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203 Hawthorne Pl - Building
05/07/2012 13:44 FAX 360 452 9265 Angeles Electric 10001/0001 CITY OF PORT ANGELES PERMIT APPLICATION, Building Division/Electrical Inspections947 321 East Fifth Street--P.O.Box 1150/Part Angeles Washington,98362 A. Pte: (360)417-4735 Fax;(360)417-4711 Date: 51--7112- & Z 8 Si gle Family Dwelling }Plan Review May Be Required, Please Complete Electrical Plan Review information Sheet Job Address: Building Square Footage: Description of above Owner! rmaUop 1t j Contract r Information Name; +fes/ Name; ►- t-gzmte. Mailing dress: Mailing fess: { City, �F- Stale: Zip; Oily; aTe tate: UA_-zip: Phone: ax. Ptsone — Fax:_ ; License#71 Exp, License#/Exp, Item Unit Charge Total(Qty Multiplied by Unit Charas) ServicelFeed or 200 Amp. $120.00 $ Service/Feeder 201400 Amp. $146.00 $ Service/Feeder 401-600 Amp $205.00 $ Service/Feeder 601-1000 Amp. $262.00 $ Service/Feeder over 1000 Amp. $373.00 $ Branch Circuits 1.4 $ 75.00 ^. Branch Circuit W!Service Feeder $ 5.00. $ Branch Circuit W/O Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 600 $ Temp.Service/Feeder 200 Amp. $ 93.00 $ Temp.Service/Feeder 201-400 Amp. $110.00 $ Temp,Service/Feeder 401-600 Amp. $149.00 $ Temp,Service/Feeder 601.1000 Amp. $1613.00 $ Pdrtal to Portal Hourly $ 96.00 $. . Signal Clrcuitl Limited Energy-1&2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy-6KVA System or Less $102.00 $ Thermostat $ 56.00 $ NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square FL or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ Total Owner as defined by RCW.19.28,261,(1)Owner will occupy the structure for tyro years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor If above said property is for sale,rent or lease.Permit expires atter six months of last inspection. 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 installation 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 and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner,electrical contractor or electrical administrator: 0 ash 13 they WN Cjfd M 0A1 � - x oeW: alratrzato ELECTRICAL PERMIT �Ij CITY OF PORT ANGELES C 360-41.7-4735 LJ` V't Application Number . . . . . 12-00000554 Date 5/08/12 Application pin number . . . 112204 Property Address , , . . . . 203 HAWTHORNE PL DEPORT,SALES TAX ASSESSOR PARCEL NUMBER: 06-30-I5-6-0-0075-OD00- on your excise tax form Application type description ELECTRICAL ONLY Subdivision Name to the City of Port Angeles Property Use (Location Code 0502) Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Owner Contractor MCCAUGHAN, CHA4RTLFS ET UX ANGELES ELECTRIC 203 HAWTHORNE PL 524 E, IST ST. PORT ANGELES WA 983623VI6 PORT ANGELES WA 98362 (360) 452-6965 (360) 452-9264 ---------------------------------------------------------------------------- Permit . . . . . ELECTRICAL ALTER RESIDENTIAT. Additional desc . . FIRE PL INSERT Permit Fee . . . . 63.00 Plan Check Fee 00 Issue Date 5/06/12 Valuation 0 Expiration Date 11/04/12 Qty Unit Charge Per Extension 1100 63.0000 FCH EL-R- BRANCH C.IR WO/ SER FEED 63.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit?Fee Total 63.00 63.00 .00 .00 Plan Check Total 00 .00 .00 .00 Grand Total 63.00 63.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH-IN FINAL COMMENTS: PERMIT WILL EXPIRE,SIX(6)MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: G:EXCHA*I GDBU ILD1N G CITY OF PORT ANGELES a 1�i DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 • •i Application Number . . . . . 12-00000399 Date 4/06/12 Application pin number . . . 079369 Property Address . . . . . . 203 HAWTHORNE PL ? ,g ASSESSOR PARCEL NUMBER: 06-30-15-6-0-0075-0000- REPORT SALES TAX r t Application type description MECHANICAL APPL. PERMIT Subdivision Name . . . . . On your State excise tax form Property Use . . . to the City of Port Angeles r Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY (Location Code OSO2� Application valuation . . . . 6000 a ----------------- Application desc GAS FIREPLACE --------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MCCAUGHAN, CHARLES ET UX EVERWARM INC x 203 HAWTHORNE PL 257151 HWY101 PORT ANGELES WA 983623716 PORT ANGELES WA 98362 (360) 452-6965 (360) 452-3366 -------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT M Additional desc . Permit Fee . . . . 121.30 Plan Check Fee .00 Issue Date . . . . 4/06/12 Valuation . . . . 0 Expiration Date 10/03/12 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 10.6500 EA ME-STOVE/FIREPLACE/MISC. APP. 10.65 1.00 10.6500 EA ME-FUEL GAS PIPING,1-5 OUTLETS 10.65 1.00 50.0000 HR ME-INSPECTION, MIN 1 HR 50.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 121.30 121.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 121.30 121.30 .00 .00 Separate Permits are required forelectrical 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 fopa period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ti C V Date Print Name Signature of Contractor or Authorized Agent Signature of Owner owner is builder) *T;.orms/Building Division/Building Permit �,,r BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS– Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rou h-In Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney 1 ip— Commercial Hood/Ducts FINAL Date �oAccepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parking I Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction-R.W. PW /Engineering 417-4831 Fire 4.17-4653 �� Planning 417-4750 O Building 417-4815 T-Gnrmc/Riiilriinn nivicinn/Riiilrlinn Parmit PREPARED 7/23/12, 8:35:39 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/23/12 ------------------------------------------------------------------------------------------------ ADDRESS . : 203 HAWTHORNE PL SUBDIV: CONTRACTOR EVERWARM INC PHONE (360) 452-3366 OWNER MCCAUGHAN, CHARLES ET UX PHONE (360) 452-6965 PARCEL 06-30-15-6-0-0075-0000- APPL NUMBER: 12-00000399 MECHANICAL APPL. PERMIT ------------------------------------------------------------------------------------------------ PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------- -------------------------- ----------------- --------- ME6 01 6/18/12 JLL MECHANICAL GAS LINE 6/18/12 AP June 18, 2012 8:30:08 AM hcatuzo. AFTER 130. MELANIE. 461-4877 June 18, 2012 4:22:59 PM jlierly. ME99 01. 7/23/12 MECHANICAL FINAL go July 23, 2012 8:31:44 AM hcatuzo. BEFORE 10 AM MELANIE. 452-6965 -------------------------- COMMENTS AND NOTES PREPARED 6/18/12, 8:40:26 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/18/12 - ------—-—-------------------------------------------------------------------------------- ADDRESS* . : 203 HAWTHORNE PL SUBDIV: CONTRACTOR EVERWARM INC PHONE (360) 452-3366 OWNER MCCAUGHAN, CHARLES ET UX PHONE (360) 452-6965 PARCEL 06-30-15-6-0-0075-0000- APPL NUMBER: 12-00000399 MECHANICAL APPL. PERMIT PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------- - ---- MEG 01 6/18/12 MECHANICAL GAS LINE 1E June 18, 2012 8:30:08 AM hcatuzo. AFTER 130. MELANIE. 461-4877 -------------------------------------- COMMENTS AND NOTES --------------------------------------- °ar:+Ja BUILDING PERMIT APPLICATION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician For City Use Only: 321 E. Fifth St., Port Angeles, WA 98362 Date Received — Permit# (360) 417-4815 fax (360)417-4711 pati Approved Applicant 0_. ,,.L:� '�` e c`_ Phone �. ,� - q� Property Owner Phone q '71 -LZ Property Owner's Address ,, ,�;� Contractor V--P--v yg Phone Contractor's Address _ C vi= m t C> � N L.. License# Expires E-mail PROJECT ADDRESS taut PL Parcel NumberLot Zoning Proiecf TVpe & Brief Description; ❑ Residential ❑Multi-family ❑ Commercial ❑Industrial Check all that apply ❑ New Construction ❑Addition ❑ Remodel ❑ Repair ❑ Demolition ❑ Re-roof ❑ House ❑ garage ❑ other o tear off& re-roof ❑ lay over one layer (Heat System ❑ Heat pump ❑wood-burning stove Nas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existin-g (sq, ft.) " Proposed(sq. ft.) Basement @ per sq, ft. _ $ 1g' Floor 2nd Floor 3`d Floor Garage Carport Covered Porc AECEIVEAD Deck Shed Other CITY OF PORT ANGELES TOTAL VALUATION �' 00t c 6DBUILDING DIVISION Total footprint of structures sq. ft. - Lot size sq. ft, = Lot coverage % Site Coverage = the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94.135 for exemptions) Site coverage % Max. height of proposed structures ft, Occupancy group #of bedrooms Will a lawn sprinkler system be Installed? Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half baths 1 ha,ue read and completed this application and know it to be true and correct, I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior io\working,[9n pr . ets, Date `� rZ_... Print Named VA c,,_yt i ;�,-n� Signature i. T:Forms/Building DivisioniBuilding perrnit application �Y �9 � _ ':"'� a�„t� � g �'�` Wren"' rt, aa �.:. i b •ara s 4 t � '�� Fa im + i w, R . =x a� =.> ✓� M ��t ?e n�� nit �� � � �. �°�� 41 � lYa� Ya x'F R3 M ��.-kh � � ®a^-0f� hK � ��'•E 'k� ���� -- G ). a s-S�e s{5 ni 'tinx .�w n 7. IAS a ys � M �"' *.�,*�.� F' t' n h „iii � t N� •�� �' .� 4.: """' xt� � ;tk c xt s-e G wM .� � '� �a �<;i � ,O ax 4 D"„9 yid e a & �rm`'nPa k ;,4 Ai s' cunrr ,:±'s c i x iw. �hda,a WIN n�� .� ' `i 0. r w. �' ;a ° a ,- N R ` C + °*4r ` S^ 9 �M i �x. '� �..M,},"a l ��"'th � Ha dJu•' �, I� .R i moo '20twii er n}t n s.° �” M, hRaw�i, _M. -«Aa �avaR M das,-a aavea�ao. ��kf �� ar'• � ,� �� ,_ 3a ,.� ",'s�fi'+°�` - �s�' ', �R" m i dLi �'t��„au.`I �'. ,.,tl'�^�`nn`ma ».. Ash � ' rcF`:i�'& � FG ,` �r,�s is � ink wR '�;a a ate,i' �t w s �; 5'.Yop5^ '4.�. ��'... €"�G"r• ": TM'�r'}'� 1 Mere. �`�, �y '�r~ac �-a � tsa,.: sea' in�� < �a a.^+ �. w'.�n a a a ,: "`"": 't w m,�,•n u,. Clallam County Assessor& Treasurer - Property Details - 68170 CHARLES MCCAUG... Page 1 of 1 Clallarn County Assessor & Treasurer Property Search Results > 68170 CHARLES MCCAUGHAN ET UX for Year 2011 - 2012 Property Account . Property ID: 68170 Legal Description: HAWTHORN DIV 1 LOT 24 Geographic ID: 0630156000750000 Agent Code: Type: Real Tax Area: 0010-PA 121 PORT ST CNTY H2 L WMP Land Use Code 11 Open Space: N DFL N Historic Property: N Remodel Property: N Multi-Family Redevelopment: N Township: Section: Range: Location Address: 203 E HAWTHORNE PL Mapsco: PORT ANGELES,WA Neighborhood: PA South Res Map ID: 2 Neighborhood CD: 4151000 Owner Name: CHARLES MCCAUGHAN ET UX Owner ID: 39607 Mailing Address: 203 HAWTHORNE PL %Ownership: 100.0000000000% PORT ANGELES,WA 98362 Exemptions: Taxes and Assessment Details Values Taxing Jurisdiction improvement/ Building _.. __m___ .....__... _..._._w.v.___.. _.._ .,._...w.. ........._.....�. Property Image Land Roll Value History Deed and Sales History Payout Agreement Website version: 9.0.32.2200 Database last updated on:4/6/2012 3:53 ©2012 True Automation, Inc.All Rights AM Reserved. Privacy Notice http://websrv8.clailam.net/propertyaccess/Property.aspx?cid=0&year=2011&prop_id=68170 4/6/2012 Application Number . . . . . 08-00000702 Date 6/12/08 Application pin number . . . 308816 Property Address . . . . . . 203 HAWTHORNE PL ASSESSOR PARCEL NUMBER: 06-30-15-6-0-0075-0000- Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Bathroom addition ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ McCaughan, Charlie SHAMP ELECTRICAL CONTRACTING 203 HAWTHORNE PL PO BOX 383 PORT ANGELES WA 983623716 PORT ANGELES WA 98362 (360) 452-1689 - --------------------------------------------------------------------------- Permit ELECTRICAL ALTER RESIDENTIAL Additional dumb Permit pin number 128140 Permit Fee . . . . 51.00 Plan Check Fee .00 Issue Date . . . . 6/12/08 Valuation . . . . 0 Expiration Date 12/09/08 Qty Unit Charge Per Extension 1.00 46.0000 ECH EL-R OR RM 1-4 ALT CIRCUITS 46.00 1.00 5.0000 ECH EL-R OR RM ALT ADDNT CIRCUITS 5.00 Fee summary Charged Paid Credited Due X - ---------------- ---------- ---------- ---- ----- ---------- V Permit Fee Total 51.00 51.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 51.00 51.00 .00 .00 INSPECTION ELECTRICAL TYPE DATE: RESULTS : INSPECTOR.: DITCH SERVICE ROUGH - IN FINAL 3r �82�t COMMENTS : OF pOFT q^,C CITY OF PORT ANGELES /�FlN DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number . . . . . 08-00000539 Date 5/13/08 Application pin number . . . 051963 Property Address . . . . . . 203 HAWTHORNE PL ASSESSOR PARCEL NUMBER: 06-30-15-6-0-0075-0000- Tenant nbr, name . . . . . . CHARLES & MELANIE MCCAUGN Application type description RES ADDITION Subdivision Name . . . . . . Property Use. . . . . . . . . Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 20800 ---------------------------------------------------------------------------- Application desc 208 SQ. FT. BEDROOM ADDITION & MOVE BATHROOM ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ MELANIE'ANDERSON MILL CREEK CONSTRUCTION 203 HAWTHORNE PL 4619 OLD MILL RD PORT ANGELES WA 983623716 PORT ANGELES WA 98362 (360) 452-6965 (360) 452-8281 --- Structure Information 000 000 208 SF BEDROOM ADD. & MOVE BATHROOM --- Other struct info . . . . . HARD SURFACE AREA ---------------------------------------------------------------------------- Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . 208 SF BEDROOM ADDITION Permit pin number . 126052 Permit Fee . . . . 361.75 Plan Check Fee 144.70 Issue Date . . . . 5/13/08 Valuation . . . . 20800 Expiration Date . . 11/09/08 Qty Unit Charge Per Extension BASE FEE 95.75 19.00 14.0000 THOU BL-2001-25K (14 PER K) 266.00 ---------------------------------------------------------------------------- Permit . . . . . . MECHANICAL PERMIT Additional desc . . VENT FAN Permit pin number . 126060 Permit Fee . . . . 57.25 Plan Check Fee .00 Issue Date . . . . 5/13/08 Valuation . . . . 0 Expiration Date . . 11/09/08 Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.2500 ECH ME-VENT FAN 7.25 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc RELOCATE BATHROOM Permit pin number . 126078 Permit Fee . . . . 93.00 Plan Check Fee .00 Issue Date . . . . 5/13/08 Valuation . . . . 0 Expiration Date . . 11/09/08 CR Qty Unit Charge Per Extension 1�7 BASE FEE 50.00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. t� V D to Print Name nature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit(10/01/07).wpd BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. .z CALL 417-4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION DRAINAGE/DOWN SPOUTS PIERS POST HOLES(POLE BLDGS.) PLUMBING UNDERFLOOR/SLAB ROUGH-IN WATER LINE(METER TO BLDG) GAS LINE FINAL DATE ACCEPTED BY: 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 WOODSTOVE-/PELLET/CHIMNEY FINAL DATE ACCEPTED BY: COMMERCIAL HOOD/ DUCTS MANUFACTURED140MES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT/Ps SEPA: PARKING/LIGHTING ESA. LANDSCAPING SHORELINE: FINAL INSPEC"FIONS REQUIRED PRIOR TO OCCUPANC)'/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT, PI.ANNING'DEPT.- 117-4750. PLANNING DEPT.. BUILDING 417-4815 BUILDING T:Forms/Building Division/Building Permit(10/01/07).wpd CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 7 Page 2 Application Number . . . . . 08-00000539 Date 5/13/08 Application pin number . . . 051963 Qty Unit Charge Per Extension 3.00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 21.00 1.00 7.0000 ECH PL- EA. INSTALL WATER PIPE 7.00 1.00 15.0000 ECH PL- EA. BLDG SEWER 15.00 --------------------------------------------'-------------------------------- Special Notes and Comments The Fire Department has reviewed the project application and has no comments May 9, 2008 3:45:16 PM sroberds. The proposal will result in an addition to a sfr in the RS-9 zone for total lot coverage of 240. No land use issues anticipated. Electrical load calculations and electrical permits are required. Any modifications to the City's electrical facilities will be at the customer's expense. 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 512.00 512.00 .00 .00 Plan Check Total 144.70 144.70 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 661.20 661.20 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit(10/01/07).wpd 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. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. ` KEEP PERMIT CARD AND APPROVED PLANS AT.IOB SITE. 1 ^1 INSPECTION TYPE DATE ACCEPTED COMMENTS vw YES NO FOUNDATION: FOOTINGS SHEAR WALLS/WALLS FOUNDATION 15-30--og- TLL- PIERS POST HOLES(POLE BLDGS.) PLUMBING Show-Pc+,,h �► z(og��� UNDER FLOOR/SLAB 5-7- 09 JB ROUGH-IN a PB WATER LINE(METER"I'O BLDG) GAS LINE FINAL3"1-03 DATE cJ 1"� ACCEPTED BY: BACK FLOW/WATER AIR SEAL WALLS CEILING FRAMING �l✓~�A �,�/ JOISTS/ GIRDERS SHEAR WALLIHOLD DOWNS 1,{i WALLS/ROOF/CEILING V DRYWALL(INTERIOR BRACED PANEL ONLY) T-BAR INSULATION s SLAB WALL/FLOOR/CEILING MECHANICAL HEAT PUMP/FURNACE/DUCTS "T GAS LINE WOOD STOVE/PELLET/CHIMNEY FINAL DATE �"�—ACCEPTED BY COMMERCIAL HOOD/ DUCTS MANUFACTURED HOMES FOOTING/SLAB BLOCKING&HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT tl's SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL-LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W./PW/ CONSTRUCTION-R.W. ENGINEERING 417-4807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 4„1,7-4750 PLANNING,DEPT.' . GG � BUILDING 417-4815 - O - BUILDING T:Foims/Buildimg Division/Building Permit(10/01/07).wpd PREPARED 6/11/08, 9:32:58 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/11/08 ------------------------------------------------------------------------------------------------ ADDRESS . : 203 HAWTHORNE PL SUBDIV: TENANT, NBR: CHARLES & MELANIE MCCAUGN CONTRACTOR MILL CREEK CONSTRUCTION PHONE (360) 452-8281 OWNER MELANIE ANDERSON PHONE (360) 452-6965 PARCEL 06-30-15-6-0-0075-0000- APPL NUMBER: 08-00000539 RES ADDITION ------------------------------------------------------------------------------------------------ PfiBMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ PL2 01 5/22/08 JLL PLUMBING ROUGH-IN TIME: 01:00 5/22/08 AP May 21, 2008 4:59:17 PM 1pangrle. AFTERNO JOHN 460-6902 IO PLUMBING v AFTERON May 22, 2008 4:36:15 PM jlierly. PL2 02 6/1 /08 JLL PLUMBING ROUGH-IN G= \ June 11, 2008 8:28:24 AM 1pangrle. JOHN 460-6902 ROUGH-IN PLUMBING < -------------------------------------- COMMENTS AND NOTES ------ PREPARED 5/30/08, 10:28:40 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/30/08 ------------------------------------------------------------------------------------------------ ADDRESS . : 203 HAWTHORNE PL SUBDIV: TENANT, NBR: CHARLES & MELANIE MCCAUGN CONTRACTOR MILL CREEK CONSTRUCTION PHONE (360) 452-8281 OWNER MELANIE ANDERSON PHONE (360) 452-6965 PARCEL 06-30-15-6-0-0075-0000- APPL NUMBER: 08-00000539 RES ADDITION -- --- --------------------------------------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------------------------------------------------------- BLFO O1 5/23/08 JLL BLDG FOUNDATION TIME: 09:00 5/23/08 AP May 23, 2008 8:33:10 AM 1pangrle. JIM 460-6268 FOUNDATION , MORNING May 23, 2008 2:53:15 PM jlierly. BLFD O1 5/30/08 1A BLDG FOUNDATION DRAINAGE May 30, 2008 9:00:52 AM 1pangrle. JIM 460-6268 "DRAINAGE" -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 5/23/08, 8:50:48 INSPECTION TICKET PAGE 22 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/23/08 -- -- - - ------------------------------- ADDRESS . : 203 HAWTHORNE PL SUBDIV: TENANT, NBR: CHARLES & MELANIE MCCAUGN CONTRACTOR MILL CREEK CONSTRUCTION PHONE (360) 452-8281 OWNER MELANIE ANDERSON PHONE (360) 452-6965 PARCEL 06-30-15-6-0-0075-0000- APPL NUMBER: 08-00000539 RES ADDITION - -- ------------------------------------------- -------------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BLFO O1 5/23/08 -JLL BLDG FOUNDATION TIME: 09:00 May 23, 2008 8:33:10 AM 1pangrle. JIM 460-6268 FOUNDATION AN MORNING -------------------------------------- COMMENTS AND NOTES ---------------- ---------------------- PREPARED 5/22/08, 8:50:43 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 5/22/08 ---- --------------------------------- ---------- ADDRESS . : 203 HAWTHORNE PL SUBDIV: TENANT, NBR: CHARLES & MELANIE MCCAUGN CONTRACTOR MILL CREEK CONSTRUCTION PHONE (360) 452-8281 OWNER MELANIE ANDERSON PHONE (360) 452-6965 PARCEL 06-30-15-6-0-0075-0000- APPL NUMBER: 08-00000539 RES ADDITION ----------------------------------------------------------------------------- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS -------------------------------- ---------— - - -- �FE12 01 5/ 2/08 JLL _ PLUMBING ROUGH-IN TIME: 01:00 May 21, 2008 4:59:17 PM 1pangrle. JOHN 460-6902 ROUGH-IN PLUMBING AFTERNOON -------------------------- ----------- COMMENTS AND NOTES -------------------------------------- v PREPARED 8/01/08, 11:25:07 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/01/08 ------------------------------------------------------------------------------------------------ ADDRESS . : 203 HAWTHORNE PL SUBDIV: TENANT, NBR: CHARLES & MELANIE MCCAUGN CONTRACTOR MILL CREEK CONSTRUCTION PHONE (360) 452-8281 OWNER MELANIE ANDERSON PHONE (360) 452-6965 PARCEL 06-30-15-6-0-0075-0000- APPL NUMBER: 08-00000539 RES ADDITION - --- -------------------------------------- ------ ------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ----------------—--—--——--- -------------------------------—--- BLFO O1 5/23/08 JLL BLDG FOUNDATION TIME: 09:00 5/23/08 AP May 23, 2008 8:33:10 AM 1pangrle. . JIM 460-6268 FOUNDATION MORNING May 23, 2008 2:53:15 PM jlierly. BLFD O1 5/30/08 JLL BLDG FOUNDATION DRAINAGE 5/30/08 AP May 30, 2008 9:00:52 AM 1pangrlei',,,,,,,� JIM 460-6268 "DRAINAGE" May 30, 2008 4:46:30 PM jlierly. BAIR O1 6/12/08 PB BLDG AIR SEAL TIME: 03:30 6/12/08 DA June 11, 2008 4:54:45 PM 1pangrle. JIM 460-6268 AIRSEAL LATE AFTERNOON June 12, 2008 4:40:07 PM pbarthol. Electrical not finished. H clips missing. Airseal not complete. BL3 01 6/12/08 PB BLDG FRAMING TIME: 03:30 6/12/08 DA June 11, 2008 4:55:15 PM 1pangrle. JIM 460-6268 FRAMING LATE AFTERNOON June 12, 2008 4:40:07 PM pbarthol. Electrical not finished. H clips missing. Airseal not complete. BAIR 02 6/13/08 JLL BLDG AIR SEAL 6/13/08 AP June 13, 2008 8:59:07 AM 1pangrle. JIM 460-6268 AIRSEAL June 13, 2008 4:19:43 PM jlierly. BL3 02 6/13/08 JLL BLDG FRAMING 6/13/08 AP June 13, 2008 9:01:35 AM 1pangrle. JIM 460-6268 FRAMING June 13, 2008 4:19:43 PM jlierly. BLI O1 6/16/08 JLL BLDG INSULATION 6/16/08 AP June 13, 2008 9:02:23 AM 1pangrle. JIM 460-6268 INSULATION June 16, 2008 4:20:27 PM jlierly. BL99 01 8/01/08yQL/� BLDG FINAL TIME: 09 —(µ{,ms{(V\—J— August 1, 2008 8:26:949 AM 1pangrle. JAMES 452-8281 BLDG FINAL AFTERNOON -- - - --------------------------------------- ---------------- PERMIT: ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PREPARED 8/01/08, 11:25:07 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 8/01/06 -- --------------------------------------------------------------- ---------- ADDRESS . : 203 HAWTHORNE PL SUBDIV: TENANT, NBR: CHARLES & MELANIE MCCAUGN CONTRACTOR MILL CREEK CONSTRUCTION PHONE (360) 452-8281 OWNER MELANIE ANDERSON PHONE (360) 452-6965 PARCEL 06-30-15-6-0-0075-0000- APPL NUMBER: 08-00000539 RES ADDITION ------------------------------------------------------------------------------------------------ REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------- - ME99 01 8/01/08 J MECHANICAL FINAL TIME: 01:00 August 1, 2008 8:27:35 AM 1pangrle. JAMES 452-8281 MECHANICAL FINAL " AFTERNOON ------------------------------------------------------------------------------------------------ PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------------------------------------------------------- - PL2 01 5/22/08 JLL PLUMBING ROUGH-IN TIME: 01:00 5/22/08 AP May 21, 2008 4:59:17 PM 1pangrle. JOHN 460-6902 ROUGH-IN PLUMBING AFTERNOON May 22, 2008 4:36:15 PM jlierly. PL2 02 6/11/08 PB PLUMBING ROUGH-IN 6/11/08 AP June 11, 2008 8:28:24 AM 1pangrle. JOHN 460-6902 ROUGH-IN PLUMBING June 11, 2008 4:23:48 PM pbarthol. PLSP O1 7/02/08 JLL PLUMBING SHOWER PAN TIME: 01:00 7/02/08 AP July 2, 2008 8:29:08 AM 1pangrle. BRUCE 808-2762 SHOWER PAN AFTERNOON ENTER THROUGH THE BACKYARD July 2, 2008 4:12:30 PM jlierly. PL99 01 8/01/08 LL PLUMBING FINAL TIME: 01:00 August 1, 2008 8:29:07 AM 1pangrle. JAMES 452-8281 PLUMBING FINAL AFTERNOON -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 7/02/08, 9:30:29 INSPECTION TICKET PAGE 15 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/02/08 ------------------------------------------------------------------------------------------------ ADDRESS . : 203 HAWTHORNE PL SUBDIV: TENANT, NBR: CHARLES & MELANIE MCCAUGN CONTRACTOR MILL CREEK CONSTRUCTION PHONE (360) 452-8281 OWNER MELANIE ANDERSON PHONE (360) 452-6965 PARCEL 06-30-15-6-0-0075-0000- APPL NUMBER: 08-00000539 RES ADDITION ---------------------------------------------------------------------------- ------------------- PERMIT: PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --------------------------------------------------------------------------- -------------------- PL2 01 5/22/08 JLL PLUMBING ROUGH-IN TIME: 01:00 5/22/08 AP May 21, 2008 4:59:17 PM 1pangrle. JOHN 460-6902 ROUGH-IN PLUMBING AFTERNOON May 22, 2008 4:36:15 PM jlierly. PL2 02 6/11/08 PB PLUMBING ROUGH-IN 6/11/08 AP June 11, 2008 8:28:24 AM 1pangrle. JOHN 460-6902 ROUGH-IN PLUMBING June 11, 2008 4:23:48 PM pbarthol. PLSP O1 7/02/08PLUMBING SHOWER PAN TIME: 01:00 j i L July 2, 2008 8:29:06 AM 1pangrle. BRUCE 808-2762 VA SHOWER PAN AFTERNOON ENTER THROUGH THE BACKYARD -------------------------------------- COMMENTS AND NOTES -------------------------------------- PREPARED 6/16/08, 13:12:50 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/16/08 ------------------------------------------------------------------------------------------------ ADDRESS . : 203 HAWTHORNE PL SUBDIV: TENANT, NBR: CHARLES & MELANIE MCCAUGN CONTRACTOR MILL CREEK CONSTRUCTION PHONE (360) 452-8281 OWNER MELANIE ANDERSON PHONE (360) 452-6965 PARCEL 06-30-15-6-0-0075-0000- APPL NUMBER: 08-00000539 RES ADDITION --- ---------------------------------------------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL - REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLFO O1 5/23/08 JLL BLDG FOUNDATION TIME: 09:00 5/23/08 AP May 23, 2008 8:33:10 AM 1pangrle. JIM 460-6268 FOUNDATION MORNING May 23, 2008 2:53:15 PM jlierly. BLFD O1 5/30/08 JLL BLDG FOUNDATION DRAINAGE 5/30/08 AP May 30, 2008 9:00:52 AM 1pangrle. JIM 460-6268 "DRAINAGE" May 30, 2008 4:46:30 PM jlierly. BAIR O1 6/12/08 PB BLDG AIR SEAL TIME: 03:30 6/12/08 DA June 11, 2008 4:54:45 PM 1pangrle. JIM 460-6268 AIRSEAL LATE AFTERNOON June 12, 2008 4:40:07 PM pbarthol. Electrical not finished. H clips missing. Airseal not complete. BL3 01 6/12/08 PB BLDG FRAMING TIME: 03:30 6/12/08 DA June 11, 2008 4:55:15 PM 1pangrle. JIM 460-6268 FRAMING LATE AFTERNOON June 12, 2008 4:40:07 PM pbarthol. .Electrical not finished. H clips missing. Airseal not complete. BAIR 02 6/13/08 JLL BLDG AIR SEAL 6/13/08 AP June 13, 2008 8:59:07 AM 1pangrle. JIM 460-6268 AIRSEAL June 13, 2008 4:19:43 PM jlierly. BL3 02 6/13/08 JLL BLDG FRAMING 6/13/08 AP June 13, 2008 9:01:35 AM 1pangrle. JIM 460-6268 FRAMING June 13, 2008 4:19:43 PM jlierly. BLI O1 6/16 08 BLDG INSULATION IN June 13, 2008 9:02:23 AM 1pangrle. JIM 460-6268 INSULATION -------------------------------------- COMMENTS AND NOTES ----- PREPARED 6/13/08, 9:48:06 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/13/08 -- - ------------------------------------------------------------------ ADDRESS . : 203 HAWTHORNE PL SUBDIV: TENANT, NBR: CHARLES & MELANIE MCCAUGN CONTRACTOR MILL CREEK CONSTRUCTION PHONE (360) 452-8281 OWNER MELANIE ANDERSON PHONE (360) 452-6965 PARCEL 06-30-15-6-0-0075-0000- APPL NUMBER: 08-00000539 RES ADDITION ----------- --------------------------------------------------- PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ------------------------------------------------------------------------------------------------ BLFO O1 5/23/08 JLL BLDG FOUNDATION TIME: 09:00 5/23/08 AP May 23, 2008 8:33:10 AM 1pangrle. JIM 460-6268 FOUNDATION MORNING May 23, 2008 2:53:15 PM jlierly. BLFD 01 5/30/08 JLL BLDG FOUNDATION DRAINAGE 5/30/08 AP May 30, 2008 9:00:52 AM 1pangrle. JIM 460-6268 "DRAINAGE" May 30, 2008 4:46:30 PM jlierly. BAIR 01 6/12/08 PB BLDG AIR SEAL TIME: 03:30 6/12/08 DA June 11, 2008 4:54:45 PM 1pangrle. JIM 460-6268 AIRSEAL LATE AFTERNOON June 12, 2008 4:40:07 PM pbarthol. Electrical not finished. H clips missing. Airseal not complete. BL3 01 6/12/08 PB BLDG FRAMING TIME: 03:30 6/12/08 DA June 11, 2008 4:55:15 PM 1pangrle. JIM 460-6268 FRAMING LATE AFTERNOON June 12, 2008 4:40:07 PM pbarthol. Electrical not finished. H clips missing. Airseal not complete. BAIR 02 6/ J BLDG AIR SEAL June 13, 2008 8:59:07 AM 1pangrle. IVI JIM 460-6268 AIRSEAL BL3 02 6/13/08 JLL BLDG FRAMING June 13, 2008 9:01:35 AM 1pangrle. 77— JIM 460-6268 FRAMING -------------------------------------- COMMENTS AND NOTES PREPARED 6/12/08, 10:22:16 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/12/08 ------------------------------------------------------------------------------------------------ ADDRESS . : 203 HAWTHORNE PL SUBDIV: TENANT, NBR: CHARLES & MELANIE MCCAUGN CONTRACTOR MILL CREEK CONSTRUCTION PHONE (360) 452-8281 OWNER MELANIE ANDERSON PHONE (360) 452-6965 PARCEL 06-30-15-6-0-0075-0000- APPL NUMBER: 08-00000539 RES ADDITION ------------------------------------------------------------------------------------------------ PEU41T: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ---------------------------------------------------------------------- ---------------- BLFO O1 5/23/08 JLL BLDG FOUNDATION TIME: 09:00 5/23/08 AP May 23, 2008 8:33:10 AM 1pangrle. .. JIM 460-6268 FOUNDATION ' MORNING May 23, 2008 2:53:15 PM jlierly. BLED O1 5/30/08 JLL BLDG FOUNDATION DRAINAGE 5/30/08 AP May 30, 2008 9:00:52 AM 1pangrle. JIM 460-6268 "DRAINAGE" May 30, 2008 4:46:30 PM jlierly. BAIR O1 6/12/08 JLL BLDG AIR SEAL TIME: 03:30 June 11, 2008 4:54:45 PM 1pangrle. JIM 460-6268 AIRSEAL LATE AFTERNOON BL3 01 6/12/08 JLL BLDG FRAMING TIME: 03:30 June 11, 2008 4:55:15 PM 1pangrle. {� JIM 460-6268 / FRAMING LATE AFTERNOON -------------------------------------- COMMENTS AND NOTES ------------------- ------------------ Ci // r,,, BUILDING PERMIT �4PPLICA TION Print in ink CITY OF PORT ANGELES Attn: Building Permit Technician For City Use Only: ''- 321 E. Fifth St., Port Angeles, WA 98362 Date Received -05- fVQ 7Permit# (360) 417-4815 fax (360) 417-4711 Date Approved $ o Applicant or Agent �� y7�<0�1_ � ��' Phone G,�r�_A2A1 IFl �7�/o9 Property Owner Qwvur1�lr 9�S Property Owner's Address 2p3 Contractor/Engineer ��� �� lk. e./�5� Phone 4tr7_- Zai Contractor/Engineer's Address b tQ q O4D ? License # _✓1Iu _C j p 6 1 -� 1°* Expires ,o PROJECT ADDRESS 2.p,3 # L Parcel Number Lot Zoning Project Type & Brief Description: 'Residential ❑ Commercial ❑ Multi-family ❑ Industrial Check all that apply ❑ New Construction )<Addition - WRemodel ❑ Repair X Re-roof ❑ Demolition ❑ Heat System ❑ Heat pump ❑ wood-burning stove ❑ gas fireplace ❑ pellet stove ❑ other ❑ Other Floor Areas Existing(sq. ft.) Proposed(sq. ft.) Basement @ $ _ per sq. ft. _ $ 1st Floor 2nd Floor 3rd Floor Garage Carport Covered Porch _ Deck Shed Other TOTAL VALUATION $ Total footprint of structures.- 2305 sq. ft. - Lot size 9Aa,I , sq. ft. = Lot coverage 2-,3.S % Max. height of proposed structures Jif ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? 1C o Occupant load #of full baths Will a fire sprinkler system be installed? _X�Q Construction type #of half baths I have read and completed this application and know it to be true and correct. lam authorized to apply for this permit and understand that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects. r Date_S"� Print Namec�. na'�S .e--t Signature -- T.Forms/Building Division/Bldg Permit Appl.-2006 Code.doc ,ff V 9, JI 603 ED ED S G rabapplevpl� 206, pro 4A 7 771 -j 3713 @Ogwood,Pl E s � '` �� A� � i.•7 a- 3 ��►7dy� ` ., .._ .,.:..d:wY�'..�+✓.b.�®�: t`e.�.!,�--e"""..,-..ter: �, 1 2-5 c Irk �x i; 06/10/2008 15 : 18 FAX Z001/001 L(( 7- 14.1 ELECTRICALWORKPERMITAPPLICATION Iagtallarion description / Job wired by Cl Electrical Contractor Cl Owner ❑ Commercial L3'Resldeodal 1 Dnir¢c \ c ns ltcred/Additioa P rc er's in addteSgQ z Cit ^ '^ � S I Y I 1Vl Tel ho umber r � FAX nuprt���^ 1 1 Ad egsyr ins a Ip Q ion LLI��+r E C E O Qp I+� City 1IVV1Ik�J( tt \\InA to a JUN 1. 1 200 088 Phone uum3e- fie 1 p t: Owner or defined by ACWJ9 25.261r(!i Owner will occupy the slruclure /or two years offer this elecrrrra!permit irfinalized. (2) Owner Lr requrred to hire an electrical conrraciar if above.raid property is for an)e, renr or lease. ❑ Cash 0 Check# After reading the above statement, I hereby eenify that 1 am the owner of the above named property or a licensed electrical contractor, 1 am making the electrical instal. ❑ CredlL Card Visa Mastercard Discover lation or aheration in compliance + i;b the electrical laws, N.E.C.. RCW, Chapter 19.26, WAC. Chapter 296-46B, the City of Por[ Angelos Municipal Code, and Card# Utility Specifications. _ Signa c or owner, ele r cal contractor or electrical ad Inlsir for Expiration Date X Date rl0 VIR ofcard $nspeet' n Electrical gad Ayddltlone and or subtractions Servlce Information ❑ NO LOAD CHANGES ❑ Baseboard _KW Voltage ❑ Furnace KW O Overhead Service Phase 0 1 1] 3 ❑ Heat Pump _Ton_LAR CI Temp Service Service Size: O Fen-Wall _KW 0 Underground Service Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ED... ROUGH-EN ETHERMEOSTAT SERVICEn o FENAL FEEDER Anrro�cQ'ay L nom nrwo.=e ut Inspection ren,Building orEquipment ins aced Elecilienl Dasc A 6P Action Taken Inspector I I i I CITY OF PORT ANGELES U;GHT DEPARTMENT ELECTRICAL PERMIT N? 16476 . / ~ "-/5- ;"C: Port Angeles. Washlngton_____________________...._..._hh________________._____n___. 19______., , In accordance with the City Ordinance to regulate the installation. extension, or repair of elec- triqal equipment in, on. or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Ad~ress __cl._()___;2:_____f?I;;,0?":.1Ifff.~:~':':'?__h__/l~~_o._____ Occupancy_______~~__~___________n____n___ ~::~~-~::~~~~;:it:.~g~;E;~:____~~:~~~;::::::::::::::---:---~::::::::::=::::::::::::::::::::::::::::::::::::::: /' Llgllt OUtlets______oo!.)____m______oo_oo_____. Service. volts ji!.9./.~f!._c:._______ Receptacle outlets.....~:9____..___........ No. wires .'..:J....__.__.___..._...~hhn... 1.0."''' - / ./ )'/' '/ ,-,- Size wlr/.._.....;.....;.......m......._.. Main luse _~~)t?t!!4_____mm__ S Enclosure __.__n...n.....__.................... Dryer, KW.....................___....__...___.__... Rang~, KW.......h.h........_ Water Heater: KW._m________________________________.. _______ Heat; KW._oo_/3.oo__12B_________moo Type of wiring: Entrance Cable mmnnn___....____ Motors: sIze, volts and phase: _I__oo~. __- __'~.oo_____oooo___oo_____oo.oo______ /m(;;,_~_~________.m___.m.______ RigId Conduit .....mh..................... Metallic Tubing ....n........... Current transformers: No. & Size.............................. Ser. No............................................... ............................................................ Ser. No. ............................................. Ser. 1'\0.................._.......................... Type of Wiring: Armored Cable .............m............_ Non-Metallic ..................._............. Knob & Tube................................_ Rigid Conduit .............00.....__..____... MetalUc Tubing ...m..mm............. clrc:i::~:::h.~::::::~~~~:::::::~::::::=~:::~ r:-- ~:~titY..:~::~:::::~:::::~:::::::::::::::::::: . ~2 Range ......7:..~............................n... Water Heater .::1:::__.................... Motor _._........................................ D'ye, ........O:...._oo......m__...m.___.....____ Furnace .........................__................... ;2":- Total :Load................n........... Ser. 1'10..__.............._.......................... Total .........!!......__.................... ..___ w s.,.. ;-! ~ Remarks: __...u__..____...~._"?:!u--t!~._:!..______.____.t.....~!.'::..!_..~~o,;::..-::':uuu_u~..unuun.nnn_nnnunnuuuunn_n.nn..u__.n._uu_u_n_u .;::;~..;::-----------------------------;~:~~__-~:~~;~~----....----..-------n----------~;,::--~;:T?l---;--~.---------;~~i---- S:.....::[t..rti....__hmndun. NO..._.__mm__mn...______ By /!u~u_J/---~-u-!.t~~:~-:u~u-~-~:-~:-~~-:~cf?~2__~~ NOTICE-Current must not be turned on untU Certificate of Inspection has been Issued. If work Is to be con. cealed due notice must be given the Inspector so that work may be Inspected before concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 16476 Address..n..............._...................................................................................................................Date..._......_.._.._.._.........._......_.....__._....... Owner..................................._......_.._...!.~~......_.._...........................................................Tenant........................................_._......................... Wiring Contractor ........__.............L...._......_.............._...............................:............................. By......................__...................................... NOTICE--Current must not be turned on until Certificate of Inspection has been Issued. If work Is to be con- cealed due notice must be given the Inspector so that work may be Inspected before concealment. 1M Olympic Printers, Inc.