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Home My WebLink About605 Del Guzzi Dr - Building When recorded return to: i �' /[1�;� ]N 2014-1308046 �-I� �• �'% Page 1 of 1 Protct Covenant CWallammCounty7Washington 05/13/2014 10555O AM b�✓ FEZ. ZZ I 02, ill klr.�l1'M RIP I,i�"I4'i1.E11,4 0 111L0k Ulf 11.6111k Ill II rOgrAA)6e0, LOA. 60302, ZONING LOT COVENANT I/WE the undersigned owner(s) of the following described property: (insert legal description, address if available, and Assessor's Parcel Number) E-4/Ajt a C1Z ri eK v is r; !..nT ii ;2o1 PS!.Sci ZZf P4, p42z A.J6t* 7.-, ILL 0fo°0i24 ►rte FNN 6 eg- "g. v 1 5 ps nor 11 p L.. 6u v2.1 Q pant l V& t ,, ANA' do hereby covenant that said property shall be designated as one zoning lot as defined in Section 17.08.130 "Z" of the Port Angeles Municipal Code. This covenant creates one inseparable building lot which may only be removed through compliance with Chapter 58.17 RCW (subdivision regulations) and/or the City of Port Angeles short subdivision regulations (Ordinance No. 2222, as amended). This covenant shall be binding on the owner(s), heir(s), assign(s), and successor(s) in interest and shall be filed with the County Auditor's Office. This covenant is for the mutual benefit of said owner(s), heir(s), assign(s), and successor(s) in interest and is for the further purpose of compliance with state and local land use and building regulations. This covenant may be enforced by injunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance. DATED this L3'"---day of C\r\ ,2014 Print Nano I LL iIMM ' t,..)h°I 0 Tint Name: SAN i,1 t trI \ UA\ JdRAz_, P/i/ J1i3 (Owner Sign a (Owner Signature) Phone: 3b* ' `T 1" G1C;10'2 Phone: 3 ;-7 t h O 1 STATE OF WASHINGTON) ss COUNTY OFCLALLAM ) I, r e. ,.... r \--• • S\ &e-,. )Notary Public in and for the State of Washington, do hereby certify that on this 139-day of K\(\ ,206,personally appeared before me UU i i\i are. 14k. ‘,..iyne .bc. el,va V.,.L:InA,Ia.N lalown to b4hhe individual(s)described in and who executed the within instrument and'atlsl'owledged that signed and sealed the same as "-k-Nr.,...•r free . . . .:r l: and voluntary act and deed'fq tfie.plzipose.hes6n mentioned. , GIVEN UNDER MY I AND:sA1;]p:OFF.ICIAL% L this\3 day of _ 20 \�- s i ' ( r 0C) 1 k7 ,.% 1�, Q � !'� 1\ `h ' 1lt ,.` ` 4'. 4• ►• _ t •. :LIC in and for the e State of 11:14..f.WAS, `.� ,, Washington residing at Port Angeles. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr 08 00001196 Date 9/18/08 810296 605 DEL GUZZI DR 06 30 12 6 8 0110 0000 WILLIAM /SANDRA LINDBERG Application type description PLUMBING REPAIR Subdivision Name name Property Use Property Zoning Application valuation CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 RS9 RESDNTL SINGLE FAMILY 500 Application desc INSTALL IRRIGATION DOUBLE CHECK BACKFLOW ASSEMBLY WILLIAM SANDRA LINDBERG 605 DEL GUZZI DR PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 1 00 Fee summary WA 983 Forms /Building Division /Buiklmg .t (05/13/0F) Contractor PLUMBING PERMIT IRRIGATION D/C BACKFLOW 134882 57 00 9/18/08 3/17/09 SANFORD IRRIGATION INC PO BOX 2246 SEQUIM (360) 683 9807 Plan Check Fee Valuation Unit Charge Per BASE FEE 7 0000 ECH PL- EA LAWN BACKFLOW Charged Paid Credited Permit Fee Total 57 00 57 00 00 Plan Check Total 00 00 00 Grand Total 57 00 57 00 00 Due `)Ci� hS�.e&-k-4 A a Re Livvi&,P 00 00 00 00 0 Extension 50 00 7 00 r (4_ c Extzifik-- 'ff See, /N P G shed 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 q /l�S'v Pay, I Co w an Date Prnt Name Signature of Contractor or Authorized Agen Sig .atu of Owner (if owner is buiider) ,OF PORTkv Official Use Only c Assem.# Received Backflow Assembly Test Report /h� City of Port Angeles Public Works and Utilities Department i lvRks Water/Wastewater Collection Division 7 66R 06ie ASSEMBLY Manufacturer Model Size Serial No IS THIS AN APPROVED ASSEMBLY? YES 1E60 IS ASSEMBLY INSTALLED CORRECTLY YES NO DATE OF INSTALLATION A M G G 7 UNKNOWN Initial Test Repairs Details Final Test COMMENTS Initial Test Repairs Final Test DOUBLE CHECK VALVE ASSEMBLY CHECK VALVE #I CHECK VALVE #2 Leaked 1 r J Pt G i e REDUCED PRESSURE PRINCIPLE ASSEMBLY Held at 0 psi Cleaned Replaced Held at 4 psi AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES NO I Date/Time Tester "09 fi k E, Leaked Closed Tight Held atl. G psi Cleaned Cleaned Replaced Replaced Closed Tight Held a3 psi RELIEF VALVE Did Not Open Opened at psi Signature r -3 f f' 0 e 6 KCR /7 e 5 1,- 3 psi Buft YES NO Opened at psi Cert. Test Kit TYPE OF HAZARD WHITE CUSTOMER COPY YELLOW PURVEYOR COPY PINK TESTER COPY RP RPDA 0 DC DCDA PVB Air Gap SVB AVB AIR INLET Did Not Open Opened at psi CHECK VALVE Leaked Held at psi REPAIRS Cleaned Replaced Line Pressure psi Held Backpressure #2 Shutoff Held AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES Al /l7 e PVB/SVB L A /4- YES IR" NO YES O' NO Relief Valve Exercised YES NO Passed Failed air" 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 WILLIAM SANDRA LINDBERG 605 DEL GUZZI DR PORT ANGELES WA 98362 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Qty Unit Charge Per BASE FEE 1 00 7 0000 ECH PL- EA LAWN BACKFLOW 08 00001196 Date 9/18/08 810296 605 DEL GUZZI DR 06 30 12 6 8 0110 0000 WILLIAM /SANDRA LINDBERG PLUMBING REPAIR RS9 RESDNTL SINGLE FAMILY 500 Application desc INSTALL IRRIGATION DOUBLE CHECK BACKFLOW ASSEMBLY Contractor Permit PLUMBING PERMIT Additional desc IRRIGATION D/C BACKFLOW Permit pin number 134882 Permit Fee 57 00 Plan Check Fee 00 Issue Date 9/18/08 Valuation 0 Expiration Date 3/17/09 Fee summary Charged Paid Credited SANFORD IRRIGATION INC PO BOX 2246 SEQUIM WA 98382 (360) 683 9807 Due Permit Fee Total 57 00 57 00 00 00 Plan Check Total 00 00 00 00 Grand Total 57 00 57 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work 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 9/7th vi I Coway Date' Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T.Forms/Building Division/Building Permit (05 /13 /08).wpd Extension 50 00 7 00 FRAMING CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES CALL 417 -4886 FOR BACKFLOW PREVENTION INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT AND APPROVED PLANS AT THE JOB SITE. ELECTRICAL LIGHT DEPT BUILDING PERMIT INSPECTION RECORD INSPECTION TYPE DATE ACCEPTED FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW)WATER AIR SEAL WALLS CEILING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. I LANDSCAPING I SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 YES I NO 417 -4735 ELECTRICAL LIGHT DEPT I I I I I I I I I FINAL 2.-3 DATE CONSTRUCTION R.W PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING COMMENTS ACCEPTED BY. I FINAL DATE ACCEPTED BY. DATE I ACCEPTED I YES I NO c> 09 I I I I I I I Applicant or Agent n TO Zn c Phone 3 d 0 x'8' q <9o7 Property Owner b evy Phone Property Owner's Address 6' 0 S .e l G u 2- 2 �Jr Contractor /Engineer _can 1 r a( i q 'I an .1",„ c. Phone 36'0 cf0 7 Contractor /Engineer's Address A, 0 h 2 (K.( i S-e 9, u t 04, A q87 8 z License SA F 0 r y q q l Expires o‘,/ z/ 2.0/o PROJECT ADDRESS CO 5 AR( I r Parcel Number Project Tvpe Brief Description. Check all that apply New Construction Addition Remodel Repair Re -roof Demolition Heat System Other Floor Areas Basement 1 Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Total footprint of structures Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? BUILDING PERMIT CITY OF PORT ANGELES .Attn Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 Residential Iki Do /-r k-v'( C a 04 s L, Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) TOTAL VALUATION SOD 00 sq ft. T Lot size sq ft. Lot coverage ft. y-es APPLICATION Print in ink Commercial s> Occupancy group Occupant load Construction type Lot Zoning Multi family a s s-em 6l v per sq ft. For City Use Only Date Received 9 iss—O Permit# 02S— Date Approved of bedrooms of full baths of half baths Industrial 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. Date �/l /GO p Print Name 1y at./ G( CO W a h Signature T Forms /Building Division /Bldg Permit Appl. 2006 Code doc a/0-4--6( 4-(AfAro, LIl'" 0 '- ,., N .-< '- .-< '" .,..., ~ M '- 0 ~ 0. M ""' f-< :z: MM Z f-< ~ M elf-< H <tl ~ <(<( 0 f-< M "'0 '" M '0 :z: " Q) f-< M > ::;: ::> Q) f-< 0 0 Q) M 00 >< .-< " OJ '" f-< M ::> .... <( ~ Q) 0 .... 0 .0 >< '" ::;: ~ , 0 M 0 Q) M N 0 01 ~ .-< ~ LIl ~ H 0 .,. ,~ 00 >< tJl ~ M Q) <: M Q) .-<M >,>, Q) !; >.:;:; <tl 01 0 .-< O:Z: .-<.-< .-< 0. '" H .<:: H H H Z.-< .-< 00 >< ,., tJl ~~ Q) Q) U U tJl.,. 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N <>:0 OOE-<<( ..:1Z 0 0 0 0 0 0 <( ~~~gj~L 00 p.,>< '- ..:1 '" '" Mf-< OZZZ<>:"" "" H H Z '" '" <>:H ~M03:<("" >< ..:1 ..:1 ~ ..:1 ..:1 p.,U E-<UO""<( f-< 01 01 ~ 01 01 " BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice ", Job Located at flo.r;- ~ ~(/2~ Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: *= !~ + D Jz J-g OCc r)f )/ These corrections must be made and are not to. be covered until reinspection is made. When corrections have been made, please call j I 7 - [( J II for inspection. ( Date ) /~() !r IX- 1- -_ I I '-'L II}Spector for Building Division DO NOT REMOVE THIS TAG .-<co 0 ...... 0 .-< ...... r- 0l0l t!JE-< 00:00: 0..0 \D .-< .-< \D , N L/1 IlJ .... '" .... 0 I-< .c rn J-> IlJ 0 <: I-< .... \D '" '" I-< :>< M 0. .0 rn ..:I .-< 0. <: I>: '" Ol 0. ') H :> ~ :>: .... ..:I H 0l0l 0.. E-< 0 ZZ Ul ~ OlUl gJ 00 co L/1 ~ Ol :<:Ol ::t:::t: .-< 0 0 E-< ~~ CJl 0..0.. 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N ~o CIlE-<": ..:I 0 0 0 ..: ~~~&irJ..:I CIl 0.>< ....... OlE-< 0&l6~~g; 0. H "1 ~H >< ..:I ..:I o.u ~E-<uoo...: E-< <ll <ll I: -,-~ . ,. I I I OW'... -,,"",,!_~~'~l.:.':'./ .I".....,...;:..:-..~:-.....~."'~ ~~ BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice " Job Located at {P(JS ]) 7 L f;uJJ I Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: !+m ~ fft'C'rS 1;U'Ki S ':1)) II I'I.II41e ~~a'JH1 ()~>>~q , ./ ~~' ~ eJ AI<J / . t/1L '- ~~ lJ WTI L f2T5"L\J~ v . These corrections must be made and are not to be covered until reinspection is made. Whe~/corrections have been made, please call 4- /7 - cr 8/r for inspection. Date s/~/a& I I ~ Inspector for Building Division DO NOT REMOVE THIS TAG lfl"'" 0' ~! !! 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Application valuation 08-00000252 Date 977112 605 DEL GUZZI DR 06-30-12-6-8-0110-0000- ELECTRICAL ONLY 2/28/08 RS9 RESDNTL SINGLE FAMILY o Owner Contractor Lindberg Bill 605 Del Guzzi Dr. PORT ANGELES WA 98362 HI TECH SECURITY INC 723 E FRONT ST PORT ANGELES WA 98362 (360) 452-2727 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 121780 Permit Fee 51.00 plan Check Fee Issue Date 2/28/08 Valuation Expiration Date 8/26/08 .00 o \)' 81 Qty 1. 00 1. 00 Unit Charge 40.0000 11.0000 Per EL-LOW VOLT SYS <=2500 SQFT EL-LOW VOLT SYS >2500 SQFT Extension 40.00 11.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 51.00 51.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 51.00 51.00 .00 .00 ~ r @'\ G N p SPECTION ELECTRlCAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: . Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000148 Date 043020 605 DEL GUZZI DR 06-30-12-6-8-0110-0000- ELECTRICAL ONLY 2/05/08 RS9 RESDNTL SINGLE FAMILY o Owner Contractor LUDWICK, WILLIAM P. 5319 BLUEBONNETT DR. COLLEYVILLE TX 76034 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457-5303 WA 98363 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 120345 Permit Fee 179.00 Plan Check Fee Issue Date 2/05/08 Valuation Expiration Date 8/03/08 .00 o ~ cJ \f\ Qty 1. 00 5.00 Unit Charge Per 69.0000 ECH 22.0000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 69.00 110.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 179.00 179.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 179.00 179.00 .00 .00 r Q\ c N r r "(} rJ r--- SPECTION ELECTRlCAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: ~ ~~ - ~ -.-..;. ~~..........o....- -- -'-'" ..."--" ----'" -> I I NOO o "- ..... M "- ..... "'''' ~E-< ..:..: 0..0 >< .., I>: '" H .., E-< "'Ul :,;'" 8~ E-<,"> Z 01>:' HO E-<E-< UU "'''' 0..0.. 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'" 0. 0'\.....:1 Z~.-l 00::: 0.....:1 ~ HI>: ~~ t;~ ~ ::;:0.. "'.., H.....:l ~t') Lf1 E-< Ul .,. Z :E: H;:E o:;t ..: 0.. M III ~ ..: ~Z 00 .....:ll""1 ZHI.OZ l? (J)N HZl""1HOO Z .. M o::l 0:: .. 10 H ~COCDE5oo:r::r:O o::l ~O~.....:l:EogN~E5 Sr-~Ol,:;(r--~';~O: O['-o:IQO 1"'11 t.:)oI.o,.::t;~ol? r--Z ZN ....::If-!NZ>,r.....H H..........(J)(J)(J).........H\.-l'<;f'I IIlo:rHO:::OO.:;ttOm ::r: s~~~g~~g~g O:~~5~~O:~~~ Ul '" E-< o Z o ~ Ul E-< Z '" ::;: ::;: o U .., ..,0.. '">..: ~~ r-r- 00 "-"- .,..,. NN "-"- 00 00 o Ul "- 0.. >< E-< .-< o .-< o ..... .., 0.. N .., 0.. CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 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 07-00001493 Date 382760 60S DEL GUZZI DR 06-30-12-6-8-0110-0POO- WILLIAM LINDBERG FIRE SPRINKLER SYSTEM 1/15/08 RS9 RESDNTL SINGLE FAMILY 4500 Owner Contractor WILLIAM & SANDRA LINDBERG 319 S. PEABODY PORT ANGELES WA 98362 Structure Information 000 000 INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES WA 98362 (360) 452-7583 INSTALL FIRE SPRINKLER SYSTEM Permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . FIRE SPRINKLER RESID FIRE SPRINKLER SYSTEM 117721 50.00 Plan Check Fee 1/15/08 Valuation 7/13/08 .00 o Qty Unit Charge Per BASE FEE Extension 50.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .:.. SO.' 00 50.00. .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 0i > ~~ // C> '-d '0 (f This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examine:! this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the r?vis~~~~ of a~y state or local law regulating the work specified in !.he penn it. ~v:.-<A:f ct, fi+ P-ioe Signature of Contractor or Autho ed Agent ate Signature of Owner (if Owner is builder) Date ~~..r_~_ FIRE PERMIT INSPECTION RECORD o ...J I Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate,.4: or conceal any work before inspected and accepted. Post permit in a conspicuous location. ~ KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final 1- 2:-0& kDt FIRE ALARM Rough-in inspection Alann final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test # 1 Above ground piping inspection/pressure test Piping pressure test pSI Tank (container) inspection Time initiated Test #2 Appliance inspection Piping pressure test pSI Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/com bustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final Inspection Type I Date Passed I Comments 6"- o 'V} ~ G) c rJ rv 7 C7 :")" 2/15/00 JJ ~ V) v J~ :) 7\ ~ GENERAL COMMENTS: r-- , Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000027 Date 398705 605 DEL GUZZI DR 06-30-12-6-8-0110-0000- ELECTRICAL ONLY 1/10/08 RS9 RESDNTL SINGLE FAMILY o Owner Contractor LUDWICK, WILLIAM P. 5319 BLUEBONNETT DR. COLLEYVILLE TX 76034 DAVE'S HTG & COOLING SRVC INC PO BOX 413 PORT ANGELES WA 98362 (360) 452-0939 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 118703 Permit Fee 35.00 plan Check Fee .00 Issue Date 1/10/08 Valuation 0 Expiration Date 7/08/08 Qty Unit Charge Per Extension 1. 00 35.0000 EC EL-LOW VOLTAGE 35.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35.00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 ~ ~ ~ r' I o c ~ l~r I . SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL ~ ~. OMMENTS: coco o , CO o , .... ~~ t:)'" ..:..: ll.0 >< 0-1 I>: ~ H 0-1 '" ~oo :<:~ ~~ "''J Z " 01>: HO "',... UU ~~ ll.ll. 0000 ~~ .... 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Z 01 ~ ~ o U PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 Q f"'l (360) 417-4650 FAX (360) 417-4659 1-- \'-\ \ -:) ~o Fire Sprinkler System Plan Review Project Name: Private residence Address: 605 Del Guzzi Drive Installer: Innovated Fire Sprinkler Installer Telephone: 452-7583 Type of System: Open 130 13 RO 13D[2J Date: 12.17.2007 PAFD Permit #: 07-40 We have checked this plan and find that it conforms to the requirements of the code. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. A design sprinkler flow test and alarm test are required for all 13D systems. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFP A Standard. This 13D system will require a measured flow test. Contractor Reviewed by: ~ O.Q Jd.O Date: 12. 0'07 D ~ o Building Department Fire Department FIRE DEPARTMENT PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION o ENERGY o ENGINEERING o POLICE DEPARTMENT o ADMINISTRA TI~N o CITY CLERK o RISK MANAGEMENT I FROM: PUBLIC WORKSIBUILDING DMSION 1 RE: ADDRESS: {;o'5" \)0\ GUZ2--'\ {) r NAME/CONTACT: ViV't";ev\t Be-tlj~ PHONE: 452.-i5g3 PERMIT NUMBER: C> l - (Llj 3 PROJECT DESCRIPTION: :en sfa \\ f=-,'rt, SPY!' n \<.( €.V' S' J So ~ (((e.S\ &e~-\,\.fA l) ': EJ ;g o o I DATE: 1z.-13-o71 ~ NEW CONSTRUCTION o ADDITION/ALTERNATION COMMENTS/CONDITIONS: ~VIEWIRETURN o FILE ~'PD 01-L1Q , BUILDING PERMIT - APPLICATION FO!{ OFFICIAL USE ONLY: Dale Itec.: \ 2.-''l'3 "en.. }'cnnil Ii 07- 1t.4 <f 3 D~l~ J\pproved: Date Issued: Fill out COMPLETELY and in INK. Your appucation and site plan MUST BE COMPLETE to he accepted for review. If you have any questions, caU J'ERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: ' V\. c.... e. V'\. . I e /Q., V Phone: '-I....) 2.. - 7 S 8.3 Owner: vJ l' ) It' ~ ~ L ~ '-""\..c:! \0 ...\~..r'5 Phone: Address: 31C] So P..e...c~C)dJ City: p~y-'f /JVLJ .~LN Zip: Dt&JG 2- ArchitectlEngineer: .s c;. ~ Phone: cr s- <.. - ~ Jib Contractor jA/N(JvRTeo ;::::-'IZE. State LIcense #/NA/O(/E)Tj){)'tLID/!...Exp: V/%aPhone:l/S2 - JS8J Address: 81 /\/J?.,LJ JI.~\Je.~ l V"\ City: PeJr+I}h.J.Q~..J PROJECT ADDRESS: C?o5 QQ..I ~\A.uj 0 r,,\/-e- Block: Zip: ~ 8 S G '2. ZONING: LEGAL DESCRlPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Subdivision: }\'PEOFWORK: )'.Residential 0 New Constr. 0 Re-roof 0 Stove o Multi-family 0 Addition 0 MoveD Garage o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other j BRIEF DESCRIPTION OF THE PROJECT: 'r.. ~ ~.,~ II SIZEIV ALUATION: SF. @$ /SF. = $ SF. @ $ /SF. = $ SF. @ $ /SF. = $ TO.JALVALUATION $~ ~OOf 00 f-/v-R.. St?'Y'/~k I . g~ s +~~ COMMERCIAL/RESIDE1'iTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft Construction Type: = TOTAL Sq. Ft No. of Stories: _ Lot Size: Total lot coverage Existing Sq. Ft % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetland(s): 0 Yes oNo SEPAChecklistrequired? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In aU 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. AIl other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: lfno 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 RI05.3.2 of the International BuildingIResidential 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 (or this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to wort; . nFORMS\BldgP",",U~.wpd Applicant ~ ;I) I 13 ~ Da"" I ~ ) 7/-6 L I Mr- o "- .,. N "- o M ~~ C9E-< <(<( 0..0 >< ...:I I>: ~ H ...:I E-< ~CIJ :.:~ ~~ E-<':l Z .. 01>: HO E-<E-< UU ~~ 0..0.. CIJCIJ ZZ H H M N N .,. '" CIJ M -...:I r-M 0C9 :;~ N "-E-< 01>: MO 0.. o M~ 1>:0 <( 0..>< ~E-:H o..U ID M M ID , N Ltl .,. o ID M ;:: o gj rn M~ ZZ 00 :I::I: 0..0.. 1>:C9 01>: M H<'1 NO NZ ~H C9...:1 i;J~ OH ...:I Ltl...:l OH ID;3: <( , I>: I>:O~ Oorn ~:;;3: CIJ , ~ "-OZ ~~CIJ HO~ ...:1'1>: ...:I'" H , '" ;3:IDr- 'M C9NO I>:MO M , 0 <'100 OMO Z ' , HIDr- ...:100 I>: I>: '<'1&r. . 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U)co Oeo ZOUl...:!HOlil H coWE-t co MW..:( M ~ r-- 0\ E-":~ ['- 0'\ ~g~U)~~~ ~N\DC)OC'\;l\DC> O:::.............,Z~........'<1'Z Lll H \..r'J H C>o~f-iC>o~E-t O.........~OO..........~O ...:II..DWQ...:!\.OWO o:lalJ~lIJOIJ~ E-< , ...:l E-< , ~ E-< .... t.~ A.UJ::> ZCIl ~HM :z: ~ .... 9 ....00 :JMM ~E-<E-< UJM OM...:l 0::>0. 0:>: MO ~~u A. ~ .... o .... ...:l ~ UJ M .... o Z o ~ UJ E-< Z M :>: :>: o U I I rI,.OftT~ ... a-"~ . .~ it ~ ~~ -- ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Q -i I ~ OQ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name ' Application type description Subdivision Name Property Use property Zoning . . . Application valuation LINDBERG WILLIAM/SANDRA 130 LOPEZ AVE PORT ANGELES WA 98362 (360) 452-6116 Other struct info Owner Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date Qty Unit Charge Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 5/15/07 07-00000378 Date 037568 605 DEL GUZZI DR 06-30-12-6-~-0110-0000- WILLIAM LINDBERG RES NEW SFR RS9 RESDNTL SINGLE FAMILY 268302 Contractor OWNER TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 29.63 V-N 2.00 11109.00 29.63 3292.00 1. 00 DRIVEWAY INSTALLATION 6' o Vi 100669 170.00 5/15/07 11/11/07 Plan Check Fee Valuation .00 o \j .~ - Per Extension 170.00 BASE FEE PUBLIC WORKS RES WATER SERV (J) C ~ -., V :'1 100685 805.00 5/15/07 11/11/07 Plan Check Fee Valuation .00 268302 Qty Unit Charge Per 1.00 805.0000 EA 'PW W/M 1" SERV 3/4" METER Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Extension 805.00 RIGHT OF WAY 100651 50.00 5/15/07 11/11/07 Plan Check Fee Valuation .00 268302 Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Permit . . . . . Additional desc . Permit pin number Permit Fee EX,tension 50.00 STREET ALLEY RESTORATION 100677 720.00 z E V\ 1} Plan Check Fee . . .00 Separate Permits are required for electrical work, SEP A, 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 I{low the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether !Jj led herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state aw regulating construction or the performance of construction. ~ I?- fi~67 \ Signature of Contractor or Authorized Agent Date Signa ~d Ov ner (if owner is builder)' Date . . \ T.\Pohc.es\1102.1SR [1I0S] PERMIT INSPECTION RECORD --~ '...;. I ... . , f CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMl)~ 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFOIlE INSPECTED AND ACCEPTED. P'OST PERMIT IN A CONSPICUOUS LOCAtION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS I I YES NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE , SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH I I , BACK-FLOW DEVICE , I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE 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] , .e I'~ .,~ ~ ~, ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTnJTIES DNISION 3~1 EAST 5TH STREET, PORT ANG'E~ES, WA 98362 Application Number Application pin number Issue Date Expiration Date 07-00000378 037568 5/15/07 valuation 11/11/07 Page Date 2 5/15/07 268302 Qty 1. 00 1. 00 Unit Charge Per 290.0000 ECH STREET ALLEY RESTORATION 430.0000 ECH STREET CUT OTHER Extension 290.00 430.00 permi t . . . . . Additional desc . . Permit pin number . Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 100644 120.00 5/15/07 11/11/07 Plan Check Fee Vai~ation ' ., '. .00 268302 Qty Unit Charge Per 1.00 120.0000 EA SAN SEWER HOOKUP Extension 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 homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA). 04/18/2007 03:51 PM SROBERDS -- The proposal will result in the addition of a detached garage in the RS-7 zone for total lot coverage of 21%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. Maintain required clearances from existing electrical service wires. 04/19/2007 10:50 AM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is 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 SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1865.00 1865.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 4099.50 4099.50 .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 constructio'n or the performance of construction. ' Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\Policies\1102.1SR (1105] PERMIT INSPECTION RECORD 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 LOC^ TION. I ;' ,. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS . , YES I NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL , PARKING SIDEWALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE 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 [1105] ,---- i l' ~ pORT ""'" t4.0~~t " ~ "-~ ~ 'l.iii,,~ . . CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 o .-J \ vJ .....J f;/:J 5/15/07 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation LINDBERG WILLIAM/SANDRA 130 LOPEZ AVE PORT ANGELES WA 98362 (360) 452-6116 Other struct info Owner Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 07-00000378 Date 037568 605 DEL GUZZI DR 06-30-12-6-8-0110-0000- WILLIAM LINDBERG RES NEW SFR RS9 RESDNTL SINGLE FAMILY 268302 Contractor OWNER TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 29.63 V-N 2.00 11109.00 29.63 3292.00 1. 00 ()'" o m BUILDING PERMIT -RESIDENTIAL 3292 SF SFR W/GARAGE AND DECKS 99416 1966.65 plan Check Fee 5/15/07 Valuation 11/11/07 786.66 268302 C7 ~ Qty Unit Charge Per Extension 1020.25 946.40 o ~ -~ BASE FEE 169.00 5.6000 THOU BL-100,001-500K (5.60 PER K) Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date MECHANICAL PERMIT 99432 111.60 Plan Check Fee 5/15/07 Valuation 11/11/07 CJ ') .00 o Qty Unit Charge Per BASE FEE 1. 00 14.7000 ECH ME- INSTALL 100- FAU 5.00 7.2500 ECH ME-VENT FAN 1. 00 10.6500 ECH ME-VENT SYSTEM OTHER Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Extension 50.00 14.70 36.25 10.65 1> ~~ 9 ~~ ~c;.' ~ "- ~ z € (J) " 7V PLUMBING PERMIT 99424 177.00 5/15/07 11/11/07 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 50.00 98.00 BASE FEE 14.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 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 kffl: ~ the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether SE c I ~herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state oi D' a I I~ r gulating construction or the performance of construction. V 5 "I c;,o1 Signature of Contractor or Authorized Agent Date Signat ~~ Owne (if owner is builder) Date T;\Policies\l102_15 building pennit inspection record05.wpd [1/4/2005] ~I l;~ BUILDING PERMIT INSPECTION RECORD r . CALL 4]7-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECT10NS. CALL 4] 7-4807 FOR PUBLIC WORK.S UTILITIES PLEASE PROVIDE A MINHv1UM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WOPcK BEFORE '. I.NSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TlON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYI'E DATE ACCEPTED COMMENTS YES NO FOUNDA TlON: FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRAINAGE i DOWN SPOUTS I PIERS I POST HOLES (POLE BLDGS.l PLUMBING UNDER FLOOR / SLAB ROUGIHN W A TEll. LINE (METER TO BLDG) GAS UNE FINAL DATE ACCEPTED BY: BACK FLOW i W A TEll. AIR SE;AL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERJOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH-IN HEAT PUMY lFURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE / PELLET / Cl-llMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING &. HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKING/LJGHTING ESA: LANDSCAPJNG SHORELINE: FINAL JNSPECTIONS 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. / PW / CONSTRUCTION - R.W. ENGlNEERJNG 417-4807 PW / ENGlNEERING FIRE 4] 7-4653 FlRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUlLDING 417-4815 BUlLDING T:\Policies\ll02 15 building penn It mspecnon record05.wpd [1/4/2005] -l0'<: pORT ~G'~ . t~~ ,. "- oo;;;;..;a> ~ 'tOl",~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number 07-00000378 037568 Page Date 2 5/15/07 Qty 1. 00 1. 00 1. 00 Unit Charge 7.0000 15.0000 7.0000 Per ECH ECH ECH PL- EA. INSTALL WATER PIPE PL- EA. BLDG SEWER PL- EA. WATER HEATER Extension 7.00 15.00 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. All homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA). 04/18/2007 03:51 PM SROBERDS -- The proposal will result in the addition of a detached garage in the RS-7 zone for total lot coverage of 21%. No land use issues anticipated. Electrical load calculations and elctrical permits are required. Maintain required clearances from existing electrical service wires. 04/19/2007 10:50 AM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is 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 SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2255.25 2255.25 .00 .00 Plan Check Total 786.66 786.66 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 5276.41 5276.41 .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\l1 02 _15 building pennit inspection record05. wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 41 7-4735 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 A.I\'1' WOFJ, BEFORE I.NSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TJON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. 3 I VJ -.J 00 INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDA TION: FOOTINGS t:.,7s/ D 7 ...fL1-..-- 8/-;l/01 foottn1> Ji.L SHEAR WALLS 1 WALLS ~/ ;/~/Ol ,,']'tA- 10-24-01 reba.r"J"L..L FOUNDA nON DRAINAGE 1 DOWN SPOUTS I I PIERS POST HOLES (POLE BLDGS.) PLUMBING ~\\o~'t1(- Pt\.Y' ~l8fos f6 UNDER FLOOR 1 SLAB ~T2-t..f/()1 ILL ROUGH-IN I WATER LINE (METER TO BLDG) GAS LINE FINAL 1-2.'2.-08 DATE TLL ACCEPTED BY: BACK FLOW / WATER AIR SEAL ~ -~-O% 'SU- WALLS CEILING I FRAMING ? --.;....0& 3L-l....- JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS -t2~I'i'l91 .r ~!./ WALLS / ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION '3-l0-08 P8 SLAB 9..11..Sd 0'1 -:r LL. WALL 1 FLOOR 1 CEILING I I MECHANICAL 1"" O-XIK. Set- '!Io/Og --:ILL- ROUGH-IN 1- 'l...i /ofJ I (LV -G~s l~nA2.- 7/,olc8 JL-L- HEAT PUMY I FURNACE 1 DUCTS r GAS LINE . --2, l-rSl ILl FINAL {~2-z.-a&>ATE JLL ACCEPTED BY: WOOD STOVE 1 PELLET 1 CHJMNEY MANUFACTURED HOMES FOOTING / SLAB ( BLOCKJNG & HOLD DOWNS Reml"i (1.9 Wo..l t o C1/ c4( 01 :rLL. SKJRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LlGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. IPWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4]7-4750 PLANNING DEPT. BUILDING 417-4815 'q":'i3-o&' :JtL BUILDJNG ~ C> \fl 'Cl ~ G) C ('J N -" V 1 r-\ -z. € V' ~ T:\Policies\II02 15 building permit inspection record05.wpd [1/4/2005] ~ .'\1 .'\j ::r A. PLYWOOD OR O.S.B. SHEAR WALLS 1. MAXIMUM SHEAR = 250 P.L.F. USE W' SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 6" O.C. FOR FRAMING, USE OF NO.2. PROVIDE Yz" DIAMETER ANCHOR BOLTS AT 32" D.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 2, MAXIMUM SHEAR = 315 P.L.F. . USE Yz" SHEAT/NG - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 5" O.C. FOR FRAMING, USE OF NO.2. PROVIDE Yz" DIAMETER ANCHOR BOLTS AT 32" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 3. MAXIMUM SHEAR = 375 P.L.F. USE Yz" SHEATINO - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 4" O.C. FOR FRAMING, USE 3X DF NO.2. PROVIDE Yz" DIAMETER ANCHOR BOLTS AT24~ O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR.TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 4. MAXIMUM SHEAR = 490 P.L.F. USE %" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 3" O;C. FOR FRAMING, USE 3X OF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH 80TH PLATES WITH ANCHoR BOLTS. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 32" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. . 5. MAXIMUM SHEAR = 560 P.L.F. USE Yz" SHEATING - ONE SIDE OF WALL. NAIL ALL EDGES WITH 10dNAILS AT 3" . O,C. FOR FRAMING, U$E 3X DF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PI,.A TES WITH ANCHOR BOLTS. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 24" O,C. MAXIMUM SPACiNG AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. MAXIMUM SHEAR = 685 P.LF. USE~" SHEATING - ON.E SIDE OF WALL NAIL ALL EDGES WITH 10d NAILS AT 21/2" O.C. STAGGERED. FOR FRAMING, USE 3X OF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, SOL T THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 5/8" DIAMETER ANCHoR BOLTS AT 20". O.C. MAXIMUM SPACING AT THE . FOUNDATION. FOR TIE DOWNS AT EACH ENO OF THE WALL, SEE . FRAMING/SHEAR WALL PLANS. 6. 7. .MAXIMUM SHEAR = 770 P.L.F. U.SE Yz" SHEArING - ONE SIDE OF V\'ALL. NAIL ALL EDGES WITH 10d NAILS AT 2"D.C. STAGGERED. FOR FRAMING, USE 3X OF NO.2. DOl)BLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH.ANCHOR BOLTS. PRoviDE 5(8" DIAMETER ANCHOR BOLTS AT 18" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE.WALL, SEE : . FRAMING/SHEAR \!VALL PLANS. '. ~ 8. MAXIMUM SHEAR = 870 P.L.F. ' USE %" SHEA TING - BOTH SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 31/2" O.C. FOR FRAMING. USE 3X OF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 3/4" DIAMETER ANCHOR BOLTS AT 20" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WAll. SEE FRAMING/SHEAR WALL PLANS. 9. MAXIMUM SHEAR = 980 P.L.F. USE}/z" SHEATING-BOTH SIDE OF WALL. NAIL All EDGES WITH 8d NAILS AT 3" O.C. FOR FRAMING, USE 3,X OF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED. BOLT THROUGH BOTH PLATES'WITH ANCHOR BOLTS. PROVIDE 3/4" DIAMETER ANCHOR BOLTS AT 18" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. 10. MAXIMUM SHEAR = 1,200 PLF. USE %" SHEATING - BOTH SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT- 3" O.C. STAGGERED. FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM PiA TES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE'3/4" DIAMETER ANCHOR BOLTS AT 14" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WAll, SEE FRAMING/SHEAR WALL PLANS. 11. MAXIMUM SHEAR = 1,540 P.L.F. . . USE %" SHEATING - BOTH SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 2~ O.C. STAGGERED. FOR FRAMING. USE 3X DF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED. BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 3/4" DIAMETER ANCHOR BOLTS AT 11" O.C. MAXIMUM SPACING AT THE FoliNDA TION. FOR TIE DOWNS AT EACH END OF THE WALL. SEE FRAMING/SHEAR WALL PLANS. 12. MAXIMUM SHEAR = 1,740 P.L.F. USE 5/8" SHEATING - BOTH SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 2" O.C. STAGGERED. FOR FRAMING. USE 3X OF NO.2. DOUBLE BOTTOM PI-A TES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIPE 3/4" DIAMETER ANCHOR BOLTS AT 9" O.C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING/SHEAR WALL PLANS. , .- BUILDING PERMIT - APPLICATION ~ Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: Owner: VJILU~ l-1/'H?.eE?t~ Address: '?1'1 "3 ~V ~ City:_~ AIJ~ . I I Architect/Engineer: .L..t NtJ~ ~ ~ tt=H- Phone: I '-1/'I[)Ij)a. ~+rN1. Contractor ,.,)Nt:Jt.:+-~ O.JV:;"1t1..~ (.N'State License #: Exp: Address: I~ w. lI!i City: f4Cr hlt?E1.En PROJECT ADDRE~5" (JEtZ. &CJ7--7,/ Ojt-I/Ie. II Phone: ~b/J . ~1' ~I I b Zip: q ~;;h 7- . f-t52 -Y.?II b Phone: 4';7 -h~ Zip: 1 P,302 ZONING: ('Z-s ..., flJM'l crk:P? ?C/~/J/J/ Phone: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: Of? ?o I ').. fob 0 110 Credit Card Holder Name: Billing Address: Credit Card Type VISA _ MC _ # TYPE OF WORK: SIZENALUATION: 'f'.. Residential 0 New Constr. 0 Re-roof 0 Stove '2,'f '?? SF. @ $ 'Do /SF. = $ o Multi-family 0 Addition 0 Move1'l Garage -1~ SF. @ $ ~(/ /SF. = $ o Commercial 0 Remodel 0 Demolition p{ Deck '),2.1 SF. @ $ II? /SF. = $ o Repair 0 Sign 0 Other TOT AL V ALUA nON $ BRIEF DESCRIPTION OF THE PROJECT: 6/ )JI?( fE rAM II Y fl..~irJt:!WOE If! rrr-I 4- ~ I"'f-Io CA tt. G NLN::bI= t.~+ ~~ "}.~ f'AD 4~~2. 1. b ~ ?;;O2.. COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: ~ Lot Size: -11/a..~1 Existing Sq. Ft. Total lot coverage_.~:2; , % Occupant Load: Construction Type: TYOE JLH & Prop.osed Sq. Ft..?2.1'J.. - = TOT AL Sq. '~t. ";l'{?" . INC, ~<;". ~ WIM-K., . PLANNING USE ONLY: APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER: ESA/Wetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: V ALUA TION 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 RI05.3.2 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 that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. / -~..J., /1 ~ Applicant: !.::.- I {,', (~'.:JI 0 I' V Date; '-I {U'D7 ,----- ~ . ,.' ::10. !. .~. (i ~ ,. . ::.. . -!~j- 1Il ~ .LX , '()Ol. " ~\' . - , ,\ \\0. f' : ! .j . I j ; I . ~ "tt); , }\, , I i I . I ! i > . . '. iiL~ . 11,\ V~" (i~ \, fJ) . . ". .:..; .... ,'" :,,~~. . ,c._~' . .n. ,-.'.< . LOBE A R C H I CT S 319 s. peabody, suite b, port angeles, wa 98362 360.452.611 fax 360.452.7 1 Proiect No. project: t N11`+�j► B' CX) Subject: G,ago gyp' Sheet 1 of Date: 1091 tT 6 et „r 'l r V-e,4-660in kiot, Rao -1,-) �oi fcahs a .r� 003) 1)46' 5 l i 2 LJNDBER A R C H I 319 s. peabody, suite b, port angeles, wa 98362 360.452.6116 /fax 360.452.7064 Project: L.I nit:4s *4Mb:1\X...a P roject No. Subject #'.?I WA INA U... Br Gbh Date: m p lArr1 Sheet 1 2, of T S LA. N Vt PTE CSAL 1S4 1a5 6)(157( a vole it SerD.N. ov) N v 5 CP.iabs d4) 43A AT 1" ytip"r. (bad (o 50 1N) N 1-4)1 2.1 fTAL 414 S X 72.y n an» a, $oe. I N) fr 24. p. G. }aG ?z C 1 Sp N PA l cI "eerr1 r 4) 4 4.4 4 (-z) ►vb- L LtatAps 40) 47' (0. I N) ,BE A R C H I 319 s. peabody, suite b, port angeles, wa 98362 360.452.6116 fax 360.452.7064 Project: 1.1 weJ cbuluel 03Siptsfil C.a Project No Subject: GI-agGiL thy, N L Bv' 4 Date: rn4y1 '1 Sheet 1 of ca 4 G 1' S i 4„ dr r 412 5.4® ("h2 Ca Vito) '''Cioci)66t5)79— +92S1 5 05s fr i U.001404410)06 -H4 710 o m, _12,m (193 os)0) 1 CO' 0)0 4SI. stQ 2?) LINDBER AR C II I C T S 319 s. peabody, suite b, port angeles, wa 98362 360.452.6116 fax 360.452.7064 Project: 1.1 nI is I Project No. Subject: fI WA. NQ U.. Br Cl:› Date: yl I J)IJI Sheet 1 2., of MN N -rI cap. I5X a voj' 0, It S.IN rpatN)) 5 Ccb 4 •.4j AT WI 6 4, v� -r (e) so, ,N) M)N A4.1z1 Z 1 p rPL Sx o.acao soon) r No. Jr (6,17-1P +a) 2.0 G. Hd t 2 5° SO IN M 1 N •'1 Nt 13412.S toe S2X vat to d so )1v 1 3 n: 4. 10206 Ca•vos. 4v) 4 -r-op 4 iO (i) NO Cc% tApts 4.4 a m (94 1 I N r Prescriptive Approach-Simple Foml For the Washington State Energy Code (2003 Edition) Climate Zone 1 Lot: / / Address:_1A=L a.rz2.1 1)L, City:--fGtZi 'W~ State: W'f.. ' Zip: Contactfi }!,iIA,II1 J-J fJ ~~6 Phone: ~~. ~~. hllld Site Information Building Department Use Only: Permit # 0'( - !;/1 h Notes: Phone 2: FAX: -;~ ~').. 7 () I:?'f Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 ( Un imite azmg lption Only Option Glazing Glazing U-Factor Door Wall Wall Wall Slab Area % ,U- Vaulted Above Interior Exterior on of Floor Vertical Overhead Factor Ceiling Ceiling Grade Below Below Floor Grade Grade Grade Unlimited III Group R-3 0040 0.58 0.20 R-38 R-30 R21 R-21 R-10 R-30 R-lO Occupancy Only dGI ' 0 This Project complies with the following: .I The Project is a single family residence or duplex. .I The Project is wood frame OR all of the insulation is interior or exterior of the framing. .I All building components meet the requirements listed in Table 6-1, Option Ill. .I 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 a V-Factor of 0.40 allowed without calculations, Option III only. Location of the Door (s) taking exception Typo ofHoat Sour"" ~ ~ ~ EXHIBIT A LINDBE . ARCHI 319 s. peabody, suite b; port angeles, wa 98362 360.452.6116/ fax 360.452.7064 Proiect.l,~ .~7}r;tW6~ Subject: /'tt(6{3-,tl1, CA~~ '~ - Date: f:::YP} '''ZoOb . Project No. Sy: ~ Sheet J of '\'., <,<'''',f".''._ ',.. "'-''> '_"'''U'''''. I . P.,A'/Zil,Al,,-'1" tJ't/ ~~t:> S-rP-1,A"'-r"'V1~- ~()W rel~ _ ~C,)rrlpO (\//:1'fIfT'? t;, ~DO' f\)(}" ~p~ P5". c...) I tJCJ m'p~ ?NOUJ . 6? ~tt;; 1m) v'" bz... l~ . i , . i i 'i: , ; i 'fi",t~~:w,??[::" :/, ,/;; .--~ ~TH ARCHI, CTS . , 319 S. Peabody, Suite B., Port Angeles, W A 98362 360.452.6116/ fax 360.452.7064 contacUiV,lindarch.com / www.lindarch.com Project: /.,,~ tzlJ'11DCsNtE Subject: ltA11SP'Pz.-. ' Date: ,~tf? I},o"b SHEAR WALL SUMMARY Project No. By: c::::..~ Sheet. 'Z of W L H V VrL SW VH- WL/2 POST HOLD DOWN fA \?J/t:S}Z J.....!:/ .bO~ r- I ~.S ~' t555 .fPtJ 2!? .. . - ~ ~,S- ~ z.ga2 71 Js( - - - ? 41. S- \ 'Ze;o I ftJo ~ - - - .J. )f1~ - PJ .S &7 ts( - - - ~ (",15" I 127~ l~q ~ I ~ - - I {p 1'1 i 1 f; ::::; .~GJ ~ j .... .. - I .A -3,6 ! t1Zy 114 _ u_e> ~~~ J!7,i ~f)a& A ?O:>~ i -& 1~.S' I -3/ f; ftt? J tI ~ 6( ; - - - l 2~.5" , C14 (j} (;; i ~. - - - b JO.tS ; qvL6 Me; :;, ~ 1 t-~ ;n f'!I5r ~ S2. ~ 1 t 1:1\" ,~ P= W~~ . . - .... :2- 12- ~.~' ~'I'j<1 34f1 . 4 I 'bo~ ,.LI P ~ r.n.... -'5X 3 D 22- /I rJG50 'Z..CJ f, 1.- '24~ '~l. b~rn;i> -......... I ~. OV/!iSf' - t ~I )i1p~ 1)1\1 :; ...,..,.. p, ~ ~ A,.. ~}::) Q ~. .;~;,.~ 1\.....1 r- J:;O.UN a.., b t;;1 MJ7~n tV ,*T~ \+- AT F'~ , 'J.""7~ ~l...-O /27wJ/~ I/ALLOFIT/FIRMINFO/FORMS/SHEARW AL (' I '~ ~ CITY OF PORT ANGELES PUBLIC WORKS . ELECTRICAL DIVISION :m EAST 5TH STREET. PORT ANGELES. WA 98]62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000483 Date 625132 605 DEL GUZZI DR 06-30-12-6-8-0110-0000- ELECTRICAL ONLY 5/15/07 RS9 RESDNTL SINGLE FAMILY o Owner Contractor LINDBERG, BILL 605 DEL GUZZI DR PORT ANGELES (360) 452-6116 WA 98362 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457-5303 WA 98363 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE OLY. EL./ 100 A TEMP 100909 OLYMPIC ELECTRIC 46.00 Plan Check Fee 5/15/07 Valuation 11/11/07 .00 o ~ \) ~ ~, ~ ~ ~ (' ~ ~ ~ 0 r.J ~ ..... Qty Unit Charge Per 1.00 46.0000 ECH EL-TEMP SRV - 0-100 SRV FDR Extension 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 ~ COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfIONRECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW-II02.J5141961 FROM HI-TECH ELECTRONICS FRX NO. 360 452 8560 Feb. 27 2008 09:42RM Pi C6-6~G"2- .<>:.:.:~!..~~'"" .'/"' ",;-;.'~_.,~ Ir:~:~ ,\~. '... ;.to'; "",." ELECTRICAL WORK PERMIT APPLICATION o Requcst IIlSJlcction o Electrical Coutractur CJ Owner' Cl Annual P~rmit [J Alum 0 Camival 0 COlllmercial ~c~identia( 0 Re.~idcllli.d l\1'uint 0 Signs 0 Thl!rmustar 0 Tdecom. Jub wired by o Jet.urical COli tractor 0 Owner Imaalllltioll description Elel:uical Cuotrllctor name .J,L:1<.1. ~vr"!r Pl.ln'lulscr's mailing address f/..d "'19:e/... wit Cil}' 0w) tlo.-l727 Telephone llurnber License l'l\lJuber j.);~~q)r;p.5 q~ 3' S State ZlP ('t,o) '-IS). - fS60 AX number R\L~'-<.9\oI<L ~r ",s.'t-A.LL >f;.~i?.'~'\' Premises OWbec's namt J3:.1/ L.",ylhAq:, Address of inspection' r;.t)~ f).'lnU"/_7; f),.. C /!'rt l- l-lOIM.t.. '\-~E.A:.t-'€P :3b':7l5 ~ "FT o Cash 0 Check # O....J +:'\\L. I btn:o)' I;'enify that lam the owner of the above named property OT a licensed electrical contractor (oJ' I'he flIIIl.'s authorized agenl) and am makiLlg the d!;'Ctrieal instl.\lllition or alteration in compliance with lhe elcccicallaw, Chapter J 9.28 RCW. o Credit Card Card II Visa MaSh...'1'card Discover ---------------- Sicnat\ll'e of owner, dl!'dricat contractor or electrlc-al admini~tratol' Expiration Date of card 6100 ln$pcctjon fee $ x O;r.l<: 4J1f>/'1lvcd By / CEILING Insulation Only 2/ztJ/ce ~ P'lll: Af'pr(lve.1t;1y Cover D., AIIProvc:~ By \. / TIfERMOSTAT " rlnle Approved By / DITCH Llflfe "'PJ'lTllVMfl)' f SERVICE " DM' ApFI'Qvcl12y r FEEI.lER '\ DAle Approved By WAUS Insulation Only 2/~!cg ~ Dale .Appnl d By Coyer \. ---' Electrical Load Addl110ns and or subtractions o NO LOAD CHANGES Q Baseboard KW Q Flolmace KW Q Heat Pump Ton LAA o Fan-Wall KW aervice Information CJ Overhead Service CJ Temp Service CJ Underground Service Voltage Phaso0103 SSl"\Iice Size:_ Feeder Size: Inspection Area) Building 01' Equipment Ins:pl:ctcd Action Takel} Elccn'ical Date inspector -'/r-J! ~ ~I t..U~L-- &? ~ . ~--"~"- . .- \ --- : G.-'o I ".1". .1 ..' ":! .::i': ..,. ;.( ::j' ..;- , , , :-! :: 02/03/2008 13:09 OLYMPIC ELECTRIC PAGE 01 3504523498 ...... C'S-/ L{B . ELECTRICAL WORK PERMIT APPLICATION Job .,J1oed by oo1:lectrlcal Contractor Q Owner InruallDtion do!cription o .Commerclal l/a1l..ldentlal Electrical C1ontrllctot n.me t.icen,c number Ofue 'Expire! O/~n7",~ ~/""fn;" OLY/l?j?/fC~~I?/ P1J:rctd":er:t'mllilins Iddreu 'I2.J 0 TV"-'/A/r'9 r/E/? Ci1b Srale ZIP /brr LJA,r?f U7- 7fJ62 Telephone nu~'F.9 FAX number - ~ 7. lij:New 0 Allered/Addlelo. 27~ J ~ H- IIc?VFC 72b- 5058 GQ FT. .Prtmlul owDer's Dame {1;/1 /I/I/'.d?r7 Addreu or 'DJptctloD &-/~ 12:./ U//Z7-i /h-: CltYD /1 / rt7,-r /7/jr'rh,:r . Pbo., number 1D ..~,dul. I..pe..lo., q Y;Z -6// c: Owner 4J deft,..d by RCW.J9.28.16J:(I} Ownt!r wtlJ (}CCUP)' lh. structure]or rwo yeDf7 . this fI/et:lricaJ ,.,,1/11.1 find/inti. (2) OwIJPr j.f f'9ulmJ '0 "'ft (lJj t:lulrlcGl ClJN~'tJr If aM' mid property II for JQle. ,.en, or lC!4ft. Afta readini thi; above ,latmncnl, 1 here),y certifY thallam the owner or l~ abovo Darned property 0' I licensed electrical contractor, I 1m mekina; the! e)ectrlcal 1'01\01. lalion or attcl'8l1on in cornplianc= with the ele~tricaIIBwl, N.E.C.. RCW. Chnptcr 19.28, WAC. Ch.p.,r 29~611, Th' City of Port Ansel,. Munlclp.1 Codt, and Ulility.Speclf1clIrioDS. SIi'Ollure ot OWDer, e'ectrlul contractor or electrlcll ..dmlnlstrltor X ~ ~ Date: 't/,hPJ a Cll$h a Check # ~rcdilCard VWl Card # Mastercard Discover - - . -------------'--~ Expir.ltion Dale of card o NO LOAD CHANClES o e..eboard _ KW C FumllC8 _ KW a He.l Pump _ Ton _ I.AR o Fon,Wall _ r;w SAME DAY INSPECTION Voltage z:. Y,::;7 Ph.....er 1 0 3 Service 81.0: ; ~ Feed8r~ Size: o evarh..d Sorvle. a IPmp Sorvlce ia'"Underground Sorvlce CALL BEFORE '-00 AM 360-417-4735 ~.. . . ROUG~ THERMOSl'AT SERVIdE '-l ze,Joe, -^PJ"O"" 8y 2-11~/CB ~ 0.1. ^Ppl'O""c(lS,. '- DII, ou. ( FINAL / DITCH FEEDER ) :t~ ~.:;/ z.!Jr/,./P. , ~s~ i '\... tI D..lt Awro~By Inllpectioo Area, Building 0' Equipmeot INpCC:l.d 1 Electrical bace Aclio. T~' I "spector 2. - S".oB ~7/1.D&' ('.. 0I"Jp-c,T fi:F ?All/ /t'P .' u. . ; I 1 I ; : : ../ < . . . , I .- t'-' ""': ELECTRICAL INSPECTION WIRING REPORT 417-4735 DATE (p -27- INW ADDRESS u z:.:z I l:>!2.- APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . .. . . . .. . . . . . . SERVICE. . . . . . . . .. . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . 'f'-.- CORRECTIONS NEEDED: ~A~ rUC1Z. l3o>l1E..~ 1'~l'-- h'A.-lIlltJ. f~~'rR.U'-TlZ>...(S.. i'~,,"'" M,,~"H;:\t. ) ~ ~.....J.\ ~ >(L.U<'a.. ~~~i'.Q.~ oIL , F'o P-l-lA c:...1Z.- '\2W . Y' oLA i2.. II\( ~. <;,IF L. \ - ) "1'~'T~\ krlc.Hl7 I-\. -+ 'D...,~ o,r)do-ll'l7.1? 1,1:: /IT_'l'Ti'K_U'E:....5-. i=V71i:. W L "-E"'::> l'" 0 tL ~ L:D\..J Vz>L.TA ~t:- K,CK "'-.Y-P,<:"T7_ 1\7' (1)1'''''''''' , 5aIL ";l'<1~1L111l2.. t.:::'Is. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS. INC. (360) 452-1381 ~\'ORT-'l"" ~O~Q\( iJ~~ .~ !~~& ~/O~ N~ ""O~KSI\&",.f' DATE 2- :, O~ OWNER/CONTRACTOR ELECTRICAL INSPECTION WIRING REPORT 417-4735 INSPECTOR ~ ADDRESS Ot.. )\.., Ie ~~ ~L- 6 0 -z:.. -z:.. '\ ~ APPROVED NOT APPROVED o .................... DITCH . . . . . . . . . . . . . . . . . . . . 0 0.. . . .. . . . .. . . . . . ROUGH IN/COVER. " . . . .. . . . . ...0 ~ . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 o. . . . . . . . .. . . . . .. . . . . . FINAL. .. . . .. . . . . ... . . . . . . 0 CORRECTIONS NEEDED: .:;; I f:l..,AY (f 7 ?\Jc... ~N C~(...)L . . , ", NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. {360} 452-1381 r-: . DATE OWNER/CONTRACTOR ELECTRICAL INSPECTION WIRING REPORT 417-4735 INSW '()~ ~ fi.....C APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . .. . . . .. . . ROUGH IN/COVER. . . . . . .. . . . .. . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D..................... FINAL...................~ CORRECTIONS NEEDED: 1J1i..'F.i..D ~IZ-. LNxl -l>..W\?F"ltJJ'r P -PUs.t::: l;L.D c.< K \\"cJ-\L"-l. Te.J>-"-l s.. ro1Z.h1l> R l..JtJ.fi.. 7....12.\ "O.~~) N~ ILO '. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 05/01/2007 11:31 3604523438 OLYMPIC ELECTRIC PAGE B1 ....... (}}10 . ELECTRICAL WORKPERMl'I' APPLICATION' Job wired by liI'iIec:trlcDl Contractor a OWller InMaUation dcacrCpdon . a Commerdol ri..ldootlDJ BlectriC:lSl conlrac:tor nime: Lieennll'lUmbcrOl\e 'explrcs r?/"'D?P'-:' 4.c.1n,... (?/-Y"y/.p~/:2%~P/ p~er)l maillns addrell / t.j.2 ?/'? 7//mw;;t T?r City {/ #; r/'7.rT. "'.?/ 1'e lepbOne n\Urlbe a Now a ,ulo..dlAddllloD Sta.lt ZIP v,l. FAX number /LJO ,?~~ ;;:7 k/7"?,t;.-- .' 7/?~J .,;; Prelftl.t, Dwn~rl, ~e ;J/I / L/7~ ~ ",ddr.ol OflaUID ~ ~os- / ""..:!Zi ClIrl? ~ / rc:rr-. r~/"'J ',. Pbol' n~lDbC'r to .clrtdul. 'a..peellon: if ;Z ~ 0...., OJ.a.flo.d by IlCW.J9.28.16/:{/) Owo" wll/ .cc'p)llh. sf",CI.../.r IWO ymn tJ/U!r ,hll .JectrloaJ ptMIIII. Lr JlllfJt/zrf!.. (2) OwIJer 11l'ffu/~cJ to Illrr QIf elrctncctl CoItIl't1CtOT if abow ,",Id pr'Opetl)l U 1M Jol., t'fJf1 or 1H3& Ana rcad.lna the lbove l\llemAmt, J hereby C:Clrtlf)' that I .TII. the owner of the ab6"t named pn>peny " , IIce.'ed 01",,;... "nltD""'r. I om maklne the .1....1<&1 Inol.l. 'allon or alteration In.com'pUaDc:e wIth th~ el"rrlnl )1W1t N,E,C., llCW. Chapter 19.21, WAC. Cl\ap101 19~6B, ne City of Porl Ans.l.. MUDI,lp.1 Code, and Ul1Itt)' SpeClilioltlOPS. SICD.ton or o<<uer. tlet:u&nl contractor or electrlc.1 admlnlstrator Date: 5~ !:? a-. a Cash CI ClIne'd. llI'C"tedit Card Vtsa Mastercard Discover Catdll - - . --------""!"-'-----"----:- x ~ Expiration Dato ofoDrd C NO L.OAD CHANGES C B....board _ KW a Fumaca ~ KW a avorn.ad SoIVlc8 a HOlt Pump _ Ton _lAA C Tamp SoNlco Q Fan-Wall _'KW ir\)ndDrground Sorvloo SAME DAY INSPECTION CALL BEFORE 7'00 AM 360-417-4735 Voltago 2 '10 Pt\ll8B IU', a 3 Sorvlce Slzo: ./t2IZ!#}# F..dor Slzo: ~ , . ( ROUGH-IN THERMOSI'AT I ( SERVICE 1 I "- ... ^",N"~ Gr gll' AlltIftl_B7 "- 0.' ^""1M'd ey FINAL . I DITCH imlER 5/;$"1'.'7 A III B1 0... " ^ppIO\'DlI 8, 0.. . " "Jl1.poctioa . .-. . . 1l1.cltlcal Dat. Nell, Bollliing or l!qulpmenllnapectOcl A.non Tak.D r I\spoetor 5 -'7.07 AP .U~ . .;",,~ ICtLO IF ~ Y IS:II ~ . MAY 0 ~ ?M7 : . . --c Jan 08 08 02:32p Dave's Heating & Cooling 360-452-0939 p.1 -rD'2, ~'~ ,.."....""... " - -'.'-"', ~ I~~ V~ - --';:-i -.. ~Iectrjcal Contractor ELECTRICAL WORK PE~OT APPLICATION Job wired by o Owoer Installalion description /' o Commereial Er Residential Electrical contractor name 1>0. Ve '::5 -ea.::fCJ'1'1 Purchaser's mailing adc.rc:S5 P D, 150)< '-f13 City. 101"+ k~.l2.J.,,-s, Telephone number 'fS ~-O ~.3" Prtnjses OWqer's Dame 1) " / I Cf- -5<-\ VI A. \ e... Address of inspection ~o5 D-e.\ G,u.-z.-z.i CiI Por-+- An"" ><-.l.SLs Phone DLlmbc-r 10 saedule iaspection: <4- COO " License number Date E)(pires Se.rv'-O>. :I;, c., 50 Xl/lVt::St-\Cl"lla erN'ew o AlCered/ Addition wA State ZJ P '1 ~2":;.. /&JLJ VD(-ra.~~rY'ho.$-j-a.-t <pore FAX number L'..... d b.e..v3 .D r,I.'-e, JfO.9--C:. II '= Owner as d~fi'J(:d by RCW/9.1B.26/:(l) OWller will occrlpy the structure for fWD years after t!lis electrical permit is finalized. (2) Owner is required 10 hi/'{! all electrical ton/rac/ol' {f above said property;:,' for jate, rent or lease. Aner reading the above statement, I hereby certify tnat I am the owner of the above n41med property or a licensed electrical contractor. L am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Cl1apter 19.28, WAC. Chllpler 296-46B. The City of Port Angeles Municipal Code, and VIi lilY SpecificatioR:s Sign UTe of owner, electrical contracCor or {!Iectrical administrator o Cash 0 Check # I!:r6'redit Card ~ Card # Mastercard Discover ---------------- x Date: r Expiration Date of card ~"S~'5 '& Service Information Ele cal L ad Ad . ions and 0 o N LOAD CHANGES o Baseboard KW lB"fumace 15 KW lOl1iea. Pump ..!i Ton /50 LA R ~ Fan-Wall KW btracti ns o Overhead Service o Temp Service o Underground Service Voltage Phase 0 1 03 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 / ROUGH,IN TIiERjVIOSTAT SERVICE ~ ~B' Dat~ AT'J"OvW By D~lc Appro..etl fly r FINAL r DITCH f FEEDER /=o>:~/7~ ~ll' DJIC ,llPP:OVNBy/ Oale .....ppn.wcd By Inspection Area, Bui[ding or Equipment Inspected Action Taken Electrical Datc Inspector ~ " ',' ELECTRICAL PERMIT CITY OF PORT ANGELES - 360-417-4735 Application Number . . . . . 15-00000618 Date 6/03/15 Application pin number . . . 988090 Property Address . . . , . , 605 DEL GUZZI DR ASSESSOR PARCEL NUMBER: 06 -30 -12 -6 -8 -0110 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLES FAMILY Application valuation . . . . 0 ----------------------------------------------------------------------_------ Application desc outbuilding ------------------------------- -------------------------------------------- Owner Contractor ------------------------ ------------------------ WILLIAM AND SANDRA LINDBERG BOTERO & SON ELECTRICAL 605 DEL GUZZI DR 940 TAMARACK WAY PORT ANGELES WA 98362 PORT ANGELES WA 9$362 (360) 452-4766 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL NEW RESIDENTIAL Additional desc . . 2 X FEE WORK DONE W/OUT PERMIT Permit Fee . . . . 148.00 Plan Check Fee 00 Issue Date . . , . 6/03/15 Valuation . . . . 0 Expiration Date . . 11/30/15 Qty Unit Charge Per Extension .BASE FEE 74.00 1.00 74.0000 BCH EL-R-OUTBD/DTCH GAR IN/SEP 74,00 ------------------------------------------------------------------_--------- Fee summary Charged Paid Credited Due --------------------------------------------------------- Permit Fee Total 148.00 148.00 ,00 .00 Plan Check Total .00 OQ .00 .00 Grand Total 148.00 148,00 .00 .00 REPORT SALES TAX on your excise tax form to the City of Port Angelas (Locaftn Cade 0502) Ihbrr _it0NTYPE DATE: RESULTS: DITCH SERVICE ROUGH -IN FINAL PERMIT WILL EX WE SIX (6) MONMS FROM LAST INSPECMN S184aWre of owner or Electrical Contractor X Date: .'�ct�I�#1BUILUING CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 417-4735 Fax: (360) 417-4711 Date: CO ^ 1 & 2 Single Family Dwelling Plan Review May Be Required, Please -Complete Electrical Plan Reviewformation Sheet Job Address: * /-- I) L_C tr—� Building Square Footage: i Description of above G r (., r JA 1-,-, cvN rle, / f .S 4 0C_�t el vx Sk ckC ?ORT v L Cl Owner InfArmation Name: l( I bV q 3 CeC% f l. r, L ` Mailing Address: I City: State: Zip: Phone: Fax: License # / Exp. Item Unit Charqe Service/Feeder 200 Amp. $120.00 Service/Feeder 201-400 Amp. $146.00 Service/Feeder 401-600 Amp $ 205.00 Service/Feeder 601-1000 Amp. $ 262.00 Service/Feeder over 1000 Amp. $ 373.00 Branch Circuit W/ Service Feeder $ 5.00 Branch Circuit W/O Service Feeder $ 63.00 Each Additional Branch Circuit $ 5.00 Branch Circuits 1-4 $ 75.00 Temp. Service/ Feeder 200 Amp. $ 93.00 Temp, Service/Feeder 201-400 Amp. $110.00 Temp. Service/Feeder 401-600 Amp. $149.00 Temp. Service/Feeder 601-1000 Amp . $168.00 Portal to Portal Hourly $ 96.00 Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 Manufactured Home Connection $120.00 Renewable Electrical Energy - 5KVA System or Less $102.00 Thermostat $ 56.00 Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 Each Additional 500 Square Ft. or Portion of $ 40.00 Each Outbuilding or Detached Garage $ 74.00 Each Swimming Pool or Hot Tub $110.00 Contractorormation Name: i.� `}e ry {man 3 CeC% Mailing Address: VC) W-1sC ?_0 2 City:( -4'\f c,�_ State: LVff Zip: r, L ` Phone: J Fax: License # 1 Exp. Qty Total (Qtv Multiplied by Unit Charqe) r X Z $ t y4� v3 Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC, Chapter 296-4613, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: ❑ cash ❑ Check ❑ Credit Card # x y t Dated: _ (�L_ ,Z i 0110112012 ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 15-00000618 Date 6/03/15 Application pin number 988090 Property Address . . . 605 DEL GUZZI DR ASSESSOR PARCEL NUMBER: 06-30-12-6-8-0110-0000- REPORT SALES T" Application type description ELECTRICAL ONLY Subdivision Name . . . . . . on your excise tax form Property Use . . . . . . . . to the City of Pott Angeles Property Zoning . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 (Location Code o502) -------------------------------------------------------------------------- Application desc Outbuilding ----------------------------------------------------------------------------- Owner ------------------------ Contractor WILLIAM AND SANDRA LINDBERG ------ ------- ----------- BOTERO & SON ELECTRICAL 605 DEL GUZZI DR 940 TAMARACK WAY PORT ANGELES WA 98362 PORT ANGELES WA 98362 ---------------------------------------------------------------------------- (360) 452-4766 Permit . . . . . . ELECTRICAL NEW RESIDENTIAL Additional desc 2 X FEE WORK DONE WIOUT PERMIT Permit Fee 148.00 Plan Check Fee .00 Issue Date . . . 6/03/15 Valuation . . . . 0 Expiration Date . 11/30/15 Qty Unit Charge Per Extension -BASE FEE 74.00 1.00 74.0000 ECH EL-R-OUTBD/DTCH ------------------------------------------------------------------ GAR IN/SEP 74.00 Fee summary ----------------- Charged Paid 'Credited I --------- Due Permit Fee Total ---------- ---------- 146-00 ---------- ---------- 148.00 .00 .00 Plan Check Total .00 .00 .00 '00 Grand Total 148.00 148,00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X GAEXCHANGE\I3UfLD1NG Date: