ISR {JIOS] -d"';;>---C; Date PERMIT INSPECTION RECORD - CALL 417-4807 FOR UTILITY INSPECfIONS. 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 PW UTILITIES (Enginecrina DiviliOll) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL I PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH I BACK.FLOW DEVICE -. I T I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO 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:\Policics\II02.15R (1105) s ~~ CIlY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST51HSTREET, PORT ANGELES, WA 98362 Application Number . . . . . 06-00000071 Application pin number 775069 Page 2 Date 7/25/06 Special Notes and Comments land use issues are anticipated. Electrical load calculations and elctrical'permits are required. Connection fee of $410.00 required 01/24/2006 04:13 PM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks 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 SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 870.00 4.50 1200.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 875.00 875.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2074.50 2074.50 .00 '.00 Grand Total 2949.50 2949.50 .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:\Policics\II02.ISR [1I0S) PERMIT INSPECTION RECORD r' CALL 417-4807 FOR UTILITY 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 LOC4. TION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I YES NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNEcnON SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUcnON R. W./ PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-481S BUILDING T:\Policies\1102.ISR [II0SJ Nr-- , , 0 , , ...... , , M , , .-< , , ...... , , , M , , , , , , , , , , , , , , , r.lr.l , , , elf-o , , , ..;..; , , , o.Q , , , , , , , , , , , , , , , , , , , , , '" , , , r-- , , , lil , , , '" , , , , , , , r-- Ul 0. , , , .-< ~ ::> , , , .,. 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I; _._ .,.-~ , "" <. BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at /)5 I lit I tI /t/-- Inspection of your work revealed that the folloyving is not in accordance with the codes governing the work in this jurisdiction: <'tt ;/;:;NtJJ2mL.-~ ~ Sm-ins - -: q JtuKD f2.1hL- I AlSI ')~ oA ~~" z. ~ 0 II 0 Fr ~f("lJtJ(). ~ LbA/T/IJ()tJ{)) Ikot!/hl.- € /p{/:5/cJ~ S;;"i/~J . These corrections must be made and are not to be covered until reinspection is ma e. Whe corrections have been made, please call B for inspectioh. Date -; Inspector for Building Division ..;. DO NOT REMOVE THIS TAG .,.r- o '- o '" '- '" r>lr>l C>E-< <t:<t: o.Q '" r- ll) '" , r- .... .,. >< 0 ..:I '" I>: .., 0 r>l 0 >< Ul H ~oJ E-< ..:I .., H :> .... Ulr>l ::;: ..:I H r>lr>l <t:H I>: E-< Q ZZ ><..:1 r>l Ul r>lUl gJ 00 r>l Qr, 0. r>l ~r>l :X::X: ::;: E-< 8~ Ul 0.0. 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'..~_"" ----- -- ...-.--.- _.._,-~ -- - -- ---- --........................~ ~ ~-""....w-... - .."-t' BUILDING DIVISION ", CITY OF PORT ANGELES * * Correction Notice ',- Job Located at I~~\ !-0 / ~I L Insp,ection of your work revealed that the following is not in 'accordance with the codes governing the work in this jurisdiction: / f #- ~\ tA~k- t \ '\~o.o O\..~. 'I \ \ J L ) c..~h7 I't I ( '_J v 1iP\ -- ~ :) \ -' \ l' -1Z /( \ \ - ULoJYJof\rf " 'A{)( A L(-(, \. --i~ ~ t? ~ r/)n~'+ p', J- I "-/ ~ -. ) 1 / I ( , (/-. ) (? ~ ti /1/1 V ' .../ I j./ 1.- hI L-V J ~ ./111-"\ , ........ I '-J '--...J These corrections must be made and are not to be covered until reinspection is made. When corrections_ have been made, please call (/ ) ,.- l - I I (- I ( :~t~nspe~rn /0 ~ r?- . J ,) I ) I Inspector for Building Division DO NOT REMOVE THIS TAG m\O. 0 ..... .... N ..... .... MM OE-< 0<:0<: "'Q m .... III 0 m 0 , .... m .... 0 .,. 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ME-< Q&l~~~g: '" .... <>:H >< ..:I "'U ~E-<UO"'O<: '" E-< III 1 l"LT OLYMPIC PENINSULA ~ TITLE COMPANY jlrf.7.e;, 1<5b cLAlL.A1.I COUNTY D.? TRANSACTION EXCISE TAX IlSl - ~~~ JAN 2 3 2006 AMOUNT1lR5,a:D ~~1~1kTJ~~f pr'iS ,'ILEO fOIi ~E(;u": ;.; ;liE l?~aUEST ~FLYMPIC PENINSULA TITLE CO ~~c.:COkDtv ~::~~~: ''-~;,.'':E:~.&:~~co' 2005 JAN 23 PM 3: 51 \\II~I ~I~II\\\II\\II\\I\~\~~\I\\\I~\\I~\I~\~I\~II\~II\\\II~\~\ C) 2006 1173693 CIon"", County File Number 02084655DJ LPB-10 STATUTORY WARRANTY DEED add'l on page _ Legal Description (Brief): LT 14 BLK 435 TPA Tax Parcel #: 063000 043580 THEGRANTOR JED J. KIMZEY, A SINGLE MAN AND LORI M. KIMZEY, A MARRIED WOMAN AS HER SEPARATE ESTATE for and in consideration of TEN DOLLARS AND OTHER GOOD AND VALUABLE CONSIDERATION in hand paid, conveys and warrants to ACE MICHAELS INC., A WASHINGTON CORPORATION the following described real estate, situated in the County of CLALLAM , State of Washington: LOT 14 IN BLOCK 435 OF TOWNSITE OF PORT ANGELES, AS PER PLAT THEREOF RECORDED IN VOLUME 1 OF PLATS, PAGE 27, RECORDS OF CLALLAM COUNTY, WASHINGTON. SITUATE IN CLALLAM COUNTY, STATE OF WASHINGTON. B By By State of County of On this 23rd day of before me personally appeared --,TED ,J. KIMZEY AND LORI M. KTM7.F.Y-- JANUARY , 20~, to me known to be the individual(sl described in and who executed the ~in and foregoing instrument, aaknOWledged that (he/she/~he ) signed the same as (his/her! heir f~ee and voluntary act ,'qeed, for the uses and purpose ere~n mentioned: ~ GIv.l!:~{(uhder my hand and official seal the day and year la$t:':ibov.e~~i 1l:ien. ~; 1":'/.': ~.~. ~";~."~}.~' ~ ~~'" (,,~:.. ,. ~ ~;. i -~ -. :~. \ .~~ --' !:, -~~1't.(..'i:, ',', .r.~:,/ '; ',::!.,: ;. '.",:' . ~:, <";Or .. " ';', ~_J"~j,~.. ..\..,..'.,.... ,-' ..:" ,.~:(.,...=., Not y Pub~c in and for the Residing at:; PORT AN:;E My~pir . '. JACCl3S Prescriptive Approach-Simple Fornl For the Washington State Energy Code (2003 Edition) Climate Zone 1 Site Information Lot: /-0 -+ PI BIN' k If?.-:s- Building Depaliment Use Only: Pemlit # Address: Notes: Zip: 9g~ ~d. G0 c\. ( \ \ 'I<OC) '--lId Phone 2:~1 7. - '1 S- '7" FAX: 457;- c <t Lit City: ~ ~ State: -vJ A. Contact: k... \"'K-t Phone: Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE I ( Unlimited Glazing Option Only) Option Glazing Glazing U-Factor Door Wall Wall Wall Slab Area % U- Vaulted Above Interior Exterior on of Floor Vertical Overheac Factor Ceiling Ceiling Grade Below Below Floor Grade Grade Grade Unlimited @ ~8 @ ~ ill Group R-3 0.58 0.20 R-30 R-21 R-lO R-10 Occupancy Only This Project complies with the following: ./' The Project is a single fanlily residence or duplex. ./' The Project is wood frame OR all of the insulation is interior or extelior of the framing. ./' All building components meet the requirements listed in Table 6-1, Option III. ./' The Project will meet all other provisions of the WSEC and VIAQ. The Project will take advantage of the following exceptions to the prescriptive option. o 602.6 Exception 1. One door, that is 24ft. Or less, that does not meet the standards allowed. Location of the door taking this exception o 602.6 Exception 2. Doors with aU-Factor of 0.40 allowed wIthout calculations, Option III only. Location of the Door (s) taking exception Type of Heat Source: 1.4.(l1....}. ~~ N\ ~ EXIDBIT A r-,- II ~l# ~r .It ~. -: '1 .5i , ~ ~() -..: 11- -] - \.i """I I~ (" """ I l~lJ-=, ~ :- I I" > I ; -, I '\ I ,'16-- ! I i I 1_ _ I' I r I I [ i I ~,,--- ----t---' I ::t\-----I--+- I I I i t --J ," ! I" I I ---,--'~ L-i I I I -I- ,- i I i ---r---I-'-t'++ I I : I i ! I ' I I I" I I wi I I I +++=ft I I r[L~ += -~I~ IL I i ~ . t=--- =F1 ~ ~II 'i I -+++1 I I- I! _ -H 9. I I j I "'. ....... j i I I - It:L~J i 1--J!.+i-'-'-l--:;l-trLl1L II I' I i -rt-j-t+ I I I ~r ~ I~ ~,=~. I I I . -sk 'Ti: ' I ; I + .. -_ ,.,,;&- , i 1 ,I -'I ! r--,,-!I ! cP I I -- r- ~ r 1 I I,J-- I..:.. IV -i-J I I, r I I , --J1- -..... , I -4 I I~ /' ~' - , i I I \1/ \j ~., 1 .-" ' I -/t-,( -~ ,.. I I _~1-' I I I - 1 I I I T i 1 I 1 i I I I - ~7 _I ]- I - C. ':'r. - \. M I I --t-+-ll I 'i I T I ' ]- ----Ll' I~ I I I 1--J I~- ! ~--,---LLL j 1-R=1 -IUI. I ! I -l --' . I, i! _ I I i I I II . I I I !--L I I! ! I ! I i i I. -~ii I I '! I , LI I I I ! I I 1;- --t-J~.---1- , : I ! I I i I ,,- I '-#+1111111 1.W-i Ii -Lq--jll t i) i! 1+ I I I I ! I I I / II1I ~. 1--t-t-t- T l/C I I l I ,. r' , - BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application and site plan :MUST COlyIPLETE to be act:epLeu fOl' rf.Vi~VL If YOli hay'c any questions, can PERMITS (360) 417-4815 FAX(360)417-4711 Phone: Lf ~ C\ ~ I (~. Phone: 1b~ C. I? 2 Zip: Applicant or Agent:~ \ k 6. --J ~ ~ \ \ Owner:~\~ ~~\.\ \ Address: a City: ArchitectlEngineer: Contractor I\L~ . .. Phone: "'^ ~c. ~\ 'S r.(\( State Ll~&&-It:~ i'^-J: 91t!~: -r<.:"/~oci7 l I Address: I.{ '3, \1 d<:; bv-- ~v.e.. City: P {\ PROJECT ADDRESS: \G~ I w.ltb-\.:!1 7!-. LEGAL DESCRIPTION: Lot: / L( Block: if 3 S- CLALLAM COUNTY PARCEL NUMBER: O? 30 00 0 4 Phone: ~ <0 a ~ I I'd <783b d- Zip: ZONING: Subdivision: / ;3580 - oc;C:l::/ TYPE OF WORK: ~Residential ~ew Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial D' Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: ~\ ~ ,'D<tW ~ Yl ~ ~~~~ COMMERCLtlliIRESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: 7000 Existing Sq. Ft. Total lot coverage \I?('" '% .ff"'Stove lJ..-Garage ~ Deck o Other SIZE/V_tlliUATION: . It:%. 1""'- \(i,2.l'P F.@$ 7'f!1,. /SF.=$ . '.I,. Yr:: 400 ~ SF. @ $:z:r.~~ -/SF. = $=- ~(,t3z-, . ;)1.. SF. @$- \'Z.e>v _/SF. = $. i't>?/ -- TOTAL VALUATION $- l"~, ~bt. f...!.VL ~ \\u-'-~ .' ~ cl S ~ ~ 0~ J ( Occupant Load: . & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. 101'0 ESAlWetland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: 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: lino pemrit 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 Rl 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. I am authorized to apply for this permit and understand thai H is my responsibility to dete~at pennits are required ,not the CHy's, and that I musl obtain such pennifs prior to work. T:\Policies\BL.J J02_J3.wpd Applicant: ~ Q. Date: 1- I'D ~O ~ . I-- I ,,,,,,:. \Ior.r ..1.\..... %~ (/~~"""\ .1f~:.:::-- ~.. .., - ._--_._.._-~) \,-- I .\;:-~/ BUILDING PERMIT - APPLICATION FOR OFFICIAL SE ONLY: Date Re~.: ~ t-2> ()~ Permit #: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COI'tiPLE"IE tfJ be ~t'~.:t"f'le(J l()j' rf.vie~~. Ifyoll hE'Vc any questions, ~~11 Dale Approved: PERMITS (360) 417-4815 FAX(360)417-4711 1):'1:: l::z;uec: Phone: Lf ~ C\ Cr. II '"d-. Phone: 1b<::'\ C. \ I 2 Zip: Applicant or Agent:-k \ ~ 6 -.J ~ ~ \ \ Owner:_M. , ~ ~ ~ \' \ \ Address: .a.. City: ArclritectlE~gineer J.A' ~\ r. ACLIt:;(",,:r:q7'1~ PjLhone~ - Contractor hc..e.. ,c. ~(\(State bcense : Exp: l<.ct;)r;:jC::J 7 t I Address: I..( '3, \Jd<:; b.J--- ~V~ City: P {\ PROJECT ADDRESS: 15sl W Ibi'\.\.. LEGAL DESCRIPTION: Lot: I L( Block: f 3 S- CLALLAM COUNTY PiillCEL Nillv.IBER: O? 30 0 c> 0 4 Phone: ~ <c. a <." I td 983b J Zip: ZONING: Subdivision: ;35BO - o~ TYPE OF WORK: 9"Residential l3"N"ew Constr. 0 Re-roof o Multi-family 0 Addition 0 Move o Commercial D. Remodel 0 Demolition o Repair 0 Sign BRIEF DESCRIPTION OF THE PROJECT: b~', \~ t\Je\-J \--b h ~ A~~~. ~ COMIVrERCLtlli/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: 7000 Existing Sq. Ft. Total lot coverage % .E("Stove Q..-Garage ~ Deck o Other SIZEN_tlliUATION: I ~ ~5 SF. @ $ Co (J' /SF. = $ AI I , SF. @ $ Q c /SF. = $ d i SF. @ $ I L.{ /SF. = $ TOTAL Viu,UATION $ J ( P.dL- t- ~LJ""''-~ ~clS .' l' 3>3 6G ~,;.,~O 3 .3 (.., 10 /,~ 5"~ ~ &o0"t ~ Occupant Load:' & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. 111'1 ESA/Wetland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: APPROVALS: PLAN: BLDG: DPViTU: FIRE: OTHER: PLANNING-USE ONLY: 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 e}.."tend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl 05.3.2 of the International BuildinglResidential 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. I am authorized to apply for this permit and undemand that it is my responsibility to dete~at permfts are required ,not the City's, and that J must obtain such permits prior to worn. T:\Policies\BL-II02_13:wpd Applicant: t::.J.f)y. Date: 1- leg r-O ~. . '\ 0.1) EI,~ctricl.~ontractor ~e \. :!'e-, <C 'J.J..<;. Purchaser's mailing address ~ '" ,'=);::)..'1 I + :~~ ~ vJJ\ Telephone number 3 () License number Date Expires ELECTRICAL WORK PERMIT APPLICATION .~ ~ \ ~ t7 I~ Installation description o Commercial ~esidential Job wired by o Electrical Contractor 0 Owner o New D Altered! Addition 110 ~ 5& State ZIP 9~3<CJ FAX number T -e.. '^'" ~ ~)-.~l<1} (,,1'7. Pre i es ~iner's "}re . ~ l..~'-.J j'. \ \ Addres~ of inspect\on. ~ ..t...L._ i '5.3\ \'-lO~ J ~ ,-- 5"\ ~ity ~~ 9'6 3~3 1/10 Ole 0 (&a__ \~, .J.J15lO::- Phone number to scheduJe inspection: Owner as defined by RCW.19.28.261:(I) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, r hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal. 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 Utility Specifications. Signatur o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover x I contractor or electrical administrator JQ Date: <?r7-0l<:O Expiration Date of card Inspection fee $ '7"2... 1..0 Electrical Load Additions and or subtractions D NO LOAD CHANGES D Baseboard KW o Furnace KW o Heat Pump Ton LAA D Fan-Wall KW Service Information o Overhead Service o Temp Service o Underground Service Voltage PhaseD 1 D 3 Service Size: ~ Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT SERVICE Dale Approvedl3y Date Approved By Dale Approved By FlNAL f)-E.-Db A-&;) Date Approved By DITCH FEEDER Date Approved By Date Approved By Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector 8/8t ( e- Fi ~AJ I) DO ;0 _ E(; ,1 ~ \.