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1312 Morning Ct - Building
PREPARED 9/25/09 8 47 29 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 9/25/09 ADDRESS 1312 MORNING CT SUBDIV TENANT NBR THERESA TRACY CONTRACTOR REALITY HOMES INC PHONE (253) 926 6822 OWNER THERESA A TRACY PHONE (360) 452 3413 PARCEL 06 30 14 6 7 0490 0000 APPL NUMBER 08 00001295 RES NEW SFR REQUESTED INSP DESCRIPTION TYP/SQCOMP ETED RESULT RESULTS/COMMENTS 6&7 / September 25 2009 8 39 47 AM 1pangrle TERESA 452 3413 BLDG FINAL AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE PERMIT HSE 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS MEI 01 4/29/09 JLL MECHANICAL ROUGH IN TIME 01 00 4/30/09 AP April 28 2009 8 27 49 AM 1pangrle JONATHAN 253 926 0111 ROUGH IN MECHANICAL AFTERNOON April 30 2009 8 59 18 AM jlierly ME99 01 9/25/09 JLL MECHANICAL FINAL TIME 01 00 September 25 2009 8 40 50 AM 1pangrle TERESA 452 3413 MECHANICAL FINAL AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 4/29/09 JLL PLUMBING ROUGH IN TIME 01 00 4/30/09 AP April 28 2009 8 28 20 AM 1pangrle JONATHAN 253 926 0111 ROUGH IN PLUMBING AFTERNOON April 30 2009 8 59 18 AM jlierly PL6 01 5/11/09 JLL PLUMBING WATER SUPPLY TIME 01 00 5/15/09 AP May 8 2009 1 10 00 PM 1pangrle JIM 460 1792 WATER SUPPLY LINE FROM METER TO HOUSE AFTERNOON May 15 2009 3 39 21 PM jlierly PL99 01 9/25/09 JLL PLUMBING FINAL TIME 01 00 /� ✓ September 25 2009 8 41 09 AM 1pangrle .`� TERESA 452 3413 d` PLUMBING FINAL AFTERNOON PLEASE CALL HER 30 MINUTES BEFORE YOU GET THERE COMMENTS AND NOTES v-ORI'4*,� ELECTRICAL INSPECTION WIRING REPORT RKS& 417-4735 Ab DATEPERM M INSPECTpk OWNER/CONTRACTOR V41 LLIV S ADDRESS 3 1"2- APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN/COVER ❑ ❑ SERVICE ❑ ❑ FINAL 9 CORRECTIONS NEEDED: &F C l �'t eo►Ec-I QrcL14-PTACL$S E �fl2Ayr- 2l0 8 A Z �20 K E.1-4 cau z- pi(.TAI C. b)Z. D 1 SP i41E�> NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — PREPARED 5/11/09 8 28 15 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/11/09 ADDRESS 1312 MORNING CT SUBDIV TENANT NBR THERESA TRACY CONTRACTOR REALITY HOMES INC PHONE (253) 926 6822 OWNER THERESA A TRACY PHONE (360) 452 3413 PARCEL 06 30 14 6 7 0490 0000 APPL NUMBER 08 00001295 RES NEW SFR PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 4/29/09 JLL PLUMBING ROUGH IN TIME O1 00 4/30/09 AP April 28 2009 8 28 20 AM 1pangrle JONATHAN 253 926 0111 ROUGH IN PLUMBING AFTERNOON April 30 2009 8 59 18 AM jlierly PL6 01 5/11/09L PLUMBING WATER SUPPLY TIME O1 00 _ ( May 8 2009 1 10 00 PM 1pangrle JIM 460 1792 WATER SUPPLY LINE FROM METER TO HOUSE AFTERNOON COMMENTS AND NOTES ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 ^� i Application Number 09 00000414 Date 5/11/09 0 Application pin number 920072 Property Address 1312 MORNING CT ASSESSOR PARCEL NUMBER 06 30 14 6 7 0490 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 200 amp service Meter only Owner Contractor `\ Tracey Theresa RW BECKER ELECTRIC \\1N 1312 Morning CT 1532 TAYLOR CUTOFF RD PORT ANGELES WA 98362 SEQUIM WA 98382 ^ ` (360) 683 5839 I v Permit ELECTRICAL NEW RESIDENTIAL Additional desc Permit pin number 145532 Permit Fee 93 75 Plan Check Fee 00 Issue Date 5/11/09 Valuation 0 Expiration Date 11/07/09 Qty Unit Charge Per Extension 1 00 93 7500 ECH EL 0 200 SRV FEEDER 93 75 Fee summary Charged Paid Credited Due Permit Fee Total 93 75 93 75 00 00 Plan Check Total 00 00 00 00 Grand Total 93 75 93 75 00 00 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN FINAL [(5j COMMENTS Signature of owner or Electrical Contractor X Date RECEIVED City of Port Angeles Permit Application MAY 8 209 v Building Division/Electrical Inspections 321 East Fifth Street—P.O.Box 1150 Port Angeles Washington,98362 Ph:(360)417-4735 Fax:(360)417.4711 UGHT DEPT Date: 5 . 6- De &2 Single Family Dwelling O _Multi-Family or Commercial* Commercial Addition/Alteration/Remodel!Repair* p *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address; /S/2 'M ekmlA-.4 ro'-.'X7-- Building Square Footage: Description of above A157—,V4C- C/�.L.CIf� i�7` c '�/o zv to/I fry A /Ilan l0I0G//v 7'Ct7 T'/ ' Owner Information Contractor nfor ation Name: Name. 1/9 67elzz 2._ Mailing Address: 3�/ �1 Y /< j s' /2 0 Mailing Address: Z�_r1-��4e-W- C417Vr=)e,,O City State. z �.V _Zip- ' _ City. Gam?/ins---r State: &L) 4 Zip,!9 iP3 Z Phone: - /3 Fax: Phone.6&-3—Sf �f4 Fax:/Sri License#/Exp License#/Exp IaZzo/i // ,c Unit Charge Qty Total(Qty Multiplied by Unit Charge) CLQ` 7 �7— 135 $ 93.75 $ . 7 S Service/Feeder 200 Amp. $113.75 $ Service/Feeder 201-400 Amp $160.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601 1000 Amp. $291.25 $ Service/Feeder over 1000 Amp $ 2.00 $ Branch Circuit W/Service Feeder $ 57.50 $ Branch Circuit W/O Service Feeder $ 2.00 $ Each Additional Branch Circuit $ 72.50 $ Temp.Service/Feeder 200 Amp. $ 86.25 $ Temp Service/Feeder 201-400 Amp. $116.25 $ Temp.Service/Feeder 401-600 Amp. $131.25 $ Temp.Service/Feeder 601 1000 Amp. $ 75.00 $ Portal to'Portal Hourly $ 6900 $ Sign/Outline Lighting $ 75.00 $ Signal Circuit/Limited Energy Commercial $ 50.00 $ Signal Circuit/Limited Energy 1 &2 Family Dwelling $ 50.00 $ Signal Circuit/Limited Energy Multi-Family Dwelling $ 93.75 $ Manufactured Home Connection $ 8000 $ Renewable Electrical Energy 5KVA System or Less $ 86.25 $ First 1300 Square Ft. $ 27.50 $ Each Additional 500 Square Ft.or Portion of $ 57.50 $ Each Outbuilding or Detached Garage $ 86.25 $ Each Swimming Pool or Hot Tub $ 43.75 $ Thermostat Total Owner as defined by RCW.19.28.261 (1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or lease. After reading the above statement,I hereby certify that I am the owner of the above named property or a licensed electrical contractor I am making the electrical installation 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 electrical contractor or electrical administrator ❑ Cash ❑ Check X Date. — — �' Credit Card /Y / / PREPARED 5/04/09 9 24 14 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/04/09 ADDRESS 1312 MORNING CT SUBDIV TENANT NBR THERESA TRACY CONTRACTOR REALITY HOMES INC PHONE (253) 926 6822 OWNER THERESA A TRACY PHONE (360) 452 3413 PARCEL 06 30 14 6 7 0490 0000 APPL NUMBER 08 00001295 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 3/03/09 JLL BLDG FOUNDATION FOOTING TIME 09 00 3/06/09 AP March 3 2009 9 14 05 AM 1pangrle NO NAME WAS LEFT 360 888 0121 FOOTING MORNING March 6 2009 4 16 34 PM pbarthol 20 ufr ground ok jll BL2 01 3/06/09 PB BLDG FOUNDATION STEM WALL TIME 09 00 3/06/09 AP March 5 2009 2 11 46 PM 1pangrle JACOB 888 0121 FOUNDATION WALL MORNING March 6 2009 4 18 08 PM pbarthol BLFD O1 3/16/09 JLL BLDG FOUNDATION DRAINAGE TIME 11 00 3/17/09 AP March 16 2009 8 29 27 AM 1pangrle JIM 460 1792 FOOTING DRAIN' LATE MORNING March 17 2009 4 21 13 PM jlierly DSD O1 3/16/09 JLL BLDG DOWN SPOUT DRAINS TIME 11 00 3/17/09 AP March 16 2009 8 30 07 AM 1pangrle JIM 460 1792 'DOWNSPOUT DRAINS LATE MORNING March 17 2009 4 21 13 PM jlierly BL3 01 3/24/09 JLL BLDG FRAMING 3/24/09 AP March 23 2009 1 43 04 PM 1pangrle JAKE 253 820 7324 UNDERFLOOR FRAMING PLEASE INSPECT THIS AS EARLY AS POSSIBLE March 24 2009 4 39 51 PM jlierly BL9 01 4/08/09 JLL BLDG SHEARWALL TIME O1 00 4/08/09 AP April 7 2009 8 39 51 AM 1pangrle JAKE 253 820 7324 SHEARWALL AFTERNOON April 8 2009 4 38 03 PM jlierly BL3 02 4/29/09 JLL BLDG FRAMING TIME 01 00 4/30/09 AP April 28 2009 8 26 27 AM 1pangrle JONATHAN 253 926 0111 ROUGH IN FRAMING AFTERNOON April 30 2009 8 59 18 AM jlierly BLI 01 5/04/09 ,7/S�,L BLDG INSULATION Cl I�V10 May 4 2009 9 21 37 AM 1pangrle LOWELL 253 926 0111 INSULATION HE REQUESTED AN INSPECTION AS SOON AS POSSIBLE COMMENTS AND NOTES PREPARED 4/29/09 8 50 25 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/29/09 ADDRESS 1312 MORNING CT SUBDIV TENANT NBR THERESA TRACY CONTRACTOR REALITY HOMES INC PHONE (253) 926 6822 OWNER THERESA A TRACY PHONE (360) 452 3413 PARCEL 06 30 14 6 7 0490 0000 APPL NUMBER O8 00001295 RES NEW SFR REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ROUGH IN MECHANICAL AFTERNOON PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS PL2 01 4/29/09 JLL/ PLUMBING ROUGH IN TIME O1 00 April 28 2009 28 20 AM 1pangrle JONATHAN 253 9266 0111 ROUGH IN PLUMBING AFTERNOON COMMENTS AND NOTES PREPARED 4/29/09 8 50 25 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/29/09 ADDRESS 1312 MORNING CT SUBDIV TENANT NBR THERESA TRACY CONTRACTOR REALITY HOMES INC PHONE (253) 926 6822 OWNER THERESA A TRACY PHONE (360) 452 3413 PARCEL 06 30 14 6 7 0490 0000 APPL NUMBER 08 00001295 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 3/03/09 JLL BLDG FOUNDATION FOOTING TIME 09 00 3/06/09 AP March 3 2009 9 14 05 AM 1pangrle NO NAME WAS LEFT 360 888 0121 FOOTING MORNING March 6 2009 4 16 34 PM pbarthol 20 ufr ground ok jll BL2 01 3/06/09 PB BLDG FOUNDATION STEM WALL TIME 09 00 3/06/09 AP March 5 2009 2 11 46 PM 1pangrle JACOB 888 0121 FOUNDATION WALL MORNING March 6 2009 4 18 08 PM pbarthol BLFD 01 3/16/09 JLL BLDG FOUNDATION DRAINAGE TIME 11 00 3/17/09 AP March 16 2009 8 29 27 AM 1pangrle JIM 460 1792 FOOTING DRAIN ` LATE MORNING March 17 2009 4 21 13 PM jlierly DSD 01 3/16/09 JLL BLDG DOWN SPOUT DRAINS TIME 11 00 3/17/09 AP March 16 2009 8 30 07 AM 1pangrle ' JIM 460 1792 f� DOWNSPOUT DRAINSj ��`Y LATE MORNING March 17 2009 4 21 13 PM jlierly BL3 01 3/24/09 JLL BLDG FRAMING 3/24/09 AP March 23 2009 1 43 04 PM 1pangrle JAKE 253 820 7324 UNDERFLOOR FRAMING PLEASE INSPECT THIS AS EARLY AS POSSIBLE March 24 2009 4 39 51 PM jlierly BL9 01 4/08/09 JLL BLDG SHEARWALL TIME 01 00 4/08/09 AP April 7 2009 8 39 51 AM 1pangrle JAKE 253 820 7324 SHEARWALL AFTERNOON April 8 2009 4 38 03 PM jlierly BL3 02 4/29/09 JLL BLDG FRAMING TIME 01 00 l� April 28 2009 8 26 27 AM 1pangrle JONATHAN,253 926 0111 ROUGH IN FRAMING AFTERNOON PERMIT ME 00 MECHANICAL PERMIT REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS ME1 01 4/29/09 J L MECHANICAL ROUGH IN TIME 01 00 April 26 2009 8 27 49 AM 1pangrle JONATHAN 253 926 0111 - CONTINUED ONTO NEXT PAGE ��� � - ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 09 00000356 Date 4/22/09 Application pin number 132180 w Property Address 1312 MORNING CT ASSESSOR PARCEL NUMBER 06 30 14 6 7 0490 0000 ", Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 10 kwFurnace and 3 ton Heat pump Owner Contractor GREEN CROW PROPERTIES INC INDOOR COMFORT SYSTEMS INC PO BOX 2439 118 VIOLET MEADOWS ST S PORT ANGELES WA, 983620312 TACOMA WA 98444 (253) 539 1424 ^ t Permit ELECTRICAL HEATPUMP IBJ Additional desc Permit pin number 144618 Permit Fee 43 75 Plan Check Fee 00 Issue Date 4/22/09 Valuation 0 Expiration Date 10/19/09 7 Qty Unit Charge Per Extension 1 00 43 7500 ECH EL LVT THERMOSTAT 43 75 Fee summary Charged Paid Credited Due r Permit Fee Total 43 75 43 75 00 00 T Plan Check Total 00 00 00 00 Grand Total 43 75 43 75 00 00 INSPECTION TYPE DATE RESULTS INSPECTOR, DITCH SERVICE ROUGH IN FINAL COMMENTS Signature of owner or Electrical Contractor X Date APR- 21 2009 2 28PM (RECEIVE® N0. 7697 P 1 - City of Port Angeles Permit Application APR 2 2 2009 q Building Dlvlslon/Elecblcal Inspections 321 East Fifth Street-P.O.Box 1160 Part Aneles 90362 Ph;(60)417-4735 Fagx!(360)4174711 LIGHT DEPT Date: a.l I D 1&2 Single Family Dwelling _Multi-Family or Commercial' Q Commercial Addition/Alteration/Remodel l Repair$ Plan Review May Be Required,Please Complete Electrical Pan Rev i w Inf9rmation Sh et Job Address: I%t Z oct\� t, cKA es WA Building Square Footage: Description of above Owner Info tion Contractor Information Name: a. Name: S s Mailin Address; "CR c A. Mailing Address: L 16 J.ok-A ws . S. City' V &46ts. State:W ip: A 815ko Z Cily:Ylsr scamp— State: W& Zr >I Phone..-3.6 0-LA_ sFax: Phone a5�;ly z� p � _ Fax: � -S3b-IRt3 License (Exp. License#/Exp._71,f0oocs OrSD6 0310oto _UAt C-�r T Mullipliag_by UnitC a e S 93.75 $ Service/Feeder 200 Amp. $113.76 $ Service/Feeder 201.400 Amp. $160.00 S—Servlce/Feeder 401-600 Amp. $205.00 $,_Service/Feeder 601.1000 Amp, $291.25 $ ServioelFeeder over 1000 Amp. $ 2.00 $,�_Branch Circuit W/Service Feeder $ 57.50 $_�i Branch Circuit W/O Service Feeder $ 200 $ Each Additional Branch Circuit $ 72.50 $�,Temp.Seivitel Feeder 200 Amp. S 86.25 $ Temp.Servlce/Feeder 201400 Amp. $116.25 $_ Temp.Service/Feeder 401-600 Amp. $131.25 $ Temp,Service/Feeder 601.1000 Amp. $ 75.00 $_�Portal to Portal Hourly $ 69.00 $,^SignlOudine Lighting $ 75.00 $_�Stnal Circuity Limited Energy Commercial $ 50.00 $�,Signal Circuit/Limited Energy 1&2 Family Dwelling $ 50.00 $ Signal Circuity Limited Energy Multi-Family Dwelling S 93.75 $`_Manufactured Home Connection "$ 80.00 $ Renewable Electrical Energy SKVA System or Less S 86.25 $ First 1300 Square Ft $ 27.50 $ Each Additlonal 500 Square Ft or Portion of $ 57.50 _ $ Each Outbuilding or Detached Garage $ 86.25 $ Each Swimming Pool or Hot Tub $ 43.75 C-1=_Thermostat .$.�Total Owner as defined by RCW,10.28.261:(1)OWner will occupy the atructurs for in years alter this alecbical permit is finalized,(2)Owner is required to hire an electrical contractor Nabove said property is forsale,rent or lease. After reading the above statement,l hereby ceNfy that Ism the ownu of the above named property ora licensed electrical contractor,I em making the electrical Installation or alteration In compliance with the electrical laws,N.E,C.,RCW,Chapter 19.28,WAC.Chapter 296469,The Cllr of Port Angeles Municipal Code,and Utility Specifications. Signature of owner,electrical contractor or electrical administrator O Cash / ❑ Check Date:7 10 0 Credit Ca tii o�p°RT"��F ELECTRICAL INSPECTION /w f WIRING REPORT c��`' RKS 81 417-4735 DATE PERMIT# INSPECTOR 17 dl-02-72 OWN CONTRAC OR P41 Lu QS fi So►.�' &Lgr-c-'T-1ZL G ADDRESS 13l Z M&Mtic ,.t APPROVED NOT APPROVED ❑ DITCH ❑ ❑ ROUGH IN/COVER ❑ SERVICE ❑ ❑ FINAL ❑ CORRECTIONS NEEDED _ At t, Rip.1�S pis, a)ITh IZF-D ry it- J7 t- �Rr1) M us s JtT-[(n-1 / %/ e�rz�nV6� Cy= sem)n mac. .y X41 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS — DO NOT REMOVE — OLYMPIC PRINTERS,INC.(360)452-1381 rc' ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 09 00000331 Date 4/15/09 \ Application pin number 792575 Q7 Property Address 1312 MORNING CT ASSESSOR PARCEL NUMBER 06 30 14 6 7 0490 0000 (� Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Security system Owner Contractor GREEN CROW PROPERTIES INC SECURITY SERVICES NW PO BOX 2439 PO BOX 660 PORT ANGELES WA 983620312 PORT TOWNSEND WA 98368 ( ^I (800) 859 3463 V _ Permit ELECTRICAL NEW RESIDENTIAL ` Additional. desc �v Permit pin number 144295 Permit Fee 50 00 Plan Check Fee 00 Issue Date 4/15/09 Valuation 0 Expiration Date 10/12/09 Qty Unit Charge Per Extension 1 00 50 0000 ECH EL SINGLE CIR LIMITED RES 50 00 Fee summary Charged Paid Credited Due Permit Fee Total 50 00 50 00 00 00 Plan Check Total 00 00 00 00 Grand Total 50 00 50 00 00 00 ^ -T INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN �q FINAL Z� COMMENTS Signature of owner or Electrical Contractor X Date 04/14/2009 12 14 3607978482 R Ed I V E® PAGE :•C2 �r pCRt City of Port Angel Permit Application APR 14 2009 Building Division/El rical Inspections 321 East Fifth Street— .0.Box 1150 Port Angeles Washin n,98382 UQHY®EP's Ph:(36 ir Date: 0)417-4735 F •(1336,0)417.4711 4� / 1 &2 Single Fa nily Dwelling _ Multi-Family or ommercial* t _Commercial Ad ition I Alteration/Remodel I Repair* p •Plan Review May a Required,Please Com tete Electrical Plan Review Information Sheet fir' Job Address: 2 /t�ta, 6 � l�A. Building Square Footage: 20'7 Description of abov StY�r1 d + y c! ► 8 �'' Owner Informatio Contractor Information Name: a Name: r„ �"'► Nw ,�erst, • Mailin Address: Malin Address: City. State: Gds ip: 9836 Z City � d State:u Zip: Phone360-� Z_ l3 Fax: Mp Phonelfa0-6S9-W b3 Fax: License#l Exp. License#l Exp. 5AQXAAXrJ Q C--j— 0-4/Z.0/0 Unit Charge (art Total(Qty Multiplied by Unit Charge) $ 93.75 $ Service/Feeder 200 Amp. $113.75 $ Service/Feeder 201-400 Amp. $160.00 $ ServioelFeeder 401-600 Amp. $205.00 $ Service/Feeder 601-1000 Amp. $291.25 $ ServicelFeeder over 1000 Amp. $ 2.00 $ Branch Circuit W/Service Feeder $ 57.50 $ Branch Circuit W/O Service Feeder $ 2,00 $ Each Additional Branch Circuit $ 72.50 $ Temp.Service!Feeder 200 Amp. $ 86.25 $ Temp.Service/Feeder 201-400 Amp. $116.25 $ Temp.ServiceiFeeder401-600 Amp. $131.25 $ Temp.Service/Feeder 601 1000 Amp. $ 75.00 $ Portal tol Portal Hourly $ 692 $ Sign/Outline Lighting $ 75.00 $ Signal Circuit/Limited Energy Commercial $ 50.00 $ 5A ” Signal Circuit/Limited Energy 1&2 Family Dwelling $ 50.00 $ Signal CirculV Limited Energy Multi-Family Dwelling $ 93.75 $ Manufactured Home Connection $ 80.00 $ Renewable Electrical Energy 5KVA System or Less $ 86.25 $ First 1300 Square Ft. $ 27.50 $ Each Additional 500 Square Ft.or Portion of $ 57.50 $ Each Outbuilding or Detached Garage $ 86.25 $ Each Swimming Pool or Hot Tub $ 43.75 $ Thermostat $ Total Owner as defined b RCW.19.28.261 (1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner Is required to hire an electrical contractor if above said property is for sale,rent or lease. After reading the abi me 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 altera ion 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 Specificationi. Signature of owner eiectricalcontractor orelectrical administrator ❑ Cash rjrp ❑ Check D3f�t� X Date. )�'Credit Card#532-7—1010 Z335C0I (� Qwest Mui l-Print/Dressage -_ 4 ° f � n i ti' �" :��/'� ,.,P !�.�� �r..•x` 4,yr f�Y+��Y� - Tracy Job L C Yr From Jody Platta (Jody@trusway k ,. s` Sent- Fri 4/10/09 12 04 AM ±1 To myercrew@q com : ,, ' .. Attachments` 5CN_200904 _- f` 1`30 2 KB) To whom in m � Trus is : . cat i°s not requir`ted to completae this.tru�s packAge. This.,s.on- xtrq tress` provided tea(` 0�' form the edge-,c the vault to aid the framer As you can see-the r the trusse e ,''" enter as required. See the attached layout (}ola # Q3$ 09)s G Thanks Jody Jody Platta,/S4f+~si w f / i s way In'c: _ ` � _ ° z . s;_ E � � a s F 360-904 48 cel . ' '®;7'°50 a� X70".cf:fi:ce• .�.•�` i- Jody.Piat runway com Y, N'; ¢' a a K F o ,e,10 TO- Ilt r}� ��' ..'',� 'r m• 4 - 'moi x`r' ,r- �'t` ` • t,' ?, iAA INsi�pp,- �•uu'-�' ��r .. ,.. '± ,•s�"^�='' -�[;`"�"'; t.0 z .�: .:,� 4'�.° a'"`�"'''la � r "fit"f"'P•.t'�`"'x . ` .isx?tune=messae&epdh-t5111.++t-. /h. tn2e, hnv1nR mri1 livv rnmlQl/Pri4/.9/009" €° PREPARED 4/08/09 8 26 27 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 4/08/09 ADDRESS 1312 MORNING CT SUBDIV TENANT NBR THERESA TRACY CONTRACTOR REALITY HOMES INC PHONE (253) 926 6822 OWNER THERESA A TRACY PHONE (360) 452 3413 PARCEL 06 30 14 6 7 0490 0000 APPL NUMBER 08 00001295 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTTAT• REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 3/03/09 JLL BLDG FOUNDATION FOOTING TIME 09 00 3/06/09 AP March 3 2009 9 14 05 AM 1pangrle NO NAME WAS LEFT 360 888 0121 FOOTING MORNING March 6 2009 4 16 34 PM pbarthol 20 ufr ground ok jll BL2 01 3/06/09 PB BLDG FOUNDATION STEM WALL TIME 09 00 3/06/09 AP March 5 2009 2 11 46 PM 1pangrle JACOB 888 0121 FOUNDATION WALL MORNING March 6 2009 4 18 08 PM pbarthol BLFD 01 3/16/09 JLL BLDG FOUNDATION DRAINAGE TIME 11 00 3/17/09 AP March 16 2009 8 29 27 AM 1pangrle JIM 460 1792 FOOTING DRAIN LATE MORNING March 17 2009 4 21 13 PM jlierly DSD 01 3/16/09 JLL BLDG DOWN SPOUT DRAINS TIME 11 00 3/17/09 AP March 16 2009 8 30 07 AM 1pangrle JIM 460 1792 DOWNSPOUT DRAINS LATE MORNING March 17 2009 4 21 13 PM jlierly BL3 01 3/24/09 JLL BLDG FRAMING 3/24/09 AP March 23 2009 1 43 04 PM 1pangrle JAKE 253 820 7324 UNDERFLOOR FRAMING PLEASE INSPECT THIS AS EARLY AS POSSIBLE March 24 2009 4 39 51 PM jlierly BL9 01 4/08/09LL BLDG SHEARWALL TIME 01 00 April 7 2009 8 39 51 AM 1pangrle JAKE 253 820 7324 SHEARWALL AFTERNOON COMMENTS AND NOTES From UndaPangde To. RogerVesy Date, 4/6/20093 ]S PM Subject: Re 1312 Morning Ct cc ]amesLiedy Mi, Today[ phoned the contractor I Reality Homes Inc, at 253-926-6822. Awmman named Melissa answered the phone,and said that Pat is in charge of the project. She transferred me to Pat's voice mail,and l relayed your information to him Hopefully he'll take care nfthis. Thanks for letting meknow about it. Linda >>^ Roger Vess4V§/ZOO9 10-11 AM >>» Linda, Just smyou know! On]'12'O9ltalked with Jim Bishop at this site,there is a hose bib attached to the water meter with no double check valve.Jim said he would remove the hose bib but has not. I called him again and left a voice mail If they want to continue to use the hose bib they need tocome inand get permit for the back flow device and have itinspected by Ron Becker Thank you, Roger air + ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number 09 00000279 Date 3/31/09 Application pin number 880360 Property Address 1312 MORNING CT 0 ASSESSOR PARCEL NUMBER 06 30 14 6 7 0490 0000 N Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc 2300 sqft house Owner Contractor a_ GREEN CROW PROPERTIES INC PHILLIPS AND SON S ELECTRIC PO BOX 2439 PO BOX 2049 PORT ANGELES WA 983620312 BELFAIR WA 98528 (360) 275 5701 Permit ELECTRICAL NEW RESIDENTIAL J v Additional desc Permit pin number 143669 Permit Fee 141 25 Plan Check Fee 00 Issue Date 3/31/09 Valuation 0 Expiration Date 9/27/09 Qty Unit Charge Per Extension 1 00 86 2500 ECH EL R SQFT FIRST 1300 86 25 2 00 27 5000 ECH EL R SQFT ADDITIONAL 500 55 00 Fee summary Charged Paid Credited Due Permit Fee Total 141 25 141 25 00 00 Plan Check Total 00 00 00 00 Grand Total 141 25 141 25 00 00 DA INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE ROUGH IN 22 FINAL l� COMMENTS Signature of owner or Electrical Contractor X Date 03/30/2009 12 23 4256608019 RECE' jKPWHITE PAGE 01 MAR 3 0 2009 ' City of port Angeles Permit Applka ion 0E roar Build'ntg Ohrlebnreacutal inspecdone 321 East Fnlh sb eat—P.O.Box 115o UG14T DEPT W Port Angeles WashM pn,91= Ph:(360)417-47M Fax:W)417.4711 ("Orliaor � Date: &2 Single Family Dwelling Multi-Family or Commercial' Commercial Addition I Alteration!Remodel I Repair'' Plan Review May 8e Required,Please Complete Electrical P eview Irt(ormation Sheet IJ Job Address: 13 Mn r.n..L��s _ •r lar u \ (� (o 01 Building Square Footage: Ol��l Description of above c ry •c� Owner Info tion _..r. Contractorlttformadon Name: e. ¢�_. �l~e✓,tr`/ Name: t'h \\. ���jo n ��tC� e C— Meiling Address: Mailin p City- State: Zip: City, �• { State. 1^_21p: Phone-1 4AP_ r3 Fax; Phone W • 2b t Fa c 3(e64,)M] 9 '14 License#I Exp. Lire M#I Exp. !k t L L rN Unit ChaMe Qty TrAaIlOty Mulb ed by UnitChame) S 93.75 $ Seri Feeder 200 Amp. $113.75 $ Service/Feeder 201400 Amp. $160.00 $ Service/Feeder 401-600 Amp. $205.00 S SeMcelFaeder601-1000 Amp. $29125 $ ServicelFeeder over 1000 Amp. $ 2.00 $ Branch Circuit WIService Feeder 11167.50 $ Branch Circuit wl0 Service Feeder $ 2.00 $ Each Additional Branch Circuit $ 72.50 $ Temp.Servicel Feeder 200 Amp. S 66.25 S Temp.ServlcelFeeder 201400 Amp. $116.25 $ Temp.SeMMIFeeder401-600Amp. $131.25 $ Temp.ServicelFeeder601.1000 Amp. S 75.00 $ Portal to Portal Hourly $ 69.00 $ SignlOuMne Lighting $ 75.00 $ Signal CimuN Limited Energy Commercial S 50.00 $ Signal Ckcuitr Limited Energy 1&2 Family Dwe ft $ 50.00 S. Signal Cirnuitl Limited Energy MultioF"Dwelling $ 93.75 $ Manufactured Home Connection $80.00 $ Renewable Electrical Energy 5WA System or Less $ $6.25 �_ $D�Fist 1300 Square FL $ Z7•50 �_ 3 �Each Additional 500 Square Ft.or Portion of $ 57.50 $ Each Outbuilding or Detached Garage 3 86.25 $ Each Swimming Pool or Hot Tub $ 43.75 $ Themmastat t: Ll 1,2 Total t7rrnera5deJ AY RCW.I9i8.2$7:(1)OrrWWXaaafyalesntrcrraefor mmyusaReraxcreleebtwper"*is&WALVd0Orrra:rlsraigretf0hirean ®Incafcalcons acsorllahmsaidpropertyk/orsakMrorlessa' Ager reading the above datameK I hereby mft that i am the ovmr of flm above named properly or a licensed eMcWml conft tsr.I am m*ng the electrical Inatallatlon or arhrallon in compliance wlfhh Me eleMcal laws,fLEe,RCW.Chapter 194 WAC.Chapter N&W,The Cky of Pod Angeles Munldpal Code,and Utility Specwcations. Signature of ovVnar,elaetrfeal confrsrtor or akcfrieai adminletrater O Cash C�hedt J Lam' Credit Card 0 p 0k PREPARED 3/24/09 8 12 53 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/24/09 ADDRESS 1312 MORNING CT SUBDTV TENANT NBR THERESA TRACY CONTRACTOR REALITY HOMES INC PHONE (253) 926 6822 OWNER THERESA A TRACY PHONE (360) 452 3413 PARCEL 06 30 14 6 7 0490 0000 APPL NUMBER O8 00001295 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 3/03/09 JLL BLDG FOUNDATION FOOTING TIME 09 00 3/06/09 AP March 3 2009 9 14 05 AM 1pangrle NO NAME WAS LEFT 360 888 0121 FOOTING MORNING March 6 2009 4 16 34 PM pbarthol 20 ufr ground ok jll BL2 01 3/06/09 PB BLDG FOUNDATION STEM WALL TIME 09 00 3/06/09 AP March 5 2009 2 11 46 PM 1pangrle JACOB 888 0121 FOUNDATION WALL MORNING March 6 2009 4 18 08 PM pbarthol BLFD O1 3/16/09 JLL BLDG FOUNDATION DRAINAGE TIME 11 00 3/17/09 AP March 16 2009 8 29 27 AM 1pangrle JIM 460 1792 FOOTING DRAIN LATE MORNING March 17 2009 4 21 13 PM jlierly DSD O1 3/16/09 JLL BLDG DOWN SPOUT DRAINS TIME 11 00 3/17/09 AP March 16 2009 8 30 07 AM 1pangrle JIM 460 1792 'DOWNSPOUT DRAINS LATE MORNING March 17 2009 4 21 13 PM jlierly BL3 01 3/24/09 BLDG FRAMING March 23 2009 1 43 04 PM 1pangrle JAKE 253 820 7324 UNDERFLOOR FRAMING PLEASE INSPECT THIS AS EARLY AS POSSIBLE COMMENTS AND NOTES PREPARED 3/16/09 8 36 51 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/16/09 ADDRESS 1312 MORNING CT SUBDIV TENANT NBR THERESA TRACY CONTRACTOR REALITY HOMES INC PHONE (253) 926 6822 OWNER THERESA A TRACY PHONE (360) 452 3413 PARCEL 06 30 14 6 7 0490 0000 APPL NUMBER 08 00001295 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 3/03/09 JLL BLDG FOUNDATION FOOTING TIME 09 00 3/06/09 AP March 3 2009 9 14 05 AM 1pangrle NO NAME WAS LEFT 360 888 0121 FOOTING MORNING March 6 2009 4 16 34 PM pbarthol 20 ufr ground ok jll BL2 01 3/06/09 PB BLDG FOUNDATION STEM WALL TIME 09 00 3/06/09 AP March 5 2009 2 11 46 PM 1pangrle JACOB 888 0121 FOUNDATION WALL MORNING March 6 2009 4 18 08 PM pbarthol BLFD O1 3/16/09 JLLBLDG FOUNDATION DRAINAGE TIME 11 00 0 n March 16 2009 8 29 27 AM 1pangrle JIM 460 1792 FOOTING DRAIN LATE MORNING DSD O1 3/16/09 LL BLDG DOWN SPOUT DRAINS TIME 11 00 March 16 2009 8 30 07 AM 1pangrle JIM 460 1792 DOWNSPOUT DRAINS LATE MORNING COMMENTS AND NOTES PREPARED 3/06/09 8 49 25 INSPECTION TICKET PAGE 3 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/06/09 ADDRESS 1312 MORNING CT SUBDIV TENANT NBR THERESA TRACY CONTRACTOR REALITY HOMES INC PHONE (253) 926 6822 OWNER THERESA A TRACY PHONE (360) 452 3413 PARCEL 06 30 14 6 7 0490 0000 APPL NUMBER 08 00001295 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 3 03/09 JLL BLDG FOUNDATION FOOTING TIME 09 00 March 3 2009 9 14 05 AM 1pangrle NO NAME WAS LEFT 360 888 0121 FOOTING MORNING BL2 01 3/0 /09 JLL BLDG FOUNDATION STEM WALL TIME 09 00 March 5 2009 2 11 46 PM 1pangrle JACOB 888 0121 FOUNDATION WALL MORNING COMMENTS AND NOTES PREPARED 3/03/09 9 52 50 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 3/03/09 ADDRESS 1312 MORNING CT SUBDIV TENANT NBR THERESA TRACY CONTRACTOR REALITY HOMES INC PHONE (253) 926 6822 OWNER THERESA A TRACY PHONE (360) 452 3413 PARCEL 06 30 14 6 7 0490 0000 APPL NUMBER 08 00001295 RES NEW SFR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 3/03/0JLL BLDG FOUNDATION FOOTING TIME 09 00 ILK March 3 2009 9 14 05 AM 1pangrle NO NAME WAS LEFT 360 888 0121 FOOTING MORNING COMMENTS AND NOTES ELECTRICAL PERMIT - CITY OF PORT ANGELES 360-417-4735 Application Number 09 00000155 Date 2/19/09 Application pin number 871975 Property Address 1312 MORNING CT ASSESSOR PARCEL NUMBER 06 30 14 6 7 0490 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Temp pole Owner Contractor GREEN CROW PROPERTIES INC RW BECKER ELECTRIC ( .I PO BOX 2439 1532 TAYLOR CUTOFF RD vv PORT ANGELES WA 983620312 SEQUIM WA 98382 ^� (360) 683 5839 ^ , Permit ELECTRICAL TEMPORARY SERVICE J v Additional desc Permit pin number 141762 Permit Fee 72 50 Plan Check Fee 00 Issue Date 2/17/09 Valuation 0 Expiration Date 8/16/09 Qty Unit Charge Per Extension 1 00 72 5000 ECH EL TEMP SRV 0 200 SRV FDR 72 50 Special Notes and Comments February 17 2009 1 07 29 PM rlarson $145 00 Connect fee Fee summary Charged Paid Credited Due �--- Permit Fee Total 72 50 72 50 00 00 Plan Check Total 00 00 00 00 Grand Total 72 50 72 50 00 00 INSPECTION TYPE DATE RESULTS INSPECTOR. DITCH SERVICE Z ROUGH IN FINAL All? )d / COMMENTS Signature of owner or Electrical Contractor X Date RECEIVE ® 4C1ty of"Port Angeles Permit Application FEB 17 2009 Building Division/Electrical Inspections R 321 East Fifth Street—P.O.Box 1150 Port Angeles Washington,98362 Ph.(360)417-4735 Fax:(360)417.4711 UQW DE Date: 'Z- 1 &2 Single Family Dwelling Multi-Family or Commercial* _Commercial Addition/Alteration/Remodel/Repair* a *Plan Review May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: / 3/ 3— G o yX-7` ry Building Square Footage �► I Description of above ��� Owner Information Contractor Information Name. 65A MC&'7 Name. Mailing ddr ss: /Yll��k�/sy� �jGi/!�1 Mailing Address: z n��c.�t Cry lam' City State. Zip City, e--e5WuiX-- State.b,#g _Zip,4- 3 7- Phone. Phone. Fax: Phone. 6e-3-,.-f:r3q Fax: egO-7,eG/0t?� License#/Exp License#/Exp mss- z.o id Unit Charge Qty Total(Qty Multiplied by Unit Charge) $ 93.75 $ Service/Feeder 200 Amp. $113.75 $ Service/Feeder 201-400 Amp. $160.00 $ Service/Feeder 401-600 Amp. $205.00 $ Service/Feeder 601 1000 Amp. $291.25 $ Service/Feeder over 1000 Amp. $ 2.00 $ Branch Circuit W/Service Feeder $ 57.50 $ Branch Circuit W/O Service Feeder $ 2.00 Each Additional Branch Circuit $ 72.50 $ -7'2- 5-0 Temp.Service/Feeder 200 Amp. $ 86.25 $ Temp.Service/Feeder 201-400 Amp. $116.25 $ Temp.Service/Feeder 401-600 Amp. $131.25 $ Temp Service/Feeder 601 1000 Amp. $ 75.00 $ Portal to!Portal Hourly $ 69.00 $ Sign/Outline Lighting $ 75.00 $ Signal Circuit/Limited Energy Commercial $ 5000 $ Signal Circuit/Limited Energy 1 &2 Family Dwelling $ 50.00 $ Signal Circuit/Limited Energy Multi-Family Dwelling $ 93.75 $ Manufactured Home Connection $ 80.00 $ Renewable Electrical Energy 5KVA System or Less $ 86.25 $ First 1300 Square Ft. $ 27.50 $ Each Additional 500 Square Ft.or Portion of $ 57.50 $ Each Outbuilding or Detached Garage $ 86.25 $ Each Swimming Pool or Hot Tub $ 43.75 $ Thermostat $ Total Owner as defined by RCW.19.28.261 (1)Owner will occupy the structure for two years after this electrical permit is finalized.(2)Owner is required to hire an electrical contractor if above said property is for sale,rent or/ease. 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 296-46B,The City of Port Angeles Municipal Code,and Utility Specifications. Signature of owner electrical contractor or electrical administrator ❑ Cash ❑ Check e Credit Card# CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 08 00001295 Date 1/22/09 Application pin number 442005 Property Address 1312 MORNING CT ASSESSOR PARCEL NUMBER 06 30 14 6 7 0490 0000 Tenant nbr name THERESA TRACY Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 190653 Application desc 2007 SF SFR/491 SF ATT/GAR/444 SF CVRD PORCH/PATIO Owner Contractor THERESA A TRACY REALITY HOMES INC 381 GUY KELLY RD 1308 ALEXANDER AVE EAST PORT ANGELES WA 98362 TACOMA WA 98424 (360) 452 3413 (253) 926 6822 Structure Information 000 000 2007 SF SFR/491 SF ATT/GAR/444 SF CV PRC Other struct info TOTAL W LOT COVERAGE 22 33 CONSTRUCTION TYPE VB FIRE SPRINKLERS REQUIRED NO NUMBER OF STORIES 1 00 LOT SIZE 13171 00 PROPOSED LOT COVERAGE 2942 00 TOTAL LOT COVERAGE 2942 00 NUMBER OF UNITS 1 00 Permit BUILDING PERMIT RESIDENTIAL Additional desc 2007 SF SFR 491 SF ATT/GAR Permit pin number 136143 Permit Fee 1529 85 Plan Check Fee 611 94 Issue Date 1/08/09 Valuation 190653 Expiration Date 7/07/09 Qty Unit Charge Per Extension BASE FEE 1020 25 IV? 91 00 5 6000 THOU BL-100 001 500K (5 60 PER K) 509 60 Permit MECHANICAL PERMIT Additional desc Permit pin number 136309 Permit Fee 104 45 Plan Check Fee 00 l ®� Issue Date 1/08/09 Valuation 0 Expiration Date 7/07/09 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 8000 EA ME FURN/HP/FAU < OR = 5 TON 14 80 4 00 7 2500 EA ME VENT FAN ('SINGLE DUCT) 29 00 1 00 10 6500 EA ME STOVE/FIREPLACE/MISC APP 10 65 Separate Permits are required for electrical work, SEPA, Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work 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. /-22-0 Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is ilder) T.FormsBuilding Division/Building Permit 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 Rough-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 Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /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 417-4653 Planning 417-4750 Building 417-4815 T.Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 { Page 2 Application Number 08 00001295 Date 1/22/09 Application pin number 442005 Permit PLUMBING PERMIT Additional desc Permit pin number 136325 Permit Fee 149 00 Plan Check Fee 00 Issue Date 1/08/09 Valuation 0 Expiration Date 7/07/09 Qty Unit Charge Per Extension BASE FEE 50 00 10 00 7 0000 EA PL-PLUMBING TRAP 70 00 1 00 7 0000 EA PL-WATER LINE 7 00 1 00 15 0000 EA PL-SEWER LINE 15 00 1 00 7 0000 EA PL-WATER HEATER 7 00 Special Notes and Comments December 8 2008 4 08 18 PM tdahlqui Provide electrical load data with Electrical Permit application Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background October 27 2008 10 42 23 AM sroberds Setbacks are in accordance w/final plat Lot coverage will be 22!k No land use issues are anticipated December 8 2008 4 05 02 PM tdahlqui Provide electrical load data with Electrical Permit application Ditches & 8 culverts will be installed to City Stanards See Public Works Engineering for Standards EROSION & SEDIMENT CONTROL PER CITY STANDARDS OR APPROVED ENGINEER DESIGN PRIOR TO START OF WORK Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way Broom finish only An inspection by Public Works Engineering is required prior to pouring concrete October 15 2008 8 09 37 AM rbecker When installing the lawn sprinkler system you will need to install a double check backflow assembly Other Fees RES UNDERGRND SERVICE FEE 713 00 SEWER SYSTEM DELV CHARGE 1125 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1265 00 Fee summary Charged Paid Credited Due Permit Fee Total 1783 30 1783 30 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:FormsBuilding Division/Building Permit 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 Rough-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 Onl T-Bar INSULATION Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES ,Footing/Slab jBlocKing&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /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 417-4653 Planning 417-4750 ---t Building 417-4815 T Forms/Building Division/Building Permit CITY OF PORT ANGELES • ���� DEPARTMENT OF COMMUNITY &ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Page 3 Application Number 08 00001295 Date 1/22/09 Application pin number 442005 Plan Check Total 611 94 611 94 00 00 Other Fee Total 3107 50 3107 50 00 00 Grand Total 5502 74 5502 74 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:Fonns/Building Division/Building Permit 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. Ul Inspection Type Date Accepted By Comments FOUNDATION Footings —73-01 L ,©f ur>, ot< % to a T Foundation Drainage/Downspouts L. Piers Post Holes(Pole Bldgs) PLUMBING Under Floor/Slab Rough-In —Z �t- Water Line(Meter to Bldg) 5—h—Oq Q Gas Line _ '� l Vv Back Flow/Water FINAL Date Accepted�� Accepted by AIR SEAL. L— Walls Ceiling FRAMINGp Joists/Girders nder Floo O S Shear Wao Hold Downs -- Walls/Roof/Ceiling5 Drywall(Interior Braced Panel Only) T-Bar INSULATION Slab T Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-In MeLl Gas Line Zrj�Uq L� Wood Stove(Pellet/Chimney Commercial Hood ucts -'T VL, FINAL Date 01 Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping ]SHORELINE. �y FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction R.W PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T.Forms/Building Division/Building Permit CITY OF PORT ANGELES ► ���� PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00001295 Date 1/22/09 Application pin number 442005 Property Address 1312 MORNING CT ASSESSOR PARCEL NUMBER 06 30 14 6 7 0490 0000 Tenant nbr name THERESA TRACY Application type description RES NEW SFR Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 190653 Application desc 2007 SF SFR/491 SF ATT/GAR/444 SF CVRD PORCH/PATIO Owner Contractor THERESA A TRACY REALITY HOMES INC 381 GUY KELLY RD 1308 ALEXANDER AVE EAST PORT ANGELES WA 98362 TACOMA WA 98424 (360) 452 3413 (253) 926 6822 Structure Information 000 000 2007 SF SFR/491 SF ATT/GAR/444 SF CV PRC Other struct info TOTAL % LOT COVERAGE 22 33 CONSTRUCTION TYPE VB FIRE SPRINKLERS REQUIRED NO NUMBER OF STORIES 1 00 LOT SIZE 13171 00 PROPOSED LOT COVERAGE 2942 00 TOTAL LOT COVERAGE 2942 00 NUMBER OF UNITS 1 00 Permit PUBLIC WORKS RES WATER SERV Additional desc 1 X 5/8 DROP IN WATER METER Permit pin number 138743 Permit Fee 200 00 Plan Check Fee 00 Issue Date 1/08/09 Valuation 190653 Expiration Date 7/07/09 Qty Unit Charge Per Extension BASE FEE 200 00 Permit RIGHT OF WAY Additional desc Permit pin number 138750 Permit Fee 50 00 Plan Check Fee 00 Issue Date 1/08/09 Valuation 190653 Expiration Date 7/07/09 Qty Unit Charge Per Extension 1 00 50 0000 ECH RIGHT OF WAY PERMIT 50 00 Permit SANITARY SEWER HOOK UP Additional desc Permit pin number 138768 Permit Fee 120 00 Plan Check Fee 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 /z e� Signature of Contractor or Authoriz Agent Date Signature of Owner(if owner is builder) Date T\Policies\1 102 i5(10/081 PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL 4NY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INA CONSPICUOUS LOCATION 1� KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) z WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4831 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T ,Policies\1102 1 [10/081 CITY OF PORT ANGELES PUBLIC WORKS &UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 i • Page 2 Application Number 08 00001295 Date 1/22/09 Application pin number 442005 Issue Date 1/08/09 Valuation 190653 Expiration Date 7/07/09 Qty Unit Charge Per Extension 1 00 120 0000 EA SAN SEWER HOOKUP 120 00 Special Notes and Comments December 8 2008 4 08 18 PM tdahlqui Provide electrical load data with Electrical Permit application Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background October 27 2008 10 42 23 AM sroberds Setbacks are in accordance w/final plat Lot coverage will be 22% No land use issues are anticipated December 8 2008 4 05 02 PM tdahlqui Provide electrical load data with Electrical Permit application Ditches & 8 culverts will be installed to City Stanards See Public Works Engineering for Standards EROSION & SEDIMENT CONTROL PER CITY STANDARDS OR APPROVED ENGINEER DESIGN PRIOR TO START OF WORK Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way Broom finish only An inspection by Public Works Engineering is required prior to pouring concrete October 15 2008 8 09 37 AM rbecker When installing the lawn sprinkler system you will need to install a double check backflow assembly Other Fees RES UNDERGRND SERVICE FEE 713 00 SEWER SYSTEM DELV CHARGE 1125 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1265 00 Fee summary Charged Paid Credited Due Permit Fee Total 370 00 370 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 3107 50 3107 50 00 00 Grand Total 3477 50 3477 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 T'\Policies\1102 15[10/08] PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS 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 JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R W /PW/ CONSTRUCTION R.W ENGINEERING 417-4831 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T ,Policies\1102 15[10/08] 0,90"'o f ^ CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00001295 Date 1/08/09 Application pin number 442005 Property Address 1312 MORNING CT ASSESSOR PARCEL NUMBER 06 30 14 6 7 0490 0000 Tenant nbr name THERESA TRACY Application type description RES NEW SFR Subdivision Name Property Use \� Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 190653 �'/� D� Application desc 2007 SF SFR/491 SF ATT/GAR/444 SF CVRD PORCH/PATIO Owner Contractor GREEN C W OPERTIES INC BISH ENT P SES Po BOX 24 9 982 LEW RD PORT AN L WA 983620312 PORT GE WA 98362 (3 417 08 1 Structure Information 000 000 2007 SF FR/49 SF ATT/GAR/444 SF CV PRC Other struct info TOTAL %- LOT C RAGE 22 33 CONSTRUCTION PE VB FIRE SPRIN ERS REQUIRED NO NUMBER OF TORIES 1 00 LOT SIZ 13171 00 PROPOS D LOT COVERAGE 2942 00 TOTA LOT COVERAGE 2942 00 ER OF UNITS 1 00 Permit PUBLIC RKS RES WATER SERV Additional desc 1 X 5 8 DROP IN WATER METER Permit pin number 1387 Permit Fee 200 00 Plan Check Fee 00 Issue Date 1/08/09 Valuation 190653 Expiration Date 7/07/09 Qty Unit Cha a Per Extension BASE FEE 200 00 Permit RIGHT OF WAY Additional de c Permit pin mber 138750 Permit Fee 50 00 Plan Check Fee 00 Issue at 1/08/09 Valuation 190653 Expirat' n Date 7/07/09 y Unit Charge Per Extension 00 50 0000 ECH RIGHT OF WAY PERMIT 50 00 P rmit SANITARY SEWER HOOK UP dditional desc Permit pin number 138768 Permit Fee 120 00 Plan Check Fee 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 i uilder) Date T\Policies\1102 15[10/081 PERMIT INSPECTION RECORD y CALL 417-4831 FOR UTILITY INSPECTIONS PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL 4NY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INA CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS l'ES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4831 PW/ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T\Policies`110' 15[10/081 0, 08""0". CITY OF PORT ANGELES PUBLIC WORKS & UTILITIES 321 EAST 5TH STREET PORT ANGELES, WA 98362 Page 2 Application Number 08 00001295 Date 1/08/09 Application pin number 442005 Issue Date 1/08/09 Valuation 190653 Expiration Date 7/07/09 Qty Unit Charge Per Extension 1 00 120 0000 EA SAN SEWER HOOKUP 120 00 Special Notes and Comments December 8 2008 4 08 18 PM tdahlqui Provide electrical load data with Electrical Permit application Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background October 27 2008 10 42 23 AM sroberds Setbacks are in accordance w/final plat Lot coverage will be 22$ No land use issues are anticipated December 8 2008 4 05 02 PM tdahlqui Provide electrical load data with Electrical Permit application Ditches & 8 culverts will be installed to City Stanards See Public Works Engineering for Standards EROSION & SEDIMENT CONTROL PER CITY STANDARDS OR APPROVED ENGINEER DESIGN PRIOR TO START OF WORK Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way Broom finish only An inspection by Public Works Engineering is required prior to pouring concrete October 15 2008 8 09 37 AM rbecker When installing the lawn sprinkler system you will need to install a double check backflow assembly Other Fees RES UNDERGRND SERVICE FEE 713 00 SEWER SYSTEM DELV CHARGE 1125 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1265 00 Fee summary Charged Paid Credited Due Permit Fee Total 370 00 370 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 3107 50 3107 50 00 00 Grand Total 3477 50 3477 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 T\Policies\1102 15[10/08] PERMIT INSPECTION RECORD CALL 417-4831 FOR UTILITY INSPECTIONS 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 JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO PW UTILITIES (Engineering Division) WATERLINE/METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB&GUTTER DRIVEWAY APPROACH BACK-FLOW DEVICE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417-4831 PW/ENGINEERING FIRE 417-4653 FIRE-DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T,Policies\1102 1 [10/081 a CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION �- 321 EAST 5TH STREET PORT ANGELES, WA 98362 Application Number 08 00001295 Date 1/08/09 /) Application pin number 442005 r Property Address 1312 MORNING CT ASSESSOR PARCEL NUMBER 06 30 14 6 7 0490 0000 Tenant nbr name THERESA TRACY Application type description RES NEW SFR �y Subdivision Name Property Use / Property Zoning RS9 RESDNTL SINGLE FAMILY <\� Application valuation 190653 �X Application desc 2007 SF SFR/491 SF ATT/GAR/444 SF CVRD PORCH/PATIO Owner Contractor GREENXS S INC BISHOP NTE RISES PO BO982 LEW PORT WA 983620312 PORT S WA 362 (360 417 0 1 Strucn 000 000 2007 SF S /491 SF A T/GAR/44 SF CV PRC Other struct info TOTAL LOT COVERAGE 22 33 CONSTRUCTION TYPE FIRE SPRINKLERS REQUIRED O NUMBER OF STORIES 1 00 LOT SIZE 13171 00 PROPOSED LOT COVERAGE 2942 00 TOTAL LOT COVERAGE 2942 00 NUMBER OF UNITS 1 00 Permit BUILDING PERMIT RESIDENTI Additional desc 2007 SF SFR 491 SF ATT/G Permit pin number 136143 Permit Fee 1529 85 Pla Check Fee 611 94 Issue Date 1/08/09 Va uation 190653 Expiration Date 7/07/09 Qty Unit Charge Per Extension BASE FEE 1020 25 91 00 5 6000 THOU BL-100 0 500K (5 60 PER K) 509 60 Permit MECHANICAL PE IT Additional desc Permit pin number 136309 Permit Fee 104 45 Plan Check Fee 00 Issue Date 1/08/0 Valuation 0 Expiration Date 7/07/ 9 Qty Unit Charge Per Extension BASE FEE 50 00 1 00 14 8000 ECH ME INSTALL 100- FAU 14 80 4 00 7 2500 EC ME VENT FAN 29 00 1 00 10 6500 H ME OTHER APPL N/R 10 65 Separate Permits ar required for electrical work, SEPA, Shoreline.ESA,utilities, private and public improvements. This permit becomes null and void if work or cons uction 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 ignature of Contractor or Authorized Agent Signature of Owner(if owner is b er) T:Forms/Building Division/Building Permit r d 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 Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted by AIR SEAL. Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel On!Yl— T-Bar INSULATION- Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /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 417-4653 Planning 417-4750 Building 417-4815 T Forms/Building Division/Building Permit L� CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Page 2 Application Number 08 00001295 Date 1/08/09 Application pin number 442005 Permit PLUMBING PERMIT Additional desc Permit pin number 136325 Permit Fee 149 00 Plan Check Fee 00 Issue Date 1/08/09 Valuation 0 Expiration Date 7/07/09 Qty Unit Charge Per Extension BASE FEE 50 00 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 December 8 2008 4 08 18 PM tdahlqui Provide electrical load data with Electrical Permit application Address numbers shall be plainly visible from the street Address numbers shall be a minimum of six inches high and be of contrasting color from the background October 27 2008 10 42 23 AM sroberds Setbacks are in accordance w/final plat Lot coverage will be 22% No land use issues are anticipated December 8 2008 4 05 02 PM tdahlqui Provide electrical load data with Electrical Permit application Ditches & 8 culverts will be installed to City Stanards See Public Works Engineering for Standards EROSION & SEDIMENT CONTROL PER CITY STANDARDS OR APPROVED ENGINEER DESIGN PRIOR TO START OF WORK Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch 24 hour advance notice is required Construct driveway and Sidewalks to City Standards Concrete with exposed aggregate or other non standard finishes(including colors or dyes)are not allowed in the City road right of way Broom finish only An inspection by Public Works Engineering is required prior to pouring concrete October 15 2008 8 09 37 AM rbecker When installing the lawn sprinkler system you will need to install a double check backflow assembly Other Fees RES UNDERGRND SERVICE FEE 713 00 SEWER SYSTEM DELV CHARGE 1125 00 STATE SURCHARGE 4 50 PW WATER SYSTEM USE FEE 1265 00 Fee summary Charged Paid Credited Due Permit Fee Total 1783 30 1783 30 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.FonnsBuildmg Division/Building Pennit 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 OUNDATION•Footin s Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs) PLUMBING. Under Floor/Slab Rough-In Water Line(Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted by AIR SEAL. Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Onl ) T-Bar INSULATION, Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /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 417-4653 Planning 417-4750 Building 417-4815 T-Forms/Building Division/Building Permit CITY OF PORT ANGELES hi� ihh.196 DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION �J 321 EAST 5TH STREET PORT ANGELES WA 98362 Page 3 Application Number 08 00001295 Date 1/08/09 Application pin number 442005 Plan Check Total 611 94 611 94 00 00 Other Fee Total 3107 50 3107 50 00 00 Grand Total 5502 74 5502 74 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/Buil ding Division/Building Permit n BUILDING PERMIT INSPECTION RECORD � -- PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS-- 1 Building Inspections 417-4815 Electrical Inspections 417-4735 (� Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 C� IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACC TED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT J B SITE. Inspection Type Date Accepted By Com ents FOUNDATION Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs) PLUMBING Under Floor/Slab Rough-in Water Line(Meter to Bldg) Uj Gas Line �. Back Flow/Water FINAL Date Accepted by ] AIR SEAL. tV Walls Ceiling FRAMING Joists/Girders/Under Floor D Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Onl T-Bar INSULATION- Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-In Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted by MANUFACTURED HOMES Footing/Slab �® -Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. J( FINAL IN PECTIONS REQUIRED PRIOR TO OCCUPANCY/USE I spection Type Date Accepted By Electrical 417-4735 Construction R W PW /Engineering 417-4831 Fire 417-4653 Planning 417-4750 �J Building 417-4815 T Forms/Building Division/Building Permit e This is a true and certified copy of the original document When recorded return to- _C? Ad Escrow Co Theresa A. Tracy 381 Guy Kelly Rd. Port Angeles, WA 98362 STATUTORY WARRANTY DEED Escrow No 2420 Title Order No 104995 THE GRANTOR(S) Green Crow Properties, Inc. a Washington corporation for and in consideration of ten dollars and other good and valuable consideration in hand paid conveys, and warrants to Theresa A. Tracy a single person the following described real estate, situated in the County of Clallam State of Washington. Lot 49 of Riedell II Subdivision (Phase III) according to the Plat thereof recorded in Volume 15 of Plats, page 51 records of Clallam County Washington SUBJECT TO Easements recorded under Auditors File Nos. 349678 2002 1096319 2002 1096610 and 2002 1096611 Reservations and Exceptions recorded under Auditor's File No 518253 Matters relating to Surveys recorded under Auditor's File Nos. 2002-1096103 and 2007 1199306 Covenants, conditions, restrictions, easements and assessments recorded under Auditor's File No 2002 1097456 and 2005 1155368 and amendment thereto recorded under 2008 1224519 Terms and provisions contained in Development Agreement recorded under Auditor's File No 20041140199 Agreement recorded under Auditor's File No. 2008 1224518 Restrictions, conditions, dedications, notes, easements setbacks and provisions contained and/or delineated on the face of the Plat recorded in Volume 15 of Plats, page 51 Terms and conditions contained in Ordinance No 3194 recorded under Auditor's File No. 2005 1155274 Tax Parcel Number(s) 063014 670490 `\��111illll/��i Dated: �+�"i `� ' y Lfy®`j ��� \•JO CF %i 4Q�O•���ssio y F�AOG Gr en Crow Properties, In _* o NO BY o IJ3L10 i�i�•A, 1 Its: S IEC-t?i`T+ -� /';��� 1011 WAS'&N `�` STATE OF WASHINGTON ) )ss COUNTY OF CLALLAM ) I certify that I know or have satisfactory evidence that Rftrd BALL P—E-1 IN is the person who appeared before me, and said person acknowledged that he signed this instrument and on oath stated that he is authorized to execute the instrument and acknowledged it as the -S—ec 2 FTof Green Crow Properties, Inc. to be the free and voluntary act of such party for the uses and purposes mentioned in this instrument Dated:3 A-4 u l�-`I 7 , Zo 0 9 F Notary in and fbQqtat of W hing on Residing at 73� L -6 Sy My appointment expires:\at3a/aoij This Is a true r. LPB 10-05(ir-1) copy of the o < ; AdvantVe EKroi- Sie r � f3v�Ic�erofHohle is R�al'-� Nornes c 9 3 C �'`� fI,+,'-J w JA qg3� X100 ?Okr4 BUILDING PERMIT APPLICA TION Print in ink Re LZR �'►`+ CITY OF PORT ANGELES 9��i'c For City Use Only Attn: BuildingPermit Technician j : ate Received 10 321 E. Fifth St. Port Angeles,WA 98362 /Permit# (360)417-4815 fax(360)417-4711 1 Date Approved Applicant or Agent Rrnk131,-)kvM nt Property Owner hTrArq on y 5 a•3 y 13 Property Owner's Address gl 6L, Qcl i JPA °t8367- Contractor/Engineer hao E n SCSv&, '0 Phone `I b O-- 1 19 2 Contractor/Engineer's Address 1 qSZ_ re-Lil's Aeoticrrle- License# B715HOE)K9'99►M7 Expires 7 �`G� E-mail PROJECT ADDRESS t3�2 o i P Parcel Number 0(o`30 �LJ(0"7 049Q __ Lot Zonin RS--`� Proiect Tyne&Brief Description: a Residential ❑Com►nk1'cial ❑Multi-family ❑Industrial Check all that apply ti New Construction A c_ p n e 5 �cMq VP.rne- 3.klr ;t .1 A . ❑Addition ' ❑Remodel ❑Repair ❑Re-roof ❑Demolition p Heat System mi Heat pump ❑wood-burning stove ❑gas fireplace ❑pellet stove ❑other ❑Other FloorAreas Existing(sa.ft) Proposed(sa.ft) Basement @$ '"'per sq.ft. _$ 1"Floor 2 06 7 85,00 170.5 =5 2"d Floor 3`d Floor Garage y q l 30, 00 7 „ 0 Carport Covered Porch # 47x— 5 y 2, 00 A)160 Deck Shed Other `I x 16 C 12, 00Cr 3 I b g TOTAL VALUATION $ Total footprint of structures sq.ft. - Lot size o30Z c _ sq.ft. = Lot coverage Ila 2,R�tZ. 13� 1 I SF 22 33 Max. height of proposed structures 1 1 td� ft. Occupancy group #of bedrooms 3 Will a lawn sprinkler system be installed? 40— Occupant load #of full baths 2 Will a fire sprinkler system be installed? P^ Construction type #of half baths /have 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 to working on projects. / /I Date 10 -3 -6 9 Print Name �`'� I S Ind Signature changes Pl!,v, pKor%e. Ca-it w:i-k Me,10,Q Bi'ShoP oh 1011SIOR 1 PRESCRIPTIVE APPROACH-SEMPLE FORM 6 -- For the Washington State Energy Code(2006 Edition) Climate Zone 1 CITY GavERMIAZIJT Site Information. Building Department Use Only Lot: X19 Permit# 0$ l3 t2 Notes: Address: MNrn\DQrfi City PAH A n,pl e-IG State: A— Zip:S R 3 b Z Contact: Chi 16llI L Rea p+j H cl me 5) Phone: c,9-2 — 5 <5a, PhoneI �1iM� 460- 1-- 91 FAX. j — 564, Table 6-I PRESCRIPTIVE REQUIREMENTS FOR GROUP R OCCUPANCY CLIMATE ZONE 1 (Unlimited Glazing Option Only) Glazing Glazing,U=Factor Door Will Wall Wall "p Vaulted Interior ,Exterior. Slab on Option Area%of U- Ceiling : Above , ' Floor Floor Vertical 04erhead r fadtor, Ceiling . "Grade. ` Below . Below. , Concrete .Grade:_ Grade: Unlimited Group R-3 IV and R-4 0.35 0.58 0.20 R-38 R-30 R-21 R-21 R-10 R-30 R-10 Occupancies Only This Project complies with the following: The project is a single-family residence or duplex. The project is a wood frame OR all of the insulation is interior or exterior of the framing. All building components meet the requirements listed above. The project will meet all other provisions of the WSEC and VIAQ The Project will take advantage of the following exceptions to the prescriptive option. ❑ 602.6 Exception 2. One unlabeled or untested exterior swinging door,24 sq.ft.or less,may be installed per unit for ornamental,security or architectural purposes. Location of the door taking this exception. ❑ 602.6 Exception 2. If a door is mostly glass,it should meet the requirement of the vertical glazing U-factor listed above. Location of the door(s)taking exception: Type of Heat Source: I-� 1 u MU,5 Tape T:Forms/Building Division/Prescriptive Approach-Simple Form t I r r l ! d U .c i{{ 1 I ! r I 1 t r O i C3 \ \ \ \ a \ \ f k \ S \ \ ; t o o; y m u 8 5 ''ENCF 3 / UNCp��ERED P U �^= N / x XIX qTp ro LEGAL DESCRIPTION X t W LOT 4S MORNING COUR" U X _ X� S 78.3,0• Z� r'•4T170- __X-0p X 1ggE X SQUARE FOOTAGES F a / / _ 7 + LOT .302 AC •!1•.1 0 / /�W HOUSE/ / / HOME 2000 5F w W I ROOF LINE / + G 5 S.F GARAGE 45 v / / / PORCH Il0 S.F Z Lij U RCN _� / 0 ' I WAI / I I KUIq 1 / W 301_0, 25 I-� l� ISETBACK CEMENT / 111 DRIVEWAY Z I Oe \ 10 20 � SITE PLAN �SIT PL„" NORTH SCALE. 1' 20'-0' w r ''. MECHANICAL SUBMITTAL FORM C ,t Fill in the specific quantity of each item that will be installed or relocated at your building project. Submit this form with the Building Permit Application. QUANTITY DESCRIPTION Furnace 5 5 Ton, 100,000 Btu/h 29.3 k Furnace>5 Ton, 100,000 Btu/h 29.3 k Floor Furnace Heater(suspended,recessed wall,floor-mounted Boiler,compressor,absorption sstem. <_3 hp, 100,000 Btu/h 29.3k >3 h - 15 h 2.24- 11 19 k > 100,000-500,000 Btu/h 29.3 - 146.48 k > 15 h -30 h 11 19-22.37 k >500,000- 1,000,000 Btu/h 146.48-292.95 k >30 h -50 h 22.37-37.3 k > 1,000,000- 1,750,000 Btu/h 292.95—512.66 k >50 h 37.3 k > 1,750,000 Btu/h 512.66 k Air handler:5 10,000 cfin 4 72m'/S) Air handler> 10,000 cfin 4 72m'/S) Evaporative cooler attached,notportable) Ventilation fan connected to a single duct Ventilations stem not part of a heating or air conditioning system) Hood served by mechanical exhaust,including ducts Incinerator-commercial or industrial Incinerator-domestic-type burning appliance Outlets Fuel gas piping,each additional outlet over five Hazardous process piping system,one to four outlets Hazardous process piping system,each additional outlet over four Nonhazardous process piping system,one to four outlets Nonhazardous process piping system,each additional outlet over four Miscellaneous appliance vent orequipment not otherwise listed on this form Specify how many repairs,alterations,or additions(not otherwise listed on this form)will be done regarding heating appliances,refrigeration units,cooling units,evaporative cooling systems,absorption units, or other mechanical appliances, including installation of controls,at this building project. OCT/02/2008/THU 10 50 AM DEPT OF COMM DEV FAX No 3604174711 P 002 Electrical Service Information Form, M�locx1s" Public Works Engineering Dapartmant(860)417-4700 Please complete and return to Public Works Engineering Department ` e . Permanent service. Name Name and address of party Street: p h' responsible for permanent City I Sfate I ZIP p 93 service billing? daytime Phone: rj Home Phone- Contact Informationabove) Site contact: Name: Tt rn 131512 Title, Daytime Phone. 366— qK _ q Contractor- Name: Company- Q112tk-ohiesr (laytime Phone: 3 b® 2 Electrician. Name:_7'F) 0 Company, Daytime Phone: Excavator- Name: :: B(:j 1,ap Company' o r► EIr'4t& Daytime Phone: Y/ -- o_r- V,6.. -Project [@ Single-family residence .❑Multi-family residence-,#of units ❑Commercial ❑Subdivision,#of lots ❑Overhead service ❑Generai service ®Underground service F-10ther- Projqct Information Street address/lot number- 131r,4A e a u Nearest cross street: Desired connection date. Electrical transformer servIr "art is. ❑on a ole ❑ on the ground Electriczil Load Totals uare footage: C) 1 sq ft. Main disconnect size. a2 am s Voltage. 19120/240 1ph E1120/208 3ph ❑277/480 3ph ❑920/240 3ph 0480 3W 3ph ❑ Other 0 Standard residential loads(Lighting, refrigerator dishwasher washer) Check all that apply ❑A/C (—FLA) ®Range/Oven ❑Hot Tub ®Clothes Dryer ®Heating p,,mp ❑Pumps (_Hp) ®Water Heater ❑Elevator H ❑Other Supporting.Documentation Please provide a copy of the following: 'Detailed plot plan (dwg or.dxf format mandatory for subdivisions). 'Electrical one-line drawing showing the service entrance panel and location. *Connected load data- "Size and locked rotor amps of all motors over 50h Applicant's Si nature 4"r' Date: 16 MAIL OR DELIVER COMPLETED FORM TO- 321 E 5TH STREET PORT ANGELES WA 98362 FAX TO- 360-417-4709 EMAIL, rlarson@cityofpa.us Information form EMAIL. banders@cityofpa.us TIS N:1RWKS\E IGHT,ENGRS#Originalsklnformation form Revised 4-17-08 '- 1030 50 1 Ir� r - r - �' E s f } 4 N,' 3 j b. i 4 '1 0 O 0 s IL 2LO { 1023 o ' 50 r r \ ` � I \� p^-q \ C3 J-6 \ O i Ol �o y� { % d d 9 IP, 300 \ 878 ( :� \ \ 15 f \ i \ i