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Home My WebLink About516 C St - Building05 -19- 09 14 41 FROM-nw permit 13609452091 T -434 P001/002 F -300 A-4-1/1 9 1kAwiLQ 4(7 -4- f (S 5\`5 n v6c2,0, Lek 3Le0 Fax: Number of pages FAX TRANSMITTAL '360 '5 -2091 3 (Including transmittal page) W A S H I N G T O N U S A Department of Community Economic Development 321 E Fifth Street Port Angeles WA 98362 Planning Division (360) 417 -4750 Building Division (360) 417 -4815 FAX (360) 417 -4711 TTY (360) 417 -4645 Website www cityofpa us -evw ay ve 5 tease_ S G n con or i f Inoue nn cd 4 0 me me &rdi'rne p \se cop f 6a-c r3(,0 -`f r7-- 4 (kzr TO 1\160(4/1 FROM Li ti/k_ TCt,nq Company. No PCm ‘re-Ce-- VeA y bur- hone rave 54-i t Q. x 4 of DE)r rn i d- s 5 re-mof a* 51t) ;1q Pok Al(leks e h t n cd 4 tfr\a� rylai eC, yo mit 43 Ones sa- o A r(-1 v t yo ltr tnxme S °4a me i /fir r 1 05 -19- 09 14 41 FROM-nw permit �J•�'i X: r ;.rT1 r•NY.v F ..X_.. RTJv LENT °OF COIVl1 V i i 1`siK §T S� STRE f r 0>i �Arii;�f:ES; .�•ir,.K...•(;.��5. .el��';L :l_ rt,•)L:.,,v2�ait.;.r�i.;• �i°i.4.. �rva :t�.� r •.wa t...�M m y: r+ -v, a. r �s .Y r �.y'aa a F t a-- o w "�zt jY. 1 1w;'1� \r -,wn, l.i„� �;E `'.l;''t�•�,+ rf'Y�.,, qt r� ,.1 rr R 41 at4 on" mIQ op ,6i aq t; ,rte ol Ap l..2; 61APan 1 r{v Y n' .rs. .41 w, r ••r.P 1j,.'f. r ,�r .u+l' f��: �tti $}t7 s Y.� T (�•�y% -1 ESso Q u FFi 0'8 =4 th Alifi• 000 °r `I4 .ti; r 4!.2• ,r. '4. T ia *pint CIS $1f 4: 1.:Aq V i 41 t ).7 IX, qi ,y o'i i2 pik r r App'�'cat�a'�'e`�� tip 'cri�t:'lioa -R06 8 ?1 ,Q7? 1,:i4 .f "v'"�' a i_rr+� ;i 1 7 A` %;C:71; i'''t,+ Y 0 ,,.v„1�'! k s' =•t :x'•• t..�. '•C"r ...:1.. p ar •.i •Y..t+04. `r s 4? t w ti t ^u s' Pi v el -ej•• 3 s sy Q.. a� T ani s z l Y rS t :..lr :Yl z iij •itiat:3.' otVil treio;n i .:..a. ?}e le ,F, ere d r 1 F o T 0r a -Itoo ffIOU6E (mi er COAC.iCgCCOT al F�� ,'0 6 HOI+n!fDL►POT AT fIOMLr Ay C9 Pei .ANGELES WA 98363 I(NT •WA 9003$ I3� 1"'17'=/0'9'6' .ieoo 3e r -sC9r $try icturE, IntCrmaC1of 000. 000 TEAR OE RS-ROOF H0 8E Peldoi t BUILDING BGRMi,T 700 PR FEE Aa tdonal ileac TEA. ors' c• nE- ROQS•iQirsE Verrillc •p number r Pd 4 �K. a[ ./a4,2§,..... 11 :`1 1. 1 ..P1. Prek .7.0 00 Te a Date 4/23/09 Vi 9546 1 ra tion Dane 10 /2o•1os Qty VAiv Charge -Per Extension sage PEE 95 75 98 00 7 00 14 0000 THOU BL 2001 25K (•10 PER K) oc4er Fees Tee etwoary Am= SthlCllARGE spa Charged Paid Credited Due Pegmit Fee Total 193 75 193 75 00 Pion Cheek Total, 013 00 00 Ot= .EeC._ Rol. 4 ,50 .9 50 00 Grand Total 198. 25 198 25 00 13609452091 4 30 00 00 00 00 T -434 P002/002 F -300 .r"a:. :�'.y. s' LL ^4�•L .T]4 mil. frii: TAUU NYENT ff '�3` tf tDING`DI VISIO1�t Y wA 9 8362. l :Sid w!;�. '9' 4r2r■•.•C7r d P 7 il1V. Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilitibs, private and public improvements. This permit becomes null and void if work or construction authorized rs not commenced within 180 days, if construction•orwork is suspended or abandoned fora period of 180 days after the work has commenced, or ifreq Inspections have not been rcgvcated within t80 days•from the toot .napcction 1 hereby certify that 1 have read and examined this application and know the same to be true and correct. All provisions of Taws and ordinances governing this type of work.will be complied with whether specified herein or not. Pre granting of a permit does not presume to give authority .to violate or cancel the provisions ofany state Or local law regulating construction or the performance of cons 4 cried. g (q(CA \Date I Print Name Signature of n E clOr or AuthorlYed Agent Signature of Owner.(if owner is builder) T:Forms/Building Oivirbn/9r,nt„ z Pennil PREPARED 5/05/09 8 25 24 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/05/09 ADDRESS 516 C ST TENANT NBR MARTIN /AUDREEN WILLIAMS CONTRACTOR HOME DEPOT AT HOME SRVCS OWNER MARTIN /AUDREEN WILLIAMS PARCEL 06 30 00 0 1 0886 0000 APPL NUMBER 09 00000365 RE ROOF PERMIT BNOP 00 BUILDING PERMIT NO PR FEE REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BL99 01 5/05/09 tit SUBDIV BLDG FINAL May 4 2009 4 51 19 PM 1pangrle AARON 360 620 7683 BLDG FINAL RE ROOF HOUSE COMMENTS AND NOTES PHONE (800) 381 5699 PHONE (360) 417 2096 FAX(TX) 1 1 DATE I.START T I RECEIVER 1 0011 MAY /04d 04 09PM1836087116919858747 TO ar6 Company Fax: 360 -,$7 l 101 Number of pages. 2— (Including transmittal page) W A S H I N G T O N U S A. FAX TRANSMITTAL s TRANSACTION REPORT MAY /04/2009/MON 04 10 PM JIO NGEL Department of Community Economic Development 321 E. Fifth Street Port Angeles, WA 98362 Planning Division (360) 417 -4750 Building Division. (360) 417 -4815 FAX. (360) 417 -4711 TTY (360) 417 -4645 Website www cityofpa.us ICOM TIMEIPAGEI 1 0 00 25 2 1 FROM Ltv1cL Pat ra r PervyJ+ `1 TYPE /NOTE ITILEI OK SG3167611 \A; 0 ev^ Ou p lov G01ve.V`sv+io rk 'teve CA. j 44‘ e rY\ C t+ Lf P 01 /01 Application. Number Application pin number. Property Address AS PARCEL NUMBER' Tenant Ilbr' Maine; Application type description Subdivision Name Property Use Property Zoning Application'valuation Application desc TEAR OFF RE ROOF 'THE" HOUSE Owner MARTIN /AUDREEN WILLIAMS 516 C ST PORT ANGELES WA 98363 (360) 4'17' 2096 Structure Information 000 000 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date T.FormsBuilding DivisionBuile. Permit CITY OF'PORT ANGELES DEPARTMENT OF COMMUNITY k ECONOMIC DEVELOPMENT BUILDING' DIVISION 321 EAST 5TH °STREET PORT ANGELES WA 98362 09, 00000365 Date 4/23/09 ,2 ,46425 4, y 06: C ST 0_6630 00 0 1 0 0000 MARTIN AUDREEN WILLIAMS RE ,ROOF RS7` RESDNTL SINGLE FAMILY 854'6 Contractor HOME DEPOT AT HOME SRVCS rv" 23420 68TH AVE' S KENT (80'0)" 381 5699 TEAR OFF RE ROOF HOUSE BUILDING PERMIT NO PR FEE TEAR OFF RE ROOF HOUSE 144758 193 75 4/23/09 10/20/09 P1'an Check Fee Valuation Qty Unit Charge Per BASE FEE 7 00 14 0000 THOU BL -2001 25K (14 PER K) Other Fees Fee summary Charged Paid Credited Permit Fee Total 193 75 193 75 00 Plan Check Total 00 00 00 Other Fee Total 4 50 4 50 00 Grand Total 198 25 198 25 00 WA 98032 STATE SURCHARGE 4 50 Due 00 00 00 00 0 0 8546 Extension 95 75 98 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 o 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. 1 hereby certify that 1 have read grid 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 gran ofa permit does not presume to give authority to violate or cancel the provisions of any state or local law regulat.ng construction or the performance of construction. Dale Print Name S gnature r' t .ontractor or Authorized Ag, t ;nature of Owner (if owner ouilder) BUILDING PERMIT INSPECTION RECORD c� 0 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 IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type FOUNDATION Footings Stemwail Foundation Drainage Downspouts 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 Under Floor Shear Wall Hold Downs Walls Roof Ceiling Drywall (Interior Braced Panel Only) T -Bar INSULATION Slab Wall Floor Ceiling MECHANICAL. Heat Pump Furnace FAU Ducts Rough -In Gas Line Wood Stove Pellet Chimney Commercial Hood Ducts MANUFACTURED HOMES Footing Slab Blocking Hod Downs Skirting Electrical Construction R W PW Engineering Fire Planning Building T.Forr i3uilding Di isicr'Bi.iiding Permit Date Accepted By 417 -4735 417 -4831 417 -4653 417 -4750 417 -i815 PLANNING DEPT Separate Permit #s SEPA. Parking Lighting 1 ESA. Landscaping SHORELINE. Comments FINAL Date Accepted by FINAL Date Accepted by FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE Inspection Type Date Accepted By 5 -5 -0 L[_ 04 -23 -2009 13 21 FROM -NW PERMIT CITY OF PORT ANGELES Attn: Building Permit Technician 321 E. Fifth St. Port Angeles, WA 98362 (360) 417 -4815 fax (360) 417 -4711 Applicant 1Q kUV'Q-Sk Q.Q-4/1/K.4 Property Owner A -k 1P t) tN t LLI PriktS Property Owner's Address G U° S C Contractor im.e: z) A--t` l Contractor's Address fW 6915 Ave 5 i&+ V License +4.01M D* Expires 2 11 13609452091 PROJECT ADDRESS 5 ((o '4 C S -4 Parcel Number O CD5OOW 1ogS(o WO P pe Brief Descriotion: gResidential o Multi- family o Commercial Check all that apply I7 New Construction ID Addition o Remodel Repair Demolition `fie -roof o Heat System a Other Date 1' 23 1 O Print Name N A-1 DA- V-Pr ,v T -894 P 002/002 F-195 BUILDING PERMIT APPLICATION Print in ink For City Use Only Date Received 4 On Permit Date Approved Phone (.42O` 4S Phone Scar -4lI- -20'I b Phone SIX) 381 -.9099 9 Wfl 4&037-- 1 I E -mail taa- cia. v1w'.Q,t/tn'u+, 60Vv\.- Lot Zoninp o Industrial douse o garage o other }dear off re -roof o lay over one layer o Heat pump o wood- buming stove o gas fireplace o pellet stove o other Roar Areas Existina (sq. ft.) Ersposed (sa. ft.) Basement per sq. ft. 1 Floor 2 Floor 3' Floor Garage Carport Covered Porch Deck Shed Other TOTAL VALUATION 8 5 C Total footprint of structures sq. ft. T Lot size sq. ft. Lot coverage Site Coverage the amount of impervious surface on a parcel, including structures, paved driveways, sidewalks, patios, and other impervious surfaces. (see PAMC 17.94 135 for exemptions) Site coverage of bedrooms of full baths of half baths Max. height of proposed structures ft. Occupancy group Will a lawn sprinkler system be Installed? Occupant load Will a fire sprinkler system be installed? Construction type I have read and completed this application and know it to be true and correct. 1 em authorized to apply for this permit and understand that it is my responsibility to deternine what permits are required, and to obtain permits prior to working on projects. Signature (111 AA /1 7:Foms /building Division /Bldg PermlLdoc U Per phone. 15cida Gives` con+rac Y ferrniI o«ly ct\t A coo i f he- 5 `J exTrYi+ c6 receipt 6acie --1-0 Isat ct 04 -23 -2009 13 21 FROM -NW PERMIT Northwest Permit Inc. 1345 Gulf Road Point Roberts IA/A.98281 360 945.2787• 360-945.2091. CC: To: Linda City of Port Angeles Fax 360 -417 -4711 Permit Services From. Naida Khan Date: April 23, 2009 Re: Mechanical Permit Aps Pages: 2 0 Urgent 0 For Review 0., try ags u'1 The contractor will be into pick up the permit on Monday, April 27 cess attached building permit application. j'd t 't e r f T ri*, ►a!: arge the permit fees to Visa card xp CVC 411. The billing address for this cc is 1345 Gulf Rd, oberts, WA 98281 Please send all receipts and a copy of the permit to. Northwest Permit Inc. 1345 Gulf Rd Pt. Roberts WA 98281 13609452091 T -894 P 001/002 F -195 Please Comment Please Reply 0 Please Recycle If you have any questions or require additional information, please contact me at 360- 945 -2787 or by email at nalda@nwpermit.com GovN r I I I I I 11 ~~ . CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DMSION 321 EAST STH STREET, PORT ANGELES, W A 98362 Application Number Pin number .Property. Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use . . . . Property Zoning. . . Application valuation Owner 04-00000928 Date 10/12/04 .948160 516 S C ST 06-30-00-0-1-0886-0000- ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY o Contractor REEVES HARRY L/P N 9225 220TH ST SW EDMONDS WA 980204549 Permit . . . . Additional desc Permit Fee Issue Date ~I Expiration Date Fee sUllllllary Permit Fee Total Plan Check Total Grand Total OLYMPIC ELECTRIC 423p TUMWATER PORT ANGELES (360) 457-5303 WA 98363 ELECTRICAL ALTER RESIDENTIAL ALTER 200A SVC. .00 Plan Check Fee 10/12/04 Valuation 4/11/05 .00 o """1 () ~ \:'\ l l .....0 N ~ Charged Credited Due .--... -. (Jl '""'- ~ c)) Paid .00 .00 .00 .00 .00 .00 ~OO .00 .00 .00 .00 .00 U\ " I 0- () \ { .l -J:: Separate Permits are required for electrical work, SEP A"Shor~line,I;{iA, utilities, private and public improvements.. This pel11)lt bec9mes 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 180days after the work as commenced, or, if required Inspections. have not been requested wlthin180 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 goveming this type of work will be complied wltllWhether specified herein or not The granting of a permit does not presume to give authority to violate orcaricel 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) T:\PLANNING\FORMS\II02.IS [11/14120(3) Date " CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL IN~PECTIONS. ., i PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWPUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. . POST PERMIT IN A CONSPI<::uOUS LOCATI~N. KEEP PERMIT CARD AND APPROVED PLANS AT JOBiSITE. ~ I DATE ACCEPTED COMMENTS I [' INSPECTION TYPE FOUNDATION: ." FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOuts "" ~-"',,;;'~':(( ,;--' '~"'.~-~;::;\;>~ BUILDING PERMIT INSPECTION RECORD . I I NO i . YES . . '. (UGHT DEFT) SEPARATE PERMIT: #. . J J-.:u--t:AP1 ) lH I J 1- S-p fJ. ...~ ~ c..:...Il.--:. l'A-~:" ~ - I Y ELECTRICAL ROUGH-IN PLUMBING UNDER FLooRI SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS UNE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR W ALLlHOLD DOWNS '. WALLS/ROOF/CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T-BAR . INSULATION SLAB WALL / FLOOR/ CEILING MECHANICAL HEAT PUMP GAS UNE WOOD STOVE / PELLET I CHIMNEY HooDJ DUCTS (Engineering Division) SEPARATE PERMIT #'s: PW UTILITIES / SITE WORK WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEI'ARATE PERMIT.#'s PARKlNGlLIGHTlNG LANDSCAPING . RESIDENTIAL ELECTRICAL - UGHT DEPT. 417-4735 CONSTRUCTION R. W./ PW/ ENGINEERING FIRE PLANNING DEPT. BUILDING 417-4807 417-4653 . , 417-4750 417-481S T:\PL~G\FORMS\II02.IS (1111412003) -c- I ! '. I I . I I , T I I I -c::- I I I I I SBPA: BSA: .' '.c. ,'. ,.".' -SHORELiNE: FINAL]NSPE(:J]QJIl~REQ1,JIRED PRIOR TOOCCytoANc,x{lJ!t'. i . DA'FE . .~ NO COMMERCIAL ..J .... . '.. .,y' . . "c' . 7C. .... DATE . ACCEPTED YES NO 1~a-.lJl./ l~~ i ELEcriucM. I UGHTDEPT.! ~~J1=g-w. T FIREDEPT.,:,~ "_ _ I PLANNING DEPT. I BUItDING" .1 , . i ,"ORT ~ ..:;~4,O~~~ ha~ L -=:;;.a ~ ~':;p> CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Appl1cation Number P1n number Property Address ASSESSOR PARCEL NUMBER: Appl1cat1on descript10n Subdivision Name Property Use Property Zoning . . . Applicat10n valuation 04-00000826 Date .556988 516 S C ST 06-30-00-0-1-0886-0000- MECHANICAL APPL. PERMIT 9/17/04 RS7 RESDNTL SINGLE FAMILY 3500 \:3(f/lIZE;I':? 4/~/o~ 1// ~ Owner Contractor REEVES HARRY L/P N 9225 220TH ST SW EDMONDS WA 980204549 MERIT MECHANICAL P. O. BOX 2109 REDMOND (425) 602-3245 WA 98073 Permit Additional desc Permit Fee Issue Date Expiration Date MECHANICAL PERMIT FURNACE & HEAT PUMP 61.70 Plan Check Fee 9/17/04 Valuation 3/17/05 .00 o Qty Unit Charge Per Extension 47.00 14.70 BASE FEE 1.00 14.7000 ECH ME- INSTALL 100- FAU Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 61.70 61.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 61.70 61.70 .00 .00 (j~ - ~ Qfl o ., C\ ":. QJ\ ~ 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. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is bUilder) T IPLANNING\FORMSII 10215 [11114/2003] ..C. JvLJ .JI ~Jil No.2139 p. 1 DOl/DOl Fill out COMPLETELY and in INK. Your application aDd site pllln MUST BE COMPLETE' to be accepted for review. If YO"Q have an3' questions, call PERMITS (360) 417-4815 FAX(360)417-471I FOR OfFICIAL USE Date Rec.: q - I '7 ~6 ~ l'CTInJril: 04 '-92 b Date Approved' Date Issued Applicant o\!'1len: ~~ Or:- ~ \<~'Q Q "':l-' D Phon" @/pO- ./17- / of5L tlw.a-,- . ~ _ - - - , .: _ ttn Phone 40Jt> l'o 7 ~ - I-<lM Ad<h:~ss_ 5 \ I.c C:rt,% e. ti crty~ .~; -i.o . . . .~p ~-J06' - -/ Arcbitect/Engmeer: . .' _' . ~ :..' .Phone: ;r.) . . ('\1\ " . \\...~ - ~ \\ Mo.ll :'-7-J/'11...I'"C?.Cfi1 AI / ,.-c- ( ~5' . I --' i Contrac~" ~-~ L \ S"'" ~~,,"~ Lie~_ 1Ji::1" ~~ ()~ :Phone, ~",?,tJ<}S Address~(~ ~~(~ a \DC; Clty:~_(_c\ ~: Zip: 9f(()5", PROJECT ADDRESS: 0\ lo ~()~~, ~~i.\::., . ZONING: LEGAL DESCRIPTION: Lot: . . Block: SubdivislOn: CLALLAM COUN1YP ARCEL NUMBER: ()~:s ()0CX-) / c~ 88 (00 c,) 0 c) Credit Cord IIolder Name-:Y c,..~; c;. e.. ~ e.e, y <::~"> -.i!1;:; ~ Billing Address: q @ \ ~ PJ 0) C'I "-:lO ~.!.. ~~ 9ty: t:..:~ .~c\.. l..) _ c.; g Ql~ Credit enX'd TJ'pe VISA" ,Me _ #..:. Exp. Date: TYPE OFWOR1(: SIZENALUATION: ~Residential 0 New Const!. 0 Rc-roof 0 Stove SF. @ $ ISF. "" 5: o M'lllti-fa.mily CI Addition CI Move 0 Garage SF. @$ ISF. "" $ o COlDIIlercis.l CI Remodel. 0 Demolition. 0 Deck .l.l. . I SF. @ $ ISF. =:: $ CI Repair 0 Slgn .Jl('''othcr~ (/..l TOTAL VALUATION $ <.e)~. 00 BRIEF DESCRIPTION OF TEE PROJECT: ~'-~.0t\~ ~ ~6 Ou__~ \G L'- .!\...C\...(' 11 0\.... - \:-~ \. \) '(\} t'J "->-~ \\ ~ \.. ~ \.. \'V'- ~ ~ . ~ -t--eY\ -\"G\.nL r" ~ _ COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load' COnslru.ctioD Type: No. of Stories: 1- Lot Size: EJOSting Sq. Ft J :~5C) & Proposed Sq. Ft. = TOTAL Sq. Ft. Totl.llot coverage % APPROVALS: PLAN: BLDG: DPWU: F.illE: OTHER:_ PLANNING USE ONLY; .. ...... ESAlWctlan.d(s): D Yos 0 No SEPA Checklist reqmred? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBl\11TTAL: The Building Division can provide you with information on the application and plan submrttal requirements if you have questions. VALUATION OF CONSTRUCTION' In aU callOS, a valuation aIllClUnl mu.st be entered by the applicllJJt. T.his :figure will be revJc\l\'ed and may be revised by the Building DivisIon to com;ply~tith current fee schedules, Contact the PeImit Coordinator at417 -4815 for assistance. PLAN CHECK FEE' IF a plan check fee IS due. it must be :;ubnutted at the tlme the building pemut application and construction plans are . _. '-submitted.-All.other-pe;lJ1ut.f~~ are due at the tlme of permit lSSU3Ilce. EXPIRATION OF PLAN REVIE~;;-rfllO- prnriiOs'issuea withm'180'd.ll~'s Qfthe-Gatc.(Jf.applicatioll, the applic.~.~Qll:- ~ilt~!p_~e. Thc Buildmg Official can eA'tcnd the time for action by the applicant up to 180 days upon written request by the applicant (see Section Ri(J5~3T" of the International BuildinglR.esidcntial Code, 20(3). No apphcation can be extended more than once. T. \RVESS\BLDG-foID1&',brochul'l:6\2003-Bulldingpeunit. wpd I hereby certify that I have rBad and examinBd this application and know the same to be true and correct. I am authorized to appll for this permit and understand that it is my responsibility ta determine what permits am required ,not th~9if and that I rrifiSiObl . such pem,its Wi t r; . n . ~: ~ Datc;Yf- /7-d/' \ . J()Ltg~J::L-0 ) Recleved Time Sep, 16. 7:56AM ~ :;5G~ , -; oj." I I ~Q2 o 2/ .:,. 10/08/2004 14:20 FAX 3604523498 . -L.=,-U'=', -=.::;'0_",..,__,.. .....~rll __'J""",,-~~ OLYMPIC ELECTRIC ~ w ELECTRICAL PERMIT APPLICATION FOR OI'FlCIA1. U~ ONLY _. I'lmU ." 0Id.~.. -....... The E lec1rIcel Permit Application must be f1111K1 aut cornafetelv. Pt.... t)'pe or ,..pl'fnt In Ink. It you haye Iny Que8tJorw, pi.... ull (350) ."~715 Fax- nurn ber: (380) ."'''''1 t o..-...EIec. Contr._Agent 01 ymp icE 1 ec t r i c Property Ownor.;t7rr" -/. i?71h/ iF" ;1 c' rr/ ('. <; ./ <r Add....: -(/ ~ _ <( ,,"'- e_ COnlroctor. Olympic Electric Co., Inc. ~ 4230 Tumwater Co. , Inc. Phone: 457-5303 Fax: 452-3498 Phone: '1/ 7 - /P'5?1 CUI': f?;rf A~r/rJ Z1~: '/ y U2 License t: a... YM=H28501Exp. 3/31/03 Phone: 457-5303 CII\': Port Angeles 2l9: 98363 INSTALLATION WIRED BY: o OWNER lO ELECTRICA.L CONTRACTOR Creditc.nlHoJdet-NIJJJM: Charles T. Burkhardt, Olympic Electric Co., Inc. amlng Addrua: Same Credit c.nI Number. City: Exp. Data: Zip: \l7SA: X Me: PROJECT ADllRE8S: ,;/;;::; j (: -' r TYPE: OF WORJ(: Check alllhat apply: J?,r .-1- Ad/: 1 ./ o New. 19'Al18ratloolAdditlon ll3"'R'esldenU81 0 Multl-f8mily o Commercial 0 Mobile Home Sq.Ft. 2 OSlg ~ oq " .' " o Remole Meter 0 Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump . 0 Low Voltage 0 Telecom. Number 01 ClrcullB added or eltered: DESCRIPTION OF THE ELECTRICAL PROJECT: I!/,:-!;/ .-:;;.~,.<) J I/V' / r/ ".,~/'17/? /77,~r ~ r//7,'- , / E'ect- I ...... ......./tIon. and or .ubtrac:tJon. Service Info.....-.. o Baaeboerd Ofumac:e o _Pump D F....WalI KW KW TON -KW LAR ~emead Servlca o Tamp Service D Underground Setvlce Vollage: ;2. 'V/ Phase: i2'1 0 3 5."";",, Slz.: .2?:?~ Feeder Slze:__ PAMC 14,05.060(8): For induotrlBJ. commerciel. & resldenli8J projects larger than a duplex. a one - line drawing 01 the Electrical Setvica & Feedenl. building size CSll. Il,).1oeC calculatJonB. end thBlype & olconductol'8 and/or ~ay Is required and shall eecompany Ihe ElacIrIc8J Permit eppllc8tlon. I hereby certify that I have read and examined this application and know Ihat same to be true and correct, and I ef authorized to apply for this permit. I under:;tand it is not the CiIy's legal responsibility to determ hat permits are requir&G; it remains the applicants responsibIlity to determine what permits are required and to obtain such. CrodM Cord Holder'. SIg.........: Dat.: /?Jh /?'t/ Do.., /0// /?/t/ PERMIT FEE: $ . 6h ~ Owner or EI.c. Cant. SiSftature: PW-9018171tl3 /:' ----, :-', '. ~~ .. \.~'t2ff' .:. ~:/; - "- . ,.- .. .. IElrE(c"fIF<<~CAl ~INISIPIEC"f~<O>1NI W~ 1Rl~ NG flllElP<O>lPflr 417-4735 - tZ...-4.U'A $, C:.- "~ APPROVED NOT APPROVED D """.".."....."..".. DITCH ................... D D .............. ROUGH IN/COVER. . .. . .. . . . .. .. D D .................. SERVICE .................. D D .................... FINAL. . . . . . . . . . . . . . . . . . .. D CORRECTIONS NEEDED: @ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (380) 452-1381 .... . - " ELECTRICAL ~INISfPllECT!OINl WIR!NG 1Rl1E~(QlIRT 417-4735 ~ IN~Tfcl DATE IO-.z..o - 0<-( o ICONTRACTOR . E, ADDRESS 5/ S APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN/COVER. . .. .. .. . .. ... 0 o .................. SERVICE .................. 41 o .................... FINAL. . . . . . . . . . . . . . . . . . .. 0 CORRECTIONS NEEDED: Gel 1. IA-/iAA./ -...dz..uf .-<'1 'I/~f 1)).-\, t~...f tI2 A~"'. Q~ .. NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - .__.9LYMPIC PRINTERS, INC. (360)452-1381