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HomeMy WebLinkAbout1014 Grant Ave - BuildingPREPARED 4/06/07 9 22 03 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/06/07 ADDRESS 1014 GRANT AVE SUBDIV TENANT NBR MIMI DVORAK CONTRACTOR MACKEY DEVELOPMENT LLC PHONE (206) 351 5372 OWNER DVORAK JOHN C /MAROLEED PHONE PARCEL 06 30 14 5 6 0218 0000 APPL NUMBER 06 00000530 RES NEW SFR REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESU RESULTS /COMMENTS 04/06/2007 08 52 AM PERMITS ERIC 775 7344 C OMMENTS AND NOTES Wl� oGp PREPARED 3/26/07 11 56 18 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/26/07 ADDRESS 1014 GRANT AVE SUBDIV TENANT NBR MIMI DVORAK CONTRACTOR MACKEY DEVELOPMENT LLC PHONE (206) 351 5372 OWNER DVORAK JOHN C /MAROLEED PHONE PARCEL 06 30 14 5 6 0218 0000 APPL NUMBER 06 00000530 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 8/11/06 JLL BUILDING FOUNDATION FOOTING 8/11/06 AP 08/10/2006 09 48 AM PERMITS ERIC 206 351 5372 MORNING AM 08/11/2006 03 41 PM PBARTHOL BL1 02 9/06/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 9/06/06 AP ERIC 775 7344 09/05/2006 04 55 PM DYASUMUR 09/06/2006 04 29 PM JLIERLY BL8 01 10/25/06 JLL BUILDING ROOF SHEETING TIME 13 00 10/25/06 AP ERIC 775 7344 10/24/2006 08 18 AN DYASUMUR 10/25/2006 04 23 PM JLIERLY BL6 01 11/14/06 JLL BUILDING POST /COLUMN FTG TIME 13 00 11/14/06 AP ERIC 775 7344 11/13/2006 09 10 AM DYASUMUR 11/14/2006 04 14 PM JLIERLY BL3 01 3/02/07 PB BUILDING FRAMING 3/02/07 DA 01/03/2007 11 52 AM PBARTHOL POSSIBILITY OF EXCESSIVE HOLES DRILLED IN TGI S BY ELECTRICAL PANEL ERIC 775 7344 03/02/2007 08 39 AM PERMITS 03/02/2007 05 04 PM PBARTHOL PLUMBING NOT READY ELECTRICAL NOT SIGNED OFF INSTALL NAIL PLATES AS NECESSARY STRAP TOP PLATES WHERE SPLIT IS CLOSER THAN 24 INCHES BAIR 01 3/20/07 JLL BUILDING AIR SEAL TIME 13 00 3/20/07 DA 03/20/2007 08 54 AM PERMITS ERIC 360 775 7344 03/20/2007 04 19 PM JLIERLY finish and complete/j11 BL3 02 3/20/07 JLL BUILDING FRAMING TIME 13 00 3/20/07 AP 03/20/2007 08 55 AM PERMITS ERIC 360 775 7344 03/20/2007 04 21 PM JLIERLY BAIR 02 3/21/07 JLL BUILDING AIR SEAL TIME 17 00 3/21/07 AP 03/21/2007 08 36 AM PERMITS ERIC 775 7344 03/21/2007 03 56 PM JLIERLY BLI 01 3/23/07 JLL BUILDING INSULATION 3/23/07 DA 03/23/2007 08 17 AM PERMITS ERIC 775 7344 03/23/2007 03 29 PM JLIERLY not ready finish and recall/j11 BLWS 01 3/26/07 BUILDING INSULATION WALL /FLOOR 03/26/2007 08 35 AM PERMITS 'NI ERIC 775 7344 COMMENTS AND NOTES 2 Luc,, 1 cub \a, r ot PREPARED 3/23/07 10 15 45 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/23/07 ADDRESS 1014 GRANT AVE SUBDIV TENANT NBR MIMI DVORAK CONTRACTOR MACKEY DEVELOPMENT LLC PHONE (206) 351 5372 OWNER DVORAK JOHN C /MAROLEED PHONE PARCEL 06 30 14 5 6 0218 0000 APPL NUMBER 06 00000530 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 8/11/06 JLL BUILDING FOUNDATION FOOTING 8/11/06 AP 08/10/2006 09 48 AM PERMITS ERIC 206 351 5372 MORNING AM 08/11/2006 03 41 PM PBARTHOL BL1 02 9/06/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 9/06/06 AP ERIC 775 7344 09/05/2006 04 55 PM DYASUMUR 09/06/2006 04 29 PM JLIERLY BL8 01 10/25/06 JLL BUILDING ROOF SHEETING TIME 13 00 10/25/06 AP ERIC 775 7344 10/24/2006 08 18 AM DYASUMUR 10/25/2006 04 23 PM JLIERLY BL6 01 11/14/06 JLL BUILDING POST /COLUMN FTG TIME 13 00 11/14/06 AP ERIC 775 7344 11/13/2006 09 10 AM DYASUMUR 11/14/2006 04 14 PM JLIERLY BL3 01 3/02/07 PB BUILDING FRAMING 3/02/07 DA 01/03/2007 11 52 AM PBARTHOL POSSIBILITY OF EXCESSIVE HOLES DRILLED IN TGI S BY ELECTRICAL PANEL ERIC 775 7344 03/02/2007 08 39 AM PERMITS 03/02/2007 05 04 PM PBARTHOL PLUMBING NOT READY ELECTRICAL NOT SIGNED OFF INSTALL NAIL PLATES AS NECESSARY STRAP TOP PLATES WHERE SPLIT IS CLOSER THAN 24 INCHES BAIR 01 3/20/07 JLL BUILDING AIR SEAL TIME 13 00 3/20/07 DA 03/20/2007 08 54 AM PERMITS ERIC 360 775 7344 03/20/2007 04 19 PM JLIERLY finish and complete /j11 BL3 02 3/20/07 JLL BUILDING FRAMING TIME 13 00 3/20/07 AP 03/20/2007 08 55 AM PERMITS ERIC 360 775 7344 03/20/2007 04 21 PM JLIERLY BAIR 02 3/21/07 JLL BUILDING AIR SEAL TIME 17 00 3/21/07 AP 03/21/2007 08 36 AM PERMITS -ERIC 775 7344 03/21/2007 03 56 PM JLIERLY BLI 01 3/23/07 LL BUILDING INSULATION 03/23/2007 08 17 AM PERMITS ERIC 775 7344 COMMENTS AND NOTES wA9\ PREPARED 3/21/07 9 32 20 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/21/07 ADDRESS 1014 GRANT AVE TENANT NBR MIMI DVORAK CONTRACTOR MACKEY DEVELOPMENT LLC OWNER DVORAK JOHN C /MAROLEED PARCEL 06 30 14 5 6 0218 0000 APPL NUMBER 06 00000530 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 8/11/06 JLL BUILDING FOUNDATION FOOTING 8/11/06 AP 08/10/2006 09 48 AM PERMITS ERIC 206 351 5372 MORNING AM 08/11/2006 03 41 PM PBARTHOL BL1 02 9/06/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 9/06/06 AP ERIC 775 7344 09/05/2006 04 55 PM DYASUMUR 09/06/2006 04 29 PM JLIERLY BL8 01 10/25/06 JLL BUILDING ROOF SHEETING TIME 13 00 10/25/06 AP ERIC 775 7344 10/24/2006 08 18 AM DYASUMUR 10/25/2006 04 23 PM JLIERLY BL6 01 11/14/06 JLL BUILDING POST /COLUMN FTG TIME 13 00 11/14/06 AP ERIC 775 7344 11/13/2006 09 10 AM DYASUMUR 11/14/2006 04 14 PM JLIERLY BL3 01 3/02/07 PS BUILDING FRAMING 3/02/07 DA 01/03/2007 11 52 AM PBARTHOL POSSIBILITY OF EXCESSIVE HOLES DRILLED IN TGI S BY ELECTRICAL PANEL ERIC 775 7344 03/02/2007 08 39 AM PERMITS 03/02/2007 05 04 PM PBARTHOL PLUMBING NOT READY ELECTRICAL NOT SIGNED OFF INSTALL NAIL PLATES AS NECESSARY STRAP TOP PLATES WHERE SPLIT IS CLOSER THAN 24 INCHES BAIR 01 3/20/07 JLL BUILDING AIR SEAL TIME 13 00 3/20/07 DA 03/20/2007 08 54 AM PERMITS ERIC 360 775 7344 03/20/2007 04 19 PM JLIERLY finish and complete/j11 BL3 02 3/20/07 JLL BUILDING FRAMING TIME 13 00 3/20/07 AP 03/20/2007 08 55 AM PERMITS ERIC 360 775 7344 03/20/2007 04 21 PM JLIERLY BAIR 02 3/2/07 BUILDING AIR SEAL TIME 17 00 I r 03/21/2007 08 36 AM PERMITS ERIC 775 7344 SUBDIV COMMENTS AND NOTES PHONE (206) 351 5372 PHONE PREPARED 3/20/07 11 00 24 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/20/07 ADDRESS 1014 GRANT AVE SUBDIV TENANT NBR MIMI DVORAK CONTRACTOR MACKEY DEVELOPMENT LLC PHONE (206) 351 5372 OWNER DVORAK JOHN C /MAROLEED PHONE PARCEL 06 30 14 5 6 0218 0000 APPL NUMBER 06 00000530 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 8/11/06 JLL BUILDING FOUNDATION FOOTING 8/11/06 AP 08/10/2006 09 48 AM PERMITS ERIC 206 351 5372 MORNING AM 08/11/2006 03 41 PM PBARTHOL BL1 02 9/06/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 9/06/06 AP ERIC 775 7344 09/05/2006 04 55 PM DYASUMUR 09/06/2006 04 29 PM JLIERLY BL8 01 10/25/06 JLL BUILDING ROOF SHEETING TIME 13 00 10/25/06 AP ERIC 775 7344 10/24/2006 08 18 AM DYASUMUR 10/25/2006 04 23 PM JLIERLY BL6 01 11/14/06 JLL BUILDING POST /COLUMN FTG TIME 13 00 11/14/06 AP ERIC 775 7344 11/13/2006 09 10 AM DYASUMUR 11/14/2006 04 14 PM JLIERLY BL3 01 3/02/07 PS BUILDING FRAMING 3/02/07 DA 01/03/2007 11 52 AM PBARTHOL POSSIBILITY OF EXCESSIVE HOLES DRILLED IN TGI S BY ELECTRICAL PANEL ERIC 775 7344 03/02/2007 08 39 AM PERMITS 03/02/2007 05 04 PM PBARTHOL PLUMBING NOT READY ELECTRICAL NOT SIGNED OFF INSTALL NAIL PLATES AS NECESSARY STRAP TOP PLATES WHERE SPLIT IS CLOSER THAN 24 INCHES �____/Y BAIR O1 3/20/07 t BUILDING AIR SEAL TIME 13 00 C,r 03/20/2007 08 54 AM PERMITS ERIC 360 775 7344 BL3 02 3/20/07 LL BUILDING FRAMING TIME 13 00 03/20/2007 08 55 AM PERMITS ERIC 360 775 7344 COMMENTS AND NOTES PREPARED 3/06/07 9 18 48 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/06/07 ADDRESS 1014 GRANT AVE SUBDIV TENANT NBR MIMI DVORAK CONTRACTOR MACKEY DEVELOPMENT LLC PHONE (206) 351 5372 OWNER DVORAK JOHN C /MAROLEED PHONE PARCEL 06 30 14 5 6 0218 0000 APPL NUMBER 06 00000530 RES ADDITION APPL NOTES BINS 1/03/07 01/03/2007 11 52 AM PBARTHOL POSSIBILITY OF EXCESSIVE HOLES DRILLED IN TGI S BY ELECTRICAL PANEL PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 9/06/06 JLL PLUMBING ROUGH IN TIME 13 00 9/06/06 AP 09/05/2006 04 56 PM DYASUMUR 09/06/2006 04 29 PM JLIERLY PL1 01 9/14/06 PB PLUMBING UNDER SLAB TIME 13 00 9/14/06 DA AARON 775 7344 09/13/2006 09 43 AM DYASUMUR 09/14/2006 05 03 PM PBARTHOL 10 head dwv bed pipe in sand wrap pipe at concrete so there is no direct contact PL1 02 9/15/06 JLL PLUMBING UNDER SLAB 9/15/06 AP ERIC 775 7344 09/15/2006 07 54 AM PERMITS 09/15/2006 05 03 PM PBARTHOL PL6 01 12/21/06 JLL PLUMBING WATER SUPPLY 12/21/06 DA 12/21/2006 08 12 AM PBARTHOL ERIC 775 7344 12/21/2006 03 13 PM JLIERLY not ready finish and recall/ill PL2 02 3/02/07 PB PLUMBING ROUGH IN 3/02/07 DA 03/02/2007 08 36 AM PERMITS ERIC 775 7344 03/02/2007 05 04 PM PBARTHOL PLUMBING NOT READY ELECTRICAL NOT SIGNED OFF INSTALL NAIL PLATES AS NECESSARY STRAP TOP PLATES WHERE SPLIT IS CLOSER THAN 24 INCHES PL6 02 3/02/07 PB PLUMBING WATER SUPPLY 3/02/07 DA 03/02/2007 08 39 AM PERMITS ERIC 775 7344 03/02/2007 05 04 PM PBARTHOL PLUMBING NOT READY ELECTRICAL NOT SIGNED OFF INSTALL NAIL PLATES AS NECESSARY STRAP TOP PLATES WHERE SPLIT IS CLOSER THAN 24 INCHES PL2 03 3/06/07 PLUMBING ROUGH IN 03/06/2007 08 48 AM PERMITS MACKEY 775 7344 A COMM NTS AND NOTES ilt47 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 DVORAK JOHN C /MAROLEED PO BOX 339 EL CERRITO Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Qty Unit Charge Per 1 00 50 0000 ECH RIGHT OF WAY PERMIT Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CA 94530 RIGHT OF WAY UNKNOWN 148278 96362 50 00 Plan Check Fee 3/05/07 Valuation 9/01/07 STREET ALLEY RESTORATION 96354 430 00 Plan Check Fee 3/05/07 Valuation 9/01/07 Qty Unit Charge Per Extension 1 00 430 0000 ECH STREET CUT OTHER 430 00 SANITARY SEWER HOOK UP Qty Unit Charge Per Extension 1 00 120 0000 EA SAN SEWER HOOKUP 120 00 Special Notes and Comments 01/03/2007 11 52 AM PBARTHOL POSSIBILITY OF EXCESSIVE HOLES DRILLED T•\Policies \1102.158 1/05] CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000530 466490 1014 GRANT AVE 06 30 14 5 6 0218 0000 MIMI DVORAK RES ADDITION Contractor Date 3/05/07 MACKEY DEVELOPMENT LLC 1013 OLYMPUS AVE PORT ANGELES WA PORT ANGELES WA 98362 TOTAL LOT COVERAGE 05 NUMBER OF STORIES 2 00 EXISTING LOT COVERAGE 1080 00 LOT SIZE 61010 00 PROPOSED LOT COVERAGE 1950 00 TOTAL LOT COVERAGE 3030 00 NUMBER OF UNITS 1 00 00 148278 Extension 50 00 0 0 148278 96370 120 00 Plan Check Fee 00 3/05/07 Valuation 148278 9/01/07 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,g overning this type of work will be complied with whether specified herein or not. The granting of a permit does not pres a to give pu Iiority to violate or cancel the provisions of any state or local law regulating construction or the performance of constuction. 1 t7 1 0 i n Sit re of Contra or 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. 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 T•\Polisies \1102.15R 1 /05] RESIDENTIAL CONSTRUCTION RW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 1 PERMIT INSPECTION RECORD YES 1 NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO CONSTRUCTION RW PW ENGINEERING 1 FIRE DEPT. 1 PLANNING DEPT BUILDING CITY OF PORT ANGELES i�a PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number Application pin number T•\Policies \1102.15R [1/05] 06 00000530 466490 Special Notes and Comments IN TGI S BY ELECTRICAL PANEL The Fire Department has reviewed the project application and has no comments 06/01/2006 08 07 AM SROBERDS The residential ddition in the RS 9 zone will require a zoning lot covenant No other land use issues are anticipated Electrical load calculations and elctrical permits are required How will the new structure be fed electrically? 05/22/2006 01 35 PM GMCLAIN Public Works Utility Engineering has no requirements for this plan review Page 2 Date 3/05/07 Other Fees SEWER SYSTEM DELV CHARGE 2500 00 STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 600 00 600 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 2504 50 2504 50 00 00 Grand Total 3104 50 3104 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 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 T•\Policies \1102.15R [1/05] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT. 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD .4 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 t PREPARED 3/02/07 9 43 42 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/02/07 ADDRESS 1014 GRANT AVE SUBDIV TENANT NBR MIMI DVORAK CONTRACTOR PHONE OWNER DVORAK JOHN C /MAROLEED PHONE PARCEL 06 30 14 5 6 0218 0000 APPL NUMBER 06 00000530 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 8/11/06 JLL BUILDING FOUNDATION FOOTING 8/11/06 AP 08/10/2006 09 48 AM PERMITS ERIC 206 351 5372 MORNING AM 08/11/2006 03 41 PM PBARTHOL BL1 02 9/06/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 9/06/06 AP ERIC 775 7344 09/05/2006 04 55 PM DYASUMUR 09/06/2006 04 29 PM JLIERLY BL8 01 10/25/06 JLL BUILDING ROOF SHEETING TIME 13 00 10/25/06 AP ERIC 775 7344 10/24/2006 08 18 AM DYASUMUR 10/25/2006 04 23 PM JLIERLY BL6 01 11/14/06 JLL BUILDING POST /COLUMN FTG TIME 13 00 11/14/06 AP ERIC 775 7344 11/13/2006 09 10 AM DYASUMUR 11/14/2006 04 14 PM JLIERLY BL3 01 3/02/07 JLL BUILDING FRAMING 01/03/2007 11 52 AM PBARTHOL POSSIBILITY Y OF EXCESSIVE HOLES DRILLED IN TGI S BY ELECTRICAL PANEL ERIC 775 7344 03/02/2007 08 39 AM PERMITS PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 9/06/06 JLL PLUMBING ROUGH IN TIME 13 00 9/06/06 AP 09/05/2006 04 56 PM DYASUMUR 09/06/2006 04 29 PM JLIERLY PL1 01 9/14/06 PB PLUMBING UNDER SLAB TIME 13 00 9/14/06 DA AARON 775 7344 09/13/2006 09 43 AM DYASUMUR 09/14/2006 05 03 PM PBARTHOL 10 head dwv bed pipe in sand wrap pipe at concrete so there is no direct contact PL1 02 9/15/06 JLL PLUMBING UNDER SLAB 9/15/06 AP ERIC 775 7344 09/15/2006 07 54 AM PERMITS 09/15/2006 05 03 PM PBARTHOL PL6 01 12/21/06 JLL PLUMBING WATER SUPPLY 12/21/06 DA 12/21/2006 08 12 AM PBARTHOL ERIC 775 7344 12/21/2006 03 13 PM JLIERLY not ready finish and recall/ill PL2 02 3 0 /07 JLL 03UM2ING ROUGH IN 3 'F- 03/02/2007 08 36 AM PERMITS ERIC 775 7344 PL6 02 3/ 2/07 JLL PLUMBING WATER SUPPLY CONTINUED ONTO NEXT PAGE me r PREPARED 3/02/07 9 43 42 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY ADDRESS 1014 GRANT AVE SUBDIV TENANT NBR MIMI DVORAK CONTRACTOR PHONE OWNER DVORAK JOHN C /MAROLEED PHONE PARCEL 06 30 14 5 6 0218 0000 APPL NUMBER 06 00000530 RES ADDITION REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS 03/02/2007 08 39 AM PERMITS ERIC 775 7344 COMMENTS AND NOTES PAGE 3 DATE 3/02/07 Correction Notice Job Located at /U 6,01/17 Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction A ss /Z. ir,476 2 5. .J rJ'- �^y.:.�:w'..:`;. �'+ts9'v'�@... y .r 't t y. BUILDING DIVISION CITY OF PORT ANGELES ---These corrections must be made and are not to be covered until reinspection is made When corrections have been made, please call 4/ 7 4 /6 for inspection Date 3 1 2 /D7 Inspector for Building Division DO NOT REMOVE THIS TAG PREPARED 12/21/06 10 18 14 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 12/21/06 ADDRESS 1014 GRANT AVE SUBDIV TENANT NBR MIMI DVORAK CONTRACTOR PHONE OWNER DVORAK JOHN C /MAROLEED PHONE PARCEL 06 30 14 5 6 0218 0000 APPL NUMBER 06 00000530 RES ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 9/06/06 JLL PLUMBING ROUGH IN TIME 13 00 9/06/06 AP 09/05/2006 04 56 PM DYASUMUR 09/06/2006 04 29 PM JLIERLY PL1 01 9/14/06 PB PLUMBING UNDER SLAB TIME 13 00 9/14/06 DA AARON 775 7344 09/13/2006 09 43 AM DYASUMUR 09/14/2006 05 03 PM PBARTHOL 10 head dwv bed pipe in sand wrap pipe at concrete so there is no direct contact PL1 02 9/15/06 JLL PLUMBING UNDER SLAB 9/15/06 AP ERIC 775 7344 09/15/2006 07 54 AM PERMITS 09/15/2006 05 03 PM PBARTHOL PL6 01 12/21/06 /06 PLUMBING WATER SUPPLY 12/21/2006 06 08 12 AM PBARTHOL ERIC 775 7344 COMMENTS AND NOTES PREPARED 11/14/06 8 10 43 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 11/14/06 ADDRESS 1014 GRANT AVE SUBDIV TENANT NBR MIMI DVORAK CONTRACTOR PHONE OWNER DVORAK JOHN C /MAROLEED PHONE PARCEL 06 30 14 5 6 0218 0000 APPL NUMBER 06 00000530 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 8/11/06 JLL BUILDING FOUNDATION FOOTING 8/11/06 AP 08/10/2006 09 48 AM PERMITS ERIC 206 351 5372 MORNING AM 08/11/2006 03 41 PM PBARTHOL BL1 02 9/06/06 JLL BUILDING FOUNDATION FOOTING TIME 13 00 9/06/06 AP ERIC 775 7344 09/05/2006 04 55 PM DYASUMUR 09/06/2006 04 29 PM JLIERLY BUILDING ROOF SHEETING TIME 13 00 ERIC 775 7344 10/24/2006 08 18 AM DYASUMUR 10/25/2006 04 23 PM JLIERLY BL6 01 11/14/06 L BUILDING POST /COLUMN FTG TIME 13 00 ERIC 775 7344 11/13/2006 09 10 AM DYASUMUR BL8 01 10/25/06 JLL 10/25/06 AP COMMENTS AND NOTES PREPARED 10/25/06 9 48 19 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 10/25/06 ADDRESS 1014 GRANT AVE SUBDIV TENANT NBR MIMI DVORAK CONTRACTOR PHONE OWNER DVORAK JOHN C /MAROLEED PHONE PARCEL 06 30 14 5 6 0218 0000 APPL NUMBER 06 00000530 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 8/11/06 JLL BUILDING FOUNDATION FOOTING 8/11/06 AP 08/10/2006 09 48 AM PERMITS ERIC 206 351 5372 MORNING AM 08/11/2006 03 41 PM PBARTHOL BUILDING FOUNDATION FOOTING TIME 13 00 ERIC 775 7344 09/05/2006 04 55 PM DYASUMUR 09/06/2006 04 29 PM JLIERLY j QIJUL94NGn(bOF SING TIME 13 00 ERIC 775 7344 BL8 01 10/25/06 J!L 10/24/2006 08 18 AM DYASUMUR BL1 02 9/06/06 JLL 9/06/06 AP COMMENTS AND NOTES p eon- (vim-)1/ I 0C9 PREPARED 9/15/06 11 11 58 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/15/06 ADDRESS 1014 GRANT AVE SUBDIV TENANT NBR MIMI DVORAK CONTRACTOR PHONE OWNER DVORAK JOHN C /MAROLEED PHONE PARCEL 06 30 14 5 6 0218 0000 APPL NUMBER 06 00000530 RES ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 9/06/06 JLL 9/06/06 AP PL1 01 9/14/06 PB 9/14/06 DA PL1 02 9/15/06 JLL %/S PLUMBING ROUGH IN TIME 13 00 09/05/2006 04 56 PM DYASUMUR 09/06/2006 04 29 PM JLIERLY PLUMBING UNDER SLAB TIME 13 00 AARON 775 7344 09/13/2006 09 43 AM DYASUMUR 09/14/2006 05 03 PM PBARTHOL 10 head dwv bed pipe in sand wrap pipe at concrete so there is no direct contact PLUMBING UNDER SLAB ERIC 775 7344 09/15/2006 07 54 AM PERMITS COMMENTS AND NOTES PREPARED 9/14/06 11 09 38 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/14/06 ADDRESS 1014 GRANT AVE SUBDIV TENANT NBR MIMI DVORAK CONTRACTOR PHONE OWNER DVORAK JOHN C /MAROLEED PHONE PARCEL 06 30 14 5 6 0218 0000 APPL NUMBER 06 00000530 RES ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 9/06/06 JLL PLUMBING ROUGH IN TIME 13 00 9/06/06 AP 09/05/2006 04 56 PM DYASUMUR 09/06/2006 04 29 PM JLIERLY PL1 01 9/14/06 JLL PLUMBING UNDER SLAB TIME 13 00 9 p 4 AARON 775 7344 4 09/13/2006 09 43 AM DYASUMUR COMMENTS AND NOTES i Q 6f 9 �w 0/ Weg Pe Cow grzC BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job Located at .0\. 4 le T Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction ICY 1 Pt6 4P- CM, C t t dam. IA'- tic- S r r_ Ua ,c it f.--61 C /A 51 These corrections must be made and are not to be covered until reinspection is made When corrections have been made, please call 4"/7 w( for inspection Date F/ Inspector for Building Division DO NOT REMOVE THIS TAG c) PREPARED 9/06/06 11 07 10 INSPECTION TICKET PAGE 16 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 9/06/06 ADDRESS 1014 GRANT AVE SUBDIV TENANT NBR MIMI DVORAK CONTRACTOR PHONE OWNER DVORAK JOHN C /MAROLEED PHONE PARCEL 06 30 14 5 6 0218 0000 APPL NUMBER 06 00000530 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 8/11/06 JLL BUILDING FOUNDATION FOOTING 8/11/06 AP 08/10/2006 09 48 AM PERMITS ERIC 206 351 5372 MORNING AM 08/11/2006 03 41 PM PBARTHOL BL1 02 9/06/ 06 ERICDI75 7OUNDATION FOOTING TIME 13 00 ERIC 775 7344 09/05/2006 04 55 PM DYASUMUR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 9/06/06 PLUMBING ROUGH IN TIME 13 00 09/05/2006 04 56 PM DYASUMUR COMMENTS AND NOTES BL1 01 8/1 6 C V �7� JLL PREPARED 8/11/06 9 25 34 INSPECTION TICKET PAGE 18 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/11/06 ADDRESS 1014 GRANT AVE SUBDIV TENANT NBR MIMI DVORAK CONTRACTOR PHONE OWNER DVORAK JOHN C /MAROLEED PHONE PARCEL 06 30 14 5 6 0218 0000 APPL NUMBER 06 00000530 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BUILDING FOUNDATION FOOTING 08/10/2006 09 48 AM PERMITS ERIC 206 351 5372 MORNING AM 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 DVORAK JOHN C /MAROLEED PO BOX 339 EL CERRITO Other struct into Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CA 94530 77966 1294 65 BUILDING PERMIT RESIDENTIAL 12/09/06 Rs -9 148278 Contractor OWNER Qty Unit Charge Per BASE FEE 49 00 5 6000 THOU BL 100 001 500K (5 60 PER K) Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL OWNER/ 200A SVC CIRCUITS 77974 78 70 12/09/06 Qty Unit Charge Per 1 00 78 7000 ECH EL -RM 0 200 1ST SRV FEEDER Permit ELECTRICAL NEW RESIDENTIAL Additional desc HI TECH/ SECURITY SYSTEM Permit pin number 77990 Permit Fee 42 20 Plan Check Fee 00 Issue Date Valuation 0 Expiration Date 12/09/06 Qty Unit Charge Per Extension 1 00 42 2000 EL -LOW VOLT SYS =2500 SQFT 42 20 Permit Additional desc Permit pin number 79848 ELECTRICAL NEW RESIDENTIAL 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. 1 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 regula construction or the performance of construction. Signature of Contractor or Authorized Agent 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 06 00000530 466490 1014 GRANT AVE 06 30 14 5 6 0218 0000 MIMI DVORAK RES ADDITION Plan Check Fee Valuation Plan Check Fee Valuation Date 6/12/06 TOTAL LOT COVERAGE 05 NUMBER OF STORIES 2 00 EXISTING LOT COVERAGE 1080 00 LOT SIZE 61010 00 PROPOSED LOT COVERAGE 1950 00 TOTAL LOT COVERAGE 3030 00 NUMBER OF UNITS 1 00 Extension 1020 25 274 40 Extension 78 70 517 86 148278 00 0 Signature of O one i owner is builder) 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. INSPECTION TYPE DATE FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDG S.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING 4 FRAMING e 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 T 1 m 1 c ;iA;ou Went Inspection record05.vvpd (1/4/20051 BUILDING PERMIT INSPECTION RECORD ACCEPTED 1 YES I NO 1 I I I I I I I I 1 1 1 1 I I I I I I I I I I 1 I I I I I I I I I I 1 1 I 1 I I 1 1 1 1 I I 1 I I I I 1 1 I 1 1 I 1 1 I 1 1 1 1 1 I 1 I I FINAL FINAL SEPA. ESA. SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION ILW PW/ CONSTRUCTION R-W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 1 1 I I FIRE DEPT PLANNING DEPT 417 -4750 I I I I PLANNING DEPT. BUILDING 417 -4815 I I 1 1 BUILDING COMMENTS DATE ACCEPTED BY. DATE ACCEPTED BY. 1 1 I 1 I I 1 I 1 poRT I�= a v CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Application Number 06 00000530 Date 6/12/06 Application pin number 466490 Permit Fee 36 40 Plan Check Fee 00 Issue Date Valuation 0 Expiration Date 12/09/06 Qty Unit Charge Per Extension 1 00 36 4000 ECH $L -LVT FIRST THERMOSTAT 36 40 Permit MECHANICAL PERMIT Additional desc Permit pin number 79830 Permit Fee 154 35 Plan Check Fee '00 Issue Date Valuation .B Expiration Date 12/09/06 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 7000 ECH ME INSTALL 100- FAU 14 70 4 00 7 2500 ECH ME VENT FAN 29 00 1 00 10 6500 ECH ME VENT SYSTEM OTHER 10 65 1 00 50 0000 ECH ME WOOD BURNING APPL 50 00 Permit PLUMBING PERMIT Additional desc Permit pin number 79855 Permit Fee 149 00 Plan Check Fee Issue Date Valuation Expiration Date 12/09/06 Qty Unit Charge Per .11 Extensio4 BASE FEE t, Ni do 10 00 7 0000 ECH PL EA FIXTURE ON ONE TRAP 70 00 1 00 7 0000 ECH PL EA INSTALL WATER PIPE 7 00 1 00 15 0000 ECH PL EA BLDG SEWER 15 00 1 00 7 0000 ECH PL EA WATER HEATER 7 00 Special Notes and Comments The Fire Department has reviewed the project application and has no comments 06/01/2006 08 07 AM SROBERDS The residential ddition in the RS 9 zone will require a zoning lot covenant No other land use issues are anticipated Electrical load calculations and elctrical permits are required How will the new structure be fed electrically? 05/22/2006 01 35 PM GMCLAIN Public Works Utility Engineering has no requirements for this plan review Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 1755 30 1755 30 00 00 Plan Check Total 517 86 517 86 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 2277 66 2277 66 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 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 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 IOISTS 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 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 F'ERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES 1 NO 1 1 1 I (i31Z qn7 I so._ 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 -4 1 3 L FINAL FINAL SEPA. ESA. SHORELINE. ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ CONSTRUCTION RW ENGINEERING 417 -4807 PW ENGINEERING FIRE 417-4653 1 1 1 FIRE DEPT PLANNING DEPT 417 -4750 l 1 p 1 1 I PLANNING DEPT BUILDING 417 -4815 1 -..x Y/� i /d 1 /I IGl ?I 1 BUILDING 1 n, 1 h. ;Mina nPnmr ,nmecNon record05.wpd (1 /4/2005) DATE ACCEPTED BY., 4 inSui II7on Lower`Fl oo-r 0 I /66167 TLC_ DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO Applicant or Agent: A e l�la�key Owner• M. r Lw.: '>dor Address le t7, 0 ,t N+vo4S Ase r Architect/Engineer Contractor Address PROJECT ADDRESS 10 PA LEGAL DESCRIPTION Lot: Credit Card Holder Name Billing Address: Credit Card Type VISA MC TYPE OF WORK. Residential New Constr Multi family g Addition Commercial Remodel Repair Sign BRIEF DESCRIPTION OF THE PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -47 11 (o--‘5-0°1 S i t K,IIN. State License City f &1 Av.t. Block: CLALLAM COUNTY PARCEL NUMBER. 0610 1'1 S IDO Z 1 g' D 00 L Re -roof Stove Move Garage Demolition Deck Other PROJECT _jwo 4 City 'P T 4A,L SIZENALUATION 19 SO SF ?h' /SF 14% It SF /SF SF /SF TOTAL VALUATION 64'1 'stown 4.0 eAc 1 �ara COMMERCIAL /RESIDENTIAL Occupancy Group Occupant Load Construction Type No. of Stories: 2. Lot Size lPI, 61 g Existing Sq Ft. IC $O Proposed Sq Ft. 1‘16 TOTAL Sq Ft.30 30 Total lot coverage t ©5_, ESA /Wetland(s) Yes No SEPA Checklist required? Yes No 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 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 1 have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I must obtain such permits prior to work. Applicant: A 11) G j IJ■C J Phone ifree —1 S Phone: 160 1 or b Exp Subdivision. t' UK On'ILIAL Ubh UNLY Date Rec I Permit Date Approved: Date Issued: Zip ti' b Phone: 460 4s-2. (oU Phone Zip ZONING AV% Date: rt I li'I0 b APPROVALS. PLAN BLDG DPWU FIRE OTHER 1 Ow. LISDB A It C 319 eles, 9g362 s. peabody, suite b, port aug, via 360.452.6116 fax 360.452..7064 PSRLICt. V-45qe-- subiect LMV2K__ n/16,2 !fa', Prolect Bv• tif) Sheet of ‘711'1" P,L-vi 6w 1,06%.7 S-rtvtariAgx tioo e,(Neloot,.A:wr GA,11.1-)P I f■/&) '11P.A 6,11.1A14- e) r.71- 5164210 c. 4 LINDBER 319 S. Peabody Suite B. Port Angeles, WA 98362 360.452.6116 fax 360.452.7064 contactnlindarch.com www.lindarch.com Project: An kiz.,14.4=52.1 Project No Ili h 40 Subject: f 1 By 6,n Date MAO i,,a L, Sheet '7, of i SHEAR WALL SUMMARY W 1 L 1 H V 1 V/L 1 SW I VH- WL /2 POST f HOLD DOWN I I a V32 51AP Z 2 I 3" f1 ors 2. 1 2e 4c 1 4- 360 1 M- 5253 3 I tae 5 5 l 414 63 A 35 I )vi -2 I 2116 6 12 )14 l I/ ALLOFIT/FIRMINFO /FORMS /SHEARWAL 29 mee INV af s0 ESGALE. 1/4' 1' -O' r 0 f l,«PEfR LE\/EL S+ -4E UJALL 1=)L,41■1 .if .if i i i WALL E ND SHEAR WALL WART W P40 SHEAR WALL WALL '3' NO SHEAR REWIRED 'MU. WALL '2' NO SHEAR WALL REQUIRED WALL 1 81EAR WALL RIVER 2 r PLYWOOI, OR O.S.B. SWEAR WADS 2. MUM SPEAR 36 PLP. LEE 22' SCAM CIE BIDE OF WALL NM. AU. EDGES 111111 ed NAILS AT E' OD. PCR FRAME LEE DP NO2. PROVIDE V!' DIAMETER ANCHOR DOLT AT 32" OG M atti SPAGNG AT TIE PGI» ATDQL FOR TIE DOME AT EACH END CF 114E WALL, 8EE F4 MIN i/S EAR PLANS. MAXIMUM SHEAR 480 PLP. USE VP SEATING CNE SIDE OF WALL NAIL ALL EDGES WITH 8d NAILS AT 3° at FOR -RAMN% USE 3X DP NO2. DOUBLE DOTTOM PLATES A1E RECLINED, DOLT 110:0314 SON FLA1E6 WITH ANCHOR EOLTS. PROVIDE EI8' DIAMETER ANCHOR DOLTS AT 32' O.C. MAXMM EPACNG ATTIE PCMDATION. FORTE DQRNB AT EARN @D CF THE WALL. SEE PRAMNG/81EAR IN.M1O, B ALL FICA MALL DE DACIED WR11 RUMS 8121, AOCOIVE x TO E•FAR W4LL 8C1ED11.E OR 2' NOMINAL. BOW*. CONECTIONb EMME I ROOF SIEATNB AND WALL SHEATHS OR nem UPPER W4LL BFEATIN6 AND LOVER 1,1141.L B•EATHNS MULL DE SUCH TWAT RECURRED EDGE NAILNS FER 13Q4EDIJLE IS CONTMIOUb THROWN ELOCKINS AND WALL PLATES. SPACE 10d NAILS AT as OZ. A1.ON8 NTEMEDIATE FROTHS TWO TE DENS ARE RECLINED CN UPPER FLOOR WALLS, THE TIE POEM 91i4U. LIE BOLTED TO TIE UPPER AU'D LOSER W41.1. 61108 AND calf:ceas IECCMPEINDATIQD. 1', APED ROD AS PER MAMPAGAFER'8 A Y A. PLYWOOD OR Q.S.B. SHEAR WALLS 1 MAXIMUM SHEAR 250 P L.F USE SHEATING ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 6" 0 C FOR FRAMING, USE DF NO.2. PROVIDE Y2 DIAMETER ANCHOR BOLTS AT 32" 0 C MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING /SHEAR WALL PLANS 2. MAXIMUM SHEAR 315 P.L.F USE W SHEATING ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 5' 0 C. FOR FRAMING, USE DF N0.2. PROVIDE' DIAMETER ANCHOR BOLTS AT 32" 0 C MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING /SHEAR WALL PLANS. 3 MAXIMUM SHEAR 375 P.L.F USE SHEATING ONE SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 4" 0 C. FOR FRAMING, USE 3X DF NO.2. PROVIDE W DIAMETER ANCHOR BOLTS AT 24' 0 C MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING /SHEAR WALL PLANS. 4. MAXIMUM SHEAR 490 P.L.F USE SHEATING ONE SIDE OF WALL NAIL ALL EDGES WITH 8d NAILS AT 3" O.C. FOR FRAMING, USE 3X DF N0.2. DOUBLE BOTTOM PLATES ARE REQUIRED BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 32' 0 C MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING /SHEAR WALL PLANS. 5. MAXIMUM SHEAR 560 P.L.F USE %z" SHEATING ONE SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 3" O C FOR FRAMING, USE 3X DF N0.2. DOUBLE BOTTOM PLATES ARE REQUIRED BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 24" 0 C MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING /SHEAR WALL PLANS. 6. MAXIMUM SHEAR 685 P L.F USE W SHEATING ONE SIDE OF WALL NAIL ALL EDGES WITH 10d NAILS AT 2 1/2" 0 C STAGGERED FOR FRAMING, USE 3X DF N0.2. DOUBLE BOTTOM PLATES ARE REQUIRED BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 5/8" DIAMETER ANCHOR BOLTS AT 20' 0 C MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING /SHEAR WALL PLANS. 7 MAXIMUM SHEAR 770 P.L.F USE SHEATING ONE SIDE OF WALL NAIL ALL EDGES WITH 10ct NAILS AT 2' 0 C. STAGGERED FOR FRAMING, USE 3X DF N0.2. DOUBLE BOTTOM PLATES ARE REQUIRED BOLT THROUGH BOTH PLATES WITH.ANCHOR BOLTS. PROVIDE 5/8' DIAMETER ANCHOR BOLTS AT 18' 0 C MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING /SHEAR WALL PLANS. 8. MAXIMUM SHEAR 870 P.L.F USE SHEATING BOTH SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 31%2" 0 C FOR FRAMING, USE 3X DF N0.2. DOUBLE BOTTOM PLATES ARE REQUIRED BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 3/4' DIAMETER ANCHOR BOLTS AT 20" 0 C MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING /SHEAR WALL PLANS. 9. MAXIMUM SHEAR 980 P.L.F USE SHEATING BOTH SIDE OF WALL. NAIL ALL EDGES WITH 8d NAILS AT 3' 0 C FOR FRAMING, USE 3X DF N0.2. DOUBLE BOTTOM PLATES ARE REQUIRED BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 3/4' DIAMETER ANCHOR BOLTS AT 18" 0 C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING /SHEAR WALL PLANS. 10 MAXIMUM SHEAR 1,200 P L.F USE SHEATING BOTH SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 3" 0 C STAGGERED FOR FRAMING, USE 3X DF N0.2. DOUBLE BOTTOM PLATES ARE REQUIRED BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 3/4' DIAMETER ANCHOR BOLTS AT 14' 0 C. MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING /SHEAR WALL PLANS. 11 MAXIMUM SHEAR 1 540 P L.F USE SHEATING BOTH SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 2' 0 C. STAGGERED FOR FRAMING, USE 3X DF N0.2. DOUBLE BOTTOM PLATES ARE REQUIRED, BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 3/4" DIAMETER ANCHOR BOLTS AT 11 0 C MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING /SHEAR WALL PLANS 12. MAXIMUM SHEAR 1 740 P.L.F USE 5/8" SHEATING BOTH SIDE OF WALL. NAIL ALL EDGES WITH 10d NAILS AT 2" O.C. STAGGERED FOR FRAMING, USE 3X DF NO.2. DOUBLE BOTTOM PLATES ARE REQUIRED BOLT THROUGH BOTH PLATES WITH ANCHOR BOLTS. PROVIDE 3/4" DIAMETER ANCHOR BOLTS AT 9' 0 C MAXIMUM SPACING AT THE FOUNDATION. FOR TIE DOWNS AT EACH END OF THE WALL, SEE FRAMING /SHEAR WALL PLANS Prescriptive Approach Simple Form For the Washington State Energy Code (2003 Edition) Climate Zone 1 Site Information Building Department l se.Only Lot: 0 (23 0 1 4 4 512 0 11 Q 000 Permit Address 101 1 A.U_ Notes. City 1?T AN5.t.�ls State uJ A Zip 51c3,4:1 Contact: �r. Phone. 20 3 s S3 7 2. Phone 2. O I-111 b b Fax: Table 6 -1 PRESCRIPTIVE REQUIREMENTS 1 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 III Unlimited GroupR3 040 0.58 0.20 IR38 R30 R21 R10 R -30 R10 Occupancy Only See the code text for footnote references 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 Cl 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 Location of the door(s) taking this exception Ty p b l= �1 G-A r no72 Copyright 2002, WSUCEEP02 -056 Copied by.permission from the Washington State University Extension Energy Program Prescriptive Simple Form Climate Zone 1 7/26/2004 '~ ~ ,CITY. OFJ~ORT.ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :121 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . ,. . Application valuation Owner DVORAK JOHN C/MAROLEED PO BOX 339 EL CERRITO CA 94530 permi t . . . . . Additional desc . Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date Qty 1. 00 1. 00 1. 00 Unit Charge 78.7000 23.4000 11.4000 06-00001213 805681 1014 GRANT AVE 06-30-14-5-6-0218-0000- ELECTRICAL ONLY 11/13/06 Date :.._0. :>:'~;;7'" UNKNOWN o Contractor CHRISTOPHER'S ELECTRIC CO. 3110 SAN JUAN AVE. PORT TOWNSEND WA 98368 (360) 379-4004 ELECTRICAL NEW RESIDENTIAL CHRISTOPHER'S/ RE-SU,B,-SY<;:: . , 90324 ' ' CHRISTOPHER'S ELECTRIC CO. 113.50 Plan Check Fee 11/13/06 Valuation 5/12/07 Per ECH ECH ECH Fee summary Charged Permit Fee Total Plan Check Total Grand Total 113.50 .00 113.50 \~~~-'- COMMENTSI ACTION NEEDED :... '. '~'..- .00 o EL-RM-0-200 1ST SRV FEEDER EL-RM-0-200 ADD SRV FEEDER EL-METERS REMOTE INSTALL Extension 78.70 23.40 11.40 " Paid":! I , Credited :1,,' , Due' - - - - ~.:. ~ - ~--.... ~'- ~ ~ ~ -~_:-:.-?: --::-- _.:- - ~ -- 113.50 .00 113.50 .00 .00 .00 .00 .00 .00 ':fIR l.; i (~JfiH!:.H ,'s, <-'1 : '::"11-'., ' -~~T70~~~.JJAN\A\H. t:r. . . -- ~......,.~_..llo.':'- -"'~;:""'7'~""""':-'''--.'-Ei:''-~''''~'''' .-,...,. 1 I' ("'" FT.:: \ ? ''''':''v.'-~'~~"'':'It. ~:~~klt"l ~_.. ,. I~>. - o ..- ~ G' ~ ~ ~ ft\ EXPIRED: ELECfRICAL PERMIT INSPECfIONRECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS . I YES I NO VI ~CH L-5- 01 ALO R.II I...!-I-IN I CUVhK 3-lh-ol M~ ~hK V ICh I-$" - 0-' hLO FUO~ A pp {La V'1E-D I I GENERAL COMMENTS: PW-lI02.JS (4196) d'l).'~ ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION :121 EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Tenant nbr, name Application type description Subdivision Name Property Use Property Zoning . Application valuation 06-00000530 Date 466490 1014 GRANT AVE 06-30-14-5-6-0218-0000- MIMI DVORAK RES ADDITION 8/21/06 UNKNOWN 148278 Owner Contractor DVORAK JOHN C/MAROLEED PO BOX 339 EL CERRITO CA 94530 OWNER Other struct info . TOTAL % LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE -TOTAL LOT COVERAGE NUMBER OF UNITS .05 2.00 1080.00 61010.00 1950.00 3030.00 1. 00 Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL OWNER/ 200A SVC + CIRCUITS 77974 78.70 Plan Check Fee 6/12/06 Valuation 2/07/07 .00 o o r- j:. Qty 1. 00 Unit Charge Per 78.7000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 78.70 rs- ~ :? ~\ Special Notes and Comments The Fire Department .has reviewed the project application and has no comments 06/01/2006 08:07 AM SROBERDS -- The residential ddition in the RS-9 zone will require a zoning lot covenant. No other land use issues are anticipated. Electrical load calculations and elctrical permits are required. How will the new structure be fed electrically? OS/22/2006 01:)5 PM GMCLAIN __U_nn______Un____nn_ Public Works Utility Engineering has no requirements for this plan review. J> <. f. Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 78.70 78.70 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 83.20 83.20 .00 .00 EXPIRED COMMENTS! ACTION NEEDED ;\ ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO 3- lb. 0 A. a::. GENERAL COMMENTS: PW.II02.1S 14196) . .. :~ ":" '? ~ ~P~l .:...;....;., '.."....:_ ...t" ....! ~ ~~ _. J O>o_=----- G.b'/ ~~~~!.. -.-' ..- ~~ 't-~..!''' -~. ELECTRICAL WORK PERMIT APPLICATION Job wired by o Electrical Contractor 0 Owner Installation description o Commercial ~esidential ~ o Altered/Addition 1)'l31,,3 2. oJ -trnrp S-ufl,.,,, it, .M.~y ,..,,-Lv;] Ir<>,...fl { rl,.~ . ,<)<<-!, ~I I f 7f>:, 7n . .:j It .~C -1 ;23 #0 4t1<:- State ZIP o.vrd ( 20-- 4... f.) ( Premises owner's name Ar;r Ak.c.kp / Address of inspecti.on j ~ q~6."-+- CitYi) rO rT 7AnA $\)(" PtU.-'nt:>n..- MILTUl A., j~I€;5 Phone number to schedule inspection: 3100 - 3 '/ I 1..-5 .5"<f- f>.... 1 OWller as defined h).1 RCW 19.28.26/:(1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) (fimer is required to hire an electrical call tractor if ahove said property is Jor sale, rent or lease. After reading the above slatement, 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. Signature of owner, electrica~ntr~ctor or electrical administrator X - -z ~ Date:}1 0 Electrica oad Additions and or subtractions ctg-~;i;~~:: CHAN~~--:-~ g ~:~;~:dN~:Nice o Fan-Wall KW : ) ~ Underground SeNice S ~E-DAY INSPECLION;-cALL BEFORE 7:00 AM 360-417-4735 /1 3,56 o Cash 0 Check # o Credit Card Visa Mastercard Discover Card # ---------------- Expiration Date of card Service Information Voltage I;..vP'lf) Phase)a'1 03 SeNice Size: ,;(A? ~p Feeder Size: ~"o M cA ,ilL ~ ~ " ROUGH-IN 3-llo-of k<,1) Date Approvcd By THERMOSTAT SERVICE Date Approved Hy /--:;-D7 Dale ~ Approved By FINAL DITCH /-:1'-D7 Dalc ~ FEEDER 1- ~ in AzS::) DalC Approved By Date Approved By Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector JJ-9-~ '1'110,0" -::cc AJ2 L./.z- ,3- L. ; .. . -..--.. .- ELECTRICAL INSPECTION WIRING REPORT 417-4735 ,> APPROVED NOT APPROVED o .................... DITCH . . . . . . . . . . . . . . . . . . . . 0 D. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . .. . . . .'. 0 D. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . X D.....................AN~....................D (p CORRECTIONS NEEDED: #' r ~~^/ f) 7b A.u -.p,'"-,, @ -# 6 "&r,~d..Jt7 7ZJ ~ /ZD05 n"vr S/r.!F {,," at' ~~^,/- ~""'r.(.J &--I /b/Y r1//,;eov~D _'5'"~/~"'-E />V n~,-;-</tOtt:.. (>~/ . ,.e~Lo_/Y1tUv,r') /7?~-vL. -Sure. ....::), 'S"r d"",r..su~L <;<- ..5a/'r-H.-A./J /?A7w:~> /ALs/~ ." NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - ;. OLYMPIC PRINTERS, INC. (360) 452-1381 r-'\ -(f.rp-\ ~~ct~ o~. .,- ~=. "'it- '.t'! _.. ELECTRICAL WORK PERMIT APPLICATION , Job wired by o Electrical Contractor fZl.,()wner Installation description D Commercial C,l'Residential Electrical contractor name License number Date Expires ~ew 0 Altered/Addition 10 ,? e I... '" ,?,g A..t.. Purchaser's mailing address PI A'<\~;. City '""l,bO "\" O~.....(.. Telephone number '-VA. Q'!;"3h? State ZIP -1Je."" ~"''';lL- i,,!>~n h FAX number 11,,-z."{"-~ },";\d''^i'>, N<.o..u t.;~l."~\" h.<,o~:'- I\I~...:J ~J.\"'~ G\"'Cl. e..J'.\-s.",~ ito",IJi,,:, ' Premises owner's name NI.i<>t\; ~"""Y\....-DJ()Y-<\\<:.. Address of inspection \ C I "I lIS;. (,.<'''-'''- \ "',,'- City __- Po A", ~.e..tD. "- Phone number to schedule inspection: Owner as defined by ReW /9.28.261 :(JJ Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required 10 hire all electrical contractor if abOl'e said property is for sale, rent or lease. After reading the above statement, I hereby certify that] 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. Signal o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover x Date: 5" 1."'1 0(" Expiration Date of card Elec al Load Additions and or subtractions IJ NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR IJ Fan-Wall KW o Overhead Service o Temp Service ta.. Underground Service 70 Service Information \~ Voltage "..., Phase ik. 1 IJ 3 Service Size: ~ Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN 3-110-01 ""0::> Dale Approved By FINAL ,,- THERMOSTAT "- Dale Approved By ,,- D1TaI "- Dale ArrrovedBy / SERVICE Dale Appro.'ed By FEEDER Dale Approved By " D~' -Approved By Inspection Dale Area, Building or Equipment Inspected Action Taken Electrical Inspector ',' / PI0V5f)