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HomeMy WebLinkAbout1304 O 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 Special Notes and Comments 09/21/2006 10 28 AM KDUBUC Plans reviewed on 9 21 2006 Fee summary CITY OF PORT ANGELES FIRE DEPARTMENT PERMIT 321 East 5' Street, Port Angeles, WA 98362 06 00001032 221520 1304 0 ST 06 30 01 7 9 0050 0000 GLENN TERRA FIRE SPRINKLER SYSTEM RS9 RESDNTL SINGLE FAMILY 2631 Owner Contractor Date 9/22/06 ROLLING HILL HOMES LLC INNOVATED FIRE SPRINKLERS 1312 MAIN ST 81 NEW HAVEN LANE VANCOUVER WA 98660 PORT ANGELES WA 98362 (360) 582 1899 (360) 452 7583 Permit FIRE SPRINKLER RESID Additional desc Permit pin number 87254 Permit Fee 00 Plan Check Fee 00 Issue Date 9/22/06 Valuation 0 Expiration Date 3/21/07 Charged Paid Credited Due Permit Fee Total 00 00 00 00 Plan Check Total 00 00 00 00 Grand Total 00 00 00 00 V) This permit becomes null and void if work authorized is not commenced within 180 days, if work is suspended or abandoned for a period of 180 days afer the work has commenced, or if required inspections have not been requested with 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of recognized standards, laws and ordinances governing this type of work will be compled \1 with whether specified herein or not. The granting of this permit does not presume to give authority to violate or cancel the rovisions of any state or local law regulating the work specified in the permit. 1 Ba 9/2 0‘ Signature of Contractor or Autaorized Agent Date Signature of Owner (if Owner is builder) Date Call 360 -417 -4655 for fire inspections. Please provide a minimum 24 -hour notice It is unlawful to cover, insulate or conceal any work before inspected and accepted. Post permit in a conspicuous location. Inspection Type FIRE SPRINKLER Underground piping hydrostatically tested Underground piping flushed Interior piping hydrostatically tested Interior piping inspection Dry system air tested at 40 psi (24 hours) Sprinkler final FIRE ALARM Rough -in inspection Alarm final LP -GAS Underground piping inspection /pressure test Above ground piping inspection/pressure test Tank (container) inspection Appliance inspection LP -gas final UNDERGROUND STORAGE TANK (UST) ABANDONMENT Removal of flammable /combustible liquids Tank appropriately abandoned UST abandonment final PERMIT OTHER (specify) permit fi nal GENERAL COMMENTS FIRE PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS Date Passed I 14 Test #1 Piping pressure test Time initiated Test #2 Piping pressure test Time initiated AT JOB SITE Comments Completed by Contractor- 2/15/00 psi psi 1 Fill out COMPLETELZ and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent. 1t a `vx.e ft OwnerGI vA v. Address: 13G Architect/Engmeer: ContractorAl/t/O 47? ,d? A State License #:/04/4/0 tv4C.XO Y Exp Address: RI A /.L City Pa ✓7� 1�� PROJECT ADDRESS 3O .S v Q s geI LEGAL DESCRIPTION Lot: .S Block. Subdivision. CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. r esidential New Constr Re -roof Stove Multi family Addition Move Garage Commercial Remodel Demolition Deck Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT ..-r.1.Sr COMMERCIAL/RESIDENTIAL. Occupancy Group: BUILDING PERMIT APPLICATION g f City ?Oir 4,, h.Jele_4^ Existmg Sq. Ft. No. of Stories: Lot Size: Total lot coverage PLANNING USE ONLY ESA/Wetland(s) Yes No SEPA Checklist required? Yes 0 No Other Phone: Phone. Phone: Zip 81/VO 7 Phone: VS Zip 963fe 2 ZONING STZ,F/VALUATION SF /SF SF /SF SF /SF TOTAL VALU o O O rtil-Je. a^►!JrgW��l fir' e -a-s Occupant Load. Construction Type: Proposed Sq Ft. TOTAL Sq Ft. FOR OPFIC USE ONLY Date Rec. Permit /2r Date Issued: Date Approved APPROVALS PLAN BLDG DPWU FLRE. OTHER. VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the apphcant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CTTECK 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 RESEW 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 apphcant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No apphcation can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to wo1rk l' ]d ermitform d Applicant: U 1, 4 1.-4-1--t i+2 -�.J I� D ..LLQ 2.- Date: T�FORMS�B gP �P PP j t�P�tJ OG '(1 PORT ANGELES FIRE DEPARTMENT 102 East Fifth Street, Port Angeles, Washington 98362 (360) 417 -4650 FAX (360) 417 -4659 Fire Sprinkler System Plan Review Project Name Private Residence Address 1304 S "0" Installer• Innovated Fire Sprinkler Installer Telephone 452 -7583 Type of System Open 13 Date 9.21.2006 PAFD Permit 06 -47 13R❑ 13D We have checked this plan and find that it conforms to the requirements of the code, with the following comment. The plans as shown do not accommodate the area of the foyer that is open to below Piping on the second floor will have to be adjusted to provide a sprinkler head over the foyer Additional Comments. All systems, including underground mains, shall be installed by a state licensed and certified company Systems shall be installed per the applicable NFPA Standard. All electrical components shall be compatible with the fire alarm system. All underground piping must be inspected and hydrostatically tested by the Port Angeles Fire Department PRIOR to being covered. A witnessed flush of the underground piping is required. A design sprinkler flow test and alarm test are required for all 13D systems Before final acceptance of the system, an inspection will be conducted to ensure that the installation complies with the applicable NFPA Standard. This 13D system will require a measured flow test. Contractor Reviewed by Y` &Qb�.•i T Q 1 RI Building Department Date 4 2t v G Fire Department PREPARED 1/31/07 8 22 04 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS 1304 0 ST TENANT NBR GLEN TERA INC CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ ME6 01 GLENN TERRA INC 06 30 01 7 9 0050 0000 06 00000437 RES NEW SFR ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS 8/15/06 JLL 8/15/06 AP ME1 01 10/05/06 JLL 10/05/06 AP ME6 02 1/31/07 r tes. INSPECTOR JAMES L LIERLY MECHANICAL GAS LINE 08/14/2006 04 45 PM PAUL 460 8896 08/15/2006 05 30 PM MECHANICAL ROUGH IN 10/04/2006 03 54 PM 10/05/2006 04 22 PM MECHANICAL GAS LINE 01/30/2007 04 44 PM SUBDIV COMMENTS AND NOTES PHONE PHONE (360) 621 9433 TIME 13 00 DYASUMUR JLIERLY TIME 13 00 DYASUMUR JLIERLY PERMITS izAtay ot) frko PAGE 4 DATE 1/31/07 PREPARED 10/30/06 8 44 15 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY ADDRESS 1304 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0050 0000 APPL NUMBER 06 00000437 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESUT RESULTS /COMMENTS seen 10/27/2006 02 27 PM PERMITS COMMENTS AND NOTES ►'V PAGE 11 DATE 10/30/06 PREPARED 10/24/06 11 11 50 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/24/06 ADDRESS 1304 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0050 0000 APPL NUMBER 06 00000437 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/13/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/13/06 AP ROD 908 5510 06/12/2006 11 20 AM DYASUMUR 06/13/2006 03 45 PM JLIERLY BL2 01 6/16/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/16/06 AP ROD 908 5510 06/15/2006 01 49 PM DYASUMUR 06/16/2006 02 14 PM JLIERLY BLFD 01 6/20/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 6/20/06 AP GREG 477 1862 06/20/2006 07 58 AM DYASUMUR 06/20/2006 04 40 PM JLIERLY BL9 01 8/14/06 JLL BUILDING SHEARWALL 8/14/06 DA 08/11/2006 11 47 AM PERMITS SHAWN 621 9786 08/14/2006 04 01 PM JLIERLY remove tyvek and recall/j11 BL9 02 8/15/06 JLL BUILDING SHEARWALL TIME 13 00 8/15/06 DA SEAN 360 621 9786 08/14/2006 04 01 PM DYASUMUR 08/15/2006 05 29 PM JLIERLY Split sill plate /phd not secure to stud complete and renail /JLL BL9 03 8/22/06 JLL BUILDING SHEARWALL TIME 13 00 8/22/06 AP sean 08/21/2006 12 06 PM DYASUMUR 08/22/2006 02 51 PM JLIERLY ORM 01 9/01/06 JLL BUILDING DRYWELL TIME 13 00 9/01/06 AP GREG 477 1862 09/01/2006 07 59 AM DYASUMUR 09/01/2006 02 34 PM PBARTHOL BAIR 01 10/05/06 JLL BUILDING AIR SEAL TIME 13 00 10/05/06 AP SEAN 360 621 9786 10/04/2006 03 53 PM DYASUMUR 10/05/2006 04 22 PM JLIERLY BL3 01 10/05/06 JLL BUILDING FRAMING TIME 13 00 10/05/06 DA 10/04/2006 03 54 PM DYASUMUR 10/05/2006 04 21 PM JLIERLY block joist at beam intersection/j11 BL3 02 10/23/06 JLL BUILDING FRAMING TIME 13 00 10/24/06 DA SEAN 621 9786 10/20/2006 01 33 PM DYASUMUR 10/24/2006 08 26 AM JLIERLY block joist and beam intersection /fire block tub /fire block chimney chase/j11 BL3 03 10/2 /06 JLL BUILDING FRAMING TIME 13 00 n 621 9786 23/2006 02 09 PM DYASUMUR COMMENTS AND NOTES BUILDING DIVISION CITY OF PORT ANGELES Job Located at So Correction Notice '"o Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction 0 &E �Gdb /rely t 3-/ AI N.- Ge4-1 14D toe -0c-sci 02x el di_ 6 (L- OA) i These corrections must be made and are not to be covered until reinspection is made When corrections have been made, please call L /i( for inspection Date 10 /x' 3 DA NAT REMAVE THIS TOG (4.904 Vo r9.wro1 a /nspector for Building Division PREPARED 10/23/06 8 25 35 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/23/06 ADDRESS 1304 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0050 0000 APPL NUMBER 06 00000437 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/13/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/13/06 AP ROD 908 5510 06/12/2006 11 20 AM DYASUMUR 06/13/2006 03 45 PM JLIERLY BL2 01 6/16/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/16/06 AP ROD 908 5510 06/15/2006 01 49 PM DYASUMUR 06/16/2006 02 14 PM JLIERLY BLFD 01 6/20/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 6/20/06 AP GREG 477 1862 06/20/2006 07 58 AM DYASUMUR 06/20/2006 04 40 PM JLIERLY BL9 01 8/14/06 JLL BUILDING SHEARWALL 8/14/06 DA 08/11/2006 11 47 AM PERMITS SHAWN 621 9786 08/14/2006 04 01 PM JLIERLY remove tyvek and recall /ill BL9 02 8/15/06 JLL BUILDING SHEARWALL TIME 13 00 8/15/06 DA SEAN 360 621 9786 08/14/2006 04 01 PM DYASUMUR 08/15/2006 05 29 PM JLIERLY Split sill plate /phd not secure to stud complete and renail /JLL BL9 03 8/22/06 JLL BUILDING SHEARWALL TIME 13 00 8/22/06 AP sean 08/21/2006 12 06 PM DYASUMUR 08/22/2006 02 51 PM JLIERLY DRW 01 9/01/06 JLL BUILDING DRYWELL TIME 13 00 9/01/06 AP GREG 477 1862 09/01/2006 07 59 AM DYASUMUR 09/01/2006 02 34 PM PBARTHOL BAIR 01 10/05/06 JLL BUILDING AIR SEAL TIME 13 00 10/05/06 AP SEAN 360 621 9786 10/04/2006 03 53 PM DYASUMUR 10/05/2006 04 22 PM JLIERLY BL3 01 10/05/06 JLL BUILDING FRAMING TIME 13 00 10/05/06 DA 10/04/2006 03 54 PM DYASUMUR 10/05/2006 04 21 PM JLIERLY block joist at beam intersection /j11 BL3 02 106 L L SEILDIN1 97AMING TIME 13 00 SEAN 621 9786 10/20/2006 01 33 PM DYASUMUR COMMENTS AND NOTES PREPARED 10/06/06 12 22 38 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/06/06 ADDRESS 1304 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0050 0000 APPL NUMBER 06 00000437 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 8/15/06 JLL PLUMBING ROUGH IN TIME 13 00 8/15/06 AP 08/14/2006 04 44 PM DYASUMUR PAUL 460 8896 08/15/2006 05 30 PM JLIERLY PL2 02 10/03/06 JLL PLUMBING ROUGH IN 10/03/06 AP paul 460 8896 10/02/2006 09 16 AM PERMITS 10/03/2006 03 22 PM JLIERLY PL6 01 10/06/06 JLL PLUMBING WATER SUPPLY TIME 13 00 Q greg 477 1862 10/06/2006 07 55 AM DYASUMUR COMMENTS AND NOTES PREPARED 10/05/06 11 16 37 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/05/06 ADDRESS 1304 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0050 0000 APPL NUMBER 06 00000437 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/13/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/13/06 AP ROD 908 5510 06/12/2006 11 20 AM DYASUMUR 06/13/2006 03 45 PM JLIERLY •BL2 01 6/16/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/16/06 AP ROD 908 5510 06/15/2006 01 49 PM DYASUMUR 06/16/2006 02 14 PM JLIERLY BLFD 01 6/20/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 6/20/06 AP GREG 477 1862 06/20/2006 07 58 AM DYASUMUR 06/20/2006 04 40 PM JLIERLY BL9 01 8/14/06 JLL BUILDING SHEARWALL 8/14/06 DA 08/11/2006 11 47 AM PERMITS SHAWN 621 9786 08/14/2006 04 01 PM JLIERLY remove tyvek and recall/j11 BL9 02 8/15/06 JLL BUILDING SHEARWALL TIME 13 00 8/15/06 DA SEAN 360 621 9786 08/14/2006 04 01 PM DYASUMUR 08/15/2006 05 29 PM JLIERLY Split sill plate /phd not secure to stud complete and renail /JLL BL9 03 8/22/06 JLL BUILDING SHEARWALL TIME 13 00 8/22/06 AP sean 08/21/2006 12 06 PM DYASUMUR 08/22/2006 02 51 PM JLIERLY DRW 01 9/01/06 JLL BUILDING DRYWELL TIME 13 00 9/01/06 AP GREG 477 1862 09/01/2006 07 59 AM DYASUMUR 09/01/2006 02 34 PM PBARTHOL BAIR 01 10/05/06 JL BUILDING AIR SEAL TIME 13 00 SEAN 360 621 9786 10/04/2006 03 53 PM DYASUMUR BL3 01 10/05/06 L BUILDING FRAMING TIME 13 00 10/04/2006 03 54 PM DYASUMUR PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS ME6 01 8/15/06 JLL MECHANICAL GAS LINE TIME 13 00 8/15/06 AP 08/14/2006 04 45 PM DYASUMUR PAUL 460 8896 08/15/2006 05 30 PM JLIERLY ME1 01 10/05/06 LL MECHANICAL ROUGH IN TIME 13 00 10/04/2006 03 54 PM DYASUMUR COMMENTS AND NOTES PREPARED 10/03/06 9 39 01 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/03/06 ADDRESS 1304 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0050 0000 APPL NUMBER 06 00000437 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 8/15/06 JLL 8/15/06 AP PL2 02 10/03/06 1.I PLUMBING ROUGH IN TIME 13 00 08/14/2006 04 44 PM DYASUMUR PAUL 460 8896 08/15/2006 05 30 PM JLIERLY PLUMBING ROUGH IN paul 460 8896 10/02/2006 09 16 AM PERMITS 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 GLENN TERRA INC 136 E 8TH ST #223 PORT ANGELES WA 98362 (360) 621 9433 Other struct info Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Other Fees COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 06 00000437 141385 1304 0 ST 06 30 01 7 9 0050 0000 GLEN TERA, INC RES NEW SFR RS9 RESDNTL SINGLE FAMILY 149739 Contractor OWNER TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS ELECTRICAL NEW RESIDENTIAL EL SVC 2274 SFR 86165 ELECTRIC SERVICE 119 80 Plan Check Fee 9/06/06 Valuation 3/05/07 Qty Unit Charge Per 1 00 73 0000 ECH EL R SQFT FIRST 1300 2 00 23 4000 5C EL R SQFT ADDITIONAL 500 Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background All homes in new subdivisions that are outside of the Fire Department four minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA) 05/22/2006 12 56 PM SROBERDS New sfr w /garage in RS 9 for total lot coverage of 30% No land use issues apparent Electrical load calculations and elctrical permits are required Electrical connection fee $713 00 05/15/2006 04 40 PM GMCLAIN Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete Date 9/06/06 1 00 1 00 1 00 1 00 1 00 SEWER SYSTEM DELV CHARGE 870 00 00 0 Extension 73 00 46 80 .i 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 COMMENTS YES NO I I I I I I I I I I I I I I I I PW1102.1314'961 Application Number Application pin number 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 06 00000437 141385 Charged Paid Credited Due Page 2 Date 9/06/06 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 119 80 119 80 00 00 00 00 00 00 2074 50 2074 50 00 00 2194 30 2194 30 00 00 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 DITCH ROUGH -IN I COVER SERVICE ELECTRICAL PERMIT INSPECTION RECORD FINAL I (o a.L (27 l .4b k GENERAL COMMENTS: DATE ACCEPTED YES I NO I I I I I I I I COMMENTS Pw•1102.15 I4,961 PREPARED 9/01/06 8 12 21 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/01/06 ADDRESS 1304 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0050 0000 APPL NUMBER 06 00000437 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/13/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/13/06 AP ROD 908 5510 06/12/2006 11 20 AM DYASUMUR 06/13/2006 03 45 PM JLIERLY BL2 01 6/16/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/16/06 AP ROD 908 5510 06/15/2006 01 49 PM DYASUMUR 06/16/2006 02 14 PM JLIERLY BLFD 01 6/20/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 6/20/06 AP GREG 477 1862 06/20/2006 07 58 AM DYASUMUR 06/20/2006 04 40 PM JLIERLY BL9 01 8/14/06 JLL BUILDING SHEARWALL 8/14/06 DA 08/11/2006 11 47 AM PERMITS SHAWN 621 9786 08/14/2006 04 01 PM JLIERLY remove tyvek and recall/j11 BL9 02 8/15/06 JLL BUILDING SHEARWALL TIME 13 00 8/15/06 DA SEAN 360 621 9786 08/14/2006 04 01 PM DYASUMUR 08/15/2006 05 29 PM JLIERLY Split sill plate /phd not secure to stud complete and renail /JLL BL9 03 8/22/06 JLL BUILDING SHEARWALL TIME 13 00 8/22/06 AP sean 08/21/2006 12 06 PM DYASUMUR 08/22/2006 02 51 PM JLIERLY DRW 01 9/01/06 JLL BUILDING DRYWELL TIME 13 00 GREG 427 1862 09 09/01/2006 07 59 AM DYASUMUR COMMENTS AND NOTES PREPARED 8/22/06 8 19 49 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/22/06 ADDRESS 1304 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0050 0000 APPL NUMBER 06 00000437 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/13/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/13/06 AP ROD 908 5510 06/12/2006 11 20 AM DYASUMUR 06/13/2006 03 45 PM JLIERLY BL2 01 6/16/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/16/06 AP ROD 908 5510 06/15/2006 01 49 PM DYASUMUR 06/16/2006 02 14 PM JLIERLY BLFD 01 6/20/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 6/20/06 AP GREG 477 1862 06/20/2006 07 58 AM DYASUMUR 06/20/2006 04 40 PM JLIERLY BL9 01 8/14/06 JLL BUILDING SHEARWALL 8/14/06 DA 08/11/2006 11 47 AM PERMITS SHAWN 621 9786 08/14/2006 04 01 PM JLIERLY remove tyvek and recall /ill BL9 02 8 /15/06 JLL BUILDING SHEARWALL TIME 13 00 8/15/06 DA SEAN 360 621 9786 08/14/2006 04 01 PM DYASUMUR 08/15/2006 05 29 PM JLIERLY Split sill plate /phd not secure to stud complete and renail /JLL BL9 03 8/22/06 JLL A l BUILDING SHEARWALL TIME 13 00 LC_ Bean 9I 08/21/2006 12 06 PM DYASUMUR COMMENTS AND NOTES PREPARED 8/15/06 11 13 42 CITY OF PORT ANGELES ADDRESS 1304 0 ST TENANT NBR GLEN TERA, INC CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT TYP /SQ GLENN TERRA, INC 06 30 01 7 9 0050 0000 06 00000437 RES NEW SFR BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/13/06 JLL 6/13/06 AP BL2 01 6/16/06 JLL 6/16/06 AP BLED 01 6/20/06 JLL 6/20/06 AP BL9 01 8/14/06 JLL 8/14/06 DA BL9 02 8/15/06 JLL PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS TYP /SQ ME6 01 PERMIT TYP /SQ PL2 01 8/15/06 INSPECTION TICKET INSPECTOR JAMES L LIERLY AM PM AM SUBDIV PHONE PHONE (360) 621 9433 BUILDING FOUNDATION ROD 908 5510 06/12/2006 11 20 AM DYASUMUR 06/13/2006 03 45 PM JLIERLY BUILDING FOUNDATION WALL TIME ROD 908 5510 06/15/2006 01 49 PM DYASUMUR 06/16/2006 02 14 PM JLIERLY BUILDING FOUNDATION DRAINAGE GREG 477 1862 06/20/2006 07 58 06/20/2006 04 40 BUILDING SHEARWALL 08/11/2006 11 47 SHAWN 621 9786 08/14/2006 04 01 remove tyvek and BUILDING SHEARWALL SEAN 360 621 9786 08/14/2006 04 01 FOOTING COMMENTS AND NOTES DYASUMUR JLIERLY PERMITS PM JLIERLY recall /ill TIME 13 00 PM DYArtMUR 8/15/06 AtL MECHANICAL GAS LINE TIME 13 00 a 46006 04 45 PM DYASUMUR PAUL 460 8896 PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION COMPLETED RESULT RESULTS /COMMENTS PLUMBING ROUGH IN TIME 13 00 08/14/2006 04 44 PM DYASUMUR PAUL 460 8896 TIME 13 00 TIME 13 00 13 00 PAGE 6 DATE 8/15/06 4,A pa) 1-LJ D Fv s 0/v►t9A- 1 10 a a rZ I PREPARED 8/14/06 13 18 36 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/14/06 ADDRESS 1304 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA, INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0050 0000 APPL NUMBER 06 00000437 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/13/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/13/06 AP ROD 908 5510 06/12/2006 11 20 AM DYASUMUR 06/13/2006 03 45 PM JLIERLY BL2 01 6/16/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/16/06 AP ROD 908 5510 06/15/2006 01 49 PM DYASUMUR 06/16/2006 02 14 PM JLIERLY BLED 01 6/20/06 JLL BUILDING FOUNDATION DRAINAGE TIME 13 00 6/20/06 AP GREG 477 1862 06/20/2006 07 58 AM DYASUMUR 06/20/2006 04 40 PM JLIERLY BL9 01 8/14/06 JLL BUILDING SHEARWALL 08/11/2006 11 47 AM PERMITS SHAWN 621 9786 COMMENTS AND NOTES 3k uvIal 4 51/1,41- I a Cyr e cecQ PREPARED 6/26/07 9 17 55 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS 1304 0 ST TENANT NBR GLEN TERA, INC CONTRACTOR OWNER GLENN TERRA INC PARCEL 06 30 01 7 9 0050 0000 APPL NUMBER 06 00000437 RES NEW SFR REQUESTED INSP TYP /SQ COMPLETED RESULT PW99 01 FFNL 01 ME1 01 ME6 02 ME99 01 10/31/06 AP 3/02/07 RV 3/02/07 AP 4/12/07 KDD 4/12/07 AP BL99 01 6/26/ 07 PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP TYP /SQ COMPLETED RESULT ME6 01 8/15/06 JLL 8/15/06 AP 10/05/06 JLL 10/05/06 AP 1/31/07 JLL 2/01/07 AP PL2 01 8/15/06 JLL 8/15/06 AP PL2 02 10/03/06 JLL 10/03/06 AP PL6 01 10/06/06 JLL DESCRIPTION RESULTS /COMMENTS PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS INSPECTOR JAMES LIERLY SUBDIV PHONE PHONE (360) 621 9433 PAGE 6 DATE 6/26/07 Sean 10/27/2006 02 27 PM PERMITS 10/31/2006 08 22 AM JLIERLY PUBLIC WORKS FINAL 03/02/2007 03 07 PM RVESS 03/02/2007 03 07 PM RVESS FIRE FINAL 04/12/2007 04 19 PM KDUBUC Fire final 4 11 2007 04/12/2007 04 19 PM KDUBUC Fire final 4 11 2007 BLDG FINAL 06/25/2007 03 18 PM LPANGRLE JOHN 621 9786 BLDG FINAL NOTE IF THE DOOR IS LOCKED THE KEY WILL BE ON TOP OF THE ELECTRIC METER ON THE SIDE OF THE HOME NOBODY LIVES IN THIS HOME DESCRIPTION RESULTS /COMMENTS MECHANICAL GAS LINE TIME 13 00 08/14/2006 04 45 PM DYASUMUR PAUL 460 8896 08/15/2006 05 30 PM JLIERLY MECHANICAL ROUGH IN TIME 13 00 10/04/2006 03 54 PM DYASUMUR 10/05/2006 04 22 PM JLIERLY MECHANICAL GAS LINE 01/30/2007 04 44 PM PERMITS 02/01/2007 10 11 AM JLIERLY MECHANICAL FINAL 06/25/2007 03 20 PM LPANGRLE JOHN 621 9786 MECHANICAL FINAL PLUMBING ROUGH IN TIME 13 00 08/14/2006 04 44 PM DYASUMUR PAUL 460 8896 08/15/2006 05 30 PM JLIERLY PLUMBING ROUGH IN paul 460 8896 10/02/2006 09 16 AM PERMITS 10/03/2006 03 22 PM JLIERLY PLUMBING -WATER SUPPLY TIME 13 00 CONTINUED ONTO NEXT PAGE (INtit) 9 PREPARED 6/26/07 9 17 55 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES ADDRESS 1304 0 ST SUBDIV TENANT NBA GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0050 0000 APPL NUMBER 06 00000437 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 10/06/06 AP PL99 01 6/26/07 INSPECTOR JAMES LIERLY DATE 6/26/07 greg 477 1862 10/06/2006 07 55 AM DYASUMUR 10/06/2006 03 50 PM JLIERLY PLUMBING FINAL 06/25/2007 03 20 PM LPANGRLE JOHN 621 9786 PLUMBING FINAL COMMENTS AND NOTES PREPARED 6/20/06 12 27 09 INSPECTION TICKET PAGE 14 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/20/06 ADDRESS 1304 0 ST SUBDIV TENANT NBR GLEN TERA, INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0050 0000 APPL NUMBER 06 00000437 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/13/06 JLL 6/13/06 AP BL2 01 6/16/06 JLL 6/16/06 AP BLFD 01 6/20/06 I All BUILDING FOUNDATION FOOTING TIME 13 00 ROD 908 5510 06/12/2006 11 20 AM DYASUMUR 06/13/2006 03 45 PM JLIERLY BUILDING FOUNDATION WALL TIME 13 00 ROD 908 5510 06/15/2006 01 49 PM DYASUMUR 06/16/2006 02 14 PM JLIERLY BUILDING FOUNDATION DRAINAGE TIME 13 00 GREG 477 1862 06/20/2006 07 58 AM DYASUMUR COMMENTS AND NOTES PREPARED 6/16/06 11 31 33 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/16/06 ADDRESS 1304 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0050 0000 APPL NUMBER 06 00000437 RES NEW SFR PERMIT BPR 00 BUILDIN G P ERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/13/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 6/13/06 AP ROD 908 5510 06/12/2006 11 20 AM DYASUMUR 06/13/2006 03 45 PM JLIERLY BL2 01 6 16/06 J L BUILDING FOUNDATION WALL TIME 13 00 ROD 908 5510 06/15/2006 01 49 PM DYASUMUR COMMENTS AND NOTES PREPARED 6/13/06 11 26 35 INSPECTION TICKET PAGE 12 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/13/06 ADDRESS 1304 0 ST SUBDIV TENANT NBR GLEN TERA INC CONTRACTOR PHONE OWNER GLENN TERRA INC PHONE (360) 621 9433 PARCEL 06 30 01 7 9 0050 0000 APPL NUMBER 06 00000437 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/13/06 BUILDING FOUNDATION FOOTING TIME 13 00 CtM ROD 908 5510 06/12/2006 11 20 AM 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 Contractor GLENN TERRA INC 136 E 8TH ST #223 PORT ANGELES (360) 621 9433 Other struct info T \Policies \1102.15R [1/05] WA 98362 06 00000437 141385 1304 0 ST 06 30 01 7 9 0050 0000 GLEN TERA INC RES NEW SFR RS9 RESDNTL SINGLE FAMILY 149739 TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS Permit PUBLIC WORKS RES WATER SERV Additional desc 3/4 DROP IN METER Permit pin number 78659 Permit Fee 195 00 Plan Check Fee 00 Issue Date Valuation 149739 Expiration Date 12/02/06 Qty Unit Charge Per BASE FEE CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 OWNER Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background All homes in new subdivisions that are outside of the Fire Department four minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA) 05/22/2006 12 56 PM SROBERDS New sfr w /garage in RS 9 for total lot coverage of 30% No land use issues apparent Electrical load calculations and elctrical permits are required Electrical connection fee $713 00 05/15/2006 04 40 PM GMCLAIN Sanitary sewer connection inspection is required by Date 6/05/06 1 00 1 00 1 00 1 00 1 00 Extension 195 00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 78642 Permit Fee 110 00 Plan Check Fee 00 Issue Date Valuation 149739 Expiration Date 12/02/06 Qty Unit Charge Per Extension 1 00 110 0000 EA SAN SEWER HOOKUP 110 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 wi her specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of ..ny stat or local law regulating construction or the performance of construction Signature of Contractor or Authorized Agent Date 'Signature of Owner (i owner builder) Date CALL 417 -4807 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 PLANNING DEPT 417 -4750 BUILDING 417 -4815 T \Policies \1102.15R [1/05] RESIDENTIAL FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO PERMIT INSPECTION RECORD YES NO I I I I I I CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT PLANNING DEPT BUILDING Application Number Application pin number Special Notes and Comments Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete Other Fees Fee summary T \Policies \1102.15R [1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000437 141385 SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1200 00 Charged Paid Credited Due Page 2 Date 6/05/06 Permit Fee Total 305 00 305 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2074 50 2074 50 00 00 Grand Total 2379 50 2379 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 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 [1/051 RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD YES NO 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 FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT PLANNING DEPT BUILDING I I I I I I I Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner GLENN TERRA, INC 136 E 8TH ST #223 PORT ANGELES WA 98362 (360) 621 9433 Other struct info Permit Additional desc Permit pin number 79087 Permit Fee 36 40 Issue Date Expiration Date 12/02/06 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty 1 00 3 00 1 00 1 00 Permit Signature of Contractor or Authorized Agent 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 79061 107 75 12/02/06 PLUMBING PERMIT 06 00000437 141385 1304 0 ST 06 30 01 7 9 0050 0000 GLEN TERA, INC RES NEW SFR RS9 RESDNTL SINGLE FAMILY 149739 Contractor OWNER TOTAL LOT COVERAGE NUMBER OF STORIES LOT SIZE TOTAL LOT COVERAGE NUMBER OF UNITS Permit BUILDING PERMIT RESIDENTIAL Additional desc SFR IN RS 9 Permit pin number 76737 Permit Fee 1300 25 Issue Date Valuation Expiration Date 12/02/06 Plan Check Fee Qty Unit Charge Per Extension BASE FEE 1020 25 50 00 5 6000 THOU BL -100 001 500K (5 60 PER K) 280 00 ELECTRICAL NEW RESIDENTIAL Plan Check Fee Valuation Date 6/05/06 1 00 1 00 1 00 1 00 1 00 520 10 149739 00 0 Qty Unit Charge Per Extension 1 00 36 4000 ECH EL -LVT FIRST THERMOSTAT 36 40 MECHANICAL PERMIT Plan Check Fee Valuation Unit Charge Per BASE FEE 14 7000 ECH ME INSTALL 100 FAU 7 2500 ECH ME VENT FAN 10 6500 ECH ME -OTHER APPL N/R 10 6500 ECH ME -GAS PIPE 1 TO 5 0 0 0 Extension 50 00 14 70 21 75 10 65 10 65 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, 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 appl' and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied wi whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of y state or lor l law regulating con" truction or the performance of construction. c) Dategnature of Owner (i owner is b ilder) Date 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. 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 FIRE INSPECTION TYPE DATE ACCEPTED YES I NO PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 417 -4653 1 PLANNING DEPT. 417 -4750 I BUILDING 417 -4815 BUILDING PERMIT INSPECTION RECORD a,trno nnnmt nmection record05.wpd 11/4/20051 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I FINAL FINAL SEPA. ESA. SHORELINE: 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I I I FIRE DEPT I I I PLANNING DEPT BUILDING COMMENTS DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO .1 Application Number Application pin number Additional desc Permit pin number 79079 Permit Fee 170 00 Issue Date Expiration Date 12/02/06 Qty 13 00 1 00 1 00 1 00 Special Notes and Comments Address numbers shall be plainly visible from the street Address numbers shall be a ininimnm 3of six inches high and be of contrasting color from the background All homes in new subdivisions that are outside of the "ii•e 4 Department four minute response area shall be equipped with residential fire sprinkler systems that comply with the International Fire Code (IFC) and National Fire Protection Association (NFPA) 05/22/2006 12 56 PM SROBERDS New sfr w /garage in 9 4 1. for total lot coverage of 30% No land use issues appalrent Electrical load calculations and elctrical permits are required Electrical connection fee $713 00 05/15/2006 04 40 PM GMCLAIN Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance 1 notice is required Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DMSION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000437 141385 TAPolicies \1102_15 building permit inspection record05.wpd [1/4/2005] Plan Check Fee Valuation Construct driveway and Sidewalks to City Standards No concrete with exposed aggregate allowed in the City road right of way An inspection by Public Works Engineering is required prior to prouring concrete 1614 40 1614 40 00 520 10 520 10 00 2074 50 2074 50 00 4209 00 4209 00 00 Page 2 Date 6/05/06 00 00 00 00 00 0 Unit Charge Per Extension BASE FEE 50 00 7 0000 ECH PL EA FIXTURE ON ONE TRAP 91 00 7 0000 ECH PL- EA INSTALL WATER PIPE 7 00 1 15 0000 ECH PL EA BLDG SEWER 15 00 7 0000 ECH PL EA WATER HEATER 7 00 SEWER SYSTEM DELV CHARGE 870 00 STATE SURCHARGE 4 5,0 PW WATER SYSTEM USE FEE i 1200 00 4. Charged Paid Credited Due is 4«11 Y t 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 FOUNDATION: FOOTINGS WALLS FOUNDATION (DRAINAGi 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 l, A -1I4 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 4's PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I 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 IWff /o` Imo— I I G /16/0L I c— I t,/' /vr(. I T'-- I I I` I I I I G IV.' I I I I BUILDING 417 -4815 164.42.Lj 10A I -r u/ I tn.> 1c 5.. :t.tino nPrmit in .necdon record05.wpd 11/4/2005] Pa'w`l.! q_/.oa I I I Jis), I /6736 I FINAL tae/ SEPA. ESA. SHORELINE: ACCEPTED BY. FINAL O(. r fto /CT.-DATE I'LL? ACCEPTED BY. FINAL. INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT I BUILDING I I I I I I I I I 1 z 0 Credit Card Holder Name: Billing Address: Credit Card Type VISA MC TYJ E OF WORK. ,Residential .'New Constr Multi family Addition Commercial Remodel Repair PLANNING USE ONLY BUILDING PERMIT APPLICATION DateRec. Permit 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 Applicant or Agent: All V w Owner-, t-CAW e. tZ.g Address S T_ Z 23Cit P Architect/Engineer S u..iU TL L. /F u.LLCIIZ CI &Phone. 5.13'- .S NA/ Yr Contractor ('Le AM) tart -A 14)C State License (7 esno 1/i4 Exp VI/ C Phone 'Li- 1 y33 Address (p e. 8 bk sr: 2.21. City' PORT A71)6 EL.ES Zip g8.? (p -Z PROJECT ADDRESS a Li 0" .S T. ZONING LEGAL DESCRIPTION Lot: S Block: Subdivision. R o t i t' L_LJ CLALLAM COUNTY PARCEL NUMBER. 067 Or) I 19 ©c) s P) City Exp. Date. SIZE/VALUATION /r Stove 17S 1 SF 76 0 9 /SF 1 Garage SF $Z 3B /SF 1 g .Deck t1.3 C9 SF /2-0 /SF 1(,Q Sign Other TOTAL VALUATION S Re -roof Move Demolition BRIEF DESCRIPTION OF THE PROJECT AkW S L6 F4A4= ,A-12=Ce}GNEO COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. No. of Stories: Z. Lot Size: 2, 3( W Existing Sq Ft. Proposed Sq Ft. 2. D `1t TOTAL Sq. Ft. 2-7b 1 Total lot coverage /o 9000 1 77.5 -I S 2.0 43 ESA/Wetland(s). Yes No SEPA Checklist required? Yes No Other FOR OFFICIAL U E 0 Y ate Approved- Date Issued: C 3lpO .1.13 c..64-1- Phone S Cop SAS- 0 I6D Phone: 7, S D 10 c �nl &&e.. Zip i9 S Construction Type: //V 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 he 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 amined 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 respo ibility fo ermine what p: mit re required ,not the City's, and that t must obtain such permits prior to work. T:\Policies\BL 1102_13.wpd App 1Datz: I Site Information Lot: Address: I 0 ,tO ri Cit Pctr?_-r AN G6LGS State: A' Zip Ti Z, Contact:A, D 2 E LW /1 21L�S Phone. 3 ('p l a d Phone 2: 3 (a 0 I 4 '1 1.3 GEit. Fax: 3&O S69.5" Location of the door(s) taking this exception Ty p e. aF l-\ Prescriptive Approach Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 III Unlimited Group R 3 0 40 0.58 0.20 (L Occupancy Only See the code text for footnote references Copyright 2002, WSUCEEP02 -056 Copied by permission from the Washington State University Extension Energy Program building Department 'Lite .Only Permit:# Notes.. Table 6 -1 PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) Glazing I Glazing U- Factor I Door Wall Wall Wall Slab Option Area U- Ceiling' Vaulted Above Int Ext Floor On of Floor Vertical Overhead factor Ceiling' Grade Below Below Grade Grade Grade This,oject complies with the following o The project is a single family residence.er -hex 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 III only LD PR- oP,4A., F= R E P L, 4 GE R10 E LE crLZ.rL Prescriptive Simple Form Climate Zone 1 7/26/2004 2006 /MAY /03 /WED 03 20 PM CITY OF PA BLDG DEPT FAX No 360 417 4711 P 001/001 �1 FHA (6/05) I/2' RE9AR /CAP 1.5 22329' 566119'25 "W, 0.35' FROM CALCULATED CORNER POSITION THIS SURVEY MEETS OR EXCEEDS THE STANDARDS CONTAINED IN WAC 332 130 -O00_ EQUIPMENT TOPCONO MODEL CTS 605 5'" Ti5TA 'STATION. DA- TE --OF SURVEY. NW CORNER' SUBURBAN LOT 68 CURVE TABLE CURVE I LENGTH 1 RADIUS I DELTA LL]J .....0,..'"i5 I 7' Ll I 157E i 10.00 F I��"{ 1 t H Oz 001 10001 t SOU7HWeST CORNER OF THE SURVEYED PARCEL V+ r -E� IF ;r1 0 .:73: 7 s0911 1 90:m1 NAT 15 5 3]'07'49" W, 1447 FROM THE w d 'I J I r I iC4 1 10.001 POSITION 051E9 lIN D BY THIS OFFICE IYHICI{ r s g I 4 CJ i s0.00 t1� OLDS THE DEED-CALL OF 240 FEET FROM 'ME 55 2 II" 7 1 2.071 lam 1'' NORTHWEST CORNER OF SUBURBAN LOT 68. a 9J00 SOFT. 1 C! cart 10.00 :r. r.' A COMPREHENSIVE REVIEW OF THE CHAIN OF I )e• d 1 1 Q. 1 I 5 1 t0. W. 711 1000 RJLE•R S.L 68 SHOWS CONSISTENCY OF I M a 1 109 17.31 10.00 a r' THE 24 0 F OOT CALL i 1_5 I R15 6 47•W r R .:4p 7c10-- n�11 -�a.0m _Y_.r__.- --1�r 1m .140911 CII 22.111. 50.00 �5Y9' t 11. 1 I 7 1 1 11 CI? m.491 50.00 ......0-' I 1 v. u 7 1 qs 41.091 0000 0 3. 'P 1 1266�A.F.I. 10') 110 I H. 1 C 24.93. 60.OD ti. w\ dl 6"----1-1-El CW 14 15.711 10.00 811v09t1 N N y e q. Cte 0.7H lam+ w 495- f L I 9000 SaF7 I „E f� 1 f s J 'J 1.1 1 "y 2S' L -.17_10 J o C'W1C 0 !I- 1'26 II lt5 I t I 11.. 1 25' i i 1 1_ ooSB SQFT o 7 i n en a 825'I 9427 SQ.FT. `a 15 I I q Ig� 1 25' h I 8000 Seta 1 ti q 53 I 1° BS' I LJ z5 r r1:, �Z -1 d S 12 0. 0D� SS f g 1 72015 SO.FL o' I 1'L1� f 3d 1 30 j 1 zL 1 m I v 1 A I 9 SQ F7 1 1 IN J 1 1 J 6. I 1 i I i "I h 1 9000 SOFT J 25 ,1 i 9000 SOFT. 1 I n� CORNER POSITION 1 L J L J I I I I 12k S736'43'47 s 43 8' S56 5 aS'E x. o; f0' t ..a_, f; .D w al 1 1, 'a5•a7' 8 s 1'47F A i 4 I, I 24 ...r M g l.. 10543 sa.FL f I 41 `I 1 1 3 I 20. I �Q� I iC' n g I 1 1 9' I r° k j I, 9144 SaFT/ �1C ~Thoj I m t„ a g 1 9 000 SO.FT• 1 3 w i 9000 Sa.F7 p .10. fi 2t .i 7\ -4 \���1PP. 1 A y .g I. ,I 1 I ,"y1 25 1 J �5;j L x'45 -•17 4-1 L �S6' '4�� A {lam I rr _Litt 111W.Ub 71_80_• I it i __I to' o. 5.3. -1' t�lD1 I y I 1 1U 1 Cr _r1 "111 0 WIDE P OWE7r f5M7 I 1 25 c I 3 4 I 1 45 f7 'r° }'o N 56,145'47'W 150.00_ I 1 900D SaFT. J r I 9000 5aF1: 1 1' 1 1=101.1.110 iiLLS GOURT I IN I 25' I '1 N560.54 W 11 4 1-- tl L J 45 I 550307$"0 s39e3ay'&"d' 1 1 (y, �y Cr 1 -00.� X6:1 c, z _T 12 D n L. r� �{1 i r--..-.. s'1-o 1 8 1 z M o/ 1 1311 1 z 1 131 I. 11 23 l 2 0 1 14 I ;112 o I I. I I d1E, r Ig J 9000 90 -Ft I 1 3000 saFr. J y 1` 17531 Sa fi L gI 9224 SOFT: 1 4 El 9002 SaFT I q 1 I I zs' I I 1 I 1 1� I,� J I I c A °j I L .S`.4:�'d7 E 6 4 L S 47 A 1 12 L s i r L_ IIo'- I- r 12 120' j`{ S T 1 I 13 I 2 5.1 13x0 1 h I 0. 75.00' 80.7Y w S56 <S 4 7"E N 1 1 I I 2 7&00' 77.77' 79.75'_ 1 W r us,• I 1 9000 SOFT I n I 9000 San I 10 1 55645'50 E 53497 NO1 R,aS., •Y. 53, P. 12 NAS INIERPRE7ED THE r• DEED DIMENSION ALONG THE NORTHWESTERLY 1g BOUNDARY (240 F 7) TO BE A MORe -OR- CALL.RESUL7INC IN A POSITION FOR THE' In v I 1 25' I -_-1 0.r 81- fe I o L. s -1 L 4 F4 �°i 12ILp1Z 1 I CD. 1 25 I 1 i I Jr, 1111 9049 say); I "rl 9020 50.F7: J+ 4 9750 SD.FT.1 4 400' 7776 69 5 wY' 656 q 1 A 22 I•n d IF I I 1 rig yl5S I s'Z9 I w 1 7 7 1_ I p f 00' o.00' HOOD' 110.00' 556 0.S dTE c TO Mr POWER MT 53497 1 9003 SQ.FT. L- J l_ J L J 1 20.' I 9003 SO.FT. 1 I 1 I 6 0. 60' L J h L, J j 'i yes o5 "F A24.91 s J 55645 4YE 1 7220.00 SEE 1. AROGE1?URE THIS RECORD OF SURVEY IS BASED ON A GROUND SURVEY UTILIZING CONVENTIONAL TRAVERSE METHODS. Cl FOR N5 6'45.471V STREET 8'45'47'W 310. PER 1 �VP,VE- Y•OR'S- CE-R -W AZ: 1, BRADLEY R. LYMANCROVER, REGISTERED AS A LAND SURVEYOR BY THE STATE OF WASHINGTON, CERTIFY THAT THIS LAND SUBDIVISION IS BASED ON AN ACTUAL SURVEY -OF THE LAND DESCRIBED HEREIN CONDUCTED BY ME. OR UNDER MY SUPERVISION; AND DECLARE THAT THE DISTANCES, COURSES AND ANGLES ARE SHOWN HEREON CORRECTLY; AND THAT MONUMENTS OTHER THAN THOSE MONUMENTS APPROVtU FOR sE971NG"j A ATER H A1/E- BEEI'I -SE•f AT .COT.= CORNERS. STAKED N. NE. 'CROUN) .AS DEPIC7ED ON THE PLAT. vl 1 ji 5 tJ 1 to Z ‘-cof-rf _irk 5 ti-s4, tit i 0. 1,' i. 1 Ve 1 e 1 tt) *7 11 \l" jt 1 1 Z.o \0,4r I Lf\1fJ ~,~ {;..~ r-,.a 1L. r---". l\~~./'l' -.. ... ELECTRICAL WORK PERMIT APPLICATION,' r Job wired by )5l Electrical Contractor 0 Owner Installation description o Commercial ~Residential DNew o Altered! Addition City . jQ,lI( c{. " premiseGoW(er's name _ c: ,(.,1'1.1'\ Address of i~.S e ti."n City ~ Phone number to schedule inspection: y '1 le.r-rq o st. Owner as defined hy RCWJ9.28.26/:(l) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Ovi.'ner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical instal- lation or alteration in" compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover x Expiration Date of card Inspection fee $ Electrical Load Additions an D NO LOAD CHANGES CJ Baseboard KW CJ Furnace KW (J Heat Pump Ton LAR D Fan.Wall KW Service Information (J Overhead Service o Temp Service (J Underground Service Voltage Phase D 1 D 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN TIIERMOSTAT Dale Approved By Date Approved By FlNAL DITCH ~ Dale Approved By SERVICE Dale Approved By FEEDER Date Approved By Area, Building or Equipment Inspected Action Taken Electrical Inspector L<' ..J - :1J; , '2 . \ , E~RICAL WORK PERMIT APPLICATION., ~est Inspection o Annual Permit o Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom. Job wired by ~Coni'aclor 0 Owner Installation description License number Wcr'>lI"'.2P- I2D I ~szO- V'~ ') City q~6' 2.00 ""V ~ Telephone number 4'l-- (,,'1'- FAX number ,,:J-P 7 'I $,<"<<" Premises Gc.na~~ Address of inspection \ '30-1 ~A S"' h(J . City 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 e1ectricallaw, Chapter 19.28 RCW. ~a~::dilcard _ VI~ n~~:scove~_ Signature of 0 contractor or electrical administrator Expiration Date of card x /' WALLS Insulation Only Date Approved By Cover Date Approved By '- / CEILING Insulation Only Date Approved By Cover Dale Approved By '- THERMOSTAT Date Approved By DITCH Date Approved By SERVICE Date Approved By , FEEDER ( , . Date Approved By Electrical Load Additions and or subtractions o NO LOAD CHNJGES o Baseboard. ~KW IZI.-P!lfilace J]dKW o Heat Pump Ton LAR o Fan-Wall KW o Overhead Service o Te~ce ~erground Service Service Information Voltage I~~f",,-";J Phase ~ 3 Service Size: ').V C Feeder Size: ~ ,; ~ Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector /. . c00 113 ,,0 t'f~\.JED 0.4 \ 1,- kP . " . I " t5, . , --- ElECTRIC/(t-iKlSPECTION WIRING REPORT .-.--'. . 417-4735 CJ .:5 r; APPROVED NOT APPROVED o 0 0 0 0 0 0 0 . 0 0 0 0 0 . . 0 0 0 . 0 DITCH 0 0 0 . . 0 . 0 0 0 0 0 0 0 0 0 0 . 0 0 0 Do 0 0 0 . . 0 0 0 0 0 . 0 0 0 0 ROUGH IN/COVER 0 0 0 0 . . 0 0 0 0 . . 0 0 oX Do 0 .. 0 0 0 0 0 0 . 0 0 0 0 . 0 0 0 0 SERVICE 0 0 0 0 0 0 ..0000..0000.0 Do 0 . . , 0 0 0 0 . . 0 0 0 0 . 0 0 0 0 . FINAL. 0 0 0 0 . . . . 0 0 0 0 . . 0 0 0 0 . 0 CORRECTIONS NEEDED: @ ~7'5//7~ ~A ~-L? ~(9<A.of.n....f".Ll @ ~;noK-r .a;:-~P"Y( _4...a"u~../l CW 4-7A7N ~t!2 ;O~~57?&?..AL ;. /.5 77~/..Af_ &O/""(~ 719 Br _ A ~/ /Z..I' _ .5,/,' ~X/r I Jt'"A. 7 ' iLtZ~ / ~__ ~lc jf!~/L. O//Y/~& o~ L/~f/-r //~e.o )i NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . INSPECTION REPORT. . . . . . REQUEST: Date Time Received by (phone erson) Location of Work to be inspected 12011.. yt Name of person requesting inspection V,::, i eM- Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation Framing Chimney Plumbing Phone No. Permit No. Final ~e~ Exca~ther INSPECTION NOTES: Inspected: Date /0 -r1D-OS Time:3:~ P,....... By ~ Remarks:Th;s \(\SfU-{"o'~_ w",:s. e:..o"'pi"t"J k,'j ~"''f (J{! c, orls,/"C-/.""",/-cutd t-U,'/( ~k"", ,""N Ce/"i?'1ut"C'YI PyDu.-"L J /'1 -/-k", e.onfYl>c/",r. 77-,,,,_ Sc:"<uU?_ SFeu.C6 w...", ,'''SfA/le,) C"k~ bAc.t- .' leel ,-(. +ke 'Y\(L ,....S Ec-l,,_11. t,,- c....~ . T..... ~(("'J C{ (.,~IO" PIt:.. to,! c:. 1l2"3<;"' Sou.f( of- IYH I'A 0 sl J- ~A-W\ ~IMG OIL- (1pp 16' Daf - <, '; 'cr{i. C.," pw: -1-0 f; r ih4sl P(bP"''-/f /;,1E. . Tr1 s!",(fecl q '-Ix,! /)(dsf. I , RESTORATION REQUIRED. . . . .. YES NO 'J'.... l/' fV C- L , Iv> f"l Sq ;'\'to fa Or: J E. /.-07 "# 5 j-, , ->l ~ V) I () I SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt OPCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ~