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HomeMy WebLinkAbout2439 W 12th St - BuildingPREPARED 2/20/08 10 23 30 INSPECTION TICKET PAGE 6 CITY OF PORT ANGFLES INSPECTOR JAMES LIERLY DATE 2/20/08 ADDRESS 2439 W 12TH ST SUBDIV TENANT NBR DARREN BRENDA GILCHRIST CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452 4641 OWNER DARREN AND BRENDA M GILCHRIST PHONE (360) 452 1105 PARCEL 06 30 01 8 1 0060 0000 APPL NUMBER 07 00000952 RES NEW SFR TYP /SQ ME99 01 REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 2/20/08 LL MECHANICAL FINAL February 20 2008 8 32 45 AM 1pangrle DENNIS 461 2733 MECHANICAL FINAL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL6 01 9/28/07 JLL PLUMBING WATER SUPPLY 9/28/07 AP 09/28/2007 08 59 AM LPANGRLE DENNIS 461 2733 WATER SUPPLY LINE 09/28/2007 04 26 PM JLIERLY PL2 01 11/02/07 JLL PLUMBING ROUGH IN TIME 01 00 11/02/07 AP OVERRIDE TAKEN BY LPANGRLE DATE 11/01/07 TIME 16 29 47 November 1 2007 4 28 45 PM 1pangrle TODD 808 0668 ROUGH IN PLUMBING AFTERNOON PL99 01 2/20/08 FebruINy FINAL February 20 2008 8 33 08 AM 1pangrle DENNIS 461 2733 PLUMBING FINAL COMMENTS AND NOTES PREPARED 2/20/08 10 23 30 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 2/20/08 ADDRESS 2439 W 12TH ST SUBDIV TENANT NBR DARREN BRENDA GILCHRIST CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452 4641 OWNER DARREN AND BRENDA M GILCHRIST PHONE (360) 452 1105 PARCEL 06 30 01 8 1 0060 0000 APPL NUMBER 07 00000952 RES NEW SFR PE RMIT BPR 0 0 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/19/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 9/19/07 AP 09/19/2007 09 09 AM LPANGRLE TOMMY 477 0778 FOOTING MORNING 09/19/2007 04 37 PM JLIERLY BL2 01 9/24/07 JLL BLDG FOUNDATION STEM WALL TIME 09 00 9/24/07 AP 09/24/2007 08 24 AM LPANGRLE TOMMY 477 0778 STEMWALL MORNING 09/24/2007 04 31 PM JLIERLY DSD 01 9/27/07 PB BLDG DOWN SPOUT DRAINS TIME 09 00 9/27/07 AP 09/27/2007 08 58 AM LPANGRLE DENNIS (NO KNOWN PHONE) DOWN SPOUT LINES MORNING PLEASE EQUIPMENT WILL BE THERE AT NOON TO MOVE DIRT AROUND 09/27/2007 04 39 PM PBARTHOL BL9 01 10/30/07 JLL BLDG SHEARWALL 10/30/07 AP OVERRIDE TAKEN BY LPANGRLE DATE 10/29/07 TIME 14 45 14 October 29 2007 2 43 31 PM 1pangrle DENNIS 461 2733 EXTERIOR WALL SHEARNAILING October 30 2007 4 30 51 PM jlierly BAIR 01 11/30/07 PB BLDG AIR SEAL 11/30/07 AP November 29 2007 8 34 12 AM 1pangrle DENNIS 461 2733 AIRSEAL BL3 01 11/30/07 PB BLDG FRAMING 11/30/07 AP November 29 2007 8 33 31 AM 1pangrle DENNIS 461 2733 FRAMING BLI 01 12/04/07 JLL BLDG INSULATION 12/05/07 AP December 3 2007 8 45 35 AM 1pangrle DENNIS 461 2733 INSULATION PW5 01 12/17/07 RV PUBLIC WORKS CURB GUTTER 12/17/07 AP PW6 01 1/18/08 RV PUBLIC WORKS DRIVEWAY 1/18/08 AP January 18 2008 11 59 07 AM rvess January 18 2008 11 59 26 AM rvess PW99 01 2/19/08 RV PUBLIC WORKS FINAL XXXXXXXXXX XXXXXXXX BL99 01 2/20/08 JLL BLDG FINAL February 20 2008 8 32 06 AM 1pangrle DENNIS 461 2733 BLDG FINAL PERMIT ME 00 MECHANIr —CAI\ PERMI T REQUESTED INS! DESCRIPTION We certify insulation material listed herein meeting applicable federal, state and local specifications has been installed.at the following residence surrounding conditioned space. R FACTOR AREA TYPE INCHES/BAGS R38 ATTIC CT INSULSAFE SP 14 5" R30 GARAGE CEILING CT INSULSAFE R21 EXTERIRO WALLS FG BATTS R30 UNDERFLOOR FG BATTS AIR SEAL PACKAGE P 0 Box 225 Marysville, WA 98270 Marysville (360) 659-7674 Bellingham (360) 676-9969 Seattle (206) 622-5185 Tacoma (800) 657 1122 Installed Insulation Certificate a MASCO Company 24a9 W 12TH STREET /Pt 1,1 1 2TP.. OTREE Address or Lot Number CER111 iED I■cb•pcmci ContratIor PREPARED 12/04/07 8 36 38 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/04/07 ADDRESS 2439 W 12TH ST SUBDIV TENANT NBR DARREN BRENDA GILCHRIST CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452 4641 OWNER DARREN AND BRENDA M GILCHRIST PHONE (360) 452 1105 PARCEL 06 30 01 8 1 0060 0000 APPL NUMBER 07 00000952 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/19/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 9/19/07 AP 09/19/2007 09 09 AM LPANGRLE TOMMY 477 0778 FOOTING MORNING 09/19/2007 04 37 PM JLIERLY BL2 01 9/24/07 JLL BLDG FOUNDATION STEM WALL TIME 09 00 9/24/07 AP 09/24/2007 08 24 AM LPANGRLE TOMMY 477 0778 STEMWALL MORNING 09/24/2007 04 31 PM JLIERLY DSD 01 9/27/07 PB BLDG DOWN SPOUT DRAINS TIME 09 00 9/27/07 AP 09/27/2007 08 58 AM LPANGRLE DENNIS (NO KNOWN PHONE) DOWN SPOUT LINES MORNING PLEASE EQUIPMENT WILL BE THERE AT NOON TO MOVE DIRT AROUND 09/27/2007 04 39 PM PBARTHOL BL9 01 10/30/07 JLL BLDG SHEARWALL 10/30/07 AP OVERRIDE TAKEN BY LPANGRLE DATE 10/29/07 TIME 14 45 14 October 29 2007 2 43 31 PM 1pangrle DENNIS 461 2733 EXTERIOR WALL SHEARNAILING October 30 2007 4 30 51 PM jlierly BAIR 01 11/30/07 PB BLDG AIR SEAL 11/30/07 AP November 29 2007 8 34 12 AM 1pangrle DENNIS 461 2733 AIRSEAL BL3 01 11/30/07 PB BLDG FRAMING 11/30/07 AP November 29 2007 8 33 31 AM 1pangrle DENNIS 461 2733 FRAMING BLI 01 12/04/07 JflL 7) BLDG INSULATION \t December 3 2007 8 45 35 AM 1pangrle DENNIS 461 2733 INSULATION COMMENTS AND NOTES PREPARED 11/30/07 10 49 50 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/30/07 ADDRESS 2439 W 12TH ST SUBDIV TENANT NBR DARREN BRENDA GILCHRIST CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452 4641 OWNER DARREN AND BRENDA M GILCHRIST PHONE (360) 452 1105 PARCEL 06 30 01 8 1 0060 0000 APPL NUMBER 07 00000952 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/19/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 9/19/07 AP 09/19/2007 09 09 AM LPANGRLE TOMMY 477 0778 FOOTING MORNING 09/19/2007 04 37 PM JLIERLY BL2 01 9/24/07 JLL BLDG FOUNDATION STEM WALL TIME 09 00 9/24/07 AP 09/24/2007 08 24 AM LPANGRLE TOMMY 477 0778 STEMWALL MORNING 09/24/2007 04 31 PM JLIERLY DSD 01 9/27/07 PB BLDG DOWN SPOUT DRAINS TIME 09 00 9/27/07 AP 09/27/2007 08 58 AM LPANGRLE DENNIS (NO KNOWN PHONE) DOWN SPOUT LINES MORNING PLEASE EQUIPMENT WILL BE THERE AT NOON TO MOVE DIRT AROUND 09/27/2007 04 39 PM PBARTHOL BL9 01 10/30/07 JLL BLDG SHEARWALL 10/30/07 AP OVERRIDE TAKEN BY LPANGRLE DATE 10/29/07 TIME 14 45 14 October 29 2007 2 43 31 PM 1pangrle DENNIS 461 2733 EXTERIOR WALL SHEARNAILING October 30 2007 4 30 51 PM jlierly BAIR 01 11/30 07 JLL BLDG AIR SEAL November 29 2007 8 34 12 AM 1pangrle DENNIS 461 2733 AIRSEAL BL3 01 11/30/07 JLL BLDG FRAMING I November 29 2007 8 33 31 AM 1pangrle G{` DENNIS 461 2733 1 FRAMING COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner LBR CONSTRUCTION /STEWARD LAND 618 S PEABODY ST STE H PORT ANGELES WA 983626244 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Charged Permit Fee Total Plan Check Total Grand Total ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360 417 -4735 35 00 00 35 00 07 00001312 233952 2439 W 12TH ST 06 30 01 8 1 0060 0000 ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY 0 Contractor ELECTRICAL NEW RESIDENTIAL ALL WEATHER/ T STAT 115113 35 00 11/19/07 5/17/08 Qty Unit Charge Per 1 00 35 0000 ECH EL LVT FIRST THERMOSTAT ALL WEATHER HEATING COOLING 302 KEMP RD PORT ANGELES WA 98362 (360) 9813 Plan Check Fee 00 Valuation 0 Paid Credited Due 35 00 00 35 00 00 00 00 Date 11/19/07 Extension 35 00 00 00 00 INSPECTION ELECTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE ROUGH IN FINAL 'COMMENTS: 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 DARREN BRENDA M GILCHRIST 119 E 10TH ST PORT ANGELES (360) 452 1105 Structure Information 000 000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Permit Fee Total Plan Check Total Grand Total W A 983626244 FIRE SPRINKLER RESID FIRE SPRINKLER SYSTEM 114694 50 00 Plan Check Fee 11/13/07 Valuation 5/11/08 Per Fee summary Charged 50 00 50 00, 07 00001262 656976 2439 W 12TH ST 06 30 01 8 1 0060 0000 DARREN BRENDA GILCHRIST FIRE SPRINKLER SYSTEM RS9 RESDNTL SINGLE FAMILY 2500 INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES (360) 452 7583 INSTALL FIRE SPRINKLER SYSTEM BASE FEE 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 examine this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating the work specified in the permit. ,,;,,,1 //Mk? Signature of-Contractor or_Authl:irized Agent/ 'Date Signature of Owner (if Owner is builder) Date CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East S Street, Port Angeles, WA 98362 Contractor Paid Credited 50 00 00 00 00 50 '00 00 Date 11/13/07 WA 98362 Due 00 0 Extension 50. 00 00 00 00 Q2 Occl Inspection Type 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 FIRE ALARM Rough -in inspection Alarm final LP -GAS Underground piping inspection /pressure test Above ground piping inspection /pressure test Tank (container) inspection Appliance inspection LP gas final Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final GENERAL COMMENTS FIRE PERMIT INSPECTION RECORD Call 360- 417 -4655 for fire inspections Please provide a minimum 24 -hour notice It is unlawful to cover insulate N or conceal any work before inspected and accepted. Post permit in a conspicuous location. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE Date Passed UNDERGROUND STORAGE TANK (UST) ABANDONMENT o/-27 -08 14,bb Comments Completed by Contractor. Test #1 Piping pressure test Time initiated Test #2 Piping pressure test Time initiated psi psi 0 Project Name Private Residence Address 2439 West 12 Installer• Innovated Fire Installer Telephone 452 -7583 Type of System. Open Date 11.2.2007 PAFD Permit 07 -33 We have checked this plan and find that it conforms to the requirements of the code 1) Provide sprinkler protection in Den/Bedroom 3. Additional Comments PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417 -4650 FAX (360) 417 -4659 Fire Sprinkler System Plan Review 13 A design sprinkler flow test and alarm test are required for all 13D systems. 13 R 13 D All systems, including underground mains, shall be installed by a state licensed and certified company Systems shall be installed per the applicable NFPA 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. Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFPA Standard. This 13D system will require a measured flow test. I'/ iLd Contractor Reviewed by Building Department Fire Department Date it PREPARED 11/02/07 9 34 24 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/02/07 ADDRESS 2439 W 12TH ST SUBDIV TENANT NBR DARREN BRENDA GILCHRIST CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452 4641 OWNER DARREN AND BRENDA M GILCHRIST PHONE (360) 452 1105 PARCEL 06 30 01 8 1 0060 0000 APPL NUMBER 07 00000952 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL6 01 9/28/07 JLL 9/28/07 AP PL2 01 11/02 /07 r� PLUMBING WATER SUPPLY 09/28/2007 08 59 AM LPANGRLE DENNIS 461 2733 WATER SUPPLY LINE 09/28/2007 04 26 PM JLIERLY PLUMBING ROUGH IN TIME 01 00 OVERRIDE TAKEN BY LPANGRLE DATE 11/01/07 TIME 16 29 47 November 1 2007 4 28 45 PM 1pangrle TODD 808 0668 ROUGH IN PLUMBING AFTERNOON COMMENTS AND NOTES PREPARED 10/30/07 11 54 04 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 10/30/07 ADDRESS 2439 W 12TH ST SUBDIV TENANT NBR DARREN BRENDA GILCHRIST CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452 4641 OWNER DARREN AND BRENDA M GILCHRIST PHONE (360) 452 1105 PARCEL 06 30 01 8 1 0060 0000 APPL NUMBER 07 00000952 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/19/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 9/19/07 AP 09/19/2007 09 09 AM LPANGRLE TOMMY 477 0778 FOOTING MORNING 09/19/2007 04 37 PM JLIERLY BL2 01 9/24/07 JLL BLDG FOUNDATION STEM WALL TIME 09 00 9/24/07 AP 09/24/2007 08 24 AM LPANGRLE TOMMY 477 0778 STEMWALL MORNING 09/24/2007 04 31 PM JLIERLY DSD 01 9/27/07 PB BLDG DOWN SPOUT DRAINS TIME 09 00 9/27/07 AP 09/27/2007 08 58 AM LPANGRLE DENNIS (NO KNOWN PHONE) DOWN SPOUT LINES MORNING PLEASE EQUIPMENT WILL BE THERE AT NOON TO MOVE DIRT AROUND 09/27/2007 04 39 PM PBARTHOL BL9 01 10/30/07 BLDG SHEARWALL I( OVERRIDE TAKEN BY LPANGRLE DATE 10/29/07 TIME 14 45 14 October 29 2007 2 43 31 PM 1pangrle DENNIS 461 2733 EXTERIOR WALL SHEARNAILING COMMENTS AND NOTES 0 r %Mil I lac J�� RnANA FIRE DEPARTMENT PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION ENERGY ENGINEERING POLICE DEPARTMENT ADMINISTRATION Li CITY CLERK RISK MANAGEMENT FROM. PUBLIC WORKSBUILDING DIVISION RE ADDRESS 02 9 3 9 12 ST NAME /CONTACT V l\ 6-b t f 0- 1 PHONE. Z L i (pH PERMIT NUMBER. O 7 12 (O Z PROJECT DESCRIPTION th <.4 NEW CONSTRUCTION ADDITION /ALTERVATION COMMENTS /CONDITIONS re: CP h kl v REVIEW/RETURN Li FILE Fill out COM1'LETEU and in INK. our 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. k t VAC._ 0 v` 'T e312. 6 Q/` Phone. i d /2- //G 7 Owner. 417t-d LL;Virre..., Par�esn 4 Ack Phone: �,S 2 Y c Lf Address: G /8 P 9 C l c 1 City C J z n P C T 9 C. 2_ J �J Architect/Englneer Phone: Contractor //be/O1),47r/) 1 //2E State License #J1/AAIVi -1 ``r RExp A ././949Phone.ziS2 -75433 Address: AL4A.AJ /IO%L V Q .t,► i....1, City 1 °O ✓'T e Zip ,c9.. C .L, PROJECT ADDRESS 2- y 5 W 2-4-LA St ZONING LEGAL DESCRIPTION Lot: G Block. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. X Residential New Constr Re -roof n Multi- family 0 Addition Move Garage Commercial 0 Remodel Demolition 0 Repair 0 Sign Other BRIEF DESCRIPTION OF THE PROJECT COMMERCIALfRESIDENTIAL. Occupancy Group: No. of Stories: Lot Size: Existing Sq. Ft. Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION ESA/Wetland(s). Yes No SEPA Checklist required? Yes No Other Subdivision. STZE/VALUATION Stove SF /SF 5 SF /SF Deck SF /SF l TOTAL VALUATION Z-STO <3 �(7 c. r" F! S'„ 7 v -i k 1 er- e w. Occupant Load. Construction Type: Proposed Sq Ft TOTAL Sq. Ft VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the apphcant This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordmator 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 tune of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of apphcation, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that l have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to wo k. TIFORMS\BIdgPermitform.wpd Applicant: Date: /d'/ `Z kJ 7 FOR OFFICIAL USE ONLY Date kec. .-01 Permit If (17 1 Z62. Date Approved: Date Issued: APPROVALS. PLAN BLDG. DPWU FIRE. OTHER. ELECTRICAL PERMIT AM) 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 07 00000952 Date 10/16/07 827656 2439 W 12TH ST 06 30 01 8 1 0060 0000 DARREN BRENDA GILCHRIST RES NEW SFR RS9 RESDNTL SINGLE FAMILY 113013 Owner Contractor DARREN AND BRENDA M GILCHRIST ANDERSON HOMES LLC 119 E 10TH ST 618 SOUTH PEABODY STE H PORT ANGELES WA 983626244 PORT ANGELES WA 98362 (360) 452 1105 (360) 452 4641 Structure Information 000 000 1623 SF SFR 665 SF ATT GAR 118 PORCH Other struct info TOTAL LOT COVERAGE 21 78 NUMBER OF STORIES 1 00 LOT SIZE 11044 00 PROPOSED LOT COVERAGE 2406 00 TOTAL LOT COVERAGE 2406 00 NUMBER OF UNITS 1 00 Permit ELECTRICAL NEW RESIDENTIAL Additional desc CURRENT/ 2400 SFR Permit pin number 112003 Sub Contractor CURRENT ELECTRICAL CNTRG INC Permit Fee 135 00 Plan Check Fee Issue Date 10/16/07 Valuation Expiration Date 4/13/08 Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background All homes in new subdivisions that are outside of the Fire Department four minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA) Electrical load calculations and elctrical permits are required Customer connection fee $713 00 08/17/2007 11 37 AM GMCLAIN Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to pouring concrete Other Fees SEWER SYSTEM DELV CHARGE 1000 00 STATE SURCHARGE 4 50 00 0 Qty Unit Charge Per Extension 1 00 69 0000 ECH EL R SQFT FIRST 1300 69 00 3 00 22 0000 5C EL R SQFT ADDITIONAL 500 66 00 INSPECTION EL F,CTRICAL TYPE DATE RESULTS INSPECTOR DITCH SERVICE ROUGH III FINAL COMMENTS Application Number Application pin number Other Fees Fee summary ELECTRICAL PERMIT AND INSPECTION RECORD CITY OF PORT ANGELES 360- 417 -4735 Permit Fee Total Plan Check Total Other Fee Total Grand Total 07 00000952 827656 Page 2 Date 10/16/07 PW WATER SYSTEM USE FEE 1230 00 Charged Paid Credited Due 135 00 135 00 00 00 00 00 00 00 2234 50 2234 50 00 00 2369 50 2369 50 00 00 INSPECTION TYPE DATE DITCH SERVICE ROUGH IN FINAL COMMENTS Pr 11/2b1?) ap 1417 i11 /a? *WO R P FL F CTRICAL RESULTS INSPECTOR PREPARED 9/28/07 9 17 09 INSPECTION TICKET PAGE 16 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/28/07 ADDRESS 2439 W 12TH ST SUBDIV TENANT NBR DARREN BRENDA GILCHRIST CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452 4641 OWNER DARREN AND BRENDA M GILCHRIST PHONE (360) 452 1105 PARCEL 06 30 01 8 1 0060 0000 APPL NUMBER 07 00000952 RES NEW SFR PERMIT PL 00 PLUMBI NG PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL6 01 9/28/07 PLUMBING WATER SUPPLY 09/28/2007 08 59 AM LPANGRLE DENNIS 461 2733 WATER SUPPLY LINE COMMENTS AND NOTES PREPARED 9/27/07 12 24 27 INSPECTION TICKET PAGE 17 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/27/07 ADDRESS 2439 W 12TH ST SUBDIV TENANT NBR DARREN BRENDA GILCHRIST CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452 4641 OWNER DARREN AND BRENDA M GILCHRIST PHONE (360) 452 1105 PARCEL 06 30 01 8 1 0060 0000 APPL NUMBER 07 00000952 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/19/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 9/19/07 AP 09/19/2007 09 09 AM LPANGRLE TOMMY 477 0778 FOOTING MORNING 09/19/2007 04 37 PM JLIERLY BL2 01 9/24/07 JLL BLDG FOUNDATION STEM WALL TIME 09 00 9/24/07 AP 09/24/2007 08 24 AM LPANGRLE TOMMY 477 0778 STEMWALL MORNING 09/24/2007 04 31 PM JLIERLY DSD 01 9/27/07 JLL BLDG DOWN SPOUT DRAINS TIME 09 00 1 09/27/2007 08 58 AM LPANGRLE DENNIS (NO KNOWN PHONE) MOWN SPOUT AIEES MORNING PLEASE EQUIPMENT WILL BE THERE AT NOON TO MOVE DIRT AROUND COMMENTS AND NOTES PREPARED 9/24/07 10 35 23 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES LIERLY ADDRESS TENANT NBR CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ BL1 01 BL2 01 9/24(07 2439 W 12TH ST DARREN BRENDA GILCHRIST ANDERSON HOMES LLC DARREN AND BRENDA M GILCHRIST 06 30 01 8 1 0060 0000 07 00000952 RES NEW SFR BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 9/19/07 JLL 9/19/07 AP BLDG FOUNDATION 09/19/2007 09 0 TOMMY 477 0778 FOOTING MORNING 09/19/2007 04 3 BLDG FOUNDATION 09/24/2007 08 2 TOMMY 477 0778 STEMWALL MORNING' SUBDIV COMMENTS AND NOTES PHONE (360) 452 4641 PHONE (360) 452 1105 FOOTING TIME 09 00 9 AM LPANGRLE 7 PM JLIERLY STEM WALL TIME 09 00 4 AM LPANGRLE PAGE 14 DATE 9/24/07 PREPARED 9/19/07 9 44 10 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/19/07 ADDRESS 2439 W 12TH ST SUBDIV TENANT NBR DARREN BRENDA GILCHRIST CONTRACTOR ANDERSON HOMES LLC PHONE (360) 452 4641 OWNER DARREN AND BRENDA M GILCHRIST PHONE (360) 452 1105 PARCEL 06 30 01 8 1 0060 0000 APPL NUMBER 07 00000952 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 9/19/07 J L BLDG FOUNDATION FOOTING TIME 09 00 IL 0 09/19/2007 09 09 AM LPANGRLE 1 TOMMY 477 0778 FOOTING MORNING COMMENTS AND NOTES CITY OF PORT.ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST,STH STREET PORT ANGELES. WA'9A362 Application Number 07 00001056 Application pin number 656448 Property Address 2439 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 01 8 1 0060 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Owner Contractor LBR CONSTRUCTION /STEWARD LAND CURRENT ELECTRICAL CNTRG INC 616 S PEABODY ST STE H 41`6' N 'CARNE STREET PORT ANGELES WA 983626244 PORT ANGELES PORT ANGELES i 'WA 98362. (457). .1`831, f. Perm t ELECTRICAL TEMPORAR SERVICE Additional desc CURRENT/ 60A TEMP .Permit pin number 110874 Sub Contractor CURRENT ELECTRICAL CNTRG INC Permit Fee 40 00 Plan Check Fee 00 Issue Date. 9/1 Valuation Expiration Date 3/11/08 Qty Unit Char''ge. "Per Extension 1 00 40'0000 BC EL TEMP SRV 0 60 SRV FDR 40 00 Fee summary Charged Paid Credited Due Permit Fee Total Plan Check Total Grand Total 40 00 00 40 00 COMMENTS /ACTION NEEDED 40 00 00 40 00 00 00 00 Date 9/13/07 90 00 00 0 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. DITCH ROUGH -IN COVEk SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE I ACCEPTED YES NO COMMENTS vw- iioi..isI461 OQ ?OPT A,, '44 YO Application Number 07 00000952 Date 8/29/07 Application pin number 827656 Property Address 2439 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 01 8 1 0060 0000 Tenant nbr name DARREN BRENDA GILCHRIST Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 113013 Owner Contractor DARREN AND BRENDA M GILCHRIST ANDERSON HOMES LLC 119 E 10TH ST 618 SOUTH PEABODY STE H PORT ANGELES WA 983626244 PORT ANGELES WA 98362 (360) 452 1105 (360) 452 4641 Structure Information 000 000 1623 SF SFR 665 SF ATT GAR, 118 PORCH Other struct info TOTAL LOT COVERAGE 21 78 NUMBER OF STORIES 1 00 LOT SIZE 11044 00 PROPOSED LOT COVERAGE 2406 00 TOTAL LOT COVERAGE 2406 00 NUMBER OF UNITS 1 00 Permit PUBLIC WORKS RES WATER SERV Additional desc 3/4 DROP IN METER Permit pin number 109876 Permit Fee 230 00 Plan Check Fee 00 Issue Date 8/29/07 Valuation 113013 Expiration Date 2/25/08 Qty Unit Charge Per Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 109868 Permit Fee 120 00 Plan Check Fee 00 Issue Date 8/29/07 Valuation 113013 Expiration Date 2/25/08 Qty Unit Charge Per 1 00 120 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 All homes in new subdivisions that are outside of the Fire Department four minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA) Electrical load calculations and elctrical permits are required Customer connection fee $713 00 08/17/2007 11 37 AM GMCLAIN 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 type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give autho olat or cancel the provisions of any state or local law regulating construction or the performance of const BASE FEE Signature of Contractor oputhorized Agent Date T•\Policies \1102.15R [1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Extension 230 00 Extension 120 00 Signature of Owner (if owner is builder) Date CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T-\Policies \1102.15R 1/05] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING Application Number Application pin number Special Notes and Comments notice is required Construct driveway to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to pouring concrete Other Fees Fee summary T•\Policies \1102.15R [1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 07 00000952 827656 SEWER SYSTEM DELV CHARGE 1000 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1230 00 Charged Paid Credited Due Page 2 Date 8/29/07 Permit Fee Total 350 00 350 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2234 50 2234 50 00 00 Grand Total 2584 50 2584 50 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE RESIDENTIAL CONSTRUCTION R W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T\Policies \1102.15R [1 /05] PERMIT INSPECTION RECORD CALL 417 -4807 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, 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 YES I NO COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION RW PW ENGINEERING FIRE DEPT I PLANNING DEPT BUILDING Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 07 00000952 Date 8/29/07 Application pin number 827656 Property Address 2439 W 12TH ST ASSESSOR PARCEL NUMBER 06 30 01 8 1 0060 0000 Tenant nbr name DARREN BRENDA GILCHRIST Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 113013 Owner Contractor DARREN AND BRENDA M GILCHRIST ANDERSON HOMES LLC 119 E 10TH ST 618 SOUTH PEABODY STE H PORT ANGELES WA 983626244 PORT ANGELES WA 98362 (360) 452 1105 (360) 452 4641 Structure Information 000 000 1623 SF SFR 665 SF ATT GAR 118 PORCH Other struct info TOTAL LOT COVERAGE 21 78 NUMBER OF STORIES 1 00 LOT SIZE 11044 00 PROPOSED LOT COVERAGE 2406 00 TOTAL LOT COVERAGE 2406 00 NUMBER OF UNITS 1 00 Permit BUILDING PERMIT RESIDENTIAL Additional desc 1623 SF SFR 665 ATT GAR Permit pin number 109108 Permit Fee 1098 65 Plan Check Fee 439 46 Issue Date 8/29/07 Valuation 113013 Expiration Date 2/25/08 Qty Unit Charge Per Extension BASE FEE 1020 25 14 00 5 6000 THOU BL -100 001 500K (5 60 PER K) 78 40 Permit MECHANICAL PERMIT Additional desc Permit pin number 109827 Permit Fee 104 45 Plan Check Fee 00 Issue Date 8/29/07 Valuation 0 Expiration Date 2/25/08 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 8000 ECH ME INSTALL 100- FAU 14 80 4 00 7 2500 ECH ME VENT FAN 29 00 1 00 10 6500 ECH ME OTHER APPL N/R 10 65 PLUMBING PERMIT 109819 156 00 8/29/07 2/25/08 Qty Unit Charge Per Extension BASE FEE 50 00 11 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 77 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 thi .e of work will be complied with whether specified herein or not. The granting of a permit does not presume t. •'ve authority o :te r cancel the provisions of any state or local law regulating construction or the performance of const 2c) Signature of Contractor or thorized Agent Date Signature of Owner (if owner is builder) Date T \Policies \1 102_15 building permit inspection rccord05.wpd [1/4/2005] Plan Check Fee 00 Valuation 0 CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL AN} WORK DEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING &HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT INSPECTION TYPE DATE CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I I PLANNING DEPT 417 -4750 I I BUILDING 417 -4815 T \Policies \1102 15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD ACCEPTED COMMENTS YES NO FINAL DATE ACCEPTED BY. FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE I ACCEPTED I YES I NO I I I I I I I I 1 Page 2 Application Number 07 00000952 Date 8/29/07 Application pin number 827656 Qty Unit Charge Per Extension 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 1 00 15 0000 ECH PL- EA BLDG SEWER 15 00 1 00 7 0000 ECH PL EA WATER HEATER 7 00 Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background All homes in new subdivisions that are outside of the Fire Department four minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA) Electrical load calculations and elctrical permits are required Customer connection fee $713 00 08/17/2007 11 37 AM GMCLAIN Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to pouring concrete Other Fees Fee summary CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 SEWER SYSTEM DELV CHARGE 1000 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1230 00 Charged Paid Credited Due Permit Fee Total 1359 10 1359 10 00 00 Plan Check Total 439 46 439 46 00 00 Other Fee Total 2234 50 2234 50 00 00 Grand Total 4033 06 4033 06 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T' \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK WORE 0 INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT .108 SITE. 11 INSPECTION TYPE DATE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE (DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING &HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL 9 la -67I Ti 1 to -oil I Q -z7 -cam PB I l I q 28 -D.7 11-3A-CI P t3 1I -30-oi F13 I1_©Lt._o1 *SL--- ACCEPTED YES I NO SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT COMMENTS I S-i-e n wall R Z4 -a CONSTRUCTION R.W PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I FIRE DEPT PLANNING DEPT 417 -4750 I I I PLANNING DEPT I BUILDING 417 -4815 I O2-'2-0 Ott 17I, I I BUILDING T \Policies \1102 15 building permit inspection record05.wpd [1/4/20051 I FINAL 02 OVDATE a1 L- ACCEPTED BY. FINAL 2- -20 -O &DATE d L ACCEPTED BY. I I I I I I I I I z c7i V I DATE ACCEPTED I YES I NO I Credit Card Holder Name• Billing Address Credit Card Type VISA MC II TYPE OF WORK .ice Residential 'New Constr Re -roof Multi- family Addition Move Commercial Remodel Demolition Repair Sign Other PLANNING USE ONLY BUILDING PERMIT APPLICATION www.cityofpa.us Print out form and fill out COMPLETELY in INK. Your application and sit plan MUST BE COMPLETE to be accepted for review Questions? Call. PERMITS (360) 417 -4815 Fax (360) 417 -4711 C'a,t( Kid< ca 6 carsdi Hot -{vr Pinu ESA /Wetland(s) Yes No SEPA Checklist required? Yes No Other. FQR OFFICIAL L USE ONLY te Rec. h o O 7 /Date Approved: 'Date Issued: Applicant or Agent: PfVeIV (94• Phone: 15 30 (4 Owner bAR.efN 4- IS__T Phone: 452- t Address. Nil 10 ctief T city f0+c T ij j 4.j :S Zip. .e362 Architect/Engineer $5A.P• Phone: 497- 3014- Exp. Date: Contractor /Vbe'eSDIJ M'K(US State License ANDEKPL Exp /2''03 -rte Phone. 52 Address b/ r f W b,Y CT Ce city. Pcser ides Zip 98362 PROJECT ADDRESS 3 4 7 w 12" r f''Ier isracretass ZONING it LEGAL DESCRIPTION Lot: .6 Block: Subdivision. kleittreee AR CLALLAM COUNTY PARCEL NUMBER. 06 OI SIZE /VALUATION Stove House- 14,1.3 SF 60 01.) /SF 9 7 i 380 Garage 4A-1 605_ SF ,2..I 3R /SF 1 4 ii 217.`70 k _flg -S i2:o�SF 4 t Q TOTAL VALUATION ii SO 13. ?0 1 l BRIEF DESCRIPTION OF THE PROJECT Stig4LE Pi4•Mltx New C■IISTfzUc-T(alV 1 Hetei, a r tts C'. COMMERCIAL /RESIDENTIAL Occupancy Group 3 Occupant Load. Construction Type v 1 No of Stories. Lot Size I t 1 64 Existing Sq Ft. d Proposed Sq Ft. 241* TOTAL Sq Ft. Zit 06 Total lot coverage Z( 78 APPROVALS PLAN BLDG DPWU FIRE OTHER BUILDING PERMIT APPLICATION SUBMITTAL The Building Division can provide you with information on the application and plan submittal requirements if you have questions. 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 applicatidn and construction plans are submitted. All other permit fees are due at the time of permit issuance EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building /Residential Code, 2003) No application can be extended more than once I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, not theCty' and that I must obtain such permits prior to work. 4 I X I www cityofpa.us Applicant: Date: ee' S 7 5 r I\ I 11 N I .E1 1 1 p er -1-- j 0 `.1t r 3 Parcel Lookup Page 1 of 1 Parcel Number 0630001056150000 Site Address. i 'Quit I Back,I Taxpayer L B R CONSTRUCTION INC 618 S PEABODY ST STE H PORT ANGELES WA 98362 -6244 Title Owner L B R CONSTRUCTION INC 618 S PEABODY ST STE H PORT ANGELES WA 98362 -6244 Description SUB LOT 56 EXC TX# 706 3056 EXC STREET 4 62A Value Summary Note: Listed values do not reflect adjustments made for exemption programs such as Senior /Disabled or Current Use programs (except Commercial Forestland properties) Land Value. 106 185 Improvements Value 0 Total Assessed Value 106 185 Property Characteristics Note Use Code is for Assessor's purposes only Contact the appropriate planning or building departments for Zoning and allowable usage of property Use Code 9100 UNDEVEL LAND Land Size (acreage) 4 62 Note. Acreage is not listed for all properties in the Assessor's records. More information about land size. Tax Status. Taxable Tax Code Area. 0010 Note' Zoning and zoning codes change constantly Verify all zoning with the appropriate planning or building department. Building Characteristics (Click on Bldg for more details.) Bldq. Type Bldg. Style Total S.F. BD BA Tax History Sales History Quit I }.'Back 111,410 36311 http.//apps.clallam.net/website/sths_p pgm ?parcel 0630001056150000 8/16/2007 File Number 01089123kw LPB 10 -05 STATUTORY WARRANTY DEED THEGRANTOR(S) L B R CONSTRUCTION INC PROFIT SHARING PLAN for and in consideration of TEN DOLLARS AND OTHER GOOD AND VALUABLE CONSIDERATION in hand paid, conveys, and warrants to DARREN GILCHRIST AND BRENDA M GILCHRIST HUSBAND AND WIFE the following described real estate, situated in the County of CLALLAM State of Washington: LOT 6 OF HERITAGE COURT AS PER PLAT THEREOF RECORDED IN VOLUME 15 OF PLATS PAGE 31 RECORDS OF CLALLAM COUNTY WASHINGTON SITUATE IN CLALLAM COUNTY STATE OF WASHINGTON SUBJECT TO SEE EXHIBIT A ATTACHED HERETO AND MADE A PART HEREOF Abbreviated Legal: (Required if full legal not inserted above.) LT 6 HERITAGE COURT 15/31 Tax Parcel Number(s): 06- 30- 01- 810060 Dated: August 06 2007 L State of WASHINGTON County of CLALLAM I certify that I know or have satisfactory evidence that *RICK ANDERSON a) the person(s) who appeared before me and said person(s) acknowledged that he signed this instrument on oath stated that he is authorized to execute the instrument and acknowledge it as the TRUSTEE of L B R CONSTRUCTION, INC PSP to be the free and voluntary act of such party(ies) for the uses and purpos@s` RINIed in this instrument 8/9/ Dated q When recorded return to: OLYMPIC PENINSULA TITLE COMPANY 2007-1207227 y Page 1 of 2 Wa 1G3 4 n 3 CLal l Wa I ,h hi in l et to on C �y om pa08 /1 4 /200 77 11 2 53 PM T ANNS CTION EXCISE TAX ,iltnI'iN1''i'111,101YY1,YYiill!i ITYrLTI`Y IUI'I 11111 PA E D AUG 1 4 2007 AMOUNT g SO/l`1? COU T E RE 'V ss -0'4, Cc1. ,t(a?/ ILK ANDERSON TRUSTEE i Notary name printed or typed?' KAREN L WAHLSTEN N.$tary Public in and for the State of WASHINGTON IIt t' a r siding at: PORT ANGELES 4 -KO zMy Appointment Expires 8/19/09 File Number 01089123kw SUBJECT TO EXHIBIT A 2007 1207227 08/14/2007 12:26:53 PM 2 of 2 Clallam County, WA WD GILL 1 ALL COVENANTS CONDITIONS RESTRICTIONS RESERVATIONS EASEMENTS OR OTHER SERVITUDES IF ANY DISCLOSED BY THE RECORDED PLAT OF HERITAGE COURT RIGHTS OR BENEFITS IF ANY WHICH MAY BE DISCLOSED BY THE RECORDED DOCUMENT(S) ABOVE AFFECTING LAND OUTSIDE THE BOUNDARY DESCRIBED HEREIN 2 ALL COVENANTS CONDITIONS RESTRICTIONS RESERVATIONS EASEMENTS OR OTHER SERVITUDES IF ANY DISCLOSED BY RECORD OF SURVEY RECORDED UNDER CLALLAM COUNTY RECORDING NO 616102 RIGHTS OR BENEFITS IF ANY WHICH MAY BE DISCLOSED BY THE RECORDED DOCUMENT(S) ABOVE AFFECTING LAND OUTSIDE THE BOUNDARY DESCRIBED HEREIN 3 RESERVATIONS CONTAINED IN COUNTY RECORDING NO 460839 4 COVENANTS CONDITIONS AND RECORDED UNDER CLALLAM COUNTY DOCUMENT RECORDED UNDER CLALLAM RESTRICTIONS IMPOSED BY DOCUMENT RECORDING NO 2007 1206786 III FAX Unlimited Group R 3 Occupancy Only PRESCRIPTIVE APPROACH SIMPLE FORM For the Washington State Energy Code (2006 Edition) Climate Zone 1 Site Information Building Department Use Only Lot: Address. 4 13 T lU City r State (7/4 Zip gb36 3 Contact: J' /0 4�,/�, .g Phone �Sz -4641 Phone 2 Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) Option Area'% of `Vert cal Ov U Ceiling Ce ng Floor Factor.: Permit Notes. Y1 9 S2,- Wall .i. Interior Exterior r Slab; =ori: Above Below Below Floor Concrete 0 40 0.58 0.20 R 38 R 30 R 21 R 21 R 10 R 30 R 10 This Project complies with the following: 4 The project is a single family residence or duplex. 4 The project is a wood frame OR all of the insulation is interior or exterior of the framing. .4 All building components meet the requirements listed in Table 6 -1 Option III. .4 The project will meet all other provisions of the WSEC and VIAQ The Project will take advantage of the following exceptions to the prescriptive option. 602.6 Exception 1 One door that is 24 ft. or less, that does not meet the standards allowed. Location of the door taking this exception. 602.6 Exception 2. Doors with a U- Factor of 0 40 allowed without calculations, Option III only Location of the door(s) taking exception. Type of Heat Source: �i Z( ,A IP Saabs 1' .2O-0'" Site Plan Keynotes O PROPOSED RESIDENCE 0 CONCRETE DRIVEWAY O3 CONCRETE SIDEWALK COVERED PORCH DECK 36' X 36' PAD ()WATER, PHONE, POWER Lot Coverage LOT AREA: 11,044 S.F BUILDING AREA (UNDER ROOF): 2,406 S.F LOT COVERAGE. 21.78% REVISIONS bak ASSOCIATES 1009 W. 13th Street Port Angeles, Wa 88383 980 467 3014 Gilchrist Residence Lot 6 12th Street Port Angeles, Wa DATE 08 -10 -2007 JOB NO DRAWN BY SHEET A2 1 2 OF 10 cfrpORT>IJ,: !....~~"'" ~~. ,;iI~ '\ 1l -- ""l ""-<WJiI> CITY OF PORT ANGELES PUBLIC WORKS . UTILITIES DIVISION 321 EAST 5TH-STREET, PORT ANGELES, WA 98362 o 7-Cf6d.-. Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER; Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning Application valuation 07-00000952 Date 8/29/07 827656 2439 W 12TH ST / , 06-30-01-8-1-0060-0000- DARREN & BRENDA GILCHRIST RES NEW SFR ;<431 LV 12-tIJ -:t> 6;//cAY'ST RS9 RESDNTL SINGLE FAMILY 113013 Owner Contractor DARREN AND BRENDA M. GILCHRIST 119 E. 10TH ST. PORT ANGELES (360) 452-1105 Structure Information 000 Other struct info . WA 983626244 ANDERSON HOMES LLC 618 SOUTH PEABODY, PORT ANGELES (360) 452-4641 000 1623 SF SFR, 665 SF ATT. TOTAL % LOT COVERAGE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS STE. H WA 98362 GAR, 118 PORCH 21.78 1. 00 11044.00 2406.00 2406.00 1. 00 / Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 3/4" DROP IN METER 109876 230.00 plan Check Fee 8/29/07 valuation 2/25/08 ,00 113013 ~~I 0~ Qty .. un't. Char~e.. ~::.. ~~::. :::.............. .'.,... ~... .c~~?0 SANITARY SEWER HOOK UP Permit Additional Permit pin Permit Fee Issue Date Expiration desc number 109868 120.00 8/29/07 2/25/08 plan Check Fee . Valuation ,DO 113013 ylQ--OPJ Date Qty 1. 00 Unit Charge Per 120.0000 EA SAN SEWER HOOKUP Ext SlO 120.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Asscciation (NFPA). Electrical load calculations and elctrical permits are required. Customer connection fee $713.00. 08/17/2007 11:37 AM GMCLAIN ---------------------------- 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'da'ys 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\1 l02.15R [1/05] "l'ORT~ .l;~t<'(t ..~ -'\!:.-- '\\"""""" CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number 07-00000952 827656 Page Date 2 8/29/07 Special Notes and Comments notice is required. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public works Engineering is required prior to pouring concrete. - - ---~~~~~ -;~~~- -~ - ~- ~-~ -~ - ~- ~ -~ - ~- - ~~~~;- ~~~;~~-~~~;-~~~~ -~~ ;.p -- STATE SURCHARGE ~O PW WATER SYSTEM USE FEE 0.0 -------------------------------------------------------------- ----- ----- Fee summary charged Paid Credited Due Permit Fee Total plan Check Total Other Fee Total Grand Total 350.00 .00 2234.50 2584.50 350.00 .00 2234.50 2584.50 .00 .00 .00 .00 .00 .00 .00 .00 ; . Separate Permits are required for eiectrical work, SEPA, Shoreiine, 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 wiil be complied with whether specified herein or not. The granting of a permit does not presume to give authority to vioiate or cancei the provisions of any state or iocallaw reguiating constructiOn or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\1>olicies\1102.15R [1/05] CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT. . . . . . REQUEST: Date 2.. - ) q - 6 ~ Time Received by 72v (phone, person) Location of Work to be inspected 2. 4:sq \JJ {2. f "1 Name of person requesting inspection DeVJ,v\)" 5 AuJe.v=n HOlMes Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. en - 9:5 z... Sewer Foundation Framing Chimney Plumbing~Sewer Excav. Other INSPECTION NOTES: Inspected: Date 2-1'1-0~ Remarks: C-U."b v G......tt...... ::OV'~\l€-~o.y Se.w<<'v^" Time /2-/7-0 7 1- m- 05 '1-2\3- 07 By l2. V F,~o..\ OK RESTORATION REQUIRED. . . . .. YES NO X SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel o Asphalt OPCC 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) c:.TRI=I=T c:.IIDI=RII\.ITl=l\.lnI=I\IT InATl=1 Issued date: <)5:-,,'1-0 '7 APPLICATION FOR WATER City Water Division, Port Angeles, WA Installed by & date: t I~ C; /O/d?Permit # 0 7 - '1 5 L . I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: Applicant Name & Phone: ZJu;. REAl i I3'rlYlrhb; kAn.s;r ":/6..:< -/1 D..5 Site Address: 2434 0/2. t:r> Mailing Address: /YC? E /ZJ~sr / Elk: Lot: (/ Add: 4/-.J;'1..f,o L'T Parcel#: 6b~o I'" I 00<0(1 oooCJ Svc: ON I OFF Meter #'s C tIJ3GWIO #: -=?Q'":<,4<r - ,<\C,O Svc: Size L ' '/2 Restoration Required: ~ ~ Signature: Remarks: , N o w E ... L-q~( --l: s CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . INSPECTION REPORT. . . . . . REQUEST: Date '1- 27- oc Time Received by Klr (phone. person) Location of Work to be inspected .2. '-I S1 W I Z + l/t Name of person requesting inspection Todd VI;.5.~tA_ Address of person requesting inspection Type of Inspection (circle appropriate one): ~ Foundation Framing Chimney Plumbing Final Sewer Excav, Other &....IJev..s Phone No,lfb/ -:5ge8 Permit No. C>7-9S:z.. INSPECTION NOTES: Inspected: Date '1 - 2 <a - 67 Time Remarks: II Q.IA..J 7'// PV~ seuJe... r r-. nW2r;'.7-, 'on -i-A 0.+ :Pro(>Q.J'-h.I IJ~Q. / By RV , f,' ;/ P,K1 p ll",S ~ b 1''- MYl:AJ \l~.;'..~J~.. 1:)"",:....-" '$>'hMJ", -<-POUt< +0 <='lOdl.<2- C./o C)(,'s..'fI'",~ 6,"Nc....- t N \ RESTORATION REQUI S-.l'" Mlf:;~ . ~7T~ r~. iJd'li~~' ./7VC- . Z1 ,,--'" ...."... ~ ~..Itp </0 ~~~~ ~::~ s1 o , ~ J....... I S1'"~~ J J ailA 5.1 SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel, 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) C:TA~a::T c::.IIDE:DII\ITa::FtlnCI\.IT InATJ:\ Sep 10 07 03:54p Current Electric ~1;~. 5~~.~";"'.'.. or!. '-.' . ,~ ~:.; ....- 3604571873 p.1 ELECTRICAL WORK PERMIT APPLICATION .Jl(Electrical Contractor lnstallalion description Job wired by o Owner D Commercial S(Resideotial Electri::..r contractor name License number Dale Expires o Altered/Addition C'v RP.....8J .. &:;, ?r::l~ ~u~'l""If'cf o I'ew PUlcha'icr's mailing addre5~ Lb""'--P P,7 ,f!,OY: 7-'ll3 7 I Cily Slale ZIP 0lPr 4", GE.L C 5 \...\...!~- Ct~.5 (.. z... , . TeJePhC~e num~~ FAX nllmber j) 'is-l- l!?J.J 3iCLJ L\..S-7-14'3I ('3"(?U Premises owner's name ~ ,<7 'Z-E- "-' b't.. CrZ...eSr Address or iaspection i zj:;1 2'1 ~C; LV C;IY~ h oe.r ..'~<---e~ Phone Dumbu to schedule inspection: Own!:'T w rIcfir.ed by RCIV./9.28.261 :(1) Owner wil/ occupy the ~.truc'"rf! for two years afref' this elecfrical permit is finlJli:.cd. (2) Owller is required 10 hire an electrical mnlraClor if above ,faid properly is fnr Mlle!, rem or leaSe!. o Cash o Check # After n:adinS the allOve SI.lh:l1l\:nt, I hereby certify that r am the owner of the above named propeny or <l licensed eleclrical contraclor, 1 am making the electrical inslal- o Credit Card Visa Mastercard Discover Jation or alteration in compliance with the electrical laws, N.E.C.. RCW. Chapter 19.28, WAC. Chapter 296.468. Tile City of Porl Angeles Municipal Code, and Card # - - - Ulility Specification;;, -------------~-- ,,~"n2r ~Ieclrieal eootraetor or el~':;:;: ad~;;~at/~-1_ Expiration Date (InsP4/;; ,fec \ of card '" $ . . -Vv EI~al Load Additions and or subtractions ! ( Service Information D NO LOAD CHANGES o Baseboard KW o Furnace KW o Heal Pump Ton o Fan-Wall KW LAR a Overhead Service" a Temp Service a Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-4]7-4735 ROUGH-IN TIlERMOSTAT 0':'1" .oIt,l'''IO;l\~d fl,'" D~l: API'IV\dIJy ~ DITCH . ~, DM.: A~prCl'lCd By D~I.: lnspection Date Area, Building or Equipment Inspected q -12-" ..,.n^AP/I, (l/)~l~ F'e:::i~ 7/'2"Q'" 't\) ~ VoHage PhaseD, D 3 Service Size: _ Feeder Size; SERVICE D~I': ^Pt'ro'l'cl B)" FJ:EDER 031.: Af"pro..cdll)' Action Taken Electrical J,rspec(or A-Y'V'!';: C46i, /I WF0072739 / 001 City of Port Angeles REQ. DATE: 09/14/07 SCHED START: 09/17/07 SCHED COMPLETION: CREW: Electric Inspections - CX EINS LOCATION: 2439 W 12TH ST SUBDIVISION: REQ DEPT: REQUESTOR: ANDERSON HOMES REQ. USER: KHANEY ELECTRIC METER INSPECTION ------------~------------------------~------------------------------------------ -------------------------------------------------------------------------------- PRIMARY CONTACT INFORMATION ANDERSON HOMES 618 S PEABODY SUITE H PORT ANGELES, WA 98362 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- ELECTRIC METER INSPECTION . CATEGORY: CS-Inspections INSP TASK: ELECTRIC METER INSPECTION ELMT READY DEPT: FN-Customer Service FNCS SCHED START: 09/17/07 SCHED COMPLETION: CUSTOMER: ANbERSON HOMES CUST. PHONE: (360) 452-1232 PAGE ,I 09/14/07 14:41;02 09/17/07 158964 98363 . AUTH. USER: Jo'RluKllX: ORIGIN: KHANEY LOC ID: LOC. ZIP: IVleOl urn In Person WORK TYPE: ROUT (360) 452-1232 CUSTOMER ID: 09/17/07 6343 -------------------------------------------------------------------------------- -------------------------------------------------------------------------------- START TIME: .. START DATE: ====i====i==== UNIT OF PRODUCTION: COMPLETION TIME: . . COMPLETION DATE: ====i====i==== QUANTITY: ---------~---~---~-------------------------------------------------------------- -----------------------~-------------------------------------------------------- --------LABOR------- ---EQUIPMENT-- ------------- MATERIAL ------------- DATE EMPLOYEE HRS OT NUMBER HRS ITEM QTY COST !J'!- /05~- {)? - 9'52- --- .5-;::-12- 11/07/2007 17:23 13504525177 ALL WEATHER HEATING PAGE 01/01 . . . ~ ~_... ELECTRICAL WORK PERMIT APPLICATION Job wired by )(EJetlricaI Contractor CI Owner Installation dcr;cri1)tion o Commercial )( Residentlol oN.w o A1teredl Addition P~of m~id1r ""'Jt ID'fr A'Yl0'l-f \-E' S Telcl"honc number . SbI" Zl~ (;;'"2 r _'7 (}JA - IV Ow l- II '- ~cs owner'" name t1rlm t1..e V-c.,n VI p S Addrc:u or inspedlnn ~ U\.17m q- j2tAA- A:DQ}:fH') .I rAjA . c7JfJ~L Phnnc ~u ber t II hedulc In, cction: Owner o,~ dt>.filled by nCw'/9.2/J.26J:(J) Owner will occupy the !:rntcturl' for two year.t ofier tlri$ cfrxtl'iC'.oJ permit i.t finalt:ed, (2) Owner Is N!quired to /lire 011 eleclJ'icai cnnl,'ocrnr if above ,tlJid pmperty is for sale. n:nt or Jeatt!.. After reading the above St.'\tCtl'lCflt, I he~by certify that r am the owner of the above named property or Q licensed electrical cOntra.ctor. I 11m mllkinj:l the electrical instal- lation or alteration in compliAnce wifh the elcc:tr;e:\J lawl'i. N.E.C.. RCW. Chaptcr 19.2~. WAC. Chapter ~96-4613, The Ciry of orl AllgcleR Munieipnl Co(1c. and Utility Specificalion~. Si lire of owncr1'" C!le~tr' 1:1 Cash 1:1 Chcck# Visa Mastercard Discover -----------_..---- !'Ie _ cal Load Addltl.o_ S o NO LOAD CHANGES o Baseboard _ KW [J Fumace KW [J Heat Pump _ Ton _ LAR o Fan.Wall KW Service Intow___tlQII D Overhead Service D Temp ServIce CJ Underground Service Vottage PhaseD 1 03 Service Size: _ Feeder Size: SAME DAY lNSl'ECTION CALL BEFORE 7'1111 AM 360-417-4735 . . ROUGH-IN THERMOSTAT SERVICE I)..e At>PI"l1lt'!l1 My \. Dnle Apflfllvod Or \. Dille AfltlI"nved By FINAL r r DITCH F1':EDER J-I1zt. Op." ~. \... lilt AP1ll'VVlldtly./ "- DMC ^"pr~vcd By./ OllIe ^"prt\ved My Inllpeetion Area! Building or Eqllipmcnt Tnspected Action T:.ken Electrical Dnlc Inspector 'Ii:: I ~, Ie; fRl ww_ ~ NOV 0 8 007 OOHTOE ~. Sep 28 07 07:08a Current Electric 3604571873 p.l }/~ &\ '"" Installation description Job wired by ~ Electrica' Contractor Q Owner a Commercial )l(ResideDlial Electrical contractor nllme License number Dale Expires ~ew [:J AJtered/Additioo Cu(2.tz..a..,J""r' G L.ec....n~_~ C-LJt2J2.e&C 9 (" \ f' '1 . Purchaser's mailing address ~ <(OO Po &x. ~q"87 $(). PI . c;''r, A State ZIP crv-r "'b€;[.b5 ..vA- "'1113 ~ Z Tdephon~ number FAX number . 3(;'0" '1.57 -I 8"3' , 3'0- ..../5 7- / 'g73 Prcmi\C5 owner's nam~ j) 41"'.fl...6 >-J (;,n ?: ;.+~ t s -r Address of inspectioa I z.,-r-J>- z..i{3"l W Cit p Ca., A-'-'b&---c....'f=,.. S Pnoae hum~r to schedule inspec~ion:4- '3. Q - G, 7CJ - ~ 9 't Owner as defined by RCWJ9.1B.J6!:(J) OWller will occupy Ihe sJruClure [or two year.> after rJris elCClrical permit is fmalized. (1) Owner is required fo hire on e!ccl,ic(JI COn/rac/or if above 5aid propert)' is for sale. Terri or lease. Q Cash Q Check # Antr reading the above statement, I hereby cel1i.ry tnat I am the owner of the above named property or .a licensed el~ctrical contractor. I am making the electrical instal- Q Credit Card Visa Mastercard Discover Jatian or nlleration in compliance with the e1ectricOl\ Jaws, N.E.C., RCW. ChapteT 19.28. WAC. Chapter 296-469. The Cily of Porl Angeles Municipal Code, and Card/' - - Utility Specifications. ----~----------- I/s;~n.~. eJeclr;,,' co.,uet., or el.c,rk,' '~h;~7.o' Expiration Date X ~ ~ Date:q U o-r- of card ( Inspection fee $ I~S - dc) EI.....ri~.1 Load Additions and or subtracti~ns I / Service lnformalion '. ai,"" . . . ~.::::! ELECTRICAL WORK PERMIT APPLICATION . o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton o Fan-Wall KW LAR o Overhead $ervtce o Temp Service o Underground Service Voltage Phase[:J 103 Service Size: _ Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 TIIERMOSTAT ROUGH-IN IU~/t:J7 D~le :J,fu:. "bANAL ~ ~~ ~, !\I'prov;.jlh Dal~ Approved By SERVICE l{j-z.,yn ~ Al"I'roveJ By Drrc~ FEEDER Dale ,<\pprovod I!y Inspec:ion Date Area. Building or Equipment lnspected Action Taken Electrical Aln~pector -- 1""\ r-.LFI L "n"CI,\,Q~"'1 n ,1 FGc€ ~Vf, I I. '- ELECTRICAL INSPECTION WIRING REPORT 417-4735 OWNER/CONTRACTOR L- ADDRESS W I?- APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D.. . . . . . ... . . . . .. ROUGH IN/COVER. . .. . . . .. . . . . ..0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . ~ CORRECTIONS NEEDED: I!:;<;1t!N:~:>IQ'-I g, '-LCo I'll CltblU"VE: 0\1"\"''''''' N~L 31,-/. 20 D b~f.- \ 1'<Z."O~r::-t"" OI.TGI rT"":> UN ~Jor7Z-.f\~ .. N~c.. ZlD.~ A 2. bIZ. ~c..E'PfI()W ""2.... 9"1'l:NlN6l)L.f:l c0T\.."i:i Nto<:.c.. 2./()-SZ ~ :3. v'.)\/2,~,., I-IAN.t,I>-Jt-. ~~ N IN <:: ~"'I.)) - 9t"'o.cv ~...,.-.,z,N7 -a- "&>x. I,J ""Bt...ArJk ME-C 33Y NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 E/LIECTRICAlINSPECT~ON ; WIRING REPORT 417-4735 T&0LVI PERMIT: I 65b OWNEFVCONTRACTOR C.v 12.1Z:VZ:J.-.l-r- 1? I ~ L.. ADDRESS -Z- APPROVED NOT APPROVED o .................... DITCH . . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 'j:i( "liI:' . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . ... . . . .. . . . .. . . . .. FINAL. . . . . ... . . . .. . . . ....0 CORRECTIONS NEEDED: ~LJ7 WI 12[7 S. L( ~/2-t kJ?,~~5' CIf lL.t.o-{tc., I 1'/'-1 F~1i. ED"~ ~"Pcr- . Ilt./ C-Af2..jALJr _ J.-/fr1I1.,Y/_ /2JJ~ , ~ s,.t>.;'? (..foL ~ \..1ZJ.E l '/4 'F' J'Z.bjI'. ~ !){o~ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381