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Home My WebLink About4327 Old Mill Rd - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner BECKER LAURENCE M 309 S VINE ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Charged T•\Policies \1102.15R [1/05] Permit Fee Total Plan Check Total Grand Total WA 983623214 RIGHT OF WAY BURIED PHONE 89425 00 10/23/06 4/21/07 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00001162 208582 4327 OLD MILL RD 06 30 22 2 1 9050 0000 PUBLIC WORKS UTILITES 0 Contractor OWNER CABLE IN R/W Plan Check Fee Valuation Paid Credited 00 00 00 00 00 00 00 00 00 Date 10/23/06 Due 00 00 00 00 0 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 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. PW UTILITIES (Engineering Division) WATERLINE METER SEWER. CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T•\Policies \1102.15R [1/05J INSPECTION TYPE DATE ACCEPTED YES 1 NO RESIDENTIAL CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT. 417 -4750 BUILDING 417 -4815 PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 I 1 1 1 I 1 1 1 1 1 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 COMMENTS FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES NO 1 1 1 I 1 1 1 1 CONSTRUCTION RW PW ENGINEERING 1 FIRE DEPT. 1 PLANNING DEPT BUILDING 1 1 1 1 1 1 1 1 1 1 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner BECKER LAURENCE M 309 S VINE ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 983623214 ELECTRICAL OWNER/ 60A 59337 42 20 9/06/05 3/05/06 Qty Unit Charge Per 1 00 42 2000 ECH EL TEMP SRV Fee summary Charged Paid Permit Fee Total 42 20 42 20 Plan Check Total 00 00 Grand Total 42 20 42 20 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 05 00000673 517838 4327 S OLD MILL RD 06 30 22 2 1 9050 0000 PUBLIC WORKS UTILITES 0 Contractor OWNER TEMPORARY SERVICE TEMP Plan Check Fee Valuation 0 60 SRV FDR Credited 00 00 00 Date 9/06/05 00 0 Extension 42 20 Due 00 00 00 a CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS DITCH ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD YES 1 NO PW- 1102.15 [4/96] i Job wired by j ectrical contrac�am� Purchaser's rthailing ad r ss 30 C Stat ZIP9g24,2 Telephone nuifiber FAX number Or7f/�4 Premises owner's na Addrgss o nisn t g n n P Phone rY mlAr to 8ched le inspection 41:-77 Owne✓as defined by RCW 19 28.261 (1) 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 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. /Sig at re of own er')electri 1 contractor or electrical administrator ExpirattonDate l of card Electrical Contractor 1 OK'ner Elec oad Additions and or subtractions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW License number Date Expires Date:9 Overhead Service Temp Service Underground Service SAME DAY INSPECTION, CALL BEFORE 7 00 AM 360- 417 -4735 ROUGH-IN THERMOSTAT Date Inspection p ate 9 1/4-- to Approved By Date Date DITCH Area, Building or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATION \(installation description Commercial Cash Check Credit Card GID Card Appr ed By J Appr ed By n f r-47g8 IA IF 4-1/90/0/ Date EL-Residential Altered/Addition (5L Date Mastercard Voltage Phase 1 3 Service Size: Feeder Size: SERVICE FEEDER Appr ed By Appr ved By J Action Taken 7- S G� Discover Inspection fee Service Information Electrical Inspector Op pORT N UM Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Owner BECKER LAURENCE M 309 S VINE ST PORT ANGELES Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 Fee summary Signature of Contractor or Authorized Agent T \Policies \1102.15R [1/05] WA 983623214 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 05 00000673 517838 4327 S OLD MILL RD 06 30 22 2 1 9050 0000 PUBLIC WORKS UTILITES 0 Contractor OWNER RIGHT OF WAY INSTALL CULVERT ON OLD MILL RD 55962 50 00 7/27/05 Valuation 1/23/06 Plan Check Fee 50 0000 ECH RIGHT OF WAY PERMIT Charged Paid Credited Permit Fee Total 50 00 50 00 00 Plan Check Total 00 00 00 Grand Total 50 00 50 00 00 Date 7/27/05 0 0 0 Extension 50 00 Due 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 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 cal law regulating construction or the performance of construction 2/0z7A.c" Date Sigr{ure of Owner (if owneris builder) Date CALL 417 -4807 FOR UTILITY INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK; BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE DRIVEWAY APPROACH BACK -FLOW DEVICE T\Policies \1102.15R [1/05] INSPECTION TYPE DATE ACCEPTED RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING COMMENTS 1 1 I I I I I I I I I Application Number 08 00001090 Application pin number 197780 Property Address 4327 OLD MILL RD ASSESSOR PARCEL NUMBER 06 30 22 2 1 9050 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 Owner Contractor Date 9/04/08 BECKER LAURENCE M SEQUIM VALLEY ELECTRIC 309 S VINE ST 2915 REGENT ST PORT ANGELES WA 983623214 SEQUIM WA 98382 (360) 452 4454 Permit ELECTRICAL NEW RESIDENTIAL Additional desc SEQ VAL EL 200A PNL 50A RV Permit pin number 133504 Permit Fee 75 00 Plan Check Fee 00 Issue Date 9/04/08 Valuation 0 Expiration Date 3/03/09 1s\.) Qty Unit Charge Per Extension 00 75 0000 ECH EL RM 0 200 1ST SRV FEEDER 75 00 Fee summary Permit Fee Total Plan Check Total Grand Total Charged Paid Credited 75 00 75 00 00 00 00 00 75 00 75 00 00 Due 00 00 00 F 7:1 0 INSPECTION TYPE DATE DITCH i ?t7 ROUGH IN FINAL COMMENTS: 14E qie 1/ Y`CO/De +IF ELECTRICAL RESULTS INSPECTOR PREPARED 12/10/07 9 22 34 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/10/07 ADDRESS 4327 OLD MILL RD SUBDIV TENANT NBR LARRY BECKER CONTRACTOR PHONE OWNER BECKER LAURENCE M PHONE PARCEL 06 30 22 2 1 9050 0000 APPL NUMBER 05 00001062 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/02/06 JLL BLDG FOUNDATION FOOTING TIME 08 00 2/02/06 AP 02/01/2006 02 43 PM DYASUMUR TOMMY 477 0778 02/02/2006 04 39 PM JLIERLY BL2 01 2/15/06 JLL BLDG FOUNDATION STEM WALL TIME 13 00 2/15/06 AP 02/15/2006 08 10 AM DYASUMUR TOMMY 477 0778 02/15/2006 04 41 PM PBARTHOL BLFD 01 4/14/06 JLL BLDG FOUNDATION DRAINAGE TIME 13 00 4/14/06 AP 04/14/2006 08 47 AM DYASUMUR LARRY 417 1594 04/14/2006 04 44 PM PBARTHOL FOOTING DRAINS ONLY BLFD 02 5/09/06 JLL BLDG FOUNDATION DRAINAGE TIME 13 00 5/09/06 DA 05/09/2006 08 01 AM DYASUMUR larry 05/11/2006 10 32 AM JLIERLY item covered expose and recall /pb DSD 01 5/11/06 JLL BLDG DOWN SPOUT DRAINS 5/12/06 AP 05/10/2006 12 46 PM PBARTHOL *PAGE HIM 5 681 8385 AND HE CALL YOU BCK AND ARANGE TO MEET YOU THERE* 05/12/2006 08 48 AM DYASUMUR this includes down spout drains/j1 BL9 01 6/02/06 JLL BLDG SHEARWALL TIME 13 00 6/02/06 AP KURT 461 3647 06/01/2006 04 20 PM DYASUMUR 06/02/2006 03 20 PM JLIERLY BL3 01 7/21/06 JLL BLDG FRAMING TIME 13 00 7/21/06 DA TED 457 9164 07/21/2006 07 57 AM DYASUMUR 07/21/2006 03 36 PM JLIERLY electrical rough before building inspection/j11 BL3 02 9/08/06 JLL BLDG FRAMING TIME 13 00 9/08/06 AP PEG 457 9164 09/07/2006 02 21 PM DYASUMUR 09/08/2006 04 31 PM JLIERLY BLDG INSULATION TIME 13 00 KAY 457 9164 09/20/2006 07 54 AM DYASUMUR 09/20/2006 03 07 PM JLIERLY BL99 01 12/10/07 L L BLDG FINAL December 7 2007 1 27 16 PM 1pangrle PEG 457 9164 OR 460 1367 BLDG FINAL BLI 01 9/20/06 JLL 9/20/06 AP PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS CONTINUED ONTO NEXT PAGE PREPARED 12/10/07 9 22 34 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/10/07 ADDRESS 4327 OLD MILL RD SUBDIV TENANT NBR LARRY BECKER CONTRACTOR PHONE OWNER BECKER LAURENCE M PHONE PARCEL 06 30 22 2 1 9050 0000 APPL NUMBER 05 00001062 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 6/01/07 JLL MECHANICAL GAS LINE TIME 01 00 6/01/07 AP 05/31/2007 03 57 PM LPANGRLE PEGGY 460 1367 AFTERNOON INSPECTION CALL FIRST GAS LINE CONNECTION TO HOUSE FOR COOKSTOVE 06/01/2007 04 13 PM JLIERLY ME99 01 12/10/07 L MECHANICAL FINAL December 7 2007 1 28 09 PM 1pangrle PEG 457 9164 OR 460 1367 MECHANICAL FINAL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 3/24/06 JLL PLUMBING UNDER SLAB TIME 13 00 3/24/06 AP 03/24/2006 07 46 AM DYASUMUR LARRY 457 9164 03/24/2006 04 18 PM JLIERLY PL2 01 6/05/06 JLL PLUMBING ROUGH IN TIME 13 00 6/05/06 AP JASON 477 2056 06/02/2006 04 58 PM DYASUMUR PL99 01 12/10/07 ti 06/05/2006 04 18 PM PBARTHOL PLUMBING FINAL December 7 2007 1 28 34 PM 1pangrle PEG 457 9164 OR 460 1367 PLUMBING FINAL COMMENTS AND NOTES PREPARED 6/01/07 8 28 07 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/01/07 ADDRESS 4327 OLD MILL RD SUBDIV TENANT NBR LARRY BECKER CONTRACTOR PHONE OWNER BECKER LAURENCE M PHONE PARCEL 06 30 22 2 1 9050 0000 APPL NUMBER 05 00001062 RES NEW SFR PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 6/01/07 MECHANICAL GAS LINE TIME 01 00 05/31/2007 03 57 PM LPANGRLE PEGGY 460 1367 AFTERNOON INSPECTION CALL FIRST GAS LINE CONNECTION TO HOUSE FOR COOKSTOVE COMMENTS AND NOTES PREPARED 1/12/07 8 31 30 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 1/12/07 ADDRESS 4327 OLD MILL RD SUBDIV TENANT NBR BECKER RES CONTRACTOR EVERWARM PHONE (360) 452 3366 OWNER BECKER LAURENCE M PHONE PARCEL 06 30 22 2 1 9050 0000 APPL NUMBER 06 00000793 FIREPLACE /INSERTS /FREESTANDING PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME99 01 1/12/07 JLL MECHANICAL FINAL 01/11/2007 04 34 PM PBARTHOL PEG 457 9164 AS CLOSE TO 1PM AS POSSIBLE HAVE APPOINTMENT AT 1 45 COMMENTS AND NOTES PREPARED 9/20/06 10 27 22 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/20/06 ADDRESS 4327 OLD MILL RD SUBDIV TENANT NBR LARRY BECKER CONTRACTOR PHONE OWNER BECKER LAURENCE M PHONE PARCEL 06 30 22 2 1 9050 0000 APPL NUMBER 05 00001062 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/02/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00 2/02/06 AP 02/01/2006 02 43 PM DYASUMUR TOMMY 477 0778 02/02/2006 04 39 PM JLIERLY BL2 01 2/15/06 JLL BUILDING FOUNDATION WALL TIME 13 00 2/15/06 AP 02/15/2006 08 10 AM DYASUMUR TOMMY 477 0778 02/15/2006 04 41 PM PBARTHOL BLFD 01 4/14/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 4/14/06 AP 04/14/2006 08 47 AM DYASUMUR LARRY 417 1594 04/14/2006 04 44 PM PBARTHOL FOOTING DRAINS ONLY BLFD 02 5/09/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 5/09/06 DA 05/09/2006 08 01 AM DYASUMUR larry 05/11/2006 10 32 AM JLIERLY item covered expose and recall /pb DSD 01 5/11/06 JLL BUILDING DOWN SPOUT DRAINS 5/12/06 AP 05/10/2006 12 46 PM PBARTHOL PAGE HIM a 681 8385 AND HE CALL YOU BCK AND ARANGE TO MEET YOU THERE* 05/12/2006 08 48 AM DYASUMUR this includes down spout drains /jl BL9 01 6/02/06 JLL BUILDING SHEARWALL TIME 13 00 6/02/06 AP KURT 461 3647 06/01/2006 04 20 PM DYASUMUR 06/02/2006 03 20 PM JLIERLY BL3 01 7/21/06 JLL BUILDING FRAMING TIME 13 00 7/21/06 DA TED 457 9164 07/21/2006 07 57 AM DYASUMUR 07/21/2006 03 36 PM JLIERLY electrical rough before building inspection/j11 BL3 02 9/08/06 JLL BUILDING FRAMING TIME 13 00 9/08/06 AP PEG 457 9164 09/07/2006 02 21 PM DYASUMUR 09/08/2006 04 31 PM JLIERLY BLI 01 9/20/06 JL BUILDING INSULATION TIME 13 00 KAY 457 9164 09/20/2006 07 54 AM DYASUMUR COMMENTS AND NOTES PREPARED 9/08/06 10 30 57 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/08/06 ADDRESS 4327 OLD MILL RD SUBDIV TENANT NBR LARRY BECKER CONTRACTOR PHONE OWNER BECKER LAURENCE M PHONE PARCEL 06 30 22 2 1 9050 0000 APPL NUMBER 05 00001062 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/02/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00 2/02/06 AP 02/01/2006 02 43 PM DYASUMUR TOMMY 477 0778 02/02/2006 04 39 PM JLIERLY BL2 01 2/15/06 JLL BUILDING FOUNDATION WALL TIME 13 00 2/15/06 AP 02/15/2006 08 10 AM DYASUMUR TOMMY 477 0778 02/15/2006 04 41 PM PBARTHOL BLFD 01 4/14/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 4/14/06 AP 04/14/2006 08 47 AM DYASUMUR LARRY 417 1594 04/14/2006 04 44 PM PBARTHOL FOOTING DRAINS ONLY BLFD 02 5/09/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 5/09/06 DA 05/09/2006 08 01 AM DYASUMUR larry 05/11/2006 10 32 AM JLIERLY item covered expose and recall /pb DSD 01 5/11/06 JLL BUILDING DOWN SPOUT DRAINS 5/12/06 AP 05/10/2006 12 46 PM PBARTHOL *PAGE HIM 5 681 8385 AND HE CALL YOU BCK AND ARANGE TO MEET YOU THERE* 05/12/2006 08 48 AM DYASUMUR this includes down spout drains /jl BL9 01 6/02/06 JLL BUILDING SHEARWALL TIME 13 00 6/02/06 AP KURT 461 3647 06/01/2006 04 20 PM DYASUMUR 06/02/2006 03 20 PM JLIERLY BL3 01 7/21/06 JLL BUILDING FRAMING TIME 13 00 7/21/06 DA TED 457 9164 07/21/2006 07 57 AM DYASUMUR 07/21/2006 03 36 PM JLIERLY electrical rough before building inspection/j11 BL3 02 9/08/06 JLL n BUILDING FRAMING TIME 13 00 (f PEG 757 9164 09/07/2006 02 21 PM DYASUMUR COMMENTS AND NOTES Application Number 05 00001062 Application pin number 516626 Property Address 4327 OLD MILL RD ASSESSOR PARCEL NUMBER 06 30 22 2 1 9050 0000 Tenant nbr name LARRY BECKER Application type description RES NEW SFR Subdivision Name Property Use Property Zoning Application valuation 168097 Contractor Owner BECKER LAURENCE M OWNER 309 S VINE ST PORT ANGELES WA 983623214 Structure Information 000 000 SFR Other struct info TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Date 8/05/06 5 00 2 00 53718 00 2615 00 1 00 Permit ELECTRICAL NEW RESIDENTIAL Additional desc HALVORSEN/ 2000SF SEPTIC Permit pin number 84152 Sub Contractor HALVORSEN ELECTRIC Permit Fee 150 30 Plan Check Fee 00 Issue Date 8/05/06 Valuation 0 Expiration Date 2/01/07 Qty Unit Charge Per Extension 1 00 73 0000 ECH EL R SQFT FIRST 1300 73 00 2 00 23 4000 5C EL R SQFT ADDITIONAL 500 46 80 1 00 30 5000 ECH EL R SEPTIC PUMP W /SRV 30 50 Special Notes and Comments Building address sign shall not be less than 6 not more than 12 in height Numbers colors must contrast with wall color they are mounted on (Ord 14 36 050 E) When roof gutters are installed drains will located in dry wells or piped to approved storm drain location No pressurized or pumping to curbs are allowed An inspection by Building Department is required prior to backfill 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 A residential fire sprinkler system, installed per NFPA 13D will be required 2nd option is to install an outside alarm bell that is inter connected to the residence s smoke detectors The alarm bell will be painted red in color and identified as Fire alarm 11/10/2005 03 45 PM SROBERDS The proposal is for a new sfr in the RS 9 for total lot coverage of 5% No land use issues are noted $713 Connect Fee 11/01/2005 09 15 AM JHEBNER DITCH ROUGH -IN COVER SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO I I I I I I I I COMMENTS PW- 1102.15 Application Number Application pin number Special Notes and Comments Electrical permits are required 11/01/2005 09 16 AM JHEBNER Any modifications to the City s electrical facilities will be at the customer s expense Ditches 12 culverts will be installed to City Stanards See Public Works Engineering for Standards Prior to issue of building permit an copy of the approved septic permit from Clallam County is required for permit file Construct driveway to City Standards See Non curbed Street Driveway and culvert detail An inspection by Public Works Engineering is required prior to Paving One driveway access to Old Mill Rd only Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 05 00001062 516626 Page 2 Date 8/05/06 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1025 00 Charged Paid Credited Due 150 30 150 30 00 00 00 00 1029 50 1029 50 00 1179 80 1179 80 00 00 00 00 00 a CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO DITCH ROUGH -IN COVEk SERVICE FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD I-06 Jrl-1_ DC? 111-'0 o7 1 A 1 I 1 1 I 1 1 1 1 1 1 1 PW-I 102.13 (4'96) PREPARED 7/21/06 8 15 52 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/21/06 ADDRESS 4327 OLD MILL RD SUBDIV TENANT NBR LARRY BECKER CONTRACTOR PHONE OWNER BECKER LAURENCE M PHONE PARCEL 06 30 22 2 1 9050 0000 APPL NUMBER 05 00001062 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/02/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00 2/02/06 AP 02/01/2006 02 43 PM DYASUMUR TOMMY 477 0778 02/02/2006 04 39 PM JLIERLY BL2 01 2/15/06 JLL BUILDING FOUNDATION WALL TIME 13 00 2/15/06 AP 02/15/2006 08 10 AM DYASUMUR TOMMY 477 0778 02/15/2006 04 41 PM PBARTHOL BLFD 01 4/14/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 4/14/06 AP 04/14/2006 08 47 AM DYASUMUR LARRY 417 1594 04/14/2006 04 44 PM PBARTHOL FOOTING DRAINS ONLY BLFD 02 5/09/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 5/09/06 DA 05/09/2006 08 01 AM DYASUMUR larry 05/11/2006 10 32 AM JLIERLY item covered expose and recall /pb DSD 01 5/11/06 JLL BUILDING DOWN SPOUT DRAINS 5/12/06 AP 05/10/2006 12 46 PM PBARTHOL *PAGE HIM a 681 8385 AND HE CALL YOU BCK AND ARANGE TO MEET YOU THERE* 05/12/2006 08 48 AM DYASUMUR this includes down spout drains /jl BUILDING SHEARWALL TIME 13 00 KURT 461 3647 06/01/2006 04 20 PM DYASUMUR BL9 01 6/02/06 JLL 6/02/06 AP BL3 01 7/21/06 06/02/2006 03 20 PM JLIERLY BUILDING FRAMING TIME 13 00 TED 457 9164 07/21/2006 07 57 AM DYASUMUR COMMENTS AND NOTES Application Number 06 00000793 Date 7/21/06 Application pin number 994587 Property Address 4327 OLD MILL RD ASSESSOR PARCEL NUMBER 06 30 22 2 1 9050 0000 Tenant nbr name BECKER RES Application type description FIREPLACE /INSERTS /FREESTANDING Subdivision Name Property Use Property Zoning Application valuation 3418 Owner BECKER LAURENCE M 309 S VINE ST PORT ANGELES Permit MECHANICAL PERMIT Additional desc Permit pin number 83014 Permit Fee 50 00 Plan Check Fee 00 Issue Date 7/21/06 Valuation 0 Expiration Date 1/17/07 Qty Unit Charge Per 1 00 50 0000 ECH ME WOOD BURNING APPL Fee summary WA 983623214 Charged Paid Credited 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 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 wheth specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any stat or local regulating construction or the performance of construction. -02 /x' Signature of Contractor or Authorized Agent Date Sign re of Owner (if owner is builder) Date T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Contractor EVERWARM 257151 HWY101 PORT ANGELES (360) 452 3366 WA 98362 Due Extension 50 00 1 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 FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 BUILDING 417 -4815 I 05./07 T \Policies \I 102_15 building permit inspection record05.wpd r1/4/20 BUILDING PERMIT INSPECTION RECORD i \1 I I i W FINAL DATE ACCEPTED BY. YES I NO FINAL SEPA. ESA. SHORELINE. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT PLANNING DEPT BUILDING DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I Applicant or AggentC &.F^ J-f do-' Owner �f2'1ii P Address :3d 9 Of II s> City Architect/Engineer Contractor State License 4 Address: City' ADDRESS 9 c 7 L/��G Qi( 1 d• LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. L di RK. Sign g. BRIEF DE OF THE PROJECT TYPE OF WO Residential Multi- family ID Commercial Repair BUILDING PERMIT APPLICATION I hereby certify that I have read and exa apply for this permit and understand th must obtain such permits prior to wor. TAFORMS\BIdgPermitform.wpd Applicant: 1 PLANNING USE ONLY Fill out COMPLETELY and in INK. I our application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Stove New Constr Re -roof Addition Move Garage. Remodel Demolition Deck Other &IP /00-6 o5t,a)m? COMMERCIAL/RESIDENTIAL. Occupancy Group' No. of Stones: Lot Size: Existing Sq Ft. Total lot coverage ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other' Phone. Phone. Subdivision. Phone: Exp Zip Phone: Zip ZONING SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION Occupant Load. Construction Type. Proposed Sq Ft. TOTAL Sq. Ft. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Buildmg Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. ed this application and know the same to be true and correct. I am authorized to s my ryponsibility to determine what permits are required not the City's, and that I Date: FOR OFFICIALESE ONLY Date Rec. 7��j` `l Permit v(O Date kppttrved: 7 Date issued: 7 APPROVALS PLAN BLDG DPWU FIRE OTHER 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 BECKER LAURENCE M 309 S VINE ST PORT ANGELES Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date WA 983623214 Structure Information 000 000 SFR $713 Connect Fee 11/01/2005 09 15 AM JHEBNER Electrical permits are required 11/01/2005 09 16 AM JHEBNER COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 05 00001062 516626 4327 OLD M RD 06 30 22 2t1 9050 0000 LARRY BECKER RES NEW SFR 168097 Contractor OWNER II Other struct info TOTAL LOTI NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS TI ELECTRICAL NEW RESIDENTIAL DAVE S HEATING T STAT 81604 DAVE S HEATING COOLING 36 40 Plan Check Fee 7/05/06 Valuation 1/01/07 Date 7/05/06 5 00 2 00 53718 00 2615 00 1 00 00 0 Qty Unit Charge Per Extension 1 00 36 4000 ECH EL LVT FIRST THERMOSTAT 36 40 Special Notes and Comments Building address sign shall not be less than 6 not more than 12 in height Numbers colors must contrast with wall color they are mounted on (Ord 14 36 050 E) When roof gutters are installed drains will located in dry wells or piped to approved storm drain location No pressurized or pumping to curbs are allowed An inspection by Building Department is required prior to backfill 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! A residential fire sprinkler system ins per NFPA 13D will be required 2nd option is to install an outside alarm bell that is inter connected to the residence s smoke detectors The alarm bell will be painted red in color and identified as Fire alarm 11/10/2005 03 45 PM SROBERDS The proposal is for a new sfr in the RS 9 for total lot coverage of 5% No land use issues are noted CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COYER INSULATE 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 I NO GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD DITCH I TOTTGITIITTCOVElt I I SERVICE I I FINAL I I PW- 1102.13[4961 Application Number Application pin number Special Notes and Comments Any modifications to the City s electrical facilities will be at the customer s expense Ditches 12 culverts will be installed to City Stanards See Public Works Engineering for Standards Prior to issue of building permit an copy of the approved septic permit from Clallam County is required for permit file Construct driveway to City Standards See Non curbed Street Driveway and culvert detail An inspection by Public Works Engineering is required prior to Paving One driveway access to Old Mill Rd only Other Fees Fee summary COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 05 00001062 516626 Page 2 Date 7/05/06 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1025 00 Charged Paid Credited Due Permit Fee Total 36 40 36 40 00 00 Plan Check Total 00 00 00 00 Other Fee Total 1029 50 1029 50 00 00 Grand Total 1065 90 1065 90 00 00 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, +7 INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO DITCI.1 I ROUGH -IN COVEk I7 p4e,17 I SERVICE I FINAL I/Z /6-07 I I I I I I I I I I GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD COMMENTS rev- uo2.15I4 96 PREPARED 6/05/06 11 22 22 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/05/06 ADDRESS 4327 OLD MILL RD SUBDIV TENANT NBR LARRY BECKER CONTRACTOR PHONE OWNER BECKER LAURENCE M PHONE PARCEL 06 30 22 2 1 9050 0000 APPL NUMBER 05 00001062 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 3/24/06 JLL PLUMBING UNDER SLAB TIME 13 00 3/24/06 AP 03/24/2006 07 46 AM DYASUMUR LARRY 457 9164 03/24/2006 04 18 PM JLIERLY PL2 01 6/05/06 JLL PLUMBING ROUGH IN TIME 13 00 JASON 477 2056 06/02/2006 04 58 PM DYASUMUR col s A COMMENTS AND NOTES PREPARED 6/02/06 9 54 28 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/02/06 ADDRESS 4327 OLD MILL RD SUBDIV TENANT NBR LARRY BECKER CONTRACTOR PHONE OWNER BECKER LAURENCE M PHONE PARCEL 06 30 22 2 1 9050 0000 APPL NUMBER 05 00001062 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/02/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00 2/02/06 AP 02/01/2006 02 43 PM DYASUMUR TOMMY 477 0778 02/02/2006 04 39 PM JLIERLY BL2 01 2/15/06 JLL BUILDING FOUNDATION WALL TIME 13 00 2/15/06 AP 02/15/2006 08 10 AM DYASUMUR TOMMY 477 0778 02/15/2006 04 41 PM PBARTHOL BLFD 01 4/14/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 4/14/06 AP 04/14/2006 08 47 AM DYASUMUR LARRY 417 1594 04/14/2006 04 44 PM PBARTHOL FOOTING DRAINS ONLY BLFD 02 5/09/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 5/09/06 DA 05/09/2006 08 01 AM DYASUMUR larry 05/11/2006 10 32 AM JLIERLY item covered expose and recall /pb DSD 01 5/11/06 JLL BUILDING DOWN SPOUT DRAINS 5/12/06 AP 05/10/2006 12 46 PM PBARTHOL *PAGE HIM Co 681 8385 AND HE CALL YOU BCK AND ARANGE TO MEET YOU THERE* 05/12/2006 08 48 AM DYASUMUR this includes down spout drains /jl BL9 01 6/02/06 �I, BUILDING SHEARWALL TIME 13 00 KURT 461 3647 06/01/2006 04 20 PM DYASUMUR COMMENTS AND NOTES PREPARED 5/11/06 13 27 58 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/11/06 ADDRESS 4327 OLD MILL RD SUBDIV TENANT NBR LARRY BECKER CONTRACTOR PHONE OWNER BECKER LAURENCE M PHONE PARCEL 06 30 22 2 1 9050 0000 APPL NUMBER 05 00001062 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/02/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00 2/02/06 AP 02/01/2006 02 43 PM DYASUMUR TOMMY 477 0778 02/02/2006 04 39 PM JLIERLY BL2 01 2/15/06 JLL BUILDING FOUNDATION WALL TIME 13 00 2/15/06 AP 02/15/2006 08 10 AM DYASUMUR TOMMY 477 0778 02/15/2006 04 41 PM PBARTHOL BLFD 01 4/14/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 4/14/06 AP 04/14/2006 08 47 AM DYASUMUR LARRY 417 1594 04/14/2006 04 44 PM PBARTHOL FOOTING DRAINS ONLY BLFD 02 5/09/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 5/09/06 DA 05/09/2006 08 01 AM DYASUMUR larry 05/11/2006 10 32 AM JLIERLY item covered expose and recall /pb DSD O1 5/11/,06 JL 0UI10ING DOWN SPOUT MRAINS 05/10/2006 12 46 PM PBARTHOL *PAGE HIM 5 681 8385 AND HE CALL YOU BCE AND ARANGE TO MEET YOU THERE* COMMENTS AND NOTES PREPARED 5/09/06 9 22 38 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/09/06 ADDRESS 4327 OLD MILL RD SUBDIV TENANT NBR LARRY BECKER CONTRACTOR PHONE OWNER BECKER LAURENCE M PHONE PARCEL 06 30 22 2 1 9050 0000 APPL NUMBER 05 00001062 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/02/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00 2/02/06 AP 02/01/2006 02 43 PM DYASUMUR TOMMY 477 0778 02/02/2006 04 39 PM JLIERLY BL2 01 2/15/06 JLL BUILDING FOUNDATION WALL TIME 13 00 2/15/06 AP 02/15/2006 08 10 AM DYASUMUR TOMMY 477 0778 02/15/2006 04 41 PM PBARTHOL BLFD 01 4/14/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 4/14/06 AP 04/14/2006 08 47 AM DYASUMUR LARRY 417 1594 04/14/2006 04 44 PM PBARTHOL FOOTING DRAINS ONLY BLFD 02 5/09/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 05/09/2006 08 01 AM DYASUMUR larry COMMENTS AND NOTES vt-Am%9 iter-ft# rst" PREPARED 4/14/06 14 34 57 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/14/06 ADDRESS 4327 OLD MILL RD SUBDIV TENANT NBR LARRY BECKER CONTRACTOR PHONE OWNER BECKER LAURENCE M PHONE PARCEL 06 30 22 2 1 9050 0000 APPL NUMBER 05 00001062 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/02/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00 2/02/06 AP 02/01/2006 02 43 PM DYASUMUR TOMMY 477 0778 02/02/2006 04 39 PM JLIERLY BL2 01 2/15/06 JLL BUILDING FOUNDATION WALL TIME 13 00 2/15/06 AP 02/15/2006 08 10 AM DYASUMUR TOMMY 477 0778 02/15/2006 04 41 PM PBARTHOL BLFD 01 4/14/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 04/14/2006 08 47 AM DYASUMUR LARRY 417 1594 PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 3/24/06 JLL PLUMBING UNDER SLAB TIME 13 00 3/24/06 AP 03/24/2006 07 46 AM DYASUMUR LARRY 457 9164 03/24/2006 04 18 PM JLIERLY COMMENTS AND NOTES 7 W_,44-z,41S x/e-7 PREPARED 3/24/06 13 04 16 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/24/06 ADDRESS 4327 OLD MILL RD SUBDIV TENANT NBR LARRY BECKER CONTRACTOR PHONE OWNER BECKER LAURENCE M PHONE PARCEL 06 30 22 2 1 9050 0000 APPL NUMBER 05 00001062 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL1 01 /24/os 14f L PLUMBING UNDER SLAB TIME 13 00 03/24/2006 07 46 AM DYASUMUR LARRY 457 9164 COMMENTS AND NOTES PREPARED 2/15/06 14 09 59 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/15/06 ADDRESS 4327 OLD MILL RD SUBDIV TENANT NBR LARRY BECKER CONTRACTOR PHONE OWNER BECKER LAURENCE M PHONE PARCEL 06 30 22 2 1 9050 0000 APPL NUMBER 05 00001062 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/02/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00 2/02/06 AP 02/01/2006 02 43 PM DYASUMUR TOMMY 477 0778 02/02/2006 04 39 PM JLIERLY BL2 01 42066 JLL BUILDING FOUNDATION WALL TIME 13 00 02/15/2006 08 10 AM DYASUMUR TOMMY 477 0778 COMMENTS AND NOTES PREPARED 2/02/06 13 47 16 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/02/06 ADDRESS 4327 OLD MILL RD SUBDIV TENANT NBR LARRY BECKER CONTRACTOR PHONE OWNER BECKER LAURENCE M PHONE PARCEL 06 30 22 2 1 9050 0000 APPL NUMBER 05 00001062 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 2/02/06 JLL BUILDING FOUNDATION FOOTING TIME 08 00 02/01/2006 02 43 PM DYASUMUR TOMMY 477 0778 COMMENTS AND NOTES Application Number 05- 00001062 Application pin number 516626 Property Address 4327 OLD MILL RD ASSESSOR PARCEL NUMBER 06 30 22 2 1 -9050 0000 Tenant nbr name LARRY BECKER Application type description RES NEW SFR Subdivision Name Property Use Property Zoning Application valuation 168097 Owner Contractor BECKER LAURENCE M OWNER 309 S VINE ST PORT ANGELES WA 983623214 �htJ� re of Contractor of Authorized Agent T• \Policies \l 102.15R 1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Date 11/14/05 Structure Information 000 000 SFR Other struct info TOTAL LOT COVERAGE 5 00 NUMBER OF STORIES 2 00 LOT SIZE 53718 00 TOTAL LOT COVERAGE 2615 00 NUMBER OF UNITS 1 00 Permit PUBLIC WORKS RES WATER SERV Additional desc 3/4 WATER METER Permit pin number 64584 Permit Fee 00 Plan Check Fee 00 Issue Date 11/14/05 Valuation 168097 Expiration Date 5/13/06 Permit RIGHT OF WAY Additional desc Permit pin number 64576 Permit Fee 50 00 Plan Check Fee 00 Issue Date 11/14/05 Valuation 168097 Expiration Date 5/13/06 Qty Unit Charge Per Extension 1 00 50 0000 ECH RIGHT OF WAY PERMIT 50 00 Special Notes and Comments Building address sign shall not be less than 6 not more than 12 in height Numbers colors must contrast with wall color they are mounted on (Ord 14 36 050 -E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain location No pressurized or pumping to curbs are allowed An inspection by Building Department is required prior to backfill 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 A residential fire sprinkler system, installed per NFPA 13D will be required 2nd option is to install an outside alarm bell that is inter connected to the residence s smoke detectors The alarm bell will be painted red in color and identified as Fire alarm 11/10/2005 03 45 PM SROBERDS The proposal is for a 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 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 pre me to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of co ction. Date Signature of Owner (if owner is builder) Date PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T• \Policies \1102.15R 1/05] RESIDENTIAL CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 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 I NO I I I I I I I I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING (*It pORNfr CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Date 11/14/05 Application Number 05 00001062 Application pin number 516626 Special Notes and Comments new sfr in the RS 9 for total lot coverage of 5% No land use issues are noted $713 Connect Fee 11/01/2005 09 15 AM JHEBNER Electrical permits are required 11/01/2005 09 16 AM JHEBNER Any modifications to the City s electrical facilities will be at the customer s expense Ditches 12 culverts will be installed to City Stanards See Public Works Engineering for Standards Prior to issue of building permit an copy of the approved septic permit from Clallam County is required for permit file Construct driveway to City Standards See Non curbed Street Driveway and culvert detail An inspection by Public Works Engineering is required prior to Paving One driveway access to Old Mill Rd only Other Fees STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1025 00 Fee summary Charged Paid Credited Due Permit Fee Total 50 00 50 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 1029 50 1029 50 00 00 Grand Total 1079 50 1079 50 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent T• \Policies \1102.15R 11/051 Date Signature of Owner (if owner is builder) Date PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 T•\Policies \1102.I5R [1/051 RESIDENTIAL PERIMIT 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 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I I CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING Owner BECKER LAURENCE M 309 S VINE ST PORT ANGELES Application Number 05 00001062 Application pin number 516626 Property Address 4327 OLD MILL RD ASSESSOR PARCEL NUMBER 06 30 22 2 1 9050 0000 Tenant nbr name LARRY BECKER Application type description RES NEW SFR Subdivision Name Property Use Property Zoning Application valuation 168097 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WA 983623214 T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] Contractor OWNER Structure Information 000 000 SFR Other struct info TOTAL LOT COVERAGE 5 00 NUMBER OF STORIES 2 00 LOT SIZE 53718 00 TOTAL LOT COVERAGE 2615 00 NUMBER OF UNITS 1 00 Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 65193 Permit Fee 1403 65 Plan Check Fee 561 46 Issue Date 11/14/05 Valuation 168097 Expiration Date 5/13/06 Qty Unit Charge Per Extension BASE FEE 1017 25 69 00 5 6000 THOU BL -100 00' -500K (5 60 PER K) 386 40 Permit MECHANICAL PERMIT Additional desc Permit pin number 65201 Permit Fee 79 40 Plan Check Fee 00 Issue Date 11/14/05 Valuation 0 Expiration Date 5/13/06 Qty Unit Charge Per Extension BASE FEE 47 00 3 00 7 2500 ECH ME VENT FAN 21 75 1 00 10 6500 ECH ME -GAS PIPE 1 TO 5 10 65 Permit PLUMBING PERMIT Additional desc Permit pin number 65219 Permit Fee 153 00 Plan Check Fee 00 Issue Date 11/14/05 Valuation 0 Expiration Date 5/13/06 Qty Unit Charge Per Extension BASE FEE 47 00 11 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 77 00 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 1 00 15 0000 ECH PL- EA BLDG SEWER 15 00 Date 11/14/05 2- 44--,iii,„7„2 044 6,07- Signaif e of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 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 rdinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not pre ume t give,lthority to�✓iolate or cancel the provisions of any state or local law regulating construction or the performance of canstructi a n. N ELECTRICAL LIGHT DEPT 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 I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT T\Policies \1102 15 building permit inspection record05.wpd [1/4/2005] FINAL FINAL SEPA. ESA. SHORELINE. CONSTRUCTION RW PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. s pORT Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 05 00001062 Application pin number 516626 Page 2 Date 11/14/05 Qty Unit Charge Per Extension 1 00 7 0000 ECH PL- EA WATER HEATER 7 00 Special Notes and Comments Building address sign shall not be less than 6 not more than 12 in height Number colors must contrast with wall color they are mounted on' .(Ords 14 '3'6 050 -E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain location No pressurized or pumping to curbs are allowed An inspection by Building Department is required prior to backfill 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 A residential fire sprinkler system, installed per NFPA 13D will be required 2nd option is to install an outside alarm bell that is inter connected to the residence s smoke detectors The alarm bell will be painted red in color and identified as Fire alarm 11/10/2005 03 45 PM SROBERDS The proposal is for a new sfr in the RS 9 for total lot coverage of 5% No land use issues are noted $713 Connect Fee 11/01/2005 09 15 AM JHEBNER Electrical permits are required 11/01/2005 09 16 AM JHEBNER Any modifications to the City s electrical facilities will be at the customer s expense Ditches 12 culverts will be installed to City Stanards See Public Works Engineering for Standards Prior to issue of building permit an copy of the approved septic permit from Clallam County is required for permit file Construct driveway to City Standards See Non curbed Street Driveway and culvert detail An inspection by Public Works Engineering is required prior to Paving One driveway access to Old Mill Rd only STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1025 00 Charged Paid Credited Due 1636 05 1636 05 00 00 561 46 561 46 00 00 1029 50 1029 50 00 00 3227 01 3227 01 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] FOUNDATION FOOTINGS WpJ C FOUNDATIOI IAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 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 —1 117eqe) I V l4/ I I Ib olol l o LTU I I I YES I NO SEPA. ESA. SHORELINE. FINAL. INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT Qieet r.- 6,/1/06 di¢fbt ow/ 0-4444A) CONSTRUCTION RW PW/ CONSTRUCTION RAW ENGINEERING 417 -4807 I PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT PLANNING DEPT 417 -4750 I I I I PLANNING DEPT BUILDING 417 -4815 1 1Z- I 1,1 I I BUILDING T\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] FINAL t 10 0 7 DATE V ACCEPTED BY. FINAL' 2.-% (0 7 DATE v LC ACCEPTED BY. I I I I I I I I I Commercial Remodel Repair Fill out COMPLETELY and in INK. Your application and site plan MUST COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant orAgent:_r d- a 43,4er Phone :IA VS7--VisZ Owner La 4ei 43.ie kt0 r Phone., 3t0 X57 -9' K r r Address 4 ,9 CAT O. i. 1�ib Lj)J Zip 7 e3 &:2. Architect /Engineer e Neff e 2f' /Y/ ySti- LL. I.. C, Phone 2 61 77 On Contractor State License Exp Phone Address: City Zip PROJECT ADDRESS 53 7' �Q (9 �W 9 J!I 1 n l�/�1 ZONING LEGAL DESCRIPTION Lot: R Block: Subdivision,, *Or± 1/d c2 7: 0 l CLALLAM COUNTY PARCEL NUMBER. B 42 8 0 1Q 4 /9051) Credit Card Holder Name: P@ Billing Address: 3094So /)/m' Credit Card Type VISA X MC TYPE OF WORK. Residential rra'New Constr Re -roof Multi- family Addition Move Demolition Sign BRIEF DESCRIPTION OF THE PROJECT COMMERCIAL/RESIDENTIAL. Occupancy Group No. of Stories: Lot Size: 5 a Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION 43'A dlePP ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other City .ziz'ths /J} 7 P36,2 Exp. SIZE/VALUATION Stove 2-32 -q SF '70 CCo /SF Garage 2t' SF /SF Deck SF /SF Other TOTAL VALUATION abed 3 bath w/ Occupant Load. Construction Type FOR OFFICIAL USE /�ONLLY ate Rae. /0 s' �J 1 ernlit Date Approved. ate Issued. Date: F Z-, Z de, Existing Sq. Ft. Proposed Sq Ft. 24/'6 TOTAL Sq Ft. ,2 C' S APPROVALS. PLAN BLDG DPWU FIRE. OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE IF a plan check fee is due it must be submitted at the time the buildmg permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003) No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to d er ne what perm are re uired ,not the City's, and that I must obtain such permits prior to work. TAPolicies 1102_13 wpd Applicant. Date: Mh /D5- 2 0 60 Feet j~ Vertical Datum NAVD 88 Horizontal Datum NAD 83/91 310 Area Map 4315 4415 326 This map is not intended to be used as a legal descriptiot This map /drawing is produced by the City of Port Angeles for its or n use and purposes Any other use of this map /drawing shall not be the responsrbilitr of the City ON ._1 22'6= ovoi 12 toy Icg *twits 0' t t N1884 x:. 325.28`" •z+ \Ittlits .410,10T UNE _s 4 so ga o 0.40 a. ,95.6 19s•dr in 9°2* 0.400/ oa ca tri f 9076 c", S IDE w"" art 1 k, Bede-el' pLA r C home lM' A N yORI rxr '1408 MILL CREEK o0 20.OZ 0. t y t/M__ITS f Try „to, am' t va7t PLATS OV4E r. iso Otte 04 -444,2 ti @s ■i( @1 @1 @z @14 L @62 O C to C -5 T C sg 8 e I- o o CO I V5 4 g w 1 4 to I J i l e 9 3 Fq ►►15PEC.TtotJ N 4,4 4, 1 4 4 4 4 N., 1 4 -4 4.„ 4 /4 4 4,,, %.•4.,, 1 4 4 o oft pitopo5ED DRlvE.WAy ,',5. at, 2. MA I.1tFoLA W/ 3 -6 U... Jat_VE.S t rJ go'( z' TR4 Po4T Z5o C. AtLos1 POMP TAUJ1( cool-Rot.. 4. ALA40.4\ Rtopo se b 3- BEDQoor* 1250 GAU.od PrIC TANK Romer ctE101 -otrr Site Information Lot: 122y2b G a2 /925 Address. 7 aad /'//,x.100 City:ei y7 tB State. f,074 Zip 91 Conta J'S/..�f'�f' Phone 1/4 7 Phone 2: D 5 Fax: Prescriptive Approach Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 Building.Department Use Only Permit Notes. See the code text for footnote references Table 6 -1 PRESCRIPTIVE REQUIREMENTS v FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) Glazing Glazing U- Factor I Door Wall Wall Wall Slab Option Area U- Ceiling' Vaulted Above Int Ext Floor On %of Floor Vertical Overhead 11 factor Ceiling Grade Below Below Grade Grade Grade III Unlimited GroupR3 040 0.58 0.20 R38 R30 R21 R21 R10 R -30 R10 Occupancy Only This project complies with the following The project is a single family residence or duplex. The project is 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 602.6 Exception 1 One door that is 24 ft. or less, that does not meet the standards is allowed. Location of the door taking this exception 602.6 Exception 2. Doors with a U- factor of 0 40 allowed without calculations, Option Ill only Location of the door(s) taking this exception Ty p E e) F CA r:3014., Copyright 2002, WSUCEEP02 -056 Copied by permission from the Washington State University Extension Energy Program Prescriptive Simple Form Climate Zone 1 7/26/2004 /7 !cY rn w G?Q f Application Number 05 00000900 Application pin number 845100 Property Address 4327 S OLD MILL RD ASSESSOR PARCEL NUMBER 06 30 22 2 1 9050 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning Application valuation 0 Owner Contractor BECKER LAURENCE M 309 S VINE ST PORT ANGELES WA 983623214 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 STRAITS ELECTRIC PO BOX 2914 PORT ANGELES (360) 452 9104 Date 9/23/05 WA 98362 Permit ELECTRICAL NEW RESIDENTIAL Additional desc STRAITS/ 320A TEMP Permit pin number 60723 Sub Contractor STRAITS ELECTRIC Permit Fee 97 80 Plan Check Fee 00 Issue Date 9/23/05 Valuation 0 Expiration Date 3/22/06 Qty Unit Charge Per Extension 1 00 97 8000 ECH EL -RM 201 400 1ST SRV FEEDER 97 80 Fee summary Charged Paid Credited Due Permit Fee Total 97 80 97 80 00 00 Plan Check Total 00 00 00 00 Grand Total 97 80 97 80 00 00 COMMENTS /ACTION NEEDED ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO DITCH es I ROUGH -IN COVEk SERVICr gip e� IQ I FINAL 1-I h I Ark) GENERAL COMMENTS: I I I I I I I I COMMENTS PW-t 102.1$ (49'61 Public Works Utilities Department August 4, 2005 Larry Becker 309 South Vine Street Port Angeles, WA. 98362 Subject: New Service Job# 9981 Dear Larry, ORT ANGELES WASHINGTON U S A. The cost for labor and materials supplied by City Light to serve your property is $3,600.00. This estimate is good for 180 days. This estimate is subject to change, as additional data is provided The customer /contractor will be responsible for the following 1) Surveying and staking the property Clearing, grading and bringing the area to final grade before installation of electrical facilities. 2) Trenching, backfilling and restoration of the entire job. The trench must meet the requirements of WAC Chanter 296 155N "Excavation, Trenchina and Shorina The service wire trench must be a minimum of thirty-three (33 inches deep and eighteen (18 inches wide from the secondary pedestal to the meter location. All excavated material shall be placed no closer than two (2) feet from the back edge of the excavation and any excavation over forty -seven (47) inches in depth will need shoring. Backfill and compaction will be in accordance with Spec# UM 0 01 -S (enclosed) 3) Installation and future maintenance of the underground cable in conduit from the secondary pedestal to the meter base(s). 4) Coordination with Capacity Provisioning Qwest and WAVE Broadband for installation of their equipment and joint trench usage. 5) All required permits. (Trenching in the R!W Electrical, etc.) 6) Payment of the estimated job cost: $3 600 00 Phone 360- 417 -4805 Fax. 360- 417 -4542 Website www cityofpa.us Email pubiicworks@cityofpa.us 321 East Fifth Street P 0 Box 1150 Port Angeles, WA 98362 -0217 COPY I P• r S V C 7 1 The City will` responsible for the following. 1) Providing and installing the secondary cable and conduit. 2) Providing and installing the secondary pedestal and associated equipment. 3) Providing and installing the electric meter If the actual cost of construction exceeds the estimated amount, there will be no further billing If the cost is less than the estimate, the difference will be refunded to you. Work will be scheduled in five (5) to six (6) weeks after the receipt of the payment for $3,600 00 and an authorizing signature below This allows for engineering design, scheduling the City Light crews and the requisitioning of materials. Cost Summary* The Late Corners fee of $2,320.36 is included in this Job Cost Estimate. The Construction Cost Estimate is $1,279 64 The Payment required for construction is $3,600 00 The Residential Connection Fee of $713.00 will need to be paid before the permanent electric inspection. (See the enclosed Residential Service Connection Fee letter). If you have any questions or concerns, feel free to contact me. S rely T r k Joh G. Hebner Electrical Engineering Specialist jhebner ciitvopa.us 360 -417 -4706 Authorizing Signature Date Ref: W F41190/01 Cc: James Harper Electrical Engineering Manager Alan Oman, Electrical Inspector Dave Yasumura, Permit Tech File Attachments: 6 GiV ~ J' ......~ ..-- ~='l '.-' o Owner "'iiiCi.....~ o Carnival 0 Commercial ~ Residential ';(I-Y '9 . (}.J'J 6- fJ-.. 1-- ELECTRICAL WORK PERMIT APPLICATI<'JN ri J It' Request Inspection ;\ ..~Electrical Contractor o Annual Permit 0 Alarm o Residential Maint. 0 Signs 0 Thermostat 0 Telecom. Job wired by !l( Electrical Contractor 0 Owner Installation description Electrical contractor name ifA/lI(1,R5j;)J_~ r;:u=e.(1lJr Purchaser '5 mailing address 24'12. PaU.h 1<0 City . PvRT' IMIr. P./P.., Telephone number License number ?:tJt)d .SI? ofT !t'P-!;/ DFJ./,'; HALtA?Ff/)4AcL Sf!flV- 5'J'>iFI.Jj Stale ZIP 913=1/,,3 l- FAX number Premises owner's name l.t;pi'?y B~*i?.J? Address of inspection 4~27 oW MILLRD City '17, o Cash 0 Check # I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. ~ Credit Card ~ Mastercard Discover Card# --t2)L--.E~----------- x Expiration Date of card Inspection fee $ i5i>, '30 WALLS Insulation Only .,......-oale Approved By Cover~ 7-~/-o(, Dale Approved By CEIUNG Insulation Only D~- Approved By Cove~ 1-'/-"b Date Approved By \. THERMOSTAT Date Approv~x1 By SERVICE ~ 4fQ- FEEDER ,- Dale Approved By DITCH ~ Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard _ KW o Furnace 15- KW o Heat Pump -3- Ton _ LAR o Fan-Wall KW o Overhead Service o Temp Service t( Underground Service Service Information Voltage ''l'./?/Z4 P Phase J!i. 1 0 3 Service Size: r?hl} Feeder Size: Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector g-y.o~ /1?i~.oVd':, /!e I. ;:Jco / . $j-Z/Of,. Jun 22 06 07:43a DAVE'S HEATING & COOLING . p.l " r Installation description " Job wired by arElectrical Contractor DOwner o Commercial cr'Residential E:n:trical contractor name License number Date Expires lIrii ew <'.ve':$ H.e...h"", cpu,ol;"q !JAil f:S Ke. 'icn?-c. o Altered/Addition putcha$er's m:Jiling address ~e.rVJ'02.., ~t"lc... 5/0"" . fo, 60)( -<(13 /ct-U Vo i+-",-'Y- ~~,.,., 0 :s-n.-+ WI"'~ I Citv Stale ZIP fo......r An'Y'u....S.. U.A '7'ir36;;;>. . Telephone number FAX number "I6~O"'i3'1 - Premises owner's name P "-'} "t't L"'-.....y-~ <:f- BecKe.- Address of inspection 1-f3~7 Did l'-1i (\ ~oo-d C;'''PDV''; A-1"\<y2-Lo...s Phone number 10 st'hed~~ inspection: <-fb{)~/3b7 ....,:5(-~I'=> Ov- Owner UJ. defined"by RCWI9.28.26J:(J) O.....ner will Oc.cupy the structure for two yeaTs after Ihis elecfrical permit isjinaliul/. (2) a..wler is required to hire GIll eiccrricai cO'liracJor if aool'e ..,aid propeny i.~ for sale. refit or lr!asc. o Cash o Check # After reading the above statement, I hereby certify Chall am the owner of the aboye (i( Credit Card ~ named properly or a licensed c1cctric:ll contractor. I am making lhe electrical inslal. Mastercard Discover lalion or alteration in compliance with the electrical laws. N.E.C.. RCW. Chapter 19.~8. WAC. Chapter 296-468, The Cily of Pori Angeles Municipal Code, and Card # - - Ulilit.y Specifications ---------------- VSignature of owner, electrical conlr:u:tor or electrical administrator Expiration Date ,X I~ ~ ./I/J/1 I/-> IJDate: ~!;;:1';)'/O~ ( ~ns3ote4D , of card EI rical Load Additions and or subtractions Service Information ~ ~ ....... . , ELECTRICAL WORK PERMIT APPLICATIO~ ~. /. ~ D NO LOAD CHANGES o Baseboard 't(YV o Furnace t<:'N o Heal Pump Ton o Fan-Wall KW LAR o Overhead Service o Temp Service o Underground Service Voltage PhaseD 1 0 3 Service Size: Feeder Size: SAME DAY I!\SPECTION CALL BEFORE 7'00 AM 360-417-4735 , ''1 iQ i.O~GH-L'I r TIlERMOSIAT / SERVICE 1 ~ If -(It. Aeo .f D g;;; , Oal': Appr(wC"d ill' " Dlle ,"'ppro_c..! Bi- / ANAL ( DITCH ( FElDER /.:;. -/o-tJ7 4R 1 ()~.c " Oal.. Appro'.cd By D.lc "'PI't8vcd By-.J Inspection Area, Building or Equipment Inspected Action Takc:n I Electrical Date Inspector 8 -$I. O(~ A"I'~o'/oj 1;p;I~ I . I. /rT/ 71 r'2 lot. . , / FAX: (:5&(~ H /7 - Llr I) ~ W ! ELECTRICAL WORK PERMIT APPLICATION .. ~ o CfJ I Job wired by ~lectriCal Cont~acto~ 0 Owne~ InstaJJ<ltion rlescriplio~ ; o Commercial ,t1{ Residential <-T Electrical contractor name Sg).,IJ/ JI~y Purchaser's mailing address II LtJN~ f;:i'f;L!: City II 5f6?tI/Jn Telephone nU?1bJr ~.9-fA'/-:55SD Ucense n.umber 5E,AA/v€- 754(2- Date Ex ires J.Rz zaIO ClNew )if Altered! Addition ~ o Premises owner)s n:une iI1""i' Dg;t.[L Address of lu.spec:tion lJ'32,7 S. ()l./) /?JJJ./~ l2D ' CHy /Off /lrJr5 fJ-l.S tVf1 -_._- .. , Phonr: J1umb~!' to (bI:~le hu oect'o; 4') 3&0 - ,. ~ - II OKlMT as d&fth.ed by.l?CW.J9.28,261:0) OW'ler will OC(lIPY rhe ~"ructHre for two year.f afier this alt!C'Jric:al permit i~' jinalised, (1) Owner ;$ required to hi".e (lJI 6kctrical CcJlt(rnctor if abcwt said property Is lor sale, rCI?( Of" lea,I"f], After reading the above statement, r hereby certify that I am the owner of tl1e above: niiimed property or a licensed electrical contractor. I am making the: electrical j"stal~ lahon or alteration if!. compliance with the e1ectticallaws, ~,E,C.> RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, :olnd Utility Specifications. Sign:Uure of ownt:r~ eJectriu' contractor OT electrical admi istrator X ~ Date: 7, Va Btfo ZdJ0 PJ.JCJJI)N;;tr fJ4N!/EL DITCH 5"ollfJJf 120 fJJ ouTL6r \:) ~ ;; DUTLE.r SEP 2 2888 -:t. }. ~ ~ /'il UGHT DEPT. o Cash Q Check # >>..Credit Card Visa Card L_-_~ - ~ Expiration D: ~ Discover ~ Electrical Load Additions and or subtrac.l.i2nl Cl NO LOAD CHANGES o Baseboard KW CJ Furnace KW o Heat Pump __ Ton ~ LAR CI Fan-Wall KW \lOh Inspection ft.e $ 5~ Service Information CI Overhead Service Q T ernp Service o UndergrOLlnd Service Voltage PhaseO 103 Service Sii:a: Faeder 8iza: S_~ME DAY INSPECTION. CALL BEFORE 7:00 Al\1360-417-4735 ROUGH-IN (--- THERMOSTAT~ SER'V1CE l Oite ApPnlyc:d By 0<110: A.ppro;,vo:dBr '- D~110 .A~rt>vo:d 8y ./ "- FINAL ,J~lJrn ~~~ i ItDI ur; ~ ,-" "- D." C-/ ' 04t~ , Inspection Area, Building or Equipment Inspected Action Taken Electrical Date In,PW q - z- -<>2> f\lJ o,N,v,~r frr '. ,ez: , OK . eEVIE/NdJ , I ". i ! i i F/iX: (j&(~ H /7 - Lf-r / I ~ W ~lectrical Contractor 0 Owner ,. iF o CfJ ELECTRICAL WORK PERMIT APPLICATION Installation dcscrip\io~ .. o Commercial P< Residential Job wired by Electrical contractor name SIJ1/i I i//IU{i,Y PU'fch~ser's ma.iling address II ltW/L ElKLL City ~ .fm1l/Jf'J Telephone llu~bgJ: ~,p-fA)/- :5?SD License number 5f./).Wv03'L/tz.. Date EX~CS" ........ ,-,,& ZiJ/O Cl New )( Altered/Addition :' 24/1i P!.J6/;Jj}f-.cr IANlJiL DITCH 501ljll!(J /?p f,l! OuTl..bi DUi LE.-:r Premises owner)s name iA/?!l.Y DLCRL Address or lnspec.tJotl , 1.;"52,"7 Sl()jf) 11J/LL- l!J), City /();tf/ilrJ6 iJ-f..Z (Nfl --... , l"hlJ"t J1Umbe!\'Hl\,..chc..sltdt hu tcfo; t:jt),. ;:' :J&O'~' 7" -/ - IIi OWl'ier as drtfilled bY.~'1!rw.J9.28.26[;({) O\~llef w(/! QCCUpy the J'lructure lor two yeaf.f afiur this (Jlecl"ical~l?ermit i~'fiJ1D.li:;,C!d. (.?):.owner is required to hire ml electrical ccmfmctor if above s(ltd,~rope,.ty is for sale, ;e'll or lea.tll, After reading the above s~nent, I heteb:f'certify that 1 am the owner of the above' named property or a licen::d'electrical.contractor. I am making the electrical i1lstal~ lahon Of alteration itl com1t1.~ar:tce-:~ith ~Jle electrical laws. ~.E,C:, .R.CW, Chaprer 19.28:, WAC_ Chapter 296-46S,,'The Clry of POTt Angeles MUnIcIpal Code, .and Utility Specifications, ,~,' Signatu.re of ownr:r, electrj~al contrattor OT electrical admi i$ttator X ~ .. Date: 1,qa >y:' ~~.... :? Z008 SEP , UGHT DEPT. o Cash 0 Check # EkCred,-itCanl~~~terc~ Card # _ ~..~ . Expiration Inspection fee $ 5~ Service Inlormatitln Electrical Load Additions and orsubtracfumJ. Cl NO LOAD CHANGES Cl Baseboard KW o Furnace KW IJ Overhead Service Q Heal Pump ---.... Ton __ LAR a Temp Service Q Fan-Wall KW 0 Underground Service SAME DAY Il'JSPECTlON. CALL BEFORE 7:00 A!\1360-417-4735 \, Voltage Phase IJ 1 Cl 3 Service Size: Feeder SjZg: Discover ...... g ....D o \) ? ;:; 1:- ~ <, ~ ~ ROUGH-IN (~ THERMOSTAT i /' SERVICE , "- D;n~ Apptcwedar / "- Dill:! Approved >>" / bete AllPf'{lvt:d By /' FElIDER FINAL DITCH "- DM... A!lJlrovQdB~ / '- D~le APOrovC,dBy/ Oll.tt APPTl>vodBy/ Inspection Area, Building or Equipn1ent Inspected Action Ta.ken Electrical Date Inspector ---- ~ ~,-"- I ~----l ~_. ____w -_.~--_._-. .~- . ~ -~-_.. ~. .. ---- --,- !' - -- - -~- --=1= -f- '" EIec:trICllI Contra.tor n no-.r S._~..,.! ELECTRICAL WORK PERMIT ;!~~JION t.:I ...v~u'. )4ReQUeStInspeCtiOD_di~zO~\sh [J AQnual Perndl CJ Alarm alcarlllvaI Cl COblDlerdal )(Resldebrial 0 Residential Maint. 0 Signs 0 Thermostat 0 TeleroDll. I Innallation description III Eledrical Contractor 0 Owner I Electrical eo.a.traetor name I Straits Electric Pl&[(bascr's mailing ;dclress I P.O. Box 2914 c;~ I Port I\nqeles Telephone number 3 0 452-9104 I hereby I;Crtify that I ~ the owJer of Lhc above Dl:lIDed property or a. licensed electrical eonrractor (or the firm's ~uthorized agent) and am making the e1tcttica1 iDstillil' alteration in c:omp1i~c:e with the electrical law, Chapter 19.28 RCW. I o aor, oloo,rleol ratr.<tnr Dr olootrk'l ,dm;DI.tr,tDr I ~"GdB1l Cover ^PfIn1ved By I Electricallll8d Additions and hr subtracllon:o IJ NO LOAD CHANGES Q Baseboard KW o Furnace _ KW IJ Heat Pump _ Ton _ LAR Q ~a"'Wall _ KW I r\ ~.l~ Job ..ired by WAllS lnsulation Only Dille elfe: Inspection Date I die- I I ~'''IM- I I TO~ License R\lmber STMIE*0110S 3'2..OA. SVVi7L '\ Stl.le ZIP ~ .,,', WA 98362 fAX nllmlx:r 360 457-4698 \! TO If'\ /"Joo - -, t'ynS --.J IJ Cash IJ Check # XXCrcditCard Visa Card # On File Mastercard Discover Expiration Date ofcard ~nsreri :?O CElUNG Insulation Only I<€.- - N' SERVICE ~e~ -If) -()" i? THERMOSTAT D.o, App~"'o:.d Oy -k) A~Oy ..." Al'f'l'Dved lIy DUCII 5ArJ Ie AJIlIlllV!lIII dy FEEDER Cover Df.u: ADSlII7O'N 87 D.~ Af'pIlllVed By Service Infonnatlon Q Overhead Service o Temp Sorvica a Underground Service Voltage PhaseQ1Q3 Service SizD:_ Feeder Size: Area., Building or Equipment Inspected Elcctrical Jn6pcctor Acrion 'fakcD ~b' ~4-I( o b( /f7/ > ~t=' " ;4dJ . " ~I~l~a1a SlIv~lS 869tLSt09C XVd Ot:60 SOOZ/6T/60 rjil'ORT...... .,:...~""< <Jf!rat. 11... ~- ~~WP" CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ocr--/ D~2- ApFlication Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description subdivision Name property Use Property Zoning . . . Application valuation 05-00001062 Date 11/14/05 516626 4327 OLD MILL RD 06-30-22-2-1-9050-0000- LARRY BECKER RES NEW SFR 16B097 Owner Contractor BECKER LAURENCE M 309 S VINE ST PORT ANGELES OWNER WA 983623214 Structure Information 000 Other struct info . . 000 SFR TOTAL \ LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS 5.00 2.00 5371B.00 2615.00 1. 00 Permit PUBLIC WORKS RES WATER SERV Additional desc 3/4" WATER METER Permit pin number 64584 Permit Fee .00 plan Check Fee .00 Issue Date 11/14/05 Valuation 168097 Expiration Date 5/13/06 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date RIGHT OF WAY 64576 50.00 11/14/05 5/13/06 Plan Check Fee Valuation .00 16B097 Qty Unit Charge Per Extension --------~~~~-------=~~~~~~-~=~---~=~~=-~~-~~=_:~~==---------------~ Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain location. No pressurized or pumping to curbs are allowed. An inspection by Building Department is required prior to backfill. 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. A residential fire sprinkler system, installed per NFPA 13D, will be required. 2nd option is to install an outside alarm bell that is inter-connected to the residence's smoke detectors. The alarm bell will be painted red in color and identified as "Fire alarm" 11/10/2005 03:45 PM SROBERDS --- The proposal is for a q727()M~~ L,8~ '-%' ~0~.;t jyY 0 y , ~1 t\<, ~/\) ~ \1-(\ Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Date Signature of Owner (if owner is builder) T:\Policies\1102_15R [1105] ~~ORT '4< ...O~~ ~rdii~ . ~~ ~ - ~c~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 'EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . . . 05-00001062 Application pin number 516626 Page 2 Date 11/14/05 special Notes and Comments new sfr in the RS-9 for total lot coverage of 5%. No land use issues are noted. $713 Connect Fee. 11/01/2005 09:15 AM JHEBNER ------~-~~------------------ Electrical permits are required. 11/01/2005 09:16 AM JHEBNER -~--~~---------------------- Any modifications to the City's electrical facilities will be at the customer's expense. Ditches & 12" culverts will be installed to City Stanards. See public works Engineering for Standards. Prior to issue of building permit an copy of the approved septic permit from Clallam County is required for permit file. Construct driveway to City Standards.See Non-curbed Street, Driveway and culvert detail. An inspection by Public works Engineering is required prior to paving.One driveway access to Old Mill Rd.only. Other Fees . . . . . . . . . STATE SURCHARGE ~ PW WATER SYSTEM USE FEE 25.00 -------------------------------------------------------------- --- ------- Fee summary Charged Paid Credited Due Permit Fee Total Plan Check. Total Other Fee Total Grand Total 50.00 .00 1029.50 1079.50 50.00 .00 1029.50 1079.50 .00 .00 .00 .00 .00 .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 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] w-"- :5" -s"g>- (~5" \0'"'1,*32. fZ;/ APPLICATION FOR WATER City Waler Division Pori Angeles, Washington ,20_ I hereby apply for water to be furnished in accordance with rates and rules of the City for the following premises: '1-57-Q/&4 ~0"1 S. VIne. Name 01 Applicant: La 1Z1Z-.'1 ~ Peiiq'f 3ectev 4-jz 7 5&-,/TA o.JJaJl.J!C/ Lot t? Add SffP 01=07 b:-05"S' 0.8/& n' CMOOO Address: Size of Service New Servic~lk. If, ,?14 V Renewal 0 Service Left On 0 Service Left O~ Signed Installed by Remarks: ---:reI'" J11 IT-#- 05-)0 (PZ- cj; / () ZSl!l2. J.b;:ee Fi'lf_ W//77 P ac. :IL 3?~b41 ~ - N ""is ~ ~ '--<;J --- 'J SCrI \'1' e. r R.Q. E w <i"- :::::,'" f'. ...<::. ~' '" ~. " .......-(J, "><<~ -"h' , -I: ::!.-+- '.(.""' t.-.~ . $ Clallam County Department of Health and Hwnan Services Environmental Health Division SEPTIC SYSTEM INSTALLATION CERTIFICATION AND "A~ BUILT" Jacobs,Inc.CustomerNo.~ Received_ APPLICANTNAMEfu_:,..A1ZlZM, 'PJ=v=O SEP#Of;-Oo"'>utrlnstaller /)/()~a- Dalelnstalled~ PARCEL NUMBER...J2..tL .----dP_ -~-.k.l..!L~e.. _ (SubdivIsion Lot_ _Blk/Div----1 Please indkate location of septic tank, pump chamber, dminfield, and other system components in relation to the house, property lines br other permanent objects. Note any change from the approved plans here or on the back of this fonn. Scalel"~~ '.. ~ ~ M I I I I I I I I : I I I " I ~ I ~ I ~ I ~ I ~ ~,., L Ir~~ u~ t I I I I : I I I : I I I \ \ \ ~~~ "'...........- IC-~.OO' ~ ~ ~ "~,,= ~2 -, , "<~.'<<O"j 0 J ~":<1''''''P ~ , , , , 3."~ ~ Ol..-t;> HI L-L- ;2.o""'=D I(;S.DO' , , ____.L , , Designer '1 _\t> <, ~A.<~ 1 NORTH ~--N-- Date; 1-6 -0'7 Dl'1!wd{JW]]~ SquutHelgb:tlResidual 5'''' TtmerSetring On~Nonnal Off ~Nonnal On~Velo Off~Veto GalIDoseNoIIlllll..JL1Cl GIDlDose Veto ~Z.lf..I GPDNormal~ GPDVeto.....Yi!L Events OOIU, NumberofDoses~ Number of V Doses-----.L ETM ()3:F;7iiJ2.. ea-PB '" ~ ~ ~ 2' ........",,<>U>"'/ 3._,",- .""wJ""~'" ~" 200 This On-Site Sewage DisjXl'!lal System was Inspected and was installed in accordance with the approved design and complies with the conditions noted on the pennlt and with WAC 248-272. Date fPORT....... t;.~O~.....~ O,.~. 11.... -- ~IC~ CITY OF PORT ANGELES PUBLIC WORKS - UTILITIES DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 O~- &73 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: " ~A~lication type description Subdivision Name Property Use Property Zoning . . Application valuation 05-00000673 Date 517838 4327 S OLD MILL RD 06-30-22-2-1-9050-0000- PUBLIC WORKS UTILITES 7/27/05 43Z7t2M~ed. o t 6~ >o~,Qwne.r Contractor BECKER LAURENCE M .",.,.Q.9. .S_ VINE ST PORT ANGELES OWNER WA 983623214 Permit . . . . . Additional desc Permit pin number pe r~i t Fee . .-....r~~lie Date Expiration Date RIGHT OF WAY INSTALL CULVERT ON OLD MILL RD 55962 50.00 Plan Check Fee 7/27/05 Valuation 1/23/06 .00 ". "0 ~ Qty Unit Charge Per eX Dn i.r- ".._~<<.,".J.."OO 50.0000 ECH RIGHT OF WAY PERMIT , 50.00 ------------------------------------------------------------------' . -- Fee summary Charged Paid Credited Due ~ ~ ~C;/\O,jG ~ q O.,j)\ 'f!' Permit Fee Total plan Check Total Grand Total 50.00 .00 50.00 50.00 .00 50.00 .00 .00 .00 .00 .00 .00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null andvoid 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 constn..iction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T:\Policies\IIOI.15R [1105] ~, \':- ?S i") Q (:) d 0::, 0) -.J~ Lr) ~';j- ~Lr) (:) ....., a , lC) ';j- ,Lw ~ ~Ia '" Nj ~I t.r:i ,lC) t.r:i I '-- ~ I ~I '21 5::J / ~ I C:\ASurveys\SUR Book 56\1141093.TIF (}JiJ ~ 10 N88.05 '24 ''W / c) _- j ? j O! :;; !ioE!!- Je/I{) ::(./f p~~ fAd v.-Id ltw:rV-f h 01~ ~ P-J. if ~ z 7 (JIII!/JJ IYJ. 325.25'--- NEW LOT L'^W - c::. --.J U - -- .3~ .- /( c; ;,:, _, /u-.... 5f #-92 -6~-ID -1/;).7 :Pi Lof ~ -- NvJ-- 1,2.S A St.-A s L\.~ ySb{>2'1 aeQ,k~'" l....<)..'^..e~c.e M S'crt ..50 Vi Irt-e.... ~ -~ rl7 t>#: D.5-673 , , CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . INSPECTION REPORT. . . . . . . . REQUEST: Date 12.-/9-07 Time Received by kv (phone, person) Location of Work to be inspected '1~z 7 0 Ie} ;t{,/tj ed Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): G Permit NO~. C5;g-/<:lP3;) C5""- '" 75 Sewer Foundation Framing Chimney Plumbin Final ewer Excav. Other "lJ INSPECTION NOTES: Inspected: Date 12 - /"1- 07 Remarks: Q:>~" f ~ If.ts--fnJ I Time ('v./v-e.v-i_ By i2.v () p::. R' V RESTORATION REQUIRED. . . . .. YES NO)( SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREI:T SUPERINTENDENT 1D4TFl _