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N , '" M o M o M ..:I III Ul '" III Ul r.l E-< o Z o ~ Ul E-< Z r.l ::;: ::;: o U '~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION nl EAST 5TH STREET. PORT ANGELES. WA 98~62 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00001011 Date 792172 2614 APPLE TREE LN A 06-30-00-1-0-6705-0000- PAUL CRONAUER RES NEW MULTI 3 & 4 FAMILY 9/14/07 PLANNED RESDNTL DEVLPMENT 316493 Owner Contractor CRONAUER PAUL P PO BOX 282 PORT ANGELES OWNER WA 983620048 Other struct info . TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 2.50 2.00 30600.00 4386.00 4.00 N \)' -- -t 1 1 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL N. PEN. EL./ 600A+4-FEEDER 109603 PENINSULA ELECTRIC 216.00 Plan Check Fee 9/14/07 Valuation 3/12/08 .00 o ~ (' ~ ~\ ~ Qty 4.00 1. 00 Unit Charge Per 22.0000 ECH EL-RM-0-200 ADD SRV FEEDER 128.0000 ECH EL-RM-401-600 1ST SRV FEEDER Extension 88.00 128.00 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. This project will require seperate permit and fire sprinkler plans for review. Call for cover inspection for all sprinkler installations.. A full acceptance test will be required for all fire alarm systems. Electrical load calculations and elctrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. Other Fees MILW DRIVE ASSESSMENT SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 960.00 3480.00 4.50 4800.00 \: ~ Fee summary Charged Paid Credited Due COMMENTSI ACTION NEEDED , ELECfRICAL PERMIT INSPECfIONRECORD CALLt 17-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO )I 'f'~ lHlIUyl-l_IN / CUVbK SbRVICE FrN AT I I GENERAL COMMENTS: PW-II02.1S 14'961 '~ YJ! CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION ]21 EAST 5TH STREET. PORT ANGELES. 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CIl W 1-< o Z ~ ul 1-< &1 ~ o U , , , , , , , , ~ r-~ : o , , , r- , o , , , N , , , , , , , , , , , , ri o '" ..:I 0. CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 51h Street, Port Angeles, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 06-00001011 Date 792172 2614 APPLE TREE LN A 06-30-00-1-0-6705-0000- PAUL CRONAUER RES NEW MULTI 3 & 4 FAMILY 1/23/07 ~ <S"' ( - o ...... """""" PLANNED RESDNTL DEVLPMENT 316493 Owner Contractor CRONAUER PAUL P PO BOX 282 PORT ANGELES OWNER WA 983620048 Other struct info . TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 2.50 1 1 2.00 30600.00 4386.00 4.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . FIRE SPRINKLER RESID 93310 .00 1/23/07 7/22/07 Plan Check Fee Valuation .00 o 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. This project will require seperate permit and fire sprinkler plans for review. .. . Call for cover inspection for all spr~nkler ~nstallat~ons. A full acceptance test will be required for all fire alarm systems. . . Electrical load calculations and elctr~cal perm~ts are required. Sanitary sewer connection inspection is required by public Works prior to back fill of ditch. 24 hour advance notice is required. -----------~---------------------------------------------------------------- Other Fees MILW DRIVE ASSESSMENT SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 960.00 3480.00 4.50 4800.00 ~ ~ - ~ ~ ~ ~ f' ~ ~ OcP f ~ r ~ ..:s. ,,~ Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 9244.50 9244.50 .00 .00 Grand Total 9244.50 9244.50 .00 .00 This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examimrl this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work wiJl be com pled wi whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel th r vision ofa tate or local law regulating the work specified in the permit. Date Signature of Owner (if Owner is builder) Date ~ Signature of Contractor or Authorized Agen I FIRE PERMIT INSPECTION RECORD Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final ~/J~I/~~~~ FIRE ALARM Rough-in inspection -- Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test #1 Above ground piping inspection/pressure test Piping pressure test pSI Tank (container) inspection Time initiated Test #2 Appliance inspection Piping pressure test pSI Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final Inspection Type I Date Passed I Comments GENERAL COMMENTS: 2/15/00 PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417-4650 FAX (360) 417-4659 Fire Sprinkler System Plan Review Project Name: Cronauer 4-Plex Address: 2614 Apple Tree Lane Installer: Knight Fire Protection Installer Telephone: 415-0505 Type of System: Closed 13 D 13RrgJ 13DD Date: 1.19.2007 P AFD Permit #: 07 -02 We have checked this plan and find that it conforms to the requirements of the code. Additional Comments: All systems, including underground mains, shall be installed by a state licensed and certified company. Systems shall be installed per the applicable NFP A Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. A design sprinkler flow test and alarm test are required for all 13DRsystems. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFPA Standard. This 13R system will require a measured flow test. Contractor Reviewed by: ~Fi:) 0 Date: l. l '\.. ~ 07 D ~ D Building Department Fire Department [=:J ~ o o o o o IDAn:/~6~7 I I FIRE DEPARTMENT PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION o ENERGY o ENGINEERING POLICE DEPARTMENT .. ADMINISTRATION o CITY CLERK o RISK MANAGEMENT I FROM: PUBLIC WORKSIBUlLDING DIVISION I RE: ADDRESS: ..e. NAME/CONTACT: PHONE: J PERMIT NUMBER: OfP -/0 J J PROJECT DESCRIPTION:_flt'~ _ :5QJrIVl k.le.- ~-J-.J f3f NEW CONSTRUCTION o ADDITiON/ALTERNATION COMMENTS/CONDITIONS: 5j REVIEW /RETURN o FILE 07-02:. BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONLY: Date Rec.: ,II (, (0 '1 Perrnd Or;, - f:t), Date Approved: I ( () 7 Date Issued: 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 Applicant or Agent: Owner: V~ (" ~VL- Address: ~tJ ~ ~e2-- Phone: ?/A'J lfli- t>10r- Phone: City:Y~AMMW> Wo- Zip:~~~ Phone: ExP:~ Phone: 411-a\t'r" LAh- Zir8~ '" :s ArchitectlEngineer: ContractorJ4v&\.\-'I h~ ~ State License #: tlVl~~l..i.-. Address: '"ZSZ:4 11...),"^, )t:1 h, ~1 City: 'f/o-z.-r ~') PROJECT ADDRESS: ~lRl'1' A-Pf\.(..~.ut- (gv,L LEGAL DESCRIPTION: Lot: ZONING: Block: Subdivision: CLALLAM COUNTY PARCEL NUMBER: TYPE OF WORK: D Residential D New Constr. D Re-roof D Stove D Multi-family D Addition D MoveD Garage D Commercial D Remodel D Demolition D Deck D Repair D Sign 0 Other BRIEF DESCRIPTION OF THE PROJECT: ~'~4-L- ~\~ S~~) SIZE/VALUATION: SF. @$ /SF. = $ SF. @ $ /SF. = $ SF. @$ /SF. = $ TOTAL VALUATION $ COMMERCIAL/RESIDENTIAL: Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage % Occupant Load: & Proposed Sq. Ft. Construction Type: = TOTAL Sq. Ft. PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: ESAlWetland(s): DYes D No SEPA Checklist required? 0 Yes 0 No Other: FIRE: 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: Ifno 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 IntemationalBuilding/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and e amined this application and know the same to be true and correct. 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(J] 0.>< ~ , WE-< OZZZ~o. 0. .-< ~H ~W03";o. >< ..:l o.u E-< uo 0."; Po< E-< m ~.of:~' ,. 1b. -- ~':iiI" 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 06-00001011 Date 10/04/06 792172 2614 APPLE TREE LN A 06-30-00-1-0~6705-0000- PAUL CRONAUER RES NEW MULTI 3 & 4 FAMILY PLANNED RESDNTL DEVLPMENT 316493 Owner Contractor CRONAUER PAUL P PO BOX 282 PORT ANGELES OWNER WA 983620048 Other struct info . TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 2.50 1 1 2.00 30600.00 4386.00 4.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 4 - 5/8" DROP IN METERS 87643 700.00 Plan Check Fee 10/04/06 Valuation 4/02/07 .00 316493 Qty Unit Charge Per BASE FEE Extension 700.00 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 87635 134.00 10/04/06 4/02/07 Plan Check Fee Valuation .00 316493 Qty 1. 00 3.00 Unit Charge Per 110.0000 EA SAN SEWER HOOKUP 8.0000 EA SAN SEW HOOKUP ADD/UT Extension 110.00 24.00 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. This project will require seperate permit and fire sprinkler plans for review. Call for cover inspection for all sprinkler installations. "A full acceptance test will be required for all fire alarm systems. Electrical load calculations and elctrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance 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. " , ~ I::~ CJL-t-q ''XJO~ Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder)" " Date T:\Policics\1102.ISR (1/05] PERMIT INSPECTION RECORD . - CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOC^ TION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W./ PW/ CONSTRUCTION - R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING - T:\Policies\1102.15R [1105] CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . .. 06-00001011 Application pin number 792172 Page 2 Date 10/04/06 Special Notes and Comments notice is required. Other Fees MILW DRIVE ASSESSMENT SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 960.00 3480.00 4.50 4800.00 Fee sununary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 834.00 834.00 .00. .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 9244.50 9244.50 .00 .00 Grand Total 10078.50 10078.50 .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 atter the work as commenced, or if required Inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. . '-- ~~.~ Signature of Contractor or Authorized Agent " Date Date Signature of Owner (if owner is builder). . T:\Policies\11 02.1 SR [1105] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECfION TYPE DATE ACCEPTED COMMENTS I YES NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I I FINAL INSPECfIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W./ PW/ CONSTRUCTION. R. W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING - T:\Policies\1102.l5R [1105] 0(- pORT ~ ,~~c..;. iY 'l"i:at. '- -==-- ---- ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDThlG DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 06-00001011 Date 10/04/06 792172 2614 APPLE TREE LN A 06-30-00-1-0-6705-0000- PAUL CRONAUER RES NEW MULTI 3 & 4 FAMILY ~ <S"- ( 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 CRONAUER PAUL P PO BOX 282 PORT ANGELES Other struct info . Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date - " - '- PLANNED RESDNTL DEVLPMENT 316493 Contractor OWNER WA 983620048 TOTAL % LOT COVERAGE CONSTRUCTION TYPE HARD SURFACE AREA NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 2.50 1 1 2.00 30600.00 4386.00 4.00 BUILDING PERMIT -RESIDENTIAL ~ ~ 86967 2235.45 10/04/06 '-4;02/07 .00 316493 - ~ Plan Check Fee Valuation Qty Unit Charge Per Extension 1020.25 1215.20 ~ "0 ~ r ~ ~ r- BASE FEE 217.00 5.6000 THOU BL-100,001-500K (5.60 PER K) Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 87981 215.40 Plan Check Fee 10/04/06 Valuation 4/02/07 .00 o Qty Unit Charge Per BASE FEE 14.00 7.2500 ECH ME-VENT FAN 4.00 10.6500 ECH ME-VENT SYSTEM OTHER 2.00 10.6500 ECH ME-GAS PIPE 1 TO 5 Extension 50.00 101.50 42.60 21.30 1> c& ?o/ ~~ "- ~ Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PLUMBING PERMIT 87999 320.00 10/04/06 4/02/07 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 50.00 154.00 BASE FEE 22.00 7.0000 ECH PL- EA. FIXTURE ON ONE TRAP 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. - \ -=L- ~ C>yi- W ?Oob Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\PoJiciesIJ 102_15 building pennit inspection record05.wpd [J 14/2005J L I-- I BUlLDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROViDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS / WALLS FOUNDA TION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE SLOGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLOG) SHOWER PAN FINAL DATE ACCEPTED BY: MEDICAL GAS LINE AIR SEAL WALLS CEILING FRAMING JOISTS / GIIlDERS SHEAR WALLIHOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (rNTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING [)EPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERING 4] 7-4807 PW / ENGINEERING FIRE 4 17-4653 '. FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING . . T:\Policies\II02_15 bUlldmg pel1nJl mspectlOn record05.wpd [1/4/2005] ~ pORT ~ ,:-C~~~ ~~~ .. ~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number 06-00001011 792172 Page 2 Date 10/04/06 Qty 4.00 4.00 4.00 Unit Charge (~.OO~' ~..j';- '...., 15.000 7.0000 Per EfE",'-' J:L" A...J:,1\ifrALL WATER PIPE ~dH PL~;EA~~LDG'SEWER ECH PL- EA.WATER HEATER Extension 28.00 60.00 28.00 " 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. This project will require seperate permit and fire sprinkler plans for review. Call for cover inspection for all sprinkler instailations. A full acceptance test will be required for all fire alarm systems. Electrical load calculations and elctrical permits are required. Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. , Other Fees MILW DRIVE ASSESSMENT SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 960.00 3480.00 4.50 4800.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 2770.85 2770.85 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 9244.50 9244.50 .00 .00 Grand Total 12015.35 12015.35 .00 .00 .. . . .. , <- .' ~ ., ,/ , " . r . . . I' .,:. ~ ."... . .. ,/1" (,' ~ ~. , ."'... ;,/,., J. ~, i .. , ' y~ .~: ... ';r' i - e" 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. . , ~ l 064).~ ., Date Signature of Owner (if owner is builder) Date \~~~ Signature of Contractor or Authorized Agent T:\Policies\II02_15 building permit inspection record05.wpd [1/4/2005] I I Blill.,DING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROViDE A MINIMUM 24 HOUR NOTICE. IT IS UN LA WFUL TO COVER, INSULA TE OR CONCEAL AN}' 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: .... .~~:~; ~ 'O/{lIj~ -Fb FOOTINGS Illf'1/ ~ 0'W r-:jX - JlrJtrP7. ~ J..L-- SHEAR WALLS (WALlV !/';'/~J 6G. cr~ 19l.7l't ~ ~ f/ '!~ 0'7 J J..L,- FOUNDA TION 6RAINAG~OWN SPOUTS) /,1' hI'..' 'At;. ~1t.L-- - P~'P"v"ls }/I'It n J ~'-' PIERS ,. POST HOLES (POLE BLOGS.) PLUMIlING UNDER FLOOR / SLAB ROUGH-IN J?4lr/C7-( '\1"U - Roo~-,~ ~hll,^bh...; 5top" ol~u.. WATER LINE (METER TO BLDG) '1../., / n 7 ILl FINA~8-25"-Og DATE JI-L- SHOWER PAN I ACCEPTED BY: MEDICAL GAS LINE AIR SEAL 31z7Jcn 3L'- WALLS \ 9/z'-l/ol ""Tl-L CEILING 1 f I f'Q.. Sto p FRAMING q J " /01 :rL-'- ,- JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS n I. L jJ-t WALLS / ROOF / CEILING ' "I DR YW ALL (fNTERIOR BRACED PANEL ONL Y) '1\ T;'j 1('\'1 \t.,.L.. T-BAR . 'J INSULATION IOI{)Cb/Ot --;ru.- SLAB I . WALL / FLOOR / CEILING MECHANICAL HEAT PUMP / FURNACE / DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL()~-lS-""DgDATE -;jLL.... ACCEPTED BY: COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT#'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERJNG FIRE 4 I 7-4653 " FIRE DEPT. ' PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 2;-7.~{')~ I-;\'-/..- BUILDING T:\Policies\l102_15 building permit inspectIon record05.wpd [1/4/2005] ~ ~ ~ ~~ ~~ "';'~ i~ '~ ~ ~ r~:- ':1I".i/~;~,~:~:G</~ . ~ .,. ~",,,,_k;;w:~ ~;';' .\ ,.~. ~1f! .~ .~. ..J \~~. ~;......__.::fz'Y ~~ BUILDING PERMIT - APPLICATION .; ennir #: Fill out COMPLETELY and in lNK. Your application and site plan MUST BE6i' 'Date Approved: COMPLETE to be accepted for review. If you have any questions, call l PERMITS (360) 417-4815 FiI.X(360)417-4711 att lssutd: Applicant or Agent: c.r 0 n~Po eLf Phone: (?Yo()) AI 17 - 0 IS "2 Owner: (1.V'""() nfA 11 bl(, P 0 lA I - Phone: Address: 1>.0. Bot< 202- City:POY IES Zip: qB~t.o2 ArchitectlEnweer: 'Tr.eCLt ~. T r ^, 'Z .,vl D V ). Phone: ~ i I - D 50 j Contracto0(D nLLU--tV Cl-h' C. State License #: l!.C RON c...x q 5DJffxp: 4/26( D7 Phone: 4/7 -0 152 Address: -PI O. O~ '2tt3Z- . City:j)DVt A-rqel-PS Zip:' cr 'D~~2 PROJECT ADDRESS 2/p f ~ ~ ~ f11tpp.k" 'f,ree I f,1 J 2fo 1<; (J,,:t11 aWNING: .N1 b !: LEGAL DESCRJPTION: Lot: to / Block: SubdlVislOn:' , CLALLAM COUNTY PARCEL NUMBER: oro - y...J - 00 . - 1- () -- W 7 () S -- 000 D TIJlE OF WORK: SIZENALUATION: IVResidential ~ew Constr. D Re-roof D Stove 4:3 8~ SF. @$ 1 z..J}2../SF. = $ o Multi-family D AddiTion 0 MoveD Garage SF. @ $ /SF. = $ o Commercial D Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair D Sign 0 Other 4 TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: . :::: IP L~X;- >- ) , ?, '\ lt; . 40,. -::; f COMMERCIAL/RESIDENTlAL: Occupancy Group:, No. of Stories: ~ L01 Size: Existing Sq. Ft. Total lot coverage '2 . ~ % ccupant Load: & Proposed Sq. Ft. Construction Type: D ,rn ft l\. ")/-1<3' = TOTAL Sq. Ft. G-<.p c APPROVALS: PLAN: BLDG: DP\VO: FIRE: OTHER: PLANNING USE ONLY: ESAlWetland(s): DYes 0 No SEPA Checklist required? 0 Yes D No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: ff 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: Ifno 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 applicantup to 180 days upon written request by the applicant (see Section RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that itis my responsibility to determine what permits are required ,not the City's, and that I must obtain such permfts prior to work. · T:\FORMS\BldgPermitform.wpd APPliC~ ~ Date: q f ILJ I'D ~ _/', ,,;' -,,/ ----":~:-:;.;;;:>/-- ,,- ------~:~~;,:,:,-::-.:~_:;.;>:/ ,--- ./ /'" -- ,-- -- -:-,-::-::::'::;:':::- -,,-- .-.- ----' -- -",,'-"'~ .//~~.:~~~.:c:c:.:~:::: __-' ..... "'Dr __/~:::-;;.-:;:::3:::'-:~i\>iJ3\.1\<.ee ' ,........... ..--~- I h 2-0t1c- f.J ~ L \' ....~~ '-.......,;. " ,...... 1.~; "t-~4'''' -.. ELECTRICAL WORK PERMIT APPLICATION Job wired by Electrical Contractor 0 Owner Installation descriptio~ ~ D Commercial J,d"'""Residential Electrical contractor 1l:J1llC License number Date Expires o New o Altered/Addition \..PI'\-h 'f'",-~ ^.&', ,J~ E\e<"'l....c: ~, NOt'l,-h'fe_ 9301>\ Purchaser's mailing address tL:,O ~e s.~~ '(/f\,L City State ZIP 'f 0<-\ f\.(\be.\e..~ \}Jf\ ~ '2, 3~ 2.., Telephone number FAX number ~\ ,\.0 toC'D '-\- P,~f E;er\.),'. \~l~ ~~~~(J'~' Premises owner's name () C-\. -\ \ . c" a l. 00.. & c....r 0 r-. O..\0..~ ," Address of inspection ~\.{( \~ . 'f\~,\,\E:- -, \\Ee- CA~_ ~\ ~'f\L-,e.'e... ~ Phone number to schedule inspection: \. \ - \ ~ Oh'l/er as defined by.RCW/9.28.26/:(/) Owner will occ1Ipy the SlrUC!Ilre for two years (ifter this electrical permil is finalized. (2) Owner is rcqllirecllo hire WI electrical collfrac/or if above said properly is filr sale. rent or lease. After reading the above statement, I hereby certify that] am the owner of the above named property or a licensed electrical contractor. I am llmking the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapler 19.28. WAC. Chapter 296-46B. The City of PorI Angelcs Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover x~, l-O\ Expiration Date of card (C - Electrical Load Additions and or subtractions D NO LOAD CHANGES o Baseboard KW o Furnace KW CJ Heat Pump Ton LAR o Fan-Wall KW Service Information CJ Overhead Service o Temp Service o Underground Service Voltage __ PhaseD 1 D 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT SERVICE Dale Approvcd l3y [Ji\IC Approvcd By Jlli~ W Approved By boJ;AL e ~ , Dnte ' Approved By DITCH FEEDER tl/z~7 . ~ By Date Approved By Inspection Dale Area, Building or Equipment Inspected Action Taken Electrical I.nspector A,~= V A-'Z7-/J7 Or - A?? i2.o{lS .A ~ ~j) f~ORT.<l~ J....~O~O~ i),___~ ~ ,.~ "!~~ffj O}'t>~.,f 4-0RKS !o ~ ADDRESS ELECTRICAL INSPECTION WIRING REPORT 417-4735 IN~ N ~I~L A-Vf~ "T~ L-4'.."'i~ APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D.. . . . .. . . .. . . ... ROUGH IN/COVER. . . . . .. . . . . .. . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 k . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: .>()~)e:L-\ ~ 15UlL'P{N6 l~llcN 'O.J wHbu::- 'f::/.121)~ r-:+.>{ . -r-<S,A\ 0:f'.:::...} 2bl t./ 3 ~u-- (..)H~ ~.DM~\".E- NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. {360} 452-1381