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HomeMy WebLinkAbout436 E Ahlvers Rd - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor CORY AMBER GAGNON 436 E AHLVERS RD PORT ANGELES (360) 457 0833 Other struct info WA 98362 Qty Unit Charge Per 1 00 75 0000 ECH EL RM 0 200 1ST SRV FEEDER Other Fees Fee summary COMMLNTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00000289 234771 436 E AHLVERS RD 06 30 15 3 1 9020 0000 CORY GAGNON RES NEW SFR RS9 RESDNTL SINGLE FAMILY 141540 Date 6/14/07 HI LINE HOMES 11306 62ND AVE E PUYALLUP WA 98373 (253) 840 1849 TOTAL LOT COVERAGE 16 40 CONSTRUCTION TYPE V N NUMBER OF STORIES 1 00 LOT SIZE 16097 00 PROPOSED LOT COVERAGE 2640 00 TOTAL LOT COVERAGE 2640 00 NUMBER OF UNITS 1 00 Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER/ SERVICE DITCH ONLY Permit pin number 103986 Permit Fee 75 00 Plan Check Fee 00 Issue Date 6/14/07 Valuation 0 Expiration Date 12/11/07 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 04/04/2007 12 25 PM SROBERDS The proposal will result in a new sfr w /attached garage in the RS 9 zone No land use issues are anticipated Electrical load calculations and elctrical permits are required Any modifications to the City s electrical facilities will be at the customer s expense Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Supply copy of easement for sewer Charged Paid Credited Due Permit Fee Total 75 00 75 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2234 50 2234 50 00 00 Extension 75 00 SEWER SYSTEM DELV CHARGE 1000 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1230 00 CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM- .24.HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANYWORKBEFORE IT IS INSPEG [ED AND ACCEPTED. DITCH ROUGH =IN COVER SERVICE FINAL ,GENERAL COMMENTS: ELECTRICAL. PERMIT INSPECTION RECORD KEEP PERMIT CARD. AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO I COMMENTS Piv- iioi.tsl�I CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Page 2 Application Number 07 00000289 Date 6/14/07 Application pin number 234771 Grand Total 2309 50 2309 50 00 00 COMMENTS /ACTION NEEDED CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE:PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK.BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD :AND °APPROVED PLANS AT JOB SITE DITCH ROUGH -IN COVER SERVICE FINAL INSPECTION TYPE GENERALCOMMENTS: ELECTRICAL PERMIT INSPECTION RECORD DATE ACCEPTED COMMENTS YES I NO 11.- 0 f3 I r.47 I rw -i 102.1514961 Job wired by Electrical Contractor lg Owner Electrical contractor name Purchaser's mailing address City Telephone number Inspection Date (p o Date 7 R CEI JUN 0 F ?dm LIGHT DEf. State ZIP FAX number Premises owner's name Coc 64 2(.0 I vFr Address of inspection City p� 411&es Phone number to schedule inspection /I O wner as defined by RCWI9.28.261 (I) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Cash Check Credit Card Visa Mastercard Discover After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specificatiolts. /Signature of oylner electdical contractor or electrical administrator Expiration Date Inspection fee /�f card 75 p-(. /CP X �l� Date Electrical Load ons ar4or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360- 417 -4735 ROUGH -IN THERMOSTAT Approved By FINAL 1 -.1 o a Tom' Date Appr ed By License number Date Expires Date 7 Overhead Service Temp Service Underground Service DITCH Date Appr ed By Area, Building or Equipment Inspected G,1S /o /32. ,jfs5'131 /O/ X 713 0 O C.,✓Ner FEE ELECTRICAL WORK PERMIT APPLICATIO1 /Installation description Commercial Residential New Altered/Addition vt=r rov,A SFr V' i ce c II tt(:1i I S Card Date Voltage Phase 1 3 Service Size. 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W .. rl '" I-< E-<~ ..: <: 0'" 0. rl rl o H ..:l III 00 '" E-< o Z o ~ 00 E-< Z '" :>: :>: o U ELECTRICAL PERMIT AND INSPECTION RECORD · CITY OF PORT ANGELES' 360-417-4735 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 CORY & AMBER GAGNON 436 E. AHLVERS RD PORT ANGELES (360) 457-0833 Other. struct info Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date 07-00000289 Date 10/24/07 234771 436 E AHLVERS RD 06-30-15-3-1-9020-0000- CORY GAGNON RES NEW SFR RS9 RESDNTL SINGLE FAMILY 141540 Contractor HI-LINE HOMES 11306 62ND AVE E WA 98362 PUYALLUP (253) 840-1849 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98373 16.40 V-N 1. 00 16097.00 2640.00 2640.00 1. 00 ELECTRICAL NEW RESIDENTIAL DOUBLE D / 2640 SQ FT SFR 111153 DOUBLE D ELECTRICAL 135.00 10/24/07 4/21/08 Plan Check Fee Valuation .00 o ~ v.i 0' Qty 1. 00 3.00 Unit Charge Per 69.0000 ECH 22.0000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 69.00 66.00 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. 04/04/2007 12:25 PM SROBERDS --The proposal will result in a new sfr w/attached garage in the RS-9 zone. No land use issues are anticipated. Electrical load calculations and elctrical permits are required. Any modifications to the City'S electrical facilities will be at the customer's expense. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Supply copy of easement for sewer. Other Fees \1\ ~ -- .c.. ~ \f) SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 ~ Fee summary Charged Paid Credited Due Permit Fee Total 135.00 135.00 .00 .00 [NSPECTION ELECTRICAL TYPE DA TE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -' IN 1/'-/1 b"" ~? ~ FINAL COMMENTS: l ELECTRICAL PERMIT AND INSPECTION RECORD. CITY OF PORT ANGELES 360-417-4735 ' Application Number . . . . . Application pin number . . . Plan Check Total .00 Other Fee Total 2234.50 Grand Total 2369.50 07-00000289 234771 Page 2 Date 10/24/07 .00 2234.50 2369.50 .00 .00 .00 .00 .00 .00 INSPECTION ELECTRICAL TYPE DATE: RESUL TS: INSPECTOR: DITCH SERVICE ROUGH - IN Il&.Jlo7 ~ ~ FINAL COMMENTS: ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Applrcation valuation Owner CORY & AMBER GAGNON 436 E. AHLVERS RD PORT ANGELES (360) 457-0833 Other struct info Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date 07-00000289 Date 10/24/07 234771 436 E AHLVERS RD 06-30-15-3-1-9020-0000- CORY GAGNON RES NEW SFR RS9 RESDNTL SINGLE FAMILY 141540 Contractor HI-LINE HOMES 11306 62ND AVE E WA 98362 PUYALLUP (253) 840-1849 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98373 16.40 V-N 1. 00 16097.00 2640.00 2640.00 1. 00 ELECTRICAL NEW RESIDENTIAL CHEHALIS SHT MTL/ T-STAT 111864 CHEHALIS SHEET 35.00 10/24/07 4/21/08 .00 o J=' '.} 6' MTL / RFG CO. I Plan Check Fee Valuation Qty 1. 00 Unit Charge Per 35.0000 ECH EL-LVT-FIRST THERMOSTAT Extension 35.00 (t) 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. 04/04/2007 12:25 PM SROBERDS --The proposal will result in a new sfr w/attached garage in the RS-9 zone. No land use issues are anticipated. Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Supply copy of easement for sewer. Other Fees :P ~ - < ~ \;I ~ SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35.00 .00 .00 Plan Check 1'otal .00 .00 .00 .00 OCNSPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH - IN I 12. lOB ~ ~ FINAL tOMMENTS: Nr- o ...... 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CIl";S N\DHlil ..,; ~~Ol ".-< E-<::> ~ of.<. 0........:100 oOl tiltil ..:I <-00: Otil 0 '0'" alO(l)~~ ZO:< o ' til E-< Zoz .... 0 "N ~"'~ ~t '" oO:OOl 1I1 ""'til M Ol Ol .", "'Ol '" til"''-< ZOl \0 lil Z :E M I 0'\ tllHtil 0 >OOalMCO :z: '" i-l6:I:~~~ .... .-< ~oO:til '-<0 ~ .-<Ol til ~ Z L(:I 10 ....00 ~t -..:I til H 00 Ptiltil <-til >O"'=')-<MO 1l%lE-tE--t 0" \D p::: I P;:: I . Oltil ~~ MOHO\Dt'""- otil..:l 'Q'U:X::Uoo 0::>0.. .-< O:E ......E-< tilO <-'" '" '" ";"'U 0 '1Il .,; .til 0.. 0.. ZO III ll:l Cl E-< .~ tilf.<. Ol . U .-< "'0 OlE-<~ ..:I E-< 0 0 00: ~~E-<gjtJ..:I .... Ol "'>< ~ ...... Ol tilE-< OZZZ",O.. 0.. f.<. "'H ~tilO:<oO:o.. >< ..:I o..U E-<UOo..oO: '" E-< III r/ ,ORT "'-\I: l~"~ ~ 11::.-- ~-~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation Owner CORY & AMBER GAGNON 436 E. AHLVERS RD PORT ANGELES (360) 457-0833 Other struct info Permit . . . . . Additional desc . Permit pin number permi t Fee Issue Date Expiration Date 4/16/07 07-00000289 Date 234771 436 E AHLVERS RD 06-30-15-3-1-9020-0000- CORY GAGNON RES NEW SFR RS9 RESDNTL SINGLE FAMILY 141540 Contractor HI-LINE HOMES 11306 62ND AVE E WA 98362 PUYALLUP (253) 840-1849 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98373 16.40 V-N 1. 00 16097.00 2640.00 2640.00 1. 00 PUBLIC WORKS RES WATER SERV 98699 770.00 4/16/07 10/13/07 Plan Check Fee Valuation .00 141540 Qty Unit Charge Per 1.00 770.0000 EA PW W/M 1" SERV 5/8" METER Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Extension 770.00 RIGHT OF WAY 98681 50.00 4/16/07 10/13/07 Plan Check Fee Valuation .00 141540 Qty Unit Charge Per 1.00 50.0000 ECH RIGHT OF WAY PERMIT Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Extension 50.00 SANITARY SEWER HOOK UP 98707 120.00 4/16/07 10/13/07 Plan Check Fee Valuation .00 141540 Qty Unit Charge Per 1.00 120.0000 EA SAN SEWER HOOKUP Extension 120.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. 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 t give auth rity to violate or cancel the provisions of any state or local law regulating construction or the performance of constructi n. T:\Policies\1102.15R [1/05] ~-( Co-o~ Date Signature of Owner (if owner is builder) Date 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 DRlVEW A Y APPROACH I BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIR.E 417-4653 FIR.E DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05) c1 "ORT A.\rQ ,~~"c;,. Crca- ilo-- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 07-00000289 Application pin number 234771 Page Date 2 4/16/07 Special Notes and Comments 04/04/2007 12:25 PM SROBERDS --The proposal will result in a new sfr w/attached garage in the RS-9 zone. No land use issues are anticipated. Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Supply copy of easement for sewer. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 940.00 940.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 3174.50 3174.50 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT J08 SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE 1 METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRlVEWAY APPROACH BACK.FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. 1 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\1102.15R [1/05] 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 07-00000289 Date 234771 436 E AHLVERS RD 06-30-15-3-1-9020-0000- CORY GAGNON RES NEW SFR 4/16/07 RS9 RESDNTL SINGLE FAMILY 141540 Owner Contractor CORY & AMBER GAGNON 436 E. AHLVERS RD PORT ANGELES (360) 457-0833 Other struct info HI-LINE HOMES 11306 62ND AVE E WA 98362 PUYALLUP (253) 840-1849 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98373 16.40 V-N 1. 00 16097.00 2640.00 2640.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 2112 SF SFR w/ 528 ATT GAR 97477 1255.45 Plan Check Fee 4/16/07 Valuation 10/13/07 502.18 141540 Qty Unit Charge Per Extension 1020.25 235.20 BASE FEE 42.00 5.6000 THOU BL-l00,001-500K (5.60 PER K) Permit MECHANICAL PERMIT Additional desc Permit pin number 99119 Permit Fee 100.95 Plan Check Fee .00 Issue Date 4/16/07 Valuation 0 Expiration Date 10/13/07 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 ' 14.7000 ECH ME- INSTALL 100- FAU 14.70 5.00 7.2500 ECH ME-VENT FAN 36.25 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 99127 142.00 4/16/07 10/13/07 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 50.00 63.00 7.00 BASE FEE 9.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE ~ 0<. '?'1fv O~~ '" ")7& 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 I cal law re ulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date T:\Policies\l102_15 building penni! inspection record05.wpd [1/4/2005] 4~ f..-cf) Date BUILDING PERMIT INSPECTION RECORD CALL 41/'-4815 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOT1CE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TJON. [(EEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNllA nON: FOOTINGS SHEAR WALLS / WALLS FOUNDA T10N DRAINAGE/ DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMIllNG UNDER FLOOR / SLAB ROUGH.fN WATER LINE (METER TO BLDG) GAS LlNE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL WALLS CEILlNG FRAMING JOISTS / GIRDERS SHEAR W ALlJHOLD DOWNS WALLS / ROOF / CEILfNG DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL ROUGH-fN HEATPUMYlFURNACE/DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE / PELLET / CHIMNEY MANUFACTURED HOMES FOOTfNG / SLAB BLOCKJNG & HOLD DOWNS SKIRTING !'LANNING DEPT. SEPARATE PERMIT II's SErA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417.4735 ELECTRICAL , LIGHT DEPT CONSTRUCTION R.W. /PW/ CONSTRUCTION - R.W. ENGINEERlNG 417-4807 PW / ENGINEERfNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4J7-4750 PLANNING DEPT. BUILDING 417.4815 BUILDlNG T:IPoliciesl] 102 15 buildmg rennlt mspectlon record05.wpd [1/4/20051 CITY OF P0RT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number 07-00000289 234771 Page Date 2 4/16/07 Qty 1. 00 1. 00 Unit Charge Per 15.0000 ECH PL- EA. BLDG SEWER 7.0000 ECH PL- EA. WATER HEATER Extension 15.00 7.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. 04/04/2007 12:25 PM SROBERDS --The proposal will result in a new sfr w/attached garage in the RS-9 zone. No land use issues are anticipated. Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Supply copy of easement for sewer. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1498.40 1498.40 .00 .00 Plan Check Total 502.18 502.18 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 4235.08 4235.08 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:IPoliciesllI02_15 building pennit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MIN1MUM 24 HOUR NOTlCE. IT is UNLA WFUL TO COVER, INSULATE OR CONCEAL AN}' WOIU, BEFORE_\J1 IIVSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TJON. -.......J KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE. ~ -n INSI'ECTION TYPE DATE ACCEI'TED COMMENTS YES NO FOUNIJATlON: Si:ttl'\ W ~vt.. T / Y3 /O=r :r (..L. FOOTINGS 61: /(1.., /O-:r \J1.,1. SHEAR WALLS / WALLS FOUNDA T10N DRAINAGE / DOWN SPOUTS .'/u, I () I J IA__ PIERS I POST HOLES (POLE BLDGS.) PLUMIllNG UNDER FLOOR / SLAB ROUGH-IN -q - rl.-Oi -:ru.- WATER LINE (METER TO BLDG) i I Win, :ft. L- GAS LINE I FINALOI-O"l-o& DATE ':JLL ACCEPTED BY: BACK FLOW I WATER AIR SEAL In b~-U()I -rLL-- . , WALLS CEILING FRAMING '81'0 lOr :TU- iolu-I07 JU..- JOISTS / GIRDERS SHEAR W ALLlHOLD DOWNS lli/?.,J", -rU WALLS / ROOF / CEILING DRYW ALL (INTERJOR BRACED PANEL ONLY) II/n7Jni "'JLL T-BAR T , INSULATION 10 J ?J:,.IrJi :Jt.L SLAB f , WALL / FLOOR / CEILING MECHANICAL ROUGH-IN rlliATPUMY/FURNACE/DUCTS - GAS LINE FINALID\-04-o<6)~TE 3LL ACCEPTED BY: WOOD STOVE / PELLET / CHIMNEY MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LlGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTION R.W. /PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEEJUNG FIRE 4J7-4653 FIRE DEPT. PLANNING DEPT. 4]7-4750 PLANNING DEPT. BUlLDING 417-4815 61-o4:-0g '11.1/ BUILDING ~ ~ ~ ~ ::p ::s- -- <::: '" J ~ ~. T:\Po1icies\I102 15 buildmg permit mspeclJon record05.wpd (1/4/2005] ~ , I J The City of Port Angeles Building inspections Dept. Iltt 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- FOllndatioll Footing. The minimum size of:l footing in Seismic zone D2 are as follows. (1 Story 12" WI 6" min. thick) (2 story IS" 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 mc is 30001bs with a min. of 5(10 air entrained, but not more that 7(i'0. 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 marldng the property boundary is required for a footing inspection. Tables in chapter 4 of the IRe. 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 Yo" #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. Yo" anchor bolt with a 3" x 3" x '/.." 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.L of vent per (150') s.L of area per sec. R408.2. 2003 mc. 6 mill black poly is required in crawl space as a below grade moisture barrier per section R406.3.2 2003 IRC. 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 IRe. 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 a~e req'd to be hot dipped zinc/gah': (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.L of vent per (150') s.L Of area with an allowable 50% of ventilation can be located in the upper portion of the ridge if applicable per 2003 IRC. 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". VITalI bracing must start within 8'-0" of a transverse wall or a desiuned collector. Standard wall bracing methods are required as per section R602.10.3 of the 20'03 IRC. If the wall bracing methods cannot be met, then refer to "Alternate Braced wall panel" 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'-O"intervals. I~ 5- Egress. Rooms used for sleeping are required to have one window with 5.7'S.F. of openable space and a sill height of not more the 44" above finished floor for emergency escape per 2003 IRe. 6- Energy and Air Quality. Insulation, Heating, Air conditioning, Lighting, Windows and Appliances to meet 2003 '''SEC & VlA.Q. New single family structures are required to have a whole house exhaust fan with a 24hr timer per table 3-1, 3-2, 3-3 of the 2003 VlAQ. Mechanical fresh air intake (FAI) is required to have a 24 hr timer or windows in all bedrooms and living, dining area may have intake ports for fresh air per 2003 VIAQ if zone heat is applicable. 7- Dry \Vall. (Gypsum wall board) 5/8" type "X" sheets rock is required in the accessible usable space under stairs and on ceiling of a garage only if a habitable area is located above the garage. The rating of the sheet rock & nail pattern must be visible to the inspector. Nail pattern for all sheet rock 1,1," and 5/8" to be 8" on center and 12" OC if drywall screws are used. Per table 702.3.5 of the 2003 IRe. Interior braced wall panels are to be inspected prior to tape, bed and texture. Moisture resistant wallboard is required around w/e. A cementuous backer board is required for tiled areas at tub and showers. Vapor barrier is required. A perm rated paint may be substituted for a poly vapor barrier on the warm in winter side. 8- Plumbing. Water heaters are required to have two approved seismic straps in the upper and lower 1/3rd of the tank per me. T&P valve to be 3;''' I.D and directed to the exterior and turned 90 degree downward not less that 6"-12" above finish grade. Water heater s are required to have a 26 ga. Pan of other approved drain pan with a 0/." drain line from pan to exterior. Impact protection for wlh and mechanical equip are required to resist 6,000lbs impact if located in the garage area. All DWV are req'd. to be tested under water pressure per 2003 UPC or air test (consult manufacture recommendations for air test) Min. test pressure in Residential LPG is 30 Ibs. 9- Smoke detectors. shall be located in each sleeping room and in the hall leading to each sleeping area. One smoke detector is required at the top of each stairs, and at least one smoke detector is required on every floor level. Smoke detectors must be within 6" to 12"from the ceiling if mounted on wall. Smoke detector shall not be less than 36" from any air return. Power supply for smoke detectors shall be from the main house supply that is not switched and required to be battery back up. Smoke detectors to be inter-connected so that if one smoke detector alarm will start a chain reaction to all other smoke detectors as per code. 10- Maximum building height allowable is 30'-0" based on an average grade plain per 2003 IRC. Property pins shall be located and marked for a footing inspection to verify zoning set back requirements. 11- Safety glazed tempered glass required within 24" of any doorway edge, along with other requirements as per 2003 IRC. 12- All water, sewer, gas, electrical, drywells, downspouts and footing drains are required to be inspected before cover. This letter is not intended to cover all items required by the City of Port Angeles, but is to serve as a guide to help you understand frequently asked questions, "ALL WORK IS SUBJECT TO FIELD APPROVAL" 4/05. Fill out COMPLETELY and ill INK. Y Ollr 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 FOR OFFIClAL USE ONLY: Date ReC$: Permit #: 0 - Date Approved: )l te Issued: BUILDING PERMIT - APPLICATION Applicant or Agent: COI:':J Owner: Cat<.>., Gc.S;' 0 '" ,..) II II Address: dl~ f1C-lV'1i'ot"l1€ Architect/Engineer: ~ ~ I ~ n€ Contractor \-\~ \~ht~ClN\ Address: t~ l~ Lo ~ QcA I _\ . PROJECT ADDRESS: 'i],<a C;"ShO.'\ i Phone: '3G,o- Ljl~l -~T16 ~. PhOlle: City: p+ . A~f Ic~\ AI\ I Ve(\ Zip: ZONING: Zip: G.J It '3Go- 174~fI'11 Phone: J(,O -311 -1717 13.:)3 ) Q-5~ hC\^I-GS Phone: State License #: ~1 L M H ~81 rrr Exp: City: C ~1 I',J :, Lv ,4- R~t. LEGAL DESCRlPTION: Lot: Block: Subdivision: CLALLAMCOUNTYPARCELNUMBER: O~ ")0\ ~""") I C)O~ 00000 TYPE OF WORK: ;f,v<L- SIZE/V ALUATION: 9QResidential f:JNewConstr. oRe-roof o Stove .9111. SF.@$ /SF.=$ l<<il,sqO o Multi-family D Addition D MoveD Garage 6"'1-" .5 ~~ SF. @$ /SF. = $ J o Commercial D Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair D Sign 0 Other TOTAL VALUATION $ J HI oJ-lV BRIEF DESCRIPTION OF THE PROJECT: ~~'M~' (0;'.,-+ rvd \0'"' " Occupant Load: - Construction Type: vi - AI & Proposed Sq. Ft.~ttQ. = TOTAL Sq. Ft. ;2-6 Jf12.. COMMERClAL/RESIDENTlAL: Occupancy Group: tf. 3 No. of Stories: ~ Lot Size: _, 60 tt 'K Existing Sq. Ft. Total lot coverage-J C7 ' J-(D % APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER: PLANNING USE ONLY: ESA/Wetland(s):DYesONo SEPAChecklistrequired?O YesD No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amollnt 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 Rl05.3.2 of the International BuildinglResidential Code, 2003). No application can be extended more than once. I hereby certify that J have read and examined this application and know the same to be true and correct. J am authorized to apply for this permit and understand tha it is my responsibility to determine what permits are required ,not the City's, and that J must obtain such permits prior to work. Date: -:?,- )o~ 0.11 T:\FORMS\BldgPermitform.wpd Applicant: (J~:: "t d\. 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(' nr J 4- Am beI' (->7j0Df) ;;l ~ \\-.,,:r\-\'orl\e.. ~ \ Q<")r-\- P,fI'J ~~.8..!b.:;l ~,jl"...:._~-=...!d/;J-='>>'~. S,~T~; ---...:\~L-~\uct:s.._\2Jl ~ \'or-\-._ A-,,~\cs) I..)A 9<:-3b3 ~_R,fce\ . ~: OWo 150! QO;;J.OOOCX:> N Ser.\", " , 1 :: 3D ~ fPORT "+. 8.),.o~~~ hai ~-- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00000600 Date 110200 436 E AHLVERS RD 06-30-15-3-1-9020-0000- PUBLIC WORKS UTI LITES 6/07/06 o Owner Contractor OLYMPIC LAND DEVELOPMENT POBOX 595 CARLS BORG WA 98324 (360) 457-7222 OWNER 79657 110.00 Plan Check Fee Valuation .00 o ~ ~ \ ~ ~ ,~ Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 12/04/06 Qty Unit Charge Per 1.00 110.0000 EA SAN SEWER HOOKUP Extension 110.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 110.00 110.00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 110.00 110.00 .00 .00 ~I ~I ~ ~ t l'" ~ V) Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102.15R [1/05] v- PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE . SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I - FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W. I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1105] ~pC""'A..I< lO~<'(<i" ,..~ ~~ ~or: """""'" ., 4/16/07 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 CORY & AMBER GAGNON 436 E. AHLVERS RD PORT ANGELES (360) 457-0833 Other struct info Permit Additional desc . Permit pin number pe rmi t Fee Issue Date Expiration Date CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 07-Z8'J 07-00000289 Date 234771 436 E AHLVERS RD 06-30-15-3-1-9020-0000- CORY GAGNON RES NEW SFR tf7~ &~Ef RS9 RESDNTL SINGLE FAMILY 141540 6tiF^- Contractor HI-LINE HOMES 11306 62ND AVE E WA 98362 PUYALLUP (253) 840-1849 TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98373 16.40 V-N 1. 00 16097.00 2640.00 2640.00 1. 00 0~cJ PUBLIC WORKS RES WATER SERV 98.699 770.00 4/16/07 10/13/07 Plan Check Fee Valuation .00 141540 Qty 1. 00 Unit charge Per 770.0000 EA \~ Qty Unit charge Per ~xte 1.00 50.0000 ECH RIGHT OF WAY PERMIT 50.00 -----------------------------------------------------~------------ -~------ Permit SANITARY SEWER HOOK UP Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT PW W/M 1" SERV 5/8" METER ~ --------------------------------- OF WAY 98681 50.00 4/16/07 10/13/07 Plan Check Fee Valuation .00 141540 98707 120.00 4/16/07 10/13/07 Plan Check Fee Valuation .00 141540 Qty 1. 00 Unit Charge Per 120.0000 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. Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned for a period of 180 days after the work 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 dQes not presume to give authority to violate or cancel the provisions of any state or local law reguiating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\II02.15R [1/05] '':.. .. CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number 07-00000289 234771 Page Date 2 4/16/07 Special Notes and Comments 04/04/2007 12:25 PM SROBERDS --The proposal will result in a new sfr w/attached garage in the RS-9 zone. No land use issues are anticipated. Electrical load calculations and elctrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour adva~ce notice is required. Supply copy of easement for sewer'. -----~~~~~-;~~~--:-:-:-:-:-:-:-:-:--~;~;;-~~~~~~~~;-;~;~~-~~ PW WATER SYSTEM USE FEE C 1230.0~ ------------------------------------------------------------- - ---- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- --------- Permit Fee Total 940.00 940.00 .00 .00 Plan Check Total .00 .00 .00 .00 . Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 3174.50 3174.50 .00 .00 -- -- Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating constructi6n or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\IIOZ.15R [1/05J J ..... '1::\ I( (- )1 f ,. ,- iC~~ (\ i , ) APPLICATION FOR WATER City Water Division, Port Angeles, WA Installed by & date: 7' 5 7 -2.0 -u",ermit # D, - Z 'e:II Issued date: l(-{(" -0'7 r hereby apply for water to be furnished in accordance with rates and rules of the City for the fcllowing premises: . Applicant Name & Phone: Lov,! t;itl1 hOv-, 4&/- 2.';7/2, Site Address: 4;// A.tt Ivw5. III Mailing Address: ZJfb Ll.A llH-horh'f> Blk: Lot: Add: Parcel#: O~-30163Iq{)t:..D() SVc:ON/e9 Meter#'sC FD7045D07w/o#: 3034j-3'f'-l I Mees: ff/77IJ .)1 Z-~/) - I 1\ L01^ cj l~ o -- Svc: Size Restoration Required: Yes; If~tl(...,h I , Signature: Remarks: N I ,~~_A ~rvu~J w A AI./vt<'s led. I jC--.("b~4 g'lj, t - ~- o ,if L E ~ -<:. w 6" (:\ -' ~ '< . ~ < $ \ " C S' fPORT% "...O~%<" ~"'ti'!!is' Y-~ '~lCvd.p CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 0&-&00 Application Number Application pin number Property Address AS~~SSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . Application valuation 06-00000600 Date 6/07/06 110200 436 E AHLVERS RD 06-30-15-3-1-9020-0000- PUBLIC WORKS UTI LITES o 43UE~ DJ1r LwJ /lw Owner Contractor OLYMPIC LAND DEVELOPMENT ,p..o BOX 595 CARLS BORG WA 98324 (360) 457-7222 OWNER Permit Additional desc . Permit pin number Permit Fee Is'sue Date Expiration Date SANITARY SEWER HOOK UP 79657 110.00 plan Check Fee Valuation .00 o 12/04/06 Qty . 1.00 Unit Charge Per 110.0000 EA SAN SEWER HOOKUP Extension 110.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 110.00 110.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total no.oo 110.00 .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, jf construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date --I- cAU<PVLIl f4fo-f- Sign~ture ~wner (if owner is builder) G -7 -0 0 Date T:\Policies\1102.15R [1/05] 05/12/2006 10:38 FAX 360 452 8480 CLALLAM TITLE ESCROW PA I4J 001/002 ,~ ., !':- .~. CLALLAM TITLE COMPANY Tale Planl Since 1890 4~v .e:;4-h lv~.:s O~-u;OD , Experience that guarantees quality . Service that guarantees a smile Title Insurance and Escrow Services --.- To: I rt~ L{ f 7- L(?rJq # of pages Z- From: Shellie L. Baskins limited Practice Officer Date/ Time Phone: (360)457-2000 l'ax: (360) 452-8480 shellie@clallamtitle.com ~/nLfty ~ LJPI L lfU f~UzaYLLLPj({)t I Specify CLALLAM TITLE COMPANY for fast and reliable Title Insurance and Escrow Service --- Thank you! 204 S. Lincoln Street P.O. Box 248 Port Angeles, Wa 98362 . ..., .. 05/12/2006 .1.0: 38 FAX 360 452 8480 CLALLAM TITLE ESCROW PA f"JLEO FO" Je'ECORQ /l.T lI-n: ~lIJUE5T [1i:J 002/002 \ . . CLALLAM TITLE CO. OF ~ECOROEP m r:~CO;o-'_"3fCL^LL"'K co AFTER RECORDfNG MAIL TO , OLympic Land Development, mc. Suzann Pilot 1435 Finn Hall Road Part Angeles, Wa. 98362 IIIIIIIIIIIIIIIII~IIIIIIIIIIIIIIIIIIIIIII!IIIIIIIIIIIIIIII111111111~1I111111 2006 1180148 lOOG MAY II PH 3: 30 Cl.llam CDUnty C0 Recorded at the reauest of: CLALLAM TITLE COMPANY QUIT CLAIM DEED Assessors Tax Parcel ID# 063015-319000 THE GRANTOR, GEORGE W. ZINK and GILDA G. ZINK, Trustees of the GEORGE & GILDA ZINK LIVING TRUST for and in consideration of TO CREATE AN EASEMENT ONLY in hand paid, conveys and quit claims to OLYMPIC LAND DEVELOPMENT. INC., a Washington corporation, its successors and assigns the following described real estate, situated in the County ofClallam, State of Washington; together with <ill after acquired title ofthc grantor therein: An Easement for the purpose of installing and maintaining a sewer line over under and across that portion of the East 10 feet of Lot I of Short Plat No. 77-11-9 recorded in Volume 4 of Short Plats, page 12 beginning at its Southeast corner and running Northerly along its East line to a point 10 feet North of tbe Southwest COTner of Lot 1 of Canyonedge,' as recorded in Volume 7 of~lats, page 30, records ofClallam County, Washington. Said easement is to be appurtenant to and for tbe benefit at Lot 2 of said Short Plat No. 77- 11-9. DA TED~ May 8,2006 THE GEORGE & GILDA ZINK LIVfNG TRUST ByJ~~~ By~~rnK~~i~ A / A. l, 7f tee STATE OF WASHINGTON. ) ) 55. County of c... L AL..'--A~ I certify that I know or have satisfactory evidence that George W. Zink and Gilda G. Zink is the person who appeared before me, and said person acknowledged that he/she signed this instnunent. on oath stated that he/she was authorized to execute the instrument and acknowledged it as the Trustees of The George & Gilda Zink Living Trust to be the free and voluntary act of such party for the uses and purposes mentioned in the instrument. GIVEN under my hand and official seal this 10 day of tyyo.,. 't , 20 Q \0 /'~ "...4, r2Q.(-~ OFFICIAL SEAL BEULAH P. ADAMS NOTARY PUBLI~ATE OF WASHINGTON My CommissIon Exp\reS Dec. 10, 2008 No~~ PUb~ and for ~te~gton, resldmg at g..-1.- My appointment expires J;;""'- '\ '" - 0 -:8 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . .. .. INSPECTION REPORT. . . . . . . . REQUEST: Date 12-'27- 6r Time Received by I2V (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. 67 - Z~ 9 Sewer Foundation Framing Chimney Plumbing ~ Sewer Excav. Other 1136 Ah/veV^s KA INSPECTION NOTES: Inspected: Date /2 -:27- Ot Time By RV Remarks: ])0 IAJ "'--->f>CX,;f<...+D JJ,"a;"'~e.. ]),'k!'" /2-2.7- 01 31< ~....:>e..,- <1 - 5 -07 _~_ RESTORATION REQUiRED...... YES NO 'f.- SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. REQUEST: Date 1 '~~07 Time Received by IF- (phone. person) Location of Work to be inspected 4ft?: ~-e,~ ~I (&tp.J? ) Name of person requesting inspection j);.I-t.IJ~f (?tJ.t~/LU-!tf)- Address of person requesting inspection Phone No. c;/~O- ~~ ~nspection (circle appropriate one): Permit No. 07-..?l!!If' ~ Foundation Framing Chimney Plumbing Final Sewer Excav. Other INSPECTION NOTES: 1O.-.{2// a ~ J. 00 'VV Inspected: Date -/ - ..J ~ 07 Time '0 - By ~ Remarks: Neu-l Se.w",,,, c.oV1v<ec.;r ;0", .(~O.M ex\~c,+:-1--.5 Iv.../ J.! 10~""teJ 0.+ +lte. .so....~kwest o~ JSDb (",,,,"ycV\ed'l-€.. tl... ,/'1 f>vc ~~OM ^" H':VI &..a.-e""e.",-r 0.,+ 7'3'( 4Ldveu Rdsr '" e.o.-<<V.?b ~ vev-s d. 5,,-<- Aflc..ci-eJ G s IVto. RESTORATION REQUiRED...... YES Ald"""5 'R,}- 1(. _, t;'>f~ NO '>Z ---- I- f t l'J 'I l.r~'-i ,0, ,,/.<1-1 '{..d '55':'(" (..o."'-'t~"^..e.. I -I( "CO, \ I t:~/~ "- ~""q... v"-- l"r.: I ' '1 1J; I S".\.....f ~.Jl ~"j'lJt, '15d I ;::- .'..4,' ~X'''f>l{) IAN \ i."'-'^-)!O '" ec!'j"-- SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved \ 'a..o(> ~1l.,,,1'/ w~e. ,,\.~ l'~ I /J,? '" -', Al<lve1~ I o Gravel 0 Asphalt OPCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT !DATEl o ...j \ 1\I O)~ -0 IN 6' ~ ~ ~ $) ;!'.~ 5- 1> -- (ll p -;- V\J ~ 0" '"tJ ~ rJ- ~ ~ ~ (t ~ ill ~ ~ o 3 ~ &- (\) l:7 "1 ~ 421 =- ----. 11.1 Bin ..... en en -- 7.5 co N '" .... " B o 434 ~~ 1~4/~V( t }I. "'1\ f>o'<h /.c. ~ ''f' J>r4:", ~e d'kl1 XIS:5 Ir 4.36 .- '- 424 . -....., co ..... "<t .... co '" ." .... . .1 i715 ~ '1 ~ []~i 1S , j If .1 1 ~)I' ~ 101 ~~ ... ... ... . - . 3606- ~. ~ '. [8r2) .... N 3512 .... OD L 3522 . . '- 3528 ... -,. 505 . r <0 co ." '.."'1. (1 Sin This map is flot intended 10 be used as a legal description. This map/dra.....ing is produred by the City a/Port Angeles for ils own use and purposes. Any olher!LIe of this map/dra.....ing shall not be the responsibility of the City. 511 h' . 11... .' Sin ~fu I I '"""'" L / o (i) OJ "0 (i) C o >.. c co () I )~90.~ ,l AP027 I I I I I I I I I 90 I 7a ,l5' I I I ... 00 I :-- r-.- I c: <Xi I 223'2 ...: I ,.j I I Ah Vertical DalUm = NAVD 1111 Hori:contal Datum = NAD 83/9/ 6 N so F"" Legend .~ORTANGELES WAS H I N G TON, U. S. A. PUBLIC WORKS & UTILITIES DEPARTMENT November 16, 2004 Curtis & Teresa Rodocker 1150 Grant Av. . Port Angeles, W A. 98362 Subject: 436 East Ahlvers Road - New Service Job# 9845 Dear Mr. & Mrs. Rodocker: ~u (G (~0. f'])Y{ \ \ .' I \:::::........ lJ .2t.. (JJ (0 . . With additional information provided by Suzcmn Pilot, this estimate was created. The estimated cost of labor and materials supplied by the City to provide electrical service' for your property is $667.29. This quote is good for 180 days. The City will be responsible for the following: 1) Providing and installing the cable and conduit from the transformer to the pedestal. 2) Providing and installing the pedestal. 3) Providing and installing the 120/240v meter. The owner/contractor will be responsible for the following: IT\ ~ r - c (V . I "1 \I) 1) Providing, installing and future maintenance of the underground .service wires in conduit from the pedestal to the house and/or meter base. (Ref: Trenching SpeCifications UM 0 01-S) 2) A signed notarized easement agreement(enclosed). 3) All Required Permits. (Building, Electrical, etc.) 4) Payment of $667.29. . . If the actual cost of construction exceeds the estimated amount, there will be no further billing. If the actual cost is less than the estimate, the difference will be refunded to you. 321 EAST FiFTH STREET · P. O. BOX 1150 · PORT ANGELES, WA 98362-0217 PHONE: 360-417-4805 · FAX: 360-417-4542 · TTY: 360-417-4645 . . E-MAIL: publicworks@cityofpa.us .~ ~ '\..." ~ ,." ... L \ I ,- ,,..,. Payment of the estimated amount will authorize the City to schedule the work. If you have any questions or concerns, feel free to contact me. 'Jo G. Hebner Electrical Engineering Specialist ihebner@citvofoa.us 360.417.4706 Cc: James Harper, Electrical Engineering Manager AI Oman, Electrical Inspector Roger Vess, Permit Tech Suzanne Pilot Attachments: 5 Ref: WF26276101 ' n.o.r ]~Tj A lNrG.. . ;EILE;S L~ 'J.t,,:.H. .. -" C_J I,:..'. ~ WAS H I N G TON, U. S. A. (C(Q)[P))f PUBLIC WORKS & UTILITIES DEPARTMENT Curtis & Teresa Rodocker 1150 Grant Av Port Angeles, W A. 98362 Subject: 436 East Ahlvers Road Job# 9845 Dear Mr. & Mrs. Rodocker: The estimated cost of labor and materials supplied by the City to provide electrical service for your property is $244.97. This estimate was based on the data you provided and is subject to review. This quote is good for 180 days. . The City will be responsible for the following: 1) Providing and installing the O/H service wire to the service pole / meter base. 2) Providing and installing the ,120/240v meter. -:J::. \.}J ~ The owner/contractor will be responsible for the .following: 1) Payment of $244.97. \\\ If the actual cost of construction exceeds the estimated amount, there will be no further billing. If the actual cost is less than the estimate, the difference will be refunded to you. ~ )..... -- '= t'> i \jl Payment of the estimated amount will authorize the City to schedule the work. If you have any questions or concerns, feel free to contact me at 360-417-4706. ' 10 (L ohn G. Hebner Electrical Engineering Specialist ihebner@citvofpa.us 360.417.4 706 Cc: James Harper, Electrical Engineering Manager AI Oman, Electrical Inspector Roger Vess, Permit Tech Suzanne Pilot Attachments: 3 Ref: WF26276/01 321 EAST FIFTH STREET · P. O. BOX 1150 · PORT ANGELES, WA 98362-0217 PHON E: 360-417-4805 · FAX: 360-.417-4542 · TTY: 360-417-4645 E-MAIL: publicworks@cityofpa.us Sep 17 07 05:59p Double D Electrical 1nc 3603855761 p. 1 ~ G--~7 -rv: IJJ D H J1Vnl foy,.3/ro -'-//7 -(f7) J ~- .tl . . ~ ~........;t-" ELECTRICAL WORK PERMIT APPLICAtION Job wired by )il{.EJectrical Contractor a Owner Installation description o Commercial a Residential ~.w a AlteredlAddUion , ~+ hD~ lA' re ~II~ 5~ II Slate ZIP /') WD-- 9<:5 337- FAX number b / 3 bD- 7 S2R ,261{) P"ml... own.." ~m. . ~ (' n r. lVIb p 'f IL~ Ad"'" ~rf"r R 43/0 j, \Jer-s 0-1.. CI~ f\ e.l f.. H-7fl es Phone numbel" to chcdule 'nspullon: 3bD -tj/'I ......;)37 t' Owner os defined by RCIf'./9.18.16/:(J) Owner will OCI;IIPY Ihe slrucrureJor IWQ yenrs ufier ,Ili~ electrical P"lIIi1 is finalized. (2) OHmer is required to hire an el/Xlrical cOllt,.ac/nr if abut'e said propert)' ;s for solc. Tenl or lease. Afler Telllding the above slalemcnt, I hereby cer1ify thai I am the owner of Ihe above named property or a licensed electrical contractor. 1 am making the ele<<:trieal instal- lalion or 3Jteralion in compliance with the electrical laws, N.S.C.. RCW. Chapter 19.28, WAC. Chapler 296-468. Tll1: City of Pori Angelcs Municipal Code. and Utility Specificalions. Signature of owner, ,el o Cash 0 Check" '1ilcredit Card (Q Card" Mastercard Discover x Expiration Date ! of card () ~ / Electrical Load Addlti o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton o Fan.Wall KW btr tlcn LAR Q Overhead Service a Temp Service a Underground Service Voltage Phase (J 1 Cl 3 Service Size: _ Feeder Size; SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 1. 0 ;OUGH-i& D'~O::~., SERVI~ '\cp.ftv.lI By Do< FINAL .~, DITCH FEEDER Dftl~ Appmud By 0". Appro,.,." By Inspection Date Area, Building or Equipment Inspected o Aclion Taken ElcclTic:al Inspector q -1'0 .07 tf 10. DO {fl.JvRr At' eI~ 'F'IUC- ':/~ . .- ~. J:" -- ELECTRICAL IrfSPECTION WIRING REPORT 417-4735 ADDRESS APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . ... . . . . . . . ... . . SERVICE. . .. . . . . .. . . . . . .. . . 0 D..................... FINAL....................~ CORRECTIONS NEEDED: ;;MD g~ 'Pt€.TIE <::T"6~ 5- ~Vt-.J'D i1: LL 5HtJ\)~ , ~8~ SH 'E..1L '9 ~.20 1~/....i\Nt> l)U~l:5 () OT L.El C) \IT LEt I)J~HDT CON~eJ~T\[)}l. ;pU~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PAINTERS, INC. (360) 452-1381 (,- -L, 7 r/-"~ ~~'~ ,,~ -=. "t- :t-l _... ELECTRICAL WORK PERMIT APPLICATION ~ Owner Installation description Job wired by D Electrical Coo tractor o Commercial 0 Residential Electrical contractor name License number Date Expires ~Ncw 0 Altered/Addition Purchaser's m:Jiling address Tef"lpOr4rj SfV-V,'CC- 011Ci fy . J rov,d City State ZIP " Telephone number FAX number '-remises ownet~~amc G",\no., Addmlfi OSPCcliO~ RJ .4h{Vfd City Pf, A~/f~ Phone number to schedule inspection: Ifr.:, I-JJ18 Owner as dejined by.RCW/9.28.26J:(I) OWller will oCClIpy the strucrureFJr two years after this electrical permit is finalized. (2) Owner i.~ reqllired to hire 01/ electrical con/raclor if above said property is for sale. rent or lease. D Cash D Check # After reading the above statement. I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrir::al instal- D Credit Card Visa Mastercard Discover lalion or alteration in compliance with the electrical laws. N.E.C.. RCW. Chapter 19.28. WAC. Chapter 296-468. The City of Port Angelcs Municipal Codc, and Card # - - - Utility Specifications. ---------------- ;gnatn" "If; 'd iral contractor or electrical administrator Expiration Date Ir.J, Date: G-S-Ol of card (~nsp:/(~n fe~o "- Electrical Load (o.rulitions a'!l'd or subtractions Service Information o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton o Fan-Wall KW LAR o Overhead Service ~ Temp Service o Underground Service Voltage PhaseD 10 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT '\ SERVICE Dale Approved By Date Approved By Dale Appro,'ed By FINAL DrrCH FEEDER Dale Approved By Dale Approved By Dale Approved By Inspcction Date Area, Building or Equipment Inspected Action Taken Electrical Inspector t,-'6-a7 INS 101Jl- WF5S 13 01 Nt. ,Z- Sep 25 07 09:51a Chehalis Sheet Metal hiw- 3GD- '-t 17 -'-{ II \ 3607484950 p. I, G-.~ 7 ~ W I ELECTRICAL WORK PERMIT APPLICATION Job wired by "F( Electrical Contractor 0 Owner Installation dcscriplion o CommCTclal ~ Resideodal Electrical contrilclor name License number thEHAli5Si-\Eff i'\ETl'lL C\-IEtlfr::..-"C)<f3K L Purcbaser's maili.ng add~ ---.. D 3r,C ,..", .j r-Y><' () - ,.., U::> .::>'-'-' \'o-IU",,,,,)l c. "- City State ZIP C- \"e\;-PlLI <, LOri 9<)$53':2. Telephone number 3~c- ~V/)-::t I Premischowner's name LDi~'l (\-,'IIJI\CJ\U Address .of inspetlioll _ ..J ~ . '-f3,1" E" A tt\vE.'R~':, '<.0-. CHy";:) ~ nO"~1 ,', XCI<. \ rr\\)'1t:::l.L.S 1.1' \'\ -I ~ ~'" "'- Phone number to $(:hed~rc inspectioll: D- '?';J :;l~ \ Owner as defineJ by RCW.J9.1B.161:{J) Owner 'will occupy ,he structlJrt! for two years after thr~ electrical permit is finalized.. (1) Dw,rel j)' requind to hire an eteClrical contractor if abol'f: said property is for Jale, re"t or leasC'. After reading che aboyc statement, I hereby ccnify Ihat I am thc owner or the above named ptoperty or a licensed electrical contractDT. I am ml!lking the electrical instal_ lation or alteration in compliance with the electrical laws, N.E.C.. RCW. Chapter 19.28, WAC. Chapter 296-46B, The: Cily 01" Porl Angeles Municipal Code, and Ulility Specifications S~Dre ;r o~Der. electrical conlractor or electrical lIdministralor X,u.J::h". 't Date: l 2'0; vi"- I ctri . ition and or" tractio o NO lOAD CHANGES isaseboard _ KW Furnace 1Q KW . Heal Pump .21.. Ton...3l LAA Fan-Wall _ KW Date Exp;res 5-'1-08 rill New a Altered! AdditiOD 1\)E0 C.D\\SI t-hUl\F FAX number 31..0- 1--/,- \-tt.''Y\E . I N~.,T11LLIII!(~ TR..'1IJf. \-\-fI'IT PliY>'Y o Cash 0 Check # I;llCredilCanI @ Car Mastercard Discover Service Information o Overhead Service o Temp Service Q UndergrOUncl service Voltage Phase CJ 1 0 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 [pJ ROUGHM TIlERMOSfAT / SERVICE /hleJp:? A'V 1 >>..1: Appwvcd OJ< o~c AMW"cd B~ "- Do. ApprandSy FlNAL DITCH FEEDER 1/'2./(1"0 tl:f' I '0:11" App......e.l8y Dale Appn>'<'Cd By "- Do. A~By Inspeclion Area, Building or Equ.ipment Inspected Action Taken Electrical Dutc InspectQf 9. u."<'{ ,41 P-. -- I_ ~~Ir:UW~ ~I!JI SEP 9. 5 7n07 UGHT DEPT.