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HomeMy WebLinkAbout2317 Jeri Lynn St - BuildingNAME OF PREMISES L 8 R/) 7/ A jr L/4 A I i v C r'_' SERVICE ADDRESS 3 E A' R I t ti /1/ /f1 f LOCATION OF DEVICE. r; A/ Z r 7- L�A S T /r I,/A L X /14 Z 7 C /F ASSEMBLY (A/ it E /VX 3/c4 i Manufacturer Model Size Serial No. IS THIS AN APPROVED ASSEMBLY? YES 040 IS ASSEMBLY INSTALLED CORRECTLY' YES 0'r (1O 0 DATE OF INSTALLATION A t v G UNKNOWN❑ REDUCED PRESSURE PRINCIPLE ASSEMBLY RP RPDA DC EY DC DA PVB Air Gap DOUBLE CHECK VALVE ASSEMBLY SVB AVB CHECK VALVE #I I CHECK VALVE #2 I RELIEF VALVE I PVB /SVB Initial Leaked Leaked Did Not Open AIR INLET 6'1. Closed Tight Did Not Open Test Held at cri psi Opened at psi Held at psi Opened at psi Repairs Details AIR GAP INSPECTION REQUIRED MINIMUM SEPARATION YES NO COMMENTS /A!) Initial Test Repairs Final Test Cleaned Replaced Date Time Tester G WHITE CUSTOMER COPY Backflow Assembly Test Report City of Port Angeles Public Works and Utilities Department Water/Wastewater Collection Division Cleaned Cleaned Replaced Replaced Final Closed Tight Test Held at psi Held at psi Opened at psi Signature 3 psi ButTer YES NO Cert f YELLOW PURVEYOR COPY CHECK VALVE Leaked Held at psi REPAIRS Cleaned Replaced Official Use Only Assem.# Received AIR INLET Opened at psi CHECK VALVE Held at psi BACK PRESSURE NO YES TYPE OF HAZARD 1 (2 1 'e Line Pressure f7 fi psi Held Backpressure YES Id NO #2 Shutoff Held YES NO Relief Valve Exercised YES NO Test Kit Passed Failed 9 //2/4 i 7 6'" 4 of l PINK TESTER COPY 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 CHRISTIN LAWRENCE CHRISTINE M CHANG 1131 COLUMBIA PORT ANGELES WA 98362 (360) 452 9719 Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 1 00 Signature of Contractor or Authorized Agent T \Policies \1102 15 building permit spection rccord05 wpd [1/4/20051 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 7 0000 ECH 7 0000 ECH 07 00000587 663540 2317 JERRI LYNN ST 06 30 01 7 6 0310 0000 CHRISTIN LAWRENCE RES NEW SFR RS9 RESDNTL SINGLE FAMILY 140917 Contractor HI LINE HOMES 11306 62ND AVE E PUYALLUP (253) 840 1849 TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS PLUMBING PERMIT DOUBLE CHECK BACKFLOW 105304 64 00 Plan Check Fee 6/29/07 Valuation 12/26/07 BASE FEE PL- EA INSTALL WATER PIPE PL -OTHER BACKFLOW 2 Date Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background All homes in new subdivisions that are outside of the Fire Department four minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA) 06/12/2007 11 25 AM SROBERDS The proposal will result in new sfr w /attached garage for total lot coverage of 24% in the RS 9 zone FIRE SPRINKLERS are required No other land use issues are anticipated Electrical load calculations and elctrical permits are required Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete 6/29/07 24 40 1 00 9000 00 2200 00 2200 00 1 00 Extension 50 00 7 00 7 00 00 0 Date Signature of Owner (if owner is der) 1 \-Go n S e,cA4 rat/4 a (fr 0 9 Lvd,a_ P 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 0 6 494? Date C 5 S� V PREPARED 6/21/07 16 19 40 t CITY OF PORT ANGELES APPLICATION NUMBER FEE DESCRIPTION PLUMBING PERMIT 07- 00000587 2317 JERRI LYNN ST AMOUNT DUE TOTAL DUE Please present this receipt to the cashier with full payment .-\0\rf) eff- C c s 6(\e C-aA\ lOne)C- \)LtS 4\e- cDA)ko; c_ k 5 1? V Ci,,CAL,C) tr-.) Cie- A Vc-x- Ael\--0-05_ a-1,000A- v,:)Cni.. ic.)) ns \i--\--) L SD" k s 0 e,,ocs e c 0 A $o 3 ,ice wder Vicifc, lirl 1p h S Ve, C)\--- Ak\e., C",\40 0 d L -7,-L4s\, YY\e) \no_-\i-e- Y 1v‘, u 4 PAYMENTS DUE RECEIPT n r Z-o`uicn PROGRAM BP820L 64 00 64 00 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation T \Policies \1102_15 building penult inspection record05 wpd [1/4/2005) CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00000587 Date 6/29/07 663540 2317 JERRI LYNN ST 06 30 01 7 6 0310 0000 CHRISTIN LAWRENCE RES NEW SFR RS9 RESDNTL SINGLE FAMILY 140917 Owner Contractor CHRISTIN LAWRENCE CHRISTINE HI LINE HOMES M CHANG 11306 62ND AVE E 1131 COLUMBIA PUYALLUP PORT ANGELES WA 98362 (253) 840 1849 (360) 452 9719 Other struct info TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background All homes in new subdivisions that are outside of the Fire Department four minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA) 06/12/2007 11 25 AM SROBERDS The proposal will result in a new sfr w /attached garage for total lot coverage of 24 in the RS 9 zone FIRE SPRINKLERS are required No other land use issues are anticipated Electrical load calculations and elctrical permits are required Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete WA 98373 24 40 1 00 9000 00 2200 00 2200 00 1 00 Permit PLUMBING PERMIT Additional desc DOUBLE CHECK BACKFLOW Permit pin number 105304 Permit Fee 64 00 Plan Check Fee 00 Issue Date 6/29/07 Valuation 0 Expiration Date 12/26/07 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 1 00 7 0000 ECH PL -OTHER BACKFLOW 2 7 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 fora period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last r inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of C' laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not 5 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 bC1der) Date 0 CALL 417 -4815 FOR BUILDING INSPECTIONS CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE k MINIMUM 24 HOUR NOTICE. IT IS UNLAM FUL TO COVER IA'SULATE OR CONCEAL ANY WORE BEFORE 1 INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. ELECTRICAL LIGHT DEPT INSPECTION TYPE DATE FOUNDATION: FOOTINGS SHEAF WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /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 ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \Policies11102 15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD YES ACCEPTED NO MANUFACTURED HOMES FOOTING SLAB BLOCKING &HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT 4's SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE RESIDENTIAL DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT COMMENTS FINAL DATE ACCEPTED B. FINAL CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED YES I NO Application Number Application pin number CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00000587 663540 Page 2 Date 6/29/07 Other Fees SEWER SYSTEM DELV CHARGE 1000 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1230 00 Fee summary Charged Paid Credited Due Permit Fee Total 64 00 64 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2234 50 2234 50 00 00 Grand Total 2298 50 2298 50 00 00 Separate Permits are required for electrical work, SEPA, Shoreline ESA, utilities, private and public improvements This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T Policies \1102 15 building permit inspection record05 wpd [1/4 /2005] FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE/ DOWN SPOUTS PIERS I 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 ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417-4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I I BUILDING 417 -4815 I T- \Policies11102 15 building permit inspection record05 wpd [1/412005] 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 4NI' WORK BEFORE INSPECTED 4ND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO 417 -4735 ELECTRICAL LIGHT DEPT FINAL 62 ?DATE FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. ACCEPTED YES I NO I I I I I I I I I 01'" o "- Ltl o "- ri ~~ <-'E-< <(<( 0.0 "'''' .,.ri OJr- ri'" , , ON .,.Ltl OJ.,. >< ..:1 ~ ~ H ..:1 E-< ~Ul ""~ 8~ E-<..., Z O~ HO E-<E-< UU ~~ 0.0. UlUl ZZ H H 010 Ltl'" N01 :> H o [g Ul ~~ ZZ 00 :X::X: 0.0. '" .,. 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CITY OF PORT ANGELES * * Correction' Notice Job Located at ;23 17 :::rcee-~ LyNv.J 5r Inspection of your work revealed that the following is not hi accordance with the'codes governing the work in this jurisdiction: !(IT?' ~ ~A/ Ex HP9-<< )/- ;)f,/ ~ r ~ 1~-.tJ? ~;V5i'i " c /}2/{)1'2 70 ~s- CL~ /4-r7("7A/ CJ?:- r "1 D j)o /Vo / - C::~(/~L These corrections must be made and are not to be covered until reinspection is m~~e. Whep corrections have been made, please call fL/ l- -YB/-S- for inspection. Date /~7 / ~-6. " Inspector for Building Division DO NOT REMOVE THIS TAG .,.r- 0 , 0 .,. \D ~ \D r< r< M r< , r- 0 '" r< .,. r< W 0 W r< ~ ~ \D Lfl Lfl r< r< Z r< Z WW CIl CIl \f\ t'JE-< W 01 H W H <C<C ;:;: ;:;: ;.: ;:;: ;.: o.Q H H H E-< E-< W E-< W ;( > <C W 01 r- r- ..:l r- ..:l 0 0 0 "'''' , , E-< , E-< .,.r< Lfl N Z N Z <Xlr- N 0 0 r<'" , , Q , Q , , 0 r< H r< H ON r< r< 'Q r< .Q '" ~ .,.Lfl '" '" '" '" H <Xl.,. 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HHOHr"'-CO ~ o.<c 'J<C 'J<C ~ ;.: 'Lfl 0 ~Z Zr<O r<CIl MHIi::lHOO W 'JE-<ZE-< '0 QQ * -..:l (f)H(f)OQ WW r-r- r-r- r-r- r-W ['HHHMO E-<E-< 00 00 00 0t'J r<~ ,~ , , CIlW " " " ~~ M~H::Z::\.Or-- W..:l \D\D LflLfl LflLfl NU;:r:UOO ::>0. NN 00 00 H 0;:;: " " " 'E-< 010 00 HH rl rl rl~ ~ ~ ~U r<r< rlrl rl rl rlO . 1Il a; '01 0. ZO 1Il il~ E-< ~~ CIl -U M N .,. rl ~O CIlE-<<C 0 0 0 0 0 <C gj~~gj['J..:l CIl 0.>< , ~ WE-< QZZZ~o. 0. M H M H ~H ~WO~<Co. >< ..:l <C ..:l ..:l o.U f-<UOo.<c E-< 1Il m 1Il 1Il ~ ~ ~ ~ 1 d ~ VI ) c:t' l1- ~ -s .. @ ... if' V\ ~ -t-' .] .~~ " <.Ja ~ .... 1 ~ <OJ ~ ~ A .) 0 ~ .....s ~ ~ ----;. d '-J -;-. ';) \l Ll a. + ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 u Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000587 Date 11/09/07 663540 2317 JERRI LYNN ST 06-30-01-7-6-0310-0000- CHRISTIN LAWRENCE RES NEW SFR RS9 RESDNTL SINGLE FAMILY 140917 Owner Contractor CHRISTIN LAWRENCE M CHANG 1131 COLUMBIA PORT ANGELES (360) 452-9719 Other struct info / CHRISTINE HI-LINE HOMES 11306 62ND AVE E PUYALLUP WA 98362 (253) 840-1849 WA 98373 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 24.40 1. 00 9000.00 2200.00 2200.00 1. 00 Pe rmi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL EL SVC/ SVC DITCH ONLY 114629 ELECTRIC SERVICE 75.00 11/09/07 5/07/08 plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 75.0000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 75.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA). 06/12/2007 11:25 AM SROBERDS --The proposal will result in a new sfr w/attached garage for total lot coverage of 24% in the RS-9 zone. FIRE SPRINKLERS are required. No other land use issues are anticipated. Electrical load calculations and elctrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Other Fees RES UNDERGRND SERVICE FEE 222.00 " INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH . . SERVICE ROUGH - IN FINAL COMMENTS: ELECTRICAL PERMIT AND INSPECTION RECORD · CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 07-00000587 Application pin number 663540 Page 2 Date 11/09/07 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 . 75.00 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2456.50 2456.50 .00 .00 Grand Total 2531.50 2531.50 .00 .00 [INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH - IN FINAL ///5:07 ,O~ AdJ. I / COMMENTS: Mr- o "- <Xl o "- .-< .-< MM l'Jf-o ..:..: 0.0 >< ..< ~ M .... ..< f-o Men ><:M 8~ f-o'":> Z O~ ....0 f-of-o UU MM 0.0. en en ~~ , , , , , , , , , , , , , , .. ,> , .... 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Cl ..-i H rl H .-i .Q .--i .Q <ll <ll .......-i Z ....... Z ~~O ~~O E-l O'lH f-4 O1H <C<:E-< <C<:E-< O<llU O<llU o-r.l o-r.l ...-I a.. ~o. Ul Ul r.l r.l Z r.l Z ...:I::E H::EH ...:I::EH 0::0-1 0::01 0::0... (9 (9 r.l (9 r.l ~~ ~~~ ~~~ P< P< P< HI.!> .....:IO'IZ ...:Ir--Z <Q' OH OH >< >< >< 0l<Q' o:Jr"1Q ml"1Q ~f'1 WM r-- Zr-- Zr--Zo zr--za a ~o WOOM WOQ..-i al.D ~Ol..D ~a~ ~o~ Nr"1 ~NM H~Na.. ~No. . M ~f-i r"1 ~f-4 f-4 ~f-4 f-4 -00 Z -00 r.l -0:<: Z -0:<: IL/"Il HWLI"Il UlWN:I::W HWN::r;W N~ ~SN~ o::B~~o ~S~~O ~l..D.....:lO::O::~I.D~HO::~~O.....:lO::O::ID30~ ~~~~~~~~~~~~~~~~~~~~ 3~~252~~25~w~~85~w~~ UO:::H...:I UO::O::.....:l O::r:r--H.....:l O::r;r--O::: OU~l!lil OU~CO+: Zf-4M~o:JiC ZE-lM~ Ul E-< Z r.l :E :.: o U r.l :.: H E-< Ul H :>: r.l ~ r.l ..4 E-< r.l :.: H E-< r.l ~ E-< r- o , to N , o ri <ll r-< '" 01 <: <Il 0- r-< <ll "" r-< r.l '" E-<01 <C <: o <Il 0- r-< :.: P< 00 N Ul r.l E-< o Z o ~ to .,. .,. E-< P<..4 Ul::> ZUl Hr.l I>: 0lP< P<<C , , , , , , , , ~~..4 : '":> '":> , , 00 r.lr.l E-<E-< Ulr.l r.l..4 ::>P< 0:': r.l0 I>:U r-r- 00 " \D\D NN " 00 riri r- o , to o , ri ri r- o , to o , ri ri o Ul , P< >< E-< co o .,. o N o l>: H <C Ol co ..4 Ol co ..4 Ol CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 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 07-00001176 Date 10/29/07 125816 2317 JERRI LYNN ST 06-30-01-7-6-0310-0900- CHRISTIN LAWRENCE FIRE SPRINKLER SYSTEM RS9 RESDNTL SINGLE FAMILY 2700 Owner Contractor CHRISTIN LAWRENCE & C. CHANG 1131 COLUMBIA PORT ANGELES WA 98362 Structure Information 000 000 INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES WA 98362 (360) 452-7583 INSTALL FIRE SPRINKLER SYSTEM Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . FIRE SPRINKLER RESID FIRE SPRINKLER SYSTEM 113050 50.00 Plan Check Fee 10/29/07 Valuation 4/26/08 .00 ' o Qty Unit Charge Per BASE FEE Extension 50.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total '. .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 j & r;q~/ /y , /-- O~ This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examimd this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the rovisions of any state or 10callaw regulating the work specified in the perm it. - "-"- .. #- C"'-' .-. -;at(C7signature of Owner (if Owner is builder) Date , ~ &,. _'~C"__ -;.;....... - ..oiL '-- .......J FIRE PERMIT INSPECTION RECORD o .J , Call 360-417-4655 for fire 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 FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final l-n-O& ~() FIRE ALARM W Rough-in inspection - -.l Alann final LP-GAS Completed by Contractor: ~ (C Underground piping inspection/pressure test Test # I "") ........ 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Ul E-< Z ~ :.: :.: o U ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 II r Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000587 Date 10/24/07 663540 2317 JERRI LYNN ST 06-30-01-7-6-0310-0000- CHRISTIN LAWRENCE RES NEW SFR RS9 RESDNTL SINGLE FAMILY 140917 Owner Contractor CHRISTIN LAWRENCE M CHANG 1131 COLUMBIA PORT ANGELES (360) 452-9719 Other struct info / CHRISTINE HI-LINE HOMES 11306 62ND AVE E PUYALLUP WA 98362 (253) 840-1849 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL DOUBLE D/ 2200 SQ FT SFR 111948 DOUBLE D ELECTRICAL 113.00 10/24/07 4/21/08 Plan Check Fee Valuation Qty 1. 00 2.00 Unit Charge Per 69.0000 ECH 22.0000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall-be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA). 06/12/2007 11:25 AM SROBERDS --The proposal will result in a new sfr w/attached garage for total lot coverage of 24% in the RS-9 zone. FIRE SPRINKLERS are required. No other land use issues are anticipated. Electrical load calculations and elctrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concre~e. WA 98373 24.40 1. 00 9000.00 2200.00 2200.00 1. 00 N v\ ~ .00 o LA ~ jJ " Extension 69.00 44.00 ~ z:. :r.. .. ... INSPECTION ELECTRICAL TYPE DATE: RESUL TS: INSPECTOR: DITCH SERVICE '. ROUGH - IN FINAL COMMENTS: ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 07-00000587 Application pin number 663540 Page 2 Date 10/24/07 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 113.00 113.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 2347.50 2347.50 .00 .00 .. INSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH fI/S/G -; fJ-<p ~ SERVICE I hD/o I AP- 11L. ROUGH - IN I!l -, fd6 1+~ ~ FINAL COMMENTS: ~----------,..-----....-~---=----- ,....-~ ...,,;...,. _ - .... "'~" _;;.~-' ",,00- ~ ~ ~ _.......... ~-~ ," ... BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at d- ~ II ~~I LyHP S I Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: . g~l~ 61V~ ~~LU) TO ~ l r> ntF I )~ ee - t ([(,4 ~ AI rL~ TL-b - .Ii LI .{ 72Cr ~( /A,.5rAC' ~/7apf/.- , ~s:-o. a-) ~ ~rt e T7 GvJ ~y ((14.10 7 ~Fc.:.6~ U~\Lr /~sALc(7Ov) These corrections must be made and are not to be covered until reinspection is madV~en<Mrections have been made, please call 7- f r for inspec. tion. %& Date /c rU~7 b . ( / Inspector for Building Division DO NOT REMOVE THIS TAG I- I I I Nt- 0 '- ID ri '- 0 t- ri CD ri <<1 , OJ OJ t- C9E-< ri <1:<1: '" o.Cl "' Z 0 :I: 0. (JJ OJ -.:I t-OJ 0C9 ~~ ri '-E-< O~ riO .. 0. .Cl OJ'" ~o <I: 0.>< OJE-< _~ H .:.~ U >< .:I ~ OJ H .:I E-< OJ(JJ :<:OJ ~~ E-<':l Z .. O~ HO E-<E-< UU OJ OJ 0.0. (JJ(JJ ZZ H H "'''' "'ri CDt- ri'" , , ON "'10 CD'" <<10 IOID N<<1 > H OJ OJ Cl ZZ gj 00 :I::I: rn 0.0. 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ID ri '" <<1 01 (JJ '- 0. >< E-< .:I III <I: .:I o.Cl ':l t-t- t- OO 0 '-'- '- CDCD ID N N ri '-'- '- "'''' 0 ri ri N 0 0 N N .:I .:I 0. 0. ~~ ~ :s fl (JJ OJ E-< o Z Cl ~ rn E-< Z OJ :>: :>: o U ---., c:J ~ ---J ~ ~ G ~ 0"1 - I \ 7 (; PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417-4650 FAX (360) 417-4659 Fire Sprinkler System Plan Review Project Name: Private Residence Address: 2317 Jeri Lynn Street Installer: Innovated Fire Sprinkler Installer Telephone: 452-7583 Type of System: Open 130 13RO 13 D [gJ Date: 10.11.2007 PAFD Permit #: 07-31 We have checked this plan and find that it conforms to the requirements of the code. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush ofthe underground piping is required. A design sprinkler flow test and alarm test are required for all 13D systems. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFP A Standard. This 13D system will require a measured flow test. Contractor Reviewed by: ~ O() .4-Q Date: 10' Il- 07 o II o Building Department Fire Department I .. I DATE: 10- 10-071 [:J FIRE DEPARTMENT PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION o ENERGY o ENGINEERING o POLICE DEPARTMENT o ADMINISTRATI~N o CITY CLERK o RISK MANAGEMENT I FROM: PUBLIC WORKSIBUlLDlNG DIVISION ~ ~ o o RE: ADDRESS: :2 :, l[ '0 Vr-i LJ h Y\ 'S t- NAME/CONTACT: V "V\Ge-V\t- 6e. t-.:fj e.,y- PHONE: L..f 5 L. ~ l 5 &"""3 . PERMIT NUMBER: C) {- t t ( r.o PROJECT DESCRIPTION: .~5+o. C l ~-eS ~ J e-h--h' Ov \ f;"'v-e- spn\'\ K(ey-- 5JS~ .a NEW CONSTRUCTION o ADDITION/ALTERNATION COMMENTS/CONDITIONS: )&REVIEWIRETURN o FILE ~~r}:) 0"1 - 'S , , BUILDING PERMIT - APPLICATION F01~ OFfiCIAL USE ONLY: Dalt/tee.: \0-01'01 l'cnnilll 0, - 111 (t, Dale ".ppr(l\,~: Dalt Issued: Fill out COMI'LETEL Y and in INK. Your application and site plan MUST BE COMPLETE to he accepted for review. If you have any questions, caU PERMITS (360) 417-4815 FAX(36())417-4711 Applicant or Agent: ~ ~ + ~ /' Phone: '-IS' 2 - 7 S 8 3 Owner: C h. r :s t-: ~ L ~ vJ.Lr- V\ C. L. Phone: Address: 113/ C c ) '^ "'-\ .b~~ City: Po ,/..J- A ......,S-e lLf J' Zip: l1E.r<o ~< ArchitectlEngineer: Phone: ContractorJAlNlf J,I}:-/ ELJ FI1<EState License #:/IVNOV?SOi.{'IOllExp: W.9Phone:4S2 -7S&..; Address:R / Nu...v f}(Atl-'l ~ L ~ . City: 'R~ r.f- !h-s,.ll..jJ-.1' Zip: 9.3,? (L) :<. PROJECT ADDRESS: 2 :3 / 7 T ..Q. r: L '7 Vl. V\ S .+- ZONING: LEGAL DESCRlPTlON: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: SIZEIV ALUATION: ~~eSidential 0 New Consn-o D Re-roof 0 Stove SF. @$ /SF. = $ D Multi-family 0 Addition D MoveD Garage SF. @$ /SF. = $ o Commercial 0 Remodel 0 Demolition D Deck SF. @$ /SF. = $ o Repair 0 Sign D Other . JOT ~ Y ALVA TION $ 2- 700 0 d BRlEFDESCRIPTIONOFTHEPROJECT: Lk...r;;..-I-v./( J-I'.r.e. sp."-.',-",,k-/~^- S' J .s+e~ COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of.Stories: Lot Size: Existing Sq. Ft Total lot coverage % Occupant Load: & Proposed Sq. Ft Construction Type: = TOTAL Sq. Ft PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetIand(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other. VALUATION OF CONSTRUCTION: In aU cases, a valuation amount must be entered by the applicant This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 41 7-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2 of the International BuildingIResidential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such pennfts prior to war, ... . 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'-;r-.... ~..at~ BUILDING.-DIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at ;2. 3J r; ,J,::-p P T L)/}, I,.....{ Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: ~ S I .J- c pl'l-U i. rL~ DiJ <:;.; I R · *" y!:'QVhIO -vcJ) SWI Rf' -J "-' Lh II ,,) I" ~-:J · .- \{ --f n ^'- ~'J /J- C- P ,j I..c:- These corrections must be made and are not to be covered until reinspection is ma e. When corrections have been made, please call for inspection. Date DO NOT REMOVE THIS TAG ~ .,. "'... 0 '- <'> 0 '- '" WW ~b ,.,;,.,; 0.0 "'''' .,..-< "'... .-<'" , , ON "'LI) "'.,. <'>0 LI)'" >- N<'> W ..:I ..:I ~ ~ W , .. ~ H , ;': ~ ..:I , WW b , 0 ZZ 0. Ul WUl , g] 00 ..:I W :":W , :.::.: ~ b ~~ , Ul 0.0. Z 0 , ~~ Z b':l , , 0 0 Z .. , 0 ~ O~ , "'... HO , Ul N bb , b Z ul""l Ul UU Z 0"'.-< b WW ~ ~ HO.,. 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Application valuation 07-00000830 Date 032880 2317 JERRI LYNN ST 06-30-01-7-6-0310-0000- ELECTRICAL ONLY 7/30/07 RS9 RESDNTL SINGLE FAMILY o Owner Contractor CHANG, CHRISTINE 2317 JERRI LYNN ST PORT ANGELES WA 98362 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE EL. SVC./ TEMP SVC 106955 ELECTRIC. SERVICE 40.00 Plan Check Fee 7/30/07 Valuation 1/26/08 .00 o ~ 'v.\ '- -.......i Qty Unit Charge Per 1.00 40.0000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 40.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.00 40.00 .00 .00 Plan Check Total .00 .00 .00 ..00 Grand Total 40.00 40.00 .00 .00 L\ r-~ L-~ " ~ ~ - t:::: ~ COMMENTS/ACTION NEEDED ELECfRlCAL PERMIT INSPECfION .RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE 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 lNSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: PW.lI02.1S 14'961 ~'PORr~ $~O~~~ r..,a "-~ ~ 'tOi",~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 o ~ ( U1 00 .-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 Owner CHRISTIN LAWRENCE M CHANG 1131 COLUMBIA PORT ANGELES (360) 452-9719 Other struct info Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 07-00000587 Date 663540 2317 JERRI LYNN ST 06-30-01-7-6-0310-0000- CHRISTIN LAWRENCE RES NEW SFR 6/13/07 RS9 RESDNTL SINGLE FAMILY 140917 Contractor / CHRISTINE HI-LINE HOMES 11306 62ND AVE E PUYALLUP (253) 840-1849 WA 98373 WA 98362 TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 24.40 1. 00 9000.00 2200.00 2200.00 1. 00 BUILDING PERMIT -RESIDENTIAL 1716 SF SFR, 484 SF GARAGE 102608 1249.85 Plan Check Fee 6/13/07 Valuation 12/10/07 499.94 140917 Qty Unit Charge Per Extension 1020.25 229.60 BASE FEE 41.00 5.6000 THOU BL-100,001-500K (5.60 PER K) permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 103945 111.60 Plan Check-Fee 6/13/07 Valuation 12/10/07 .00 o o~ 1'y ~ < ~ Qty Unit Charge Per BASE FEE 1.00 14.7000 ECH ME- INSTALL 100- FAU 5.00 7.2500 ECH ME-VENT FAN 1. 00 10.6500 ECH ME-OTHER APPL. N/R Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Extension 50.00 14.70 36.25 10.65 PLUMBING PERMIT 103937 142.00 6/13/07 12/10/07 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 50.00 63.00 BASE FEE 9.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP N ~ - -J L.-\ ~ -- ~ ::5 :> ~ -z.. t 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 T:\Policies\1102_15 building pennit inspection rccord05.wpd [1/4/2005] (/) ~ BUILDING PERMIT INSPECTION RECORD CALL 4]7-4815 FOR BUILDING INSPECTIONS. CALL 4]7-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLlC WORKS UTILlTIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL AN}' WORK BEFORE . LNSPECTED AND ACCEPTED. POST PERMIT I~ A CONSPJCUOUS LOCA TJON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDA nON: FOOTINGS SHEAR WALLS I WALLS FOUNDA TION DRAINAGE I DOWN SPOUTS PIERS I POST HOLES (POLE BLDGS) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR W ALL/HOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL I FLOOR I CEILING I I MECHANICAL ROUGH-IN HEAT PUMY I FURNACE I DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE I PELLET I CIDMNEY 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 OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LlGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. IPWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUlLDING 417-4815 BUlLDING T:IPoliciesl1102 15 building pennit inspection record05.wpd [1/4/2005] ~~ORT "'-'\t, $~O~~~ ha "- -=-a ~ 'tOi,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number 07-00000587 663540 Page Date 2 6/13/07 Qty 1. 00 1.00 1. 00 Unit Charge 7.0000 15.0000 7.0000 Per ECH ECH ECH PL- EA. INSTALL WATER PIPE PL- EA. BLDG SEWER PL- EA. WATER HEATER Extension 7.00 15.00 7.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA). 06/12/2007 11:25 AM SROBERDS --The proposal will result in a new sfr w/attached garage for total lot coverage of 24% in the RS-9 zone. FIRE SPRINKLERS are required. No other land use issues are anticipated. Electrical load calculations and elctrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by public Works Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1503.45 1503.45 .00 .00 Plan Check Total 499.94 499. 94 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 4237.89 4237.89 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building penni! inspection rccord05.wpd [1/4/2005] ,-------- BUILDING PERMIT INSPECTION RECORD CALL417-4815 FOR BUILDING INSPECTIONS. CALL 4]7-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. iT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WOPJ( EEFORE I.NSPECTED AND A CCEPTED. POST PERMIT IN A CONSPI CUOUS LOCA TION. KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE. ~ o -.i , W -J INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUN[}ATION: FOOTINGS r. S~W~\\ Q?>}07!Jf07 t>e SHEAR WALLS I WALLS "q! ~o-Ol jl.L D~we\\ ~ 111 /07 Jt.-L FOUNDA TION DRAINAGE I DOWN SPOUTS ~T\'l/o" :fLi.- PIERS I POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR I SLAB ROUGI-J-IN , 0 -2~.- 01 'J"LL- WATER UNE (METER TO BLDG) 11-03-07 7LL- GAS LlNE FINAL (j \, - l~ .....DtATE "SLL- ACCEPTED BY: BACK FLOW I WATER AIR SEAL 10 -2b-Ol Pe> I( - 0 '=1 -crt Air s~\ :n.....<..... WALLS CEILING FRAMING q .....I'S-O' "J"L-L 9 - \1-01 "JL.L fmMI"'~ lo-z6-o7 Jl.I.. JOISTS I GIRDERS II -0 I;) -01 -:r~L ~lnJ SHEAR W ALUHOLD DOWNS ~-ZO-ol Roof Sh~h1 91zelo7 WALLS I ROOF I CEILING DRYWALL (lNTERJOR BRACED PANEL ONLY) i Z. -,--07 '":rlk T-BAR f INSULATION I,. SLAB WALL I FLOOR I CEILING MECHANICAL ROUGH-IN IT - 2-/-01 pp..., HEAT PUMY I FURNACE I DUCTS J'LL- GASLJNE FINAL 6 t -rlH -O~A TE ACCEPTED BY: --' WOOD STOVE I PELLET I CHIMNEY MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMlT#'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 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. IPWI CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW I ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 I I ~ / PLANNING DEPT. BUlLDJNG 417-4815 "/71'OY It-. '1// BUILDING T:IPoJiciesll ] 02 15 building pennil inspection record05.wpd [Tt4/200!] ~V ( ~ \N -' --1 v) ~ --1 ...... r- ~ 3 5 ~. 'Z '\I''E ~ '" ,- Of ,"ORT ~Q ~ $-4 ~~~ '~ 1!..-- ~~ 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 07-00000587 Date 663540 2317 JERRI LYNN ST 06-30-01-7-6-0310-0000- CHRISTIN LAWRENCE RES NEW SFR 6/13/07 RS9 RESDNTL SINGLE FAMILY 140917 Owner Contractor CHRISTIN LAWRENCE M CHANG 1131 COLUMBIA PORT ANGELES (360) 452-9719 Other struct info / CHRISTINE HI-LINE HOMES 11306 62ND AVE E PUYALLUP WA 98362 (253) 840-1849 WA 98373 TOTAL \ LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 24.40 1. 00 9000.00 2200.00 2200.00 1. 00 Permit PUBLIC WORKS RES WATER SERV Additional desc 3/4" DROP IN METER Permi t pin number 104406 Permit Fee 230.00 Plan Check Fee Issue Date 6/13/07 Valuation Expiration Date 12/10/07 .00 140917 Qty Unit Charge Per BASE FEE Extension '230.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 104414 120.00 6/13/07 12/10/07 Plan Check Fee Valuation .00 140917 Qty Unit Charge Per 1.00 120.0000 EA SAN SEWER HOOKUP Extension 120.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA). 06/12/2007 11:25 AM SROBERDS --The proposal will result in a new sfr w/attached garage for total lot coverage of 24\ in the RS-9 zone. FIRE SPRINKLERS are required. No other land use issues are anticipated. Electrical load calculations and elctrical permits are 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 180eJays after the work as commenced, or if required inspections have riot been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating constructio'n or the performance of construction. Signature of Contractor or Authorized Agent Date T:\Policies\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, 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 I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W.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] c1 ,ORT ~G 'l~~"" ,.~ ~-- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 07-00000587 Application pin number 663540 Page 2 Date 6/13/07 Special Notes and Comments required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 350.00 350.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 2584.50 2584.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102.15R [1105] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. · KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO P~ UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER. DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W. 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] .\. .. BUILDING PERMIT - APPLICATION I _ ...... Fill out COMPLETELY and in INK. Your application and site plan MUSll BE ~ COMPLETE to be accepted for review. If you have any questions, caU\ C(!; }\1<bq PERMITS(360)417-4815 FAX(360)417-4711 0...\)\ 'NOy\L., l.\ \1- ,l~l Applicant or ~gent~~-Hr\ La Ujre.i1~f ~ Phone: ~5Z.- 9.:1J~ Owner l'.\'\n~~, Ch~ C'.IYI5!-io'\ UttVY'P~one ~'O'2.. - q 1 L:>r Address:~ II ~~ CD\ Y..m.bi.&L City: r: Zip: ~CO ~ ~ L Architect/Engineer:---Hil~1 V\ 0 Phone: ~UO -":6"79 -8l o()O Contractor~i U ~ State License #: Exp: Phone:~D Address: City: Zip: Ju-i ltjY'\V\ <e::k ZONING: Block: Subdivision: FOR OFFICIAL USE ONLY: / Date Rec.: 05 -Z3 -07 / Pennit#: C)( - ~ <67 , ate Approved: tJ,; ~ ~. Date Issued: () L, .- PROJECT ADDRESS: '2.. -"3 \ J LEGAL DESCRIPTION: Lot: ~\ CLALLAM COUNTY PARCEL NUMBER: OU300 IJ lfO~\D T'YE OF WORK: SIZEN ALUATlON' 0 ~Residential 0 New Constr. 0 Re-roof 0 Stove~ SF. @$ 1l.q.~ISF. = $ l"ao ~:f~. 0 o Multi-family 0 Addition 0 Move ~ Garage ~ SF. @ $ 'Z-\. ?~ /SF. = $ \ D l I. 00 o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair 0 Sign 0 Other TOTAL VALUATION $IU-Ol ~J I. 00 BRIEF DESCRIPTION OF THE PROJECT: lIJ::a NWJ ~e. \,01 t1%-a.e COMMERClAL/RESIDENTIAL: Occupancy Group: No. of Stories: l Lot Size: &f,ooo Existing Sq. Ft. Totallat coverage 24. L.{ % :t\~s ~~ So v-; \'l \<Ie. r .s ~cu-~~ lS( Occupant Load: COl1stmction Type: & Proposed Sq. Ft.?... 'tOO = TOTAL Sq. Ft. 2, zoo No \ttn45,c y- ) v\l<. lees PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FillE: OTHER:_ ESAlWetland(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPffiATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2 ofllie International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that itJs my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. "\FORMS\BldgPomi~-wpd Applioant {l ~ 1)ILP J1 u.. Date: .f2/Z =6/'Dl I Prescriptive Approach-Simple F0TI11 For the \Vas11ington State Energy Code ( 2003 Edition) Climate Zone 1 Site InfolTIlation Building Department Use Only: Penuit# or-Sg7 Lot: Address: 2.. s II 0pr I L:JhY1 s+ Notes: City: State: Zip: Contact: Phone: Phone 2: FAX: Table 6-1 PRESCRlPTNE REQUIREMENTS FOR GROUP R OCCUP ANCY CLIMATE ZONE 1 c- Option Glazing Glazing u-FaotN\ Dom Wall Wall Wall Slab .Area % .U- Vaulted Above Interior Exterior on of Floor Vertical Overhead! Factor Ceiling Ceiling Grade Below Below Floor Grade Grade Grade Unlimited . ill Group R-3 0.40 0.58 0.20 R-38 R-30 R21 R-21 R-IO R-30 R-IO Occupancy Only (Unlimited Glazinu Option Only) This Project complies with the following: .I The Project is a single family residence or duplex. .I The Project is wood frame OR all of the insulation is interior or exterior of the framing. .I All building components meet the requirements listed in Table 6-1, Option ill. .I The Project will meet all other provisions of the WSEC and VIAQ. The Proj ect will take advantage of the following exceptions to the prescriptive option. o 602.6 Exooption 1. One door, !bat is 24ft. Or l"s, that do" not moot tho standards ,JIowod. Location of the door taking this exception o 602.6 Exception 2. Doors with a U-Factor of 0.40 allowed without calculations, Option ill only. Location of the Door (s) taking exception Type of Heat source:X p,. U EXBJBIT A -------------~-- _ _Milwaukee.Or.- - - - - - - - - - - - - - - - - -- J ., '< ~ 1 oj ~ ~ ~ 0 )~'" ~ I--. Cc Q Q ~ C) <: 2 CF; (:) i o. "; ~ ---.; <- -~ -- ~i =t (~ lr) ~ -: ~ ---- c.n !--- >- "' ~Ct:1--. ,,~< ~ ~ ~Q ~6 Q (j ~>--~ I I--. ~ r. \ r-- --- --J \LJQ(j--J ~~d 1~Q3 J Cc ~ CD ~ c.n ~ \J 4 .iJ ,---... In \~ \ . ""l ."1 CQ ~ ic d; T .:10 j 133HS 'r EON ES ~~- ::s::s ~~lEet! ~Cl"'C~ &:<.l~~1.i; ~~s~~~ ~<.lCl"<;"'''- ~-l ~\/) ~ ~ ~ ~" ~ ~. w ~ \~ \\ 3- \~ \ 2. 20, a 1-.0, a"lq -..I 0 <0 ~ li: 0 ~ !.oJ -..I 0 ~ "J 0 <0 ( ....~ e~ -~ Cl 5h': ~~ /'-.tl: 1-.- sJi; ,------ ~ t // f Co()cW~e... OLt! 4' +,' ) ~//n\b S;: \4, '* ~ ~ \1 ~I J ,,' 1i-~ -------------= -----. -~~~F-.. --\;- Ii" ___.- ....!to/ -------- -- ----. PI," Il" r~, ,l'N-i-<..\",,,, I...., 'ff'fltP __... Cht-\~_ ( ,,~\ r~\,",^",'n'v" ~-\ Vhf-+ Cll'VV'\' J~<:"':' t...,:>A C""""""'. '3;\~~. xX)( - ,\cl'"r'\'5(\("\ \)"", A \ ~:J A~ ,~ oA '1;,~ Q.lr~\~' %3&, 11t...7.,(')() I 7b1?'7'10 Plot Map 0 HIUne HOmes= Meet MY Revisions To Be catJoos. By The Homeowner Made ./ "/ ,,/ .. ~T When recorded return to: OLYMPIC PENINSULA TITLE COMPANY 'v 'f;l:Xo if 7 f. CLALLAM COUNT) /4-2tf,cP fJ1ANSACTION EXCISE TA:A ~:,6E MAY 3 . 2007 '~C70 - AMOUNT 0 ,600 (;(~~a~AJ.A~A lj)f~.~ ' 2007-1202200 Por;",~ I~' P:nl ,,~U I.. 1oI~~~r~1 ~()~~:~y CIOiII,J.m County LJOIshlnglon 0':1/31/2007 " 4) 07 AM 1111 ~IIII.- rtr,IIlll,~;rI~I~UlwlLI~',Iw.,tl.H~lo&Jl:I~'~ ~IW 11111 File Number 01088138DS LPB 10-05 STATUTORY WARRANTY DEED THE GRANTORIS) ANDRE\'\I J. WILLIS AND DEBORAH MARIE NELSON, WHO ACQUIRED TITLE AS DEBORAH NELSON WILLIS, AS TENANTS IN COMMON lor and In consideration 01 TEN DOLLARS AND OTHER GOOD AND VALUABLE CONSIDERATION in hand paid, conveys, and warrants to CHR ISTIN LAWRENCE, A SINGLE WOMAN AND CHRISTINE M. CHANG, A SINGLE WOMAN I AS JOINT TENANTS WITH RIGHT OF SUVIVORSHIP AND NOT AS TENANTS IN COMMON the following described real estate, situated in the County of CLALLAM . Stale 01 Washington: LOT 31, THE ESTATES AT MILWAUKEE, FORMERLY KNOWN AS MOUNTAIN VIE\'i ESTATES, AS PER PLAT RECORDED IN VOL~lE 14 OF PLATS, PAGE 71, RECORDS OF CLALLAM COUNTY, WASHINGTON, PURSUANT TO ORDINANCE NO. 3209. SITUATE IN CLALLAM COUNTY, STATE OF WASHINGTON. SUBJECT TO: SEE EXHIBIT IlA" ATTACHED HERETO AND MADE A PART HEREOF: Abbreviated Leg"l: (Required illullleg'" not inserted above.) LT 31 ESTATES AT MILWAUKEE, FKA MTN VIEW ESTATES Tax P"rcel Number(s): 063001-760310 i{jZlt:t~' AND~JI. WILLIS t c&? - DEBORAH MARIE NELSON State of ~~"<1- County of C.hA,,:~'ncu..u 55. I certify that I know or have satisfactory evidence that />KREJ.l J. WilllS tJ,~/Uie) the person(s) who appeared before me, and said person(s) aCknowledged that HE signed this instrument and acknowledged it to be HIS free and voluntary act for the uses and purposes mentioned in this instrument. Dated: 5/ ra. /7f:f)7 f!l~~t-ll;j /A~ III t"~ Notary name printed or typed: G;l Notary Public in and for the State of .. Residing at: 3c 1\01 €'e' TIN G <;(. . .- '. My Appointment Expires: fo/24- /.J-cc I' , , - -' .. EUlABE1li H. WAlKER NOTARY PUBUC 0iAnw.t COlMY, GEOR3IA IlY COI.IlII5Sa/ fX1'lRES OCTOOER 2e, au :.' ;~"";:':.,:., .... " c:: ~'> 'J J!}";: '-1./ o ---1 I V7 IJO --J ~ W - -J ~ ') - , r- L-C J 5 ~ ( File Number os EXHIBIT A ALL COVENANTS, CONDITIONS, RESTRICTIONS, RESERVATIONS, 'EASEMENTS OR OTHER SERVITUDES, IF ANY, DISCLOSED BY THE RECORDED PLAT OF MOUNTAIN VIEW ESTATES. ' COVENANTS, CONDITIONS AND RESTRICTIONS IMPOSED BY DOCUMENT RECORDED UNDER CLALLAM COUNTY RECORDING NO. 2005 1158111. ~~xmxXDmX}UlIJXn>JiOOXJlX)?mX~~~~~ ~OOK~~XOOXXX~~4<2:XX STATE OF WASHINGTON County of CLALLAM I certify that I know or have satisfactory evidence that DEBORAH MARIE NELSON is the person who appeared before me, and said person aCknowledged that she signed this instrument and aCknowledged it to be her free and voluntary act for the uses and purposes mentioned in the instrument. D~~\)"~~lil ~ - d-OO'+ ,.... :.JI,OEL I" ~- ~ ...'''''''\\''''11 I" .= V._.:-"~~ EXPI'i'III", " :~:"'OP "R>' ~~", ~ ;:~::~ ... <.'t.~ ;; < ff~ 0 - ,0 ~ D~:t z ~. u : t- ""0 ..........:<-'_ ~ '1,,0 P\J~" ,,'f~= 'I, "'" 4.00;....,<:><,.= II, 8'j.I'l'h\\\""...~t'.......:" 'I" ,q TE 01' ",.... 11\\\1\\\\\'" ~ L. SHIDELER, NOTARY PUBLIC ointment expires; 04/09/2011 THE GRANTEES~Y SIGNING THE ACCEPTANCE BELOW, EVIDENCE THEIR INTENTION TO ACQUIRE SAID PREMISES AS JOINT TENANTS WITH RIGHT OF SURVIVORSHIP AND NOT AS TENANTS IN COMMON. (li~-t,'f:l1-I/!r (2 ~ ~ ~ 1ST N REN CHRISTINE M. CHANG - ~. if fORT "'1-" l'~~~ ,.. . -- "'o~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 07-- Sg7 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdi vi::1 i on Name Property Use property Zoning . Application valuation 07-00000587 Date 663540 2317 JERRI LYNN ST 06_30_01_7_6_0310-0000- CHRISTIN LAWRENCE RES NEW SFR 6/13/07 RS9 RESDNTL SINGLE FAMILY 140917 27/1kL~ L~ contractor Owner ------------------------ ------------------------ I CHRISTINE HI-LINE HOMES 11306 62ND AVE E PUYALLUP WA 98362 (253) 840-1849 WA 98373 CHRISTIN LAWRENCE M CHANG 1131 COLUMBIA PORT AJ\:GELES (360) 452-9719 Other struct info TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 24.40 1. 00 9000.00 2200.00 2200.00 1. 00 ---------------------------------------------------------------------------- Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS 3/4" DROP IN 104406 230.00 6/13/07 12/10/07 RES WATER SERV METER 104414 120.00 6/13/07 12/10/07 plan Check Fee valuation .00 140917 "J \Y\ ~ J/\ plan Check Fee valuation .00 140917 ---------------------------------------------------------------------------- Qty unit Charge Per Extension . 230.00 BASE FEE Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP ---------------------------------------------------------------------------- City 1 00 Unit Charge Per 120.0000 EA SAN SEWER HOOKUP Extension 120.00 Special Notes and comments Address numbers shall be plainly visible from the street. AddresS numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code {IFC} and National Fire protection AS~:ociation (NFPA). 06/12/2007 11: 25 AM SROBERDS - -The propos"al will result in a new sfr w/attached garage for total lot coverage of 241; in the RS-9 zone. FIRE SPRINKLERS are required. No other land use issues are anticipated. Electrical load calculations and elctrical permits are 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 of180 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. AIi provisions of laws and ordinances governing this type of work wili be complied with whether specified herein or not. The granting of a permit does not presume to give authority to vioiate or cancel the provisions of any state or locai law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\policies\1102.15R [1/05] - _.'OIIT.... f..~0'~<,; "- ~"' ~ ~ "'C~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Applica1:ion pin number 07-00000587 663540 Page Date 2 6/13/07 Special Notes and Comments required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Construct driveway and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road r"ight of way. An inspection by Public Works Engineering is requirE7d prior to prouring concrete. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 350. 00 350.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234 .50 2234.50 .00 .00 Grand. Total 2584 .50 2584.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180"days after the work as commenced, or if required inspectIons have n'ot 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 iaws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a pennit does not presume to give authority to violate or cancei the provisions of any state or locai law regulating constructio'n or the performance of construction. Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) T:\Policies\1102.l5R [1/05] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . 0 . INSPECTION REPORT . . 0 . . . REQUEST: Date--lL~ 7- 07 Time Received by k> V (phone, person) . \ Location of Work to be inspected :2. 5 I ( .1".e r-f' . Name of person requesting inspection W ~ l \ Address of person requesting inspection Type of Inspection (circle appropriate one): LYV\I^ "::> \ Phone No. 1..f77 - 1168 Permit No. 6'7 -58'7 Final ~we(Ex~0 Other Sewer Foundation Framing Chimney Plumbing INSPECTION NOTES: Inspected: Date 1/- 7- or Time Remarks: Na-w .s"'-w<2.~ c:..",....."'toQC.+,''''vl +6 ~x;s{"' -?ro~...'1v I \,€... I I By R. V ",111>(1(. /a. 1-<C V' 0.. I <\. RESTORATION REQUIRED. . . . .. YES NO "j, -, ; I q~r~~ t N I _ ;;7 ~ Ne.w , J> 7''' ;b...v 7 "Of ~s" l - 18'1 ' ~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE .IC!'mtinue o_n reverse side if necessary) STREET SUPERINTENDENT (DATE) ---- -- APPLICATION FOR WATER City Water Division, Port Angeles, WA lssueddate:~ Installed by & date: 112../7"S-bi Permit# 07-6B7 r I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: , Applicant Name & Phone: CJ.t~ I <, LAtI)~~lF. l.f"S Z. - qll q Site Address: Z~ II Jerl Ly"" Sf MailingAddress: )1':2,\ C{'\Il""hv' Blk: Lot: 3 \ Add:~SJ~@ Parcel#: (){03(y)'1~n::...1 D Svc:ON/8> Meter#'sC, F ~~lW/O#: ?,b!:>4<D,l::,'-/5 'd'. ?J,CP"i." 7t-.. '-Z/>,,,!E- ~~"'"" '~ill.' Signature: _ ~ _ /( fl A'? _ _ " Remarks: N" r" ;:;; <1 ($J w .tJ ()- o fb- .:t5~' .j~ ~ ';1,i-. E ~ j ~S CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . . . v' REQUEST: Date I - !!j - 68 Time Received by RV (phone, person) \ Location of Work to be inspected 23/7 3e Y' N L~ lA.-1Il 51 Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. 07- 5:87 Sewer Foundation Framing Chimney Plumbing ~ Sewer Excav. Other INSPECTION NOTES: Inspected: Date 2. - /2-D e Time Remarks: Fr''''a.l 2 - 12 -O'd Sew-Q.t- 11-1-D7 ~")h, jl'^;Y I ~??- o~ By 12\/ () j'\ RESTORATION REQUIRED . . . . ,. YES NO X. .Dl'llIew","y :~.,.o""^ bo..ck 60( ex/~~~~ dd~wo..lk. +--0 P/'Op-e-.,.'J.y 1J^e. nof CO"'f'/e.kc{ -Gowtpfr~d..~dl-2.'3-08 SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE If.'':nntinlle.Dn.revers~ side if necessary) STREET SUPERINTENDENT (DATE) fl,~ o .' - Job wired by a' ~~:~~ - ~ 'to "#" ""'... ELECTRICAL WORK PERMIT APPLICATION l:l Owner /1.11\: r.::- Insl.llot;on descriplion _ :--oat g/2-tl (t Q o Commercl.1 O~nti!"" e - () . - - Initials ~ / Q New Q Allered/Addltlon Elc.e.t1C<l1 contractor nOme rl ... _ License number ~l1lC Expires \2...~Ic:... ~~ ~cr;\1~20 Purchaser's nt:1ilini-(ddress . J~ BL U"'-"t-"" V_ Cit~ A. n Stale ZIP ~O'" ~=- W ~ Telephone number FAX number "-I" 2-IP '12..-{ '\'1'3\0-1.. Premises ,",[H,r'S name .. ~'-~!.'"~- Address of Inspecllon ""2..."'>:, 17 City _fJ A- \ ,,,,,-,-,,,-\ I ..k..... L1- \j;.- ,. -"'") Phone number 10 schedule inspection: Owner 0.\' dcjj"ed b)' RCW/9.28.261:(I) OWller will nccupy the structure for 'wo yean- aftcr this electrical permit is flfJofized. (2) Owm:r i.s required fo hire an ('fcctrlC/I/ contractor if abuvll said property ;!j for salt!. rent ('Jr lease. Ancr rending the above statement, I hereby cwiry that I am the O"'"tlcr of the above named property or a licensed clcclrical ,contractor. I ani ll1aking the el<<trical instal. lation or alll!rntion in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-469, The Cily of Port Angcles Municipol Code, and Utility Spec' alions. l:l Cosh l:l Check # l:l Credit Card Visa ~astercard Card # 0'----_ - Discover contractor or electrical admlnlslralor x Dale: Expiration Date of card Electrical load Additions and or subtractions Q NO LOAD CHANGES Q Baseboard KW a Furnace KW a Heat Pump Ton LAA Q F.n.Wall KW Service Information Voltage \.J' J 2. '-l \;) pnase~ Service Size: ~ Feeder Size: 'l.. - .l...... '-I SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT SER\-lCE l):;UC: ^flJlro~ed Oy ODIC AI'fll'Oyed U)' O.lc Appl'O~cd D)' 1. DITCH FEJj,"DER DOle Approyed By DAle AppIOYed By Inspection Date Are3, Builclingor Equipmenl Inspected Action Token Eleetrienl Inspector aQ .. 1/1 'd TTLt>LTt> :01 ----- ) t>2t>92St> 3)In~3S )I~1)3l3:WO~~ ~02:80 t>002-9-lnr ., ELECTRICAL WORK PERMIT APPLICATION Job wire,/ by Electrical Contractor 0 Owner Installation description D Commercial i:X.Residential New o Altered/Addilion sp_ r" l C-t.- 2..0 ki 1 r.tl u tb;////MIr ,?/NbJ .;- t/ /7C{-I Owner as defined by RCW19.28.26/:(J) Owner Will occupy the slruclllre for two years after this electrical permit isfinaljzed. (2) Owner is required 10 hire an electrical contractor if ahove said property is for ~'ale, renl or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter ] 9.28, WAC. Chapler 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications. Si~llaturc o Cash 0 Check # x Visa AS+b Discover Card# -f\n-*-~--------- Expiration ~ of card o Credit Card Electrical Load Additions and or sub ractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR D Fan-Wall KW Service Information o Overhead Service o Temp Service o Underground Service Voltage PhaseD 1 D 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 1:00 AM 360-417-4735 ROUG:4Q THERMOSt'AT j Dale .. Approved By Dale ApprovcU By - ) FINAL ~ Approved By DITCH 7~ FEEDER Date Approved By Inspection Date Area, Buildipg or Equipment Inspecled Action Taken Elcctrical Inspeclor .", NU V 0 5 Z 07 UGHT 0 . ~ Sep 27 07 04:52p Double D Electrical Inc 3603855761 ,I' \ p. I ~/~~ ~ ~ ELECI1UCAL WORK pERMIT APPLICA'rION fO-...)c: 31t:D-- 4/7-Lj 7/1 Job wired by )is Electrical Contractor a Owner lutalllltion description a Commercial )l..Resldential ~cclri(:al contractor name UOl'-bie. b €-ltt PurctnSCf"'S m"iling address P.O. €'Ox QS7 C~OR \-- ~a...cl. lock.- Telephone number FAX number C" I -I' 1&0--. '35-/13D "3 "'0-3B 6-u 71&' Premises owner's "ame 0.h R.i~\I\. LA-Wi2.MII.~ Address or Inspection, . ~ C'L #~i1 ;.)e.P-RI I\VI J\- Ctp. . A eks ~0 0-.. o New (] Altered! Addition State ZIP [,0c~ Qg3'3'7 W llU I '-il &, .r;r----!Dtu>--L- / _ 1(15 ct 1..-(..0 r> SQ Phon~ ~~D to scbe~l~peCtiOn: Owner as defin~d by RCW.19.28.161:(I) Owner will occupy the strutlJUtlor two J~(JTS after lllix tlec/rirCll,,"mil is fitlDli:ed. (2) Ow/Jer is requireJ ro hire QIJ ekctrical contraclor if abo,'c said property is for solc. Ten' Qr leose. After ~:l.ding the above statement, I hereby certify thai I am the owner of the above named property or a licensed electrical contraClor. I 8m making the cleelrical instal. lation or aheration in compliance with the electrical Jaws, N.E.C.. RCW. Chapter 19.28, WAC. Chapter 296-46B, The City or Port Angeles Munic:ip.l Code. and Utility Specifications. ~'?1dE o'e< I" tr' d d iti 5 a or subt tl D NO LOAD CHANGES [J Baseboard _ KW o Furnace I()N a Overhead Service o Heat Pump _ Ton _LAR 0 Temp Service o Fan-Wall _ t<m Q Underground Service SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417.4735 ,^/._R1UGH~ THERMOSTAT '\ ~7 '\PPf'l)ve40y Cite ApprovodBy )hy~AL~, o Cash 0 Check n l:(,Credit Card Visa Mastercard Discover Cardn __f!J.R-...ELLE:- ------ Date: Expiration Date of card r or eleetfleal ;ldmlDlsUllcor '? Servlce Information Voltage Phas.D'D3 Service Size: _ Feeder Size: SERVICE //..5'..tJ7 Olle DITOI oj. 8~ f.U>c.1'L1C.. S \I Dllt~ FEEDER Appro..e4 8y DIIC AfIp......d By ActiDn Taken Electrical Inspector ~--" \~~~- ~~ ~ I ~ f'r L..- ~ trlE UGHT DEPT. ... ~.', '" ~ ELECTRICAL INSPECTION WIRING REPORT 417-4735 1 It OWNER/CONTRACTOR "\)bv\3UL PERMIT # INSPECTOR t>7- 58, "'iW ,r ADDRESS ~l 2 ;::r \,.:')Z, Q \ APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . .. . . . . .. . . . .. . . . .. SERVICE.. . . . .. . . . . . .. . . . ..0 D.............. ...... . FINAL ................... ~ CORRECTIONS NEEDED: 1'Sc..I'\t-l\'> ()\ITLR:\ S1'A~1< StiJ:ILl:> 31'-(. 20 ,- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 OCT 24 1013 nzsW `. ELECTRICAL CITY OF PORT 111NGCUs PERMIT APPLICATION INSPEC'Fi0b1s I3Rrticiit~:� t(�ivisin.�tnli�,trz: #t•ic,°zf 1���ectinnx 321 East Fifth Street — P" 0. Box 11501 Port Mige^les Washington, 98362 'r...iA■I� 11h: (360) 417 -4735 hay: (360) 417 -4711 � Oat : 10n4n013 1 & 2 Single Family Dwelling 'Plan Review May Be Required, Please Complete Electrical Plan Revlewr Information Sheet ,kb Aiffty 2317 Jerl Lynn St Buildriig$qvateFao4g,e 1715 tscripirm of ab r. ovi ner I nformatio n N,Vnn; Christine Chang e.,,011s _ SOW IN 46240 ��•�ie Mai A,i s: z3171er14 n+ nst tl WA CI _ Port Angeles _ SJOIiOT ._ 963631463 FWne�: 3604601729 __Fdy —� ttensir 9 P Fxp Item UnitmA CChaaLq 5r 4c0esder 2W Ar . $ 120M Mc0eeder 201400 Acne. $146.00 &r,wiQeJFwder 401,6M Amp S 265.1 1 Serulce der 501 -1000 Arvp. $ 262.00 ;ryicsf eedsr over 1000 Amp, S 373,DO Branch ChcM wll Service Feeder S 5. Branch CScuit Flit) SerVice Feeder $ 6100 Each Additional Bra Ghent $ 5.0 Branch Ucvils 1.4 S 75.430 Temp.SArvicalFaMer2W Amp, W40 Tornp. ServiteaFeedof 201 -400 Amp, $1 W.00 "temp. SantloedFe ier401aOAmp. $ 149.00 Temp. SeMWFeeder 601 4000 Amp, $168,00 putial to Aorta I' (iy $ 96,00 Signal CirwiV UfWiW Energy - 13 2 Family f3', ing S 6I.t10 Wnufadwed Name Connedion $120.00 Ren mat E[ecto 81 Energy - 5KVA SyMam at Lew $1432.00 Thormostet S 56.00 We: S5.Bi3 for each add na T -Slat NEW CQ STRttC1'tC�3J 434�it,Y: f i t 1300 Square Ft. S QUO Each Adifilionat $00 safe F1. or Portin ni S 40.00 Earls Oulb or Detached Garage S 700 Eadl 5w6imminq furzel w Hot Tub $110.03 Contmoor information �1Orne: Protect Your Home M Addtm: 3750 priority Waysouth Dr Coy- Indlawnap u e.,,011s _ SOW IN 46240 ��•�ie Phone. 866 -502 -3559 �rU' 917 -564 -2547 n, Yi i Eyp, PROTEYYH - ;4R5 exp 12/10/2013 Tot1l tn:.ptic by lJntt Ctnarpe) ...1�, _ L. 0C _ �w S $ _ ...4.00 Total Ownw as defined by FICi1,118.26-261: (1) Owner will mcupy the stroolure for two years after this eln1ri l pennit is finalized. (2) 0 er is Toquired to hire an eledrical tontrador it ante said property Is for sale, rent or lease, Permit exp�es a €tar six months of last inspectioin, After reading the above statement, I heratry cartly glad I am the owner of tine ague named property or a Ikensed elecWcal contractor. I am making the electrical inslaWon or a4eration In comphame Wth the electrical laws, f .E.C., RCW. Chapter 19.28, VVAQ Chapter 296468, The, City of fort Angeles Municipal mole, and Ut ley ipeciftations and PAMC 14,05,050 regarding Efectzical Perm l A*cati ns, Signature of owner, electrical contractor or electrical administrator, 0 Cash 0 ch*rk 1xi o P��teete 1 iS : 10/24/2013 4t1Qar sal ELECTRICAL PERMIT CITY OF PORT ANGELES 360- 417 -4735 Application Number . , , . . 13- 00001244 Date 10/25/13 Application pin number 635328 Property Address 2317 JERI LYNN ST ASSESSOR PARCEL NUMBER: D6-30-D1-7-6- 0310 -0000- Applicataon type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning . . . . . . . RSS RESDNTL SINGLE FAMILY Application valuation . , . , 0 Application desc Security system Owner Contractor CHRISTINE M CHANG PROTECT YOUR HOME 2317 7FRI M LYNN ST 3750 PRIORITY WAY SOUTH DRIVE PORT ANGELES WA 98363 #200 INDINAPOLIS IN 46240 {31)} 810 -4720 Permit . , . , , , ELECTRICAL ALTER RESIDENTIAL Additional desc , Permit Fee 64.00 Plan Check Fee ,00 Issue Date 10/25/13 Valuation 0 Expiration Date 4/23/14 Qty Unit Charge Per 1.00 64,0000 ECH E Fee summary Charged Permit Fee Total 64,00 Plan Check Total ,00 Grand Total 64,Q0 Extension L- SINGLE CIR LIMITED RES 64,00 Paid Credited Due 64.00 .00 .00 ,00 00 .00 64.00 00 .00 -7111 N &A- M REPORT SALES TAX on your excise tax form to the City of Port Angeles (Location Cody: 0502) INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN 14 iv FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or EIectrical Contractor X Date: G:IEXCHANGEIBUILDING N N z l Application Number . . . . . 23-00000087 Date 1/31/23 Application pin number . . . 687950 Property Address . . . . . . 2317 JERI LYNN ST ASSESSOR PARCEL NUMBER: 06-30-01-7-6-0310-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc DHP ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ CHRISTINE M CHANG EXTRA MILE TECH & ELECT., LLC 2317 JERI M LYNN ST 418 N. RACE ST. PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 457-5222 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . Permit Fee . . . . 63.00 Plan Check Fee . . .00 Issue Date . . . . 1/31/23 Valuation . . . . 0 Expiration Date . . 7/30/23 Qty Unit Charge Per Extension 1.00 63.0000 ECH EL-R- BRANCH CIR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 63.00 63.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 1 - 2 SINGLE-FAMILY ELECTRICAL PERMIT APPLICATION Pub! ic \Yorks and ULili ties Department 32 l E. 5th Street. Port ;\ngeles. WJ\ 98362 300.417.47]5 ! www.cilyofjJa us I electricalpcnnitsr21/cityofpa.us Project Address:--------------------------------------­ Project Description:--------------------------------------□Single-Family Residential D Duplex/ ARU Building Square footage: _______________ _ OWNER JNFORMATtON Name: ________________________ Email: ______________ _ Mailing Address: ________________________ Phone: ___________ _ ELECTRfCAL CONTRACTOR fNFORMATION Name: ___________________________ License: ___________ _ Mailing Address: ________________________ Expiration Date: ________ _ Email: Phone: ___________ _ PROJECT DETAILS Item Unit Charge Qy51ntit3£ :To1s.l (Quantity x Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuit W/ Service Feeder $5.00 $ Branch Circuit W/O Service Feeder $63.00 $ Each Additional Branch Circuit $5.00 $ Branch Circuits 1-4 $75.00 $ Temp. Service/Feeder 200 Amp. $93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp. $168.00 $ Portal to Portal Hourly $96.00 $ Signal CircuiULimited Energy - 1 &2 DU. $64.00 $ Manufactured Home Connection $120.00 $ Ren ewable Elec. Energy: 5KVA System or less $102.00 $ Thermostat (Note: $5 for each additional) $56.00 $ First 1300 Sql;Jare Feet $120.00 $ Each Additional 500 square feet" $40.00 $ Each Outbuilding / Detached Garage $74.00 $ Each Swimming Pool/ Hot Tub $110.00 $ TOTAL $ Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296- 468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Date Print Name Signature (0 Owner D Electrical Contractor/ Administrator) [Electrical Permit Applications may be submitted to City Hall or electricalpermits@cityofpa.us] '"'CJ CD PREPARED 1/28/23,12:48:58 PAYMENT DUE CITY OF PORT ANGELES PROGRAM BP820L --------------------------------------------------------------------------- APPLICATION NUMBER:23-00000087 2317 JERI LYNN ST FEE DESCRIPTION AMOUNT DUE --------------------------------------------------------------------------- ELECTRICAL ALTER RESIDENTIAL 63.00 TOTAL DUE 63.00 Please present reciept to the cashier with full payment ELECTRICAL INSPECTION WIRING REPORT APPROVED NOT APPROVED DITCH ROUGH IN/COVER SERVICE FINAL COMMENTS: DHP NOTIFY INSPECTOR at (360) 808-2613 WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS DATE PERMIT # INSPECTOR 1/31/2023 23-87 TAP OWNER CONTRACTOR Extra Mile Electric PROJECT ADDRESS 2317 Jeri Lynn St