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'- Job Located at ~ Z- i I? l ;, Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: ~Vf2N I- FIA~I k, +~ ~ C?f.-/ "4 . F.X+-~yL(f , ~. AlI'Z- ~~ ~ l)/~ These corrections must be made and are not to be covered until reinspection is m~dp: When corrections have been made, please call /~ 7 - L/6--/ c::;- for inspection. /-- Date (/(30/06 (~- , Phspector for Building Division DO NOT REMOVE THIS TAG MOO 0 '- 0 M '- ID WW C'lE-< 00:00: o..Q lfl M lfl M , M lfl 00 M lfl :>< N ..:I ~ W , .. H , ;> ..:I , H WW E-< , Q ZZ WUl , <Xl 00 :><W , ::> :I::I: ~:fi , Ul 0..0.. , E-<..., , , Z , O~ , HO , E-<E-< , Uu , WW , 0..0.. , UlUl , ZZ , H H Z '0 QOH 13OE-< Q OH ~ ..:IOQ Ul . ~ ~ ~ ~ UW'" W ZJI:lO(J) lfl ;> . H oW lfl ..:IUl 00: , ~ :l! W - Q M M ~~Z'ID M HMM WQ~..:I 'M M N5~'i'~~ MUl W '-00: , , 0 -..:I '-+8sa~~~ oow 0C'l .,.~w;> , , 6~ NM...::l~\D\.O qtl:!l~~OO M '-E-< ID~ ~ ~ 0 '<Xl ~ 'W 0.. ZO <Xl Q E-< Wr>. 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E-< >< 00 Z o E-< Z o '" 00 ~ ~ E-< Z o U ELECTRICAL INSPECTION WIRING REPORT 417-4735 -l CkrD4"3> l INS~ DATE G:> - \ ;:,- PERMIT # OWNER/CONTRACTOR :1iLn. APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . .. . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . ~ CORRECTIONS NEEDED: G f-c. t F Ec..E."P'>kL"E · Or K.tJ tJ~~. 'f'i>~ -- 1 -JZ.D""\ -r- ~Nc...LO~~\) ~)~S '12.~L" ~t:SS c..At-.lS.. -H,12- c.~T NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 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 06-00000431 Date 6/13/08 654119 424 1/2 E AHLVERS RD 06-30-15-3-1-0090-0000- KEVIN BERGLUND RES ACCESSORY RESIDENTIAL UNIT RS9 RESDNTL SINGLE FAMILY 65000 Application desc Detached 2 BR. a.r.u. Owner Contractor KEVIN W/LINDA BERGLUND 424 E AHLVERS RD PORT ANGELES WA 983623708 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES. EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 16.00 1. 00 2000.00 42250.00 864.00 2864.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL OWNER/ 864 80259 73.00 7/10/06 5/18/08 NEW RESIDENTIAL SQ FT ACCESSORY Plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 73.0000 ECH EL-R-SQFT FIRST 1300 Extension 73.00 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. OS/22/2006 12:59 PM SROBERDS - Accessory residential structure approved under CUP 05-08. Setbacks and lot coverage are good. No land issues apparent. Electrical load calculations and elctrical permits are required. 8" Sanitary sewer is located on Ahlvers Rd., connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Locate existing sanitary sewer prior to constuction. Existing water service comes from Canyonedge. Seperate water and electric services are required. Fee summary Charged Due Paid Credited ... o <J' 6 ,...J:;. ~I .....I:- N J: -.::: J'l \f' )::) I- I C ~ V' . ,. tINSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE - ... ROUGH - IN FINAL COMMENTS: Application Number . . . . . 06-00000431 Application pin number 654119 Permit Fee Total Plan Check Total Grand Total 73.00 .00 73.00 73.00 .00 73.00 Page Date .00 .00 .00 . 2 6/13/08 .00 .00 .00 .. ~. 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P:;HMM iZi I>: (>.101>:0-1 1.-< .... 0 N5~~~~ ~ .-<UJ (>.1 "-<I; , 10 ....00 H -0-1 MG~~~~ ::>(>.1(>.1 \0(>.1 l'IE-<E-< 00 <:t'~ W::> I I UJ(>.1 ~~ NW~W\.O\.D 0(>.10-1 <:t'Olel~oo 0::>" .-< 0:>: "-E-< (>.10 .-<1>: I>: I>: I>:I>:U .-<0 . <0 I>: .(>.1 l>l " ZO <0 <0 0 E-< .~ (>.1U. UJ -U .-< 1>:0 UJE-<<I; o-1Z E-< 0 0 <I; ~~~gj~o-1 .... UJ ,,>< ~ "- (>.1E-< OZZZI>:" " .-< I>:H ~(>.10:3:,o:" >< 0-1 "U E-<UO",o: l>l E-< <0 r---~.ORT"" ,..O~~ a~~ ...~ ~ .....-;;-~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property zoning . . . Application valuation 06-00001136 Date 505520 424 1/2 E AHLVERS RD 06-30-15-3-1-0090-0000- BERGLAUND RES. RES ADDITION 11/09/06 UNJ(I\T~ ~ s-'1 7""~048 "'"'\ .... ~...; ,~ Owner Contractor KEVIN W/LINDA BERGLUND 424 E AHLVERS RD PORT ANGELES WA 983623708 GLENN-TERRA, INC. 9689 7TH AVE, NE # POULSBO (253) 853-3535 TOTAL % LOT COVERAGE HARD SURFACE AREA NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 124 WA 983707531 Other struct info . 7.00 1. 00 2864.00 42250.00 288.00 3152.00 1. 00 Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit pin number 89052 Permit Fee 165.75 Plan Check Fee 66.30 Issue Date 11/09/06 Valuation 6048 Expiration Date 5/08/07 Qty Unit .Charge Per Extension BASE FEE 95.75 5.00 14.0000 THOU BL-2001-25K (14 PER K) 70.00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 11/09/2006 02:08 PM SROBERDS - The proposal will result in a secondary unit in the RS-7 zone per CUP 05-08. Setbacks are good. Lot coverage is 7%. No land use issues are anticipated. Electrical load calculations and elctrical permits are required. Public Works Utility Engineering has no requirements for this plan review. Other Fees STATE SURCHARGE 4.50 ~~ 0;> ~ '0 20 cr Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 165.75 165.75 .00 .00 Plan Check Total 66.30 66.30 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 236.55 236.55 .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 ~ T:\Policies\1102_15 building penni! inspection record05.wpd [1/4/2005] BUll,DING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROViDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. I INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: I I FOOTINGS 'I/r~ /Ot. \JW SHEAR WALLS 1 WALLS 7 -, FOUNDA TlON DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) SHOWER PAN FINAL DATE ACCEPTED BY: MEDICAL GAS LINE AIR SEAL WALLS CEILING I FRAMING JOISTS I GIR.DERS SHEAR WALL/HOLD DOWNS !J.. It f t? IJ JJ-.J WALLS 1 ROOF I CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION , d tg/01 TLL-- SLAB I I WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP / FURNACE 1 DUCTS GAS LINE WOOD STOVE I PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT#'s SEPA: P ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. 1 PW I CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 , PLANNING DEPT. BUILDING 417-4815 ,/:2.f/'19; -:r L-L.... BUILDING . ies\1102 15 buildin' ennit ins eClion record05.wpd [1/412005t T.\Pohc p gp \~ ~ \ ~ ~ ~ ~~ ~ ~~ ~ i ~ .~ .~ \ BUILDING PERMIT - APPLICATION 't;f, Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: t<W t'(\. W. I3~/'; Ur. J 1:/.__ Owner {~("- iN .~r1.u.r".0.- Address: t..{ EAh \ V Rd. City: ArchitectJEng.in. eer: ;pttMJ ftN/S1V\1 U /7' ---r Contractoi'-ro 1bv1 J ~ State License #: Address: I City: PROJECT ADDRESS: 4-1-4--~ ~. AHl"Va~ IZ (J. LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY PARCEL NUMBER: Phone: Phone: S00 qr}7-0,/(lf 5&;-,jT!?'.....,. \ ("Ie- .J '-' . () Zip: 4 ~ ? V 2- Phone: .--. .- Exp: Phone: Zip: ZONING: Subdivision: TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof 0 Stove o Multi-family p Addition 0 Mov~ Garage2f)fJ o Commercial 0 Remodel 0 Demolition 0 Deck o Repair 0 Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: SIZEN ALUATION: SF. @$ /SF. = $ SF. @ $;<f. ()-() /SF. = $ ~, 04-8 ~ SF.@$ /SF.=$ TOTAL VALUATION $~' tJ4-t;? - COMMERCIALfRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: _ Lot Size:~' 2~ Existing Sq. Ft. '2.&6LJ,.r/1 & Proposed Sq. Ft. '7-~ = TOTAL Sq. Ft.?IG:2. . Total lot coverage 7 % % . APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): 0 Yes 0 No SEPA 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. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that His my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to w/!): T'\FORMS\BldgP_wpdAPPli~~~( 4j c.c'k.. Date, ID -. 1(,., .-0 ~, ~ ~ ~' ~. '-\ ~ ~ ::::..:. ......{ :::t:.. 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ZO ('l , III 0 E-< '13 , ~'" Ul -U , .. .... 0:0 UlE-<": ..:IZ , ... 0 0 ..: ~~~gj~L , ... Ul 0.>- , ~ '- ~E-< offi~~~g; , 0. .... O:H , >- ..:I o.U ~E-<UOo...: , 0. E-< ('l 0" pORT ~ ,,?~~~ "Nai'" . -. if_ .. -=-- ~ ~.,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000431 654119 424 1/2 E AHLVERS RD 06-30-15-3-1-0090-0000- KEVIN BERGLUND RES ACCESSORY IiTln.QI~ Re S\'dhv')i1'a..! Date 6/02/06 UN~ Rs- Q /' 65000 ( U illt- III 2..8/()7 Jf Owner Contractor KEVlN W/LINDA BERGLUND 424 E AHLVERS RD PORT ANGELES WA 983623708 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 16.00 1. 00 2000.00 42250.00 864.00 2864.00 1. 00 Permit MECHANICAL PERMIT Ad<;litional desc perl!lit pin number 78584 Permit Fee 64.50 Plan Check Fee Issue Date Valuation Expiration Date 11/29/06 .00 o Qty Unit Charge Per Extension 50.00 14.50 BASE FEE 2.00 7.2500 ECH ME-VENT FAN Permit . . . . , Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 78592 71.00 Plan Check Fee Valuation .00 o 11/29/06 Qty Unit Charge Per Extension 50.00 21. 00 BASE FEE 3.00 7.0000 ECH PL- EA,FIXTURE ON ONE TRAP 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. OS/22/2006 12:59 PM SROBERDS - Accessory residential structure approved under CUP 05-08. Setbacks and lot coverage are good. No land issues apparent, Electrical load calculations and elctrical permits are required, 8" Sanitary sewer is located on Ah1vers Rd., connection inspection is required by Public works prior to back fill of ditch. 24 hour advance noti~e is required. Locate 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 w regulatin onstruction or e erforrnance of construction. Signature of Contractor or Authorized Agent Date T:IPolicieslI102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS 1 WALLS FOUNDATION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW 1 WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS 1 GIRDERS SHEAR W ALUHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] <f ,ORT ~ t.~\ ,. i'!:. -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 06-00000431 Application pin number 654119 Page 2 Date 6/02/06 Special Notes and Comments existing sanitary sewer prior to constuction. Existing water service comes from Canyonedge. Seperate water and electric services are required. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 135.50 135.50 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 135.50 135.50 .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 goveming 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 la r lating cons ction or the ormance of construction. Signature of Contractor or Authorized Agent Date T:\Policies\1102_15 building permit inspection record05.wpd [1/4/20051 BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 4 I 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLOG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING I FRAMING JOISTS I GIRDERS SHEAR WALLlHOLD DOWNS WALLS I ROOF I CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL I FLOOR I CEILING I MECHANICAL HEAT PUMP I FURNACE I DUCTS GAS LINE WOOD STOVE I PELLET I CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD I DUCTS MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. / PW I 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\J 102_15 building pennit inspection record05.wpd [1/4/2005] s ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EA'STS1HSTREET, 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 06-00000431 Date 654119 424 E AHLVERS RD 06-30-15-3-1-Q090-0000- KEVIN BERGLUND RES ACCESSORY BUILDING 5/23/06 UNKNOWN 65000 Owner Contractor KEVIN W/LINDA BERGLUND 424 E AHLVERS RD PORT ANGELES WA 983623708 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 16.00 1. 00 2000.00 42250.00 864.00 2864.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 78121 715.00 Plan Check Fee Valuation" .00 65000 11/19/06 Qty Unit Charge Per 1.00 715.0000 EA PW W/M 1" SERV 5/8" METER Extension 715.00 Permit . . . . . Additional desc . Permit pin number Permi t Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 78139 110.00 Plan Check Fee Valuation .00 65000 11/19/06 Qty Unit Charge Per 1.00 110.0000 EA SAN SEWER HOOKUP Extension 110.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. " OS/22/2006 12:59 PM SROBERDS - Accessory residential structure approved under CUP 05-0B. Setbacks and lot coverage are good. No land issues apparent. Electrical load calculations and elctrical permits are required. . B" Sanitary sewer is located on Ahlvers Rd., connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Locate existing sanitary sewer prior to constuction. Existing water service comes from Canyonedge. Seperate water and Separate Permits are required for electrical wor1<, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if wor1< 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 10 al regulating constructio"n or the performance of construction. Signature of Contractor or Authorized Agent Date T:\Policies\1 102.1 5R {1105) PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECfIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COJlER, 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 & GUTIER DRIVEWAY APPROACH BACK-FLOW DEVICE I T I I I . . FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R W./ PW/ CONSTRUCTION. R W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING - T:\Policies\lI02.15R [1105] e ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST5TIIS1REET, PORT ANGELES, WA 98362 Application Number . . . . . 06-00000431 Application pin number 654119 Page 2 Date 5/23/06 Special Notes and Comments electric services are required. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 825.00 825.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 825.00 825.00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required Inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating constructio'n or the performance of ~nstruction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) . Date T:\Policics\11 02.1 SR {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 PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH I I BACK-FLOW DEVICE I I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W. ENGINEERING 417....807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417....750 PLANNING DEPT. BUILDING 417....815 BUILDING T:\Policies\1 102.15R (1105] 1--- r! pORT ~ l~~ rea ~ -- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMJv.fUNITY DEVELOPMENT - BUILDING DMSION 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 06-00000431 654119 424 E AHLVERS RD 06-30-15-3-1-0090-0000- KEVIN BERGLUND RES ACCESSORY B~~LN~ Date 5/23/06 R~s( d{3n~"/A.\ Unt t- ,,/zg/07 if UN~ R5-~ ,/' 650do' Owner Contractor KEVIN W/LINDA BERGLUND 424 E AHLVERS RD PORT ANGELES WA 983623708 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 16.00 1. 00 2000.00 42250.00 864.00 2864.00 1. 00 permi t . . . . . Aqditional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 76620 775.25 Plan Check Fee Valuation 310.10 65000 11/19/06 Qty Unit Charge Per Extension 670.25 105.00 BASE FEE 15.00 7.0000 THOU BL-50,OOl-100K (7.00 PER K) 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. OS/22/2006 12:59 PM SROBERDS - Accessory residential structure approved under CUP 05-08. Setbacks and lot coverage are good. No land issues apparent. Electrical load calculations and elctrical permits are required. 8" Sanitary sewer is.located on Ahlvers Rd., connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Locate existing sanitary sewer prior to constuction. Existing water service comes from Canyonedge. Seperate water and electric services are required. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 775.25 775.25 .00 .00 Plan Check Total 310.10 310.10 .00 .00 Grand Total 1085.35 1085.35 .00 .00 ~. ~ o ~ ~ <2 ~ Separate Permits are required for electrical work, SEP A, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requ~sted 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 spec'fled herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or I al law regul 'ng constructi r the performance of construction. . Signature of Contractor or Authorized Agent Date T:\Policies\1102_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 ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE I ACCEPTED COMMENTS I YES NO FOUNDATION: , / FOOTINGS 1/7.-1./-10(, ...TfA-/ WALLS I / "7h/ Ix. PI?- FOUNDATION DRAINAGE / DOWN SPOUTS 7 j// /LV vV' 'j / I , PIERS POST HOLES (POLE BLDOS.) PLUMBING UNDER FLOOR / SLAB I I ROUGH-IN 1/!J..~/()7 PA WATER LINE (METER TO BLDG) I t FINAL 1/2/0g' DATE TLi- GAS LINE ACCEPTED BY: BACK FLOW / WATER I AIR SEAL SJ3)O? A-irseb-\ ..)LL I WALLS CEILING FRAMING il/~/f)1 JOISTS / GIRDERS , SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED pANEL ONLY) T-BAR INSULATION SLAB I WALL / FLOOR / CEILING , I MECHANICAL HEATPUNW/FURNACE/DUCTS GAS LINE FINALro/?iJ/08 DATE JLL.- WOOD STOVE / PELLET / CmMNEY ACCEPTED BY: COMMERCIAL HOOD / DUCTS f I MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKlRTING PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: PARKlNG/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL.lNSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. . 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W. / PW/ \ CONSTRUCTION. R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 I PLANNING DEPT. BUILDING 417-4815 71tlOg -:\/v BUILDING ~.'n_1:_:__\' 1m 1 < h"an;no """,,it i",mection record05.wpd r I/4/200~) ~ \ ~ \'rJ ""'- t ~ "" ~ ~ I" ~ ~ ~ ~ ... t., '1 ^' 1'.' J? 70 L C \, ~ The City of Port Angeles Building inspections Dept. Upon reviewing the single-family residential plans submitted for permit, the following are some of the items that will need to be taken in to consideration. 1- Foundation Footing. The minimum size of a footing in Seismic zone D2 are as follows. (1 Story 12" WI 6" min. thick) (2 stor)' 15" WI 7" min. thick) (3 story 23" WI 8" min. thick) (Load bearing value of soil 1,500 (psi). With 2 # 4 bars horizontal continuous 3" off the bottom of footing. The minimum specified compressive strength of concrete in basement walls, foundation walls, exterior walls and other vertical concrete work exposed to weather in moderate weathering table R402.2 of the IRC is 3000lbs with a min. of 5% air entrained, but not more that 7%. Foundations in seismic categories D2 that exceed 50'-0" in either direction are required to have a continuous footing per section R403.1.2 including support of an interior braced wall line. Locating and marking the property boundary is required for a footing inspection. Tables in chapter 4 of the IRC. Will be applied for soils that are heavy in moisture (hydraulic) in nature or foundation wall over 5'-0" in height. Verify site conditions and unbalanced back fill at time of application. Foundations Drains are required as per section R 405.1 (see exception for soil classification) 2- Foundation walls. Vertical steel in foundation walls as of July 1st 2004. Vertical bar reqd to be Yz" #4 bar with a hook and tied to the footing steel in place at 4'-0" O.C. at footing inspection. One #4 bar horizontal within the top 12"of the wall. Yz" anchor bolt with a 3" x 3" x v." steel washer is required at 6'-0"OC for a 1 story and 4'-0"OC for a 2 story, along and within 12" of each end the pressure treated sill plate. Crawl space ventilation is required at (1 ') s.f. of vent per (150') s.f. of area per sec. R408.2. 2003 IRC. 6 mill black poly is required in crawl space as a below grade moisture barrier per section R406.3.2 2003 IRe. Finish grade shall be a 6" slope away from foundation within 10'-0" of the foundation wall measured horizontally as per sec. R406.3 2003 IRC. 3- Framing. All connections from a pier to a post and beam are required to have positive connection per code. In addition any connectorsl fasteners in contact with treaded wood are req'd to be hot dipped zinc/galv. (See manufacture details.) All floor joist are required to be blocked with 2x material at the beam support. 7/16" OSB sheathing is required to be nailed to pressure treated sill plate and bottom plate or sole plate of wall. (or other approved hold down's). Attic ventilation is required at (1 ') s.f. of vent per (150') s.f. Of area with an allowable 50% of ventilation can be located in the upper portion of the ridge if applicable per 2003 IRe. Truss design and calculations are required upon submitting an application, lateral connections are required to end walls where truss I rafters are perpendicular to end walls. A truss Irafter tie shall be required to prevent uplift per code. 4- Braced Wall Lines. In Seismic category D2 exterior and interior braced wall lines cannot exceed 25'-0". Wall bracing must start within 8'-0" of a transverse wall or a designed collector. Standard wall bracing methods are required as per section R602.10.3 of the 2003 IRC. If the wall bracing methods cannot be met, then refer to "Alternate Braced wall pariel" Section 602.10.6 of the 2003 IRe. If any of the aforementioned methods cannot be met, engineering design will be required for the "SHEAR WALL" design. Section R602.10.9 for interior braced wall line support for 1 and 2 story buildings require a continuous footing supporting a braced wall line, interior and exterior not to exceed 50'-0"intervals. FILE 5- Egress. Room' u<cd for .Ieepiug are "qui<<d to hove oue wiudow with S.TS.F. of opeuahle .paoe aud a.ill h,ight of uot mo" the 44" ahove fioi.hed fioor for emergen,y "rap' prr 2003 IRe. 6- Energy and Air Qnality.I",nlation, Brating, Air ,onditinning, Lighting, Window, and Applianc" to mcrt 2003 WSEC & VIAQ. New .ingi' family .trudur" are reqnired to have a whnle hou<< exhau.t fan with a 24hr timer per tahl' 3-1, 3-2, 3-3 of th' 2003 VIA Q. MerhaniralI",h air intake (FA!) i. "qui"d to haVO a 24 hr timrr or windoW' in all hedroo,", and living, dining areo may have intak' por" for fr"h air per 2003 \~AQ if zon' heat is applicable. 7- Dry Wall. (Gyp.um wall hnard) 5/8" typ' "X" .i"'" ro,k i. "qnired in th' ao,,,,ihi' usahi' ,pare under ,tairs and on criling of a garag' oniy if a hahitahle area i. lorat,d ahnve the garage. Th' rating of th"heet ro,k & nail patiern mn,t he v~ihie to the in'p,dor. Nail patiern for all .heet rock y," and 5/8" to h' 8" on crnter and 12" OC if drywall <,"w' are u<<d. per table 702.3.5 of th' 2003 mc. Interior bracrd wall pan,l. are to be inspeded prior to tape, b,d and textu'" Mni,tn" r"i,tant wallboard i, "quired arnund w/e. A crmentuou. ba,ker board i. "qni"d fnr tiled areas at tnb and ,bowers. Vapor barrier i. requi"d. A perm rated paint may be ,nb,tituted fnr a pnly vapor barrier ou the wanu iu winter ,ide. 8- Plnmbing. Water beaters are "quired tn bave two approved <<i,mi' ,trap' iu tbe upper and Inwer 113'" of tbe tauk per upC. T &P valv' io be W' I.D and directed to tbe exterinr aud tnrued 90 d'gree downward not I'" that 6"-12" above fini.b grade. Water beater · a" required to bave a 26 ga. Pan of otber approved drain pan witb a W' drain line from pan to exterior.lmpart prntertion for wlh and merbaniral equip a" "qui"d to ".i.t 6,000lb' impad iflorated iu tbe garage area. Ail DWV are "q'd. to be tested under water pr,,'u" per 2003 UPC or air text (rou<nlt mannfaotu" recomm,udation. for air te<t) Min. t<<t pressure in Residential LPG is 30 lbs. 9- Smoke detectnrs. ,hall b' located in each .Ieepiug room and iu the ball leading to each ,leeping a"a. One ,moke detedor i' "qoi"d at th' tnp of earb ,tairs, and at least one ,moke detedor i. "qui"d on every floor levet. Smoke detertors must be within 6" tn I2"from th' criling il mounted on wall. Smoke detertoe ,hall not be 1<<' than 36" from any air returo. power ,upply for ,mok' dd,dors ,hall b, from th' main hou<< ,npply that i. not ,wit,h,d and "quired to b' batiery back up. Smokc del,dors to be inter-conneeted '0 that if one .moke deteeM alanu will "art a ,hain "aotinn to all other ,mok' detertors as p" code. 10- Maximnm bnilding height allowable" 30'-0" based on an av"age grad' plain p" 2003 me. Property pin' ,hall b' lorated and "",rked for a footing in'pertion to verily zoning <<t back requirements. 11- Safety glazed t,mpored gla" <<qui"d withio 24" of any doorway edge, alnng witb oth" requirements as per 2003 IRe. 12- All water, <<wer, gas, eledriral, drywell., down,pou" and footing drain, a" "qui"d to be inspected before cover. Thi' 1,1t" i, not intended to ,over all ite,", "qui"d by th' City of port Angel<<, but i' to <<rve as a guide to help you und""and frequentiy asked qu<<tion., "ALL WORK IS SUBJECT TO FIELD APPROVAL" 4/05. ...... BUILDING PERMIT - APPLICATION ~' Pennit#: Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent: Phone: 4,1) 7 - .')6 72- Owner: () Phone: Address: f2. 1- E./7 h / V ~ ( /{j City: Po f' I v~~ to /,0 S ArchitectJEngineer: E Ve , )' kn ~ Il u ,. / J /17 9' dJe.J ) (VrJ Phone: /' J ~ ~ <.>,.S 1- C7 tf' Contractor 'V I~~- / 6r/)(J/ J.. iJ!e/,/ State License #: Exp: Address: City: ~ 46 /ver ( /!vl. Zip: C/e36c Phone: \ PROJECT ADDRESS: 1- Z f '/2... LEGAL DESCRIPTION: Lot: Zip: ZONING: ,Rj-C} CLALLAM COUNTY PARCEL NUMBER: Block: jJorce / Subdivision: J S Lf(,J/~V / II ZJ.'l7 2.. ~.NES~ TYPE OF WORK: SIZEN ALUATION: ~Residential ~ New Constr. D Re-roof D Stove 66 1- SF. @$ 7.)'/ ZJ /SF. = $ ~ Gt!?OCJ D Multi-family D Addition D MoveD Garage SF. @ $ /SF. = $ D Commercial D Remodel D Demolition D Deck SF. @ $ /SF. = $ D Repair D Sign D Other TOTAL VALUATION $ /; </ ~c:>o BRIEF DESCRIPTION OF THE PROJECT: IJ e Ie. r: /; ~ d Z- /; ~J 1'&0!9r-. ~ D. IA . ~j,.I-;~7a / U 'i~ flerm/ f - C t/ P !).~ -DB COMMERClAL/RESIDENTIAL: Occupancy Group: No. of Stories: --L Lot Size: 4-2. J...S'O Existing Sq. Ft. 2000 Total lot coverage J I:, % ' Occupant Load: Construction Type: f ~ )Qf1 J & Proposed Sq. Ft. 864- = TOTAL Sq. Ft. Z-.f?6 f APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESAlWetland(s): DYes D No SEPA Checklist required? DYes D 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. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work.;/ !~~;-j' - ./ d T,IFORMSlBldgPomi"om.wpd Applio",,!: ,bj/tt/.p yU' Date, 'r i 8 / L 00 6 o I f r \ ~ '~\ f ,.3/illLm I ! , f:L, ~5 I , I I i i - -~ - -, -'--'1 /0' 10 L .s~fk.cA t -z..,r'Sel l _,.)1/. I ! I ( 424 I j --,.J I I i I ~. ~I rjJ721 ~ 1(/]0// '", I . Or ~ I L. . , I "~~ ..: o Q) OJ "C Q) c: o J f 436 I I \ I I , / --- C) t'l " .::: ..... ~ ~ ~ C). t\.. ~ ~ \.I) . N Q.\ ......... ~ OJ fa f )(;1'7 I~ \J ~ \..tJ t::::l -... ~ t:l.( g: 1ffi K ~ I,M.. ~ , , Co ~ ~ .~ ~ >-I:l ~ .~ t( ~ ~ ~ - ~ \\}~- ~ ~ ~,....~ '" II( ~~... ~~- '-I. ~ ~~ ~ 2.. qlt ' ~ v ~ -....l. ~ ::t:. "" 3$/.8'1' 3 J(} , L ,- -+-J .- E L- Q) a.. Q) (J) ::>00 -0 ro I CL.() 00 +:i .- a.. -g::> ou U "'C C :::J C) L- Q) CO "IS ,{poqead r-J J/ L- J 1 J L...J ( ~ L Q) 0- o L... a.. '0 Q) "0 :g c: en j~ 00 LJ D "JQ e6pauo,{ue:> [ ~ "t:i lr f! CI> > :c c{ v: o D 0 o 00 UJ 0\ z+__ ~ r1 o o , ( '[r >0 ']' \0 "' ELECTRICAL WORK PERMIT APPLICATION . \ Job wired by o Electrical Contractor )(Owner Installation description o Commercial ~ Residential Elect~a] contr7cto~ name!,. r ,License number Date Expires ;:. )~>C-LrJ 0. ...J~l'tlICe.s. Purchaser's mailing address! ~2~ E./1J.lverJ ~d City : / State ZIP lo/'r Ajf4.efer lUll q~J'Z-. v ' Telephone number FAX number '3 ~New Q Altered/Addition 1;;~t::;'::;;~:i~7 . Ji -41 /v~( ,!l...l CilYA I i / I? I' finifetp j Phone nu..,ber t; s'ch~le in~pection: b, -7-.f67 Owner as defined bv Rn~!9.28.261:(1) Owner 'ill occupy the sIr urefor two years after this elect;ical pefmit is finalized. (2) (Avne,. is required to hire an electrical contractor if above said prJperty is for sale, relit or lease. After reading the above statement, I hereby certify that r am the owner of the above named property or a licensJd electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296~46B, The City of Port Angeles Municipal Code, and Utility Specifi ations. I Signatu of 0 Rer cal administrator f3t,L{ S9 h- . Aeas<;(5)~ 1S lA.'-P ,... o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover EI ctrical Load Additions a or subtractions o NO LOAD CHANGES. CI Baseboard KW CI Furnace KW CI Heat Pump Ton LAR o Fan-Wall KW 6 '6 06 Expiration Date of card Inspection fee $ 73. 00 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 360-417-4735 I ? !R~;GH-~ Au.Q ::\pproved By THERMOSTAT Date Approved By DITCH Date ApprovedBy../ 5'. SERVIN Da Approved By FINAL {.-/L--7,.fi!) ~"\> Date I AP~J~:i\y FEEDER Date Approved By Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector I Alail CZar. pc""",r //" /dIEI,J& ~ ELECTRICAL INSPECTION WIRING REPORT 417-4735 PERMIT # O~ ..~. ,. L. ArILL/ ~ I APPROVED NOT APPROVED o .......,............ DITCH. . . . . . . . . . . . . . . . . . . . 0 ~ . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . ~ --::::: D. . . . . .. . .. . . . . . . .. . . SERVICE. .. . . . . . .. . . . .. . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 y;; c. _ .,- L/' ~. - t' CORRECTIONS NEED~ ~/~L-L W/rL.r. Z-Lb /N~A7 -.;; @ 51J'M1q"> /?1A X , .~ .{-r~ '1// ~-E NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PAINTERS, INC. (360) 452-1381