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Home My WebLink About1105 Cathleen St - Building CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Ayp1LL.alion rvumbei 10 UVUV1447 Date 12/10/10 Application pin number 130700 Property Address 1105 CATHLEEN ST ASSESSOR PARCEL NUMBER: 06-30-01-7-7- 0080 -0000- Tenant nbr, name MICHAEL R JOHNSON REPORT SALES TAX Application type description MECHANICAL APPL. PERMIT Subdivision Name on your state excise tax form Property Zoning .7 Use to the City of Port Angeles Property Zoning RS9 RESDNTL SINGLE FAMILY Ang Application valuation 0 (Location Code 0502) Application desc PROPANE TANK SET FOR EXISTING GAS FIREPLACE Owner Contractor MICHAEL R JOHNSON SUNSHINE PROPANE 136 E 8TH ST #352 10853 RHODY DR. PORT ANGELES WA 98362 PORT HADLOCK WA 98339 (425) 890 -5813 (360) 385 -5797 Permit MECHANICAL PERMIT Additional desc PROPANE TANK SET Permit pin number 178822 Permit Fee 50.00 Plan Check Fee .00 Issue Date 12/10/10 Valuation Expiration Date 6/08/11 Qty Unit Charge Per Extension BASE FEE 50.00 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 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 provisions of any state or local law regulating construction or the performance of construction. @AV)* 12h0Jl0 Co(Th Fe1 d/r Date Print Name Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) T:Forms /Building Division /Building Permit BUILDING PERMIT INSPECTION RECORD 0 PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS Building Inspections 417 4815 Electrical Inspections 417 4735 C Public Works Utilities 417 4831 Backflow Prevention Inspections 4174886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. �1 POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments 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 FINAL Date Accepted by 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 -0 Wood Stove Pellet Chimney fit i Commercial Hood Ducts FINAL Dat Accepted by pp) MANUFACTURED HOMES: Footing Slab Blocking Hold Downs Skirting PLANNING DEPT. Separate Permit #s SEPA: Parking Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By Electrical 417 -4735 Construction R.W. PW Engineering 417 -4831 Fire 417-4653 g P„ Planning 417 -4750 F Building 417 -4815 T:Forms /Building Division /Building Permit M H H H H r.- H a W P. 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BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES ty For City Use Only: 'Attn: Building Permit Technician Date Received 12 10 1© 321 E. Fifth St., Port Angeles, WA 98362 I. Permit# 1 (360) 417 -4815 fax (360) 417 -4711 Date Approved Applicant CO r i',�t 0\. Fe- f Phone 'f2 S 2 1/ 7 'c Property Owner 14 l n 4 Phone laS &?o -S8 Property Owner's Address 1 1(S C l Rpr+ A e &�C a3 Contractor Svr1l�ir le p. hone 3 (0o —3 7 R7 Contractor's Address License Expires E -mail 1 PROJECT ADDRESS I OS �'a4 /ee, -7 54-, Parcel Number Lot Zoning Project Type Brief Description: XResidential Multi- family o Commercial o Industrial Check all that apply New Construction Addition o f ik S-e-4 TV QCl'S 4; D96 rep Remodel Repair Perrni u0 cl,er- ror iv H 07- 5 Demolition -fr "'1ve New sF R, Gas itne. in seec 'ov► aaperov J h 51-1 -c. j-■ 12 27 0' 7 Re roof House garage other tear off re -roof o lay over one layer X Heat System o Heat pump wood- burning stove gas fireplace pellet stove o other Other Floor Areas Existing (sq. ft.) Proposed (sq. ft.) Basement per sq. ft. 1 Floor 2 Floor 3 Floor Garage Carport Covered Porch Deck Shed Other i n6}G TOTAL VALUATION Total footprint of structures sq. ft. Lot e sq. ft. Lot coverage Site Coverage the amount of impervious surface on a •ar' el, including structures, :v driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 •r exemptions) Site coverage ok Max. height of proposed structures ft. Otcupancy group of bedrooms Will a lawn sprinkler system be installed? Oc•upant load of full baths Will a fire sprinkler system be installed? Con truction type •f 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 orking on projec s. i ter' Date1001/0 Print Name �Or�r10 Pe« Signature T:Forms /Building Division /Building permit application Clallam County Assessor Treasurer Property Details 63351 MICHAEL R JOHNSO... Page 1 of 6 Cleilam County Assessor Treasurer Property Search Results 63351 MICHAEL R JOHNSON for Year 2011 2012 Property Account Property ID: 63351 Legal Description: CATHLEEN ESTATES V15 P21 LOT 8 Geographic ID: 0630017700800000 Agent Code: Type: Real Tax Area: 0010 PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi Family Redevelopment: N Township: Section: Range: Location Address: 1105 CATHLEEN ST Mapsco: PORT ANGELES, WA Neighborhood: Cycle 5 Res Map ID: 3 Neighborhood CD: 10955130 ---*1C1- Owner Name: MICHAEL R JOHNSON Owner ID: 193067 Mailing Address: 136 EAST 8TH STREET #352 Ownership: 100.0000000000% PORT ANGELES, WA 98362 Exemptions: g Taxes and Assessment Details j Property Tax Information as of 12/10/2010 Amount Due if Paid on: NOTE: If you plan to submit payment on a future date, make sure you enter the click RECALCULATE to obtain the correct total amount due. First Second I 1 I Half Half I ;Base Base 1 Year I Statement ID I Taxing Jurisdiction Amt i Amt. Penalty Interest, Base Paid 2010 45825 ST SCH STATE SCHOOL $284.54 $284.53 e4 $0.00 $0.00 $569.07 2010 45825 CC -GEN COUNTY CLALLAM $151.42 $151.41 $0.00 $0.00 $302.83 2010 45825 PORT PORT OF PORT ANGELES $21.28 $21.28 $0.00 $0.00 $42.56. 2010 45825 PORT ANG CITY OF PORT ANGELES $350.58 $350.59 $0.00 $0.00 $701.17 12010 45825 SD #121 SCHOOL DISTRICT #121 $368.56 $368.54 $0.00 $0.00 $737.10 2010 45825 NTH OLY LIB NORTH OLYMPIC LIBRARY $44.00 $44.00 $0.00 $0.00 $88.00 2010 45825 HOSP #2 HOSPITAL #2 $62.12 $62.11 $0.00 $0.00 $124.23 2010 45825 WSMET PK DIST WILLIAM SHORE MET PARK DIST $19.76 $19.77 $0.00 $0.00 $39.53 12010 45825 WEED CONTROL WEED CONTROL $0.82 $0 81 $0 00 $0 00 $1.63 2010 45825 TOTAL: $1303.08 $1303.04 $0.00 $0.00 $2606.12 2009 633512008 ST SCH STATE SCHOOL $327.38 $327.38 $0.00 $0.00 $654.76 2009 633512008 CC-GEN COUNTY CLALLAM $165.69 $165.68 $0.00 $0.00 $331.37 2009 633512008 PORT PORT OF PORT ANGELES $23.47 $23.47 $0.00 $0.00 $46.94 2009 633512008 PORT ANG CITY OF PORT ANGELES $363.41 $363.42 $0.00 $0.00 $726.83 2009 633512008 SD #121 SCHOOL DISTRICT #121 $404.86 $404.86 $0.00 $0.00 $809.72 2009. W _M..._.�........ _M._._ 633512008 NTH OLY LIB NORTH OLYMPIC LIBRARY $48.14 $48.14 $0.00 $0 00 $96.28 http: /vpn. clallam. net: 8084 /propertyaccess /Property. aspx ?cid =0 &year =2011 &prop_id =6... 12/10/2010 "'''' o , 01 N , to WW C1f-< <(<( 0.0 00 00 .-<.-< 00 o 0 tOtO \0\0 tOtO :>< ...:l 0: W H ...:l f-< WUl ,,"W ~~ f-<':> Z .. 00: HO f-<f-< UU WW 0.0. UlUl ~~ 00 \0\0 01 01 :> H o ~ rn WW ZZ 00 :X::X: 0.0. '" "" o to '0: 0"- OUl o 03: oW oZ ~UU .co UlZZUOUl HHZO~ Z HIP::; W ... ~;:j;:j;:j~~ ::r: p::; P::; P::; I l!l f-iMMM..-iO <(f-<f-<f-<OO U I I I 10 ~ffiffiffi~~ rlHHHl..Ot' M(!)t')t')OO '" Ul W ....:l "'W OCl -;;;~ N 'E-< tOO: o 0.. Cl W"- 0:0 <( 0..:>< Wf-< O:H o..U 0: 0: . <Il 0: . W ZO <Il Ul-t;..~ gjf-<;:jo:;;jZ O:~f-<WU...:l O(;jS~~g: ~f-<UOo..<( rn f-< Z W ;:;: z;:;: 00 HU E-<' o.Ul Hf-< ~S enUl WW 00: E-< g;s Zul HW 0: 00 WW f-<f-< UlW gJp; 0;:;: WO O:U ...... 00 " LOtO NN " "'''' o ul , 0.. :>< f-< N o 01 ...:l <Il ...... 00 " ...... 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Job Located at (fOr;:- cA ~I Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: (VL..l L J f-.lf.=~ ~ra-~t$" QJ ~ s~f ~tJl.0 {~X:~'f\,,~i~f- IJ.-f kl l-c ~ t~ C ~~A16+ These corrections must be made and are not to be covered until reinspection is made. WhE}rJ. f:9~tions have been made, please c 4 f '7 - ld.KL C-- for inspection. Date "tJ.! 'J (JI.- ~ ~ Ins actor for Building Division DO NOT REMOVE THIS TAG "'<Xl '-<0 ...... 0 M ...... .,. r.lr.l t'JE-< .0:.0: 0.0 00 00 .-<.-< 00 . . III III \0\0 III III 00 \0\0 >< MM ...:I I>: r.l H :> ...:I H r.lr.l E-< '0 ZZ r.len gj 00 ~r>l :I::I: ~~ en "'''' E-<':> Z .. 01>: HO en E-<E-< E-< UU Z r>lr>l r.l 0.0. Z~ en en ~~ 00 HU E-<...... 0. en HE-< 'I>: lJS o~ en en oen r.lr.l 0 01>: 0;;:: 'r>l oZ E-<UU . <Xl enzzuoen E-< <Xl HHZO~ 0....:1 .-< 1:1 H' I>: en~ - - r- zen .-< ~~~~~~ Hr>l 0 I>: :I:1>:1>:l>: . 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Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 08-00000296 Date 744528 1105 CATHLEEN ST 06-30-01-7-7-0080-0000- ELECTRICAL ONLY 3/11/08 RS9 RESDNTL SINGLE FAMILY o Owner Contractor GLENN TERRA 1105 CATHLEEN ST PORT ANGELES WA 98362 ABSOLUTE AIR INC 2820 E HWY 101 PORT ANGELES WA 98362 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL ABSOLUTE/ T-STAT 122390 35.00 3/11/08 9/07/08 plan Check Fee Valuation .00 o - Qty 1. 00 Unit Charge Per 35.0000 ECH EL-LVT-FIRST THERMOSTAT Extension 35.00 a V\ Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 35.00 35.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 35.00 35.00 .00 .00 (I d ;:r:. ~ L ~ SPECTION ELECTRICAL TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE OUGH - IN b 07 ~ L FINAL OMMENTS: ....,... o "- ,... N "- N .-< , , , , , , , , , , , , , , , , , , , , , , 00 , 00 , .-<.-< , 00 , " , lIHf) , IDID , Ifllfl , , . 00 . IDID . ........ . . . .. :> H "'''' o ZZ ~ 00 ::0 :I::I: Ol 0..0.. "'''' ~E-< <t:<t: 0..0 >< >-'1 t>: '" H >-'1 E-< "'Ol ~'" ~:'i E-<':> z Ot>: HO E-<E-< UU "'''' 0..0.. OlOl ~~ 00 o 't>: 0"- oOl o 03: .", oZ f-l U U .0) cnZZUOCf) HHZO~ Z HIP::; '" ,... 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H E-< to .,. ..:l ..:lo. ...,<t: ..:l ..:lo. ...,<t: <Il<t: 0.0 <Il<t: 0.0 r-r- 00 "-"- tOtO NN "-"- ID ID r-r- 00 "-"- "'''' NN "-"- IDID r-r- 00 "-"- r-r- .-< .-< "-"- "'''' r-r- 00 "-"- .-<.-< "" "" "-"- '" '" a 00 "- 0. >< E-< .-< o "" o .-< o r-< o N o '" ..:l <Il '" ..:l <Il '" ..:l <Il .-< ..:l <Il N ..:l <Il r- o , ID o , '" o >< <t: o 00 !3 :I: E-< Z o Z o H E-: 01 E-< "- <t: 00 01 E-< o Z o ~ 01 E-< <t: ..:l CIl E-< Z 01 :E :E o U CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5th Street, Port Angeles, W A 98362 o ,..J 1 .-0 J) o<J Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000998 Date 9/06/07 901792 nos CATHLEEN ST 06-30-01-7-7-0080-0900- GLENN-TERRA, INC. FIRE SPRINKLER SYSTEM RS9 RESDNTL SINGLE FAMILY 2850 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 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date . FIRE SPRINKLER RESID INSTALL FIRE SPRINKLER SYSTEM 109892 50.00 Plan Check Fee 9/06/07 Valuation 3/04/08 .00' o .- Qty Unit Charge Per BASE FEE Extension 50.00. Special Notes and Comments Call for cover inspection for all sprinkler installations. A full acceptance test .w~ll..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 .. 0/ "- -6 \ ~ ~ ?~ ' V This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examimrl this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compied with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel thJ 5;; .71 or local law regUlating: work ;ecified i~ th;PC'!;11it. Signature of Contractor or Au Signature of Owner (if Owner is builder). Date , ~ ...J S I Call 360-417-4655 for fire inspections. Please provide a minimum 24-hour notice. It is unlawful to cover, insulate ~ or conceal any work before inspected and accepted. Post permit in a conspicuous location. OQ FIRE PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE FIRE SPRlNKLER 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 ol-IO -08 Ktf FIRE ALARM ROllgh- in inspection Alarm final LP-GAS Completed by Contractor: Underground piping inspection/pressure test Test # 1 Above ground piping inspection/pressure test Piping pressure test pSI Tank (container) inspection Time initiated Test #2 Appliance inspection Piping pressure test pSI Time initiated LP-gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable/combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit final Inspection Type I Date Passed I Comments o VI () * - ~ \f\ -t- 2/15/00 :JJ ~ V) '" :1" :> ^ - o < GENERAL COMMENTS: , .f INCORPORATED DATE: September 6,2007 TO: City of Port Angeles Building Department ATTN: JIM L1ERL Y FROM: SCOTT HEADRICK.fA We are transmitting the following item: DAttached -Hand-carried []FAX: PROJECT: S.F.R. at 1105 Kathleen Dr. COPIES 1 PAGES 2-INCL. COVER CIVIL ENGINEERING LAND SURVEYING 301 East 6th Street, Suite 1 Port Angeles, Washington 98362 (360) 417-0501 FAX (360) 417-0514 E-mail: scott@olympus.net Job No. 07209 ~~ DUnder Separate Cover DESCRIPTION special inspection field report -- - o 0l ~ - ~ COMMENTS: Please call with questions R E C E";--~i'-E 0 SEP 0 6 2007 CITY OF PORT AN'3ELES BUILDING DIVISION )';'t5 p rr elf . " CIVIL ENGINEERING LAND SURVEYING 301 East f!' Street, Suite 1 Port Angeles. Weshlngton 98362 (360) 417-0501 F~(360)417-o514 E-mail: zenoviC@olympus.net INCORPORATED Daily Inspection Report Contractor. Cot g~ T~i..-\Z.. A- ~~ <; Page I of I ~/ 6 .j 1r:.'eJ 7 Job#: 07109 Week Day: T l1otCSOA.Y Date: Job Site Description: S, r: (2. Q Ll os ~~\t\t...&r:.N Ovt:- ' DIARY: ~ SrT"s It A) cJi C~1._ rc~'- :5!lf":,CI /J L I NSP A c..J IOf'J A -r IIO~- ~AT H ~J;:..oJ DtL, 0(- .JZ/~?c_~ J..- '" -Pl$41.-- SJ:2 A Lh2JJ ,AA.))) S::UnA.Jk.V) HCLOO~~) f;::,J-X }i('YI-- I?:r..c,'[ THIU.AD fWD L frlI3>sL).f$D ! (y' Me/X V. / ()5g. TAIL Mt<5Y F 1 f>HDS- !"?A "6~.1 cb AL.L b-/lll; S4T J'l1 )/V, ~L.G? C,~YL <::::l:>f '0)tJ\'JAJk,. ItLG\:::))ll/\. PHD'S To /b&. . c "7' ~ p m. II .J 1/ /1\..') ~TAL<---'>O. Ib ':i::. NCJ-.9;. to/L.IL~}Q r 0 }'{ rYE,.?T rt d, 10 I', JI.a-.f /4...Ils hlOl.A.-/t)../ LL-t.<J,u 0 F at~/Z.IS L/f://Vb UI.N1..{J;L6<;;.->4D fJIIJ- AND /1--" d/.)oeea;: I SR:( &-'1~~ ?VA'; //V$T~.c.(..-G.O AND Ghl/ (J,{.{l... ,--,(\.JIlL ;fJJ?G<';k y h/16 /'-c--H/TIU,gS5'Jf,p /.!.r lOP of SIL.L ,.::>L~r.E, S5ST ijvxy L/SSi.D ~'> gktf, ~/o e Se T /' A c · Lor 4:J.. 0'2..7 B z:.~, J ! , ~;.. .~ ;..,;;,.,-,~~-,,-,._.~ -;:;~----- -~.or.~ ;;.-- .""-~,~ ~-'-' ~'-~l BUILDING DIVISION CITY OF PO~T ANGELES * * Correction N,otice '- Job Located at 1/ D<J ;j.~~eA/ . Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: /A/ t) r;4--L-L k ' SrI? h~S/;);L~)Ow~/J / /!/-4r:!.-k' tJ(/~AJ j)~/(/~# ~LS" OR" / J;U i/tO C;;/ L-t:- . . These corrections must be made and are not to be covered until reinspection is mad~VYhen 9911ectigns have been made, please call 7/ 7- ~/( for inspection. ~~ Inspector for Building Division DO NOT REMOVE THIS TAG L _ Yi .,.r- 0 "- .-< M "- CO r.lr.l (9E-< <(<( 0.0 00 00 .-<.-< 00 , , "'''' IDID "'''' 00 IDID >< MM ..:I I>: r.l H > ..:I H r.lr.l E-< 0 ZZ r.lUl g) 00 :<:r.l :I::I: 8~ Ul 0.0. E-<':J Z .. 01>: HO E-<E-< UU r.lr.l 0.0. UlUl ~~ 'I>: 0'" OUl 0 o~ 'r.l oZ E-<UU 'CO UlZZUoUl CO HHZO~ .,. Z H I ~ r.l r- .-< r.l<(<(<( '0 .-< .4O::O::o::r--~ :I: 0: 1>:1>: '''' 0 f-l~~~..--iO .-<Ul <(E-<E-<E-<OO r.l U I I I 10 -..:I U)~~~~g r-r.l 0(9 or.lr.lr.l , , ::;~ ....-I...:I...:I...:I\.Or-- ...-iCl Clc!) 00 M "-E-< coO: 0: 0: 0 ' <II 0: 'r.l 0. ZO <II 0 E-< '13 r.l'" Ul -U . 0:0 UlE-<<I; ..:IZ <( gJ~~&H'j..:l 0.>< r.lE-< ozzzo:o. I>:H ~r.l0~<(0. o.U E-<UOo.<( Ul E-< ~ ~ HZ:;: 1::88 SlE-<"- ~o.Ul HHE-< CIlO:..:I ~~5l r.lr.l '~I>: E-< H ~o.~ "'CIl~ ZCIl t!lHr.l ~ 0: H ~ HOO ::Jr.lr.l 1llE-<E-< CIlr.l Or.l..:l o~o. ()I:;: r.lO i>:o:u '" III E-< ~ '''' \ '0 Q) '" .... > Q) " <: Q) Q) .0 Q) > <1l .r: :;: '0 0 0. <: 0 <1l 0 '" 0 '-' 0 Q) '" '" .. r.l r.l r.l ..:I r.l r.l..:l ><..:1 ><..:1 0:0'0..:1 :;:1>: ..:I 0: ..:I I>: r.l:I:Q) 0: HCl 0:: Cl o::oCl f-lf-l~oCl E-<~ ~ ~ ~~~ ~~~~~ ~ H...:I~ HM~ ~OOM~ ..:I ':J..:I..:I ':Jo..:l zo. 0..:1 ~ ~ 8 ro.. ~~ ~:;:~ ~~~ ~~~~~ o ~ H W ~H o Z E-< E-< 0. E-< ~M O..-iOON M M mow ~ o Hrl M ~ 0 ZO~ ~ Z E-< .. Z H .. <1l om UMom MHU100 ~ HMOO Z HOr-- MOHom oHar-- WOWHOr-- 0 f-l U) ~ f-l 00 ~ 0 ~ ~~ 0 0 ~ U) m ~ \.D 3.--i f-l .~~ .--i Z Q r-- en Z r-- CI r-- lJ) r-- P:; r-- I r--- U1 0:: r-- I 0:: 5g~ Hg5g~Hg~g~j~gc~g~j~ ON\.DClClNON\.DHN~NOO~f-lNO~NOO~~ ~'~ZZ,~,~~,m, ~m' 00' ~~ lJ) HHlJ) m ~m \,OZO::Wr--oo oZO:: g~~b~~g~~~~g~~~5~~g~~~~ H\.D~OO\.DH\.D~f-l\.DHOO~~WOOrlHOO~~~ ~oCl~~o~oo::momommo::o~mommH ..:I ..:10. ':J<( ..:I ~t ..:10. <II<( ':J<( 0.0 r-r- r-r- ~t- 00 00 "-"- "-"- "'''' r-r- ~ N\ "'''' .-<.-< "-"- "-"- "- IDID coco co .-< .-< '" 0 0 0 '" '" '" ..:I ..:I ..:I <II <II <II r-r- 00 "-"- "'''' "'''' "-"- IDID .-< ()I 0 CIl "- 0. .-< >< ..:I E-< <II '-> ;) ~ ~ , 3 ~ , \J ~ , , , Q , ~ , , , , , ~ ~ , , , , , ~ :~ fJ i~ " 'J ~ ~ ~ CIl ~ r.l E-< 0 Z 0 Yl ~ -- CIl ~ E-< ~ Z r.l r-__~ :;: :;: 0 ~ U ~ Q t ~ .~ ........... ~ 07- 9 q is 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: 1105 Cathleen Street Installer: Innovated Fire Sprinklers Installer Telephone: 452-7583 Type of System: Open 130 13RO 13 D~ Date: 8.31.2007 PAFD Permit #: 07-26 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 NFP A Standard. This 13D system will require a measured flow test. Contractor Reviewed by: ::- to Q.,.,Q.o Date: S '3l.01 o ~ D Building Department Fire Department BUILDING PERMIT - APPLICATION r-oI~ OFFICIAL USE ONLY: Dalt kcc.: 0&- '2. q .... 67 I'cnnil Ii: ()( - q 'l ~ Dale Approved: q - 6- 07 Dalt Issued: t, Fill out COMPLETELY and in IJ\'K. Your application and site plan MUST BE COMPLETE to he accepted for review. If you have any questions, caU PERMITS (]60) 417-4815 FAX(360)417-4711 Applicant or Agent: . ~ ~5.3 V'\,.. f ~ e.' S Q/""" Phone: l....! S' 2. - 7 S8 3 Owner: G j e V\ '" I ~ v v-c.... Co"" s rv- Phone: Address: I ~ 6 C 8.t ~ .s f City: Po /" .f' JJ '-- 5e /.fL J' Zip: '78 3 ~ 2- ArchitectlEngineer: Phone: Contractor INNtJi/A-j EfJ t-=-/ Jt~ State License #:!,vNtJi/I=...ICJl...HI)JLExp: ..y2..~:5Phone:YS.2 -7Si93 Address:81 New j.J~\/e....." L.......... City: jJqrf Ah 3.e.ILS Zip: 9GJ 62- PROJECT ADDRESS: t / O...S; Cc:.. +- k J .e.~ V\. S' ::;-. ZONING: LEGAL DESCRIPTION: Lot: Block: CLALLAM COUNTY PARCEL NUMBER: Subdivision: ,'I)'PE OF WORK: SIZEIVALUATION: ,)(Residential D New Constr. 0 Re-roof D Stove SF. @$ /SF. = $ D Multi-family D Addition D MoveD Garage SF. @$ /SF. = $ o Commercial D Remodel D Demolition 0 Deck SF. @ $ /SF. = $ D Repair D Sign D Other TOTAL VALUATION $ 28.50.0 Ci BRIEF DESCRIPTION OF THE PROJECT: J-t.-..:S +c. II F },./ tL S ,,? t"',\.., kl.er .s. '):S -I- e V1/l COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: & Proposed Sq. Ft No. of Stories: Lot Size: Total lot coverage Existing Sq. Ft Construction Type: = TOTAL Sq. Ft % PLANNING USE ONLY: APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ ESAlWetIand(s): D Yes DNo SEPAChecklistrequired?D YesD No Other: VALUATION OF CONSTRUCTION: In aU cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPffiATION OF PLAN REVIEW: lfno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section Rl05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I mus! obtain such permits prior to wot . .' . T""RMSIB~gP",,",f~wpd Apphoan'o \/~ 0+ Da",o 8 )28/0/ 01 ~ 2-(g a NOLDO SCALE 3 /4 I 1. SHEAR WALL PER PLAN W/ DBL STUDS AT HOLDOWN MINIMUM 2 ANCHOR BOLT STYLE IHOLDOWN PER PLAN INSTALLED PER MANUF SPECS 3 RIM BOARD PER PLAN 4 FLOOR JOIST SYSTEM PER PLAN 5 ALL THREAD ANCHOR BOLT INSTALLED W/ SIMPSON 'SET EPDXY ADHESIVE PER MANUF SPECS (SEE BELOW FOR EMBED PER HOLDOWN) 6 EXISTING CONCRETE STEM WALL 1 EXTEND ANCHOR BOLT W/ COUPLER NUT 4 ALL THREAD ROD AS NEEDED HOLDOWN SIMPSON LTT206 SIMPSON LTTI31 SIMPSON HTT16 SIMPSON PHD2 SIMPSON PHD5 SIMPSON PHD6 SIMPSON HDQS BOLT DIA. 5 /a DIA. 5 /8 DIA. DIA. DIA. Ya DIA. Ys DIA. N EXISTING FOUNDATION EMBED. b RECEIVED AUG 2 9 2007 ri5 A 10' 10 10' 10' 15 15 CITY OF PORT ANGELES BUILDING DIVISION Fr 1105 Cart'k1r. o1 5'4-0 \Dr- o '- " N '- '" ~~ "E-< <(<( o.Cl 00 00 MM 00 , , ltlltl \D\D ltlltl >< ..:I ~ ~ H ..:I E-< ~Ul o.:~ ~~ E-<., Z.. I O~ HO E-<E-< UU ~~ 0.0. 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OIZO 010:::0 00 C!)or--HOc..?or--Qoc..?or--Z ZN['--HNZN[' NZNI..OH H.........'<;f' ..........H...........o::fOp::.........H......... I lllm O::O'\o:ICTI Mml1l'<1'o:l:I: 5~ffi~~5~ffit::~5~8g Hr--O::..::Cr--Hr--O::::Jr--HO'J~O o..oc..?~oo..oc..?c..?oo..ot-:lo:: ~ ..:I ~ " ~ 0. ..:I ~ ..:I ~ " ~ 01 ..:I ~ " ~ 0. ..:I >< ..:I ~ 01 H ..:I ., 01 E-< o Z Cl ~ ~~ 0. '" ::>0 Ulltl :E 0. ~ Ul E-< Z '" ~ o U ..:I ..:10. "0<( r-r- 00 '-'- "'''' 00 '-'- r-r- ..:I ..:10. .,0<( r-r- ~ 00 '-'- "'''' 00 '-'- r-r- M .... 0 0 Cl N '" ..:I 0. '" M o \D ..:I 0. ~~~~~........r-;"""""''''''''''''''''T '<S'-4"< ~ ~'''-' ~_ ~ ~r . BlJlLDING DIVISiON CITY OF PORT ANGELES * * Correction Notice Job Located at / / t/ J &17Tzj~4 / Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: gr(.,~ CJu e?-1/mtI9/M .{. ,t'€ /"'. 31VZ3? ;:]{//r~/} ~.Nr /.A/a- (!;,/y /2J~ ~ 4n;l.- ud - 5/ If A/'lA /2rl7f S ,4/ {/ f /' ,/? 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WA 911362 " Application Number Application pin number _ : Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000540 Date 787820 1105 CATHLEEN ST 06-30-01-7-7-0080-0000- GLENN-TERRA, INC. RES NEW SFR 7/15/07 RS9 RESDNTL SINGLE FAMILY 156437 Owner Contractor GLENN-TERRA INC. 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 Structure Information Other struct info . . GLENN-TERRA, INC. 136 E. 8TH ST. #223 WA 98362 PORT ANGELES (360) 565-0100 000 000 1882 SF SFR, 575 SF ATT/GAR, TOTAL % LOT COVERAGE CONSTRUCTION TYPE V-N NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 78 SF PRCH 28.00 2.00 9238.00 2535.00 2535.00 1. 00 -........ ~ \J1 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL EL. SVC./ 1940 SQ FT SFR 106500 ELECTRIC SERVICE 113.00 Plan Check Fee 7/15/07 Valuation 1/11/08 .00 o (\ ~ ~ .~ Qty 1. 00 2.00 Unit Charge Per 69.0000 ECH 22.0000 5C EL-R-SQFT FIRST 1300 EL-R-SQFT ADDITIONAL 500 Extension 69.00 44.00 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). OS/25/2007 03:19 PM SROBERDS --The proposal will result in a new sfr in-the RS-9 for total lot cove age of 28%. No land use issues noted. Electrical load calculations and elctrica1 permits are required. Customer electrical connection fee: $713.00. 05/17/2007 01:44 PM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. \f -I Other Fees SEWER SYSTEM DELV CHARGE 1000.00 COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfIONRECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSUL4. TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO UITCl1 FOUlTH-lN I CUYbK SERVICE FINAL I I I GENERAL COMMENTS: PW-II02.1S 141961 d,val~ '~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 32\ EAST 5TH STREET. PORT ANGELES. WA 98362 ... it Application Number Application pin number 07-00000540 787820 Page 2 Date 7/15/07 Other Fees STATE SURCHARGE PW WATER SYSTEM USE FEE 4.50 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 113.00 113.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 2347.50 2347.50 .00 .00 COMMENTS/ACTJON NEEDED . ELECfRlCAL PERMIT INSPECfIONRECORD t;ALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO It-L j::rL- A-L GENERAL COMMENTS: PW-II02.1S (4'96] "''' 0 , '" 0 , " MM ~E-< ..;..; 0.0 00 00 ........ 00 . , li1li1 "'''' li1li1 00 "'''' >< M M ..:I I>: M H ;': ..:I MM E-< 0 ZZ MOO ~ 00 ~M :Z::Z: ~~ UJ "'''' E-<..., Z .. 01>: HO , 00 E-<E-< E-< UU Z MM '" 0.0. 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OJ::> ZOJ t'JHW Z ~ .... 9 StHl 1IlE-<E-< enOl OOl..:l 0::>0. 0:;: olO ~~U 0. III !-<..:l :;:~ ..:l ~ Ht'J ~ t'J E-<~ ~ ~ Ot ...:1....:10.. ..:l ...,..:l..:l t'J <t: Z 3: ~~ ~:;:~ o ol o Z E-< ~M Or-lCJ)N o H.--i M Z E-< .. Z .. 00'\ UMOO'l HOr--- ooOHOOO f-! Lt'l 0.. f-! 00 ,::( If'l (J) ~ \.D Qr--co Zr---Qr--L/l 5g~ Hgsg~H ON\.00(jNON\.DH tx............'"3'zz.........~..........qtlC( III HHLO 0\ :J: 2~~b~~2~~ffi H\.D..t;OO\.D...:l\.D)-lf-i (:QO(j~:E:OjJlOO:::(J} ..:l ..:lo. ...,<t: ~ ~1 r-r- 00 ....., III III N N " "'''' o OJ , 0. >< E-< M o M o M ..:l 1Il N ..:l 1Il OJ ol E-< o Z o ~ OJ E-< Z W :;: :;: o U ot ,OR!f<..,C l~~~ na~ ~- ~ 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 07-00000540 Date 787820 1105 CATHLEEN ST 06-30-01-7-7-0080-0000- GLENN-TERRA, INC. RES NEW SFR 6/27/07 RS9 RESDNTL SINGLE FAMILY 156437 Owner Contractor GLENN-TERRA INC. 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 Structure Information Other struct info . . GLENN-TERRA, INC. 136 E. 8TH ST. #223 WA 98362 PORT ANGELES (360) 565-0100 000 000 1882 SF SFR, 575 SF ATT/GAR, TOTAL \ LOT COVERAGE CONSTRUCTION TYPE V-N NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 78 SF PRCH 28.00 2.00 9238.00 2535.00 2535.00 1. 00 Permit PUBLIC WORKS RES WATER SERV Additional desc 3/4" DROP IN METER Permit pin number 103507 Permit Fee 230.00 Plan Check Fee Issue Date 6/08/07 Valuation Expiration Date 12/22/07 .00 156437" BASE FEE "Extension 230.00 Qty Unit Charge Per Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date SANITARY SEWER HOOK UP 103515 120.00 6/08/07 12/22/07 Plan Check Fee Valuation '.00 156437 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). . OS/25/2007 03:19 PM SROBERDS --The proposal will result in a new sfr in the RS-9 for total lot coveage of 28\. No land use issues noted. Electrical load calculations and elctrical permits are 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. CJVl F( Ie Ob (p-lo; Signature of Contractor or Authorized Agent Signature of Owner (if owner is builder) Date T:\Policies\1102.15R [1/05] PERMIT INSPECTION RECORD f CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION: KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE 1 METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRlVEW A Y APPROACH BACK-FLOW DEVICE I 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 1 ENGINEERING FIRE 417-4653 FIRE DEPT. . PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05] cI ,ORT 40 l~~"" na~ ~- ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 07-00000540 Application pin number 787820 Page 2 Date 6/27/07 Special Notes and Comments required. Customer electrical connection fee: $713.00. 05/17/2007 01:44 PM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. 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 'oayS 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\ II 02.15R [1/05] PERMIT INSPECTION RECORD , CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER3 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 / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUITER DRIVEWAY APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W. / PW/ CONSTRUCTION - R. w. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1102.15R [1/05] -1PORT~ l~"'~ 1r'Gi -=-- i~l:~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 07-646 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type de$cription Subdivision Name Property Use Property Zoning . Application valuation 07-00000540 Date 787820 1105 CATHLEEN ST 06-30-01-7-7-0080-0000- GLENN~TERRA, INC. RES NEW SFR 6/27/07 /IOS(!~ RS9 RESDNTL SINGLE FAMILY 156437 Owner Contractor ~~r~ GLENN-TERRA INC. 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 Structure Information Other struct info . 000 GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 000 1882 SF SFR, 575 SF A'IT/GAR, TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 WA 98362 78 SF PRCH 28.00 V-N 2.00 9238.00 2535.00 2535.00 1. 00 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date PUBLIC WORKS 3/4" DROP IN 103507 230.00 6/08/07 12/22/07 RES WATER SERV METER Plan Check Fee Valuation .00 156437 IrJ ~1),J)i 1/LY Qty Unit Charge Per exte . BASE FEE 30.00 . ------------------------------------------------------ ---------- Permit . . . . . . SANITARY SEWER HOOK UP Additional desc Permit pin number Permit Fee Issue Date Expiration Date . 103515 120.00 6/08/07 12/22/07 Plan Check Fee Valuation .00 156437 Qty Unit Charge Per 1.00 120.0000 EA SAN SEWER HOOKUP Special Notes and Comments Address numbers shall be plainly visible from the street. Address numbers shall be a minimum of six inches high and be of contrasting color from the background. All homes in new subdivisions that are outside of the Fire Department four-minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (1Ft) and National Fire Protection Association (NFPAj. OS/25/2007 03:19 PM SROBERDS --The proposal will result in a new sfr in the RS-9 for total lot coveage of 28%. No land use issues noted. Electrical load calculations and elctrical permits are Separate Permits are required for electrical work, SEPA, Shoreiine, ESA, uUlities, 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 J have read and examined this appiication and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be compiied with whether specified herein or not. The granting of a permit does not presume to give authority to vioiate or cancei the provisions of any state or iocal iaw reguiating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Date Signature of Owner (if owner is builder) T:\Policies\1102.15R [1/05] r:fr~OIlT ""'0 s:'I-~~~ f"-&iii . L ~- ,,"tt\.o;:~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number 07-00000540 787820 Page Date 2 6/27/07 Special Notes and Comments required. Customer electrical connection fee: $713.00. 05/17/2007 01:44 PM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. --------------------------------------------------------------~---;> ---- Other Fees . . .. .. . SEWER SYSTEM DELV CHARGE 10~D 00 STATE SURCHARGE ~o PW WATER SYSTEM USE FEE ~~ -------- ----- -- -- --------------------------------------- ----- ------ 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 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 compiied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancei the provisions of any state or locai 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] . . . . . CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . INSPECTION REPORT. . . . . . I-- REQUEST: Date 7 -/3 -07 Time Received by Kif (phone, person) Location of Work to be inspected Name of person requesting inspection Ch....-==.5 Address of person requesting inspection Type of Inspection (circle appropriate one): I (oS C,ai~Je-e LA 'S-r Phone No. Permit No. ~:r- EX~. Other ~77- /962-- Ot-s;l/O Sewer Foundation Framing Chimney Plumbing Final INSPECTION NOTES: Inspected: Date ;-/3-() 7 Time +' Remarks: New ;;;:e..u..JI2..r- C',C!>!A,lA.~~, I,OIA '1-<:"> Jq,:/-eva./ 0,+ P~,'fl/ L /",p_ / By .J?I/' . .I' - t-. "I' P'/I" (!?).t'/<:::l,LAO V,-- ------.J RESTORATION REQUiRED...... YES NO X-.. e~;<~~~ ~'" r.,1t"f'f 5' P/L t N 't rWll,te... I 5cle.ep /Je,lJ.) l.( ";:>IIc- '" " , ~/6 II -t1 T.., ,. lfr, . ~~ ----- (/6> U:\"- ~-"'\ 91 \.2><2. <;"'.... 0.."- . :'l~...o..J '<- PL SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved OGravel o Asphalt OPCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) APPLICATION FOR WATER City Water Division, Port Angeles, WA Issued date: Installed by & date: Permit # o 7-5'lO I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: Applicant Name & Phone: 11 n 7i f/r-::L- .3uu- 5& 6 -t) ICic Site Address: 1/00 f{[ti[12-t11 &t.V1aiIingAddress:! G, --ri.;;J,3 Blk: LOt:? Add: (!171J1fJa11--W Parcel#: fjtJ ~ ()(J 17 7 nO?I) Meter #'s C F WID #: 0 Ie T I () 0 "3 Y JJ.'!/dJlrJ. Fees: j /},Jt) 'f 7'/,;),3-/) Restoration Required: I I I L Remarks: 'fu s.,J.". N > w E ;:; \\"""('l<\.,E.t- III "-'^ iP CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . INSPECTION REPORT. .... I REQUEST: Date <-/ - "'Z 8. - 68 Time Received by RV (phone. person) Location of Work to be inspected t {05 Ca. +'^- \~e \I\. St- Name of person requesting inspection ..Jos(,,\. Address of person requesting inspection Type of Inspection (circle appropriate one): Phone No. 80~- an...., Permit No. 67 -:5lf 0 ~ Sewer Excav. Other Sewer Foundation Framing Chimney Plumbing INSPECTION NOTES: Inspected: Date y~ 2~ -C<C Time Remarks: SeiNe.- ..., -15-- 0, ~~~:~;~+r ~-~~~b9 By RV ()K RESTORATION REQUIRED . . . . .. YES NO )( SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . .. ... INSPECTION REPORT. . . . . . . ~ REQUEST: Date 1-'8 -De. Time Received by K V (phone. person) Location of Work to be inspected II 05 ~~ \ .~./~..v\__ Si- Name of person requesting inspection TOl41 1>>Cla>~ Address of person requesting inspection Type of Inspection (circle appropriate one): Phone No. Permit No. 07- 5--0/'0 Sewer Excav. Other 1>,.:.}@ tJJ,,( Sewer Foundation Framing Chimney Plumbing Final INSPECTION NOTES: Inspected: Date I~ 18 - tR Remarks: Time By Rv 6K RESTORATION REQUIRED. . . . .. YES NO ~ SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City D Repaired by Permittee D No Damage Found Work Order # D COMPLETE D INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ~I'OfIT~. l~ ,....4i 1'- ~- ~;;? CTIY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5THS1REET, PORT ANGELES, W A 98362 D7- tt} Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property zoning . Application valuation 07-00000461 Date 350499 1105 CATHLEEN ST 06-30-01-7-~-0080-0000- PUBLIC WORKS UTILITES 5/01/07 RS9 RESDNTL SINGLE FAMILY o 1)V1 Owner Contractor NEW VIEW INC. 133 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 DRA PROCESSING PERMIT 100578 .00 plan Check Fee 5/01/07 valuation 10/28/07 ".00 o Special Notes and Comments 04/30/2007 11:55 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 surrunary Charged Paid Credited Due. ----------------- ---------- ---------- ---------- ---------- Permit Fee Total .00 .00 .00 .06 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 conslruction 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. AU provisions of laws and ordinances goveming this type of work wiU be complied with whether specified herein or not. The granting of a permit does not presume to give aulhority 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 [1105) . fj<( oQRT ""VC- .~"~~~ u r-Giii ~ .. ~ ~ .~ 1."tOi:IC~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 o ,..J , \.)( --!:..~ o Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name property Use Property Zoning . . . Application valuation Owner GLENN-TERRA INC. 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 Structure Information Other struct info . . Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date 6/27/07 07-00000540 Date 787820 1105 CATHLEEN ST 06-30-01-7-7-0080-0000- GLENN-TERRA, INC. RES NEW SFR RS9 RESDNTL SINGLE FAMILY 156437 Contractor 000 GLENN-TERRA, INC. 136 E. 8TH ST. #223 PORT ANGELES (360) 565-0100 000 1882 SF SFR, 575 SF ATT/GAR, TOTAL % LOT COVERAGE CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS o \Jl WA 98362 WA 98362 78 SF PRCH 28.00 V-N 2.00 9238.00 2535.00 2535.00 1. 00 --- BUILDING PERMIT -RESIDENTIAL 1882 SF SFR, 575 SF ATT/GAR 101857 1339.45 Plan Check Fee 6/08/07 Valuation 12/22/07 535.78 156437 () St - ~ 3' Qty Unit Charge Per Extension 1020.25 319.20 BASE FEE 57.00 5.6000 THOU BL-100,OOl-500K (5.60 PER K) Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date MECHANICAL PERMIT 102913 140.15 plan Check Fee 6/08/07 Valuation 12/22/07 .00 o Qty Unit Charge Per BASE FEE 1. 00 14.7000 ECH ME- INSTALL 100- FAU 6.00 7.2500 ECH ME-VENT FAN 2.00 10.6500 ECH ME-OTHER APPL. N/R 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 Extension 50.00 14.70 43.50 21. 30 10.65 \fl :J- Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date Y;; ?~ ~~ ~ ~ ~ PLUMBING PERMIT 102905 163.00 6/08/07 12/22/07 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 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 2- 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 t::.. construction. on h~'e Signature of Contractor or Authorized Agent Date Co/Z7/07 . date Signature of Owner (if owner is builder) VJ ~ T:\Policies\1102_15 building pennit inspection rccord05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD w CALL417-4S15 FOR BUILDING INSPECTIONS. CALL 4]7-4735 FOR ELECTRICALINSPECTIONS. CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AN]) A CCEPTE]). POST PERMIT IN A CONSPICUOUS LOCA TlON. KEEP PERM1T CARD AND APPROVED PLANS AT .lOB SITE. ~ " INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDA nON: FOOTINGS SHEAR WALLS 1 WALLS FOUNDA TION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: BACK FLOW I WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALUHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL ROUGH-IN HEAT PUMY 1 FURNACE 1 DUCTS GAS LINE FINAL DATE ACCEPTED BY: WOOD STOVE 1 PELLET 1 CIDMNEY MANUFACTURED HOMES FOOTING 1 SLAB BLOCYJNG & HOLD DOWNS SIGRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT . CONSTRUCTION R. W. 1 PW 1 CONSTRUCTION - R.W. ENGINEERJNG 417-4807 PW 1 ENGINEERJNG FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUlLDING 417-4815 BUILDING T:\Policies\1102 15 building pennit inspection record05.wpd [1/4/2005] . f~ORT"'41; tP~~~ r..-a I! "-- ~ ~ '.'t,iilC~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Application pin number 07-00000540 787820 Page Date 2 6/27/07 Qty Unit Charge Per 12.00 1. 00 1. 00 1. 00 7.0000 ECH 7.0000 ECH 15.0000 ECH 7.0000 ECH BASE FEE PL- EA. FIXTURE ON ONE TRAP PL- EA. INSTALL WATER PIPE PL- EA. BLDG SEWER PL- EA. WATER HEATER Extension 50.00 84.00 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). OS/25/2007 03:19 PM SROBERDS --The proposal will result in a new sfr in the RS-9 for total lot coveage of 28%. No land use issues noted. Electrical load calculations and elctrical permits are required. Customer electrical connection fee: $713.00. 05/17/2007 01:44 PM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. 24 hour advance notice is required. 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 1642.60 1642.60 .00 .00 Plan Check Total 535.78 535.78 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 4412.88 4412.88 .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 as commenced, or if required inspections have not been requested within .180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] BUll,DING PERMIT INSPECTION RECORD . CALL 417-48]5 FOR BUILDING INSPECTIONS. CALL 4] 7-4735 FOR ELECTRICAL INSPECTIONS. , CALL 4] 7-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANJ' WOPJ{ BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT .lOB SITE. ~ )\ INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: ;)0' U~/C.. FOOTINGS j~/ii(-;(TI Jd SHEAR WALLS I WALLS I~ 'I/;71f d 7 -....JU 9 jObl 07 '3 h l2..tI.t'W cd ( JL.L FOUNDA nON .DRAfNAGEI DOWN SPOUTS / PIERS POST HOLES (POLE BLDGS.) PLUMBING WAI6I2. SUPfL.Y -=r[Oq 101~L. UNDER FLOOR I SLAB 1'~RlmE.1B~ 1)RAI~ O:J./oq!O-=t:J1A" ROUGH-IN 3/Z}"U 07 :TU-- ---:=1 I , --- - - -- WATER LINE (METER TO BLDG) GAS LINE ~.. 30-08' DATE Cfu.- ACCEPTED BY: BACK FLOW I WATER AIR SEAL 9/ \'?/Of ~l.,c. ctj z-S' 0, T("L,. Ai rseo..( WALLS I CEfLING FRAMING CUz-l)" J o( JCV JOISTS I GIRDERS SHEAR W ALIJHOLD DOWNS WALLS 1 ROOF I CEILING DRYWALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION ClJz_, I Qf 3LL.- SLAB , WALL 1 FLOOR 1 CEILING I MECHANICAL ROUGH-IN "I11-~ I 01 ":'\IL... HEAT PUMY I FURNACE 1 DUCTS GAS LINE l.r::rIf}..'7! 0'1 .JI-r FINAL l.(- 30-08 DATE JL-L ACCEPTED BY: WOOD STOVE 1 PELLET 1 CHIMNEY I MANUFACTURED HOMES FOOTING I SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LIGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES. NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL LIGHT DEPT CONSTRUCTIONR.W./PWI CONSTRUCTION - RW. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 4 J 7-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 5-23>-05> pg BUfLDING V\ ) ~ ~ ~ ~ C\ t ~ t ~ T:IPoliciesll102 15 building permit inspection record05.wpd [1/4/2005] <-- lOr- 0 '- lO N '- '" WOO ~b ..:..: "'0 lO'" ,.,.,. lO'" ,.,'" , , , ,.,r- , lOr- 0 , CO.,. 0 , , '" , ,.,'" 0 , lO'" >< , N "00 ...:l , W...:l ~ , :E~ 00 , .. 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'" f-400fil~......4O 9 rn ..:x:~E-tWao 00 u, , H '0 ....00 i -...:l lO~~:>gg ~ww r- r-W Illbb 0 o~ IOWW~ ' , rnw '- ;;;~ MHHW\Dt""- OW...:l lO r-lC)C)Zoo 0::0'" N N O:E '- '-b 000 '" "'~ '" '" ~"'u 0 . a1 ~ .00 '" '" zo a1 III 0 b .~ 00'" rn -u H ~o rnb": ...:lZ !-< 0 0 ..: f:l~~~tJ...:l .... rn "'>< ~ '- Wb ozzz~'" '" H ~H ~W03:":'" >< .., "'u bUO"''': '" b a1 oO.'~ ~' i~ Da .....~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 121 EAST 5TH STREET. PORT ANGELES. WA 98~('2 Application Number Application pin number . . Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000721 Date 468134 1105 CATHLEEN ST 06-30-01-7-7-0080-0000- ELECTRICAL ONLY 6/22/07 RS9 RESDNTL SINGLE FAMILY o Owner Contractor NEW VIEW INC. 133 MARIAH WINDS PORT ANGELES ( 36) 477-9449 WA 98362 ELECTRIC SERVICE 82 DRAPER RD PORT ANGELES (360) 452-6424 WA 98362 Pe rmi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE EL. SVC./ TEMP 104984 ELECTRIC SERVICE 40.00 Plan Check Fee 6/22/07 Valuation 12/19/07 .00 o "- ""-.. \) l\ 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 ~ COMMENTS/ ACTION NEEDED ELECfRICAL PERMIT INSPECTION .RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO GENERAL COMMENTS: i L~~ pW':lID2.1S (4'96]' ci.".,~. ~ '01 CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DTVISION :121 EAST 5TH STREET. PORT ANGELES. WA 911~62 Application Number Application pin number - Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000540 Date 787820 1105 CATHLEEN ST 06-30-01-7-7-0080-0000- GLENN-TERRA, INC. RES NEW SFR 6/19/07 RS9 RESDNTL SINGLE FAMILY 156437 Owner Contractor NEW VIEW INC. 133 MARIAH WINDS PORT ANGELES ( 36) 477-9449 Structure Information Other struct info . . 000 GLENN-TERRA, INC. 9689 7TH AVE, NE # 124 POULSBO WA 983707531 (253) 853-3535 000 1882 SF SFR, 575 SF ATT/GAR, 78 SF PRCH TOTAL % LOT COVERAGE 28.00 CONSTRUCTION TYPE NUMBER OF STORIES LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS WA 98362 V-N 2.00 9238.00 2535.00 2535.00 1. 00 Permit . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL TEMPORARY SERVICE EL. SVC./ 60 A TEMP SVC. 104612 ELECTRIC SERVICE 40.00 6/19/07 12/16/07 Plan Check Fee Valuation .00 o Qty 1. 00 Unit Charge Per 40.0000 ECH EL-TEMP SRV - 0-60 SRV FDR Extension 40.00 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). OS/25/2007 03:19 PM SROBERDS --The proposal will result in a new sfr in the RS-9 for total lot cove age of 28%. No land use issues'noted. Electrical load calculations and elctrical permits are required. Customer electrical connection fee: $713.00. 05/17/2007 01:44 PM GMCLAIN ---------------------------- Sanitary sewer connection inspection is required by Public Works p~ior to back fill of ditch. 24 hour advance notice is required. ~ Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE 1000.00 4.50 COMMENTS! ACTION NEEDED .. "- , () l\ .~ .~ ~ ,. ELECfRICAL PERMIT INSPECfION .RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE NO ~~ ,.-., GENERAL COMMENTS: COMMENTS ~ PW-II02.15 (4196f' .~~ ..,. :;.:,' /"~ fit ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DrYISION :m EAST 5TH STREET. PORT ANGELES. WA 9R162 . " Application Number Application pin number 07-00000540 787820 Page Date 2 6/19/07 Other Fees PW WATER SYSTEM USE FEE 1230.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 40.00 40.00 .00 .00 plan Check Total .00 .00 .00 .00 Other Fee Total 2234.50 2234.50 .00 .00 Grand Total 2274.50 2274.50 .00 .00 COMMENTS/ACTION NEEDED # ELECfRICAL PERMIT INSPECTION .RECORD CJn.L 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PR0VIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO II 'f 'H RUUuH-IN / CUYbK :ShKVICb . I f" - , - ",I AtG, ) .c .: ;.. Co, , GENERAL COMMENTS: ~.!; '.' PW.lI02.1S [4196]' . ~ BUILDING PERMiT - APPLICATION ........ Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 :l (0 0- G1 "2.. I - q i..j '3 $ C. (;.l.. L Applica11t or Agent-A Nt.lIL~W M I I ~lt.-rt--r-S Phone: .::s wO -s;-(ps- 0 I Or::; Owner: ~ L r:;JJ),F- T6/'ULA I J::NC Phone: ..} (00 - >GS"- 0 10(? Address:-1 :s Co f:.. I 8 TN sr. If"G"Z. ~ City: foi<. r AI\) G f:L(;:) Zip: 9 f?.:J (0 L Architect/Ellgll1eer: ~ AS CA 0 6 PI...- AN S E:. tZ. V.x GE. Phone: '2 s- .s - 2-2'1- :s /70 GL.E:)'/#Tl: ..s(oo- Contractor {7 c:.. G.))AJ - IGR/cA , .YAlC- State License #: q R (0 iJA Exp: 8/1 /og Phone: Co 2.. } - q t.-1.3 S Address: ( -S fr~) E.. g T H $ T. t:t."2... L ~ City:Yn It. T 4>> (,,6 L- eS Zip: 9 g ..s W L PROJECT ADDRESS:~I 0 S- C--/ ATI-IL E. (i.A) Sr, ZONING: "iEGALimsCRrPTioN: L;t:'" g Block: Subdivision: c,,/fTHL~E.IJ E~/.ATcS's' CLALLAM COUNTY PARCEL NUMBER: 'f:) b '3 ~ 0 S ~ I.{o 1tG-t;..-, b 30 0\77 00 0 Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # T1TE OF WORK: SIZEIV ALUATION: KResidential IYNew Constr. 0 Re-mof 0 Stove ,~tt-;).. SF. @$ l~.O'l /SF. = $ o Multi-family 0 Addition 0 Move .es( Garage ; 1S SF. @ $ 'd-1.3(, /SF. = $ o Commercial 0 Remodel 0 Demolition ~B-eeit-Po\!Lff 1/l I SF. @ $ ld.{)t /SF. = $ o Repair 0 Sign 0 Other TOTAL VALUATION $ . BRIEF DESCRll'TION OF THE PROJECT: /I) IS W C-nl\J .ST A.l..lG T..x:OAJ .s F R.. City: Exp. Date: 1~3,d-o\. 3<6 Id..o a-93.l?O ~~d.. ~ '-\ IS") l.\~1.1~ COMMERCIAL/RESIDENTIAL: Occupancy Group:J<.. S No. of Stories: ~ LofSize: Co( 1 L 3 S' "Existing Sq. Ft. Total lot coverage ~'b % ( Occupant Load: Construction Type: \I;tj & Proposed Sq. Ft. ~ S 3S = TOTAL Sq. Ft. ~ r; '3 S l'tl'b';),. + S 1l:..\- 11{;, APPRO V ALS: PLAN: BLDG: DP"VVU: FIRE: OTHER:_ PLANNING USE ONLY: ESAlWetland(s): DYes 0 No SEPA Checklist required? 0 Yes 0 No Other: ,J .~ VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. Tills figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Pemnt Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF-a plan checldee is due it musfbesubmitted at the time the building permit application and construction plans are submitted. All otber pemrit fees are due at tbe time of penuit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days oftbe date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3.2 of the Intemational Building/Residential Code, 2003). No application can be extended more fuan once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T:\PoliciesIBL-J JD2_13.wpd Applicant: Date: I I V! r-- '''Z I / r~" /1 I"~''''"~"~ ~, / . '-<", / ~'-, ~ / \: l $ . ~I ....... t:-l(\. . '\Iv ] ::r2 , 1 --- --- ~.. , ~?'gb .... '; '. ~ /-# OZfb~ \ '\ I. , ; -: . j'\.'" ~ ~l + ~ ~ 1 ~"a.. ,-:\ ~ iii .; . '{.~ ~ ' ~ \ (St.~ \ ~ ! \ \~ r- ~ ~ '\" ~ ~ l)i\ ~ \';- ~:---i\ \S'- N di \ . ctt'Z _ .......... ~ 1 .t\. _ _ __________)~c:_<;;:~--".... _ '" "-_.-.-._-~---_.- -. \t -;-:..; I, I I- ~ 1Y-:-ev\ \4 ~ Q -- --- ~ \::) N . . - j r Prescriptive Approach - Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 Address: Ilos e/ATJ-ILE.6.AJ City: PO/loT AAJGE: L-E- S State: W A Sr, ........ .' .1.. .. ". ..'BuildingDepartmentUseDn!y p~r'~it'it;'''o-t'':''5HD'' ""'. '.: '." J i .. .....,',.... ,,,'''. r' ....."..,.,.[..,. " .:1' "" .. ""':.."~::.t '''''''';'' ........ .......",.." ...n'......,................ "'I " '. I '1"'" . , 'j -, . ::~;L;; ,::::' .,'. .. , ::,.;"., "",;';. ... .,. ,,~~:.:',.: ,:... ..' ...,. ""-i""""" ',,;; ...':.;.....,. .- "'.".,,,,_ ;i?:'I:":"-'>:-_::.:':l~>~:';.:'".;, ... ... ,.. ,._. ,. f'I:'::,,;~:-:,,':~':':";,:i:-:;;~.' "",.".,,' ,.:.,.,.,...",..,.:'.'.:.'.i.'..'.,,:,..,..;..'.:.,.:..:,:....,:",:.:..........".....:...'..'.:...,:....1...:.:'...l'........':..:..,'...... ,...,:..:......;;..'..':.:..::"..::-:."..,:;.:"'.<1'. ..,.j'"'' ;~:-:-."~;. '. ~. ..' . .,..~..':,':..:.;..;:,"._.. '. :.,~~r.';.,.l:-',V,_,,,";,~:;< ,~/:~:~~~t ~~::~;,:t i~f!;;:\:! ~~ ~~!: ~,~!~!; ~;.~;~t~~;~:~.~:~,';/"J~1t~',~:~ ~/l~.t:;':, ~,~!, ';;.~ ~ ~ "; ~ 'h :~it~~:f~::::r,,':.\~~~iti'~~!i~, :i"i~:;~,~i!~i~}~iri!;\; '!f ~/:::~ ~::,~:~;!!it~J ,Notes: '. .'."; :,-';:':.,: . Site Information Lot: 8 Zip: OJ 2 J w L. Contact: -.A AI D /I... e IJJ M I ~tt. iLI5 Phone: :1 (of) - S- (f) r- - 0 ) Of? Phone 2: .s G2 0 - (P "2- ,- q Li .5 :1 c..E~~ Fax: .:s (0 n - S- {p S- - 0 } 0 I ';:i:,jl". . .;~ ,,'~ ,;;'.' :'. ".k' Un llTI1te azmg lr tlOn ny Glazing Glazing U..Factor Door9 Wall Wall I Wall SIab4 Option Area 10 U- Ceiling2 Vaulted Above Int4 Ext4 FloorS On % of Floor V erti cal Overhead 11 factor Ceiling3 Grade Below Below Grade Grad~ Grade ill Unlimited c9 g I I (9 Group R-3 DAD 0.58 0.20 R-30 R-21 R-IO R-IO Occupancy I I Only I I Table 6-1 I PRESCRIPTIVE REQUIREMENTS 0,1 FOR GROUP R OCCUPANCY I CLIMATE ZONE 1 I r . d GI . O' 0 I ) See the code text for footnote references Thi~oject complies with the following: 0[) The project is a single family residence or elu/5lex, l?) The project is wood frame OR all of the insulation is interior or exterior of the framing. o All building components meet the requirements listed in Table 6-1, Option III. V 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.2 or less, that does not meet the stand~rds is allowed. . I Location of the door taking this exception I o 602,6 Exception 2, Doors with a U-factor of DAD allowed without calculations, Option III only. I Location of the door(s) taking this exception 1'1 pG:. D F . \-\GAt- Sou'i2.CE: ( Copyright 2002, WSUCEEP02.056 Copied by permission from the Washington State University Extension Energy Program ('OLGEt1 f rz..O(J AN G A ::r:}L ~ L-e.6 T Jt...1: (' f=" r.. fl... E:.. ,:; L A- C- G: Prescriptive - Simple Form - Climate Zone 1 7/26/2004 e ~~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 3 ) ...c. G'" Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 07-00000461 Date 5/01/07 350499 1105 CATHLEEN ST 06-30-01-7-~-0080-0000- PUBLIC WORKS UTILITES - RS9 RESDNTL SINGLE FAMILY o Owner Contractor NEW VIEW INC. 133 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 DRA PROCESSING PERMIT 100578 .00 5/01/07 10/28/07 Plan Check Fee Valuation 0.00 o Special Notes and Comments 04/30/2007 11:55 AM RVESS ------------------------------ DRA 2005-1A $954.15 + City Admin $52.05 DRA 2005-1B. $615.18 + City Admin $33.57 - .-- o Vl Other Fees CITY DRA % DRA FEES PLUS INTEREST 85.62 1569.33 ~ f ~ 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) 0 Date T:\Policies\1102.1SR [1105] 1__ PERMIT INSPECTION RECORD CALL 417-4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE / METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB & GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R W./ PWI CONSTRUCTION - RW. 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] Electric Load Additions and or subtractions (J NO LOAD CHANGES Cl Baseboard KW CI Furnace KW 0 Overhead Service CJ HealPump _ Ton_LAR :! TempService Q Fan-Wall KW ft Underground Service SAME DAY INSPECTION, CALL BEFORE 1:00 AM 360-417-4735 MRY-31-2004 04:38P FROM:ELECTRIC SERVICE 4526424 .--.,.....".--.=-.---...---.. ^,A () Job wired by '9 Electrical Contractor 0 Owner tkJont..CIO' na~ . . L;cense numbe, Dale Expi,e, . nu of'r(lt.t4l*_JLLp..c.'R5!;L~JD)1>-j .u,ehuse,', P:'sg 'dd'D~ Vcd~ I?cf City p. 1\ Slale ZIP. Dd 1t~.g w-1\ Cf'S'.3&2 Telephone number FAX number Lj,S2.-~ .rnL- , 1..., 'fSf't Owner a.t defined by Rew. 19,]8.261:(1) Owne/' will ()/,,'('/JP)' the fJlrUC(f/re for two years afler t/ris electrical permil is finalized. OJ Owner is required tn hire Of! electrical contraclor if above said property is for sale. reuf or leo.te. After 'eliding the above sk.lclJ1cnt, I hereby certify Ihot I am the owner of the abo...e named property or a licensed electrical contractor. I am making the electrical instal. lotion or alteration in compliance with the electrical laws, N.E,C., RCW, Chapler 19,28, WAC. Chaplcr 296-46B, The City of Porl Angeles Municipal Code, and Utility Specifications. SJglJJlture of owner, electrical contractor or electrlCllI administrotor x Date: G:> ROUGH-IN THERMOSTAT D:r.le ....p~rov~(! By a.le ~FfNAL ~~, DITCH TO:4174711 P.Y3 .ELECTRlCAL WORK PERMIT APPLICATION Instollotion description o Commercial ~ Residential Q New 0 Alt~red/Addltinn t P-V"t\f1?7 .s~~/ . re Cu~ ~('34-rPJ'I:h!$<I .l'Sr 1104 - (f' -;- '-1 LOT I) i/ot;( o Cash 0 Check # ~ar~:ditCard _oh__ Expiratio of card Discover Inspection rce $ l.f().0"0 ~vlce Inlormatlon Voltage I ?-o!~;() Phaso1lt 1 (J 3 Sorvlce Sizo; _<a 0 4 Feedor Si29: __ SERVICE Approved Dy Optc ....pplove~ By FEEDER Opcc Approved By D.t~ Approved II)' Inspection Date Area, Building or Equipment Inspected Action TIlkcn Electricnl !n~ector v& ~ Job wired by o EleetricaJ Contractor 0 Owner InlitallatioD description lJ Commerdal III Residential \J Q) , "" -...0 IS' ~ ELECTRICAL WORK PERMIT APPLICATION Electrical contractor name ~\()\c- Ct-,iL;,,{ , Purchaser's mailin~ addrl:ss 7. '1',7 [) F__ l\!. ~..\ \0\ City "J \=!xt- ~f\ ,; " IflA Telephone ~ . ?--"64y License number DaIle Expires fc..~A41~B::lLA\qqOl\lt\} ~-2lrifi o New a AlteredlAd_. State ZIP qr;-oLCL FAX number \(W \ In l-In ~'j r.. ,\n!:(mo~>\7i:l:- - Premises owner's name G If (\ 1\ Tt'xrC,- Address of inspection C . \\0 ':') QTtt\t:.el, Cl~) ( \- iWYJ ~Lv:, Pbone number to lItbedule iaspectlon: lot5:$ ~. W'-i Ow,,~r as definl!d by RCW./9.28.26/:(I) awller wU/ occupy the SlnlCture for two years qfter this electrical pernal is finalir.ed. (2) Owner it required to hire an electrical contr(Jclor ~r above .faid properry is for sale. rent or ~e. - After reading the above statement, I hereby certl(v that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal. latioo or alteration in compliance with the electri~al laws. N.E.C., RCW. Chapter 19.28. WAC. Chapter 296~46B. The City of Porl Angeles Municipal Code, and Utility Specifications. ;gDafDre f'Drer. o Cash o Check # o Credit Can!. Card # VISa Mastercard Discover ---------------- lectrlc1~.dor or electrical admlabtrator - f Date: :3 -Ll--D'b Expiration Date of card Inspection fee $ .00 ServIce Information I a NO LOAO CH o Baseboard ra Furnace a Heat Pump lJ Fan-Wall KW 1!L KW Ton KW LAR lJ Ovelflead Service o Temp Service lJ Underground Service Voltage PhsselJ103 Service Size: _ Feeder Size: SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360-417-4735 / ROlJGH.lN THERMOSTAT / SERVICE 6/?/tf'l .. .-~, 0." ApPfUvod 8)" D'I~ "- Dale ApprovcdBy./ FINAL / DITCH / F>>DF:R z/'2b/oB ~y "'" '- 0... ApproVQf By .... AJ:IpnwW By ./ Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector 01 -$''il> II}^ Job wired by a....~- '. --r; '1\,. ~.. ....... ~ical Contractor a Owner ELECTRICAL WORKPERMlT APPLICATION Installation description a ConlmcrciBl ~t1al Eltctricr' conllactor no~ . License number Dale Expirt:s <;:_~L. ~...w........ ~ a~~'\3'Z.o""" pu~cr's Riling address ~.O II 'OL- U "''""'('-'" V" . ~ cil7 A 51lC 7.1P Q New a Altered! Addition Tcleu~t:~ '-( 2-t./ FAX number premf;; owner's name .\oA- ~~-"" :i\'~S Inlp.e'l?" ~+4.a.a- City \' -A- \~ ,,/0 .~.o- Phone number 10 5chedule inspcdlon: Owner as rle/illl!d by RCW.19 28.261:(1) OWller will O('CII/'Y Ihe s(ru,'wre for IWO yellrs aJtr!r illis electrical ~rmjl is ftllOlized. (2) OWI/('( is required W Mra an electrical contractor if alxwe said property is for sale. relit or lease. After rcading the above statement, 1 hereby cerlify thaI I am the owner of the ",bove named properlY or a licensed electric:!1 conlractor. I am making the electrical instal- Intion or alteralion in compliance with the elcclrical laws, N.E.C., RCW. Chapler 19.28, WAC. Chllpter 296-468, The City of Port Angeles Municipal Code, and Utility Specificalions. Signalu (J Cash (J Check # a Credit Card v~stcrcard Discover Card# _.fJ'f::-o----o--------- Date: ( Expiration Dnte of card ~":.0~eOt> Service Information vOIl.g. \ -.J>f.....,., Ph.S.I9"fO 3 Service Size: ~ Feeder Size: ~ x Electrical Load Addlllons and or subtractions o NO LOAD CHANGES o ~board KW ~urnace t..Q<w o Heat Pump _ Ton _ LAR Q Fan.Wall KW o Overhead Service c:J T~ervice ~nderground Service FINAL ~;:,Id> ~lJY U~IC APIIW...cd By SERVICE to 1~'7 .J4-L . ODIC Apprv~~ Dy ROUGH-IN 'll.-"3>/,-61 ~L- Dale ^pP'o~cll Uy TIlEl{MOSfAT DITCH ~ FEEDER Oa\c API'''''''''' Oy Inspeclion Date Area, Building or Equipment In:ipc:cted Action Takcn l:::lectrical Inspector lO 9/v"d llLvLTb :01 v2v92Sv- 3JI~d3S Jld1J3l3:WOdj ~[2:80 v002-[-lnf