The URL can be used to link to this page

Home My WebLink About136 W 2nd St - Building PREPARED 12/30/10 8 27 52 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 12/30/10 ADDRESS 136 W 2ND ST SUBDIV TENANT NBR PEN COMM MENTAL HEALTH CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452 5381 OWNER PENINSULA COMM MENTAL HLTH CTR PHONE PARCEL 06 30 00 0 0 5332 0000 APPL NUMBER 09 00001188 RES REMODEL PERMIT BPR 00 BUILDING PERMIT - RESIDENTTA7• REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 11/23/09 PB BLDG FOUNDATION FOOTING TIME 01 00 11/24/09 AP November 23 2009 9 45 48 AM 1pangrle Kyle 461 0043 FOOTING AFTERNOON November 24 2009 8 OS 13 AM pbarthol BL99 01 12/30/10 J BLDG FINAL TIME 01 00 _ A December 30 2010 8 21 36 AM 1pangrle ,k MARK 477 5409 BUILDING FINAL ADDED A ROOF/RAILING ON THE EXISTING SOUTH PORCH -------------COMM ENT-S--AND—NOTE q ----- ------------ P OJECT STATUS UPDATE Permit#0q 1 I g Date 12--Z,-; O I phoned the Applicant at Property Owner at 0(::Contractor A � _ Hoc), o�atr q15�JZ—�-J�� I (left a phone message o discussed) Cakr`e W-as 9 0VIIP-) The permit ( , s expired, r will ex ire soon) What is the status of this project? Please call and schedule a final inspection Or Submit a `permit extension request" letter Or Let me know if the project is abandoned _' s �e -�YVtM61)JAC6 -e-A Q anibIS wo s y4 ryAYiCM6*- t h -ql�s cls -+-o me t iz VX A- 2 IU foal T.Foi7ns/Building Division/Project Stat s Update PREPARED 11/23/09 9 47 08 INSPECTION TICKET PAGE 1 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/23/09 ADDRESS 136 W 2ND ST SUBDIV TENANT NBR PEN COMM MENTAL HEALTH CONTRACTOR HOCH CONSTRUCTION PHONE (360) 452 5381 OWNER PENINSULA COMM MENTAL HLTH CTR PHONE PARCEL 06 30 00 0 0 5332 0000 APPL NUMBER 09 00001188 RES REMODEL PERMIT BPR 00 BUILDING PERMIT RESIDENTTAT• REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 11/23/09 JLLn BLDG FOUNDATION FOOTING TIME O1 00 November 23 2009 9 45 48 AM 1pangrle p ( Kyle 461 0043 FOOTING AFTERNOON COMMENTS AND NOTES CITY OF PORT ANGELES DEPARTMENT OF COM UNITY & ECONOMIC DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES WA 98362 Application Number 09 0(11 001188 Date 11/16/09 Application pin number 230052 Property Address 136 W 2ND ST ASSESSOR PARCEL NUMBER 06 3Q 00 0 0 5332 0000 Tenant nbr name PEN COMM MENTAL HEALTH Application type description RES REMODEL Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 4250 Application desc 1 ADDING A ROOF/RAILING ON THE EXISTING SOUTH PORCH Owner Contractor PENINSULA COMM MENTAL HLTH CTR HOCH CONSTRUCTION 118 E 8TH ST 4201 TUMWATER TRUCK RT PORT ANGELES WA 983622623 PORT ANGELES WA 98363 (360) 452 5381 Permit BUILDING PERMIT RESIDENTIAL Additional desc ROOF OVER SOUT PORCH Permit pin number 156638 Permit Fee 137 75 Plan Check Fee 89 54 Issue Date 11/16/09 Valuation 4250 Expiration Date 5/15/10 Qty Unit Charge Per Extension BASE FEE 95 75 3 00 14 0000 THOU BL-2001 25K (14 PER K) 42 00 Special Notes and Comments Q November 13 2009 9 55 23 AM Brian 417 4708 Maintain 5 feet horizontal clearance from overhead electrical service wire Other Fees STATE SURCHARGE 4 50 Fee summary Charged Pad Credited Due Permit Fee Total 137 75 137 75 00 00 Plan Check Total 89 54 9 54 00 00 Other Fee Total 4 50 �4 50 00 00 Grand Total 231 79 231 79 00 00 Separate Permits are required for electrical work, SEPI, Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The g�anttng 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. /—23 Date Print Name Si ur f Contractor or Authorized Agent Signature of Owner(if owner is builder) T:FormsBuilding Division/Building Permit BUILDING PERMIT INSPECTION RECORD 1 v� — PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS -- OQ Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs) PLUMBING Under Floor/Slab Rough-In Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL. vim' Walls Ceiling FRAMING Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall(Interior Braced Panel Only) T-Bar N INSULATION Slab Wall/Floor/Ceiling MECHANICAL. Heat Pum /Furnace/FAU/Ducts Rough-In �-- Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT Separate Permit#s SEPA. Parkin /Lighting ESA. Landscaping SHORELINE. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By % S� ac1. r"R,1A, � BUILDING PERMIT APPLICATION Print in ink ''*�• - CITY OF PORT ANGELES � For City Use Only ��.-- Attn Building Permit Technician Date Received 1 - Z- 321 E Fifth St. Port Angeles, WA 98362 Permit# Oct- (360) 417-4815 fax(360)417-4711 Date Approved Applicant or Agent CRS t. 4,,C Ph ne 5a,� Property Owner Phone Property Owner's Address F7 9M S Contractor/Engineer }- tSc�F1�n _ Phone o 57 Z-'5-3 Contractor/Engineer's Address Zo / 4 ��/� 47- %g 3(p License# Hp CCS Ex ire6J a E-mail i PROJECT ADDRESS Parcel Number Lot ZoningH D Proiect Type&Brief Description. Residential ❑ Commercial ❑Multi-family ❑Industrial Check all that apply ❑ New Construction ❑Addition ,Remodel ❑ Repair ❑ Re-roof ❑ Demolition ❑ Heat System ❑ Heat pump ❑wood-burning stove ❑gas fireplace ❑ pellet stove ❑other Other COQeel(1A Floor Areas Existin (sq.ft. Proposed(sa. ft.) Basement @ $ per sq. ft. _ $ 1 gt Floor 2°d Floor 3`d Floor Garage 1 Carport Covered Porch Deck ry�p Shed Other TOTAL VALUATION $ Total footprint of structures sq. ft. T Lot size sq. ft. = Lot coverage % Max. height of proposed structures ft. Occupancy group #of bedrooms Will a lawn sprinkler system be installed? Occupant load #of full baths Will a fire sprinkler system be installed? Construction type #of half baths /have read and completed this application end know it to be true and correct. lam authorized to apply, this permit and understand that it is my responsibility to determine what permits are required, an obtain permit pn r t working on projects. Date I `0 Print Name Signatur 126 �^ `� � 4 •� ;�; YAC, .s •��.�! iy� r� ,�� ,>i .- �` rper1A ? .�: µK -, ' t�°•i ''Xti• 122 '222 °"'sa' .j. '_�T_z - a[i '?i�" i,�y<l< �'�s.y` r. Y u* _ ��„«r y; `'C`�' �„ � .,♦ '° °•- j' wm�" ,108 ' � j3�G:* ..�,'_?�"h✓tl.`P• ' ' ;� ', .. w«`��..: . 212139, Y 4 !.`'tea• . ;3 � •' t; �'_ '�';' 939 a ''M, ,j YX,•.6 � f , o v< - F' t.t 7 sT' .�^' b` ,�-y�}.w� .138 , [J��) ;s/I JIr Vf^ `,Yj'`Fy° 213 < p �✓- NO`. :7 .? x , ' , & . ., , •, itµ tr.., '0.:fi. :,�� ,' to��.� �.ti.� ��„�1,` '�:,. ,b `�' •��:a�' ��, �.s 'i:. �t'� - ,�f 114 ,$e" �• ',., �� -. �, ,,d",. .129 k�'`- a.V �'r �; _` - - ``t`<.. �tras<_ .. '133 `' vr,.`l„fa`{• =t:� -v `'`2''•'!:,' ;, -318 •` 110' *�y'., ''s'. ', tir p=.^ 2 Ilk- 20 ,`. 208 l.£1 ° r w5'':� �a"'° �._f � t .i^�" 1' ^+M aK'>�� "m ,..,�• '°'+s ., 10 zs=:wr,.....:.sk?_ 3'f�' t ?2"c �' a: ...c.<......-Z.s'�,<c". ... _ _.c...'. ?..:..,a. °.ti''L�.` i•.r" 1;15 ..�..�... CENTER LINE SECOND STREET � I EXSITING WATER METER I I EXSITING RESIDENCE I I I I EXSITING OVERHEAD POWER I I I EXISTING DECK WITH PROPOSED NEW ROOF 1 I V-6 1/4' I2'-5 3 4-�,� ' I . I ' I I II CENTER LINE OF ALLEY 5f TE, FLAN SCALE: I' 10'-0" 139"- :ii 2 9=212 \ ` 133 .1 '139" 204 f � J 127 d rr � r 138 " ♦ P I . ;36 ♦ r 1 r o j .138 126 I 213 .� .� �� ♦ � � '122' + r � 1 I y + 126 IN lel 129 '139' r' r�( .._..13.._. _ /�`w f .,_..._,.._,._ ..._.. �{ � ,' a`_�✓ / \`` ..� /L�??� // t �r; t'{ .1. 'i; �• 'i' C. 'CITY,bkkoRT:ANGE.LES'' t.. DEPARGT'1VIENTOPCO1VIlVIUNITYYDEUELOPMENT -_BUII;DIIVG:DNISION E EAST:3THSTREET",PORT:ANGELES;VVA:98362'; - -�Applrcaton}+Numkie4',404 "00000632• =Date^�- '7F/29�/04'^=;��'��:-�- '=�• --� •��-' 'Pin number. « 0877328 J �' tict. �y.f ,.1• Property Ad'd'ress 'S 136 W 2ND; ST r ;k.t9hSSdR''PARCEI,NUMBER 06,-30-00'. 6.1-'6-5332`-0000= :, ,, AppTicaton,'description RES FOUNDATION• REPAIR S,r v 54'n sa'division Name Property Use, Property Zbning. RESIDENTIAL.HIGH DENSITY Application valuation ]5000' ti Oviner Contractor ; PENINSULA COMM MENTAL HLTH-CTR. HOME' SERVICE 118E.` BTHi ST 223, MARSDEN,RD PORT ANGELES WA 983622623 PORT ANGELES. WA 98362 (360) 457 0431 (360) 4y ! 1708 -- - ---- ,i.--- - -- - -- --- - ---- - - --- ---------- Permit, BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee- 2741 75 Plan Check Fee, 109- 90 Issue- Date 7/28/04 Valuation15000 Expiration Date 1/25/05 Qty Unit Charge 'Per Extension BASE. FEE 92 75 13' 00 14 0000 THOU BL-2001 25i (14' PER K) 182 00 - -- --- --- - - -- - - --- - - - - --------- Other Fees STATE SURCHARGE 4 50 V Fee summary Charged Paid Credited Due --- - --- - -- - -- -- - -- - - Permit Fee Total 274 75 274 75 00 00 Plan Check Total 109 90 109 90 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 389 15 389 15 00 00 3 P' 4 O \ 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 struction. Sig at re oftractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T-\PLANNING\FORMS\ 102 15[11/14/2003, BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS.CALL 41'7-4735 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 LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE -7DATE ACCEPTED COMMENTS YES_ ,FOUNDATION: FOOTINGS. ay WALES _p °FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT N ROU&4N PLUMBING "UNDERFLOOR/SLAB ROUGH-* WATER;I INE`WETER TO BLDG) GAS-11-NE, MAC KYLOW/WATER AIRSEAL. :c•x_ .. `wAii5 ��Mt M Nc: .JOISTS./:GIRDERS SIDrAIt WALI%HOLD.DOWNS WAI:LS/;ROOF/.'CEILING DR, ALIL(INTERIOR BRACED PANEL ONLY) T= BAR`... INSULATION r, WAIL'14LOOR/CEILING„ . r?MECHANICAL kEA7'"PU1v1P, GAS lIN$ W606'STOVE7 PELLET/CHIMNEY' 'HOOD/ DUCTS PW UTILITIEV°SITE WORK (Engineering Division) SEPARATE PERMIT N's: WATERLINE%METER SEWER CONNECTION SANITARY STORM PLANNING;DEi'"a: SEPniwI.ExERivui ESA. L 4ND$CAPING ; +SHORELTNE: t FINAL`IN$PECT101!IS RNEQUIRED'PRIURTOLOCCUPANCY/t1SE {,< Kt t DTERCIALATERESIDENTIAL ,- ACCERTEDO +X , u YES ' l ELECGRiGAL `LIGI}T,DEPT' 41Z-4735 , z ULGTRIC TL, _,, 11 `DGP. CON§'AQ6T1.0N-R:W /PW/ CONSTRUCTION„R.W ENGINEERING 417-4807 PW/ENGINEERING ` ;PIRE•."-N , 'PLANNING D PT 417-4750 PLANNINQ DEPT BUIIsDING. 417-4815 A T\PLANNING\FORMS\1 02.15(11/14/2603; PREPARED 8/04/04 12 25 04 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 8/04/04 ADDRESS 136 W 2ND ST SUBDIV CONTRACTOR HOME SERVICE PHONE (360) 457 1708 OWNER PENINSULA COMM MENTAL HLTH CTR PHONE (360) 457 0431 PARCEL 06 30 00 0 0 5332 0000 APPL NUMBER 04-00000632 RES FOUNDATION REPAIR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 7/28/04 RV BUILDING FOUNDATION FOOTING 7/28/Q4 AP jason 460 2673 BI2 01 / 4/ 4 L BUILDING FOUNDATION WALL JASON 457 1708 - COMMENTS AND NOTES I PREPARED 7/28/04 13 09 26 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR ROGER VESS DATE 7/28/04 ADDRESS 136 W 2ND ST SUBDIV CONTRACTOR HOME SERVICE PHONE (360) 457 1708 OWNER PENINSULA COMM MENTAL HLTH CTR PHONE (360) 457 0431 PARCEL 06 30 00 0 0 5332 0000 APPL NUMBER 04 00000632 RES FOUNDATION REPAIR PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL1 01 7/28/04 RV BUILDING FOUNDATION FOOTING ✓rte Jason 460 2673 COMMENTS AND NOTES CSVORI,k, CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 04 00000632 Date 7/28/04 Pin number 087328 Property Address 136 W 2ND ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 5332 0000 Application description RES FOUNDATION REPAIR Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 15000 Owner Contractor PENINSULA COMM MENTAL HLTH CTR HOME SERVICE 118 E STH ST 223 MARSDEN RD PORT ANGELES WA 983622623 PORT ANGELES WA 98362 (360) 457 0431 (360) 457 1708 Permit BUILDING PERMIT RESIDENTIAL Additional desc Permit Fee 274 75 Plan Check Fee 109 90 Issue Date 7/28/04 Valuation 15000 Expiration Date 1/25/05 Qty Unit Charge Per Extension BASE FEE 92 75 13 00 14 0000 THOU BL-2001 25K (14 PER K) 182 00 Other Fees STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 274 75 274 75 00 00 Plan Check Total 109 90 109 90 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 389 15 389 15 00 00 3 P' z 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 struction. Sigat re of tractor or Authorized Agent Date Signature of Owner(if owner is builder) Date T-\PLANNrNG\F0RMS\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 LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN 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 GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s: WATERLINE/METER SEWER CONNECTION SANITARY STORM 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 417-4807 PW/ENGINEERING FIRE 4174653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING TAPLANNING\FORMS\1102.15[11/14/2003] o"p oer A1. FOR OFFICIAL USE ONLY BUILDING PERMIT - APPLICATION Date Rec. "I Q- oy z , `fs a�� `, � Pemlit# Oy "h3z Fill out COMPLETELY and in INK.Your application and site plan MUST BE Date Approved. COMPLETE to be accepted for review If you have any questions,call Date Issued. PERMITS (360)417-4815 FAX(360)417-4711 Applicant or Agent: H*l yV1'2 S eP0 tc_e_6g 4,,oA 6rL'(-e4P one _�TS 7` qeoo'a6 7A Owner pgmI (lSU&, h, e,�A- VeclEh ,Phone Address 1310 UJ-,O-!5+ '01 City' �01 � U 1A W0. Zip _(:I3� Architect/Engineer- Phone Contractor ODM?��S,e C'V. State License#• D`(\ Exp Phone VY)-1 ;,08 Address , City' r�� Zip q$3 ' PROJECT ADDRESS 1 2,CD weA SND `' � ZONING � LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. Credit Card Holder Name: Billing Address: City. Credit CardType VISA MC # Exp.Date. TYPE OF WORK. SIZEIVALUATION ❑ Residential ❑ New Constr ❑ Re-roof ❑ Stove SF @$ /SF =$ ❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF @$ /SF =$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF @$ /SF =$ $-Repair ❑ Sign ❑ Other TOTAL VALUATION $ /5',000 �— BRIEF DESCRIPTION OF THE PROJECT I 1A COMMERCIAL/RESIDENTUL Occupancy Group Occupant Load. Construction Type: No of Stories._ Lot Size: Existing Sq.Ft. &Proposed Sq Ft. =TOTAL Sq Ft. Total lot coverage % APPROVALS. PLANNING USE ONLY PLAN BLDG DPWU FIRE. ESA/Wetland(s) ❑Yes ❑No SEPA Checklist required? ❑ Yes ❑ No Other- OTHER. BUILDING PERMIT APPLICATION SUBMITTAL. The Building Division can provide you with information on the application and plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION In all cases,a valuation amount must be entered by the applicant. This figure will be reviewed and maybe 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.pernnt.fees-are due at the time ofperirut 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 107 4 of the Uniform Building Code,current edition) 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, nd that I must obtain such permits prior to work. T•\FORMS\APPS\Buildingpermit.wpd Applicant: Date• ^�q �� CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION —� 321 EAST 5TH STREET PORT ANGELES,WA 98362 Application Number 04 00000562 Date 7/01/04 Pin number 285222 Property Address 136 W 2ND ST ASSESSOR PARCEL NUMBER 06 30 00 0 0 5332 0000 Application description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RESIDENTIAL HIGH DENSITY Application valuation 0 Owner Contractor PENNINSULA COMMUNITY MENTAL OWNER HEALTH 136 W 2ND ST PORT ANGELES WA 983622623 (360) 457 0431 Permit ELECTRICAL ALTER RESIDENTIAL Additional desc 200A SERVICE CHANGE l"•V• Sub Contractor ANGELES ELECTRIC ^ Permit Fee 64 90 Plan Check Fee 00 D> Issue Date 7/01/04 Valuation 0 Expiration Date 12/28/04 Qty Unit Charge Per Extension 1 00 64 9000 ECH EL-R OR RM 0 200 ALT SRV FDR 64 90 Fee summary Charged Paid Credited Due Permit Fee Total 64 90 64 90 00 00 Plan Check Total 00 00 00 00 Grand Total 64 90 64 90 00 00 1a 0. `1 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•\PLANNING\F0RMS\1102.15[11/14/20031 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 LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDERFLOOR/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 GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s: WATERLINE/METER SEWER CONNECTION SANITARY STORM 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 / O ELECTRICAL (Q 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 BUILDING Lj T-\PLANNING\FORMS\1102.15[11/14/2003] ,1 �A\ CITYQ6 PORT ANGELES—Construi �`— The Issuance of this permit based upon they�{ g }i - -t— _ cations and other data shall not prevent u!!d' ffr .al from thereafter requiring the correction,To heir o saiA i � --plans,specifications and other data, or-fto png - FrE building operations being carried on thereu in 139 Y.\Eb *.Ik` �7 violation of all c6des and ordinances of nth'a n. ! (SECTION303(r) Uniforirr8raldingCode4 rind, LI>Sts Pos�Ka s�o/r_ z Tpro 0 4 L - t y)((o �Ositd\ S ®lam ! I }o }ob�� c osT 0 ,�Q Al 0 J L -9 T �l x� P c 1 1 I ----- 4 t y o J n �O 46 �OIL. oQ s � d xry Qcess�.� '�rea�eA Igx�a�t8 5'01 aLL Oki- fl o ay T 4r<to G C g con V CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT -BUILDING DIVISION 4 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Ram Application Number . . . . . 04-00001075 Date 11/17/04 Pin number . . . . . . .342150 Property Address . . . . . . 136 W 2ND ST ASSESSOR PARCEL NUMBER: 06-30-00-0-0-5332-0000- Application description . . . DEMOLITION Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY Application valuation . . . . 2400 Owner Contractor ---- ------------------------ - --- --------------- - PENINSULA COMM MENTAL HLTH CTR MORRISON EXCAVATING INC 118 E 8TH ST P. O. BOX 3051 PORT ANGELES WA 983622623 PORT ANGELES WA 98362 ( 36) 457-0431 (360) 452-7179 ------ Structure Information DEMO GARAGE Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . GARAGES, CARPORTS, SHEDS -------------------------------------------------------------- Permit . . . . . . DEMOLITION Additional desc . . DEMO GARAGE Permit Fee . . . . 47.00 Plan Check Fee .00 Issue Date . . . . 11/17/04 Valuation . . . . 0 Expiration Date . . 5/17/05 Qty Unit Charge Per Extension BASE FEE47.00 --- --------- ---- - -------------------- ------------- - ---------------- ----- Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited - Due ----------------- ---------- ---------- ---------- Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 51.50 51.50 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements.This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work as commenced,or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of coruction. 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. ITIS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORKBEFORE INSPECTED AND ACCEPTED. POST PERMIT INA CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT:# ROUGH-IN 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 GAS LINE WOOD STOVE/PELLET/CHIMNEY HOOD/ DUCTS PW UTILITIES/ SITE WORK (Engineering Division) SEPARATE PERMIT#'s: WATERLINE/METER SEWER CONNECTION SANITARY STORM 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 4174807 PW/ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 — —(7f BUILDING T:\PLANNING\FORMS\1102.15[11/14/20031 OR r.,,:, �+q Ti tION' 171C-11L USO E ',LY fBUILDING PERMIT ` APPLIC A t Date Rec.:*= Fill out COIIIPLETELY and in INK.Your application andsite plan MUST BE Jat`Approvcd: COMPLETE to be accepted for review. If you have ani questions, call PERMITS (360)417-4815 FAX(360)417-4711 Date issued: Applicant or Agent:_-�'"`�,�' (� k'j2 i o. Phone: l�•`� -7 / 7 / 1 Phone: Address: /jJ6 �ti .�''�� CitV: l !/� 105 Zip: c� � Architect/End neer: Phone: Contractor�lJkizif�n�L- r v_ State License#��y��t'1� )7� �p: 4 -Ot( -06 Phone: 7 Address: L? x ��sl City: - des Zip: PROJECT ADDRESS: �� ZONING: LEGAL DESCRIPTION: Lot: Block: Subdivision: CLALLAM COUNTY PARCEL NUNMER: Credit Card Holder Name: Billing Address: City: Credit Card Type VISA MC 9 Esp.Date: TYPE OF WORK: SIZEIVALUATION: ❑ Residential ❑ New Constr. ❑ Re-roof ❑ Stove SF. @$ /SF. _$ ❑ Multi-family ❑ Addition ❑ Move ❑ Garage SF. @$ ❑ Commercial ❑ Remodel ❑ Demolition ❑ Deck SF. @$ /SF._$ ❑ Repair ❑ Sign ❑ Other TOTAL VALUATION BRIEF DESCRIPTION OF THE PROJECT: COMIVIERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: _ Lot Size: Existing Sq.Ft. &Proposed Sq.Ft. =TOTAL Sq.Ft. Total lot coverage % F ROVALS: PLANNING USE ONLY: N: G: U: ESA/Wetlaud(s): ❑Yes ❑No SEPA Checldist required? ❑ Yes ❑ No Other: FIRE:— OTHER:— BUILDING IRE:OTHER:BUILDING PERMIT APPLICATION SUBATITTAL: The Building Division can provide you with information on the application and plan submittal requirements if you have questions. 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 witb current fee schedules. Contact the Pernmit Coordinator at417-4815 for assistance. PL_:N 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. EXPIP�ATIOINOF PL_Al�T REVIEW: If no permit is issued within 180 days of the date of application,the application will etpire. 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. /hereby certify that/have read and examined this application and know the same to be true and correct. 1 am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required,not the City's, an hat I must obtain such permits prior to work. T:\RVESS\BLDG-forms-brochuresL003-Buildingpermit.wpd Applicant: ��d — Date:�=O 11 P ORTNGELES W A S H I N G T O N, U. S. A. � PUBLIC WORKS & UTILITIES DEPARTMENT 77-7 N hs November 15, , 2004 Dan Morrison P.O. Box 3051 Port Angeles, WA 98362 RE: Port Angeles Landfill Waste Disposal Application, WDA 04-29; Building demolition at 136 Wesj Street,Port Angeles, Washington We have received your application for disposal ofbuilding demolition debris from the referenced site and reviewed the testing results for lead content. Based on the testing results the debris �- appears to be acceptable for use in the landfill. A copy of your approved application is attached. This approved application must be shown to the landfill scale attendant at the time of disposal. Please be advised that this disposal application is only for the materials and quantities listed in the application. Materials not listed or in excess of the quantities noted may require separate applications and approval. Please call if you have questions. Very truly yours, Gary W. Kenworthy, P.E. City Engineer Deputy Director of Engineering Services GWK:tf Encl.: WDA 04-29 Copy: Ken Loghry N:\PWKS\ENGrNEER\WDAPPLIC\04-29.WPD FILE:Landfill Solid Waste Disposal Applications 321 EAST FIFTH STREET • P. O. BOX 1 150 • PORT ANGELES, WA 98362-0217 PHONE: 360-417-4805 • FAX: 360-417-4542 • TTY: 360-417-4645 E-MAIL: pubiicworks@cityofpa.us PREPARED 11/18/04, 13:07:02 INSPECTION TICKET CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY PAGE DATE 11/18/04 4---------- ADDRESS 136 W 2ND ST -------- ------ -------------- CONTRACTOR MORRISON EXCAVATING INC SUBDIV: OWNER PENINSULA COMM MENTAL HLTH CTR PHONE (360) 452-36) 07179 431 PARCEL 06-30-00-0-0-5332-0000- ( 36) 457-0431 APPL NUMBER: 04-00001075 DEMOLITION -------------------------------------------------------------------------------------------- PERMIT: DSFIO 00 DEMOLITION REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BLDE O1 1418/.04 JLL BUILDING DEMOLITION -------- COMMENTS AND NOTES -------------------------------------- 6-25-204 2:ABPM FROM ANGELES ELECTRIC INC 360 452 9265 P_ 1 g�~ 1 � tt.tU I hill AL PLHMIT APPLICATION w f ' 11in Flecliical PCn0i1 AppliCation must Im/Iliad out ConlpletelV "•1e ,.,e �(A Please lyno.or reprint In Ink, 11 you have any auestlons,please call(360.417-4735 !� \ Fax number:(360)417-4711 REQUEST INSPECTION ❑ Owner Or Elcc.Contraciol AgcnI;--ANGELES—ELzciT 1 C 1 N Phone:Q1,2–g9Kd Fax' Ju Propxriy Owner � 11 No .W.M[, ,}� Phone: L1I Address: //(S G`- r City:. fr ap: p�2 ElecaicalConuaclo'r ANGELES T:LFC7'f71C 1NC_ Licnyefi: EXP: Phone' dS7–Q�Kd ANGFIX.146ORS Adaess: 524 EAST FIRSToily: PORT ANGELL•S. WA Zip:3S3Kz 114SIALLAI TON WIRED 13Y: 1.1 OWNFF f LECTRICAI CONTRACTOR Credit Card Holder Name: Tarr Billing Address: City: / Zlp• Credit Card Number: Mc-/- PROJECT ADDRESS:_ �JtQ �J 2/61 TYPE OF WORK: Check all that apply: ❑New Ik 7' eration/Addition D Residental O Multi-family (] Comrilercial CJ Mobile Home Sq. Ft. O Remote Meter O Detached garage ❑Hol Tub O Swim Pool ❑Septic Pump ❑Low Vollage O Telecom. O Slgn Number of Circuits added or altered: DESCRIPTION OF THE ELECTRICAL PROJECT: IV Electrical Heal Load Additions 140 Go.4i2 C464W4E Service Information ❑Baseboard KW Voltage: 120,2 D Furnace _KW p Overhead Service Phase: i] Heat Pump —KW ❑Temp Service Service Size: OD 7 Fan•Wall —KW 0 Underground Service Feeder Size: oAMC 14.05,060(8): For industrial, commercial, & residential projects larger than a duplex, a one-line drawing of the Electrical Service& -eeders, building size(sq. It), load calcJlalions, and the type& of conductors and/or raceway is required and$hail accompany the Electrical Permit application. 'hereby certify that I have read and examined this application and know that same to be true and correct, and l am authorized to apply for this pennit. I understand it is not the City's legal responsibility to determine what permits are required,-it remains the app,#Cants responsibility to detennine what permits are required and a obtain such, nn s 0 Credit Card f folder's Signature:, Date: • JJ\ lb� l 1 Owner or Elr�c. Cont. Signature: Date: z � 'VJ-9019 �1 Ac0, lv *441 fi'omiG