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Home My WebLink About721 I St - BuildingPREPARED 2/13/07 9 14 36 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 2/13/07 ADDRESS 721 I ST SUBDIV CONTRACTOR JUDSON ENTERPRISES PHONE (916) 631 9300 OWNER LUNDGREN KRIS L /PEGGY L PHONE PARCEL 06 30 00 0 2 4660 0000 APPL NUMBER 06 00001324 SIDING PERMIT BNOP 00 BUILDING PERMIT NO PR PEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLDS 01 2/09/07 JLL BUILDING SIDING 2/09/07 DA 09/28/2006 11 18 AM NWEST 02/09/2007 09 20 AM PERMITS PEGGY 452 5259 02/09/2007 04 33 PM JLIERLY caulk gaps at windows /j11 BL99 01 2/13/07 A BUILDING FINAL TIME 09 00 02/12/2007 04 38 PM PERMITS Y Peggy 452 5259 COMMENTS AND NOTES PREPARED 2/09/07 9 52 21 INSPECTION TICKET CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER PERMIT BNOP 00 BUILDING PERMIT REQUESTED INSP TYP /SQ COMPLETED RESULT BLDS 01 2/09/07 721 I ST JUDSON ENTERPRISES LUNDGREN KRIS L /PEGGY L 06 30 00 0 2 4660 0000 06 00001324 SIDING NO PR FEE DESCRIPTION RESULTS /COMMENTS INSPECTOR JAMES L LIERLY BUILDING SIDING 09/28/2006 11 18 AM NWEST 02/09/2007 09 20 AM PERMITS PEGGY 452 5259 COMMENTS AND NOTES SUBDIV PHONE (916) 631 9300 PHONE PAGE 8 DATE 2/09/07 12er_4,1i Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00001324 078452 721 I ST 06 30 00 0 2 4660 0000 SIDING RS7 RESDNTL SINGLE FAMILY 14062 Owner Contractor Fee summary Charged Paid Credited Due T•1Policies \1 102_15 building permit inspection record05 wpd [1/4/2005] Date 12/18/06 LUNDGREN KRIS L /PEGGY L JUDSON ENTERPRISES 1007 E CRAIG AVE PO BOX 276977 SACRAMENTO PORT ANGELES WA 98362 SACRAMENTO CA 958206205 (916) 631 9300 Permit BUILDING PERMIT NO PR FEE Additional desc INSTALL VYNIL SIDING Permit pin number 92254 Permit Fee 277 75 Plan Check Fee 00 Issue Date 12/18/06 Valuation 14062 Expiration Date 6/16/07 Qty Unit Charge Per Extension BASE FEE 95 75 13 00 14 0000 THOU BL -2001 25K (14 PER K) 182 00 Other Fees STATE SURCHARGE 4 50 Permit Fee Total 277 75 277 75 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 282 25 282 25 00 00 Separate Permits are required forelectrical work, SEPA, Shoreline, ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned fora period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspecti n. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws ndd 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. f Sig'nature of Contractor or Autl&zed Agent Date Signature of Owner (if owner is builder) Date 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 YES I NO 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) SHOWER PAN I MEDICAL GAS LINE AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL /HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION I 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 1 1 1 I 1 1 I I I 1 1 CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I I I PLANNING DEPT 417 -4750 1 2 {�r 71 BUILDING 417 -4815 1 :4-' 1- T \Policies \1102_15 building permit inspection record05.wpd [1/4/2005] FINA FINAL SEPA. ESA. SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE I ACCEPTED I YES I NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING TIRE DEPT I PLANNING DEPT 1 BUILDING COMMENTS DATE ACCEPTED BY, DATE ACCEPTED BY, 1 1 I I I I I I 1 Applicant or Agent: `//a Owner O eIdI/ ZGr Address: 7.2 S. S Architect /Engineer Contractor yS.9if.e 5 State License Address: g 4 7 S /2 City 412- PROJECT ADDRESS `7 LEGAL DESCRIPTION Lot: Block: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr Multi family Addition Commercial Remodel Repair Sign BRIEF DESCRIPTION OF TH COMMERCIAL/RESIDENTIAL. Occupancy Group No. of Stones. Lot Size: Existing Sq. Ft. Total lot coverage PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Re -roof Stove Move Garage Demolition Deck Other ROJECT /y ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417 -4815 for assistance. PLAN CHECK FEE. IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section RI05.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. 1 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. T•\FORMS\BldgPermitform.wpd Applicant: �s�s�l Z Date: ..Z7G'G /7 D City Occupant Load. Proposed Sq Ft. FOR OFFICIAL USE ONLY Date Rec. Permit Date Approved: Date issued: Phone: 7 ,'o -4•<4" 7 2 Phone: 3>�6 4 .S-z 9 Zip 913 �3 Subdivision. Phone: Exp Phone: Zip 93 1 ZONING VS SIZE/VALUATION SF /SF 2— SF /SF SF /SF T,pTAL VALUATION Construction Type: TOTAL Sq. Ft. APPROVALS PLAN BLDG DPWU FIRE. OTHER. 8647.South 212th Street KeRe WA 98031 (800) 528 -9543 (253) 872 -3440 BUYER(S) NAME BUSINESS PHONE ADDRESS l l 'T csr INSTALLATION ADDRESS (if different) Buyer(s) offer to contract with K Designers (Seller), to furnish and install all materials necessary according to the following specifications: f £P R A Pr L 77 1 X l/ x4`7 JA i--{ e t t 1 T!1 r I s t,roA r.�_) L 1 c 074' rii0 Ll, ��t r �,1 L c'Thiw c9 ir L? t Go poi 1 A) PCB,_ j "WM r mss. ;A I, C7}{) iC. 49S0L17 k Lf u c-1204 7 481 C i4 1 t f 2 ,t Y vii t cm' A'T u A r} DP .411 1 Lk" Fri 7 72_ c 4.aNJA,/D Lv' .Aff P)f J 7 y--_ 1_ 61_1 ft 29 (Lf Pk-L. 3 rOIC) p Pno rn"iv o t9''mer fr40..# DESIGNERS HOME REMODELING LEADER SALES AGREEMENT DATE CF,/ 47 Kk J 4 FEE I L i a) HOME PHONE CELL EMAIL ADDRESS F'' F o b L a tmrrna, 7- Limglb'`"I M /V (L14 -L IB' Vie. (.0i A^10AA) PP /�r/}W9T4. -L /M1e7 Li N 4.f t.A i F roe citrtrefel, c Approximate Starting Date crr— Approximate Completion Date. Buyer( understand that this is only an stimated date. IWAI WA License #KDESI* *03305 CITY 7 4D l STATE 1_;-.04-- ZIPS S�'�j CITY ALL WORK TO BE COMPLETED TO BUYER'S 100% SATISFACTION METHOD' OF,PAYMENT STATE ZIP •Phone# Balance due on.conipletion -Date. Date Balance due on.cothpletion Ct;_ Y� Iti r)62-,z Contract Price D% State Tax h Total Contract Price Cash Transactions. (Payment on Completion) O.Ca"sh: Funds available, from Account# Deposit Balance due on completion Buyer(s) do jointly and severally' PROMISE TO PAY O■'COMPL of improvements,. to Seiler:'(Make.check payable to K- Designers and give to. job foreman.) The undersigned are hereby authorizing Seiler to verify and review my /our credit ;record_ with an independent credit reporting agency and release them.,froni all .liability incurred from inadvertentomissiomor errors. Credit Card. Visa Mastercard .Discover AMEX :Account Exp.:Date Signature SSN Signature SSN Finance Transaction. (The credit to nd conditions are provided' on a separate. document. Method of financing: Secured Unsecured Other Deposit XISTING SIDING D WOOD 0 STUCCO SHAKES BENNINGTON 4_, :#SQ'S OTHER '13F1'ORIZONTAL TYPE. FINAL TOUCH BENNINGTON #SQ'S OTHER VERTICAL (INDICATE LOCATION ON DRAWING) #SQ'S ,d'GUTSIDE CORNER POSTS QTY Lt #SQ'S FLUTED CORNER POSTS QTY COLOR: (INDICATE LOCATION ON DRAWING), INSIDE CORNER POSTS QTY COLOR: (RECOMMENDATION SHOULD MATCH SIDING COLOR) A-X (STANDARD)(WINDOWS DOORS ONLY) COLOR: REMOVE EXISTING WINDOWS DOOR TRIM rJ JUMP CASINGS (IF LESS THAN 3/4 WIDE J- CHANNEL QTY WINDOWS COLOR QTY DOORS GABLE VENTS QTY r TYPE. f CTAGON (INDICATE LOCATION ON DRAWING) SQUARE 0 RECTANGLE EXTRA LABOR 0 REMOVE RESET FENCE POSTS (WOOD ONLY) INSTALL SIDING ABOVE PATIO COVER 0 REMOVE REINSTALL STORM WINDOWS 0 REMOVE REINSTALL WINDOW AWNINGS REMOVE REINSTALL WINDOW SECURITY BARS REMOVE REINSTALL STORM /SECURITY DOORS 0 REMOVE REINSTALL EXISTING SHUTTERS MOVE OBSTACLES AWAY FROM HOUSE DRY -ROT REPAIR SIDING ONLY *NOTE. (WE CAN NOT REPAIR ROOF OVERHANGS OR RAFTER TAILS) LIST WORK NOT AUTHORIZED MASONITE ,a'OTHER TEAR -OFF CJ LP /L11 #SQ'S 0 CINDER BLOCK GIVE BRIEF DESCRIPTION OF ADDITIONAL WORK TO BE PERFORMED SANDALWOOD WHITE COLOR: 0 SANDSTONE 0 SANDALWOOD WHITE COLOR: SANDSTONE 0 SANDALWOOD 0 WHITE COLOR: 0 SANDSTONE SANDALWOOD WHITE *WHITE ONLY* 0 SANDSTONE SANDALWOOD 0 WHITE 0 SANDSTONE SANDALWOOD 0 WHITE 0 SANDSTONE 0 SANDALWOOD 0 WHITE ROUND HALF -ROUND APPROXIMATE SQ/FT LOCATION FRONT BACK SHAKES LP 0 OTHER 0 PEARL EVERGLADE 0 MIST BLUE PEARL 0 EVERGLADE MIST BLUE 0 PEARL EVERGLADE 0 MIST BLUE 0 PEARL 0 EVERGLADE 0 MIST BLUE 0 PEARL 0 EVERGLADE 0 MIST BLUE PEARL 0 EVERGLADE 0 MIST BLUE 0 PEARL QTY POSTS YES R &R PATIO COVER NO QTY QTY QTY QTY QTY (IF NOT CHECKED OLD SHUTTERS WILL BE HAULED TO THE DUMP) WOOD PILE 0 MISC REFRIGERATOR STOVE #STORIES 01 0 1 1/2 3 SIDING Colors indicated are the only colors authorized Adherence will prevent job delays or cancellations. For Bennington product color* write in O marked other fORIMONTAL TYPE. FINAL TOUCH COLOR: SANDSTONE MIST BLUE ROSEWOOD 0 MAIZE OTHER ROSEWOOD MAIZE OTHER ROSEWOOD 0 MAIZE 0 OTHER ROSEWOOD MAIZE ,i2r6tHER 6 0 ROSEWOOD MAIZE OTHER ROSEWOOD MAIZE 110TH ER /77.4/ 0 ROSEWOOD MAIZE EVERGLADE OTHER COLOR: E ONLY YES REQUIRES PROD. DEPT. 0 NO INSPECTION OR LINEAL FT 0 LEFT SIDE (FROM STREET) RIGHT SIDE (FROM STREET) erjot t OrtiolB Cliet4 0 W 1t11 cidr EAVES AND OVERHANGS 0 SOFFIT 0 *SOFFIT ONLY LINEAL FT WIDTH (INCHES) COLOR. 0 SANDSTONE 0 WHITE 0 PEARL 0 ROSEWOOD 0 SANDALWOOD 0 MIST BLUE 0 EVERGLADE MAIZE *NOTE. SOFFIT ONLY MAY STILL REQUIRE FURRING AND AN 'L WRAP 0 FASCIA FASCIA ONLY LINEAL FT WIDTH (INCHES) COLOR: 0 SANDSTONE 0 PEARL BROWN 0 DOVER GRAY 0 SANDALWOOD 0 EVERGLADE 0 GRECIAN GREEN CANYONS CLAY 0 WHITE 0 ROSEWOOD 0 RED 0 WICKER 0 MIST BLUE 0 MAIZE 0 CHARCOAL 0 ALMOND INSTALL NEW FASCIA BOARD LINEAL FT WIDTH (INCHES) OPEN RAFTER TAILS YES 0 NO LINEAL FT CUT BACK EXISTING RAFTER TAILS 0 YES 0 NO LINEAL FT 0 EXISTING GUTTER LINEAL FT 0 PORCH CEILING (WxL) 1 X 2. X 3. X (PORCH CEILING MATERIAL RUNS PERPENDICULAR TO HOUSE. ANYTHING OVER 12' REQUIRES DOUBLE J) WRAPS 2 INDOWS #SINGLES f-11 #DOUBLES #TRIPLES 8 -ENTRY DOORS #DOORS COLOR c c 7 0 GARAGE DOORS #SINGLES #DOUBLES COLOR 0 POST WRAP QTY COLOR 0 BEAM WRAP LINEAL FT COLOR 0 BELLY BAND/WATER TABLE LINEAL FT COLOR 0 FREEZE BOARD LINEAL FT COLOR 0 OTHER DESCRIPTION TRIM COIL COLOR SELECTION: SANDSTONE WHITE PEARL ROSEWOOD BROWN RED DOVER GRAY WICKER SANDALWOOD (INDICATE COLOR IN SPACE PROVIDED) MIST BLUE EVERGLADE MAIZE GRECIAN GREEN CHARCOAL CANYON CLAY ALMOND pSIGN WORK v #'SLANT DESIGN #SQ'S (INDICATE LOCATION ON DRAWING) 0 FAN DESIGN #SQ'S (INDICATE LOCATION ON DRAWING) ACCENT PANELS #SQ'S AKES_ SQ'S (OUTSIDE/INSIDE CORNER POSTS AND J- CHANNEL REQUIRE SIDING COLOR COMPONENTS) DESIGN ACCESSORIES 0 SHUTTERS QTY (PAIRS) (INDICATE LOCATION ON DRAWING) *COLOR: WHITE 0 BLACK 0 DK. GREEN 0 RUSTIC RED BROWN DK.GRAY 0 DK. BLUE WINE/BURGUNDY �u f *PER YOUR SHUTTER RING SAMPLE NOT AVAILABLE IN ANY OTHER COLORS. BRASS LAMPS QTY (INDICATE LOCATION ON DRAWING) 0 MOTION SENSOR LAMPS QTY (INDICATE LOCATION ON DRAWING) INCLUDES SURFACE MOUNTING AND ATTACHMENT TO EXISTING ELECTRICAL OUTLETS ONLY WE DO NOT PERFORM ELECTRICAL WORK. 0 BRASS MAILBOX BRASS MAIL SLOT BRASS DOOR KNOCKER 0 EAGLE BRASS 0 EAGLE -BLACK BRASS KICK PLATE 0 BRASS HOUSE #'S 0 BRASS DOORBELL FLAG KIT 0 PAINT COLOR QTY COLOR QTY DOOR OPTIONS 0 GARAGE DOORS (ATTACH SPECIFICATIONS SHEET) 0 ENTRY DOORS (ATTACH SPECIFICATIONS SHEET) 0 STORM DOORS (ATTACH SPECIFICATIONS SHEET) GUTTERS 0 EXISTING GUTTERS 0 REMOVE HAUL AWAY 0 OPEN RAFTER TAILS LINEAL FT 0 EXISTING FASCIA BOARD LINEAL FT 0 INSTALL 5' O.G. GUTTER LINEAL FT. INSTALL 5 1/2' FASCIA GUTTER LINEAL FT (CALIFORNIA ONLY) INSTALL NEW DOWN SPOUTS 0 ONF STfRV nTV Colors indicated are the only colors authorized Adherence will prevent job delays or cancellations. For Bennington product color write in 0 marked other COLOR. 0 SANDSTONE 0 SANDALWOOD 0 WHITE COLOR. 0 SANDSTONE 0 SANDALWOOD 0 WHITE COLOR: 0 WHITE 0 PRAIRIE WHEAT J -TAN QTY QTY QTY 0 MIST BLUE PEARL 0 EVERGLADE MIST BLUE PEARL 0 EVERGLADE 0 CLAY KHAKI 0 GRAY 0 OTHER 0 INSTALL NEW FASCIA BOARD LINEAL FT REMOVE REINSTALL NEW FASCIA BOARD LINEAL FT COLOR: COLOR. I T\AIC CT/ %DV n 4 X COLOR 0 ROSEWOOD MAIZE 0 OTHER 0 ROSEWOOD 0 MAIZE 0 OTHER 0 HERITAGE GRAY SLAT KD4500 6/04 ,r• INTRODUCING... AMERICA'S DREAM! A NEW HOME AT THE SAME ADDRESS! t':t r larketing Director 1 4: ,,t, ,.:i., 1 4.1' v .4--,• 1 4; i 41 '.1 --,i5..* 1 ,,,;;;,..i..o.4.-4F; .'ik' 7,i55' 5t V. .5. 5 5 --1•••,-,, ,,,ith.„ -I 4F. -,..g• 4 ---1.:::',. 1 2 tor 914 /1 0 k) 110 1 1 0 •44. ko Design CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 BUILDING PERMIT ISSUED: 8/02/2002 PERMIT NO: 13605 OWNER/APPLICANT PROPERTY LOCATION 721 I ST S PEGGY LUNDGREN 721 S. I STREET Lot: Sl/2 118,12' Port Angeles, WA 98363 Block: 246 [] Long Legal 360/452-5259 Subdivision: TPA T: S: Parcel No: 063000024660000 CONTRACTOR ARCHITECT FERRELLGAS N/A 704 MARINE DR Port Angeles, WA 98362 , 98360-0000 360/457-1151 360/000-0000 PROJECT INFO Project Value: $1,000.00 SFD Units: 0 Commercial: 0 Project Type: PROPANE STOVE SFD SQ FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 Construction Type: MFD SQ FT: 0 Zoning Use: PROJECT NOTES INSTALL FREESTANDING PROPANE STOVE RECEIPT#9495 FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: PROPANE STOVE $35.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 .~'1,,~ House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $35.00 Plumbing: $0.00 AMOUNT PAID: $35.00 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating c, enstruction or the performance of construction. / Signature of Contractor or Authorized Agent Date SignatL~C~f ~'wne~(if (~ner is builder) Date T:\PLANNING\FORMS\I 102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT ./OB SITE INSPECTION TYPE I DATE ACCEPTED COMMENTS YES I NO FOUNDATION: FOOTiNGS WALLS FOUNDATION DRAiNAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILiNG FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILiNG MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEy HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'$: WATEKLiNE / METER SEWER CONNECTION SANITARY STOP. aM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL ~ LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGiNEERING 4l 7 4807 PW / ENGiNEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNiNG DEPT. BUILDiNG 417-4815 C~ ~ L {~-~'~'~1 ]~.-,~-~- BUILDING T:\PLANNING\FORMS\1102.15 I4/2002] o~ ~44,e FOR OFFICIAL USE ONLY: BUILDING PERMIT - APPLICATION ?ermit#: Date Approved: Date Issued: The Building Permit .,Ipplication must be filled out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent: Phone: ~chitect/Engineer: Phone: Contractor ~FF~/'<' License ~: Exp: Phone: Ad.ess: City: Zip: PROJECT ~D~SS: .~ ~ ~ ZONING: LEG~ DESC~PTION: Lot: Block: Subdivision: CL~L~ CO~TY P~CEL ~MBER: Credit Card Holder Name: Billing Address: CiW: Credit Card g: Exp. Date: ~SA MC ~E OF WO~: S~UATION: D Residential ~ New Consff. ~ Re-roof ~ Wood-stove SF. ~ $. /SF. =~. ~ Multi-fa~ly ~ Addi~on ~ Move ~ Garage SF. ~ $. /SF. = $ ~ Co~ercial ~ Remodel ~ Demolition ~ Deck SF. ~ $_ /SF. = ~ ~ R~air ~ Si~ ~ TOTAL VALUATION $ BmEFDESC~PTIONOFT~PROJECT: ~ee ~c~ ~ COMMERCI~SIDENTI~: Occup~cy Group: Occupant Load: __ Com~c~on T~e:. No. of Stories: __ Lot S~e: % Lot Coverage: % Exist~g Lot Coverage: /sq. ff. + Proposed Lot Covcrage: /sq. ~. = TOTAL LOT COVE~GE: /sq. ~. PLANING USE ONLY: ~PROV~S: PL~ Notes: BLDG. DPW ES~etI~d(s): ~ Yes D No SEPA Chec~ist requffed? ~ Yes ~ No O~er: O~ER BUILDING PE~IT APPLICATION S~MITT~: Your application and site plan must be fiHed out compl~ely to be accepted for review. ~e Bmlffing Division c~ provide you wiffi more detailed ~o~tion on ~e application and pl~ sub~l req~emen~. Your completed application, site pl~ (for additions) and building cons~ction plato ~e to be subdued to ~c Building Division. V~UATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by ~e applic~t. ~s fi~e will be reviewed ~d ~y be revised by ~e Building Division to co~ly wi~ c~ent fee schedules. Con,ct ~e Pe~t Coord~tor at 417-4815 for assistance. PL~ CHECK FEE: Yo~ pl~ check fee is due at ~e ~me ~e building pc~t application ~d core,etlon plato ~e subdued. All other pe~t fees are due at ~e ~e ofpe~t issuance. EXP~ON OF PL~ ~VIEW: If no pe~t is issued wi~ 180 days of~e ~te of applicaton, ~is application will expire. ~e Bulldog Official can extend ~e ~me for action by ~e applicant up to 180 days upon ~en request by ~e applicant (see Section 107.4 of · e U~fo~ Building Code, c~ent e~tion). No application can be extended more than once. I hereby cert~ that I have read and examined this application and ~ow the same to be t~e and correct, and I am authorized to apply for this pe~it. 1 understand it is not the CiF's legal responsibili~ to dete~ine what permits are required; it remai~ the applicant's responsibili~ to determine what permits are required and to obtain such. CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS ........... INSPECTION REPORT ........... REQUEST: Date ~- 7 7 '-~---- Time Received by (phone, person) Location of Work to be inspected'-'~-~ // ~-~ ~ Name of person requesting inspection Address of person requesting inspection Phone No. ~-~--~ Type of Inspection (circle appropriate one): Permit No. /~.~ ~'~ ~ Sewer Foundation Plumbing~ Sewer Excav. Other Framing Chimney ~'z~5~ ~/"t~/ INSPECTION NOTES:~:~ '~ ~ ,~,.~ Inspected: Date ~'--~-~ Time ,.By Remarks: RESTORATION REQUIRED ...... YES NO. SURFACE RESTORATION: SURFACE TYPE: [] Unimproved []Gravel ~]Asphalt []PCC []Other I~! Repaired by City Work Order # [--1 Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) <I~T~ (i 'l4l.C~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name property Use property Zoning . . . Application valuation 05-00000726 Date 065252 721 S I ST 06_30_00_0_2_4660-0000- RES REMODEL 8/17/05 RS7 RESDNTL SINGLE FAMILY 800 Contractor owner ------------------------ ------------------------ OWNER LUNDGREN KRIS L/PEGGY L 1007 E CRAIG AVE PORT ANGELES WA 98362 ---------------------------------------------------------------------------- Permit . . . . . Additional desc . permit pin number permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 58156 56.15 8/17/05 2/13/06 Plan Check Fee valuation 22.46 800 Qty Unit Charge Per Extension 47.00 9.15 BASE FEE 3.00 3.0500 HND BL-501-2K (3.05 PER C) ;:; /,(~1--- c /~/ ..-.. -- (d-/ ( C/____ ---------------------------------------------------------------------------- special Notes and Comments The Fire Department has reviewed the project application and has no comments 08/12/2005 09:44 AM SROBERDS -- The proposal is to cover an existing porch in the RS-7 zone for total lot coverage of 26%. No land use issues are noted. Electrical load calculations and elctrical permits are required. MAINTAIN CLEARANCES FROM SERVICE WIRES, meter must be accessible. 08/10/2005 08:35 AM GMCLAIN ---------------------------- Public Works Utility Engineering has no r~quirements for this plan review. ---------------------------------------------------------------------------- Other Fees STATE SURCHARGE 4.50 . . . . . . . . . ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 56.15 56.15 .00 .00 plan Check Total 22.46 22.46 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 83.11 83.11 .00 .00 -J l'J ~ ~~ ~ ~ ?:. \\ 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 orwork 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._ /7/ d ~ (~../!#I- 7f-/7-0C;- 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] 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 NO FOUNDATION: FOOTINGS WALLS FOUNDA TION DRAINAGE 1 DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP 1 FURNACE 1 DUCTS GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LlGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 4 I 7-4653 FIRE DEPT. PLANNING DEPT. 4 I 7-4750 PLANNING DEPT. BUILDING 417-4815 1:)-/2/(15 <fi( BUILDING T:\Policiesl) 102_15 buiJdmg peront mspectlOn record05. wpd [1/4/2005J CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Application pin number Property Address ASSESSOR PARCEL NUMBER: Application type description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000347 Date 948822 721 S I ST 06-30-00-0-2-4660-0000- RE-ROOF 5/10/05 RS7 RESDNTL SINGLE FAMILY 2020 Owner Contractor LUNDGREN KRIS L/PEGGY L 1007 E CRAIG AVE PORT ANGELES WA 98362 OWNER Permit . . . . . Additional desc . Permit pin number Permit Fee Issue Date Expiration Date BUILDING PERMIT - NO PR FEE TEAR-OFF, FELT, COMP 48736 106.75 Plan Check Fee 5/10/05 Valuation 11/06/05 .00 2020 Qty Unit Charge Per Extension 92.75 14.00 BASE FEE 1.00 14.0000 THOU BL-2001-25K (14 PER K) Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- -.J permi t Fee Total 106.75 106.75 .00 .00 Plan Check Total .00 .00 .00 .00 y Grand Total 106.75 106.75 .00 .00 ~ \-i ~ \;(l :-'f 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 constr~tion. / --,-~/ -:5- U-CS ./ Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building pennit inspection record05.wpd [1I4/2005J BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. CALL 417-4807 FOR PUBLlC WORKS UTILlTIES 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 LOCA nON. KEEP PERMlT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE / DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DR YW ALL (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. SEP ARA TE PERMIT #' s SEPA: PARKIN G/LIG IITIN G ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W. / PW/ CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 ~/t?1t/5 \fit,. BUILDING T:\Policies\1102_15 building pennit inspectIon record05.\vpd [1/4/20051 lD >-l '" ::;~~8E; n'" I:"' ><: ~ H:>:l \0 '" "':>:lZZO >-It'l \0 '- I:"'nt'l>-l:>:l ><:'" m H t'l:>:l:>:lt'l ;J> 0 0 >-l ZI:"' ;J>m O:>:l f--' ~. nm "'t'l >-l 0 n:>:l~ lD 0 '0 t t'l. :>:l. 0 :>:l :>:l'" Ot'l'" >-l'- :;::0 0 'Oc::o 001:"' -J ~~ I:"'t'lo ~~~ N t'lm f--' G)o >-l>-lttl owO t'lLn t'lt'ld ooG) m 1:"'- OOH 0' :>:l t'l e; oot'l mf--' ooZ N -{1 H w, m :>:l iZI "'07: >-l w t'lHGl -J , :>:l \0 mZ NH c::m", :>:l' m f--' ~tO; t'l'" -J , "'I:"' :>:l"''- H 00'" >-l 0 , t'l ",0G) ,"olD :>:l0 I oG) III '" c:: t'lt'l 0><: ,<'-H mmiZl 0 ,<01:"' c::no , t' '<000 I:"':>:l '- H >-lH'" NZ m'O~ (1 oG) '->-l 0 0 (1H"l H H :;:: Ln'" oot<! ZZ :;:: Z :;::Zt<! mm t'l :;:: '0'0 Z f--';J> t'l t'lt'l >-l NI:"' Z n(1 m >-l >-l>-l w m OH ~ 00 :>:l0 .. 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Z 0 '" H "''03: ,-<>,l Z "'3:Ol ~:=; 0 '" 'd'd[fJ >,l :I::I:G Ol;>: Ol OH OOtD [fJOl [fJ '""w ZZO >,l :>- .. OlOlH r< [fJO <: ~o r< H G Ol :u :u r< '"" 0'0 :>-:>- >,lCl OlOl H '" "- a '" "- a "'''' BUILDING PERMIT - APPLICATION Fill out COMPLETELY and in INK. Your applicatior. and site plan MUST B COMPLETE to be accepted for review. If you have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent TC>v\. AhA. '-)~ Owner: Kl' ') (< .,~ ?e'\'\1 . LV4\.~~f'O\ Address: 72 \ j... >t"re.er City: Phone: 3(0 775- 0720 45)~ 5;>5'1 Zip: c:t ~36 2- Architect/El1.gine~r: . \ contractor~'~ ~~:!\-Iv "" Address:-1- U <> \ 0 ~ 2 PROJECT ADDRESS: 7.2 \ Phone: Fo,+-An~~k c:, __J Phone: ~""'I r -,UI tate License #: HUP.l. I\t\ ~<...~ Exp: City: ]=bIt AV\-C5 ks St\ Phone: .J: Zip: ZONING: Qq,3G1. LEGAL DESCRIPTION: Lot Block: CLALLAM COUNTY PARCEL NU1\1BER: Subdivision: Credit Card Holder Name: Billing Address: Credit Card Type VISA MC # Ti'PE OF WORK: SIZEN ALUATION: )( Residential 0 New Constr. 0 Re-roof 0 Stove ..tOO SF. @ $ 4.. GO/SF. = $ o Multi-family 0 Addition 0 Move 0 Garage SF. @ $ /SF. = $ o Commercial 0 Remodel 0 Demolition 0 Deck ~ SF. @ $ /SF. = $ o Repair 0 Sign tt. Othe{ CDJer ~ TOTAL V ALUATlPN IL BRIEF DESC~TION OF THE PRO.JJfFT: 11.)( \ b ' ol2.:..k. I -to be. c..:::-vere.6-. ........' tn ..\n"'''''~\Nt.>:-K... cu,~ p,\t~t\.,~e k. -rl b 'O(A'i~ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: Lot Size: Gf1 e,'7 Existing Sq. Ft. J~S ( & Proposed Sq. Ft. Total lot coverage 2S.5" % City: Exp. Date: t:goo, CO ~W.LV ~_/'1~~ Construction Type: jUO = TOTAl Sq. Ft.-I1~1 ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: APPRO V ALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. Tills 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 mustbesubmitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of penuit issuance. EXPIRATION OF PLAN REVIEW: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R1 05.3.2 ofllie International Building/Residential Code, 2003). No application can be extended more than once. j hereby certify that I have read and examined this application and know the same to be true and correct. j am authorized to apply for this permit and understand that it is my responsibility to determin.. e what permits arerr. ed ,not the City's, and that I must obtain such permits prior to work. ---,-- a_~-os T:\Policies\BL-l102_13.wpd Applicant: ~ Date: () oJ'-. '"\ ~ - ('^ ::. I' ...t:: ~ ~ .. --~ ~ - c c ~ --:c p ? C l? ~, ? ~~~ - , ? ~ ~-- ~-, -S> iv=- U=~ ~ -n)\ ~($' ~ d.l~ (2. ::- 1 <. T' Co- . " -+- -. o ~ J'/ ~r Qr'- ~~ ~ ~ t, -+-~ r- ~ ~- J: ~ /' .' i~ \ r \ \ ((. ~ w ~ ~ -- g. g- ~ ~ n o ~a:~~~~!2 ~ o' 5' .. g - '""i :::JOQ(I)S:c.n~ "< a.g?5~~~O Q)~gQ,)c..~ 'TI = ~ ~. iif a (1) ~ g g" ~ .., ii ~ 0 Q.cng~"'.s: :u . ~ c:r (I) ~ ~ en" ...., .., g. ~ s: ;;r a; )> 5.CIQ Q.~ ~3 ~ 'a.~~~~;:;:~ . _. ~. '" 0 &r m ~~"'g-~cn to :::J Q.....~c. '< f1g~~~.g I n'-::~~ !~~ ~ =:ca-Cf)~ = ~g3~g-CD 2 ~~. ~ "0 a 5: ~ ~ (;;.. ~ <i1 Ul 3" i:; o. e.. :::r <: _. ~.. ::s g~~=:Ja.:g u ? 5.$ ~. ~ ~ f # ,... .. ~ " ~ t-...:> )0( 6' ~ x G"' r;- "7..10 rvr ~- ~K ::r- ., 7;:- ~. ~i:-VV - ~ ~~ ~ ~ *= C-~ ~ Q ~"' V' () "'-~ ~"""- c:t> 0-.~ ~ "2- )0( ):> .-' <..J"I .J' C J'o_ ~ ~~ € IV' ::r-:' 'Cc; 1> - ?='f;, ~ cr- ~ v.J <}.-- :i-- .A-,;r-' 'J ) I .J::;l:l'}...J x ?~ ?--- J::::-" 6"" (, r\.~ ~ -0 ().-s: ~ ~ ~ \. ~.~ J'l ---r. (:> o ., ...A-- ~ ~ "'9:> -+- ("- ;S-. \--- \ ,- --- S: ~I------------+-----".. --I -L="' ~.'" ~(}- V ~ 'f-~ V ___y r' _r-....,~ "'"I-::> ~~ ~ IJ' -, b .t: v '" ~ 1__ ,....-::- '5 ::J- ~ (( ~ /"':"-. ~. .;t- C; ~ ) T' C> '> ~ ~ = c \: ~ :-. ....:../" r ? ~ -\ ~- r \-> 11 Q -D -+ ~ ~ \iJ ~ >. v:- ~- --t- .,... ~ ~ <::J -r (\> ~~ ~. <'l ~1 0 ~ ....:/ - ~ ( ~~ t- \ ....r::: Vg~r N - 't-J ?~ 0 g~V i ... ~ ...::/' \S.x; \ ~)-' "j r., r-. 'I,." -0 CI~.rr . ~ "IL . ,... ~ ~ ~ ~ ,....... d1 ?'~. - 0 V' ~.:.r ~~J i-- ~ N 0\ \-:> ~- s::. ~ ~ '7 -z:.~ ~ VORT ~ $~O~ rea "- -=.::or ~ '4\,,~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 03-00001194 Date 12/17/03 721 S I ST 06-30-00-0-2-4660-0000- ELECTRICAL ONLY @) ." RS7 RESDNTL SINGLE FAMILY o Owner Contractor LUNDGREN KRIS L/PEGGY L 1007 E CRAIG AVE PORT ANGELES WA 98362 OLYMPIC ELECTRIC 4230 TUMWATER PORT ANGELES (360) 457-5303 WA 98363 Permit . . . . Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL 200 A PANEL + 100 A SUB @GAR. OLYMPIC ELECTRIC 99.00 Plan Check Fee 12/17/03 Valuation 6/15/04 .00 o ~, t\) - Qty 1. 00 1.00 Unit Charge Per 76.3000 ECH EL-RM-0-200 1ST SRV FEEDER 22.7000 ECH EL-RM-0-200 ADD SRV FEEDER Extension 76.30 22.70 U' Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 99.00 99.00 .00 .00 Plan.Check Total .00 .00 .00 .00 Grand Total 99.00 99.00 .00 .00 ~ \-) ... .... ~ ,...,,..... ;~.::."",--_........t ~''''- -. - Separat'e Perm'its are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null anavoid 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 authonty 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 \PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCA TrON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. '"". I INSPECTION TYPE DATE ACCEPTED COMMENTS ..,r'~~~ ,.- .. YES NO ~f]. . \ FOUNDA ION:" " .f 4 FOOTINGS~""--"", . .. ... WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING FRAMING JOISTS 1 GIRDERS SHEAR W ALLiHOLD DOWNS WALLS 1 ROOF 1 CEILING DR YW ALL (INTERJOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engmeenng DIvIsIOn) SEPARATE PERMIT #'s' WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEP ARA TE PERMIT #'5 SEPA: PARKING/LIGHTlNG ESA. LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRJCAL - LIGHT DEPT. 4 I 7-4735 1;J~!o5 Ad) ELECTRJCAL LIGHT DEPT CONSTRUCTION R W. 1 PWI , , CONSTRUCTION - R.W ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T'\PLANNING\FORMS\1102 15 [11/14/2003] {f1JR . ',-0-',>- S O:~,~......M;'~I I. I,..ou~.jr ANGELes. ; 3,sO..l I"", 7' 1 \ "'" 2'" 2. j' ELECTRICAL PERMIT APPLICATION JQt. OIFlClAl. USE 0IlI'Ll' - .......; ....- -- 7hp E IacfrlcBI P&rmlt AppJit;;&tttm mu.t tN ftllMt our 00". aOtarv. po ....type CIiIr I'1IIprtn' In InIL tfyou hD~ any Qu..IIons, pl__ C1111 (3eO)..U.....73!1 F.... l'Iume.t; (3180) .,7-4711 Ownar at Elec. Con~.C1D, Agent DIy m pic E 1 e c t r i c P"'Perly ~et; C.h",'s Lu...dg~<'V Add....: 72/ SilL" S, EI_Coftnclor. Olympic Electric Co" Inc. ~ 4230 Tumwater Co. , Inc. Phone: 457-5303 Far. Phone: Diy: f'A Ll""""" /I: QYM=EC285:l1Exp: 3/31/03 Dry. Port Angeles 452-3498 'f 5::Z--52r;1 ZJp: Cf83i, 3 Pilon": 457-5303 ZIp; 98363 INSTALLATIONWIRe.C IlY: DOWNER I'll ELECTRICAL COIIITRACTOR Ct'8dItCantHolderName: Charles T. Burkhardt, Olympic Electric Co., Inc. BIII'nv Addra..: Same Cnrdlt Cant Number. City: ZIp: V7SA:~ Me: Exp.O..",: PROJECT ADDREIIS; 72.1 5 "I." 5, 'TYPE OF WORK' Check Jill \hat applY: 0 New }(Resldentlal o Multi-family o Commercial )( A1lBrallonlAddltlon o Mobile Home Sq. Fl o RemolD Meter 0 08l8ched garage 0 Hol Tub 0 Swim Pool 0 Septic Pump . 0 Low Voltage 0 Telecom. 0 SIg Numt-- at Clrculbl lidded '" 8_: DESCRIPTION OF ll1E EL.ECTRI~ PROJECT: ~ we.. ;l..0()" _ P IHv.E L- Sl(bF",~1 l~ ~3a.~ I~ ~C">(se. 1'1Mu.l! 100,0. - f;.KOtrlcal' ~D" Addition. and or aubtnlctlon. 8e",lce Information o B8sebDartl OF"""""" o Hal Pllmp o F.....Wall _KW _KW ll:lN LA~ -JC;W- )l(OwmtIBIld S"",ice o Temp S""",,,,, o Und8tgcDUnQ 6..Nlce VDl1age: Phase::l<fl (:1 3 Sel'\l4c:e SJze; ;J... c-o Feeder Slze:---Lco . PAMC 14.05JllIO(B): FDf'indlltiD1al, comll19n::i8l, & tesl08oli8l p<Ojecm 18rger lI'l8n . dllE>lelo:. a DI1e _ 111'I& d<awing at the Elec:rrical Serv;a, & F9ElCl8Ill.lluilclIng 8128 ("'I. n.), Ioaa calcuI81lans, lII'Id the ty p& & Dr condudDnlllf'dlDl' "",away Isl'9qlJlred entl .",,'leeeDlT1 pany the Electr1caJ Pennlt 8pp1lcet1on. I hereby certify that. I heWl read end ellaminer! rhle applfca(;on and know th81 same /0 be true and co;roct. end I el 8UthcH1zed 10 apply for this permit. I IJndemand it i /he CIty's legal responsibIlity to determine what POfrTllts are requirf1tl; it ramains the applicants responsibility to determIne wflat permits are required and /0 obte/n such. V~/)3Y PW-llCll1f7/1l3 Crad/t C.rd Hollier'. 811_' Os.,,, )2.-/(,,"03 I~ -1/"'03 00..: .... ~ - ..99,,00 0......,. 0If ElOc. ConL SlgrI_ftJntl PERMIT FEE: $ 7&..30 + ~7.. 7'" kl~ q4~1 t2L- C~__ ZO~ iA.Jp Z4q!o/ /003 JlaLJ313 JldNX10 8atcZSto9C XVd 41:91 COO7./QT/~T ELECTRICAL PERMIT APPLICATION . 1)0 0," FOR OFFICIAL USE ONLY DalclRec: Pamil#; Dl.leApproved: The Electrical Permit Application must be filled out comoletelv. Please type or reprint In Ink. If you have any questions, please call (360) 417- 4735 Fax number: (360) 417-4711 77(Pc::' REQUEST INSPECTION 0 Owner or Elec. Contractor Agent: i!U1tA75 ~/ J.IL 5 0",", Property Owner:Ve't,lJ'I-' \::'("; S L'-',,"<or... r--- Address: f'J~ IS. ~ s+ Electrical Contractor: C; / -e t..-/ r c:.... ~ 0 'Y\ ~ ' Address: 1'.0, ~cry \ '-\ "'I \ Phone. Fax: License #: Phone:3UJ- </5,;)-5 ;J..S-9 uJ-I'\~ Zip: S 1>-.5 <0 ~ Exp: Phone' "/::;--7- ? /;; () uJ A-~ Zip: <1'2;"31.02-- city:7c,\ 'A-\I\~~\-e." INSTALLATION WIRED BY: DOWNER City: f'. 'A- )(ElECTRICAl CONTRACTOR Credit Card Holder Name: Billing Address' City: Zip: Credit Card Number' Exp. Date: VISA:...-- MC,--- PROJECT ADDRESS' '7 J-I .5 :z: :sT. TYPE OF WORK: Check all that apply: 0 New o Alteration/Addition o Residential 0 Multi-family o Commercial 0 Mobile Home Sq. Ft Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump o Low Voltage 0 Telecom. 0 Sign Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: ,'11511'/'// -+ 171."f-.er art tiel""-' Electrical Heat Load Additions PERMIT FEE: t-1~ ..?---O :7/95lJ7 Service Information o Baseboard o Fumace o Heat Pump o Fan-Wall _KW _KW _TON _KW LRA o Overhead Service o Temp Service o Underground Service Voltage: Phase: 0 1 0 3 Service Size: Feeder Size: I hereby certify that I have read and examined this application and know that same to be true and correct, and I am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: Date: Own.er or Elec. Cant. Signature: C:/ELECT~ICALPERMITAPPLlCATION Af~'r.f~b e,tt.d kYv;S ;::M- C Q. p- 7-D 'Z- P(lfel~ . ~ftfl:" M~ m- 1'b k ~+I~ ~. Date: / 1H-/14. ~11't'>, 4Ito L. 77.-( ~s ~ GIh\':' fJph($l( S ~ /. u.-\-1\~K."k rt-- s~ '2:.- ~1 ~\J~ ~ ., . ~ I / i 1603 i Ii I A I I I ) D~~B \2V j ! OA DIS N.~ ! , 1 ~ID' 1 I~ ! I 1 1 ~ i 4 r~ 0 I f=TJ ;::: \ I "-----. 9 3 ! II / .~ 1/ ;f" r /1\ 13 I J \ 11 <{ <Do Z \0........ OJ "'..,j- II I U_.n....... 716 ~~t 1603 1 1 ABN~ 3-336 1 4/O,AA I k.cJOSS Nt-17lkr'" '1~9 1l> M~ tM...t<sl--- ~ \6 II""! k 7lJ ~ ,uL 1535 I 1529 11525 11521 11517 L ? EV E-rll H-uuu --Sf .--.- 12b3 \ \ 1201l~ l 8 T lJl~' 18 ~ 1 ~ 19 T 'b /,I~L GETAWWA-fs' f3 600A1-Dfse. 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