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HomeMy WebLinkAbout120 Forest Ave - BuildingPREPARED 3/28/07 9 03 32 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/28/07 ADDRESS 120 FOREST AVE SUBDIV TENANT NBR DAVID SCHULTZ CONTRACTOR PHONE OWNER SCHULTZ DAVID /JANICE PHONE PARCEL 06 30 09 5 2 3520 0000 APPL NUMBER 06 00000379 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/16/06 JLL BUILDING FOUNDATION FOOTING TIME 09 00 6/16/06 AP DAVE NO PHONE 06/15/2006 03 39 PM DYASUMUR 06/16/2006 02 14 PM JLIERLY BL2 01 6/20/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/20/06 AP DAVE 460 6952 06/19/2006 08 32 AM DYASUMUR 06/20/2006 04 40 PM JLIERLY BAIR 01 1/26/07 JLL BUILDING AIR SEAL TIME 09 00 1/26/07 DA 01/25/2007 10 43 AM PERMITS DAVE 460 6952 01/26/2007 04 16 PM PBARTHOL ELECTRICAL AND PLUMBING NOT FINISHED NOTE SIDING WAS INSTALLED WITHOUT A SHEARWALL INSPECTION INSULATION HAS BEEN INSTALLED PRIOR TO FRAME /AIR SEAL/ PLUMBING/ ELECTRICAL INSPECTIONS BL3 01 1/26/07 JLL BUILDING FRAMING TIME 09 00 1/26/07 DA 01/25/2007 10 44 AM PERMITS DAVE 460 6952 01/26/2007 04 16 PM PBARTHOL ELECTRICAL AND PLUMBING NOT FINISHED NOTE SIDING WAS INSTALLED WITHOUT A SHEARWALL INSPECTION INSULATION HAS BEEN INSTALLED PRIOR TO FRAME /AIR SEAL/ PLUMBING/ ELECTRICAL INSPECTIONS BL3 02 2/02/07 JLL BUILDING FRAMING 2/02/07 DA 02/02/2007 08 15 AM PERMITS DAVE SCHULTZ 460 6952 INSPECTION FOR GARAGE WITH SIDING REMOVED 02/02/2007 03 43 PM JLIERLY siding still covering sheathing no inspection /j11 BL9 01 2/08/07 PB BUILDING SHEARWALL 2/08/07 AP 02/08/2007 03 50 PM PERMITS 02/08/2007 04 51 PM PBARTHOL BLI 01 3/28/07 BUILDING INSULATION 7I E"''`- 03/27/2007 05 23 PM PERMITS COMMENTS AND NOTES PREPARED 2/15/07 9 11 48 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/15/07 ADDRESS 120 FOREST AVE SUBDIV TENANT NBR DAVID SCHULTZ CONTRACTOR PHONE OWNER SCHULTZ DAVID /JANICE PHONE PARCEL 06 30 09 5 2 3520 0000 APPL NUMBER 06 00000379 RES ADDITION PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 2/15/07 PLUMBING ROUGH IN 02/14/2007 03 59 PM PERMITS Dave 460 6952 COMMENTS AND NOTES r aA/61-lia 1/0 PREPARED 2/08/07 13 08 03 INSPECTION TICKET PAGE 2 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/08/07 ADDRESS 120 FOREST AVE SUBDIV TENANT NBR DAVID SCHULTZ CONTRACTOR PHONE OWNER SCHULTZ DAVID /JANICE PHONE PARCEL 06 30 09 5 2 3520 0000 APPL NUMBER 06 00000379 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/16/06 JLL BUILDING FOUNDATION FOOTING TIME 09 00 6/16/06 AP DAVE NO PHONE 06/15/2006 03 39 PM DYASUMUR 06/16/2006 02 14 PM JLIERLY BL2 01 6/20/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/20/06 AP DAVE 460 6952 06/19/2006 08 32 AM DYASUMUR 06/20/2006 04 40 PM JLIERLY BAIR 01 1/26/07 JLL BUILDING AIR SEAL TIME 09 00 1/26/07 DA 01/25/2007 10 43 AM PERMITS DAVE 460 6952 01/26/2007 04 16 PM PBARTHOL ELECTRICAL AND PLUMBING NOT FINISHED NOTE SIDING WAS INSTALLED WITHOUT A SHEARWALL INSPECTION INSULATION HAS BEEN INSTALLED PRIOR TO FRAME /AIR SEAL/ PLUMBING/ ELECTRICAL INSPECTIONS BL3 01 1/26/07 JLL BUILDING FRAMING TIME 09 00 1/26/07 DA 01/25/2007 10 44 AM PERMITS DAVE 460 6952 01/26/2007 04 16 PM PBARTHOL ELECTRICAL AND PLUMBING NOT FINISHED NOTE SIDING WAS INSTALLED WITHOUT A SHEARWALL INSPECTION INSULATION HAS BEEN INSTALLED PRIOR TO FRAME /AIR SEAL/ PLUMBING/ ELECTRICAL INSPECTIONS BL3 02 2/02/07 JLL BUILDING FRAMING 2/02/07 DA 02/02/2007 08 15 AM PERMITS DAVE SCHULTZ 460 6952 INSPECTION FOR GARAGE WITH SIDING REMOVED 02/02/2007 03 43 PM JLIERLY siding still covering sheathing no inspection/j11 B 03 2/08/07 JLL 0UI08ING FRAMING 02/08/2007 OS 10 AM PERMITS 3 g DAVE 460 6952 C.i ll COMMENTS AND NOTES PREPARED 2/02/07 15 42 19 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/02/07 ADDRESS 120 FOREST AVE SUBDIV TENANT NBR DAVID SCHULTZ CONTRACTOR PHONE OWNER SCHULTZ DAVID /JANICE PHONE PARCEL 06 30 09 5 2 3520 0000 APPL NUMBER 06 00000379 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/16/06 JLL BUILDING FOUNDATION FOOTING TIME 09 00 6/16/06 AP DAVE NO PHONE 06/15/2006 03 39 PM DYASUMUR 06/16/2006 02 14. PM JLIERLY BL2 01 6/20/06 JLL BUILDING FOUNDATION WALL TIME 13 00 6/20/06 AP DAVE 460 6952 06/19/2006 08 32 AM DYASUMUR 06/20/2006 04 40 PM JLIERLY BAIR 01 1/26/07 JLL BUILDING AIR. SEAL TIME 09 00 1/26/07 DA 01/25/2007 10 43 AM PERMITS DAVE 460 6952 01/26/2007 04 16 PM PBARTHOL ELECTRICAL AND PLUMBING NOT FINISHED NOTE SIDING WAS INSTALLED WITHOUT A SHEARWALL INSPECTION INSULATION HAS BEEN INSTALLED PRIOR TO FRAME /AIR SEAL/ PLUMBING/ ELECTRICAL INSPECTIONS BL3 01 1/26/07 JLL BUILDING FRAMING TIME 09 00 1/26/07 DA 01/25/2007 10 44 AM PERMITS DAVE 460 6952 01/26/2007 04 16 PM PBARTHOL ELECTRICAL AND PLUMBING NOT FINISHED NOTE SIDING WAS INSTALLED WITHOUT A SHEARWALL INSPECTION INSULATION HAS BEEN INSTALLED PRIOR TO FRAME /AIR SEAL/ PLUMBING/ ELECTRICAL INSPECTIONS BL3 02 2/02/07 BUILDING FRAMING 02/02/2007 08 15 AM PERMITS DAVE SCHULTZ 460 6952 INSPECTION FOR GARAGE WITH SIDING REMOVED COMMENTS AND NOTES 1,1.{) o IL PREPARED 1/26/07 9 50 09 CITY OF PORT ANGELES ADDRESS 120 FOREST AVE TENANT NBR DAVID SCHULTZ CONTRACTOR OWNER SCHULTZ DAVID /JANICE PARCEL 06 30 09 5 2 3520 0000 APPL NUMBER 06 00000379 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/16/06 6/16/06 BL2 01 BAIR 01 6/20/06 6/20/06 26/07 BL3 01 6/07 JLL AP JLL AP JLL JLL INSPECTION TICKET INSPECTOR JAMES L LIERLY SUBDIV PHONE PHONE BUILDING FOUNDATION FOOTING TIME 09 00 DAVE NO PHONE 06/15/2006 03 39 PM DYASUMUR 06/16/2006 02 14 PM JLIERLY BUILDING FOUNDATION WALL TIME 13 00 DAVE 460 6952 06/19/2006 08 32 AM DYASUMUR 06/20/2006 04 40 PM JLIERLY BUILDING AIR SEAL TIME 09 00 01/25/2007 10 43 AM PERMITS DAVE 460 6952 BUILDING FRAMING TIME 09 00 01/25/2007 10 44 AM PERMITS DAVE 460 6952 COMMENTS AND NOTES iCLuk-vvNi5 Is6 (Cutic‘w \5 Oki 0)A-6 SiMP—LAi 1:APsa,c441-7ei,i/ To CI 4 4 h/ PAGE 14 DATE 1/26/07 °",9146: .r Date 7 f s BUILDING DIVISION CITY OF PORT ANGELES Correction Notice Job Located at IC) y Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction e kt.,tirvi<p.wc 10' S J Wt n+ LU m_ ot,U 14/5/-4-1-L ,J t These corrections must be made and are not to be covered until reinspection is made Whe corrections have been made, please call •1/7 /C for inspection Inspector for Building Division DO NOT REMOVE THIS TAG tiy. E,,,;v T gig;.• Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation SCHULTZ DAVID /JANICE 492 HERRICK RD PORT ANGELES Other struct info Other Fees WA 983637154 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 06 00000379 695391 120 FOREST AVE 06 30 09 5 2 3520 0000 DAVID SCHULTZ RES ADDITION RS7 RESDNTL SINGLE FAMILY 18300 Owner Contractor OWNER TOTAL- LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Qty Unit Charge Per 1 00 78 7000 ECH EL -RM 0 200 1ST SRV FEEDER Special Notes and Comments 06/16/2006 11 54 AM SROBERDS Needs approval of boundary line adjustment The Fire Department has reviewed the project application and has no comments 06/16/2006 11 54 AM SROBERDS Boundary Line Adjustment BLA 06 04 approved Electrical load calculations and elctrical permits are required Fee summary Charged Paid Credited Due Date 7/17/06 19 00 2 00 1400 00 10000 00 792 00 1892 00 1 00 Permit ELECTRICAL NEW RESIDENTIAL Additional desc OWNER/ ADDITION+ PNL Permit pin number 82453 Permit Fee 78 70 Plan Check Fee 00 Issue Date 7/17/06 Valuation 0 Expiration Date 1/13/07 Permit Fee Total 78 70 78 70 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 SO 4 50 00 00 Grand Total 83 20 83 20 00 00 Extension 78 70 STATE SURCHARGE 4 50 CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. DITCH ROUGH -IN COVER SERVICE FINAL INSPECTION TYPE GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE ACCEPTED YES I NO COMMENTS 6v-,,o/ 66 d' 1 -d9 PW-I 102.13 (4961 Job wired by Elect al colra9tor na e tcense number Purchaser's mailing address City State Telephone number FAX number Premi es owner's name e tt#V- Sri Address of inspection /2o apex *4� City Phone number d `cheduje in�pec i Owner as defined by RCW19.28.261 (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 instal- lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter 19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and Utility Specifications. r9 .e7 /Signatf o r el Electrical Load Additions anii or aulefictions NO LOAD CHANGES Baseboard KW Furnace KW Heat Pump Ton LAR Fan -Wall KW Inspection Date Electrical Contractor Date FINAL V/ id) ZIP Appr ed By r electrical administrator Date Expires 9f3‘- ELECTRICAL WORK PERMIT APPLICATION \(Installation description 0 Commercial residential Overhead Service Temp Service Underground Service SAME DAY INSPECTION, CALL BEFORE 7.00 AM 360- 417 -4735 ROUGH -IN l THERMOSTAT Date Appr ed By DITCH Date Approved By Area, Building or Equipment Inspected "eleAr el, 5;X4'1 25 New .tttered/Addition Pr 1A-n Cash Check Credit Card Visa Card Expiration Date of card Date Mastercard Discover C Inspection fee s s q° Service Information Voltage Phase 1 3 Service Size: Feeder Size: FEEDER SERVICE p Action Taken r Approved By 4- Electrical Inspector N PREPARED 6/20/06 12 27 09 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/20/06 ADDRESS 120 FOREST AVE SUBDIV TENANT NBR DAVID SCHULTZ CONTRACTOR PHONE OWNER SCHULTZ DAVID /JANICE PHONE PARCEL 06 30 09 5 2 3520 0000 APPL NUMBER 06 00000379 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/16/06 JLL BUILDING FOUNDATION FOOTING TIME 09 00 6/16/06 AP DAVE NO PHONE 06/15/2006 03 39 PM DYASUMUR 06/16/2006 02 14 PM JLIERLY BL2 01 6/20/06 JL BUILDING FOUNDATION WALL TIME 13 00 06/19/2006 6 /20 6952 08 32 AM DYASUMUR COMMENTS AND NOTES PREPARED 6/16/06 11 31 33 INSPECTION TICKET PAGE 6 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/16/06 ADDRESS 120 FOREST AVE SUBDIV TENANT NBR DAVID SCHULTZ CONTRACTOR PHONE OWNER SCHULTZ DAVID /JANICE PHONE PARCEL 06 30 09 5 2 3520 0000 APPL NUMBER 06 00000379 RES ADDITION PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL1 01 6/16/06 JLL DAIEDIOG HONEDATION FOOTING TIME 09 00 DAVE NO PHONE 06/15/2006 03 39 PM DYASUMUR COMMENTS AND NOTES Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner SCHULTZ DAVID /JANICE 492 HERRICK RD PORT ANGELES Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date WA 983637154 Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit pin number 75259 Permit Fee 333 75 Plan Check Fee 133 50 Issue Date Valuation 18300 Expiration Date 11/08/06 Qty Unit Charge Per BASE FEE 17 00 14 0000 THOU BL -2001 25K (14 PER K) MECHANICAL PERMIT 77370 67 90 11 Qty Unit Charge Per BASE FEE 1 00 7 2500 ECH ME VENT FAN 1 00 10 6500 ECH ME -OTHER APPL N/R PLUMBING PERMIT 77388 107 00 11/08/06 Qty Unit Charge Per BASE FEE 4 00 7 0000 ECH PL EA FIXTURE ON ONE TRAP 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned fora period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspec tion. 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. T e granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regal ting s or the performance of construction. Signature of Contractor or Authorized Agent Date T \Policies \1102 15 building permit inspection record05.wpd [1/4/20051 CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000379 695391 120 FOREST AVE 06 30 09 5 2 3520 0000 DAVID SCHULTZ RES ADDITION RS7 RESDNTL SINGLE FAMILY 18300 Contractor OWNER TOTAL LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Plan Check Fee Valuation Date 5/12/06 19 00 2 00 1400 00 10000 00 792 00 1892 00 1 00 Extension 95 75 238 00 0 0 0 Extension 50 00 7 25 10 65 Plan Check Fee 00 Valuation 0 Extension 50 00 28 00 7 00 Signature of Owner (if ow is bui) Date FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING /SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION kW PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 I T• \Policies \l 102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I FINAL FINAL SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY, I I I I I I I I I i Application Number Application pin number Qty Unit Charge Per 1 00 15 0000 ECH PL EA BLDG SEWER 1 00 7 0000 ECH PL- EA WATER HEATER Special Notes and Comments The Fire Department has reviewed the project application and has no comments Electrical load calculations and elctrical permits are required Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total 06 00000379 695391 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date T• \Policies \1102 15 building permit inspection record05.wpd [1/4/2005] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 STATE SURCHARGE 4 50 Charged Paid Credited Due Page 2 Date 5/12/06 508 65 508 65 00 00 133 50 133 50 00 00 4 50 4 50 00 00 646 65 646 65 00 00 Extension 15 00 7 00 FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW/ ENGINEERING FIRE PLANNING DEPT BUILDING 417 -4815 BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. CALL 417 -4807 FOR PUBLIC WORKS UTILITIES PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO T• \Policies \I 102_15 building permit inspection record05 wpd [1/4/2005] I I I I I I I I I I I I I I I I I I I I FINAL FINAL SEPA. ESA. SHORELINE. 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W 417 -4807 PW ENGINEERING 417 -4653 I I I FIRE DEPT 417 -4750 I t PLANNING DEPT BUILDING DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO I I I I I I I I I 1 1 Applicant or Agent: 0a—ti 4 L X C uk �aiV l 5 <L (fz. Owner Address. 7D v e-s /4 City Architect /Engineer Contractor N0 Address: PROJECT ADDRESS City /20 o�c5 f /fj LEGAL DESCRIPTION Lot: 1/41- 27- 5 Block: 3r CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. SIZE/VALUATIOl� fkesidential El (a New Constr CI Stove 2 z SF 2D /SF El Multi family Addition El Move Garage LS? Z2-- SF 7 3 v /SF Commercial Remodel Demolition Deck SF /SF Repair Sign Other TOTAL VALUATION BRIEF DES RIPTION OF THE PROJECT 't !t f jp P9 9 Q V� lG Co"c p YC,�;p C. A opt 2— n Gv ii i`06 PLANNING USE ONLY T•\FORMS\Bld ermitform.wpd Applicant: UFM Lp S r BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST B COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 State License i COMMERCIAL/RESIDENTIAL. Occupancy Group Occupant Load. Construction Type No. of Stones: Lot 4e: e: $0 x lZS Existing Sq Ft. 4 Proposed Sq Ft. Z- TOTAL Sq Ft. /3. Total lot coverage ESA/Wetland(s) El Yes No SEPA Checklist required? El Yes El No Other VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued with 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003) No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required not the City's, and that I must obtain such permits prior to work. Phone: Phone. SA. t D:rt. ,01 0t-CIS Phone: Exp Phone: Zip ZONING Subdivision. 7D Gl ry q. J Date: FOR QTLY Date e R Rec. e. l P Permit �IO 3 Dal., Approved Date Issued: 3� -�6e 5 z .3CD -1 dd Zip '5 W. PD 4 5 t 9 2 c) 2/ .--,2 APPROVALS PLAN BLDG DPWU FIRE. OTHER. -I --4-- L i i i i i I f '1, -1--" I I i ...v. L_ i I 1 1 --------1-- 1 1 1 i I i i i i i_� o v I- i i i il i r i ���d i II; I. -----�--V--^-' Y i i �/�k i v r- 1,___ !U J___ l I 1-11____I---11 i i_ i i i i 4�� n/ i I i CITY OF PORT ANGELES . LIGHT DEPARTMENT ELECTRICAL PERMIT N~ 18043 Port Angeles, Washlngtonn______.___....!:~--i-:r,(.!.(....___.l.Z___...., 19f!.1.:.. In accordance with the City Ordinance to regulate the installation, extension, or repair of elec- trical 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. Address ______nnjz.Q______.~.Q!.<t?:ff5L='h_nn'h::_____nn___n___. OccupancYn___n.L]i;;.-:~!'Q{';!:!!.~____h o~er n---ddJi'I.P;:;;~n'3:;~=~;-~.---n;:;-~~~_ TenanL"------'Cd;~Z-?j-1--t.-.atn:;;L;f) Wmng Contractor '__.m....'..n______..___..''--n______"....___nL.'_nn____. By_._______.___n.n._____.____.___..n_____._______nnl!n_n__._:~ I . IZO-Z3D(( Light Outlets___..._____mm__mn_..._________n. Service, volts ....h.__m_m...._____.............'. Type of Wiring: Receptacle Out1ets......m._..~._............... No. wires ..____...-2.___...................... Armored Cable .........h................... Sl I /1.0;, ~. 'III Non.Metalllc .__hmn._m.____mmmm_ ze w res_.nm::ZL_~__jZ~_n Main fuse ..........f.;J.~2(1.__u_____..... Dryer, KW _nn...hn.___....hn._nn__....____.. Range, KW __nhmnu______._ Water Heater: Enclosure m__dll(._lJ_____________mn KW.nnhm_m_n_nhmmmnm___nh__ Heat' KW..nnmmnhmn__n_______nmmn__ i!\Iotors: size', volts and phase: Type of wiring: Entrance Cable ...........nn.nn......m Rigid Conduit ..nmm....... Metallic Tubing ......mn. Current transformers: No. & Size...................nn................ Ser. No. ..........................._n.....n__...... Ser. NO..nn_nnn__.................n..nn....... Ser. NO......................nnnn................. Total Load____..mh________._.mm_ Ser. No. hnnhnn....._............u__.n........ .~."-7'\.o .,." ,.... ~l, -:'.(' _ Remarks: n_'___._-'--__.'nU___.="n_m"n.n~__"_n__~.;!.:__._m:.'nnm.___n=n.m___.m_.....____.n____nmnm_____.m___n___m___.mm Knob & Tube.......................__.__...... '-,. Rigid ConduIt _n25_mnnh___________m Metallic TUbing ..u......n........._..... Raceway ._............................._......_ CIrcui-ts, Llghth___n__nm_.________________.mm Utility _hhm.________hh___.n_______n_________ Heat ............b.........._....__................ Range ........___.................................. Water Heater ....b......................... Motor ____.__b_..............___................. Dryer............._.................__..............._ Furnace ___/l<PiT./?':'''!:'!?m__ /"" - k"'L-/ Total "n----.?-----____.___m____7"hh ~"~_.____._~~~.u~.____~_~___~~_~_~~~.__._______~_~__~~._..._n__._~~~_.~__~~..~____._..._~_.~_.~__...__...~~_u~.h._______~~___~_.._.._~____~_~__~.._~_____~_~__._d._...____ _...___n___.._.__.._______nnnnn.__h___n._____~n~.h____n__n____h._____.__n_._.n__nu____.n_n_____~h__..~_______________.~nn__.h.~______n___.uu__.._.~... Permit Fee Treas. Receipt .."" / " $:_n!l...-:.-.~.-_..............___.. N r? 7 c.. -. . \ / r '- ). t t<'P o__.,..:.:::....__m._....... By -m----'.-"n'-.-.'.;.:~'.'.n-:n------..--.~n::7.:.-~-~- (- . NOTICE-Current must not be turned on' until Certificate of Inspection has been issued. If work is to be eon- 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 j-JJ (7"'-\ l'J.-~~-,( (:~L4-&L N~ ELECTRICAL PERMIT 18043 Address .___n__.m/.h?:._c?__mmm_/::t?.:!?!.~_t:.~.:[f._________.mhm___._nn______m__m_____n____.mm__ Datem_._h___-4_:_/?.._:.~Y-_._h____. :::::~~~t=::~~~::~~:~~~:::~@~?~~::::::::.:::::::::::_____~:~~_~t-~~:_::~~~~:::d:::::::::::::_:_:::: NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work if!; to be con. ooaled due notice must be given the Inspector so that work may be Inspected before concealment. 1M Olympic Printers, Inc.