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921 S Washington St - Building
G- '31 i.. ELECTRICAL WORK PERMIT APPLICATION 0% C2 -4t p 4 t4bra Aso Installation description Job wired by Electrical Contractor 4 Owner Commercial X Residential Electrical contractor name License number Date Expires 0 0 P i I New' gi Altered /Addition Purchaser's mailing address j 1•l e w `"G Lo o s tz e 0- 7 City State ZIP �j�� St -P G ('t 5'zE z1 Telephone number FAX number Premises owner's name \Ai tWA4 a ter O` Cl 104. 3 r- >.g..RV j L_-.. Address of inspection ciz, St u 16'0U/ 7W ET City 4 v A- C- _6S' Phone number to schedule inspection: 457 -3 437 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. Cash Check After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- Credit Card Visa Mastercard Discover lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Card Utility Specifications. Signature of owner, electrical contractor or electrical administrator Expiration Date 1 Inspection fee X .A.. 2, C Date: of card Electrical Load Additions and or subtractions Service Information NO LOAD CHANGES Baseboard KW Li. S C.."41 -A C5. Voltage 2 "tC7 Furnace KW Overhead Service Phase -1 3 Heat Pump Ton LAR Temp Service Service Size: 520 Fan -Wall KW Underground Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360 417 -4735 ROUGH -IN THERMOSTAT SERVICE 3( &/o g 3 7 Date Appro Date Approved By D to Approved By FINAL DITCH FEEDER 1 Date Approved By r t Approved By Date Approved By 1 Inspection Electrical Area, Building or Equipment Inspected Action Taken Date Inspector aao C.avgt- 2 29 -08 wF 77 02Vol ws /O.38 Z. PAIL #z,ygg,aa FFt Al I I ORKS 1 0P 417 -4735 DAT PERMIT INSPECTOR 7 2-5/03 O NER /CONTRACTOR L- (-Lt Pri C-6 ADDRESS c /z L oft51-11 APPROVED NOT APPROVED DITCH ROUGH IN /COVER SERVICE FINAL CORRECTIONS NEEDED: fl P4 BSI -I L ��IZ1C�1L I /4.51 tn1 �4L3i�L 1 u_ 1-4 a 1J)? L NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DO NOT REMOVE OLYMPIC PRINTERS, INC. (360) 452 -1381 PORT e 'ssa a =r Electrical Service Information For OASb� Public Works Engineering Department (360) 417 -4700 Please complete and return to Public Works Engineering Department Applicant Information 1 Permanent service: Name: LJ E O G Name and address of party responsible for permanent City State ZIP: Pe4 4 o W service billing? Daytime Phone: '3 157' 3437 Home Phone: aptAt Contact Information (if other'than;above) j., Site contact: Name: Title: Daytime Phone: Contractor: Name: S'du.r Company: Daytime Phone: Electrician: Name: 7Q,,,,( Company: Daytime Phone: Excavator: Name: Company: Daytime Phone: Project Type vx Single- family residence 'Ca.AIZA Multi- family residence; of units Commercial tarot., ❑Subdivision; of lots Overhead service ❑General service Underground service El Other: ,Project:lnforrnation Street address lot number: 2. 5'. l i9a510 v+ 4-6.1 Nearest cross street: E. d 41% Desired connection date: Electrical'Load 1 Total square footage: 1 b sq. ft. Main disconnect size: 3Z© amps Voltage: ©120/240 1 ph 0120/208 3ph 0277/480 3ph 0120/240 3ph 0480 3W 3ph ❑Other: Standard residential loads (Lighting, refrigerator, dishwasher, washer) Check all that a I CI A/C FLA) Range /Oven Hot Tub pp y Clothes Dryer Heating El Pumps Hp) Water Heater Elevator Hp) Other Supporting Please provide a copy of the following: *Detailed plot plan (.dwg or .dxf format mandatory for subdivisions). *Electrical one -line drawing showing the service entrance panel and location. *Connected load data. *Size and locked rotor amps of all motors over 50hp. p q Applicant's Signature: Date: MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360 417 4709 EMAIL: gmclain ©cityofpa.us (west half of city) Infonr tion form rlarson ©cityofpa.us (east half of city) WS of y;, q c :41ft v CITY OF PORT ANGELES LIGHT DIVISION Proposal #2 (underground sec DEPT. PROJECT r LT 10382 WF XXXXX/01 'c SHEET 2' OF r3• -1 J "7"--- i g QT 1 i III r ..,_...,,,_,i_..._. 7 ve li ,1 i I eai Tk -f-' 1 7L- -il I V) 1011 1 2 I 13 --___i 10' EASEMENT I (to city) o 11 i CITY OWNED I UNDERGROUND CONDUCTOR C v., I V CITY OWNED I mi l a PEDESTAL d CONDUCTORCUST❑WNED ND 7 ON 1011 1017 tc y A1 k0 K1 10' EASEMENT (to city) OO G� v t� te ,PS' lGti \C-"C-N- c IC St, ,o- o t~~~... ha ~ -- ~~ \...1 1 I vr rV~l J-\l'l\JCL~ DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING 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 07-00001196 Date 11/07/07 283436 921 S WASHINGTON ST 06-30-00-0-2-8250-0000- BILL O'CONNOR RES DETACHED GARAGE RS7 RESDNTL SINGLE FAMILY 32839 Owner Contractor WILLIAM E. O'CONNOR REDI-CONSTRUCTION 10402 151ST AVE. S.E. 1032 E. 4TH , t2ftJO ) RENTON WA 98059 PORT ANGELES WA 98362 .:? ,~~1 (425) 255-3191 (360) 452-4582 4~1__- Structure Information 000 000 DETACHED GARAGE & UPSTAIRS SHOP Other struct info . . HARD SURFACE AREA permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL DET. GARAGE & UPSTAIRS WRKSHP 113308 498.55 Plan Check Fee 11/07/07 Valuation 5/05/08 199.42 32839 Qty Unit Charge Per Extension 417.75 80.80 BASE FEE 8.00 10.1000 THOU BL-25,OOl-50K (10.10 PER K) Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT WATER & SEWER LINES 113340 72.00 Plan Check Fee 11/07/07 Valuation 5/05/08 .00 o Qty Unit Charge Per Extension 50.00 7.00 15.00 BASE FEE 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1.00 15.0000 ECH PL- EA. BLDG SEWER Special Notes and Comments The Fire Department has reviewed the project application and has no comments October 26, 2007 1:00:00 PM sroberds. The proposal will result in an accessory structure w/work shop space for total lot coverage of 30%. Electrical load calculations and elctrical permits are required. Any modif~cations to the City's electrical facilities will be at the customer's expense. Construct driveway to City Standards. Driveway opening no closer than 25' from South West corner of property line. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to pouring concrete. November 2, 2007 8:33:50 AM rvess. ~ 7<('/ o cP I"~ '0 cr" o~ 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. ~ Signature of Owner (if owner is builder) T:FormslBuildinll DivisionlBlJildinll Permit (ID/OII07).wpd 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 I WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) . PLUMllING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING . FRAMING JOISTS I GIRDERS SHEAR WALLIHOLD DOWNS WALLS I ROOF I CEILING DR YW ALL (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 FINAL DATE ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLO DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. I PWI CONSTRUCTION. R.W. ENGINEERING 417.4807 I i'W I ENGINEERING FIRE 417.4653 FIRE DEPT. PLANNING DEPT. .;17.4750 PLANNING DEPT. BUII.DlNG 417.4815 I BUILDING T:Forms/Building l);v"i'JII!13oilding Permit (10/0 1/07).wpd . ,f;O~'V:,-, ha~ 1l::..-- ~~ l.-1! r VI"' rVKl f\~\.JCLCL> DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~;:.:. Application Number . . . . . 07-00001196 Application pin number 283436 Page 2 Date 11/07/07 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee" Total 570.55 570.55 .00 .00 Plan Check Total 199.42 199.42 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 774.47 774.47 .00 .00 Separate Permits are required for electrical" work, SEPA, Shoreline, ESA, utilities, private and public improvements. This pbrmit 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 Gertify 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 Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T: Forms/Building DivisionlBuilding Permit (I % 1107). wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. 0 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. .-.5 6 INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS "-2),-07 "JLL S~P'\wa.l( 1\-"2~-o7 Ju. (SHEAR WALL~ WALLS 1-23-0& ;t"LL .$ h ea.x-/,AXll ~ 0 l-Z S'...Qg- -;r t..L FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB I? -I t./ -{)1 :r L- <- ROUGH-IN t..k7..-0'iS iLL- WATER LINE (METER TO BLOG) GAS LINE ~INAL 8"- R- 0 ~ DATE CS'-'-- ACCEPTED BY: BACK FLOW / WATER AIR SEAL 4 ...7-()2: F~ WALLS CEILING FRAMING 4-1_()& fFS JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF I CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION Lt-IU_"'~ PB SLAB WALL I FLOOR I CEILING MECHANICAL HEAT PUMP I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET / CHIMNEY FINAL ~..-g-o g DATE -:r GL ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATI( ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. I PWI CONSTRUCTION -R.W. ENGINEERING '117-4807 PW I ENGINEERING . FIRE 417-4653 FIRE DEPT. I I PLANNING DEPT 417-4750 PLANNING DEI'T. BUH..OING .117-4815 <;),~S2;-()~ '\ i.... 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N N 00 ~ E-< o Z ~ 00 E-< Z ~ ~ o U , , , , , , , , , ~~ .~ ~~ N o N ...:l '" r.' . ......"'.~o..-_- ._-.-~.;;--- ~- '...~-:_--C - - -_ .....iI-.l'.,. ....- ------ - - ::~~- -~~~~....~.qi~~~~-~'_~~.l~~ ----- I I I ~ ~ f ~ . ~~ BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at 9~ / ..s IA-#SH-//VG 7O/L / Inspection of your work revealed that the following is not in accordance with the codes governing the work in thiS jurisdiction: -Y:f? k~"~U~k . 51} If,/l- ~~ --- -# iIcA-r.' ~ -}/:7 h/ H#/s. 1& ~t)117~4l- ZP....iI/~ Lan~1 !,.",,-,,- ,.1 ~>R"j~...1}tfi~~ ~~~ ~ f5J ~:;:.~~? These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call -4/7- l' ~/5 for inspection. Date -4- J- ~o8 ~6 Inspector for Building Division DO NOT REMOVE THIS TAG 01 CO , 0 ...... N 0 ...... ..,. MM ~E-< ..:..: 0.0 Nr- COM l/l..,. 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':>..: r-r- ~ 00 ............ ..,...,. ........ ............ NN ........ .... .... 0 0 .... N ~ ~ 0. 0. ') \., ~ , Ii , , , ~ , , 'S ( ~ , : .~ ~ :~ , , ! ~ 00 <.l E-< Z ';\ M ~ 0 ~ U ,~ '-l CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32 I 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 07-00001196 Date 283436 921 S WASHINGTON ST 06-30-00-0-2-8250-0000- BILL O'CONNOR RES DETACHED GARAGE 3/19/08 RS7 RESDNTL SINGLE FAMILY 32839 Application desc DETACHED GARAGE WITH WORK SHOP ABOVE Owner Contractor WILLIAM E. O'CONNOR REDI-CONSTRUCTION 10402 151ST AVE. S.E. 1032 E. 4TH RENTON WA 98059 PORT ANGELES WA 98362 (360) 457-3437 (360) 452-4582 Structure Information 000 000 DETACHED GARAGE & UPSTAIRS SHOP Other struct info . . . . . HARD SURFACE AREA Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT BATHROOM VENT FAN 123273 57.25 Plan Check Fee 3/19/08 Valuation 9/15/08 .00 o Qty Unit Charge Per Extension 50.00 7.25 BASE FEE 1.00 7.2500 ECH ME-VENT FAN Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT SUPPLEMENTAL BATHROOM PERMIT 123265 45.00 Plan Check Fee 3/19/08 Valuation 9/15/08 .00 o Qty Unit Charge Per Extension 10.00 28.00 7.00 BASE FEE 4.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1.00 7.0000 ECH PL- EA.WATER HEATER Special Notes and Comments The Fire Department has reviewed the project application and has no comments October 26, 2007 1:00:00 PM sroberds. The proposal will result in an accessory structure w/work shop space for total lot coverage of 30%. Electrical load calculations and elctrical permits are required. Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned for a period of 180 days after the work 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. M I+!l.. PI, fY6 Date ()J IfJ-IA M, Print Name oCtM<<l ~bo~ Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building Division/Building Permit (I % I /07). wpd r-------------.-- BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 4 I 7-4807 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 / WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB W ALL I FLOOR / CEILING MECHANICAL HEA T PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE I PELLET I CH1MNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION. R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T: Forms/Building Division/Building Permit (I % I /07). wpd ~ pORT ~ "",O~-....f~ . $ - ~(~ ~ ... -=::...JI' ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 07-00001196 Application pin number 283436 Page Date 2 3/19/08 Special Notes and Comments Any modifications to the City's electrical facilities will be at the customer's expense. Construct driveway to City Standards. Driveway opening no closer than 25' from South West corner of property line. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to pouring concrete. November 2, 2007 8:33:50 AM rvess. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 102.25 102.25 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 106.75 106.75 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work 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 Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T: Forms/Building Division/Building Permit (1010 1/07). wpd 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 / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA TION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. / PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T: Forms/Building Division/Building Permit (1010 1/07). wpd u ___ ~ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000249 Date 751194 921 S WASHINGTON ST 06-30-00-0-2-8250-0000- ELECTRICAL ONLY 3/03/08 RS7 RESDNTL SINGLE FAMILY o Owner Contractor O'Connor William 921 S WASHINGTON ST PORT ANGELES WA 983628028 (360) 457-3437 OWNER Pe rmi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL OWNER WILLIAM O'CONNOR 121756 91.00 3/03/08 8/30/08 Plan Check Fee Valuation .00 o ~ N - Qty 1. 00 Unit Charge Per 91.0000 ECH EL-RM-201-400 1ST SRV FEEDER Extension 91.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- (f\ Permit Fee Total 91.00 91.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 91.00 91.00 .00 .00 E ~ 1 1- 0- j L ~I SPECTION ELECTRlCAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE .~ OUGH - IN 7 FINAL OMMENTS: ""CD o "- lil N "- .... ~~ C:>E-< ..;..; o.~ N.... CD'" lil.... ""M , , Nlil lillil ""N >< ..:l ~ ~ H ..:l E-< ~oo "'~ 8~ E-<..., Z .. O~ HO E-<E-< UU ~~ 0.0. 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H CO ~UZ 0.... ~OO 00 ~o8~~~ r>1 ~i -..:l 00 lHOC ..<r>1r>1 r-r>1 HHHMO I><E-<E-< oel rl..10..1 , , OOr>1 :;~ NH~HI"Or-- OM..1 ml1:lP=:3oo 0::>0. .... 0:>: 'E-< r>10 N<>: I>: I>: I>:U ....0 . <Ill>: .r>1 ..< 0. ZO <Il I>< 0 E-< .~ r>1'" 00 -U .... <>:0 OOE-<~ ..1Z E-o 0 0 ~ ~~~~~..1 H 00 0.:>< ~ , r>1E-< Of;1s~~g: 0. .... I>:H >< ..1 o.U ~E-<UOo.~ I>< E-< 0. of ,,,,,, .... l~"':~ ,. \.. -- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 o -J \ Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001196 Date 12/11/07 283436 . 921 S WASHINGTON ST 06-30-00-0-2-8250-0000- BILL 0" CONNOR RES DETACHED GARAGE .....n t) RS7 RESDNTL SINGLE FAMILY 32839 Owner Contractor WILLIAM E. O'CONNOR REDI-CONSTRUCTION 10402 151ST AVE. S.E. 1032 E. 4TH RENTON WA 98059 PORT ANGELES WA 98362 (425) 255-3191 (360) 452-4582 Structure Information 000 000 DETACHED GARAGE & UPSTAIRS SHOP Other struct info . . . . . HARD SURFACE AREA Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Dat'e SANITARY SEWER HOOK UP 117507 40.00 12/11/07 6/08/08 plan Check Fee Valuation .00 32839 Qty Unit Charge Per 1.00 40.0000 EA SAN SEW REPAIR Extension 40.00 .-0 N - Special Notes and Comments The Fire Department has reviewed the project application and has no comments October 26, 2007 1:00:00 PM sroberds. The proposal will result in an accessory structure w/work shop space for total lot coverage of 30%. Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Construct driveway to City Standards. Driveway opening no closer than 25' from South West corner of property line. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to pouring concrete. November 2, 2007 8:33:50 AM rvess. ~ .00 .00 .00 .00 E: 9 ~ -;) ....' ~ :5 ---------------------------------------~------------------------------------ Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total 40.00 40.00 .00 Plan Check Total .00 .00 .00 Other Fee Total 4.50 4.50 .00 Grand Total 44.50 44.50 .00 Due w 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 ns r tion. ( 2- ~{ I - 01- Date Signature of Owner (if owner is builder)' . Date T:\Policies\1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE 1 METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE I 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:\Policies\1102.15R [1/05] \Or- ....0 , CD N , .... .... MM (9E-< ..:..: o.Q N.... CD'" ltl.... "M I I Nltl ltlltl "N :>< ..:l ~ M H ..:l E-< MUl O<:M ~~ E-<'":l Z O~ HO E-<E-< UU MM 0.0. 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";E-<UOo.,,; <>: ,~ In .~ Ul E-< Z ~ ~ HZ:>: ~88 &lE-<'- Qo.CIl HHE-< CIl<>:...:l ~~i;l ~~ '0<>: E-< H ~o.~ o.CIl::> ZCIl ~H~ Z <>: H ~ HOO ::>~~ 1nE-<E-< CIl~ O~...:l 0::>0. a:>: ~O l>i<>:U 0. In E-< H ~ fXl 0. , , , , , , , , , , Q) , .-< , '" , 0 01 , 0 0: I "rd , .-< 0. 'or< , , .. , , , , ~~ H .-< E-<lfl'" "'.. .. '" .-< , ZNO 0" \.0 H"''' E-< Ur- ~0E-< 0.0<<. CIlN~ Z ...:l<>: H ,,; OCllIn P=:N.tW ,,; :.:<>:Z In '" 0 ~Q)~~O <>:~~i"i1ij ~Q)ZE-<~ 0;> OE-< ...:lOOO<<' In ZZ <<'''; ~~ ~ a CIl '- 0. >< E-< .-< o H <>: ...:l In CIl ~ E-< o Z o ~ I~ : ~ i~ I--O'~'ORT,," . ~~"'<", (.j~1/I ,. if 'E!iII 1!::..-- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 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 07-00001196 Date 11/07/07 283436 921 S WASHINGTON ST 06-30-00-0-2-8250-0000- BILL O'CONNOR RES DETACHED GARAGE RS7 RESDNTL SINGLE FAMILY 32839 Owner Contractor WILLIAM E. O'CONNOR 10402 151ST AVE. S.E. (r.IoD) RENTON WA \? ~~~1 (425) 255-3191 ~~1___ Structure Information Other struct info . . REDI-CONSTRUCTION 1032 E. 4TH PORT ANGELES (360) 452-4582 000 000 DETACHED GARAGE & UPSTAIRS HARD SURFACE AREA SHOP 98059 WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL DET. GARAGE & UPSTAIRS WRKSHP 113308 498.55 Plan Check Fee 11/07/07 valuation 5/05/08 199.42 32839 Qty Unit Charge Per Extension 417.75 80.80 BASE FEE 8.00 10.1000 THOU BL-25,001-50K (10.10 PER K) Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT WATER & SEWER LINES 113340 72.00 Plan Check Fee 11/07/07 Valuation 5/05/08 .00 o Qty Unit Charge Per Extension 50.00 7.00 15.00 BASE FEE 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1.00 15.0000 ECH PL- EA. BLDG SEWER Special Notes and Comments The Fire Department has reviewed the project application and has no comments October 26, 2007 1:00:00 PM sroberds. The proposal will result in an accessory structure w/work shop space for total lot coverage of 30~. Electrical load calculations and elctrical permits are required. Any modifi~ations to the City's electrical facilities will be at the customer's expense. Construct driveway to City Standards. Driveway opening no closer than 25' from South West corner of property line. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to pouring concrete. November 2, 2007 8:33:50 AM rvess. ~ ~<(/ OcP ~ '0 <f" qp 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. ~ Signature of Owner (if owner is builder) T:FormslBuilding OivisionIBuilding Permit (10101107). wpd 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 UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE . INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALLIHOLD 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 FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:Forms/Building Division/Building Permit (10/0 1/07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 07-00001196 Application pin number 283436 Page 2 Date 11/07/07 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 570.55 570.55 .00 .00 Plan Check Total 199.42 199.42 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 774.47 774.47 .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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building DivisionIBuilding Permit (10/01/07). wpd 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 UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE . INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. o .-J \ I' INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS 11-2)," 07 JLL S\eil'\W~lt I \-"2~-O7 Ju. (SHEAR WALL~ WALLS 1-23-l'l& ;fLL S h ea..ri,Ua.l \. 0 t -2. S-...o&- ;r u..... FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR I SLAB 17_-14-61 :r L. L- ROUGH-IN t+-7....0<6' "'J"L.(..... WATER LINE (METER TO BLOG) GAS LINE FINAL g- R- 0 ~ DATE oU- ACCEPTED BY: BACK FLOW I WATER AIR SEAL '-t -7-6S' PB WALLS CEILING FRAMING If-t-()& (>/3, JOISTS I GIRDERS SHEAR WALLIHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION Lf-lu_r\Q PB SLAB WALL I FLOOR I CEILING MECHANICAL HEAT PUMP I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET I CHIMNEY FINAL <b....g....O g DATE -:s t"L ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT H's SEPA: P ARKING/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 4 I 7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 "is',...~-()~ ! -rL-L.- BUILDING - ~ 6' .-S;) N <j) s ~ \f\ ;S-O -~ ~ 3' ~. ~ T: Forms/Building Division/Building Permit (10/01/07). wpd "()7'J '(t) , '\PI 0" l ~~ rf. ,ORT ~ l~~ rea 11" -- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 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 07-00001196 Date 11/07/07 283436 . 921 S WASHINGTON ST 06-30-00-0-2-8250-0000- BILL 0 "CONNOR RES DETACHED GARAGE RS7 RESDNTL SINGLE FAMILY 32839 Owner Contractor WILLIAM E. O'CONNOR REDI-CONSTRUCTION 10402 151ST AVE. S.E. 1032 E. 4TH RENTON WA 98059 PORT ANGELES WA 98362 (425) 255-3191 (360) 452-4582 Structure Information 000 000 DETACHED GARAGE & UPSTAIRS SHOP Other struct info . . . . . HARD SURFACE AREA permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date DRIVEWAY INSTALLATION 114538 170.00 11/07/07 5/05/08 Plan Check Fee Valuation .00 o Qty Unit Charge Per BASE FEE Extension 170.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments October 26, 2007 1:00:00 PM sroberds. The proposal will result in an accessory structure w/work shop space for total lot coverage of 30%. Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Construct driveway to City Standards. Driveway opening no closer than 25' from South West corner of property line. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to pouring concrete. November 2, 2007 8:33:50 AM rvess. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 170.00 170.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 174.50 174.50 .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 jf required inspections have ii'of 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. y~(J~ Signature of Contractor or thorlzed Agent /l~~-o ? , Date Signature of Owner (if owner is builder) . Date T:\Policies\1102.15R (1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. 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 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 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:\Policies\1102.15R [1/05] r--- /I BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your application, prescriptive energy form, plans, specs, and a 8 'is'' x 11" site plan MUST BE COMPLETE to be accepted for review. (360) 417-4815 FAX (360) 417-4711 ate Approved: ate Issued: Residential projects: submit two sets of plans Commercial projects: submit three sets of plans NeuJ r ~ 3 JR./ / / / / ~ ~ fh 107 APp\iCantI3orAgent lrAL'v~l< 1<,I1w\t;f:'1/ f<.rd-<' (ono;ll?ud-H<.Nv1 Phone ""l...~_-q~? 0~/~)~!> 1 4.1) Owner : , lb LOCl\I'\.O R Phone'" 'fl. ~ - 2~ s- 3/7, /'... - '-I:ry Owner's Address_I 0401.. l51 sf A.!€ S, E.. {(6th" I~ '1 <2bS Cf ContractorlEngineer ~E()I &mShl..c..u:-h~ State License # l2.fd)IC , ItOOS.\\"'1 Expires ,-1- 6 5? ContractorlEngineer's Address P.O. gD Y 311' Putt, ~ w1 q<63r42 Phone 'I ("o-lj9'f / PROJECT ADDRESS: . q'2. \ s. Wv\s~~.~ S'~ fl)ltf ~~A,JA ~ n '7 ZONING: LEGAL DESCRIPTION: Lot: to It , Block: L ~ "2- Subdivision: CLALLAM COUNTY PARCEL NUMBER: bra3000 - 62 <62-5"0 -,'f-03/l9 oS the, O\j.l"(\er, eo;'I) ~A\Ie.J.. ~WCL.Y\1-5'+O o.4.tl. slJff'\e.n,eI(l~\ pex-mii> So he. co...n c.- &.. €A.. ~\'l)o-rt' urS~;r$ lV' *'-T*EcrFWb~~+) S:"',~+Ob/shc>~ corbO a (;.. Ve.t1t Fo-siz~;{;ALt~r6Nffio- wll\ b,~ I\',skl~ o Residential 0 New Constr. 0 Re-roof 0 Stove 1~1(' SF. @ $....2.1.33-/SF. = $_~~) g '39: (,8 ~ o Multi-family 0 Addition 0 Move b-1Jarage SF. @ $ /SF. = $ ~ o Commercial 0 Remodel 0 Demolition 0 Deck SF. @$ /SF. = $ ~ o Repair 0 Sign 0 Other TOTAL V ALVA TION $ ~ BRIEF DESCRIPTION OF THE PROJECT: 2 _ l ~ i}Ju..u( St.Jr>p tS ~1 s-hTL'f 'U~+Y<. - pl4<...L ~"i.;:t:. f:D.- COMMERCIAL SIDENTIAL Occupancy Group: Occupant Load: Construction Type: Existing Structure(s) basement Sq. Ft. & Proposed Structure(s) basement Sq. Ft. 1Slfloor \0<';<'" Sq.Ft. & 1Slfloor f'Jc,,<if Sq.Ft. ~ 2nd floor /o5G:. Sq. Ft. & 2nd floor it, ~ Sq. Ft. 3,d floor Sq. Ft. & 3'd floor Sq. Ft. Accessory Structures Sq. Ft. & Accessory Structures Sq. Ft. Existing Structure(s) TOTAL )//'2.... Sq. Ft. & Proposed Structure(s) TOTAL 1t;.s(P Sq. Ft. TOTAL of existing & proposed structures ,%4'$ Sq. Ft. LOT COVERAGE Maximum Height of Proposed Structure(s) ~ t{ Ft. Lot size Sq. Ft. &/1'1 {p 10 5"b. u -fOr carporT /.2 ntl stOry jeLl<- ( f'eK" /\O'je.r Ve..5 :i) Existing Structure(s) Sq. Ft. Footprint _ I ~ S II r ;::2, Are you planning to install a lawn sprinkler system? IV D Proposed Structure(s) Sq. Ft. Footprint 7'- 'if TOTAL Structure(s) Sq. Ft. Footprint I~ 'f .:2 oyg Total Lot Coverage :M;::::' % (Divide Total Structure(s) Sq. Ft. Footprint by Lot Size Sq. Ft.) ,/ ~q 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. Ft- PLAN CHECK FEE: The plan check fee must be paid at the time the building permit application is submitted. All other permit fees are ~r due at the time of permit issuance. f: EXPIRATION OF PLAN REVIEW: An application for a permit for any proposed work shall be deemed to have been abandoned 18t} days .aft~r the da~e of filing unless such applicati~n has b:eri pursued. ~ good f~ith or a permit ~as been issued; except that the building officmlls authOrIzed to grant one or more extensIOns oftrrne for addItIOnal penods not exceedmg 180 days (90 days for commercial projects) each. The extension shall be requested in writing and justifiable cause demonstrated. (IRC/IBC 2006 105.3.2) . I hereby certify that I have read and examined this application and know the same to be true and correct. / am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and that I must obtain such permits prior to work. 0 Date_in _ t5",ot- APPlicant~ {( (\.~ 'Rem I .- ~~{ru-c..f-icJV'\ T:\FORMS\BUILDING DIVISION\BldgPermitAppl.-2006 CODE - backup.wpd 0 ~J 1, , E 11 ~ p \/ ~40J . " ,. . ~ ~~/i I ."^% / "". "-~~ --.'-<.~~ .... -.c......!","'., / -~" ..(/ .r;: ,t.: ,'0_, , . ....'- ..{:,~~. -:~;~- ,.,,' "~...."""...cc~.!~,. / .~ ~~".. '. I ~ .'.- ,","-,..,,"<?, ': Cd '~, , . &' ~. ~ <<.~ ~. .. q . ..Q",. f'{j . , ..x.1 ,<."' .,.",,,,,,,,, ~ --. .', '-'~' '''''""" I ';-~. ,~ '-':::~;- / ....... , c.":' ,= -.' ,"-' .,.". , -- - -- L ""v/ . ." "'" aUridse fr .:~;;<,;;.' !7 'Blvd!- _ -- ~/~- ...... if' '" ,'f.;-: I"~ , ? ".../ Ii, -- _i '" F------...... ...... --........ /!::)-. ...... 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Pe.......,:+ /I 07.00uO\l~~ PL.VM8t^l6- 921 S. \.fJ ~~l-\\I-J(r-n'N I PeA, vJf\ ( 2.' -0 !l --T .7'-1." v ~ @ '" .~ Ii' ~ o ., ~ C) () Q "3:' ~ ,... ~ --I I I m--..".' ::z: ~ G ~ x; , bl I I ,.,. ~I lri (I; I. fi I .! ,. '~ .~ ~ ,~ i.'; 'l ,~~' ,~ ,.{ I -::' f. . '{ (0 o ,. ~- t.>. i.. l: '.,. V?.' ~ M^IL 3. Ul>{S wP M~C.~ Ie ,~8 , t crrY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15956 /0 -7 :>~ Port Angeles, Washlngton.......,..m.m......._....m......mm.m...m........ 19.....m In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical equipment in, on, or about any building or other structure in the City of Port Angeles, per- :::: ~:2.:;LtF::':~':d::;..'.M',~__._-- ~::: ~~:::::~~~~c,a:~{~;:::::::::::::..~:...~::::::::::=::::=::::::::::::::::::::::::::::::::: LIght outletB---......../.~._........._.._...._ ServIce, volts ..1~tJ.I&.:.?12...... Type 01 WIring: "'C5 . 3 Receptacle Outlets.....)..___n..dhu....... No. wIres ...............___...;;;;:::;__m Dryer, KW....___..fnuu.uuu______u..mn_ Size wlresn~..:A.....---- Rl nge, KW ________(_~.__.__________.._______._. Main fuse .___~r2._............... S Enclosure ._....~__n_..._.______._.n__.___u___ v.:tater Heater: KW____u__m1L->mnmmmnnm H,,', Kw..../7-dli...._..._..._..nmm Type of wIring: Entrance Cable .......m...mn..... l\L)tors: size, volts and phase: Rigid Conduit hmunmmn Metallic TubIng ..._.....__...._____. Current transformers: No. & Size.....................__..... " !:'::.;:;;:-.;;..----......--------.--......................... Ser. No........._..........__......................... Ser. No.............................................. Ser. No............................................... Total I-oad............................. Ser. No...............-.._...........__..........._. Remarks: ..................,4_~.4~=_..nn..c:~""*~.~m......m_m..m.......mm.._..m....._...............__.mm........ Total ......;?..i2...................... Armored Cable ........................__.... Non.Metallic _.............................._ Knob & Tube......................_._.......~ RIgid Conduit nn.m__n.nn_n.........._ Metallic Tubing ........................... Raceway ..............................._._..._ Circuits, Light......<;;?............................ -r ;;,;~~-~~ Motor .n.....cj-'__._m_m_nnn..n___nn Drycr....................................-..........._ Furnace .........................._................... m.........n.. ...n...........................m.....m.._....m..n...mnn.......m...m.....m-....m.......:m"7J71--::-. .... .___.m...;m.m......m.m.. Permit Fee Treas. Receipt /) / v.~' ~ /1 $....,l.t..Y::r?.m.......m..m._ No............................. By ..;1'-:..........:.. ..m.m..._m...~~ NOTICE-Current must not; be turned on untll Certificate of Inspection has been issued. If work Is to be con- cealed due notIce must be given the Inspector so that work may be inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT ",.,~ N? 15956 Address..................................................._...................................._...............................................Date..._.........._.._.._.........._......_......_......... i \,. ., ~"'1 OwJ:.er..................................._......_.._......_......_.._...........................................................Tenant.........._................._............................_.......... Wiring Contractor................................_.........................._............................................................. By.............................................................. NOTICE-Current must not; be turned on until Certificate of Inspection has been issued. It work Is to be con- cealod due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc.