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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DMSION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
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Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00001235 Date 12/14/05
160255
2122 W 6TH ST
06-30-00-9-8-0000-0000-
DAVE &: KATHY BROWN
MECHANICAL PERMIT
~
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RS7 RESDNTL SINGLE FAMILY
2000
Owner
Contractor
BROWN DAVID / KATHLEEN
2122 W 6TH STREET
PORT ANGELES WA 98363
LISENBURY FIRE PROTECTION
470 MONROE RD
PORT ANGELES WA 98362
(360) 683-5132
67298
50.00 Plan Check Fee
12/14/05 Valuation
6/12/06
.00
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Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
MECHANICAL PERMIT
Qty Unit Charge Per
1.00 50.0000 ECH ME-WOOD BURNING APPL.
Extension
50.00
Fee sununary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 50.00 50.00 .00 .00
h'l1 t{ I eJ
05/
09/()?
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 giv authority to viol~ or cancel the provisions of any state or local law regulating construction or the performance of
construction /, /- ./'::/
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Date
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Signature of Owner (if owner is builder)
Date
T:\Policies\I 102_15 building pennit inspection record05.wpd [1/412005]
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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
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR 1 SLAB
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE FINAL DATE ACCEPTED BY:
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUNWI FURNACE 1 DUCTS
GA~ LINE FINAL 5/~ 07
-7 WOOD STOVE 1 PELLE'!:ft2HlMNEY DATE ~LL ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
.
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LIGHTING 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. 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:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
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PERMITS (360) 417-4815 FA,X(360)417-4711
Date Approved:
Date Issued: \
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BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST. BE
COlvrrLETE to be act:cpied lOt' l'evier-r. IfYOll have any qucstians~ c~lll
Applicant or Agent);)"". L", / ./'/',- <...
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Owner: .{)(;?(v<- b...J) j-, /i I 6',,, _ t-..
, . /. .
Address: .2. / 2 L t,.-., 114
~(]IN/;()o-.
Phone:
r(F\-)/Y2
Phone:
City: ~J')- .~j-P k,
Phone:
fi"lr-rAj.. St~te License #: 9s 9 Q G Exp: /1/7/0 I
A: r /- hJ~e4J '
Zip:
9FJ(J
ArchitecvEngineer:
Contractor L; u... 6" - f h" {.
Address: t.r70 A-1oju"''''
PROJECT ADDRESS: 7 / .:2 2-
LEGAL DESCRlJ>TION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
City:
~ ,( /.(
ZOJ\'ING:
Block:
Subdivision:
TYPE OF WORK:
o Residential 0 New Constr. 0 Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
I!3"'Stove
o Garage
o Deck
o Other
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-
SIZENALUATION:
SF. @ $ /SF. = $
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $ 2~ OO.2:!-
4' l.."..-I /;At'''- ;~',I le#." I'~ :~
COMMERClAL/RESIDENTlAL: Occupancy Group:
No. of Stories: Lot Size: Existing Sq. Ft.
Total lot coverage %
Occupant Load: .
& Proposed Sq. Ft.
Construction Type:
= TOTAL Sq. Ft.
APPROVALS:
PLAN:
BLDG:
DP\VU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 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: !fno 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 R105.3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what ermits are require ot the City's, and that I must obtain such permits prior to work. .
ate: \'Z-/14~?
Applicant:
T:\PoJicies\BL-J I02_13.wpd
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
05-00000888 Date
688800
2122 W 6TH ST
06-30-00-9-8-0000-0000-
RES ADDITION
RS7 RESDNTL SINGLE FAMILY
1500
Owner
Contractor
BROWN DAVID / KATHLEEN
2122 W 6TH STREET
PORT ANGELES WA 98363
OWNER
Construction Type
Other struct info . .
Structure Information 000 000
TYPE V NON-RATED
TOTAL % LOT COVERAGE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
NUMBER OF UNITS
permi t . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
172 SF DECK REPLACEMENT
61135
77.50 Plan Check Fee
9/27/05 Valuation
3/26/06
Qty Unit Charge Per
BASE FEE
10.00 3.0500 HND BL-501-2K (3.05 PER C)
Other Fees
STATE SURCHARGE
9/27/05
24.00
1
1. 00
2026.00
9200.00
1. 00
31. 00
1500
Extension
47.00
30.50
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- '- - - - - - - - - - ----------
Permit Fee Total 77.50 77.50 .00 .00
Plan Check Total 31. 00 31. 00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 113.00 113.00 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
nu II 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
T:\Policies\ 1102_15 building permit inspection record05.wpd [114/2005]
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Signature of Owner (if owner isJtuilder)
o} - Jr .. c-S-
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 COMMENTS
YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE 1 DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.) O~~"O5) J }..~
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 ALL/HOLD DOWNS
WALLS I ROOF 1 CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULA TION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP I FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKJRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKINGILIGHTlNG 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 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 1-?_<9~ ~J..J.. BUILDING
T:\Policies\ 1102_15 building permit inspectIOn record05. wpd [1/4/2005J
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BUILDING PERMIT - APPLICATION I
Fill out COMPLETELY and in INK. Your application and site plan MUST BJ /
COMPLETE to be accepted for review. If you have any questions, call ~.
PERMITS (360) 417-4815 FAX(360)417-4711
...
Applicant OT Agent:-!< rn~...c.. ~ D^ V l b~ S f'O u.. J \r'\
Owner: ~~~ \ .
Address:~h.1 V\ (}c7)\r.2 \-0..\/'\<2
Phone: 3~ D - i-.\\ "1 - d.c,{/)~.
Architect/Engineer:
Phone:
City~ '+-l-..l1.Ctr le.-,')
Phone:
Zip: q~ ~~
Contractor
-
State License #:
Exp:
Phone:
City:
LU. ~-b_~
Zip:
.1":) -\--) '\)s (:1-
\. . ZONING: \ C
c- J-r .
Subdivision:u-eO ~ I^-. \ t...~ ~. ~ 7
Address:
PROJECT ADDRESS: ;:) \ :J.-~
LEGAL DESCRIPTION: Lot: \
CLALLAM COUNTY PARCEL NUMBER:
Block:
Credit Card Holder Name:
Billing Address: City:
Credit Card Type VISA MC # Exp. Date:
TYPE OF WORK: SIZEN ALUATION:
D Residential D New Constr. D Re-roof D Stove SF. @ $ /SF. = $
D Multi-family D Addition D Move D Garage SF. @ $ /SF. = $
D Commercial D Remodel D Demolition )( Deck SF. @ $ /SF. = $
D Repair D Sign D Other TOTAL VALUATION $ IpCl:"..7-
BRIEF DESCRIPTION OF THE PROJECT: })2.~ r\,(~ ~ \. ~0J.2.~-r-
COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load:
No. of Stories: L Lot Size: Y 0 k \. t 5' Existing Sq. Ft. 1- O~ Co & Proposed Sq. Ft.
Total lot coverage ~ 3, 3'1 %
Construction Type:
1'1/
= TOTAL Sq. Ft.
2- \ ~~6
ESAlWetland(s): DYes D No SEPA Checklist required? DYes D No Other:
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:
PLANNING USE ONLY:
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: Ifno 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 R105.3.2
of the International Building/Residential Code, 2003). No application can be extended more than once.
I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply
for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must
obtain such permits prior to work.
"'--k/\ ~ ~ l J q_ [lor. oS-
T:\Policies\BL-II02_13.wpd APPliCant:<--r\ 0- \l1~'L&-<--JDate:
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D CIlX.OF PGRT ANGELES -- Construction Plans
The Issuance of this permit based upon these plans, specifi-
3.. ./6.' . 'I _-. I cat~ns and other da.t.a S.haH not prevent the bUilding official
from thereafter requiring the correction of errors in said
plans. specifications and other data, Dr from preventing
building operations being cairied on thereunder when in
violation of ail codes and ordinances of this jurisdiction.
~netJ 383(0) ~ lv, ~urld,::!: S6~
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 16222
c:?-/J' Y
Port Angeles, Washlngton......__...__......L..........____............................ lY,....
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment In, on. or about any building or other structure In the City of Port Angeles. per-
mission is hereby granted to do' electrical 'lVork as listed below.
Address .....,:.!.;;J..8:;,....{::':.~=....t;;,.t~......__...____....m.m. Occupancy._u.___u.._u_........m.m..__.u_____.....
Owner __.u_....fo.l2!.,.A..jltr.....(~.d;.;t.y.:........ TenanL.............m..._..m_...._....__..u...............__..__.......
.. -':'.' m rrr
Wiring Contractor ......{.a~-:&.:.~:J........,...l!::~:-:..:.__~.__.... By................................m.......__.._.__....m...__....m
/C' '/.?O/J'Y.O
Light Outlets_m_....m....................-..-..... Service, volts ..._..........._......m._..........
If' ."... . .-.'
Receptacle Out1ets....~....~.........m._ No. wires .......:.;;(m.........m....~....
- c 0;1 "...1/
Dryer, KW _...m......m.......................... SIze wlres..m~;F:;..mm....J......._..
Range, KWUh___/'~h'Uh___ u.______h__ Main fuse __mQ"?P.__f..!____
---
Enclosure ..mm...;;;mm.m............
Water Heater:
.-'
KW.m.......f'j...;;;.:.m.......nn.._
Heat KWh.mu__/tl.1J____./)IJ...__h.
Type of wiring:
Entrance Cable .......m..m........
Motors: size, volts and phase:
Rigid Conduit m.....___m........___
Metallic Tubing .......0.........
Current transtormers:
No. & Size..............................
Ser. No........._............._......_................
Ser. No..............................................
Type of Wiring:
Armored Cable .__.....m...................
Non-Metallic ............;m_..............._
Knob & Tube..................................
Rigid Conduit m____hh.__hh__.mhmh
Metalllc Tubing ______.m__.______________
Raceway ....C--..........-......-.....-
CIrcuits, LIght.L...........___.m......m..__m
Utility __r..m______m.mh.__.__.____hm
~:ge ~--fi.:::::::::::::::::::::::::::::~::::::
Water Heater ..:2..._....................
Motor ..._........................................
DTyer......~.................._................._
Furnace .... ......_..............._...................
Ser. NO............mm...m.m....._.___........ ) <t
Remark:~ta:..~~~...~...~......~:::.::::~,_.~__.u.___.~~'_.:o_..::;.;::..:;.:.~::._~___....__.______.__.u~.~~:~~:::.~~::.:::..:__.:::.:.:.~:::.::
/' -_._~- -
...______.u_____.___....._....__.__...._.....................______.___u._______._____.uu.-.-m...------.7).-------------..----....---.......---.--.....--.....----
:::1Z~.__.____m..__.... ::~.::--~.~.~.~~~.~......- By ..!;f..~e~~~~~~,:~~---
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. It work is to be con-
cealed due noUce must be given the Inspector so that work may be inspected before concealment
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
ELECTRICAL PERMIT
(
N?
16222
Address......................._................................................................_...............................................Date..._.........._......_.........._......_.................
Owner ..................................._......_.._......_......____..............n............_.............................. Tenant.........................................._.........................
WIring Contractor ............................................................................_............................................. By..............................................................
NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. It work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected betore concealment. .
,
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