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Home My WebLink About511 Lopez Ave - BuildingPREPARED 4/22/08 8 51 36 CITY OF PORT ANGELES ADDRESS 511 LOPEZ AVE SUBDIV TENANT NBR THOMAS KAY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE (452) 2996 PARCEL 06 30 10 5 0 1607 0000 APPL NUMBER 06 00001245 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/26/07 JLL BLDG FOUNDATION FOOTING 2/26/07 AP 02/26/2007 09 15 AM PBARTHOL BRUCE 808 3349 02/26/2007 03 18 PM JLIERLY BL2 01 3/01/07 PB BLDG FOUNDATION STEM WALL 3/01/07 AP 03/01/2007 08 07 AM PBARTHOL BRUCE 808 3349 03/01/2007 04 52 PM PBARTHOL BL9 01 4/09/07 JLL BLDG SHEARWALL 4/09/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/06/07 TIME 10 29 34 04/06/2007 10 29 AM PERMITS GARY 808 3349 DONE 04/09/2007 03 42 PM JLIERLY DSD 01 4/12/07 JLL BLDG DOWN SPOUT DRAINS 4/12/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 08 51 04/11/2007 09 08 AM PERMITS GREG 477 1243 04/12/2007 04 34 PM JLIERLY BL1 02 4/30/07 PB BLDG FOUNDATION FOOTING 4/30/07 AP 04/27/2007 03 09 PM PERMITS BRUCE 808 3349 GARAGE FOUNDATION 04/30/2007 12 28 PM PBARTHOL BAIR 01 8/15/07 PB BLDG AIR SEAL 8/15/07 AP 08/15/2007 02 16 PM LPANGRLE GREG 477 1243 AIRSEAL 08/15/2007 04 51 PM PBARTHOL BL3 01 8/15/07 PB BLDG FRAMING 8/15/07 AP 08/14/2007 01 27 PM LPANGRLE GREG 477 1243 FRAMING (HOUSE GARAGE) 08/15/2007 04 51 PM PBARTHOL BLWS 01 8/17/07 PB BLDG INSULATION WALL /FLOOR 8/17/07 AP 08/17/2007 08 25 AM LPANGRLE BRUCE 912 0079 INSULATION WALLS FLOORS 08/17/2007 03 59 PM PBARTHOL BLDR 01 8/24/07 JLL BLDG DRYWALL IBWP 8/24/07 AP 08/24/2007 10 51 AM LPANGRLE BRUCE 912 0079 INTERIOR SHEARWALL BRACE PANELS 08/24/2007 04 35 PM JLIERLY BL99 01 4�2�/OS JLL BLDG FINAL v BRUCE MC PPEN 912 0079 OR ROGER 9 23 38 AM ROGERr TON 477 1243 y BRUCE MCCOPPEN FE BLDG FINAL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTION TICKET INSPECTOR JAMES LIERLY PAGE 11 DATE 4/22/08 PREPARED 4/22/08 8 51 36 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS 511 LOPEZ AVE TENANT NBR THOMAS KAY CONTRACTOR OWNER PARCEL APPL NUMBER TYP /SQ ME99 01 PERMIT TYP /SQ PL2 01 PL99 01 HOUSING AUTHORITY OF CLALLAM 06 30 10 5 0 1607 0000 06 00001245 RES NEW SFR REQUESTED INSP COMPLETED RESULT 7 2/08 PL 00 PLUMBING PERMIT REQUESTED INSP COMPLETED RESULT 6/27/07 JLL 6/27/07 AP 4/22/8 J 7/Z DESCRIPTION RESULTS /COMMENTS DESCRIPTION RESULTS /COMMENTS INSPECTOR JAMES LIERLY SUBDIV MECHANICAL FINAL April 21 2008 9 24 00 AM 1pangrle BRUCE MCCOPPEN 912 0079 OR ROGER FETON 477 1243 MECHANINCAL FINAL PLUMBING ROUGH IN 06/27/2007 08 19 AM LPANGRLE JOHN 460 6902 ROUGH IN PLUMBING 06/27/2007 04 14 PM JLIERLY PLUMBING FINAL April 21 2008 9 24 18 AM 1pangrle BRUCE MCCOPPEN 912 0079 OR ROGER FETON 477 1243 PLUMBING FINAL COMMENTS AND NOTES PHONE PHONE (452) 2996 PAGE 12 DATE 4/22/08 PREPARED 8/17/07 9 41 20 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/17/07 ADDRESS 511 LOPEZ AVE SUBDIV TENANT NBR THOMAS KAY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE (452) 2996 PARCEL 06 30 10 5 0 1607 0000 APPL NUMBER 06 00001245 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/26/07 JLL BLDG FOUNDATION FOOTING 2/26/07 AP 02/26/2007 09 15 AM PBARTHOL BRUCE 808 3349 02/26/2007 03 18 PM JLIERLY BL2 01 3/01/07 PB BLDG FOUNDATION STEM WALL 3/01/07 AP 03/01/2007 08 07 AM PBARTHOL BRUCE 808 3349 03/01/2007 04 52 PM PBARTHOL BL9 01 4/09/07 JLL BLDG SHEARWALL 4/09/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/06/07 TIME 10 29 34 04/06/2007 10 29 AM PERMITS GARY 808 3349 DONE 04/09/2007 03 42 PM JLIERLY DSD 01 4/12/07 JLL BLDG DOWN SPOUT DRAINS 4/12/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 08 51 04/11/2007 09 08 AM PERMITS GREG 477 1243 04/12/2007 04 34 PM JLIERLY BL1 02 4/30/07 PB BLDG FOUNDATION FOOTING 4/30/07 AP 04/27/2007 03 09 PM PERMITS BRUCE 808 3349 GARAGE FOUNDATION 04/30/2007 12 28 PM PBARTHOL BAIR 01 8/15/07 PB BLDG AIR SEAL 8/15/07 AP 08/15/2007 02 16 PM LPANGRLE GREG 477 1243 AIRSEAL 08/15/2007 04 51 PM PBARTHOL BL3 01 8/15/07 PB BLDG FRAMING 8/15/07 AP 08/14/2007 01 27 PM LPANGRLE GREG 477 1243 FRAMING (HOUSE GARAGE) 08/15/2007 04 51 PM PBARTHOL BLWS 01 8/17/07 JL V BLDG INSULATION WALL /FLOOR 08/17/2007 08 25 AM LPANGRLE BRUCE 912 0079 111 INSULATION WALLS FLOORS COMMENTS AND NOTES PREPARED 8/15/07 11 39 21 INSPECTION TICKET PAGE 21 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/15/07 ADDRESS 511 LOPEZ AVE SUBDIV TENANT NBR THOMAS KAY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE (452) 2996 PARCEL 06 30 10 5 0 1607 0000 APPL NUMBER 06 00001245 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/26/07 JLL BLDG FOUNDATION FOOTING 2/26/07 AP 02/26/2007 09 15 AM PBARTHOL BRUCE 808 3349 02/26/2007 03 18 PM JLIERLY BL2 01 3/01/07 PB BLDG FOUNDATION STEM WALL 3/01/07 AP 03/01/2007 08 07 AM PBARTHOL BRUCE 808 3349 03/01/2007 04 52 PM PBARTHOL BL9 01 4/09/07 JLL BLDG SHEARWALL 4/09/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/06/07 TIME 10 29 34 04/06/2007 10 29 AM PERMITS GARY 808 3349 DONE 04/09/2007 03 42 PM JLIERLY DSD 01 4/12/07 JLL BLDG DOWN SPOUT DRAINS 4/12/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 08 51 04/11/2007 09 08 AM PERMITS GREG 477 1243 04/12/2007 04 34 PM JLIERLY BL1 02 4/30/07 PB BLDG FOUNDATION FOOTING 4/30/07 AP 04/27/2007 03 09 PM PERMITS BRUCE 808 3349 GARAGE FOUNDATION 04/30/2007 12 28 PM PBARTHOL BLDG FRAMING 08/14/2007 01 27 PM LPANGRLE GREG 477 23 FRAMING (HOUSE GARAGE) BL3 01 8/1 /07 JLL COMMENTS AND NOTES 14 S-fsve PREPARED 7/06/07 8 54 11 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/06/07 ADDRESS 511 LOPEZ AVE SUBDIV TENANT NBR THOMAS KAY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE (452) 2996 PARCEL 06 30 10 5 0 1607 0000 APPL NUMBER 06 00001245 RES NEW SFR PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/26/07 JLL BLDG FOUNDATION FOOTING 2/26/07 AP 02/26/2007 09 15 AM PBARTHOL BRUCE 808 3349 02/26/2007 03 17 PM JLIERLY BLHD 01 5/02/07 JLL BLDG FRAMING HOLD DOWNS 5/02/07 AP 05/01/2007 02 40 PM LPANGRLE GREG 477 1243 HOLD DOWN 05/02/2007 04 51 PM JLIERLY BL9 01 7/0 /07 JLL BLDG SHEARWALL 07/05/2007 03 21 PM LPANGRLE BRUCE 912 0079 I r SHEARWALL COMMENTS AND NOTES PREPARED 6/27/07 8 22 27 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/27/07 ADDRESS 511 LOPEZ AVE SUBDIV TENANT NBR THOMAS KAY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE (452) 2996 PARCEL 06 30 10 5 0 1607 0000 APPL NUMBER 06 00001245 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 6/27/07 PLUMBING ROUGH IN 06/27/2007 08 19 AM LPANGRLE JOHN 460 6902 ROUGH IN PLUMBING COMMENTS AND NOTES PREPARED 5/02/07 8 20 37 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/02/07 ADDRESS 511 LOPEZ AVE SUBDIV TENANT NBR THOMAS KAY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE (452) 2996 PARCEL 06 30 10 5 0 1607 0000 APPL NUMBER 06 00001245 RES NEW SFR PERMIT BPR 01 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/26/07 JLL BLDG FOUNDATION FOOTING 2/26/07 AP 02/26/2007 09 15 AM PBARTHOL BRUCE 808 3349 02/26/2007 03 17 PM JLIERLY BLHD O1 5/02/07 L 9 BLDG FRAMING HOLD DOWNS „/1 05/01/2007 02 40 PM LPANGRLE GREG 477 1243 HOLD DOWN COMMENTS AND NOTES PREPARED 4/30/07 12 27 02 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/30/07 ADDRESS 511 LOPEZ AVE SUBDIV TENANT NOR THOMAS KAY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE (452) 2996 PARCEL 06 30 10 5 0 1607 0000 APPL NUMBER 06 00001245 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/26/07 JLL BLDG FOUNDATION FOOTING 2/26/07 AP 02/26/2007 09 15 AM PBARTHOL BRUCE 808 3349 02/26/2007 03 18 PM JLIERLY BL2 01 3/01/07 PB BLDG FOUNDATION STEM WALL 3/01/07 AP 03/01/2007 08 07 AM PBARTHOL BRUCE 808 3349 03/01/2007 04 52 PM PBARTHOL BL9 01 4/09/07 JLL BLDG SHEARWALL 4/09/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/06/07 TIME 10 29 34 04/06/2007 10 29 AM PERMITS GARY 808 3349 DONE 04/09/2007 03 42 PM JLIERLY DSD 01 4/12/07 JLL BLDG DOWN SPOUT DRAINS 4/12/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 08 51 04/11/2007 09 08 AM PERMITS GREG 477 1243 04/12/2007 04 34 PM JLIERLY BL1 02 4/30/07 JLL BLDG FOUNDATION FOOTING i1 04/27/2007 03 09 PM PERMITS BRUCE 808 3349 GARAGE FOUNDATION COMMENTS AND NOTES 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 HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS STREET PORT ANGELES WA PORT ANGELES (452) 2996 Other struct info Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date WA 98362 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 121 EAST 5TH STREET PORT ANGELES, WA 98362 06 00001245 386380 511 LOPEZ AVE 06 30 10 5 0 1607 0000 THOMAS KAY RES NEW SFR RS9 RESDNTL SINGLE FAMILY 101998 Contractor OWNER TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS ELECTRICAL NEW RESIDENTIAL OLY WIRING/ 200A SVC +FEEDER 97519 OLYMPIC WIRING INC 97 00 Plan Check Fee 4/18/07 Valuation 10/15/07 Qty Unit Charge Per 1 00 75 0000 ECH EL RM 0 200 1ST SRV FEEDER 1 00 22 0000 ECH EL -RM 0 200 ADD SRV FEEDER 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 11/20/2006 03 53 PM SROBERDS New SFR in the RS 7 Lot coverage 17% No land use issues, noted MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense When roof gutters are installed drains will located in dry wells or piped to approved storm drain location No pressurized or pumping to curbs are allowed An inspection by Building Department is required prior to backfill 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 Date 4/18/07 17 00 1 00 7712 00 1321 00 1321 00 1 00 00 0 Extension 75 00 22 00 ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COYER INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FINAL INSPECTION TYPE DATE ACCEPTED YES I NO DITCH ROUGH -IN COVER SERVICE j GENERAL COMMENTS: I .I I I I I .I I I 1 COMMENTS Pw -11 1.15141961 Application Number Application pin number Other Fees Fee summary COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00001245 386380 Page 2 Date 4/18/07 SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Charged Paid Credited Due Permit Fee Total 97 00 97 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2074 50 2074 50 00 00 Grand Total 2171 50 2171 50 00 00 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COYER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. INSPECTION TYPE DITCH TOUGITINTCOVEk SERVICI FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE 7 Lfi L I'r'k I ACCEPTED YES I NO COMMENTS 0.r. 102.1 (496) PREPARED 4/12/07 11 25 25 INSPECTION TICKET PAGE 18 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/12/07 ADDRESS 511 LOPEZ AVE SUBDIV TENANT NBR THOMAS KAY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE (452) 2996 PARCEL 06 30 10 5 0 1607 0000 APPL NUMBER 06 00001245 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/26/07 JLL BUILDING FOUNDATION FOOTING 2/26/07 AP 02/26/2007 09 15 AM PBARTHOL BRUCE 808 3349 02/26/2007 03 18 PM JLIERLY BL2 01 3/01/07 PB BUILDING FOUNDATION WALL 3/01/07 AP 03/01/2007 08 07 AM PBARTHOL BRUCE 808 3349 03/01/2007 04 52 PM PBARTHOL BL9 01 4/09/07 JLL BUILDING SHEARWALL 4/09/07 AP OVERRIDE TAKEN BY PERMITS DATE 04/06/07 TIME 10 29 34 04/06/2007 10 29 AM PERMITS GARY 808 3349 DONE 04/09/2007 03 42 PM JLIERLY DSD 01 4/12/07 L� BUILDING DOWN SPOUT DRAINS OVERRIDE TAKEN BY PERMITS DATE 04/11/07 TIME 09 08 51 04/11/2007 09 08 AM PERMITS GREG 477 1243 COMMENTS AND NOTES PREPARED 4/09/07 8 26 20 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/09/07 ADDRESS 511 LOPEZ AVE SUBDIV TENANT NBR THOMAS KAY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE (452) 2996 PARCEL 06 30 10 5 0 1607 0000 APPL NUMBER 06 00001245 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/26/07 JLL 2/26/07 AP BL2 01 3/01/07 PB 3/01/07 AP BL9 01 4/09/07 JLL BUILDING FOUNDATION FOOTING 02/26/2007 09 15 AM PBARTHOL BRUCE 808 3349 02/26/2007 03 18 PM JLIERLY BUILDING FOUNDATION WALL 03/01/2007 08 07 AM PBARTHOL BRUCE 808 3349 03/01/2007 04 52 PM PBARTHOL BUILDING SHEARWALL OVERRIDE TAKEN BY PERMITS DATE 04/06/07 TIME 10 29 34 04/06/2007 10 29 AM PERMITS GARY 808 3349 DONE COMMENTS AND NOTES PREPARED 3/01/07 11 21 35 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/01/07 ADDRESS 511 LOPEZ AVE SUBDIV TENANT NBR THOMAS KAY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE (452) 2996 PARCEL 06 30 10 5 0 1607 0000 APPL NUMBER 06 00001245 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/26/07 JLL BUILDING FOUNDATION FOOTING 2/26/07 AP 02/26/2007 09 15 AM PBARTHOL BRUCE 808 3349 02/26/2007 03 18 PM JLIERLY BL2 01 3/01/07 JLL BUILDING FOUNDATION WALL 03/01/2007 38 07 AM PBARTHOL BRUCE BRUC 808 3349 J COMMENTS AND NOTES PREPARED 2/26/07 10 30 29 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/26/07 ADDRESS 511 LOPEZ AVE SUBDIV TENANT NBR THOMAS KAY CONTRACTOR PHONE OWNER HOUSING AUTHORITY OF CLALLAM PHONE (452) 2996 PARCEL 06 30 10 5 0 1607 0000 APPL NUMBER 06 00001245 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/26/07 J� BUILDING FOUNDATION FOOTING 02/26/2007 09 15 AM PBARTHOL BRUCE 808 3349 PERMIT BPR 01 BUILDING P IT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/26/07 LL BUILDING FOUNDATION FOOTING f 02/26/2007 09 15 AM PBARTHOL +1 BRUCE 808 3349 COMMENTS AND NOTES pORr 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 HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS STREET PORT ANGELES WA PORT ANGELES (452) 2996 Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Other Fees T \Policies \1102_15 building permit inspection record05 wpd 1/4/20051 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 98362 06 00001245 386380 511 LOPEZ AVE 06 30 10 5 0 1607 0000 THOMAS KAY RES NEW SFR RS9 RESDNTL SINGLE FAMILY 101998 Contractor OWNER TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL 576 SF DETACHED GARAGE 94599 249 75 2/14/07 Valuation 8/13/07 Plan Check Fee Qty Unit Charge Per BASE FEE 11 00 14 0000 THOU BL -2001 25K (14 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 11/20/2006 03 53 PM SROBERDS New SFR in the RS 7 Lot coverage 17% No land use issues noted MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense When roof gutters are installed drains will located in dry wells or piped to approved storm drain location No pressurized or pumping to curbs are allowed An inspection by Building Department is required prior to backfill 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 Date 2/14/07 17 00 1 00 7712 00 1321 00 1321 00 1 00 Extension 95 75 154 00 SEWER SYSTEM DELV CHARGE 870 00 00 12314 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 constructi Signature of Con ractor or Authorized Agent Date Signature of Owner (if owner is builder) Date MANUFACTURED HOMES FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING I MECHANICAL ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT 4's PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T-1Policies11102 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 FINAL FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED I YES I NO 417 -4735 I ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE ACCEPIJ )BY. Application Number Application pin number Other Fees Fee summary T \Policies \I 102_15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00001245 386380 Page 2 Date 2/14/07 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Charged Paid Credited Due Permit Fee Total 249 75 249 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2074 50 2074 50 00 00 Grand Total 2324 25 2324 25 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 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 FUL TO COVER, IJVSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE 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 I FIRE 417 -4653 I PLANNING DEPT 417 -4750 I I BUILDING 417 -4815 T• \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD FINAL SEPA. ESA. SHORELINE: 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING DATE ACCEPTED BY. I FINAL DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 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 HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS STREET PORT ANGELES WA PORT ANGELES (452) 2996 Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T•\Policies \1102.15R [1 /05] WA 98362 Qty Unit Charge Per CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00001245 386380 511 LOPEZ AVE 06 30 10 5 0 1607 0000 HOUSING AUTHORITY RES NEW SFR RS9 RESDNTL SINGLE FAMILY 89684 Contractor OWNER TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS PUBLIC WORKS RES WATER SERV 5/8 DROP IN METER 91447 175 00 Plan Check Fee 1/25/07 Valuation 7/24/07 BASE FEE Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 91439 Permit Fee 110 00 Plan Check Fee Issue Date 1/25/07 Valuation Expiration Date 7/24/07 Qty Unit Charge Per 1 00 110 0000 EA SAN SEWER HOOKUP 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 11/20/2006 03 53 PM SROBERDS New SFR in the RS 7 Lot coverage 17% No land use issues noted MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense When roof gutters are installed drains will located in dry wells or piped to approved storm drain location No pressurized or pumping to curbs are allowed An inspection Date 1/25/07 17 00 1 00 7712 00 1321 00 1321 00 1 00 00 89684 Extension 175 00 00 89684 Extension 110 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 constru i n. c9,s=G -7 Signature of CA tractor or Authorized Agent Date Signature of Owner (if owner is builder) Date CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. T•\Policies \1102.15R [1/05] PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE INSPECTION TYPE DATE ACCEPTED YES I NO RESIDENTIAL CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION RW PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING COMMENTS I I I I I I i i 1 rmo' 14 kIC NCO Application Number Application pin number Other Fees Fee summary T•\Policies \1102.15R [1/051 Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 06 00001245 Date 386380 Special Notes and Comments by Building Department is required prior to backfill 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 SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE Charged Paid Credited 285 00 285 00 00 00 2074 50 2074 50 2359 50 2359 50 00 00 00 00 1/25/07 870 00 4 50 1200 00 Due 00 00 00 00 2 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 CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T•\Policies\ 1102.15R 1 /05] PERMIT INSPECTION RECORD YES I NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I I CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING 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 HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS STREET PORT ANGELES WA PORT ANGELES (452) 2996 Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 40 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 98362 Signature of ¢ontractd or Authorized Agent CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL 90779 950 25 Plan Check Fee 1/25/07 Valuation 7/24/07 Unit Charge Per BASE FEE 7 0000 THOU BL -50 001 100K (7 00 PER K) MECHANICAL PERMIT 06 00001245 386380 511 LOPEZ AVE 06 30 10 5 0 1607 0000 HOUSING AUTHORITY RES NEW SFR RS9 RESDNTL SINGLE FAMILY 89684 Contractor OWNER 90936 89 65 Plan Check Fee 1/25/07 Valuation 7/24/07 Qty Unit Charge Per BASE FEE 4 00 7 2500 ECH ME VENT FAN 1 00 10 6500 ECH ME VENT SYSTEM OTHER PLUMBING PERMIT T•\Policies \1102_]5 building permit inspection record05 wpd [1/4/2005] 90944 }1 128 00 Plan Check Fee 1/25/07 Valuation 7/24/07 Qty Unit Charge Per BASE FEE 7 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE Date Date 1/25/07 17 00 1 00 7712 00 1321 00 1321 00 1 00 0 0 89684 Extension 670 25 280 00 0 0 0 Extension 50 00 29 00 10 65 00 0 Extension 50 00 49 00 7 00 y c?,c, 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 knowthe 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 construct' Signature of Owner {if owner is builder) Date CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORK UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR N OTICE. 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. FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS I POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR/LA ROUGH -IN *c.i T a A WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS A. CEILING FRAMING ty3 JOISTS GIRDERS .s SHEAR WALL/HOLD D WNS,i t WALLS ROOF CEILING A. DRYWALL (INTERIOR BRACED PlEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING I 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 INSPECTION TYPE CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 BUILDING PERMIT INSPECTION RECORD FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T\Policies11102 15 building permit inspection record05.wpd [1/4/2005] DATE ACCEPTED YES NO 1 1 I I I 1 I I FINAL FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE 1 DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING FIRE DEPT. PLANNING DEPT BUILDING COMMENTS DATE ACCEPTED BY. DATE ACCEP 1 ED BY. I I 1 I I I I Application Number Application pin number Qty Unit Charge Per 1 00 15 0000 ECH PL- EA BLDG SEWER 1 00 7 0000 ECH PL- EA WATER HEATER 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 11/20/2006 03 53 PM SROBERDS New SFR in the RS 7 Lot coverage 17% No land use issues noted MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense When roof gutters are installed drains will located in dry wells or piped to approved storm drain location No pressurized or pumping to curbs are allowed An inspection by Building Department is required prior to backfill 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 Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total Charged Paid Credited 1167 90 1167 90 00 00 2074 50 2074 50 3242 40 3242 40 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] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 06 00001245 Date 386380 SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 00 00 00 00 870 00 4 50 1200 00 Due 2 1/25/07 Extension 15 00 7 00 00 00 00 00 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 I NO FOUNDATION: FOOTINGS la/ 0-7 14_/.1._- SHEAR WALLS WALLS D 7 y FOUNDATION DRAINAGE (DOWN SPOUTS) j 2 Q 7 7 LL PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL LD 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 0(0/21101- I J LU RI1510 P(3 S11610 f 51 0216- I L L.. It I o TO- ELECTRICAL LIGHT DEPT 417 -4735 EIGHT DEPT Found F+'4,9 MI3o /o'7 J(,L IGoJrage slnearwa\\ ALL CONSTRUCTION R.W PW/ CONSTRUCTION R W ENGINEERING 417 -4807 I PW ENGINEERING FIRE 417-4653 I I I I FIRE DEPT I PLANNING DEPT 417 -4750 I I I PLANNING DEPT I BUILDING 417 -4815 104-22--od c I 'au- I I BUILDING T• \Policies \I 102 15 building permit inspection record05.wpd [1/4/2005] FINAL Cy,-21-0? DATE FL, ACCEPTED BY. S i Of- /O&/6 FINAL 04 2 2--68- DATE 3LL-- ACCEPTED BY. MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s SEPA. PARKING /LIGHTING ESA. LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO ►441.4 n u 5t 1Ve +itor� (7f 611111 do Phone: 3 /1 4 3 Phone: 1 %S t q q Co City Pt r. �sLGi', tQ.j Zip: c/ 9 36 a. 1. Romve .iA/ Phone: b— Li/7 Ow wen_ r t tdt, State License Applicant or Agent: Owner TILm M I4 S g19-4/ Address: Po6 /1/ Architect/Engtneer 1414 Contractor Address: City PROJECT ADDRESS: Oil 1 --7/ LEGAL DESCRIPTION Lot: 8 Block: NA e3�A -06 —cx> A-FAJ seat, t 18 79,x$ CLALLAM COUNTY PARCEL NUMBER. O (o—a.n //Do 7 T'PE OF WORK. iv Residential t�New Constr Re -roof Stove Multi family Addition Movespt Garage Commercial Remodel Demolition Deck Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT ,`arm✓ COMMERCIAL/RESIDENTIAL. Occupancy Group: No. of Stories: 1 i_nt Size: :7 /h ,5 3 Existing Sq. Ft. Total lot coverage PLANNING USE ONLY ESA/Wetland(s): Yes No SEPA Checklist required? Yes 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 permit submitted. All other permit fees are due at the time of peit 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 R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that must obtain such permits prior to work. T•\FORMS\B1dgPermitAppl. wpd Applicant: BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 SIZE/VALUATION. 1/57-- SF 7(c 1 /SF 57, 4,5, SF 3s' /SF /y. R Get SF I2' /SF �i 9-9 477/7/ TOTAL VALUATION d 9.9 Eic c:/,? �Gr r- -m1 t iAJ flit tom. e X/S e/,2 AY2 q Exp: Phone: Zip: ZONING Subdivision: X 04 _IQ Li SueV Date: /7'E4 FOR OFF USE ONLY Date Rec.: 6/.66 Permit Date Approved: Date Issued: Occupant Load: Construction Type: C) Proposed Sq. Ft.J Sq 7. TOTAL Sq. Ft. _I 6.9 7. APPROVALS: PLAN BLDG: DPWU FIRE. OTHER. Applicant or Agent: P-n U S I'/V E ail 4711ait' t 1- llF kk 9 l do t Phone: 360 -4 16 O h 3 Owner 7724 In I4 4 g -mot Phone: (.9 5 q 6 Address: Po R4 /1/ C City 5 se cLe i Architect/Engineer .5414144 I RoNNet- LEI t Contractor OLv iVei2 A bare State License Exp: Address: City PROJECT ADDRESS: Oil l Lv p t-2 34 LEGAL DESCRIPTION. Lot: fi Block: N0 Subdivision. e31�14 Cali -Cxo /t-/- iii 118 7a08 CLALLAM COUNTY PARCEL NUMBER. O(a—',r; 4a0 7 TP E OF WORK R esidential Fr New Constr. Multi family Addition Commercial Remodel Repair Sign BRIEF DESCRIPTION OF THE Gigrt,,p_ COMMERCIAL/RESIDENTIAL. Occupancy Group: No. of Stories: Lot Size: :27 /I*.S -3 Existing Sq. Ft. Total lot coverage (1 PLANNING USE ONLY ESA/Wetland(s): Yes No SEPA Checklist required? Yes 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 R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. lam authorized to apply for this permit and understand that it is my responsibility to determine what permits am required ,not the City's, and that I must obtain such permits prior to work. T•WORMS1B1dgPennitAppl. wpd Applicant: FOR OFF Uy ONLY BUILDING PERMIT APPLICATION DateRec. /e 1 Permit #f/(/— Fill out COMPLETELY and in INK. Your application and site plan MUST BE I i Date Approved: Date Issued: COMPLETE to be accepted for review If you have any questions, call t PERMITS (360) 417 -4815 FAX(360)417 -4711 SIZENALUATION Re -roof Stove k /16 SF 76. es'? /SF 6Z 4,55 F Movt*A Garage SF $3,! 321 /SF /,1-3 /4/. Demolition PiDeck ____/Coq SF 12 /SF G bZ "z' Other TOTAL VALUATION -t _'�"`o, .e, /0/9 9 ..5-e, PROJECT Sri-t F19411 i f 7 1 -1-5Yn -C_ ;,43 r`Fh ice. 4 i d Zip: 3 (02, Phone: r'�, 2 77 7 Phone: Zip: ZONING Occupant Load: Construction Type: Proposed Sq. Ft. TOTAL Sq. Ft. I. L t 5kt Y/ Date: I ?X /S 4.07 del/ APPROVALS. PLAN- BLDG: DPWU FIRE. OTHER: W. i -7 I I i 7 i i 1 �/�W i -/`�//L, I r I i I it 1 I 1 i I I I I I- I I j t_ _i 1E ±T (L '9 Ol t. J ..1_. 1 1 1 .4.! I 1 )(berg/ I I Lola) Structure Type Basic Wind Speed (V) Struc Category (I, II, III, or IV) Exposure (B, C, or D) Struc Nat Frequency (n1) Slope of Roof (Theta) Type of Roof Kd (Directonality Factor) Eave Height (Eht) Ridge Height (RHt) Mean Roof Height (Ht) Width Perp. To Wind Dir (B) Width Paral. To Wind Dir (L) Damping Ratio (beta) WINDO2 v1-02 Detailed Wind Load Design (Method 2) per ASCE 7-02 Description: Delabarre Residence Analysis by Zenovic Associates, June 2006 Building 100 C 1 26 57 Gabled 0 85 9 00 14 00 12 00 48 00 24 00 0 01 mph Hz Deg ft ft ft ft ft Red values should be changed only through 'Main Menu' CalcW*tedParamters 'T: Type of Structure Height/Least Horizontal Dim 1 0.50 Flexible Structure 1 No Copyright 2002 MECA Enterprises, Inc. www.rnecaconsulting.com '•:CalculatedTataTiA, Importance Factor I 1 I Non-Hurricane, Hurricane (v=85-100 mph) Alaska Table 6-2 Values Alpha I 9.5001 zg= 900 0001 At Bt Am Bm Cc I Epsilon Zmin 1, :'=GiittfaCtilt.CategOifl:','Riold'Sti Gust1 'For rigid structures (Nat Freq 1 Hz) use 0.85 7:Zaust Fact9t 14'lligid'SttUctUret Zm 1Zmin Izm ICc (33/z)^0.167 Lzm 11*(zm/33)^Epsilon Q 1(1 /(1+0.63*((Min(B,L)+Ht)/Lzm)^0.63))^0.5 Gust2 10.925*((1 +1 7*Izm*3.4*Q)/(1+1 7*3.4*Izm)) ',GtittfactijrAiihutatY. G 1Since this is not a flexible structure the lessor of Gust1 or Gust2 are used 1 0.1051 1.0001 0.1541 0.6501 0.2001 500.001ft 0.2001 15.001ft 0.851 15.001ft 0.22811 427 061ft 0.93961 0.89321 0.851 6/30/2006 Page No. 1 of 5 WINDO2 v1-O2 Detailed Wind Load Design (Method 2) per ASCE 7 -02 6.5.12.2.1 Design Wind Pressure Bulklings of All Heights Elev Kz Kzt qz Pressure (1b/ft ^2) Windward Wall* ft Ib/ft ^2 +GCpi I -GCpi 15 I 0.85 I 100 I 18.47 I 9.24 I 15.89 Fla 6 Internal Pressure Coefficients for Buildings. GCDi Condition Open Buildings Partially Enclosed Buildings Enclosed Buildings Enclosed Buildings Copyright 2002 MECA Enterprises, Inc. 1 Gcpi Max I Max 0.00 0 00 0.55 -0 55 0 18 -0.18 0.18 I -0.18 6130/2006 www.mecaconsutting.com Page No. 2 of 5 B WINDO2 v1-02 Detailed Wind Load Design (Method 2) per ASCE 7-02 Figure 6-6 External Pressure Coefficients. Cp Loads on Main Wind-Force Resisting Systems (Method 2) Kh Kht Oh Khcc Qhcc I 2.01*(15/zg)^(2/Alpha) Topographic factor (Fig 6-4) 00256*(V)A2*rKh*Kht*Kd Comp Clad: Table 6-3 Case 1 00256*VA21*Khcc*Kht*Kd L 0.85 100 18 47 psf 0.85 18.47 I psf cwallTressure-cOffidiefitS, Surface Cp Windward Wall (See Figure 6.5.12.2.1 for Pressures) 0.8 7 :Roof.Pre:s.sOnicOeffidietitsi' I Roof Area (sq. ft.) I 1,152 Reduction Factor 0 80 calctilOti000 Vilf,V0 ft '2* ciitiokaiRuri§ for ot Leeward Walls (Wind Dir Normal to 48 ft wall) Leeward Walls (Wind Dir Normal to 24 ft wall) Side Walls Roof- Wind Normal to Ridge (Theta>=10) for Windward Min Cp Windward Max Cp Leeward Normal to Ridge Overhang Top (Windward) Overhang Top (Leeward) Overhan9 Bottom (Applicable on Windward only) Roof Wind Parallel to Ridge (All Theta) for Dist from Windward Edge: 0 ft to 24 ft Max Cp Dist from Windward Edge: 0 ft to 6 ft Min Cp Dist from Windward Edge: 6 ft to 12 ft Min Cp Dist from Windward Edge: 12 ft to 24 ft Min Cp Dist from Windward Edge: >24 ft Horizontal distance from windward edge Copyright 2002 MECA Enterprises, Inc. www.mecaconsulting.com -0.50 -11 18 -0.30 -8.04 -0.70 -14.32 Wind Normal to 48 ft face -0.27 -7.54 0.20 -0 18 -0.60 -12.75 -0.27 -4.22 -0.60 -9 42 0.80 12.56 Wind Normal to 24 ft face -0.18 -6.15 -0.90 -0.90 -0.50 -0.30 -0.89 6.47 -6.10 -4.22 -9.42 12.56 0.50 -17 46 10.81 -17 46 -10.81 -11 18 -4.53 -8.04 1 39 -4.53 -1.39 7.67 6/3012006 Page No. 3 of 5 'rfVORf~ l~~ ,.. . ~- '><i:c;;ii" CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Of/-/;;<4? ! Application Number Application pin nuffiber Property Address ASSESSOR pARCEL NUMBER: Tenant nbr, name Application type description subdivision Name Property Use property zoning Application valuation 06-00001245 Date 386380 511 LOPEZ AVE 06_30_10_5_0_1607-0000- HOUSING AUTHORITY RES NEW SFR 1/25/07 RS9 RESDNTL SINGLE FAMILY 89684 6// tofe~ j-k11f1/71 Contractor Owner ---------------------- HOUSING AUTHORITY OF CLALLAM 2603 S FRANCIS STREET PORT &~GELES,WA. PORT ANGELES WA 98362 (452) 2996 Other struct info TOTAL % LOT COVE~GE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS 17.00 1. 00 7712.00 1321.00 1321.00 1. 00 (J) It 1101 ----------- OWNER ---------------------- ----------------- _________________________~---L------- permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS 5/8" DROP IN 91447 175.00 1/25/07 7/24/07 RES WATER,SERV METER plan Check Fee Valuation .00 89684 Qty Unit Charge Per Ext:ension 175.00 BASE FEE ------------------ --------------- ---------------- ----------- ------------ 91439 110.00 1/25/07 7/24/07 plan Check Fee valuation .00 89684 FI r j_oZ? permit Additional desc permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP -------- --------------------------- 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. 11/20/2006 03:53 PM SROBERDS --New SFR in the RS-7 - Lot coverage 17%. No land use issues noted. MAINTAIN CLEARANCES FROM SERVICE WIRES Electrical load calculations and elctrical p~rmits are required. Any modifications to the city's electrical facilities will be at the customer's expense. When roof gutters are installed, drains will located in dry wells or piped to approved storm drain location. No pressurized or pumping to curbs are allowed. An inspection 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 afler 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 appiication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is buiider) T:\Policies\1102.15R [1/05] .... d"OflT~. ,-",~~ <~ .. -- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 06-00001245 Application pin number 386380 Page Date 2 1/25/07 Special Notes and Comments by Building Department is required prior to backfill. 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 C~GE STATE SURCHARGE PW WATER SYSTEM USE FEE 870.00 4.50 1200.00 Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Other Fee Total Grand Total 285.00 .00 2074.50 2359.50 2B5.00 .00 2074.50 2359.50 .00 .00 .00 .00 .00 .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 nDt commenced within 180 days, if construction orwork is suspended or abandoned fora periDd 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 appiication 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 iocal law regulating construction or the performance Df construction. Signature of Owner (if owner is builder) Date Signature of Contractor Dr Authorized Agent Date T:\Policies\1102.15R [1/05] " APPLICATION FOR WATER City Water Division, Port Angeles, WA !ssueddate: !-?-c.:-o7 Installed by & date: 71-;; "-5-07 Permit# O(p-I Z45 I hereby apply for water to be furnished in accordance with rates and rules of the l;ity for the following premises: . Applicant Name & Phone: HoU'S'Nj AuJ.-hOfZ'-rj Ci,t=-r!.i..IH1.Afy,(J-;untY Z-7&3j Site Address: 0/1 Lope-;z:. Mailing Address: P.o, Brr/.1I1 P4-. , ELA- Olrt:J(; Blk: Lot: 8 Add: ?!Ool.-lIfJJ1ZPf3 Parcel#: 0(p30Io5bI{,07 Svc: ON /~ Meter#'s C F o7uo(,,<)'f1 w/o#: 30"3'1"1 - 3~3 C/ 5"11 Q1) 1 ~ .1 Svc: Size - I 'tOO Restoration Required: ND . Signature:......._.. ~.) Remarks: (;11 wi/- -1-0 be.- €.i--kr,ded. IN. Lope.:e:Ltofl.-tradt vvJ-rH- 6~ENT-W'f\<'T~ 'DVc!~Of'f'N~~: -,..-- N w E . Lo f-e L. 'j~ID9~~_ E I I I ,~ s \it s CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . .. . INSPECTION REPORT. . . . . . . . / REQUEST: Date '1-25' -oe Time Received by 'Rv (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbing eJewer Excav. Other 5 f( /....ope"2- A lie.... B (-UJ::..f" '_ 0"'- 121jS"' INSPECTION NOTES: Inspected: Date '-1- 2.5 -DB Remarks: S-E'.lAJ~,,- 4-5- Of Time By RV () (< RESTORATION REQUiRED...... YES NO X. SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City D Repaired by Permittee D No Damage Found Work Order # D COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) MRR-19-2007 02:46P FROM:OLYMPIC WIRING (360)692-3680 TO: 13604174711 ~ ""... P.4 ELECTRICAL WORK PERMIT APPLICATION " ItElectrical Contractor Installation description Job wired by DOwner CI Commercial !iil'Resldentlal Electrical contractor nam'c License number Date Bxpires Il(New a Altcred/AdditlOD Ol~..,.~:<- W;("I~. 'C..:. Ot.'irVlf>WJ:;IOfet.4 '3-31-()~ Purchaser s mailing address 200-4 ~lr"J\\,e '1 ~()I p...., ""..r- Cily Slate zrp W/z.cOA Fu d{,- , ~ vev-d~~ wA 1f3t3 . Telephone Dumber . a./ FAX number (i"'D) u,4Z.-DJ'3 (5~tI') iJJ1 Z. - 0(, f-O Premlsel ~:n.mra liSt. Add,... or Inspection 1 Av , 57& 5 U L.op-e'Z- b'lW elly Pc,./- ~~$;.' ulA J7tt5 PlIone number to schedule InlpectloR: Owner QS defined by RCW.J9.28.26J:(I) Owner will OCCIIPY tile .~tructu,.alor two years after this dectriClJJ p~rmit is finalized. (2) OWller is required to hire all electrical contractor if above said property is Jor sale. rent or lease. D Cash D Check # After readins the above ctlltemenc, I hereby certify that r om the owner of the above (Ma~tercarCD nllmed property or 0 licensed electriclIl contractor. I om makinG the electrical instal. D Credit Card Visa Discover ,,1 tetion or alteration in co~pliance with the electrical laws, N.E.C., RCW. Chapter Q"V\.~JJ.L__-____ . 19.28, WAC. Chapler 296.46B, The City of Pori Angeles Municipal Code, and Card # - Utility Specifications. SlgnO~Or own^eClrICO' contracto, 0' elecl,lcol odmlnlSl'O'o, Expiration Date , ,-X a f- ... A_ Date: 01-/1-07 of card ( ~SP~I;7. ~D Electrlca' Load Additions and or subtractions t:I NO LOAD CHANGES CI Baseboard KW Cl Furnace KW Cl Heal Pump _ Ton _ LAR Cl Fan-Wall KW g(' Overhead Service [J Temp Service o Underground Sorvice SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT e!~~!07 ~., Service Information Voltege IZO/2-iJll Phaseli"~ Service Size: ~ Feeder Size: ., 1'l.-'.4 ~ Dele Approved By ihl {;ALCW prnl~! APflroved By 5: DITCH ~ FEEDER PliO ApplUvw By Action Token Inspection Dote Area, Building or Equipment Inspected 3> -'l '0."'1 t 7'/0. 00 Cv,vr/ElT ffF ,#~l/clJ ElectricRl Inspector M.z: / EL:TRICAL WORK PERMIT APPLIC' G-'S~ Job wired by o Electrical Contractor Owner Installation description , o Commercial 'r;( Residential E])f~~ical contrac~1{ name emf '1yvl LY, Purchaser's mailing address' Jteus ~ h11Y1C--/S City 1'7 [ tOrf-I}JV'je{, , Telephone number -7. )-;y:/" Date Expires o New o Altered! Addition -5b-B City IJ J _A ' 'f) rDr ,-rrrvc;,?V0 WIJ Phone nllmJu:r to sche~le inspection: V;):}-- 007 Owner as defined hy RCW.;J9.28.261 :(1) Owner will occupy the slruclure for two years ujier lhj~' electrical pel~nit is finalized. (2) Owner is required to hire an electrical con/rae/or if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that r 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 19.28, WAC. Chapter 296~46B, The City of Port Angeles Municipal Code, and Utility Specifications. Signatur 0'/2::- I DJe ~I y1/o(f0 (JI{e~1 ~ IAW;~ ~- I p()/~ biJvJUrl UtJp ~ zg 1- (Jolt tx-hu-?V/I )/.<Z.J- ~z.. 503, ,5"10 I 5/~ . FAX number 73(Pp-/-t57-7CtJ / Premises owner's q'j 3v2- o Cash 0 Check # o CredilCard Card # Visa Mastercard Discover Date: Expiration Date of card x I contractor or electrical administrator Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW . ~~?'"~ Voltage / / {;> - Phase;' 1 0 3 Service Size: -.It?If>~/' Feeder Size: D Overhead Service '2f Temp Ser/ice "c}. Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ~ ROUGH-IN / THERMOSTAT SERVICE " Dale Approved By "- Dale Approved By Dale Approved By FlNA~ / DITCH FEEDER ~/I /07 , D~e Approved By '-- Dale Approved By Dale Approved By / Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspeclor /-22--0 7 ;11' g,(. ~ , /~O / 1/;8/{j 7 ,