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HomeMy WebLinkAbout2316 S Cherry St - BuildingOF pONT,k,O CITY OF PORT ANGELES w" DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00001400 Application pin number 248000 Property Address 2316 S CHERRY ST ASSESSOR PARCEL NUMBER 06 30 09 5 2 2390 0000 Tenant nbr name GERALD SCOTT Application type description PLUMBING REPAIR Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor GERALD J SCOTT PO BOX 2541 PORT ANGELES (360) 460 0083 Fee summary WA 98362 T Forms /Building Division/Building Permit (10 /01 /07).wpd OWNER Charged Paid Credited Date 11/29/07 Permit PLUMBING PERMIT Additional desc LAWN SPRINKLER BACKFLOW VLV Permit pin number 116608 Permit Fee 57 00 Plan Check Fee 00 Issue Date 11/29/07 Valuation 0 Expiration Date 5/27/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 ECH PL- EA LAWN BACKFLOW 7 00 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 :A 0 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. 25k NG,, (fl Date Print Name Signature of Contractor or Authorized Agent Signature of Owner owner is builder) FOUNDATION- FOOTINGS I SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB I ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING I 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 N's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 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 1 NO FIRE 417 -4653 I 1 1 PLANNING DEPT 417 -4750 I I I xlID I BUILDING 417 -4815 I t •-I r e4.. 1 I 1 10 1 T Forms /Building Division/Building Permit (10 /01 /07).wpd 1 FINAL DATE ACCEPTED BY. I FINAL SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE DEPT PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE ACCEPTED YES 1 NO 0 rJ 0 Applicant or Agent Owner LS S �o Owner's Address 2.3 Contractor /Engineer Contractor /Engineer's Address License PROJECT ADDRESS 23 co S Ck1/4 Parcel Number p(, 30 -.e S -2 -2_3(V3 c�ooC Project Type Brief Description. Check all that apply i New Construction Addition Remodel Repair Re -roof Demolition Sign Heat System Other Floor Areas Basement 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn Building Permit Technician 321 E. Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 'Residential Commercial AC KF n: 2'c. �,TZ wall- mounted projecting freestanding awning other Total sign area sq ft. Maximum allowed sign area sa ft. Heat pump wood burning stove gas fireplace pellet stove other Existing (sq. ft.) Proposed (sq. ft.) Total footprint of structures sq ft. Lot size ft projects. Date 2q c■.10■.) Cal Print Name c T Forrns /Builcling Division /Bldg Permit Appl. -2006 Code doc Occupancy group Occupant load Construction type Phone Expires Lot per sq ft. TOTAL VALUATION For City Use Only Date Received f 2 4 07 Permit b7 ea Date Approved Phone Phone Zoning p.,S Multi- family Industrial LRw \<-‘LE- a.1 l sq ft. Lot coverage of bedrooms of full baths of half baths I have read and completed this application and know it to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits for to working on Signature "'00 o "- '" .-< "- I'> r>1r>1 t'JE-< ~~ 0.0 :>< ..:> <>: r>1 H ..:> E-< r>1Ol "r>1 8~ E-<':> Z 0<>: HO E-<E-< UU r>1r>1 0.0. OlOl ZZ H H U1 '" 00 o o .-<Ol r>1 -..:> OOr>1 0t'J ~~ .-< "-E-< 1'><>: o 0. o r>10. <>:0 ~ 0.:>< r>1E-< <>:H o.U :> H o gJ Ol r>1r>1 ZZ 00 ~~ 0.0. E-< Ol :>< <>:E-< <>:E-< r>10 ~U UOl OlO ..:> "'~ .-<<>: cor>1 I'>t'J 1<>: 00. 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" X '" Z o " Z o o ru ~ Z H E-< Z o u co N N M co o o N >'1~: >'1 , r, , , , COt' o , "- , ro , o , "- , '" , , , , M , o , , '" , '" , >'1 , 01 , Ofticial1u.se Only Assem.# . {, A w t?'-- Received NAME OF PREMISES: Backtlow Assembly Test Report City of Port Angeles Public Works and Utilities Department WaterIWastewater Collection Division J p I? r<. Y :5 !. (J T T ~ 3/ to Ct-/t I?J? y' 5TJ<EET ::). IN fit< T fY tJ F fAr A T c;( !/l/ / L k 1 AI <; q 5 V )( LT SERVICE ADDRESS: LOCA nON OF DEVICE: ME" TiX ASSEMBLY: ;;1. !r Y- /0 Cf-3 . Manufacturer Model Size IS THIS AN APPROVED ASSEMBLY? YES 1fI~ 0 IS ASSEMBLY rNST ALLED CORRECTLY) DATE OF INSTALLATION () Ec. #VV]uNKNOWNO Serial No. YES I9-"NO 0 REDUCED PRESSURE PRINCIPLE ASSEMBLY RP 0 RPDA 0 DC IEI/ DCDA 0 PVB 0 Air Gap 0 DOUBLE CHECK VALVE ASSEMBL Y SVB 0 AVB 0 CHECK VALVE#I CHECK VALVE #2 RELIEF VALVE PVB/SVB Initial Leaked 0 Leaked 0 Did Not Open 0 AIR INLET Held at U psi Closed Tight 0 Did Not Open 0 Test Held at J . 'i( psi Opened at _ pSI Opened at _ pSI Repairs Cleaned 0 Cleaned 0 Cleaned 0 CHECK VALVE Leaked 0 Held at pSI Replaced 0 Replaced 0 Replaced 0 REPAIRS Cleaned 0 Details Replaced 0 3 psi Buffer YES 0 NO 0 Final Closed ;right 0 AIR INLET Opened at _ pSI Held at~ psi Held at I. f psi CHECK VALVE Held at _pSI Test Opened at _ psi BACK PRESSURE NO 0 YES 0 AIR GAP INSPECTION: REQUIRED MINIMUM SEPARATION: YES 0 NO 0 TYPE OF HAZARD L A tAr Ai COMMENTS Line Pressure 9/ psi ...1. AI) pee (E r) ref7El) '-f f.A f'SEI Held Backpressure YES G-""'No 0 #2 Shutoff Held YES O/NO 0 Relief Valve Exercised YESO NO 0 Date/Time Tester Signature Cert. # Test Kit Passed Failed Initial " ;J 1 ,- (J Test I J ~it'. t .., f? . iJ f r:/Ckf< ,/ t.t',., ;)kfe<il, I),J- C/ p 'I-- I/J I J1 bYeS ,- 13- 0 Repairs 0 0 Final II rJ Eel' t J( \ t!i~~ !l rJt/yc iii......... Test ~/t-r;J ;e. ;Jt;,,, 111 //lWeJ'-r 0 N \jJ - 6' ('\ -S- ~ 'T l5 \/l --t. I f 5 WHITE - CUSTOMER COpy YELLOW - PURVEYOR COpy PINK - TESTER COpy ELECTRICAL PERMIT AND. INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Addres~ ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000192 Date 10/24/07 502080 2316 S CHERRY ST 06-30-09-5-2-2390-0000- GERALD SCOTT RES NEW SFR RS7 RESDNTL SINGLE FAMILY 148075 Owner Contractor SCOTT, GERALD 433 DUNGENESS SEQUIM. WA. SEQUIM OWNER J. MEADOWS WA 98382 Other struct info . TOTAL % LOT COVERAGE .CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 29.70 V-N 2.00 6250.00 1855.75 1855.75 1. 00 Permit Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL DAVE'S H&C/ T-STAT 102020 DAVE'S HTG 35.00 10/24/07 4/21/08 & COOLING SRVC INC plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 35.0000 ECH EL-LVT-FIRST THERMOSTAT Extension 35.00 ---------------------------------------------------------------------------- I Special Notes and Comments I 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. 03/05/2007 10 :.11 AM SROBERDS - - The proposal will result in a new sfr in the RS-7. No land use issues are anticipated. 03/09/2007 04:39 PM SROBERDS ---The site plan as revised. identifies appropriate setbacks. No further issues anticipated. . Electrical load calculations and ~lctrical permits are required. Connection fee $410.00. 02/28/2007 04:51 PM GMCLAIN ---------------------------- Servce will be from pole on Ch~rry Street. 02/28/2007 04:51 PM GMCLAIN -------------~-------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Other Fees RES OVERHEAD SERVICE .FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE 410.00 1000.00 4.50 ~ w VJ -- ~ \1\ ~ ~ ~ .....c ~ ~f..: SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN PINAL . OMMENTS: {, i 67 <J>\-Y ~ A-'- ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 '. " Application Number . . . . . Application pin number 07-00000192 502080 Page Date 2 10/24/07 Other Fees PW WATER SYSTEM USE FEE 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Pe rmi t Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2'644.50 2644.50 .00 .00 Grand Total 2679.50 2679.50 .00 .00 ~ . SPECTION . ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN PINAL . OMMENTS: 0/'16r ~:y -AL A-'V "''' o '- " M '- " , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , ><, H' ~, ~ I .. ~:~ '0 :~ UJ 0000 (9E-< -<-< n.0 0000 ZZ 00 ~~ n.n. E-< OlUJ ~Ol u;,; H-< E-<>-:> Z O~ HO E-<E-< UU 0000 n.n. CIlCll ZZ H H LJ) o LJ) N '" ,~ 0,", ocll o 03: , 00 OZ E-< . 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':><( ':><( ':><( r- r- r- r- r- r- r- r- oo 00 00 0 0 " " " , , 00 "'''' riri '" N NN "'N 00 N N " " " , , <'1 <'1 <'1<'1 "'"' '" '" ri ri ri ri ri 0 0 0 0 0 0 ~ ri N <<. :( <'1 .-1 .-1 .-1 .-1 CO CO P1 P1 CO ([J 01 E-< o Z o ~ ([J E-< Z 01 ~~~ ~ ~ '" ~ \~ t ~ ~, ~ ~ .:;' PREPARED 6/18/07, 10:50:24 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/18/07 ADDRESS 2316 S CHERRY ST SUBDIV: TENANT, NBA: GERALD SCOTT CONTRACTOR PHONE OWNER SCOTT, GERALD J. PHONE PARCEL 06-30-09-5-2- 2390 -0000- APPL NUMBER: 07- 00000192 RES NEW SFR PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 6/18/07 MECHANICAL GAS LINE 06/18/2007 08:55 AM LPANGRLE JERRY 460 -0083 GASLINE FOR FIREPLACE, NORTHWEST CORNER OF GARAGE COMMENTS AND NOTES '''.,~. ${id~~ D!I .....~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET, PORT ANGELES. WA 98162 Application Number Application pin number ". Property Address ASSESSOR PARCEL NUMBER: Tenant nbr. name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000192 Date 502080 2316 S CHERRY ST 06-30-09-5-2-2390-0000- GERALD SCOTT RES NEW SFR 6/06/07 RS7 RESDNTL SINGLE FAMILY 148075 Owner Contractor SCOTT. GERALD J. 433 DUNGENESS MEADOWS SEQUIM, WA. SEQUIM WA 98382 OWNER Other struct info . TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 29.70 V-N 2.00 6250.00 1855.75 1855.75 1. 00 ~ VJ Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL PEN. EL./ 2581 SQ FT SFR. 103101 PENINSULA ELECTRIC 135.00 6/06/07 12/03/07 .,...,. Plan Check Fee Valuation .00 o 6' Qty 1. 00 .3.00 Unit Charge Per 69.0000 ECH 22.0000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 69.00 66.00 \f\ 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. 03/05/2007 10:11 AM SROBERDS -- The proposal will result in a new sfr in.the RS-7. No land use issues are anticipated. 03/09/2007 04:39 PM SROBERDS ---The site plan as revised, identifies appropriate setbacks. No further issues anticipated. Electrical load"calculations and elctrical permits are required. Connection fee $410.00. 02/28/2007 04:51 PM GMCLAIN ---------------------------- Servce will be from pole on Cherry Street. 02/28/2007 04:51 PM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works p~ior to back fill of ditch. 24 hour advance notice is required. \' ;t. ~ 1<1 -{, Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE 1000.00 4.50 COMMENTS! ACTION NEEDED ELECfRICALPERMl;r INSPEqlONRECORD ( .t~ CALL 417-4735 FOR ELECTRICAL INSPECTIONS. <PLEASEPRO:vIDEA~24 HOUR NpnCE. IT IS UNLA WFUL TO COVE~.. INSULATE'OR CONCEAL ANYWORK'lJEFoRIt'rtIs INSPECTED AND'ACCEPTED. . ,,0 , - "",'~'AA:,~:j!~~~: ~!i:~~~,~:l~~~:~~i::~::~_: -- ;~;:. ,': ..: ~~~~. .~.~~~t~~~itf~'~~' ..~l;.~'~ '''c~~,.~:~~.::~_ ;, t~> ::~,~:" k" 7' ';' , - ,: ~.. ;':: ~::~'7-"i':' ..,~ ;' . . -'."'~:'"'": .-,:- KEEPPERMITCARD1>JID APPROVED'PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO . 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CALL 417 -4735 FOR ELECTRICAL !N'SPECTIONS,,'P.LEASE PRO\'IDE A MINIMuM 24 HOUR NOTICE. IT IS UNLA WFUL TO cOVER. INSUHTE.JJR:CONCEAL At'lY WOR/{'IJEFORE, ITIS 1NSPECTED AND)icCEPTED. " , 4~:':"~~;:':~'f~:"~~2~-'f.1~.r:~1~~'~~:~~~~" ....>;. c.:' :: ~:: :-: ~~'~'~~~~'\'~2t~~~~ii,;~;,i~S .;~ ;.;,~:' f.'-,;2;<';.::~"",:~ :~~~;.;'J ':-~ ~. ':; , ' ". '~~.'. ~'::'::-.~.::~ ......:' .:- . .-.-. .......,~ ,'. -, ';' -. -'", -;. KEEP,'PERMrr CARD AN6]J>PROVED'PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO .b~Dt AL :~ "G~NERA(;roMME~~:'" ".. l-"-~,',' -,' ",- - ;'~~,..,,:,,<.;"'i" .- . 'f-. ", ~:. -i,~-~,~tI~~~'~:'~t;: ..Pii1il~~ii~)'~n;>W~i f. .' "<. :; .. ':"~..,,~ ~4"i~':,;~;c;'~: '~'];~~~t{ ;:" :;~~.~f::'. ~'.,.~, '';';:'0'' , " '-'''~'' " ::ii~:,:,~~:--if- ~:~;ff;~~ '~.' ~ ','" ;.., ' , ~,~__..' w. . 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I ZO <Xl ~ 0 I E-< '13 01'" I ul -u M M M ~o I UlE-<4; ..:IZ !-< a 0 0 0 4; I ~~~g]tJ..:I H ul 0.>< I ~ '- 0 OlE-< I ozzz~o. 0. M N '" ~H I ~0l0:;::4;o. >< ..:I ..:I ..:1 o.u I E-<UO 0. 4; p., E-< <Xl <Xl <Xl ,v.,~ J~ CITY OF PORT ANGELES PUBLIC WORKS . ELECTRICAL DIVISION :Q1 EAST 5TH STREET. PORT ANGELES. WA 98]62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning.. Application valuation 07-00000192' Date 502080 2316 S CHER.RY ST 06c30-09-5-2-2390-0000c GERl',LD SCOTT RES NEW SFR: 3/30/07 RS7 RESDNTL SINGLE FAMILY 148075 Owner Contractor SCOTT, GERALD 433 DUNGENESS SEQUIM, WA. SEQUIM J. MEADOWS OWNER WA 98382 Other struct info . TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE . PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF ,,uNITS 29.70 V~N" 2.00 6250.00 1855.75 1855.75 1. 00 Plan Check Fee Valuation .00 o ~ ~. ......... ~ Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY 60AMP TEMP PEN ELEC 98293 PENINSULA ELECTRIC 40.00 3/30/07 9/26/07 SERVICE Qty 1. 00 Unit Charge Per 40.0000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 40.00 ~ 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. 03/05/2007 10: 11 AM SROBERDS.- - The proposal will result in a new sfr in the RS-7. No land use issues are anticipated. 03/09/2007 04:~9 PM SROBERDS ---The site plan as revised. identifies appropriate setbacks. No further issues anticipated. Electrical load calculations and elctrical permits are required. Connection fee $410.00. 02/28/2007 04:51 PM GMCLAIN _c__________________________ Servce will be from pole on Cherry Street. 02/28/2007 04:51 PM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. l u: ~ 'L Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 COMMENTS/ACTION NEEDED ;! ELECfRICAL PERMIT INSPECfION RECORD "! CALL 4) 7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A lvfiNIMUM 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 tNSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW,II02.1' 14'96] . . ::""^.:::~F, '. '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ~21 EAST 5TH STREET. PORT ANGELES. WA 91\]62 Page Date 2 3/30/07 Application Number . . . . . 07-00000192 Application pin number 502080 Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged 40.00 .00 2234.50 2274.50 COMMENTS/ACTION NEEDED Paid Credited Due 40.00 .00 2234.50 2274.50 .00 .00 .00 .00 .00 .00 .00 .00 ELECfRlCAL 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.l 102.15 (4"J6] "~~;,;'~,~,~:;~;.,;,:,:~:::,.~,.;::;~.:' . :.. 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'" 0:;: '- '-E-< WO 01 01," '" '" <>:'"U 0 . Ol 0>: 'W I>< <>< ZO Ol ell 0 E-< '5 01[>, 00 -u .-< 0>:0 CIlE-<"; >'lZ Eo< 0 0 ,,; ~~~&1[L H Ul <><'" ~ '- WE-< OZZZO>:<>< <>< .-< ,"H ~W03:";<>< >< >'l <><u E-<UO<><"; I>< E-< Ol ~ ~ ~ORT ~ $.l.O~~~ ~ "- -=.. :-==- ~~ 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 Owner 3/09/07 07-00000192 . Date 502080 2316 S CHERRY ST 06-30-09-5-2-2390-0000- GERALD SCOTT RES NEW SFR RS7 RESDNTL SINGLE FAMILY 148075 Contractor' SCOTT, GERALD J. 433 DUNGENESS MEADOWS SEQUIM, WA. SEQUIM WA 98382 Other struct info . Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date OWNER 'TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 29.70 V-N 2.00 6250.00 1855.75 1855.75 1.00 . PUBLIC WORKS RES WATER SERV 96958 770.00 3/09/07 9/05/07 Plan Check Fee Valuatiori .00 148075 Qty Unit Charge Per 1.00 770.0000 EA PW.w/M 1" SERV 5/8" METER Permit . . . . . Additional desc . Permit pin number Permit' Fee Issue Date Expiration Date Extension 770.00 RIGHT OF WAY 96941 50.00 3/09/07 9/05/07 Plan Check Fee Valuation .00 148075 Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Extension 50.00 STREET ALLEY RESTORATION 96966 290.00 3/09/07 9/05/07 Plan Check Fee Valuation .00 148075 Qty Unit Charge Per 1.00 290.0000 ECH STREET ALLEY RESTORATION Permi t . . . . . Additional desc . Permit pin number Extension 290.00 SANITARY SEWER HOOK UP 96933 Separate Permits are requiredfor 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. . ~ . ~~ ~~. C)~ i'<\f\Q.o'1 Signature of Contractor or Authorized Agent Date Signature of Owner (if'owner is builder) Date T:\Policies\1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 2,4 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS , YES I NO . PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRlVEW A Y APPROACH I " BACK-FLOW DEVICE I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/vSE RESIDENTIAL DATE YES NO COM'MERCIAL DATE ACCEPTED YES NO CONSTRUCTION RW. / PWI CONSTRUCTION - RW. ENGINEERING 4 I 7-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\ll 02.15R [1/05] ff'ORT~ /O~\, C~~ L~ ~ ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Permit Fee Issue Date Expiration Date . Page 07-00000192 Date 502080 120.00 Plan Check Fee '3/09/07 Valuation 9/05/07 2 3/09/07 .00 148075 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. 03/05/2007 10:11 AM SROBERDS -- The proposal will, result in a new sfr in the RS-7.. No land use issues are anticipated. . 03/09/2007 04:39 PM 'SROBERDS ---The site plan as revised, identifies appropriate setbacks. No further issues anticipated. Electrical load calculations and elctrical permits are required. Connection fee $410.00. 02/28/2007 04:51 PM GMCLAIN ---------------------------- Servce will be from pole on Cherry Street. 02/28/2007 04:51 PM GMCLAIN ________________c___________ Sanitary sewer connection inspection is required by . Public Works prior to back fill of ditch. 24 hour advance notice is required. 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 ---------------~- ---------- .- - -.- - - - - -- ---------- ---------- permi t Fee Total 1230.00 1230.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 3464.50 3464.50 .00 .00 ~r Separate Permits are required for eleCtrical work, SEPA, Shoreline, ESA. utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\Policies\II02.15R [1/05] .' \... PERMIT.INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINHvll)ty124 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 I 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 OCCUPANCY/uSE 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] .' ... o'i- ~OR~~Q ~"'~'<", (),.~ L~ ---= ~IC~ . CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ ...J I Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000192 Date 502080 2316 S CHERRY ST 06-30-09-5-2-2390-0000- GERALD SCOTT RES NEW SFR 3/09/07 ~, ~ RS7 RESDNTL SINGLE FAMILY 148075 Owner Contractor SCOTT, GERALD J. 433 DUNGENESS MEADOWS 'SEQUIM, WA. SEQUIM WA 98382 OWNER Other struct info . . TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 29.70 ~"A \ ! ~~ N?]' f""\ . . _m' /<!/" (: dl/ "-,-\ u;; ~ V-N 2.00 6250.00 1855.75 1855.75 1.00' ~.~ ~C -....: :J /? (.' / . " '-----'" Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 2781 SF SFR. 510 ATT GAR. 95992 1294.65 Plan Check Fee 3/09/07 Valuation 9/05/07 517.86 148075 Qty Unit Charge Per Extension 1020.25 274.40 BASE FEE 49.00 5.6000 THOU BL-100,001-500K (5.60 PER K) Permit MECHANICAL PERMIT Additional desc permi t pin number 96990 Permit Fee 111.60 Plan Check Fee .00 Issue Date 3/09/07 Valuation 0 Expiration Date 9/05/07 Qty Unit Charge Per Extension BASE FEE 50.00 1. 00 14.7000 ECH. ME- INSTALL 100- FAU 14.70 5.00 7.2500 ECH ME-VENT FAN 36.25 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 .00 50.0000 ECH ME-WOOD BURNING APPL. .00 -------------------------------------~-~~----------------------------------- Permit . . . .. PLUMBING PERMIT Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 96982 156.00 3/09/07 9/05/07 Plan Check Fee Valuation .00 o o~ ~ ~, ?;: "9~ , o tF ~ l>J .-- ~ V1 ~ (\) ~ c:2 ~ .....,.. ... Qty Unit Charge Per Extension 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 onstructibn or the performance of . construction. Signature of Contractor or Authorized Agent Date T:\Policies\1102.15 building pennit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD ..' ,.t. .. _~ CALL 417-48]5 FOR BUILDING INSPECT]ONS. CALL 4]7-4,73,5FOR ELECTRICAL INSPECTIONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANI' JFORI(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 FOUNDA TION DRATNAGE / DOWN SPOUTS PIERS I POST HOLES (POLE BLDGS.) PLUMBING uNDER FLOOR / SLAB ROUGH-TN WATER LINE (METER TO BLDG) GAS LTNE FTNAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS , CEILING I FRAMING , JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILTNG DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULA nON SLAB WALL I FLOOR / CEILING I MECHANICAL ROUGH-TN HEAT PUMY lFURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY; WOOD STOVE / PELLET / ClllMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKJRTTNG 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 ELECTRlCAL - UGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT . CONSTRUCTION RW./PWI CONSTRUCTION - RW. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUlLDTNG 417-4815 BUlLDING T:\Policies\1102 J.5 building pennit Inspection record05.wpd [1/412005] ,I ~ :f'POP~N. t~O~~~ ,. L --.... ~ 'tiit1C~ . CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number 07 - 00000192 Application pin number 502080 Qty Unit Charge 'Per BASE FEE 11.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1. 00 7.0000 ECH PL- EA. INSTALL WATER PIPE 1. 00 15.0000 ECH PL- EA. BLDG SEWER 1. 00 7.0000 ECH PL- EA.WATER HEATER Page 2 Date 3/09/07 Extension 50.00 77.00 '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. 03/05/2007 10:11 AM SROBERDS -- The proposal will result in a new sfr in the RS-7. No land use issues are anticipated. 03/09/2007 04:39 PM SROBERDS ---The site plan as revised, identifies appropriate setbacks. No further issues anticipated. Electrical load calculations and elctrical permits are required. Connection fee $410.00. 02/28/2007 04:51 PM. GMCLAIN ---------------------------- Servce will be from pole on Cherry Street. 02/28/2007 04:51 PM GMCLAIN ------"--------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. 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 1562.25 1562.25 .00 .00 Plan Check Total 517.86 517.86 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 4314.61 4314.61 .00 .00 ji 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:IPoliciesIII02_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD -~. ..~.. CALL 417c4815 FOR BUILDING INSPECTIONS. C/-\LL 4] 7-4,73,5 FOR ELECTRICAL INSPECTIONS. CAI,L 4] 7-4807 FOR PUBLIC WORKS u'TILlTIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER. INSULATE OR CONCEALANl' JVORR BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TlON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. ~ -:) , I, INSPECTION TYPE DATE ACCEPTED YES NO COMMENTS ~ ~ 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 FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS I ROOF / CEILING DRYW ALL (fNTERlOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL' ROUGH-IN HEAT PUMY lFURNACE/DUCTS GAS LINE WOOD STOVE I PELLET / CffiMNEY I 3 /11 I - ..B.Y" ") /1).. q / () 7 J )...[..- ~f5 hl'L, tJ'7 ~ LL I I I ~/t/ jtJ-'7 ~1?'/iJ7 I -J GL--- 5L0 FINALd-(q/O& DATE "dLL ACCEPTED BY: / tJ' I J-o, j 07 ..:JL-0 I $\-\ E; -ARw Av<..Jl)~Y W l'\1,{.. :f / t"1 /0 r J\A., (P/~ len ,)VV , q j/fE/o--' S{.J/ t FINAV< - ( i -08 DATE ::r (., L- ACCEPTED BY: ~ ~ - ~ ~ C\ ~ ~ ~ , u/;r9101 I(TL-V I MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SlURTING PLANNING DEFT. SEPARATE PERMIT #'5 PARKING/LIGHTING LANDSCAPING SEPA: ESA: 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./PW/ ENGINEERING 4 J 7-4807 CONSTRUCTION - RW. PW / ENGINEERING FIRE PLANNING DEPT. 417-4653 FIRE DEPT. BUILDING 417-4750 417-4815 ()2.. -I q rO<b PLANNING DEPT. ::T I......l" BUILDING " T:\Policies\] 102 15 buildmg penn It 1I1spectlOn record05.wpd [1/4/2005] S'8:1 0 \, 'l'l'\. , Phone: '~lrl() '" (d<b3 S "'7~2... Phone: 1>loO-U.CcC::> - OD83 e::i:\...\... Zip: ~~3~"2.. ate Issued: BUtbDING PERMIT - APPLICATION Fill out COMPLETELY and inlNK. Your application and site plan MUST r'E COMPLETE to be accepted for review. If yon have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: Owner: ~~~~L\) ~. S c...C\\ Address: '-\~"3 \)\)~C:E~e:6 t"\~(:)\f06City: ~ Architect/En gin eer: Contractor C!:JW J1e.y- Address: Phone: State License #: Exp: Phone: IJ. '3 /I/? 2..~ City: $, derr'~ ~r; Block: '2..3 Subdivision: ~O~~''l-~()\..~''s C~'3Da~SL.."2.."3qD . Zip: PROJECT ADDRESS: LEGAL DESCRlPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: ZONING: 'RS7 TYPE OF WORK: \ ~ SIZENALUATION: ~Residential ~NewConstr. 0 Re-roof 0 Stove \~5\ SF.@$ c;c;oo /SF.=$ ,430S.0C Q ""7 __@d1$ ..,i S' 0 e- o Multi-family 0 Addition 0 MoveD Garage 1..17\'2-.JU SF. $ ~,,5 /SF.= <0' to O. o Commercial 0 Remodel 0 Demolition 0 Deck ''5 \ 0 SF. @ $ \1....(.)0 /SF. = $ 1.0', \ 20 . 0 Q o Repair 0 Sign 0 Other CA~~' TOTAL VALUATION $ \ ~<2. D'S. cl:> BRIEF DESCRIPTION OF THE PROJECT: N~ ~'5.\'\::)1G~~ ,'N~ ,,:>,c.~ ~('t\.~ - "'\140 cf\Q.. G~~~C,e- . COMMERClALIRESIDENTlAL: Occupancy Group: No. of Stories: 2.. Lot Size: b2-50.' Existing Sq. Ft. Total lot coverage~~., 1- ~ :. I/-f.( '0 Occupant Load: Const~ction Type: ~~\ ~ \~ L ~ & Proposed Sq. Ft.'-'j ~~t-7.$TOTAL Sq. Ft.1i333~ 7S- - . PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: ESA/Wetland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: FIRE: -- OTHER: - VALUATION OF CONSTRUCTION: In all cases, a valuation amount mustbe 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 pennit application and construction plans are submitted. All other pennit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no pernnt is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized tQ apply for this permit and understand that it is my responsib' 'ty to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. Date: '2..{J ~ ~ l T:\FORMS\BldgPennitforrn.wpd Applicant: I i I ,. . ~" '-:-: , , , r _ ~~"l_ , , ! :- 1 '" '....,. ',,, , , T i '''''''' .'1 /, c...." ~ v j J , ""', <-"'>.Ndt 1-7\10 ! L'w1~ I~ . .L_.. 1_" ..,.... ') f -/ ,J :.'>">>>'''(" , I ,:~<",.~ ^",~ , r <>~..", ~~ :' "', -...........: . .. , '-, ." '1' '-- I f - - - - - - - - - -Hancock Ave~ _ _ _ _ _ _ _ _.._ ":" ~j ~ <. 'I f ,. I J, 1""'-/"-' . ! < . . , . , . _W'"",,,., ""'""""'f . y,,~ N, ' -.....,.^...............'~,,,^- .- ! i , m.f ,,' r"" t~, Y'",o .'^ '~,~, ..........."../ If"''''"' ;, . , . ' , '. . f ~', ,m I ", I I < ; , l t I .; "'" L.. I , l i "'r -'" I .," ~". ',>, ,","""~ .' ~ r ., 'I' . , ..1 "'_. 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I Ii Ii ~ f; ! , i, f, & ~ . E ' ~ ~ I I I! +l . =_-- --~__i~s:~'~~~~'L~--~ ______~_H ______ I __~~_~~Q_~~ \~S:.5~ ~'-~~ Q:,~~ c~ ._~~~---- _____ __ li~~~I-,-~-~~\:)~ ~,,",\<...~_c... \-\ ~...:)~ ~ ~_~__ ___ -eiiJ ~~~~~ 3:.<::>__ c::..~~~~ ~~_,__ _ u_ I CZ1> '2...~ \~__~~:-o3'~_ ::ID__ '=\ YL ~~_J...~~ \ CSTS ~___________ ___.__~ ~~<:;::)~ ~"-~ \a~'4f ,"2- ~ \\\2. __________ _._______ __~~ --::.:s:, ~C3:.~~~ ~~~~~~~ 3<:::> c__ro~~~ES\~~'-- ___ ~~S.':H~~S'\\~5.. ~ ~~~ ',~ ~~~~~~_~~--~~~"")......--- _______ e-~~~__~\....6~~ ~~~~__~~~~~_~~~~~-=~~ _______ =" _~~~~ __~~52:__~~\:)__Co~\:\~~ ~\~~ L~~~_~ ~\jL.-~-'-\C-\:l----- _______ ~~~<;... ~....~U~L __________ ~~~~-5_ ____6 aQ.,.~-S-c...,G-, t_ ------ - --- ---.._- ----- -----.----- - - -.--.- -------.--.- ---------- --- ----- - ----- - -~ r ~~OIIT~ lO~~ ~ . --- "<.;;;>' CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 07-11? Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property zoning Application valuation 07-00000192 Date 502080 2316 S CHERRY ST 06-30-09-5-2-2390-0000- GERALD SCOTT RES NEW SFR 3/09/07 1--?lv5~ RS7 RESDNTL SINGLE FAMILY 148075 Owner Contractor '5 c o.:J;:;b SCOTT, GERALD J. 433 DUNGENESS MEADOWS SEQUIM, WA. SEQUIM WA 98382 OWNER Other struct info . TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 29.70 V-N 2.00 6250.00 1855.75 1855.75 1. 00 Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 96958 770.00 3/09/07 9/05/07 Plan Check Fee Valuation .00 148075 Qty Unit Charge Per E~t . 1.00 770.0000 EA PW W/M 1" SERV 5/8" METER 770.00 ------------------------------------------------------------------ ------- Permit RIGHT OF WAY Additional desc Permit pin number Permi t Fee Issue Date Expiration Date 96941 50.00 3/09/07 9/05/07 Plan Check Fee valuation .00 148075 ________=~~~___~~:t5~h~~~~_E~~r__RIGHT_~F_~~:_~~~~=:______________E~. Permit STREET ALLEY RESTORATION Additional desc Permit pin number Permit Fee Issue Date Expiration Date g./\ 96966 290.00 3/09/07 9/05/07 Plan Check Fee Valuation .0'0 148075 ________"Q~;___Unl~9~h~~~~_E~~:__::~~~:_~~~~:_~~::~~TION________~ Perml t SANITARY SEWER HOOK UP Additional desc . Permit pin number 96933 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 ifrequired inspections have not been requested within 180 days from the last inspection. I hereby certify Ihat 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 10 give authority to violale or cancel the provisions of any state or local law regulaling construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signalure of Owner (if owner is builder) Date Bpolicies\] IOZ.15R [1/05] ...Ofl'ORT~ $~~ ~ . -- ""'C_ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Permit Fee Issue Date Expiration Date 07-00000192 502080 120.00 Plan Check Fee , 3/09/07 vaiuation 9/05/07 Page Date 2 3/09/07 .00 148075 Qty Unit Charge Per ~EX 1.00 120.0000 EA SAN SEWER HOOKUP 120.00 ---------------------------------~------------------------------- ------ -- S~ecial 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. 03/05/2007 10:11 AM SROBERDS -- The proposal will. result in a new sfr in the RS-7. No land use issues are anticipated. 03/09/2007 04:39 PM SROBERDS ---The site plan as revised, identifies appropriate setbacks. No further issues anticipated. Electrical load calculations andelctrical permits are required. Connection fee $410.00. 02/28/2007 04:51 PM GMCLAIN ---------------------------- Servce will be from pole on Cherry Street. 02/28/2007 04:51 PM GMCLAIN ------------~--------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. -----~~~~~-;~~~--~~~~~-~-~-~-~-~-~--;;~;~-;;;;;~-~;~;~~~;~.o; ~ STATE SURCHARGE 4.50 PW WATER SYSTEM USE FEE 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- Permit Fee Total 1230.00 1230.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 3464.50 3464.50 .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, jf 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. Date Date Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:\Policies\II02.15R [lIDS} CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . INSPECTION REPORT. . . . . . .~ REQUEST: Date / p-I t-tl7 Time Received by (phone, person) Location of Work to be inspected ~ ? I (/ :; ~/I/I...r 1 Name of person requesting inspection ~..en/>.A1 ~ . Address of person requesting inspection Phone No. ifl;O ~6() 83 Type of Inspection (circle appropriate one): Permit No. 0 - q 2... Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other Inspected: Date Remarks: INSPECTION NOTES: ICl-1 Z-IJ7 Time By RV fZ,-fL!-o-l K to-~ ~ () 0 UY RESTORATION REQUIRED . . . . .. YES NO )( SURFACE RESTORATION: SURFACE TYPE: [] Unimproved 0 Gravel 0 Asphalt [] PCC [] Other o Repaired by City [] Repaired by Permittee [] No Damage Found Work Order # [] COMPLETE [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE I ~ . . . . . CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT . . . . . . REQUEST: Date ,z:;- (~o 7 Time Received by "V (phone. person) Location of Work to be inspected 2.'5 t h So, Name of person requesting inspection _) 6< "'- Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing eherrY:;1 '( /R,~ V,,-,oV\ I - Phone No. Permit No. Final ~we~. Other cr7-1 '?Z INSPECTION NOTES: Inspected: Date 5- 2...'-1-07 , Remarks: New Ic>.r tH\ MA,t'^ ) I/Vle) q// :j>y'~ +-0 /'ou-se... Time ",'/?V~ ~~W\ By RV /M,a.'", +0 -Pvaperl}' , , . RESTORATION REQUIRED. . . . .. YES NO X 1'/1/ ~t 1\ L I,J!-<<'I j~ ~,,'.f 4t J~ Z1.~:D s'do..",(> ,JO'L~ We- t l{ , /7 F: 'f/L ' ,,<;"r"~~ 13 ---t\). .!I' A.Ju>i c." rYc... .,0 0 z,1.-$ -.tJ'I--- I 1.1$ 2,.~, r.a." "7~ M1f-! ~ w.> ~MQ'''' fc."<...OA<-, c..vpJOr> A,,' ~"'r~---+1 , .'? 12 Jo.a.f ct).-\ ,,, SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other 1-"1 " ~ o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) >. "-"'). \. r- \'"i'- . I .~ 'P ,;:',.. ~ I' ;~h -It ...~ " l , j~ :~ ';..~ ~ "~ j ~\l '1 ! ~ t/ 1 .~ ., j < , ... J" , ;iI.i ~, ~. ;)' . - ..-if ..'<{~'~""", f ., . '#..;" ';' __,;1:. C.q,'f''. '.' .Jl<.';": .' ,}~-:: . ~~, ~'-. ":", ;., .' i::, :" .;';." '. '.., ':..<<.:' ~ it~.. '~~ ~ ,", :w I t~ , .. ,1':f 2L., '~" "'. 'r.~.t"'f~~ ,; ,4" ""'~' . ", 14 J..J ,__ ,'" t .~ ~ ,;.. . .~. ., . ...,. .. :.' ,~ "j.':,f,..;, .;,.,11'. .;.tt=/. r~;' , p.,,:.. p' :~:.: ~.;'... .~-, l' ~. T . J'~ ) ~ ;'_ , ~fl -,:,"",J.;..~ '-:, j:~~\:-:,'. '''' . t ',' . .~. ~1 ., -, I .\ ) ". "~- -;.' ~ f.~" ;~!R' ''''"i " ., . , ..... - .-!~ - - ~ ,.... 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''\j '" Ipermit Refund I Adjustment Date: _12-17-07 Cashier 10 _ TOWEN_ Payment Type _CK_ Check# _1019_ Receipt # _27170_ Reciept Date _3-12-07_ Permit Application # _07-192_ Fee Type _PF Adjustment Budget Code _10272303221032_ Budget Code _0_ Budget Code _0_ Amount _$290.00_ Amount Amount Refund Amount _$290.00_ Posted Fee $5026.75 New Fee $4736.75 SEND TO: _GERALD SCOTT _433 DUNGENESS MEADOWS _SEQUIM, WA 98382 Phone # Description: _PERMIT REFUND ON ALLEY RESTORATION - .--r I / 0 Date /l./tg!o:r Approval Signature ,,",l"b-l( - 1:\Rvess\BLOG.fonns.brochureslPERMIT REFUND V ' ( CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . INSPECTION REPORT. .... REQUEST: Date ,:J-7 - 08 Time Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other s s, Received by (phone, person) INSPECTION NOTE~'l!2 ~ Q A-f T73khoon Inspected: Date :;:J (;) tJa Time By !<V Remarks: ~/"t ""I 2 - e.-oS oK S=",-,e I 5-2'1-0; D".~"~"""a..>, 12-/4- 67 RESTORATION REQUIRED . . . . .. YES NO X SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) C""TD~~T t'lln~r'Hl\IT-=A.n"'-=l\IT ''''ftTel May 16 07 0831a Dave's Heating & Cooling 360-452-0939 p,1 0(\ (fc 5,':-"", 0) -."- -~ ~~=~i ELECTRICAL WORK PERMIT APPLICATIQN Job wired by [J"'Electrical Contractor 0 Owner Installation description Q Commen:ial (!(Residentlal ElectTical contractor name License number Dille Expires Dave's H-e.a.-.f1'",'J- X>AI/EsHc'1'1{;),c. :s-lo<J ?u~ha5~r'ii mailing addfess [0 801e Llt'3 Cit", POrk A-h.~L...sr T~lephonc number 3bo--'-f5;;-0'13 I]('New D Altered/Addition Stale ZIP cuA- q':ir3(,;;. /OUJ va I+a.c:r ~~O~,+ J,' FAX number Pnmises owner's name G. e. .... .... Jl/' 5 Co + +- Address: or inspec Ion .?31(P 5. Che..r.-<gt c;'p, j _ _ o r"\'- ~ cyl2-llI.-S I c..u A Pllone qDmber 10 schedule inspection: qg3'~ ~ o-C50%3 Owner as dcjiP1ed by RCW./9.28.26J .-(1) QI.'/llcr wifl occupy tilt" slrrlcturo: for IWO years after Ihi.. electrical penn:1 j!) jit;ali=cd (2) OWller is reqllircd In hire: an dectl'jcol contractor ~f obo\'e said prop<!r-ty is for sa/e-. ren' or lease. Afler reading the above stati:mcnl, ! hereby c~rtify that r am the owner of thc abo,'c named property or a licen.s.cd electrical contractor. 1 am m.aking the electrical instal- lation or alteration in complianc(; wlth the declrical laws. N.E.C., RC\,,"'. Chapler 19.28. WAC. Chapler 296-46B, The City of POri Angeles Municipal Code. and Utility Specifications, Signa rc of owner, electrical conlr:actor or electrical admin"stntor Q Cash Cl Check # s&ditCard @ Card # Mastercard Discover ---------------- x Date: Or Expiration Date of card inspection f~e $35= Elect al Loa Add' ions and or subtractions (J NO OAD CHANGES (CJ~aseboard~KVV~ , .lB' Furnace LE'tf:W ""'------.... Ul'Heal Pump ~ Ton J.:l.. LAR-I! (J,Fan'Wall - '=KW''"------' Service Information o Overhead Service o Temp Service D Underground Service Voltage PhaseD 1 03 Service Size: _ Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-4]7-4735 Jt.A ROUGH-IN ~ 6 0 7 ,;iJ1 D;!t" Appr,,"oJ ll~' THERMOSTAT SERVICE I)~.e Appro'cllO)' Dale Aprr.Jo"': By ) zJ~7 FINAL 'lci?' Al'llfO"Cd ~~. \. DITCH Appro,,'., j FEEDER DJIt: o-.I1C ^~prc>,"Cd lJ~ Inspection Date Ara. Building or Equipment Inspected Action Takcn EI~ctrical (nspector q- ." 007 LIGHT OEPT. LIGHT DEPT. ELECTRICAL WORK PERMIT APPLICATION Job lVirell by Electrical Contractor"" 0 Owner Installation description o Commercial Or\((:1.... .- , EI ] contra~tor ~lamc c.,.1 (). License nl.l..mber VA \"1\:::>1.0.'" GI.u)'-{ \ (.., feN\,^.k Pu'~sGt)a;~~~~ \J).Q-i ~c-J\:- Dale Expires qQ'OoG ~ew o Altered/Addition ~~ stat]:: CfCf; 3<.0 "3 l(l)~ - \-f4 DJa",tiL<:...D '( (\ \-.Q.. ~..tl..v:, Telephone number 3<.,0 -l(li-\((P\.\ Premises owner's "Ff .-.Ll- (,,~v;? x..:,~ \ Add"s.~ec,;on<._ r. _A --:):~ ~Ul{) 'Or c;~ ~ .J . l\ J~~..v" \0c.... Phone number to schedule info cti?'V 3t.. - - \ '-\ Owner as defined hy,RCW/9.28.J61:(I) Owner will occupy the strucfllreJor two years after this electrical permit is jinalized. (2) Owner is required /0 hire an electrical cun/raetor if above said property is for sale. relit or lease. After reading the above statement, I hereby certify that I am the owner of the above namcd property or a licensed clcctrical contractor. I am making the electrical instal. lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapler 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specific ~gnatu ,Of nw... e'Wxr nr el~t:;:;:;:;~:tnr FAX number .-. , o Cash 0 Check # ~reditCard Visa Mastercard Discover .Card # Expiration Date of card ~nspe4iDfe~ Service Information Electrical Loa Additions and or subtractions o NO LOAD CHANGES o Baseboard KW a Furnace KW o HeatPump Ton o Fan-Wall KW LAR o Overhead Service D Temp Service o Undergmund Service Voltage PhaseD 10 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ( -.. SERVICE " ~_OUGH-IN, ./:V" THERMOSTAT (}~5XJ::r """-'Dale Approved By 'C Dale Approved By Date Approved By / FEEDER " 4/':/ I, FINAL Dffal ~ . J') 7 I.. .J.{/;' at ~ Approved By 'C Date Approv-ed By Date Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Datc Inspector . , 1 :"- {4 ~/\ ,.- Job wired by ~~"t~, ..~# ..~ ~~..; t-~"",,;r-'" at Electrical Contractor 0 Owner ELECTRICAL WORK PERMIT APPLICATION, , Electrical contractor name ilt,V\\.WM,\u. 0dv,-<. License number Date Expires ?LV\~~~ -jf<(4eud c..:n--<.JI. Installation description o Commercial g/Residcntial ~ew 0 Altered/Addition Purchaser's mailing address 'luO hL?I.-~-W' State ZIP ~'i:. tv<\.. C(~Co3 . City \>u...+ ~..J.....> Telephone number ~l!i(}-l{l -l (~I.\ FAX number ____ Premises owner's name ~v''''''~ 7c.c,tt Address of in pecllon -Z- 'Slll> s c..1...e.v....'j CH?c.-v \- k~ .J~ Phone number to schedule inspection: <eO- ,- ~ ~hO- ~ S - -:,~ tM.. l(~ 3<:.,2.. Owner as defined by.RCIV./9.28.261:(J) Owner will OCCIIPY the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said proper~j! is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owncr of the above named property or a licensed clcctrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. Sig7f owner, electrical contractor or electrical administrator X (~u.A Date: 5"'-7..1-0, Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW o Cash 0 Check # ~edit Card Visa Mastercard Discover Card # Expiration Date of card Inspection fee $ 5' ':!P Service Information o Overhead Service o Temp Service o Underground Service Voltage PhaseO 103 Service Size: Feeder Size: __ SAME DAY INSrECTlON, CALL BEFORE 7:00 AM 360-417-4735 ROUGII..I~n " ~ THERMOSTAT SERVICE Dale Appro'cd By Date Approved By FINAL ZhJD~ ~dBY D1TOI FEEDER Date ApprovcU Hy Date Approved By Inspection Date Area, l3uilding or Equipment Inspected Action Taken Electrical Inspector $ o~ " ....- " ~{lORTAt\o: ....~O~Q~ a,~-. ~ ;' 'IiiiiI "'01I....-~fI'J Go 'L IU ~/C'~S "'ORI(S&o~ ADDRESS 2-;'1 .---.: ELECTRICAL INSPECTION WIRING REPORT 417-4735 PERMIT # INSPECTOR Dl - lCf 2- T<W? ~L-I'E.CS(C C ~ APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . .. . . ... . . . . . . ROUGH IN/COVER. . . . . . . ... . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D.....................AN~....................D CORRECTIONS NEEDED Go r-c.. \ <(\2.CTEG fop<.121'1"'E C>"\.)'II...:lZ:.TS ~~ :S,N t-.t~ OU'\L-\'Z..T Nt.. c..... 2.\ () 0 8 .J; 2. .yl)(-~'V'\I 2) >4 2. ~Fj fL.\!. S>rl~ I... D 'D1.,.rb~1:? L- OOY.Jl::.. NEe. 3/i..fo ZO jZ" JJTe.Y CoII'l'E..J"Z.. ?L..A'i~c... JIO -311.L"Z;~~ -""\\)12, {J..C4f:.'77A-'J;?,IL.;~ ~fZ.- MD'Thrz..-. i~l 01'-1 4B- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 PREPARED 5/17/07, 13:36:06 CITY OF PORT ANGELES PAYMENTS DUE RE~EIPT PROGRAM BP820L APPLICATION NUMBER: 07-00000192 2316 S CHERRY ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- . RES OVERHEAD SERVICE FEE 410.00 TOTAL DUE 410.00 b t~tf-u. 5~o'l( Lft.o - cae::, ~ease present this receipt to the cashier NOTIFY ElECTRICAL INSPECTOR WHEN RECEIPT IS PAID 411-473S with full payment. Chu.-w 5-/7-07 CITY OF PORT ANGELES ... CUSTOMER RECEIPT ... Doer: CASHC TVDe: CT Draw'r' 1 Date: 7/30/07 03 ReceiDt no: 79959 Descriotion Quantitv 2007 i92. BP BUILDING PERNITS 1. 00 Hoount Trans nl!l!ber: SCOTT, GERRY 2316 S CHERRY ST Tender d,tail CC CREDIT CARD Total tendered Total paYlent 1410.00 &34331 1410.00 1410.00 $410.00 Trans date: 7/30/07 Ti,e: 13:3&:2& ... THANK YOU FOR YOUR PAYMENT ... FOR INQUIRIES 360-457-0411 PRESS ZERO WWW.ClTYOFPA.US WF0065789 / 001 City of Port Angeles Il-J.;:Q..'.DATE: 04/03/07 SCHED START: 04/03/07 SCHED COMPLETION: CREW: Electric Inspections - CX EINS LOCATION: 2316 S CHERRY ST SUBDIVISION: REQ DEPT: REQUESTOR: SCOTT, GERRY REQ. USER: CASHC ELECTRIC METER INSPECTION 04/03/07 PAGE 1 12:14:55 04/03/07 158806 98362 AUTH. USER: pRIUK.Llt: ORIGIN: CASHC LOC ID: LOC. ZIP: lVleOlum In Person WORK TYPE: ROUT -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- PRIMARY CONTACT INFORMATION SCOTT, GERRY 433 DUNGENESS MEADOWS SEQUIM, WA 98382 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ELECTRIC METER INSPECTION CATEGORY: CS-Inspections TASK: ELECTRIC METER INSPECTION DEPT: FN-Customer Service SCHED START: 04/03/07 CUSTOMER: SCOTT GERRY CUST. PHONE: (360j 460-0083 (360)460-0083 INSP ELMT FNCS COMPLETION: READY CUSTOMER ID: 04/03/07 797 SCHED -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- START TIME: .. START DATE: ====i====i==== UNIT OF PRODUCTION: COMPLETION TIME: . . COMPLETION DATE: ====i====i==== QUANTITY: ---------------------------~----------------~----------------------------------- ----------------------------------~---------~--------------------------~-------- DATE --------LABOR------- EMPLOYEE HRS OT ---EQUIPMENT-- NUMBER HRS ITEM MATERIAL ------------- QTY COST 36041727,33 5T OF WA L&I 08:21 :54 a.m. 04-04-2007 ...... " ,:-, 84/B312BB7 11: B3 36B4174729 PORT ANGELES CITY LT PAGE B1 3/9 j , !ttt.: ,\1 I (i" .'C, CITY OF PORT ANGELES,;:,./.:;.,:" ,: ' :,':,' LIGHT D/V/S/ON';@\:,ii' ' . '.: (~:~.M~,~1~ . ':,f~-i~~ i:': , "\ ~ .ji I H:' :q, :~d " . ~ iWl";"' ;'1.. . t: i.. ~ ' . ... . , . , ., 'I'~~: :"; :f~ ~ " Date;, I ,)ifi4/'J/07;; '. . , :: , ;,~.. l. ':i~J$j ;i';'-::trif::. '":'- . . To: '1 i: -';;':~lfabOr~&' Industries ',. .-. Fax: ' 417-2733 l'i: :f. :}~:EiiJ i.' :',u :;i~lf~ FAx: TRANSMISSION COVER SHEET .L'.-, :~-,~:", : L-';. : ti.' : 11" ! ~ t ~: : '":""", . i+ . ., Re: Sender: Inspections Kathy Trainor Phone: 417-4724 Fax: 417-4729 YOU SHOULD RECENE 1 PAGE, INCLUDING THIS COVER SHEET. IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CAlL (380) 417-4724. Please inspect for: T y, Peninsula Electric 47 - Thank you, Kathy " ! ! i. I j' ! , I ; " I : ,I: I " CITY OF PORT ANGELES LIGHT DIVISION FAX TRANSMISSION COVER SHEET Date: To: Fax: Re: Sender: 3/30/07 Labor & Industries 417-2733 Inspections Kathy Trainor Phone: 417-4724 Fax: 417-4729 YOU SHOULD RECEIVE 1 PAGE, INCLUDING THIS COVER SHEET. IF YOU DO NOT RECEIVE ALL THE PAGES, PLEASE CALL (360) 417-4724. Please inspect for: Tony, Peninsula Electric 477-1764 2316 S. Cherry Temporary service, 60 amp overhead Thank you, Kathy