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Home My WebLink About1033 W 13th St - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner VIRGINIA RICHARD MADRID 1033 W 13TH ST PORT ANGELES Other struct info Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Qty Unit Charge Per Extension 1 00 66 9000 ECH EL -R OR RM 0 200 ALT SRV FDR 66 90 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 05/15/2006 10 04 AM SROBERDS The proposal will result in a 400 sq ft accessory pole building in the RS 7 No land use issues noted MAINTAIN CLEARANCES FROM SERVICE WIRES 05/02/2006 10 56 AM GMCLAIN Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review Other Fees STATE SURCHARGE Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total WA 98363 ELECTRICAL ALTER RESIDENTIAL APS/ GARAGE FEEDER +CIRCUITS 81588 APS ELECTRIC 66 90 7/05/06 Valuation 1/01/07 Charged 66 90 00 4 50 71 40 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 06 00000386 802162 1033 W 13TH ST 06 30 00 0 3 7058 0000 RICHARD MADRID RES DETACHED GARAGE RS7 RESDNTL SINGLE FAMILY 10080 Contractor BUILDING BROKERS CONSTRUCTION P 0 BOX 3831 SEQUIM WA 98382 (360) 683 6216 TOTAL LOT COVERAGE 18 57 NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 7000 00 LOT SIZE 7000 00 PROPOSED LOT COVERAGE 400 00 TOTAL LOT COVERAGE 1300 00 NUMBER OF UNITS 1 00 Plan Check Fee Paid Credited Due 66 90 00 4 50 71 40 00 00 00 00 Date 7/05/06 4 50 00 00 00 00 00 0 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 GENERAL COMMENTS: PW- I102.IS 1461 INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO DITCH ROUGH -IN COVER SERVICE FINAL 17-6-06 1 .r i)I 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 GENERAL COMMENTS: PW- I102.IS 1461 PREPARED 7/03/06 9 48 32 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 7/03/06 ADDRESS 1033 W 13TH ST SUBDIV TENANT NBR RICHARD MADRID CONTRACTOR CLEAR HORIZON PHONE OWNER VIRGINIA S RICHARD MADRID PHONE PARCEL 06 30 00 0 3 7058 0000 APPL NUMBER 06 00000566 FIREPLACE /INSERTS /FREESTANDING PERMIT TYP /SQ ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS MCF 01 6/14/06 JLL MECHANICAL CHIMNEY FLUE TIME 13 00 6/14/06 DA RICHARD 452 3569 CHIMNEY 06/13/2006 03 05 PM DYASUMUR 06/14/2006 02 01 PM JLIERLY no answer at door or phone ill ME1 01 6/22/06 JLL MECHANICAL ROUGH IN TIME 13 00 6/22/06 AP RICHARD THIS IS A INSPECTION FOR THE TILES FOR THE CHIMNEY 06/21/2006 08 24 AM DYASUMUR 06/22/2006 04 38 PM JLIERLY cmu grout/j11 JLL MECHANICAL WOOD STOVE /PELLET TIME 13 00 ,JI 1 --A19 RICHARD 452 3569 07/03/2006 08 12 AM DYASUMUR ME4 01 7/03/06 COMMENTS AND NOTES PREPARED 6/22/06 11 03 25 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/22/06 ADDRESS 1033 W 13TH ST SUBDIV TENANT NBR RICHARD MADRID CONTRACTOR BUILDING BROKERS CONSTRUCTION PHONE (360) 683 6216 OWNER VIRGINIA RICHARD MADRID PHONE PARCEL 06 30 00 0 3 7058 0000 APPL NUMBER 06 00000386 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 9 f 1 BL6 01 5/18/06 JLL BUILDING POST /COLUMN FTG TIME 13 00 5/18/06 AP SEAN 683 6216 05/17/2006 03 56 PM DYASUMUR 05/18/2006 04 10 PM JLIERLY BL99 01 6 22/06 L n BUILDING FINAL TIME 13 00 /f/ AMY 683 6216 06/21/2006 11 01 AM DYASUMUR COMMENTS AND NOTES PREPARED 6/22/06 11 03 25 INSPECTION TICKET PAGE 15 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/22/06 ADDRESS 1033 W 13TH ST SUBDIV TENANT NBR RICHARD MADRID CONTRACTOR CLEAR HORIZON PHONE OWNER VIRGINIA S RICHARD MADRID PHONE PARCEL 06 30 00 0 3 7058 0000 APPL NUMBER 06 00000566 FIREPLACE /INSERTS /FREESTANDING PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS MCF 01 6/14/06 JLL 6/14/06 DA ME1 01 /22 06 MECHANICAL CHIMNEY FLUE TIME 13 00 RICHARD 452 3569 CHIMNEY 06/13/2006 03 05 PM DYASUMUR 06/14/2006 02 01 PM JLIERLY no answer at door or phone ill MECHANICAL ROUGH IN TIME 13 00 RICHARD THIS IS A INSPECTION FOR THE TILES FOR THE CHIMNEY 06/21/2006 08 24 AM DYASUMUR COMMENTS AND NOTES 041 bit() J 1 d eD 0111B7ITC nig A QUEZISPOliT A M. UMW 105.4 4444 54.4 CM Iv* 4 LOADIN0(I.1) ICU 250 CD LO SUL 0.11 ACM SA 7) Tpa.vimii i Met SO/ LOAD CAM 0061 12 1009-689-09E J A4f444044 Imam* 200 •Feb 1 ion. The NW it stol.ti toou 1044 tilos 1040 SPACING 664 GOI Maws bereast t. 15 TO OM Wrier Inantase 1.15 DC OW Rep*. I NO OD 010 Calk SW20031trutio2 (MOON) reetorr 44 4 Lam in 0 NA W AAL 4.16 'a 240 Val(IL) -Olt 14 3.787 Nor") O.07 1 G. flaws s tAirS 1'A4 ;7:3 --pi4 44- s too P 7kvss Pao y lc &v gse_Tr-s 4s. 5 40•44"..) AA D 64 i s Q 3 Itc s72144.62a0 %dm endows ASO. t t. eael 1 R w u Jo Rueo do 9. 20 17 1 unr-- itt”( to ttsf 0ueocco ccococ) PREPARED 6/14/06 10 44 18 INSPECTION TICKET PAGE 14 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/14/06 ADDRESS 1033 W 13TH ST SUBDIV TENANT NBR RICHARD MADRID CONTRACTOR CLEAR HORIZON PHONE OWNER VIRGINIA S RICHARD MADRID PHONE PARCEL 06 30 00 0 3 7058 0000 APPL NUMBER 06 00000566 FIREPLACE /INSERTS /FREESTANDING PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS MCF 01 6/ MECHANICAL CHIMNEY FLUE TIME 13 00 RICHARD 452 3569 CHIMNEY 06/13/2006 03 05 PM DYASUMUR COMMENTS AND NOTES W\- Application Number 06 00000566 Date 6/06/06 Application pin number 741154 Property Address 1033 W 13TH ST ASSESSOR PARCEL NUMBER 06 30 00 0 3 7058 0000 Tenant nbr name RICHARD MADRID Application type description FIREPLACE /INSERTS /FREESTANDING Subdivision Name Property Use Property Zoning RS7 RESDNTL SINGLE FAMILY Application valuation 2499 Owner Contractor VIRGINIA S RICHARD MADRID 1033 W 13TH ST PORT ANGELES WA 98363 CLEAR HORIZON PO BOX 38 PORT ANGELES WA PORT ANGELES CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Permit MECHANICAL PERMIT Additional desc Permit pin number 79392 Permit Fee 50 00 Plan Check Fee 00 Issue Date Valuation 0 Expiration Date 12/03/06 Qty Unit Charge Per 1 00 50 0000 ECH ME WOOD BURNING APPL Fee summary Signature of Contractor or Authorized Agent Charged Paid Credited T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] WA 98362 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 Extension 50 00 P/N/A z_ Date Signature of Owner (if owner is builder) `Io //ob 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 i co truction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspe ions have no been requested within 180 days from the last inspection. I hereby certify that I have read and examined this applicati n and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with w ether specified erein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any s -te or local la regulating gpnstruction or the performance of construction. sDDr rDdVV111l,t111.vAl \L Al aa.v..a. INSPECTION TYPE DATE ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING FINAL DATE ACCEPTED BY. UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING 1 JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING n' v DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION s SLAB WALL FLOOR CEILING MECHANICAL 6//i) —7r FINAL v DATE v ACCEPTED BY: HEAT PUMP /FURNACE /DUCTS LINE WOOD STOVE PELLET CHIMNEY kikVGAS k j V '7 A COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING SEPA. ESA. SHORELINE: PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417-4807 CONSTRUCTION R.W PW ENGINEERING FIRE 417 -4653 FIRE DEPT. PLANNING DEPT 417 -4750 BUILDING 417 -4815 V f Y' 41.- BUILDING 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 nnD n\ mr DT A ATC A T T(1R CTT1 .......or .n., rprnr wn BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B If hay questions, call COMPLETE to be accepted for review ti yvii have an; q PERMITS (360) 417 -4815 FAX(360)417 -471 FOR OFFICIAL USE 9NLY 5t,t /cc. Date Rec. Permit n Date Approved. 1 Date Issued: �/L /7 4 Applicant or Agent: littemfre) Plat/ Owner Address wig 10-;10- c3. Architect/Engineer Contractor 0131 y r., State License Exp Phone. w p q;(0--1 Address. 0� n w Y 0- City t .),I.�tl� Zi ,nn'' ZONING PROJECT ADDRESS Q� yV LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. 62(49;220 0e2 TD C t2 City p61k Qcn4P Phone IM Phone. 'P Zip 4k56�— Phone. ST7F/VALUATION TYPE OF WORK. 0 SF /SF I Residential New Constr Re -roof /SF Multi- family X Addition Move Garage SF Demolition Deck SF 0 Repair 0 Sign Other /SF Commercial Remodel Age,.. yo TOTAL VALUATION 00 BRIEF DESCRIPTION OF THE PROJECT t 1,, G�,� l ij4 c+ 1 �3� 4 ''l It l Occupant Load. Constructron Type: COMMERCIAL/RESIDENTIAL. Occupancy Group` p Ft. i 67". No of Stories: Lot Size:`6_ Existing Sq. Ft. 4; D� Proposed Sq Ft. Sq Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other APPROVALS PLAN BLDG DPWU FIRE OTHER VALUATION OF CONSTRUCTION In all comply with current fee schedules. Contact the Permit Coordinator at 41 figure 815 be reviewed assistance. and may be revised by the Building Division to p y PLAN CHECK FEE. IF a plan check fee is d it of must submitted m at the time the builduig permit application and construction plans are submitted. All other permit fees are due EXPIRATION OF PLAN REVIEW If no permit is issued witl 180 days of the date of application, the application will expire. The Buildmg 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. 1 am authorized to apply tof for k is permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that 1 must obtain such permits prior TAPoli \BL 1 102_13.wpd Applicant: Date: 4 Atc 4 4 WY OF PuR 5 ANGELES Colstruction Plans IThellssuance of based upon these plans, spet.ifi-. 'cations and other data hall notipreventirelbuilding official from thereafter rectuiring-the eormIctio of e9orslin said plans, -specification's_ and othe_data„or om preventing 1 1 i bui ding operations btng and1 i d on hereunder when in Arlo ation of all codes iancil ordinanceil of this jurisdiciion. niform Buil Code 1 2 ivc)3 Approval Oath BY 111 SV i •600-1/_. ?-c "r2t) alt" -1.J7rs-1- I 1 l 1 t t l PREPARED 5/18/06 10 26 26 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/18/06 ADDRESS 1033 W 13TH ST SUBDIV TENANT NBR RICHARD MADRID CONTRACTOR BUILDING BROKERS CONSTRUCTION PHONE (360) 683 6216 OWNER VIRGINIA RICHARD MADRID PHONE PARCEL 06 30 00 0 3 7058 0000 APPL NUMBER 06 00000386 RES DETACHED GARAGE PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL6 01 18/06 LLD SEINDI 6216 /05 FTG 13 00 SEAN 683 83 6216'05/17/17/ 2006 06 03 3 5 56 PM DYASUMUR COMMENTS AND NOTES 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 VIRGINIA RICHARD MADRID 1033 W 13TH ST PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date 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 WA 98363 75457 221 75 11/13/06 Charged 221 75 88 70 4 50 314 95 T• \Policies \1102 15 building permit inspection record05.wpd [1/4/20051 06 00000386 802162 1033 W 13TH ST 06 30 00 0 3 7058 0000 RICHARD MADRID RES DETACHED GARAGE RS7 RESDNTL SINGLE FAMILY 10080 Contractor BUILDING BROKERS CONSTRUCTION P 0 BOX 3831 SEQUIM WA 98382 (360) 683 6216 TOTAL LOT COVERAGE 18 57 NUMBER OF STORIES 1 00 EXISTING LOT COVERAGE 7000 00 LOT SIZE 7000 00 PROPOSED LOT COVERAGE 400 00 TOTAL LOT COVERAGE 1300 00 NUMBER OF UNITS 1 00 BUILDING PERMIT RESIDENTIAL Plan Check Fee Valuation Qty Unit Charge Per BASE FEE 9 00 14 0000 THOU BL -2001 25K (14 PER K) Special Notes and Comments The Fire Department has reviewed the project application and has no comments 05/15/2006 10 04 AM SROBERDS The proposal will result in a 400 sq ft accessory pole building in the RS 7 No land use issues noted MAINTAIN CLEARANCES FROM SERVICE WIRES 05/02/2006 10 56 AM GMCLAIN Electrical load calculations and elctrical permits are required Public Works Utility Engineering has no requirements for this plan review STATE SURCHARGE 4 50 Paid Credited Due 221 75 88 70 4 50 314 95 rg_ 00 00 00 00 Date 5/17/06 00 00 00 00 88 70 10080 Extension 95 75 126 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 an rdinances goveming this type of work will be complied with whether specified herein or not. The granting of a permit does not pres a to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of con truction. Lure of Contractor/or Authorized Agent Date Signature of Owner (if owner is builder) Date INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) P/Q y V 2 A PLUMBING FINAL DATE ACCEPTED BY. 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 FINAL DATE ACCEPTED BY. HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING SEPA. ESA. SHORELINE: PLANNING DEPT SEPARATE PERMIT #'s PARKING /LIGHTING LANDSCAPING FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 CONSTRUCTION R.W PW ENGINEERING FIRE 417 -4653 FIRE DEPT PLANNING DEPT 417 -4750 PLANNING DEPT BUILDING 417 -4815 L` BUILDING T \Policies \I 102_15 building permit inspection record05 wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. T k 4 PLANNING USE ONLY APPROVALS. PLAN BLDG DPWU FIRE. ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other OTHER. Applicant or Agent: DO t t^ DI C phone( 3G'O> b �G Owner (1(1 "A 01210 R\ CWAQ_O Phone: 1,(c4: Address. ()ZS r CAR QC 1 P"r N uoil' Zip 6a Architect/Engineer ETS Phone: (10 cf: '4q t 3cio Contractor/0 I WE t.3 2:2 2 5 State License 1 0 i L D Cd 1( lxp Ol 1 I Phone: C g Address: t ®2 L11E5 I O Q l..ol City .SC :a/ l M 1iki Zip PROJECT ADDRESS 1 \r?) 4 S� P+' ZONING LEGAL DESCRIPTION Lot: Block: 0 Subdivision. CLALLAM COUNTY PARCEL NUMBER. O 63 OD003 O5 PE OF WORK. Residential New Constr Re -roof Stove Multi family 0 Addition Move Garage Commercial Remodel Dem lition Deck Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT T•\FORMS\BIdgPermitform.wpd Applicant: BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 FOR OFFIC[A USE )ONLY ate Rec. Permit #•0 to Approved: ate Issued: 1i 1 SIZE/VALUATION `cOO SF 2.3 O /SF 1 O SF /SF SF /SF TOTAL VALUATION I 0 W) COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type:'Po.c i P M C No of Stories. 1 Lot,Size. 000 Existing Sq Ft. 90(') Proposed Sq. Ft. goo TOTAL Sq. Ft. 00 Total lot coverage 1 F, IS+ VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW 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 i is my responsibility to determine what permits are required not the City's, and that 1 must obtain such permits prior to work. Date: I c/ Old c?aOUW C am+ D\ 163u- 0 3 1 Installation aescnpu n Commercial 4 Residential li1J New IX/Altered/Addition J (.O'AAR) 4E4.0 (44A1) -QOQ t44-6-4e, L 4 j1SelkA 4 122.4bA O Cash D Check en- 0 Credit Card Visa Mastercard Discover Card A 0 Expiration Date nspeclian fee of card c 1_n .pa_ Job wired by Electrical Contractor 0 Owner lectrical contractor name License number Date Expires PS el e f cal (a it r. 41i S6 Lett f' Purchaser's manioc address 6 'lb e n aa'n a4) 41/4 g �l�?3 grate Z A c tri 63 Telephone number FAX number 7;4,0 t5 a 6'7 63 r et. rno. t Premi e s wnery me R C U I I A I q yvr� f d Address ioa O of inspect i63. 13 zA' CIty 4 Phone number to schedule Inspection: 1 5a Inspection Date Owner as defined by RCW.19.23.261:/IJ Owner will occupy the structure far two years Wier this electrical permit is finalized. (2) Owner is required to hire an electrical contractor ifahove said property is for sale, rent or lease. After reading the above statement, 1 hereby certify that 1 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, WAG. Chapter 296.463, The City of Pon Angeles Municipal Code, and Utility Specifications. Sian re owner, p ale rival contact or electrical administrator 2 eZDate: Co )4'2 Electrical Load Addltjaq an d ftlptractIons NO LOAD CHANGES Baseboard KW O Furnace _KW N JEl f Overhead Service Heat Pump Ton LAR Temp Service Fan -Wall KW 0 Underground Service SAME DAY INSPECTION. CALL BEFORE 7:00 AM 360 417 4735 Area, Building or Equipment Inspected ELECTRICAL WORK PERMIT APPLICATION Action Taken Service Infformafign Voltage Xic^44 0 Phase 41 O 3 Service Size: Z..<=tO Feeder Size' Electiical Inspector £SL9 ESb _09£ ON Xed JOIDddlNOJ lbJIa1DB13 S d U Wald