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Home My WebLink About1003 Cathleen St - BuildingClallam County Assessor Treasurer Property Details 63355 CHRIS T McCLUNG f Page 1 of 4 Clallam County Assessor Treasurer Property Search Results 63355 CHRIS T McCLUNG for Year 2009 201 Property Account Property ID Geographic ID Type Tax Area. Open Space. Historic Property Multi Family Redevelopment Location Address. Neighborhood: Neighborhood CD Owner Name Mailing Address: 63355 0630017701200000 Real 0010 N N N 1003 CATHLEEN ST PORT ANGELES WA 98363 Cycle 5 Res 10955130 2(00-42.A -Zy57 Taxes and Assessments Due Property Tax Information as of 12/16/2009 Amount Due if Paid on. Vii_ 3 Legal Description Agent Code PA 121 PORT ST CNTY H2 L Land Use Code DFL Remodel Property Mapsco Map ID CHRIS T McCLUNG Ca Owner ID ,��'°rncT "s" ^"E 1603, Ownership PORT ANGELES WA 983 Exemptions. First Second Half Half Statement Base Base Year ID Taxing Jurisdiction Due Due 2009 633552008 ST SCH STATE SCHOOL $178 75 $178 75 2009 633552008 CC -GEN COUNTY $90 47 $90 45 2009 633552008 PORT PORT $12.81 $12.82 2009 633552008 PORT ANG PORT ANGELES $198 42 $198 43 2009 633552008 SD #121 SCHOOL DISTRICT #121 $221 05 $221 06 2009 633552008 NTH OLY LIB NORTH OLYMPIC LIBRARY $26.29 $26.28 2009 633552008 HOSP #2 HOSPITAL #2 $37 10 $37 10 2009 633552008 WEED_CONTROL WEED CONTROL $0 82 $0 81 2009 633552008 TOTAL. $765.71 $765.70 2008 633552007 ST SCH STATE SCHOOL $84 46 $84 46 2008 633552007 CC -GEN COUNTY $40 87 $40 85 2008 633552007 PORT PORT $5 97 $5 97 2008 633552007 PORT ANG PORT ANGELES $88 02 $87 99 2008 633552007 SD #121 SCHOOL DISTRICT #121 $98 52 $98 51 2008 633552007 NTH OLY LIB NORTH OLYMPIC LIBRARY $11 88 $11 87 2008 633552007 HOSP #2 HOSPITAL #2 $4 06 $4 06 2008 633552007 WEED_CONTROL WEED CONTROL $0 82 $0 81 2008 633552007 TOTAL. $334 60 $334.52 CATHLEEN ESTATES V15 P21 LOT 12 11 N Penalty $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0.00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 $0 00 194191 100 0000000000% 69 242 uo otiaorex5 Y 1.e- 6vQs ®►7 Co* Vef)A Nom' Base Amount Interest Paid Due $0 00 $357 50 $0 00 $0 00 $18•92 $0 00 $0 00 $25 63 $0 00 $0 $396 85 $0 00 $0 00 $442:11 $0 00 $0 00 $52 57 $0 00 $0 00 $74.20 $0 00 $0 00 $1 63 $0 00 $0.00 $1531 41 $0.00 $0 00 $168 92 $0 00 $0 00 $81 72 $0 00 $0 00 $11 94 $0 00 $0 00 $176 01 $0 00 $0 00 $197 03 $0 00 $0 00 $23 75 $0 00 $0 00 $8 12 $0 00 $0 00 $1 63 $0 00 $0 00 $669 12 $0.00 http /vpn.clallam.net opertyaccess /Pr' perty asp %cru=0 &year= 2009 &prop_id -6 12/16/2009 8 ME6 01 12/02/09 JLL 12/02/09 AP ME99 01 12/04/09 r no3 e_baAA1 I s4- PREPARED 12/04/09 8 24 48 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/04/09 ADDRESS 1003 CATHLEEN ST SUBDIV CONTRACTOR FERRELLGAS LP PHONE (360) 683 9029 OWNER MCCLUNG CHRIS T PHONE (360) 421 2457 PARCEL 06 30 01 7 7 0120 0000 APPL NUMBER 09 00001242 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS MECHANICAL GAS LINE December 1 2009 12 33 38 PM 1pangrle CHRIS 360 421 2457 December 2 2009 4 18 46 PM jlierly MECHANICAL FINAL TIME 01 00 December 4 2009 8 14 22 AM 1pangrle CHRIS 421 2457 MECHANICAL FINAL GAS LINE TANK SET ETC AFTERNOON PLEASE CALL HIM 30 MINUTES BEFORE YOU GET THERE SO HE CAN MEET YOU THERE COMMENTS AND NOTES PREPARED 12/02/09 8 13 11 CITY OF PORT ANGELES ADDRESS 1003 CATHLEEN ST SUBDIV CONTRACTOR FERRELLGAS LP PHONE (360) 683 9029 OWNER MCCLUNG CHRIS T PHONE (360) 421 2457 PARCEL 06 30 01 7 7 0120 0000 APPL NUMBER 09 00001242 MECHANICAL APPL PERMIT PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 12/02/09 INSPECTION TICKET INSPECTOR JAMES LIERLY MECHANICAL GAS LINE December 1 2009 12 33 38 PM 1pangrle CHRIS 360 421 2457 COMMENTS AND NOTES PAGE 8 DATE 12/02/09 )4 oil,/ wt )9c.e Applicant Property Property Contractor Contractor's License Parcel Number Owner C Owner's Address c-derett (,Ns Address S /2 PROJECT ADDRESS Project Type Brief Description. Check all that apply New Construction Addition Remodel Repair Demolition Re -roof Heat System bZther Max height of proposed. structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? BUILDING PERMIT CITY OF PORT ANGELES Attn. Building Permit Technician 321 E Fifth St. Port Angeles WA 98362 (360) 417 -4815 fax (360) 417 -4711 w^5 10 0 3 c .4-k ur, 34- Expires 003 �a- Residential //1 5r A-r ,Zleg.i,J /.4-0 S,E a'e ft. Occupancy group Occupant load Construction type pn n ri APPLICATION Print in ink ark' Date 12 1-01 Print Name CLr15 tAc.Lt Signature T Forms /Building Division /Bldg Permit doc Phone 360 2) 57 Phone 30 q 2q A VJA Phone E -mail P o r k' A y� o12J Lot Multi family Commercial Industrial 7 it//rrz� 7:(15) e 'WA I363 Zoning House garage other tear off re -roof lay over one layer Heat pump wood- burning stove ❑,gas fireplace pellet stove other Floor Areas Existing (sq. ft.) Pcejosed (sq. ft.) Basement per sq ft. 1St Floor 2nd Floor 3 Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION For City Use Only Date Received Permit 010 5s Date Approved a €:2‹ Total footprint of structures sq ft. Lot size sq ft. Lot coverage Site Coverage the amount of impervious surface on a parcel including structures paved driveways sidewalks patios and other impervious surfaces. (see PAMC 17 94 135 for exemptions) Site coverage of bedrooms. of full baths of half. baths have read and completed this application and know it.to and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. r yi-et/ o Owner MCCLUNG CHRIS T 1003 CATHLEEN ST PORT ANGELES (360) 421 2457 1 00 1 00 T:FormsBuilding Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc UNDERGROUND GAS LINE AND TANK SET Qty Unit Charge Per 10 6500 EA 50 0000 HR WA 98362 Fee summary Charged Permit Fee Total 110 65 Plan Check Total 00 Grand Total 110 65 09 00001242 780042 1003 CATHLEEN ST 06 30 01 7 7 0120 0000 MECHANICAL APPL PERMIT RS9 RESDNTL SINGLE FAMILY 250 Contractor FERRELLGAS LP 1 LIBERTY PLAZA LIBERTY (360) 683 9029 Permit MECHANICAL PERMIT Additional desc UNDERGROUND LINE AND TANK Permit pin number 157370 Permit Fee 110 65 Issue Date 12/01/09 Expiration Date 5/30/10 SET Plan Check Fee Valuation BASE FEE ME FUEL GAS PIPING 1 5 OUTLETS ME INSPECTION MIN 1 HR Paid Credited 110 65 00 00 00 110 65 00 Date 12/01/09 MO 64068 00 0 Extension 50 00 10 65 50 00 Due 00 00 00 1Yh 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 fora period of 180 days after the work has 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 ofa 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/c�onstruction. i1/1/ --I 9� Lri. M!`l_ \wv 1 X.(nr l Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION Footings Stemwall Foundation Drainage Downspouts 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 Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hold Downs Skirting PLANNING DEPT Separate Permit #s SEPA. Parking Lighting I ESA. Landscaping I SHORELINE. T.Forms /Building Division /Building Permit ►z !1� Inspection Type Date Accepted By Electrical 417 -4735 Construction R W PW Engineering 417 -4831 Fire 417 -4653 Planning 417 -4750 Building 417 -4815 Comments FINAL Date Accepted by FINAL Date I 1 Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Date Accepted By f .,.'" rlO , '"' N , N "'''' t:>b ..;..; 0.0 :>- ...:I <>: '" H ...:I N'" .,.rl "'0 0'" , , "'.,. .,.'" "''"' M'" ",0 NN :> H "'''' 0 ZZ (Il 00 ::> :x::x: 00 0.0. b "'00 :.:'" ~~ b..., Z .. 0<>: HO bb UU "'''' 0.0. 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'" M N '" .... <X> ...:I ...:10, ..,...: ~ 0000 00 " r-r- 00 " "'''' '" o , r- N , N .... o .... o N ...:I 0, '" '" ...:I 0, -~ Ul ...: >< ...:I t>: ...: "1 Ul ...: Z o H f- o >< Ul "1 f-< o Z a :i! Ul f-< Z "1 :>: :>: o U p ELECTRICAL INSPECTION WIRING REPORT 417-4735 APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D..................... FINAL....................~ CORRECTIONS NEEDED: ,,,[ ~ TALL (2..~V,f\c... L E. rol2... D I ~ Ji LV A. L" f-( E.rz. ~! ~'f' A /2.. k oS H I;;..IJ.J) NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS. INC. (360) 452-1381 G...",. .~' ~ ~=~I CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00001328 Date 603216 1003 CATHLEEN ST 06-30-01-7-7-0120-0000- GLENN-TERRA, INC. RES NEW SFR 2/18/09 RS9 RESDNTL SINGLE FAMILY 151246 0'1 ~(l ~ ~L- \\-,Z&-, vJo..~ fl}f'ro{\:\.eA J '(1'\ \~ -\1l G \ ~~c, S \J~ ~;;~~~~~~~~-~~~~------------------------------------------------------- ~~~ _____~~~~_~~_~~::~~~:~::A::/GAR:-:::-S:-~~::~:;~RCH:::::::::::----c,\;:~~~~ NICKERSON STR ASSOCIATES LLC PRO-BUILT CONSTRUCTION LLC v PO BOX 80565 13410 111TH ST., COURT EAST SEATTLE WA 98108 PUYALLUP WA 98374 (206) 784-9019 (253) 848-0842 Structure Information 000 000 1,782 SF SFR, 635 ATT/GAR, 172 COV PRCH Other struct info. . TOTAL % LOT COVERAGE 20.00 CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS V-B 2.00 9091. 00 1789.00 1789.00 1. 00 Permit BUILDING PERMIT -RESIDENTIAL Additional desc 1,782 SF SFR, 635 SF ATT /GAR permi t pin number 115345 Permit Fee 1311.45 Plan Check Fee Issue Date 11/28/07 Valuation Expiration Date 12/21/08 524.58 151246 Qty Unit Charge Per Extension 1020.25 291. 20 116004 122.35 Plan Check Fee 11/28/07 Valuation 12/21/08 .00 o F?, V)q!E>ef 02_2 7-09 BASE FEE 52.00 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 Qty Unit Charge Per Extension BASE FEE 50.00 1. 00 14.8000 EA ME-FURN/HP/FAU < OR = 5 TON 14.80 5.00 7.2500 EA ME-VENT FAN (SINGLE DUCT) 36.25 1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 1. 00 10.6500 EA ME-FUEL GAS PIPING,1-5 OUTLETS 10.65 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, ifconstruction or work is suspended or abandoned for a period of180 days after the work has commenced, or ifrequired 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FonnsIBuilding DivisionIBuilding Pennit BUILDING PERMIT INSPECTION RECORD - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS - Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCA TlON. KEEP PERMIT AND APPROVED PLANS A T JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: FootinQs Stemwall Foundation Drainage / Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor / Slab RouQh-ln Water Line (Meter to BldQ) Gas Line Back Flow / Water FINAL Date Accepted bv AIR SEAL: Walls Ceiling FRAMING: Joists / Girders / Under Floor Shear Wall/ Hold Downs Walls / Roof / CeilinQ Drywall (Interior Braced Panel Only) T -Bar INSULATION: Slab Wall I Floor / Ceiling MECHANICAL: Heat Pump / Fumace / FAU / Ducts Rouch-In Gas Line Wood Stove / Pellet / Chimney Commercial Hood / Ducts FINAL Date Accepted bv MANUFACTURED HOMES: FootinQ / Slab BlockinQ & Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parkinc / Liahtina I I ESA: Landscaping I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY / USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW I Engineering 417-4831 Fire 417-4653 Planninq 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit 6,1..<"" '~' ~ ~) ~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Page Application Number . . . . . 07-00001328 Date Application pin number 603216 Permit PLUMBING PERMIT Additional desc . Permit pin number 115998 Permit Fee 177.00 plan Check Fee Issue Date 11/28/07 Valuation Expiration Date 12/21/08 2 2/18/09 .00 o Qty Unit Charge Per BASE FEE 14.00 7.0000 EA PL-PLUMBING TRAP 1. 00 7.0000 EA PL-WATER LINE 1. 00 15.0000 EA PL-SEWER LINE 1. 00 7.0000 EA PL-WATER HEATER Extension 50.00 98.00 7.00 15.00 7.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. 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). November 21, 2007 11:36:07 AM sroberds. The proposal will result in a new sfr w/attached garage in the RS-9 zone. Total lot coverage is 20%. No land use issues are noted. Electrical load calculations and elctrical permits are required. Customer connection fee $713.00 November 15, 2007 10:11:28 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 and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to pouring concrete. Backflow device is required when fire sprinkler system is installed (exception for open systems) . Backflow devices are required when lawn sprinkler systems are installed. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1610.80 1610.80 .00 .00 Plan Check Total 524.58 524.58 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 4369.88 4369.88 .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 has commenced, or ifrequired 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 oflaws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:FonnslBuilding DivisionIBuilding Penni! L___ ,-- ! BUILDING PERMIT INSPECTION RECORD - PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS - Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 BackfJow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN CONSPICUOUS LOCA TlON. KEEP PERMIT AND APPROVED PLANS A T JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: FootinQs Stemwall Foundation Drainage I Downspouts Piers Post Holes (Pole Bldgs.) PLUMBING: Under Floor I Slab RouQh-ln Water Line (Meter to BldQ) Gas Line Date 0 2.-2.7,q.,dcepted by-:5"L-L- Back Flow I Water FINAL AIR SEAL: Walls Ceiling FRAMING: Joists I Girders I Under Floor Shear Wall I Hold Downs Walls I Roof I Ceilino Drvwall (Interior Braced Panel Only) T-Bar INSULATION: Slab I I Wall! Floor I Ceiling MECHANICAL: Heat Pump I Furnace I FAU I Ducts Rouoh-In Gas Line Wood Stove I Pellet I Chimney Date02-l".()~AccePted by "'3LL Commercial Hood I Ducts FINAL MANUFACTURED HOMES: Footino I Slab Blockino & Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parkino I Liohtino I I ESA: Landscaping I I SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY / USE Inspection Type Date Accepted By Electrical 417-4735 Construction - R.W. PW I Engineering 417-4831 Fire 417-4653 Planninq 417-4750 Building 417-4815 o 2--2 7--0~ -:ILL- o ~ I \N (\J 00 g \N n it ~ :5 VJ + V) ~ s~ -th~ pv-eVfOUJ pe.r-mi+ lCSg"uetA II-Z~-07 -+0 Glenn-T-ek~):tnc \ for lV'lsr~h\ons prior -+0 o2-Z.7~OCJ. T:Forms/Building Division/Building Permit . .. VIKING BANK AdminiAtrntjon Tel (206) :298-2028 Fl1ll (206) 283-01 S8 4 Nieker~l)n Street Suite 200 Seattle. W A 98 t 09 www.vikingbnnk.eorn TO: Linda Pangrle FROM: Brian Robinson COMPANY: City o{PA Public Works Dept SUBJECT: Cathleen Estates PHONE: DATE: 2/18/09 FAX: 360-417-4711 PAGES: 2 Linda, Here is verification that Pro-Built Construction, LLC, is serving as general contractor for the Cathleen Estates subdivisions. Thanks, Brian Robinson Assistant Credit Administrator Ph: (206) 298-2028 Fx: (206) 283-0158 Emai1: brianritUvikim;tbank.com The lnf(\rmation conlflincu in this transminnl mny be privileged and confidential information intended ('Or the nnmcd recipients onl)', If you are not the intended recipient or the employee "r agent rcs[1Qn~ible to deliver it to {hc intonder! recipient, you ~rc hereby notified t.I1Qt any d\~"cr\,inilti{)n, distrib\\tioll. or copying ofthi.~ cornmunie~ti..:>n is strictly prohibited, tfYOll have received lI)i~ Ir~nSlTIjt1ai in error, plen.qe immcdintcly notify !)s by :olcphrl11c. . W VOONG BANK 2067849019 2067H3 1.295 F,.. Admininratiun -l Nickc:r~on !itreer Suite lOO I~O. Box 19087 Seattle. WA ')8] 09 www.vildllgb.IIlk.c:om I.oed. Prr,lol7A.Lizfd. Cu..rlrJ7tlt!r.Dri!m~. February 17,2009 City of Port Angeles Public Works & Utilities Department 321 East Fifth Street .Port Angeles, Washington 98362 To Whom It May Concern, TIns letter is to serve as notioe that Pro-Built Construction, LLC, has been retained by Viking Bank to serve as general contractor to coordinate and complete the construction of the Cathleen Estates subdivisjon. The subject properties are listed as follows: Address 1002 Cathleen Street 1006 Cathleen Street 1010 Cathleen Street 1014 Cathleen Street 1104 Cathleen Street 11 08 Cathleen Street 1109 Cathleen Street 1105 Cathleen Street 1015 Cathleen. Street 1011 Cathleen Street .,.. 1003 Cathleen Street Parcel No. 0630017700100000 0630017700200000 0630017700300000 0630017700400000 0630017700500000 0630017700600000 0630017700700000 0630017700800000 0630017700900000 0630017701000000 0630017701200000 *'01- \ 32.?, Nickerson Street Associates, LLC, is a wholly owned subsidiary of Viking Bank and is the legal owner of the above listed properties. In accordance with Pro-Built Construction, LLC's duties as general contractor, please extend Pro-Built Construction pers01U1el every courtesy with. regards to accessing permit data, inspecting and issuing permits, and any other steps as necessary to complete construction and obtain final approvals for the above listed properties. Thank yo~ ~rL- Bri.an Rob;nson Assistant Credit Administrator . ~ 1C';dJ.\~ 1I(111:,,=,,<: I.E~I1.I:_1 ~lI'.MIIl;1\ j.!\:\: , ~ n___ Street Lookup Parcel Number 0630017701200000 Site Address: 1003 CATHLEEN ST PA I Quit I Taxpayer: NICKERSON STR ASSOCIATES, LLC PO BOX 80565 SEATTLE, WA 98108-2406 Title Owner: NICKERSON STR ASSOCIATES, LLC PO BOX 80565 SEATTLE, WA 98108-2406 Description: CATHLEEN ESTATES V15 P21 LOT 12 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: 75,000 Improvements Value: 93,560 Total Assessed Value: 168,560 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: 1113 THREE BEDRM Land Size (acreage): .21 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. 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'" .... ... 0 '" H M '" '" .... >< ..:l ..:l ul ..:l 0<( ..:l >< M M '" E-< al al 0 al al al '" E-< :E :E ELECTRICAL INSPECTION WIRING REPORT 417-4735 (;)1:) ~ G~ ~) ADDRESS APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . . . . . . FINAL. . . . . . . . . . . . . . . . . . . . 0 CORRECTIONS NEEDED: C"D\J~~ 1) \.TC~I-\ ~r'DgE.. , ~ ~12:.. ~ if l c... rc:.. (1jN-. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 ELECTRICAL PERMIT A!\T[) INSPECTION RECORD CITY OF PORT ANGELES 360-417-4735 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000416 Date 043168 1003 CATHLEEN ST 06-30-01-7-7-0120-0000- ELECTRICAL ONLY RS9 RESDNTL SINGLE FAMILY o Application desc New house Owner Contractor Glenn, Terra 127 E 1st PORT ANGELES ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 WA 98362 Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 124222 Permi t Fee 135.00 plan Check Fee Issue Date 4/10/08 Valuation Expiration Date 10/07/08 Qty 1. 00 3.00 Unit Charge Per 69.0000 ECH 22.0000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 135.00 135.00 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 135.00 135.00 .00 .00 4/10/08 .00 o Extension 69.00 66.00 I . . ~ S IN (\ ]) 1 ~ ~ . SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: ,. C-ll{ 0i6-0L-{lb ELECTRICAL WORK PERMIT APPLIC.ATIO~ DOwner Installation description o Commercial ~ReSidential t:xNew 0 Altered/Addition Elect ical co, tractor name License number Date Expires l"d e-- S'd-cn( ~ J;.lGc:fS J'?"2-~P1 purchase~ mailing tjess City tJ .2... ~ C2tL' Sta~~~!pky RJ rC? t-'f- rtrtl}L "5 W f\- q 83 c 2..- TelePhon~n. umbe~ ,j FAX number r l V -- ~ I-f .- ~- Gi-r)...! Premiseytt1w1er's na~ ~.J:1~;'l1t ~r ''1. .r ~ 4- Address OJ inspection :00 3 ~ Q 'l-J, ieL", City h.e. \N KS; cj~ n r..J 2~J7 s, f+ p 4. Phone number toJs h dUI(:/~S Owner as defined by.RCW.19.28.261:(I) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator X ~ Date:"i tf /0 IS Electrical Load Additions and or subtractions o Cash 0 Check # o Credit Card Visa MFrcar~ Discover Card# --fyt1--tl--k-------- Inspection fee $ 135~ Service Information o NO LOAD CHANGES o Baseboard KW ~ Furnace --1~w o HeatPump Ton o Fan-Wall KW LAR Overhead Service Temp Service Underground Service Voltage /10 /2 ~C Phase Dt1 0 3 Service Size: J tl 0 It Feeder Size: o o y:J SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 Date Approved By SERVICE i/~'!frs ~ed By THERMOSTAT tj)k Date DITCH ~ Approved By FEEDER Dale Approved By f:J~ if Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector 1-'-05 17/3.00 (h,...A1FC'/ ;::t-F (J ~() ;P $/ , w D~-Oy:[) - I I I I N<Xl M 0 ...... <Xl o ...... 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III Z I>: , 'J<( :I: I>: I>: I>: , .., H , co E-tWWMr-fr-f ~oo , 00 <(E-<E-<E-<OO , W U , , , '0 , -..:l ~ffi~ffi~~ ..:lWW , coco CO coW P<E-<E-< '00 0 o~ ooW '" , ~~ OHHH\D[, :5!!lo: '1Il0l ..... ...-laCJCJoo ,........ 0 0 ()l:>: '" , 'E-< WO 'NN .,. .,.1>: I>: I>: I>:U , 0 . (II I>: 'W ..:l , 0. ZO (II P< , 0 E-< , W~ 00 -U ~ , .... .... ~O OOE-<;:i ..:l E-< ()l , 0 0 ~~E-<gjtJ..:l H 00 , 0.>< ~ , , WE-< O&i~~~g; 0. , \0 N I>:H >< , ..:l ..:l o.u ~E-<UOo.<( P< E-< , 0. 0. CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000368 Date 399584 1003 CATHLEEN ST 06-30-01-7-7-0120-0POO- GLENN-TERRA, INC. FIRE SPRINKLER SYSTEM 4/01/08 RS9 RESDNTL SINGLE FAMILY 2706 Application desc INSTALL FIRE SPRINKLER SYSTEM Owner Contractor GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES WA 98362 (360) 565-0100 Structure Information 000 000 INNOVATED FIRE SPRINKLERS 81 NEW HAVEN LANE PORT ANGELES WA 98362 (360) 452-7583 INSTALL FIRE SPRINKLER SYSTEM Pe rmi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date FIRE SPRINKLER RESID FIRE SPRINKLER SYSTEM 123547 50.00 Plan Check Fee 4/01/08 Valuation 9/28/08 .00 o BASE FEE Extension 50.00 . Qty Unit Charge Per Special Notes and Comments Call for cover inspection for all sprinkler installations. A full acceptance test will be required for all fire alarm systems. Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 50.00 50.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 50.00 50.00 .00 .00 hh({ !yJ ~< Y--og 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 perm it. J~# /f,^~ 'Ii kJE Si!inature of Contractor or Auth rized Agent ' / Date Signature of Owner (if Owner is builder) Date -.....~ - ..-J;,I,;.. __ _ .....______ FIRE PERMIT INSPECTION RECORD 0 cP \ Call 360-4l7-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate \"J 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 "-24 -0<6 k.C D 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 Time initiated Tank (container) inspection 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 -- o D vJ ~ - ~ (() -t 2/15/00 j) ~ \J) "\) ') ,-- 5 E: 3 \ GENERAL COMMENTS: City Permit #08-368 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: Private Residence Address: 1003 Cathleen Installer: Innovated Fire Installer Telephone: 452-7583 Type of System: Open 130 13RO 13D[gJ Date: 3.25.2008 P AFD Permit #: 08-10 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 all13D systems. 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. Contractor Reviewed by: ~&QJ:d.D Date: 3.2..~ .ce o ~ o Building Department Fire Department I DATE: 3 -2't---o'il1 [=:J FIRE DEPARTMENT PLANNING DEPARTMENT PUBLIC WORKS/ENGINEERING DIVISION LIGHT DIVISION o ENERGY o ENGINEERING o POLICE DEPARTMENT o ADMINISTRA TI~N o CITY CLERK o RISK MANAGEMENT I FROM: PUBLIC WORKSIBUlLDlNG DIVISION I )J( o o o RE: ADDRESS: \ 00 ~ eQ th \e8V\ S.t- NAME/CONTACT: VI VI c en+-- B ~+\-J ex- PHONE: 4132..- is & ~ PERMIT NUMBER: 0 <6 - "3 (Q 8 PROJECT DESCRIPTION: J:n sh. U F~V'e.-- 5 fr\ V\ K \ ex-- S ~ 50v\, 3" NEW CONSTRUCTION o ADDITION/ALTERNATION COMMENTS/CONDITIONS: )3lREVIEW /RETURN o FILE 'f~@ DB-Io ~ BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 (360)417-4815 fax (360)417-4711 For City Use Only Date Received 3 -2.( -O~ Permit # Og- 3(08 Date Approved Phone Y~2 -7S8~ Phone Project Tvpe & Brief Description: Check alllhal apply ~ew Construction o Addition o Remodel o Repair oRe-roof o Demolition o Sign PROJECT ADDRESS Parcel Number o Heat System o Other f I YS2. - IS 83 /00 Zoning ';(Residential 'F,\/....~ o Commercial o Multi-family o Industrial o wall-mounted 0 projecting 0 freestanding 0 awning Total si n area s . ft. Maximum allowed si n area s . ft. o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other o other Floor Areas Existinq (sq. ft.) Proposed (sq. ft.) Basement @$ per sq. ft. = $ 151 Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALVA nON $ 2 7CJG, Od Total footprint of structures /8oL( sq. ft. Lot size sq. ft = Lot coverage % Max. height of proposed structures Will a lawn sprinkler system be installed? Will a fire sprinkler system be installed? ft Occupancy group Occupant load Construction type # of bedrooms # of full baths # of half baths I have read and completed this application and know it 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, and to obtain permits prior to working on 6~(:cls 2 'rint Name V~"'~""- t ~~ 11-52.,.- Signature J~/), ~Il ~ T:Forrns/ uddin ivision:f3ldq Permit !'.r;pl-2006 Code.doc Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000300 Date 065400 1003 CATHLEEN ST 06-30-01-7-7-0120-0000- ELECTRICAL ONLY 3/11/08 RS9 RESDNTL SINGLE FAMILY o Owner Contractor GLENN TERRA 1003 CATHLEEN ST PORT ANGELES WA 98362 ABSOLUTE AIR INC. 2820 E. HI-WAY 101 PORT ANGELES PORT ANGELES (360) 452-8444 WA 98362 permi t . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL ABSOLUTE AIR/ T-STAT 122424 35.00 3/11/08 9/07/08 Plan Check Fee Valuation .00 o -- 0- o ~ Qty 1. 00 Unit Charge Per 35.0000 ECH EL-LVT-FIRST THERMOSTAT Extension 35.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35.00 .00 .00 Plan Check TO,tal .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 9 i r ~ -L .. - I _ SPECTION ELECTRlCAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGR - IN FINAL OMMENTS: M<Xl o , \D o , M MM (9E-< <(<( ,"0 00 00 rl rl 00 , , 111111 \D\D 111111 >< ..:I 0: M H ..:I E-< M(I) ~M 8~ E-<~ Z 00: HO E-<E-< UU MM '"'" (1)(1) ZZ H H 00 \D\D MM > H o gJ (I) MM ZZ 00 :I::I: '"'" r- M '0: 0'" 0(1) o 0:;: 'M .0 Z E--iUUUN (l)ZZZrl(l) HHHO~ Z ' 0: M - r- M<(<(<(' <Xl ...::lO::O::P::;r--N ::r: 0:: 0:: 0:: 1M E-dIlMlYl r-Ir-I <(E-< E-<E-< 00 U I I I 10 Mi';~~~g o S1 [I1 [11 I 1 o....:l..4..4\Ol" r-It!JClt!JOO \D rl '" rl(l) M -..:I <XlM 0(9 ;;,~ o 'E-< MO: o '" o M'" 0:0 <( '">< ME-< O:H ,"U 0: 0: . III 0: . M ZO III (I) - t; . ~ (l)E-<<( ..:IZ ~~~gjtJ..:I OZZZ~," ~~8~p;~ (I) E-< ~ ~ ....z:;: 1=88 SE-<' 0,"(1) ....HE-< CIlO:..:I ~~~ MM 100: E-< .... ~'"~ ,"(I)'" Z(I) t!l....M Z 0: .... ~ SfHl ~E-<E-< (l)M OM..:I 0",," 0:;: MO ~o:u '" ~ E-< ~ '" rl o .s::: '-' ... nl .0 0. Q) ;., .... .... ... ... 01 Q) <:: ..... nl .... 0. -,.., .... o :;:~:;: ,"rl<( o 111 111 0" 0 " M "':;:\D NHM "E-< " .,. <Xl .... o .s::: '-' ... nl .0 0. :;: '" 111 o "'.,. "(I) rlZO'lO ~Ho:fr4 " <( ~cr:coco o Q).... ....0 ....s::: 01'-' <:: ... nl nl 0..0 ....0. tIl '-' -.... E ... Q) 0. ~ \D (9.,. Z " ....111 E-<rl o o <Xl '" ~~ (I) M E-< o Z o ~ :;: '" <Xl .,. \D M co co co coco 5~(])gSg~ g~gg~r-Ico HNt"'-NHNO NONN~COr-- E-t r-- E-t co ~ ,.::(00 ..:x: ..0 ....:t: .. I ..en ..3=Or-l QN I NQriOZ r-i LJ"lr--Ct::N I sN~N5M~g6M~>.>.~ ..~j 0;".,.;"0;" E-<0;.,0......:I:111<Xl<( ~~t ~~HZ..:x:Z~Qmmm ~ nl><nl nlOOO:nl ;j;j .s:::zo: gg~ggg~s~gg~~g~~~ ~moro...::lmHO~roHWW~ro::r:::r: 1ll~E-<~Ill~:;:"'<(~Ill"''''Ill:;:(I)(I) o (I) , '" >< E-< ..:I ..:I'" ~<( Ill," '"<( <Xl <Xl 00 " NN NN " rlrl <Xl <Xl 00 " rlrl MM " rl rl rl o rl o rl ..:I III o '" ..:I III (I) E-< Z M :;: :;: o u Ill," '"<( <Xl <Xl 00 " "'.... 00 " "'N rl o rl o o (I) o '" ..:I III Electrical contractor name f\~\v\c.- A-&...;f'lC lhascr's mailin~d~ress '?:,7.n F~. _,;U \0\ Ci~ . 'J ~ 'A-rv.Aft "I), VJA Telephone ~ )- - :t.-"t;4 y License number Date Expires EL.-\QA<\ ~LA\qqD!\)t0 ~-2~ QNew Q Altered/Addition G ~ \ v.\ o o ~ ELECTRICAL WORK PERMIT APPLICATION Job wired by 1:1 Electrical Contractor 1:1 Owner Installation description Q Commercial . ResldeatIaJ State ZI P QK6lJiL. FAX number \cw \ In Hn ~j t. )\he(iYlO sv4 Premises owner's Dame G \-eX\f\ Tf.crC,- Address of Inspection C .. \OO~ QT-h\Cif"\ CI~~b (-\- ~~~ Phone Dumber to scbeduh: Inspection: ~. ( .n \- I L... ~4 Owner as defined by RCW./9.28.26/:(I) Owner will occupy the structure for two years qfier this electrical permit is jiruzlized. (2) Owner is ref/uired to hire all electrictll contractor if above said property is for sale. rent or INSCo - After reading the above statement, I hereby certify that I am ~ owner of the above named property or a licensed electrical contractor. I am making ~ electrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28. WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. SlgnatDre f w ,electrl Q Cash Q Check # Q Credit Caret. VlSll Card # Mastercard Discover ---------------- Date: 3.-Lf-OZ Inspection fee $ 35", ro Service Information Q NO lOAD CH Q Baseboard . Furnace Q Heat Pump Q Fan-Wall S KW 1I...KW _ Too_LAR KW IJ Overhead Service IJ Tamp Service IJ Underground Service Voltage Phase a 1 IJ 3 Service Size: _ Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 C ROUGH-IN ( THERMOSTAT '\ ( SERVICE ,d;~ . 2ed By ) "- Date Apjmlved By , Dete Approved By r FINAL ' ( DITCH ( FEEDER ,z):t~ ~/ "- Dot. Appro_By "- 0.,. Approved By Inspection Area, Building or Equipment Inspected Action Taken Electrical Date -: Inspector 0<<;1, - DL{ l b , .... Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . Application valuation 08-00000215 Date 048460 1003 CATHLEEN ST 06-30-01-7-7-0120-0000- ELECTRICAL ONLY 2/25/08 RS9 RESDNTL SINGLE FAMILY o Owner Contractor GLENN TERRA OWNER PORT ANGELES ( 36) 477-9449 WA 98362 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY EL. SVC. 60A TEMP 1213 50 ELECTRIC SERVICE 40.00 2/25/08 8/23/08 SERVICE Plan Check Fee Valuation .00 o ~ \A Qty Unit Charge Per 1.00 40.0000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 40.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.00 40.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 40.00 40.00 .00 .00 ~ ~ l\ (- ~ :'t .. I ~ SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN FINAL OMMENTS: r-co o , II'> .... , 1'1 r<lr<l 0E-< <(<( 0.0 00 00 ........ 00 , , 11'>11'> '" '" 11'>11'> >< ...:I 0: r<l H ...:I E-< r<lUJ O<:r<l 8~ E-<,.., Z .. 00: HO E-<E-< UU r<lr<l 0.0. UJUJ ~~ 00 "'''' ,., ,., :> H o gJ UJ r<lr<l ZZ 00 :I::I: 0.0. .... .... 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M ZO en g) E-<' ~ ...:l ~ g]~~gJtl...:l OZZZ<>:o.. ~~8~~~ ul E-< Z ~ ~ HZ:>: ~88 ~E-<' Qo..Ul HHE-< Ul<>:...:l ~~iii MM 10<>: E-< H ~o..~ o..ul::> Zul t!)HM Z <>: H 9 SfHl rtlE-<E-< UlM OM...:l 0::>0.. ()I:>: MO <>:<>:u 0.. III E-'''' f<.... , rtl>< ga~ ...:lrtlO en'JE-< ul E-< Z M ~ o U , , , , , , , , EbL 00 o , N N , .-< ()I ul , 0.. >< E-< .-< o .-< ...:l en of ,ORT ~ ~.~~ ,. ~ -- ~~ 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 07-00001496 Date 12/31/07 283864 . 1003 CATHLEEN ST 06-30-01-7-7-0120-0000- QWEST PUBLIC WORKS UTI LITES RS9 RESDNTL SINGLE FAMILY o Owner Contractor NEW VIEW INC. 13 3 MARIAH WINDS PORT ANGELES ( 36) 477-9449 OWNER WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . RIGHT OF WAY QWEST PHONE CABLE 11 7762 .00 Plan Check Fee 12/13/07 Valuation 6/10/08 .00 o Fee summary Charged Paid Credited ----------------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 Plan Check Total .00 .00 .00 Grand Total .00 .00 .00 Due '.00 .00 .00 -- o o vJ o ~ :t= f .~ 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 Jaws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) . Date T:\Policies\1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/051 f"ORT~ t"O~~ ha ~-- ~~ 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 07-00001496 Date 12/13/07 283864 . 1003 CATHLEEN ST 06-30-01-7-7-0120-0000- QWEST PUBLIC WORKS UTI LITES RS9 RESDNTL SINGLE FAMILY o Owner Contractor NEW VIEW INC. 13 3 MARlAR WINDS PORT ANGELES ( 36) 477-9449 OWNER WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . RIGHT OF WAY QWEST PHONE CABLE 11 7762 .00 Plan Check Fee 12/13/07 Valuation 6/10/08 .00 o - Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total .00 .00 .00 .00 g W ~ - ~ V) + Separate Permits are required for electrical work, SEP A, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) . Date T:\Policies\1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANlT ARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Po1icies\1102.15R [1/051 . Of,ORr~ l~":."1. ,. ~-- . ~~ 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 07-00001328 Date 11/28/07 603216 . 1003 CATHLEEN ST 06-30-01-7-7-0120-0000- GLENN-TERRA, INC. RES NEW SFR RS9 RESDNTL SINGLE FAMILY 151246 Owner Contractor GLENN-TERRA, INC. 136 E. 8TH ST., #223 PORT ANGELES WA 98362 (360) 565-0100 Structure Information 000 000 Other struct info . . GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 1,782 SF SFR, 635 ATT/GAR, TOTAL \ LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 172 COV PRCH 20.00 V-B 2.00 9091.00 1789.00 1789.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS RES WATER SERV 3/4" DROP IN WATER METER 115766 230.00 plan Check Fee 11/28/07 Valuation 5/26/08 .00 151246' Qty Unit Charge Per BASE FEE Ext'ension 230.00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 115782 120.00 11/28/07 5/26/08 Plan Check Fee Valuation .00 151246 Qty Unit Charge Per 1.00 120.0000 EA SAN SEWER HOOKUP Extension 120.00 Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. 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). ' November 21, 2007 11:36:07 AM sroberds. The proposal will result in a new sfr w/attached garage in the RS-9 zone. Total lot coverage is 20\. No land use issues are noted. 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 n'ot 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 resume to give authority to violate or cancel the provisions of any state or local law regulating constructio'n or the performance of c struction. Signature of Owner (if owner is builder) . Date T:\Policies\1102.15R (1/05] ---, PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEW ALK 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.I PWI CONSTRUCTION - R. w. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05] I c1'ORT~ t;~~ rta ~-- . ~;;? CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 07-00001328 Application pin number 603216 Page 2 Date 11/28/07 Special Notes and Comments Electrical load calculations and elctrical permits are required. Customer connection fee $713.00. November 15, 2007 10:11:28 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 and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to pouring concrete. Backflow device is required when fire sprinkler system is installed (exception for open systems) . Backflow devices are required when lawn sprinkler systems are installed. . Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ----~----- ---------- ---------- Permit Fee Total 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 a period of 180 "Clays after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating constructio"n or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) . Date T:\Policies\1102.15R [1/05] PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE I METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R. W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05] \~G1J ~""'" CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 () 7-/;5&5 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER; Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning Application valuation 07-00001328 Date 11/28/07 603216 1003 CATHLEEN $T 06-30-01-7-7-0120-0000- GLENN-TERRA, INC. RES NEW SFR /!)()3 (J~ RS9 RESDNTL SINGLE F_~ILY 151246 Owner Contractor G~ GLENN-TERRA, INC. 136 E. 8TH ST. I #223 FORT ANGELES WA 98362 (360) 565-0100 Structure Information 000 000 Other struct info . . GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 1,782 SF SFR, 635 ATT/GAR, TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 172 COV PRCH 20.00 V-B 2.00 9091.00 1789.00 1789.00 1. 00 Permit Additional desc . Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS 3/4" DROP IN 115766 230.00 11/28/07 5/26/08 RES WATER SERV WATER METER Plan Check Fee Valuation .00 151246 Qty Unit Charge Per BASE FEE t ens"1bn _ -- ~~~ ~ ~~-) Permi t SANITARY SEWER HOOK UP Additional desc Permit pin number 115782 Permit Fee 120.00 plan Check Fee .00 Issue Date 11/28/07 Valuation 151246 Expiration Date 5/26/08 "- Qty Unit Charge Per ~ \ n _____~~~~~~~-~~~~~~~~~o~~~~~~~~- SAN SEWER HOOKUP______________~y~ ~ /~ Address numbers shall be plainly visible from the street. \" /l Address numbers shall be a minimum of six inches high and be J~. of contrasting color from the background. ~ All homes in new subdivisions that are outside of the Fire '1 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). November 21, 2007 11:36;07 AM sroberds. The proposal will result in a new sfr w/attached garage in the RS~9 zone. Total lot coverage is 20%. No land use issues are noted. Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utiiities, 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 reguiating construction or the performance of construction. Signature of Contractor or Authorized Agent Dale Signature of Owner (if owner is builder) Date T:\Policies\II02.15R [1/05} ~. ~ .- ",,^,;;;iiP CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number 07-00001328 603216 Page 2 Date 11/28/07 special Notes and Comments Electrical load calculations and elctrical permits are required. Customer connection fee $713.00 November 15, 2007 10:11:28 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 and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to pouring concrete. Backflow device is required when fire sprinkler system is installed (exception for open systems) . Backflow devices are required when lawn sprinkler systems are inst.alled. /__- ~____ - - - - -- -- - -- -- ---- --- -- - -- -- - -- - - - - - - - - - -- - - - - -- - - - - - - - -- - -- - --,- - - - --------.,~ Other Fees . . . . . . . . . SEWER SYSTEM DELV CHARGE~OO~_--Y STATE SURCHARGE - - ~. :,C ~ ____~~_~~:~~_SYSTE~_~:~_~~~_~~~~O.O~ Fee summary Charged Paid Credited Due - - - - - - - - - - - - - ~ - - - ---------- - - - - - - ~ - - ~ - - - - - - - - ---------- 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 orwork is suspended or abandoned fora period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102.15R [1/05] . APPLICATION FOR WATER City Water Division, Port Angeles, WA Issued date: )1.0" ZJ 2vO?lnstalled by & date: 1/2 -II-C'? I Permit # /3z..a o7-iz6D I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: Applicant Name & Phone: 6IPnn ~f"rt;, .I;,~ , _ -rb? zI Site Address: /OtJ?{lJ1!/;let?h 5J: Mailing Address: /;j(, C-;) - ,;?;:I.3 Blk:_Lot: /~ Add:M/ee?ESn Parcel#:b~~oO/-77-t)/ZD SVC:ONIVMeter#'sc F()(.:;71001'B' W/O#: 3034'ii- 3'{5 SVC:Size~~ ~Bc~""/;)3Jo Restoration Required: ,()o Slgnature: -===~ ~_ Remarks: N w ,0 {; Ac..... t . /0 r ''f'--tiz... ?/ E ~ ~ ~ ~ "S..: S '() /11T1Z /003 C,l'lII-i, 1""-,,,. 51 f-ctF/!l1" rftPOllT~ 4>"'~ ""-&iii ~:;: CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TIISTREET, PORT ANGELES, WA 98362 07-463 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . Application valuation 07-00000453 Date 5/01/07 667627 1003 CATHLEEN ST 06-30-01-7-7~0120-0000- PUBLIC WORKS UTILITES RS9 RESDNTL SINGLE FAMILY o Owner Contractor NEW VIEW INC, 133 MARlAR WINDS PORT ANGELES ( 36) 477-9449 OWNER WA 98362 Permit RIGHT OF WAY Additional desc DRA PROCESSING PERMIT Permit pin number 100487 Permit Fee .00 plan Check Fee .00 Issue Date 5/01/07 Valuation 0 Expiration Date 10/28/07 Special Notes and Comments 04/30/2007 11:25 AM RVESS ------------------------------ DRA 2005-1A $954.15 + City Admin $52.05 DRA 2005-1B$615.18 + City Admin $33.57 Other Fees CITY DRA % DRA FEES PLUS INTEREST 85.62 1569.33 Fee summary charged Paid Credited Due. --------------~-- ---------- --~------- -------~-- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1654.95 1654.95 .00 .00 Grand Total 1654.95 1654.95 .00 .00 DeA- IC07~ 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 Date Signature of Owner (if owner is builder) T:lJ>olicies\II02.15R [1/05) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . . . REQUEST: Date 2 - 1'1 ~ 09 Time Received by 7<V (phone. person) location of Work to be inspected /003 Name of person requesting inspection G.rej' Address of person requesting inspection Type of Inspection {circle appropriate one}: ~~ Foundation Framing Chimney Plumbing Final Sewer Excav. Other (2qfA/ee i/I Pi ,'e-<. '-{-- 51 Phone No. Permit No. 07-1$2.8 INSPECTION NOTES: Inspected: Date 2. - /'7 - 08 Time Remarks: N4..vJ q// PVC S<2.lJ-.H~.r c.r-,^,,~c:f i" VI J "'- 1--e."..c...1. c.. ~ t>J"Op€-l/'"'iy ~ ~.I? By f< V './ ' -k, 0\//51'1 "'j b" PV(. RESTORATION REQUIRED . . . . .. YES NO )( I '^If! j I - t~I<' ~.~(e,., I _ / ~''P ( -'L< <It - , -..... '7 "...clt> I ~.. - '3"-J Ne."" lj'l''f!- '-ISO '4'5" 33' ?/L t ~ to 4-" s+ 4 t/"JP L/ ~ "....\,a."'... (.c.\ 7"( i ... . ~ L l'~ \~.,~,~ SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other i1 Y -1e.." cP rfr 1\- {? / "Ib\ o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE "j.. \ ?ov-r Co.~ l> q L(7'1- "10 \ (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . INSPECTION REPORT . . . . . . / . . . . . REQUEST: Date S - Z - oC/ Time Received by kV (phone. person) Location of Work to be inspected IOf) 5' (' a-l-h I-<<...~_L-, <: +- Name of person requesting inspection ~kV\. 8L\.v-d~t.\- Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Phone No.~5~- m-SCl3'5" Permit No. C> 7-1'32$ @Sewer Excav. Other INSPECTION NOTES: Inspected: Date 3 - z - 0 9 Time By RV Remarks: lAJ().+~".. 1"2.. - 11- tJ'{ s€'\A.)<;a..- L~/9-68 ~k?- ]),..~./e.Wo..7 3-2-09 ()(J" .DoW\A. ~~u..t-s fc. C.tub~-2-ocr . RESTORATION REQUiRED...... YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel 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::TDCCT CIIDCDIIUTE:l\ln~NT tn.6.TFI CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation GLENN-TERRA, INC. 136 E. 8TH ST., #223 PORT ANGELES WA 98362 (360) 565-0100 Structure Information 000 000 Other struct info . . Owner Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 07-00001328 Date 11/28/07 603216 1003 CATHLEEN ST 06-30-01-7-7-0120-0000- GLENN-TERRA, INC. RES NEW SFR RS9 RESDNTL SINGLE FAMILY 151246 Contractor GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 1,782 SF SFR, 635 ATT/GAR, TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 172 COV PRCH 20.00 V-B 2.00 9091.00 1789.00 1789.00 1. 00 BUILDING PERMIT -RESIDENTIAL 1,782 SF SFR, 635 SF ATT/GAR 115345 1311.45 Plan Check Fee 11/28/01 Valuation 5/26/08 524.58 151246 Qty Unit Charge Per Extension 1020.25 291. 20 BASE FEE 52.00 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 116004 122.35 Plan Check Fee 11/28/07 Valuation 5/26/08 .00 o Qty Unit Charge Per BASE FEE 1. 00 14.8000 ECH ME- INSTALL 100- FAU 5.00 7.2500 ECH ME-VENT FAN 1. 00 10.6500 ECH ME-OTHER APPL. N/R 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Extension 50.00 14.80 36.25 10.65 10.65 PLUMBING PERMIT 115998 177.00 11/28/07 5/26/08 Plan Check Fee Valuation .00 o Qty Unit Charge Per Extension 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 has 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 provisio of any state or local law regulating construction or the performance of construction. ~ T:Forms/Bllilding DivisionIBllilding Permit (10/01/07}.wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. · CALL 417-4807 FOR PUBLIC WORKS UTILITIES . PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS I WALLS FOUNDATION DRAINAGE I DOWN SPOUTS PIERS POST HOLES (POLE BLOGS.) PLUMBING UNDER FLOOR I SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS I GIRDERS SHEAR W ALL/HOLD DOWNS WALLS I ROOF / CEILING DR YW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP I FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY FINAL DATE 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 INSI'ECTlONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 4 I 7-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./ PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:Forms/Building Division/Building Permit (10/0 1/07).wpd . j CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 32\ EAST 5TH STREET, PORT ANGELES, W A 98362 Page 2 Application Number 07-00001328 Date 11/28/07 Application pin number 603216 Qty Unit Charge Per Extension BASE FEE 50.00 14.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 98.00 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). November 21, 2007 11:36:07 AM sroberds. The proposal will result in a new sfr w/attached garage in the RS-9 zone. Total lot coverage is 20%. No land use issues are noted. Electrical load calculations and elctrical permits are required. Customer connection fee $713.00 November 15, 2007 10:11:28 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 and Sidewalks to City Standards. No concrete with exposed aggregate allowed in the City road right of way. An inspection by Public Works Engineering is required prior to pouring concrete. Backflow device is required when fire sprinkler system is installed (exception for open systems) . Backflow devices are required when lawn sprinkler systems are installed. Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 1000.00 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 1610.80 1610.80 .00 .00 Plan Check Total 524.58 524.58 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 4369.88 4369.88 .00 .00 Separate Perm its are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned for a period of 180 days after the work has 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. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms/Building DivisioniBuilding Permit (1010 J/07).wpd BUILDING PERMIT INSPECTION RECORD INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS . - !)!}-o ~ .J }.)... SHEAR WALLS / WALLS -3)- 08 .\ L.L '3 - ~-D8 FC3 5"h~o.l{ FOUNDATION DRAINAGE / DOWN SPOUTS . -1')(" - 0 'i'> ,,\ Ll- PIERS POST HOLES (POLE BLDGS.) PLUMIJING UNDER FLOOR / SLAB ROUGH-IN ILf,.7--t)8 :ILl- WATER LINE (METER TO BLDG) ~ -/5'-0?5' ;rc.....L- GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW / WATER AIR SEAL y....Z:Z..-Ofs :n..,(, WALLS CEILING FRAMING Y -z.z. -oR :> L.. L.- JOISTS / GIRDERS SHEAR W ALL/HOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULA TION 4 -30-0& 0"L,L- SLAB WALL / FLOOR / CEILING MECHANICAL Mec.hM\ce...\ Rou~~-,V\ ~-2"2...a is' HEAT PUMP/FURNACE/DUCTS JU- GAS LINE 4- ~ -Og -:\u - I WOOD STOVE / PELLET / CHIMNEY FINAL DATE 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 ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4 I 7-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:l'orms/Building Division/Building Permit (1010 1/07).wpd ~ ~e.. V )d..A..~ .errY\\+ \\S.s()~ 02--\&-O~ 'to CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. a i CALL 417-4807 FOR PUBLIC WORKS UTILITIES -\ I PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORe-J. INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. \ · KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. - ~ \'l <:)0 o o \).J ~ - ~ ~. ~ V\ ;g N~ cKer--St) V' 511<.. A !;$oe,\'~+e > J LL.( Ffo'l' f;\V'\t.l 1'.., Sf e.c.-+t'on s.. r \ ~ BUILDING PERMIT APPLICA TION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St., Port Angeles, WA 98362 For City Use 011~ Date Receiv~d l' - -1> - (J] Permit# 01- ItZ~ ate Approved ". 'V...., Pho e J too - 7..0'1 - J D"1 C( Phone :Stoo-SCP.s-- 0100 Phone :? t.ofJ - S:-GS - 0 '00 Expires 2? /1/08 PROJECT ADDRESS Parcel Number Lot I L Zoning Proiect Tvpe & Brief Description: Check all that apply lIl"New Construction S o Addition o Remodel o Repair oRe-roof o Demolition o Sign iPlResidential o Commercial o Multi-family o Industrial ~ o Heat System o Other o wall-mounted 0 projecting 0 freestanding 0 awning Total si n area s . ft. Maximum allowed si n area s . ft. o Heat pump 0 wood-burning stove 0 gas fireplace 0 pellet stove 0 other o other Floor Areas Basement 151 Floor 2nd Floor 3rd Floor Garage Carport Covered Porch Deck Shed Other Existinq (sq. ft.) Proposed (sq. ft.) @$ per sq. ft. = $ -'\ ("b1. < '1 Sf L , " ~ 00 G>3s-" 11<- 7 (f I o~ 7(0,01 '-I. ~ ~ 12,og> TOTAL VALUATION $ # of bedrooms # of full baths # of half baths Total footprint of structures ) ~ sq. ft. 7 Lot size ~ sq. ft. Max. height of proposed structures ft. Occupancy group _K1 Will a lawn sprinkler system be installed? .Ala- Occupant load Will a fire sprinkler system be installed? 1e...s- Construction type V IS = Lot coverage I have read and completed this application and know it 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, and t obt "n permits rior t orki 9 on projects. II AA Date It //"2./07 Print Name--L:f AID re E.lJJ IV I. "Tf:.RR.TS Signature T:Forms/Building Division/Bldg Permit Appl.-2006 Code.doc '. " .,? - 821 . " .'>.. / . / .'-..../ / i / / . / 'I / l ; I i / /"" I / . i / / I II /i / / " / / / .'-. "-""... " ')- I / / / /' i ~-........, / ", I / / / .,./ ..'.... " I ..../ 'to"~ I i I / / / ....., :"... / / / I / / / '..--( ?~::j - I-ND. 2" BRASS CAP, STAMPED 10TI-! i ",.rhNE~:~~%?f344" ~~fH i:Ysr;~~::.~~~~' ~69r~ - N56'45'27"W" ~? J~ r- ~ -r- ~ IF--;-1DO.~5:- r'-'-'~ J' I I 'l1.@}'i! y, 25' I ,:0 I j~ t~~o~~Fr ~ I .;:' '.' I ~ I 25' ! ! '::) \ :g I I1t _ , "-"' ' -.J I ',I' S 56'4527" E '.-:>" I 8' . 100,45' l " I 1." , la' x la' PO~R i /I.@}'iT ~ 25' I I EASEMENT (5' EACH I~. Gl001 SO,FT, a SIDE OF LOT LINE) I '( r . ~ I~ v, I I i (#1006J , i ll:l I , 25', , ,~' . J S 56'45T;" E I I ,'.' 1Q0.46' 8 ,-,,, · ," - 'l I ..::) I of:;i; 0(;, 10 ~o~f~Q:'- 25~ iii 0: ~O~~~Q ~~ 0' I ,5,"" ':, '-:':{,:;,:" I ~ ~ ' ;, ~ i:tl ~I ~ ' ;, ~ I \.>' I /:-"':;~/",\." I !Xl i (#101CLJ i !Xl:rl !Xl i (#1011) j !XlI 0[[ I ,:;J:> ~f';"'~), . ! 25' ~, j I;; 1 f5' ' , 25' ',:" I S 56'45'27''' E c) ~~6'45'27"~: I 8' 100.46 100.-f6' 8' ' - , l 25' I r ' ~ ':il! 'l 10' x 10' POWER " I . , 25' I I EASEMENT (5' EACH,la I l1.(ffJii' 4A ~,I I [l,,@}'it@,1 ." SlOE OF LOT LINE) ~ ?OOI SQ.F(. ~ I;;' ~I ?OOI SQI(. ~l '~I'lli ,!Xl jC#101f)j ll:l ~V):- !XlI jC#1015)j lOl ~ R I 25' i;. J' .p'~ ' J' /<) ~', - , - . I v). N 56'45'27' W NB$6'45'27" W I .": r ,100'46} ::; 3D' I 3D' ':il C .100,46' ,B' I S;~(;;' ,~, 25' !!L@]'i!@ (; ~~ . , n Inl'ii' " 25" I~ '" I I ~.2 /'<$' :'7f\I!:.&/U 0 f;) b I, 9 38 SO'fT. \92~8 SO. ,T. . I;: i~,l() t ,~ ~,.\{) '\ ~ l()' j ~'II'<) I . J~ I\. #1104~i (j (jl ~ #1105 ~I ~ I, I 0- , 10'Xl0'POWER 0-, ' 'B' , r10 WID EASEMENT (5' EACH: I ,t:, - t1/'';;'' I I SIDE OF LOT LINE) I ~.;05"~~' ~ ...... 8' J<~)-., . a I 5 B'(\6.'b:t' - 'I, 'li C'U'~U'. ~'"'-o.:90' J"6'>>J "., y.. . \. . ~-?J"' 'Jr . / ~ I ' '8( U'Ir ~"'-J~ 8[- //U'Ir :f ''Jl..J L 12465 SQIT. :;>8 12467 SQ.FT. i~l I I~ (#1108) , '-0;1 C#1l09) -;(, >:':L, -. -, -, -, _ ,_. B'~"'L, _, _, _, _, _, _, J8! I . N56'45'OJ"W in in 260.9J' I g -100,:~~.~6~ I~T ,~0~:j~.46' 80.00' smEET""'J' (Of~ /~ / /? . FN '\...... WIJ 26 .90' I ~ 100.45;-' .~ - 1'-'-', 1...,1 5' . l1.@)'i! U4! 25' I ~I ~091 SQ.FT. ~,I ~l ! (#1003)! Cl) I I I I J- .{!!' . ' I 8 S 56'45'21"~ 100.45' 8' I ,'-'-'l I, , ,I I !b@]'i! un " ~I Q001 SQ,FT. ~, 011 '( r . 01 '<I- !Xl .' C #100 7j' ~ : ~ ~ ' I I 25' l() 15 ' 'I~ ~',-,_,J N 56'45'27' W . 100.,46, 8' ~ Il("j l() '<I- II ~I. :-/~ '<I- . t" '<I- ~~ U)/ I I I I I I I ~ I ( ( ( ( ( ( I 10 CA T. . TO . PUB PO\1 ARE POR I I I I I I . I I I r ,.. I ODS tAT H LE: SA! ~ TR-E..ST LOT J L I ~o, s-o J \I) -( <g - . 2 I :", r,," ,5" " 6"_ '- ~S' - ; I ~ YAM HI LL C- "\. 0 G~ , ~ D . . I '" 1- ("N g -3o! --f~' _"2.')' - . -.c:: ___ ." ""oil.c.H ",: 3 C-A R. ~ ~ . 1"2.. ~~ (jARA&E. ~ . +-- '2. 'ro" ~ /O'RADIIAS \n ~ r qO, :. .' -(0 -l " 'j .~ <u ~\ - ". uQ? J . _ oy./~.. l.J) V <i:Y . . <1 . . ", .v ~ <U <.L I- \ll 'l: '3 3 ~ S-o' .2:: ---- r PRESCRIPTIVE APPROACH-SIIVIPLE FORM For the Washington State Energy Code (2006 Edition) Climate Zone 1 Site Information: Building Department Use Only: Lot: _I L Address: -' () 0 S. GA..,/-I L G.E.. Ai S-r; City: ~"?or(r AAJr7E:.L.E:S State: lAJ A_ Zip: Cf SJ :s ro L Contact: AN D yt E. W M. IF I"<.R:I:.S Phone: ..s roo - sros - 0 I D Q Phone 2: 300 - 2.0 L( - (() 7 q FAX: :s: to 0 - ~ (0 S- - CJ I 0 I Permit# Ol- ~~'&<b Notes: Table 6-1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) ,Glazing Glazing Option' Area % of 'Vertical Floor Unlimited Group R-3 Occupancy ani R-1D Walk; ", Wall,., Wall., C frHEirior Exterior" Above Below Below Grade Grade Grade @ R-21 III DAD This PI' ct complies with the following: The project is a single-family residence-m Juplt:x. The project is a wood frame OR all of the insulation is interior or exterior of the framing. All building components meet the requirements listed in Table 6-1, Option III. 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. o 602.6 Exception 1. One door, that is 24 ft. or Jess, that does not meet the standards allowed. Location of the door taking this exception: o 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: Fo f<-C f::. D A I: R E 1--., f:c. T t.. .I...c. Prt-.oPAAJ €. ~ LREp lA-C.E:. . ,,~~,,': .'J:;>~:;~" ,..c' , - Slabo/l'.;f Concrete'; R-1D Electrical Service Information Form Public Works Engineering Department (360) 417-4700 Please complete and return to Public Works Engineering Department Name and address of party responsible for permanent service billing? Site contact: Contractor: Electrician: Excavator: Voltage: Main disconnect size: '2..00 amps 0120/208 3ph 0277/480 3ph 0120/240 3ph 0480 3W 3ph OOther: tandard residential loads (Lighting, refrigerator, dishwasher, washer) o AlC L FLA) ~ange/oven 0 Hot Tub rB90thes Dryer [12t'Heating 0 Pumps (_Hp) [L?'Water Heater 0 Elevator (_Hp) 0 Other Check all that apply: Please provide a copy of the following: *Detailed plot plan (.dwg or .dxf format mandatory for subdivisions). *Electrical one-line drawing showing the service entrance panel and location. *Connected load data. *Size and locked rotor amps of all motors over 50hp. Applicant's Signature: Date: II/l"Z. MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360-417-4709 EMAIL: gmclain@cityofpa.us (west half of city) Information form rlarson@cityofpa.us (east half of city) WS Gr~ B~ILDING PEkMIT - APpubATION Fill o~t COMPiETELY and in rJK'. Your application land site plan Musk BE . COMPLE E to be accepted fbr review. If you ha~e any questions, call fY\ R N PEr~$:: #j:;~15 FAX(360)Y 7-4711 I I Phone: -r Phone: FOR OFFICIAL USE ONLY: Date Rec.: 10 -lb .-en Permit#: 01-12-50 Date Approved: Date Issued: Credit Canl Bolder Name: Billing Address: Credit Card Type VISA Mcl # Ty):'EOFWORK: I ~ Residential ~ew Constr. 0 iRe-roof o Multi-family 0 Addition 0 ~ove o Commercial 0 Remodel O~emoliti o Repair 0 ign BR:IEF DESCInl'TION OF THE P O. CT Owner: o ,..J , o \J\ o Address: Address: .1>ROJECTADDlillSS:J .. . ." .,.... .0........,..,."... ....:: . __. ". ...... ";' ..'_'."~" .- ...w~~.. LEGAl DESCRlPTION: Lot: CLALLAM COUNTY P MeEL Phone: :] {pO-S6JS-OIDO Zip: 98 s~ L- SIZEIVA!.LUATION: ' /,q 71/ SF. @$ 7(0, of:} /SF. = $ ILfC; /17.1. .s 1 ~Od) SF. @$ LI, (' R /SF. = $ f Z) 8' z..8,OD 100! SF. @ $ /"2., () R /SF. = $ I ' ? 0 R, n () TOTAL V ALUAT.I~ $ / (" Y I} () () &f. .3 ~ Exp. Date: ~ 8 vJ COlVIIVillRClAL/lillSIDEN . No. of Stories: ~ Lot'Siz . Total lot coverage I I I occupan~Load: cdnstruction Type: ~l^J & Proposed Sq. Ft..1lS'7:. -= TOTAL Sq. Pt. 17 S'7 I I, (j S" 'i 't- (;,00 + , 00 I I I ~ - ~ \fJ -t- ESAf T . 0 Yes 0 No Othelj: i 1/13> P'c.r J1hl L1er~ ) e- G'f - Y Afn R (~CJ ll.~~) \-- i: -- b n '1 , T T TRUCTIOn-l": In all cases . and may be revised by the Building Div sion 0 comply with ~Tent fee schedules. Contact the Pel1nit Ooordinator at 417-4815 for assistance. PLAN CBECK FEE: IF. a plan: check ee is due it must'h :s*bmittedat the time the building pelmit application and cons11"Uction plans are submitted. All other pemrit fees are due at the time ofpe 't:issnance. I I EXPIRATION OF PLAN REVJEWi' Ifno permit is issJeq within 180 days ofjthe date of applicat~oll, the application will expire. The Building Official can extend the time fi r action by the applicant up to 180 days upon written request 9Y the applicant (see Section R.l05.3.2 of the Intemational BuildingfResidenti 1 Code, 2003). No rpplication can be extclnded more than once. I hereby celtify that I have read a e m ned this application ~nd (flOW the same to bl true and correct. I a~l autllOri:?ed to apply for this permit and understand that it is my responsib ity to :ermine at p mi e I quired ,not the City'b, and that I must obtain such permits prior to work. . ! /0 /7- S- / ~___o 07 : i , ! :btal"1- c.~~ lOJ--'- ~ J3>E'. A})PROVALS: PLAN: BLDG: DPWU: FIRE: T:\PoJicics\BL-l102_l3.wpd I ~~.I\:f I . 1 <.... '2..~ t~PL '-.. " / """" ;/ " II '" , I '/ I - FND. 2" BRASS CAP, STAMPED "NTI-NESARY LS22344" N56045'27"W . 10TH 1- - '575.10"" ....@..- V' 439.52' _~:) I in ~ FND. 3 1/2" BRASS PLA TE 569"1'/ ~/ t<) WITH BRASS NAIL " C:::J--f" ~ ~ -r- ~ T. .;~~~~~;~~W . r'-'-., 0' I I . 11.@'ii' y. 25' I ,S, I J: r~~:O~~F!, ~ I ';: . '.' I ~ I 25' ! ! '::) \ :g 1 ur. _ . r.:;., . -1 I ,,\. S 56'4527" E ' ,/,~,., I B' 100.45' l 25' I ' 10' X 10' POWER I 11.@'iJ' ~ I 1 EASEMENT (5' EACH Ifci. Q001 50,FT, a SIDE OF LOT LINE) i r . ~ I~ v, Iii ( #1006 J . i QJ I , 25'. . 01'. _ .~I J S 56'45'27' E I I · '00.46' 8 l. · I . U!.! . - 'l , ..\'ilt, t I ,':0 I A\!:' ,:,:. ! 0 i /l,@'iJ' Ji 250;<: 0' I U'iJ' UfjJ 0 I I .<; ,'.' .;:, \;-':'::":' I~ ~001 50,FT- ~~ UJ ~I ~001 SQ.FT- ~I ,-,' ,..., I,' fQJ ( ) QJ QJI (- ) QJI DE[ \.>' I "..'.':0'.,. . '" i, #1010 i :!' i #1011 I I .,:~;~I' ,~:~.;,- '~:\,.\ ' I 25' in J. ~ I }5' i 8' J. 25' I '.;.- ,;.~ I 'l-~6'45~' E c3 If 56'45'27" E I I B' ,100,46 l 25' I r , lQO.4ti',lB' 10' X 10' POWER . . 3:: I. . 25' I I EASEMENT (5' EACH I. I 11.(ffJ'ii' 4Jj a ~ . I I 1L@'jj' .@ . 1 ,-" SIDE OF LOT LINE) I~ ~OOI SO.FT- ~ I;;' ~I ~OOI SO.FT- ~I .~.m QJ jC#1014)j QJ 8 QJI iC#1015)j QJ, ~I~ 25' ~'j "f5' , I ~. N 56'45'27" W I ~~6'45'27',i I I 100,46 8 30' 30' ",I 100.46' 8' I I ~i 25' ~@'iJ'-,J<s, : I ~~ C\u;125'1~ Si;;;~ ~ I. 9 38 50'fT. \92~8 SO,f.T. . ,;: . -EVJ I ~ It #1104~~ [:; ~i r #1105 j ~I' a I I I _ , 10' X 10' POWER "'.. I I B' . r 10 WID EASEMENT (5' EACH I I . t, - N~ I I SIDE OF LOT LINE) ,. ~,;oB'~ Jr ~ '- 8' '-t:>~>. . 6 I c B \ a .'t:J. . r \ I}.: CO ,. ~0' _ ')C'-..'-.;..96' J"S),J " I :;J ~[). ~ \. u . ~-?J'" 'Ir ~" /-.:::-. I ' ,Br U'iJ' (#"---. '" B' //U'iJ' :r '?1-J ti 12465 50.FT. J~l 12467 SOH ,~I I I~. C #1108) . :- m! ( #1109) '~, ~L. -, -. -. _. _. _, B' ~ "L, _, _ _, _, _. _, JB! I N56 '45 '03"W ll) , C\.j ~ 260.93 130.46 130.46' "'-. ,B,O:O,:J., .,_-~o.OO' I is - Toii:9.i' -.:. r: T 1',-,0, Iii'. _, " s? STREET - ~ l"jG~ 5' J()/~~ ~ 26d90' ~10D:45:--~ - ,r.-.-.l M' I 5 . /l,@'jj' Y:f 25 I ~I ~091 50.FT. ~I' g, ! (#1003)! Ol I I I I r8,l.:!'. _ . _ . j 1 S 56'45'27" E 100.45' 8' I l.-.-'l I . . . I I /l,@'jj' VY . I ~I Q001 SO.FT. ~. OIl iI' 01 ".:/- QJ . C #1007)' QJ : ~ ~ ' I I 25" ll) r5 . . ll) ~'._. J N 56'45'27" W I . 100..46. 8' ~ Ill) ll) ".:/- 'II; ~I el. ~I~ :- ".:/- ~~ VJ1 I I I I I I I ~ 10 CA T. TO . PUB POI1 ARE POR I I I I I I . I I I I ~ - IV) :J-- o .0 ~o. :;- 01 . - ~ 6~ ~. ~ -'- B'. \0~ 3a' ~ ~ A' i ..~~.~~ ~ i I C:A ' ~. ~ ::: I I 0.JJ~" ~ ze i L_. I ~/Jj .-..-. _1 'i ~ I. I~ ~ f\y--\o ~\~ .'- . r;C; f'" 9 ~",.s 0' · r .f'^,,1l.../ oJ.- 1;-\ ~ loT 12- r\ \C03 CAm~ ~ _.. -------, E3k>" ~' ---- o o -r:: If\ /" r , I Prescriptive Approach - Sim~le Form F.or the Washington State Energy Code (2003 Edition) Climate Zone 1 ' ST . _.:; _ .... .: .' ';." _ ...il- "'::- _ . I ',~ Built!ingDep~rtme!it UseIOn!y' 'Per~it:#;""t'Jl::,i?O":- "," ,,,,,,.;.:,.,-. "~I], ,,,,i,,' ;,:,:" ,', .,Jl.,.' ",H ,.' N' ' . ,I, otes:":' Lot: Site Information I City: statedA~A ZiPtl ;; '~ ~ Contact: & Dl'L.G.IA) J1.__ R._.J:_ Phone: 2ron - S0.s, - () 10 () Phone2: ~ ~ 210 - ' Fax: S 'i,::~::",::,-]"':":';;~~';:\;:,:i,':,)'~:'~:i;' ".,:m',;".'~~~i::,.g,,;':';,;.i,:;, I).',,',':,'::":':,:ij ::,:':!,.~.',)~;~ ~':. '-T'.'''','';' "",,"',,' ...' """.!r:;'.'" ,:"",:",.". , '" I. "',:t,tl';::':';:"'~","~ .,'r'tl ., '.' !~" .,;:"; "" , , ': ' . ;',",' "',' ",' "',1,1., :11 "", , ,. ., ' ,.. , ' '. "~,,,,,. H. ',.',';':'; :::'~::,',t,';,::, ,::;,:,t:,<~:,,::,,~!t" ',~: , ., . :,.,':t;~,',:;~:;:..':';::,: i~~f~~tEfI{~;;ii~j;~ii:::;1[;,;:;r:,ii"i:{f:~fE;f;?;~~(J~q;~l Vn UnIte azmg tIon . n y Glazing Glazing V-Factor Door9 ! Wall Wal1 Wall Slab4 i Int411 Option Area 10 v,+ V- Ceiling2 Vaulted Above Ext4 FloorS On I _ % of Floor Overhead II factor Ceiling' Grade Below Below Grade Grade Grade III Unlimited 0.4~ 8 @ i 8 Group R-3 0.58 ,0,20 R-30 R-21 R-lO R-lO I ! Occupancy i , Only I I II ' I Table 6-1, i PRESC1'RlPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY CLIMATE ZONE 1 : 'I ( r ' d GI . O' b I ) I I See the c~",de text for footnote re, ferences roject complies with ~he following: , The project is a singlj family residence~ cluf-'It::x. .' i .l The p~oj.ect is wood f1ame OR all of th~insulatio~ is in.terioror exterior ~f the fra ing. All bUildIng componerts meet the requirements listed In Table 6-1, Option III. :1 ~ The project will meet ill other proVisioni of the WSEC and V'jAQ. .j The project will take advantage of the following exceptions to the prescriptive option: o 602.6Exception 1. Ohe door, that is 24 ft.2 or less, that does not meet the stand~rds is allowed. I I ' 'I Location of the door taking this exception Ii' o 602.6 Exception 2. oLrs with a U-factJ of 0.40 allowed Wit~oUt calculations, Obtion III only. Location cif the door(s) tJing this exception! I :1 ~ ' , ,\ I L '" I? [;. A t ~ J 'I P E- D F 'r-\ If; A \ -J 0011.-;- c..(?' ~ n ~C-€:. D I:' '-8::- T t<-:r.k r I F1 ,I Copyrighl2002, WSUCEEP02-056 ! i ROP4AJ &. tf:r:(l",E. f LACe. Copied by permission from the Wash'ngton Stale universitylExtension Energy Program I prescriPliJe - Simple Form - Climate Zone 1 I I I 7/26/2004 RECt~~lJED NOV 0 5 2007 CITY OF PORT ANGELES BUILDING DMSION \0 ":V;(A '(Y\ c# lectrical Service Information Form Public Works Engineering Department (360) 417-4700 Applicant Information Please complete and return to Public Works Engineering Department Permanent service: Name: Name and address of party Street: responsible for permanent service billing? Contractor: Electrician: Excavator: Voltage: S- sq. ft. Main disconnect size: 120/240 1 ph 0120/208 3ph 012 40 3ph []480 3W 3ph OOther: Standard residenti~ds (Lighting, refrigerator, dishwasher, washer) o f)JC L FLA) ~~nge/Oven 0 Hot Tub ll.?'gJvthes Dryer UlfHeating 0 Pumps ~Hp) []Water Heater 0 Elevator ~Hp) 0 Other Check all that apply: Supporting Please provide a copy of the following: *Detailed plot plan (.dwg or .dxf format mandatory for subdivisions). *Electrical one-line drawing showing the service entrance panel and location. *Connected load data. *Size and locked rotor amp of a Date: MAIL OR DELIVER COMPLETED FORM TO: 321 E 5TH STREET; PORT ANGELES, WA 98362 FAX TO: 360-417-4709 EMAIL: gmclain@cityofpa.us (west half of city) Information form . rlarson@cityofpa.us (east half of city) WS MI'- o , o M , ll\ OJ OJ "E-< ..;..; o..Cl "'''' "'''' "'''' "'''' I I 1'-1'- 1'-1'- "'''' :>< ..:I <>: "' H ..:I E-< OJOl :':OJ ~;';i E-<':l Z .. 0<>: HO E-<E-: H ..; 0.. OJ <>: Z 8 IE-< 0"; oCl ~5 00 o~ E-< N Ol MOl oOJ Z I <>: OJUUUI'- CxJ Z Z Z I C7'\ ~HHI-lr-~ :x: 0 N f--4333.--l..-l lC(~WWOO UHHH 10 ;:';:';:'00 M MO 0333 I I OWCxJCxJ\DUl rlZZZoa M o '" Ol OJ ...:1 I'-OJ 0" '6~ M 'E-< ll\<>: o 0.. Cl OJ~ <>:0 ..; 0..:>< ",E-< <>:H o..U <>: <>: .m <>: . OJ ZO m Ol.t; .~ OlE-<"; ..:IZ ~~~el[L ClZZZ<>:o.. ~H~8~~~ UJ E-< ~ ~ HZ:>: 1::88 SE-<' co..Ol HHE-< Ol<>:..:I ~~~ OJ OJ ICl<>: E-< H ~o..~ ""Ol::> ZOl t:lHOJ :z: <>: 9 5fHl ~E-<E-< OlOJ OOJ..:I 0::>0.. 0:>: ",0 ~<>:u "" ~ Eo ~~ ;'i~~ ~H~ ~~~rl ~~~ )-l)-lrl~)-I ~ Cl Cl "n..:l Cl "' ':l " ,..;:.: z 0'13: H E:: ~ ~ .5 :>: ~ ..:I ~ W ~ o +JCxJ 0 W o OE-<..:I <>: tI..\.D\DocnO\::Jq'o..C7'\ 0 z~~l&4z~~~u"?:'<;J'5 Oc:ocoC:OO'l o:rHo;:f'aO H 0 0 ...-1 H 0 0"1 0 f-4 0 \D 0.. f-4 E-t <<;t' ~ N I ~ 'O.ex: o:r E-+ I 0 Q\D\DCQ\DO'\\D(J)r-r-l"1 5gggsg~gCl)g~w ONNj.,fONr-N.::t:N Z tx..................... OH1...........o:r.........~.........z H rlrl 0'\ 0 O\w~ CJoa.uc.:JOtI........::r::N~ Cl...............Il-lCl..........tI...........U.........~U) ~NNO~......UJrlCxJU1.::t:.c:r:: OOOONlIlolJo:E:aOCl o o M M ..:I ..:10.. ':l"; "'''' 00 " NN 00 " MM ()I Ol , 0.. :>< E-< M o M ..:I III ..:I ..:10.. ':l"; "'''' 00 " 00 MM " MM M o N ..:I III OJ ..:I <>: " ~ 0.. ..:I ~ ~t M o " :>: ..:I III OJ U ..; ..:I 0.. OJ <>: H ~ Ol ..; " <>: o ~ Eo< Ul OJ E-< OJ ~ Ol Ul OJ <>: 0.. Ol OJ E-< o Z Cl ~ Ul E-< Z OJ :>: :>: o U I s ~-- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DWISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 G ..J , -C. \J\ 'J'I Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000453 Date 5/01/07 667627 1003 CATHLEEN ST 06-30-01-7-7~0120-0000- PUBLIC WORKS UTILITES RS9 RESDNTL SINGLE FAMILY o Owner Contractor NEW VIEW INC. 13 3 MARIAH WINDS PORT ANGELES ( 36) 477-9449 OWNER WA 98362 Permit RIGHT OF WAY Additional desc DRA PROCESSING PERMIT Permit pin number 100487 Permit Fee .00 Plan Check Fee ;00 Issue Date 5/01/07 Valuation 0 Expiration Date 10/28/07 Special Notes and Comments 04/30/2007 11:25 AM RVESS ------------------------------ DRA 2005-1A $954.15 + City Admin $52.05 DRA 2005-1B $615.18 + City Admin $33.57 ,-" ~ . .. Other Fees CITY DRA % DRA FEES PLUS INTEREST 85.62 1569.33 U~ ~ S- f \0 vf Fee summary Charged Paid Credited Due' ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 1654.95 1654.95 .00 .00 Grand Total 1654.95 1654.95 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required Inspections have not been requested within 180 days from the last Inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local 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\1102.1SR [1I0S] 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 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 DRIVEWAY APPROACH BACK-FLOW DEVICE 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 417-46S3 FIRE DEPT. PLANNING DEPT. 417-47S0 PLANNING DEPT. BUILDING 417-481S BUILDING - T:\Poticies\1102.1SR [I/OS] ((>0/ . Job wired by S" J.~.~ f( \,'',-,., ........ ELECTRICAL WORK PERMIT APPLICATION, :., 1:1 Owner Installation description o Commercial ~eotial Electrical contractor namT"'. ~~~ ~~ Purchagcr's mailing addr S5 €3 .... City,.....-;7 , \'0"'- License number Dille:: Expires iZLIl.~TS I \ ~? 0"'" (J New (J AUeredJAddition w l- ~ & 0 "'f' ~ Telephone number / '-tS"L...-'" l.f7. FAX number Prem~ ,wner'~ "" ~ \ ~V-V-c:1 Addres! or inspeclton , \ be ..3 ~ll" City ~ A Phol1e lIumber to ilichedulc inspection: (& ('~u.ul 6 Owner as defined by RCw'J9.2S,26J:(l) OWller will occ"py the slrucfllre for two years after this elec/rical permit i~' finalizec/. (2) (ftmer is required to hire 011 electl"icaJ COlltractor if above said property is Jar .fale. relit or lcasl!- Aner reading the above statement, I hereby certify that I am the owner of the above named property or 3 licensed electrical contraclOr, I am lIIukillg tlIe electrical in,tnl- I:lLion or alteration in compliance with the electrical 13ws, N.E.C" RCW. Chapler 19.28, WAC. Chapter 296-469, The City of Port Angeles Municipal Code, nnd Utility Spccift . 'on,. Slgn:ltllr~ r 0 ner, eh:ctrl a I:l Cash I:l Check # Date: ~~:ditCard _:~ _lte~~ _ ~~scove~_ Expiration Date of card () ,(fV x Electrical Load Additions and 0' subtraCtions (J NO LOAD CHANGES (J Baseboard KW D Furnace KW CJ Overhead Service a HeatPump _ Ton _ LAR a ''L..,~\XlrvlC8 o Fan-Wall KW [J Underground Service SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 981'vlce InformallQO Voltage Ph...a 1 (J 3 Service Size: _ Feeder Size: ROUGH-IN "'\ TIlERMOSTAT ,r SERVlO: D:iIC Appruycd 8y Dale Applovcd 8y "- Dill: AJlprovo:..\lly ,r ~h <' ;':AL DITCH FEEDER 1 1, ~. 15 mro '" APpruvc<IBy/ "- D~11t Approved By "- ODIC Approved By Inspection Area, Building or Equipment Inspected Action Token Electrical Dote Inspector 1...25 -013 ~ - (! ,'...-CoLin.... _.0:;; ~'7I'" APf'fi!:.o'iEO g( '( ) t" d HL17LH..Ol 1721792S17 3Jln~3S JI~lJ3l3:WO~~ ~0S:80 17002-2t-~d~ U6~02 ~S (I". l'~ ~ .:.:-"#~!; ELECTRICAL WORK PERMIT APPLICATION I. i' Job wired by a Altered! Addition DOwner Installation descriplion (J Commercial ~eDtial Electrical contractor nilmr-.. ~~<- ~,,~ purcha!ler's mailing addr 55 e3 ... License number Dltlt: Expires (2L fZ~ TS I l =lz. 0"""" a New j2,() q'f :J l, <- ~ Cityf""77 , \'0'-'- 6, 0 o..-p qJL w....... FAX number Telephone number / y'S'L-'" l{'2 Prem~ ywner'~ "" lQ.vo... - \ ~'r V- t1 Add,;;; 3PeCllon ~ CUy ~ c:S A Phoue nllmber to schedule in,pcctl~n: o Cash 0 Check # x o CrcditCard Visa Mrt5r~ Discover ;?ard# --....... a..- -~------- Expiration Date of card Electrical Load A a NO LOAD CHAN (J Baseboard K o Furnace K~ o Host Pump _ Ton a Fan,Wall KW bt c 0 s O-'-'3~ 67-,...6D Service 1nformallon Cl T _...... i:)orvlce Q Underground Service Voltage pha6ea 1 a 3 Service Size: Feeder Size: CALL BEFORE 7:00 AM 360-417-4735 THERMOSTAT SERVlO: 7Jzrl.CP, ~ FEEDER Datil A " By Dille AppltlVed B)' FINAL DITCH zjtr,?/~ Dille AfI9roved By UDle Approvall'ly Electrical Inspector Inspection Dote Area, Building or Equipment Inspected Action Tnken Td'd TT,,-bLTb :01 b2b92Sb 3)I(,)d35 )IdD3l3 :1.IOdj !:!0S :80 b002-2T -dd!:! < , . ~-"_."-,,"",",".__. ~ \ () ~ ~ <1'\