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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Pin number . . . .
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000844 Date
.354388
213 E 11TH ST
06-30-00-0-3-2960-0000-
RES DETACHED GARAGE
9/30/04
RS7 RESDNTL SINGLE FAMILY
8000
Owner
Contractor
COTTON MONTE D
213 BE 11TH ST
PORT ANGELES
OWNER
WA. 98362
Structure Information
Construction Type
Occupancy Type
Other struct info
NEW 576 SF DETACHED GARAGE
TYPE V NON-RATED
GARAGES, CARPORTS, SHEDS
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
23.00
V-N
1. 00
1032.70
7000.00
576.00
1608.70
1. 00
Permit . . . .
Additional desc
Permi t Fee
Issue Date
Expiration Date
BUILDING PERMIT -RESIDENTIAL
24 X 24 DETACFED GARAGE
176.75 Plan Check Fee
9/30104 Valuation
3/30105
70.70
8000
'1=>
_.
(y
6.00
BASE FEE
14.0000 THOU BL-2001-25K (14 PER K)
Extension
92.75
84.00
\1
....
~
t
\1',
Qty
Unit Charge Per
Special Notes and Comments
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Proposal will result in a 576 sq. ft. garage on a residential
property for a total lot coverage of 23%.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City'S electrical facilities will
be at the customer's expense.
-
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Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 176.75 176.75 .00 .00
Plan Check Total 70.70 70.70 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 251.95 251.95 .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 P~it does not
presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the pe rmance of
construction. \
Signature of Contractor or Authorized Agent
Date
T:\PLANNING\FORMS\II02.15 [11/14/2003]
BUILDING PERMIT INSPECTION RECORD e {;" - 8"11.J
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 T NO
FOUNDATION: 11/1) no 5~~ II-It ,(f)1 A /)
/;Lr
FOOTINGS
WALLS
FOUNDATION DRAINAGEIDOVVNSPOVTS
ELECTRICAL (LIGHT DEPn SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING F INR-!- ,1-eJl( -cJf RP .JJ-t,.
UNDER FLOOR 1 SLAB 111-10-04 \ . t.-
ROUGH-IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLIHOLD DOVVNS Ii f). -/6 -04 J.l
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB !3YZ!? /06 ;] !r(."
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 (Engineering Division) SEPARATE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKINGILIGHTING 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 PW 1 CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 I J-<!>>I-(P~ J...LL. BUILDING
T:\PLANNING\FORMS\1102.15 [1111412003]
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property zoning . . .
Application valuation
04-00000844 Date
.354388
213 E 11TH ST
06-30-00-0-3-2960-0000-
RES DETACHED GARAGE
10/22/04
RS7 RESDNTL SINGLE FAMILY
8000
Owner
Contractor
COTTON MONTE D
213 BE 11TH ST
PORT ANGELES
OWNER
WA 98362
Structure Information
Construction Type
Occupancy Type
Other struct info
II
NEW 576 SF DETACHED GARAGE
TYPE V NON-RATED
GARAGES, CARPORTS, SHEDS
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
1. 00
1032.70
7000.00
576.00
1608.70
1.00
23.00
V-N
Permit PLUMBING PERMIT
Additional desc
Permit Fee 54.00 Plan Check Fee .00
Issue Date 10/22/04 Valuation 0
Expiration Date 4/21105
Qty Unit Charge Per Extension
BASE FEE 47.00
1. 00 7.0000 ECH PL- EA.FIXTURE ON ONE TRAP 7.00
Special Notes and Comments
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Proposal will result in a 576 sq. ft. garage on a residential
property for a total lot coverage of 23%.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City'S electrical facilities will
be at the customer's expense.
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 54.00 54.00 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 58.50 58.50 .00 .00
\D
w
rrt
---
-l
s
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. i
Signature of Contractor or Authorized Agent
Date
T:\PLANNINGIFORMS\1102.15 [11114/2003]
/o-zz-o
Date
BillLDING 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 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
DRYWALL (INTERIOR BRACED PANEL ONL Y)
T.BAR
INSULATION
SLAB
WALL 1 FLOOR I CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engineering Division) SEP ARA TE PERMIT #'s:
WATERLINE 1 METER
SEWER CONNECTION
SANIT AR Y
STORM
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKINGILIGHTlNG 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.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 BUILDING
T:\PLANNING\FORMS\1102.15 [11/14/2003]
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: S~a (' 0\,\ Co-L.~~" Phone: (3iRO) L\ S --, BOile,
Owner:(')'\O,"'e / t ~~\"OV"\ COlloV\ Phone: (~~O) 4--5'1 BOrb
, I & s--t~(..(l.x City~O ft'.A~L1.qf_.7k~ \J..jA zip:38 '5 LP :::2..
Address: ~ \ ~
.-
l::
Architect/Engineer: .-
Contractor -<Vi dJ\'\.e. (' "n\..L\ \ r1
Phone:
State License #:
Exp: --
Phone: ~
Address: -
PROJECT ADDRESS:J.\ .~ ~
LEGAL DESCRIPTION: Lot:
City: -
I ( tk5-t I Tor-t..-~ (\<1e 1e s LeA
Block: Subdivision:
Zip: -
ZONING:
CLALLAM COUNTY PARCEL NUMBER:
Credit Card Holder Name:
Billing Address:
Credit Card Type VISA MC
TYPE OF WORK:
.;rz(Residential ~ew Constr. 0 Re-roof 0 Stove
o Multi-family 0 Addition 0 Move ~ Garage
o Commercial 0 Remodel 0 Demolition 0 Deck
o Repair 0 Sign 0 Other
BRIEF DESCRIPTION OF THE PROJECT: ~ AI~P..... ....
City:
Exp. Date:
#
SlZEN ALUATION:
SF. @ $ (SF. = $
SF. @ $ (SF. = $
SF. @ $ (SF. = $
TOTAL VALUATION $ ~lt!~
~ en .... - ;:2t{ ~ rl4' 'J)P. o..e. e cl.
COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: ~ Construction Type:
No. of Stories: l Lot Size:10OO~xisting Sq. Ft. 1032. .l & Proposed Sq. Ft.S-r ls:J = TOTAL Sq. Ft. ,lobS :7c>
Total lot coverage Z 3 -z. %
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No 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 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 ofpermit 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 RI05.3.2
of the International BuildinglResidential 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, an hat I must obtain such ermits prior to work.
" . ate: 9-/1-'l> i
T:\RVESS\BLDG-fonns-brochures\2003-Buildingpennit.wpd
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CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
.l21 \--::AST 5TH STREET. PORT ANGELES. WA 98:162
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
04-00000844 Date
.354388
213 E 11 TH ST
06-30-00-0-3-2960-0000-
RES DETACHED GARAGE
3/02/05
RS7 RESDNTL SINGLE FAMILY
8000
Owner
Contractor
COTTON MONTE D
213 BE 11TH ST
PORT ANGELES
OWNER
WA 98362
Structure Information
Construction Type
Occupancy Type
Other struct info
NEW 576 SF DETACHED GARAGE
TYPE V ~ON-RATED
GARAGES, CARPORTS, SHEDS
TOTAL % LOT COVERAGE
CONSTRUCTION TYPE
HARD SURFACE AREA
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
23.00
V-N
1. 00
1032.70
7000.00
576.00
1608.70
1. 00
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
JEDI ELECT.I 60A TO GAR.
JEDI ELECTRIC
48.10
3/02/05
8/29/05
Plan Check Fee
Valuation
.00
o
~
'-
~
f~
~
('
~
tl
-------.-------------~---------------~---------------------------------------
Qty
1. 00
Unit Charge Per
48.1000 ECH EL-R-OUTBD/DTCH GAR SEP
Extension
48.10
----------------------------- ----------------------------------------------
Special Notes and Comments
When roof gutters are installed, drains will located in dry
wells or piped to approved storm drain locations.
Proposal will ~esult in a 576 sq. ft. garage on a residential
property for a total lot coverage of 23%.
Electrical load calculations and elctrical permits are
required.
Any modifications to the City'S electrical facilities will
be at the customer's expense.
1I1
'i
----------------------------------------------------------------------------
Other Fees
STATE SURCHARGE
4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 48.10 48.10 .00 .00
Plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 52.60 52.60 .00 .00
COMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPEQ'JON RECORD
CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
tfrnC!V~ I-I~ {!/I/Z~'''''
/IV 6~~JL, 31Z-IO~
DATE
COMMENTS
GENERAL COMMENTS:
PW-II02.lS [4196]
.
~
CITY OF PORT ANGELES LIGHT DEPARTMENT
321 E. Fifth Street
Port Angeles, WA 98362
(206) 457-0411
ELECTRICAL PERMIT
PERMIT NO. 1 r t/ /
DATE I Z. ,ho/~Y
Site Address: ,;;2 / -< ~~ //~ o READY FOR o WILL CALL FOR
INSPECTION INSPECTION
Installed By: Mlzsd c;~;, 1 License Number: Phone:
OwnerlBusiness: Lirv d t4 &c9/U0V Phone:
Owner/Business Address: Sq. Ft.
ELECTRIC HEAT
o BASEBOARD KW _
o FURNACE KW
o HEAT PUMP KW_
o FAN/WALL KW _
L1 RESIDENTIAL
o COMMERCIAL
o NEW CONSTRUCTION
o REMODEL
o ADD/ALTER CIRCUITS
o SERVICE UPGRADE/REPAIR
o TEMPORARY SERVICE
o RISER
o OVERHEAD SERVICE
o UNDERGROUND SERVICE
VOLTAGE:
0191 0391
SERVICE SIZE
FEEDER SIZE
AMPS
AMPS
tt#- 7:;~) qk.:h ~
{2~'f ~ ~ ~~ ~I
Details/Description:
.
W.S. No. SERVICE SIZE
CAPACITY:
o O.K. 0 NOT O.K.
ACTION REQUIRED: 0 CHANGE TRANSFORMER
o INSTALL SERVICE POLE
DATE
ENGR.
o OVERHEAD SERVICE APPROVED
o CHANGE SERVICE WIRE
o OTHER
o Ditch Inspection O.K.
o Rough-in/cover O.K.
o O.K. to connect service
~Final O.K.
SiteAddres~/.1 C, II#'
Installer:
New Meters
---
Notify Port Angeles City Light by Street Address and Permit Number when ready for inspection. Work must not be covered
before inspection and O.K. for covering has been given by the electrical inspector in writing on either the Wiring Report
or on the Building Permit. PHONE 457-0411, EXT. 224.
T NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT
~I &'\IV\ $
Elektricallnspector
.
WHITE - File by address
PINK - Top: Eng, Bottom, Customer
OLYMPIC PRINTERS INC.
1I.:l-O
Permit Fee
GREEN - Top: Meter Dept., Bottom: City Hall
.
&/-;,0
a
DOwner ~~~....<>:.!'...
o Carnival 0 Commercial ~ResidentiaI 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom.
ELECTRICAL WORK PERMIT APPLICATION
~
')iI'Electrical Contractor
o Annual Permit 0 Alarm
~equest Inspection
\
;
State ZIP
t.J", Cf,f.S63
Je.oM,"~~
Installation description
60 q"",p
C", tc...je.
Fade r
Job wired by
o Electrical Contractor 0 Owner
Electrical contractor name
~'D' (;1~C1tl'<-
Purchaser's mailing address
3:s1 For.s j2,C\
City
PorT I\Vl~~ks
Telephone number
3&0- 0-055",
10
FAX number
Address of inspection
d /') ea..s r
Chy fbr-T
Premises owner's name
Mof\T'I Co rTo"
II~
A~'eIe5
o Cash 0 Check #
I hereby certify that I am the owner of the above named property or a licensed
electrical contractor (or the finn's authorized agent) and am making the electrical
installation or alteration in compliance with the electrical law, Chapter 19.28 RCW.
o Credit Card
Card #
Visa
Mastercard
Discover
Signature of ow r, electrical contractor or electrical administrator
X ?1 /~
Expiration Date
of card
Inspection fee
$ .y8. /0
-.!-
\J-
\:(j
I
~
','
/'
WALLS
Insulation Only
CEILING
Insulation Only
Dale Approved By
:I. ~ Cove< ..hO
~ $ "5 ~
D e Approved By
THERMOSTAT
Date
Approved By
SERVICE I
Date Approved By ../
;' FEEDER
-;/~ y AcLJ
Approved By
~ale Approved By
.' Lf ~ovcr fl-O
te Approved By
"-
Electrical Load Additions and or subtractions
D NO LOAD CHANGES
o Baseboard KW
o Furnace KW
o Heat Pump Ton LAR
D Fan-Wall KW
y.
DITCH
/ft::tQ
Approved By
--JL.. -Z-
Service Information
o Overhead Service
o Temp Service
181 Underground Service
Voltage i;to -;).<{o
PhasellSl1D3
Service Size:
Feeder Size: t D
Inspection
Date
Area, Building or Equipment Inspected
Action Taken
Electrical
Inspector _l
7Jc- ;J tJ Cv ^' ",-e 1:/"'*
ut /0
~h
h6# ~/N
fC~
15)
"'-
."
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~
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.----
/h~/o5 /frO
I
.
"elL~ClrRliCAIL iNSIPECT~iONL
. .
WilRl~NG AIEPO~1I"
417-4735
PERMIT' INSPECTOR
tJ ~L/ A"'d?
~c..
e. //-t!r
APPROVED ~e.. NOT APPROVED
~ ................... DITCH ................... 0
o .............. ROUGH IN ICOVER .............. ft!;
o .................. SERVICE .................. 0
o ..........@..... FINAL. . . . .. . .. .. . .. .. . ... 0
CORRECTIONS NEEDED:,! A/f7?:.!/" <. /Vi:>r A-~Z4t:d)
//V G~e:....s J ~tJ v'G 6t.J/~
,
'pOx. ~ b/,e;~U?'1 &?/.)~_
,
@L- f///UI A?P/-'~~ 710
/fa- (W//ZL- /3~.-uR#?
~D;V /~L ~)
('A?N~/'75 ~~
8~r
.e~"l.J
/ ) ~PVe..-
NOTIFY INSPECTOR WHEN CORRECTIONS
ARE COMPLETED WITHIN 15 DAYS
- DO NOT REMOVE -
OLYMPIC PRINTERS, INC. (380) 452-1381