HomeMy WebLinkAbout940 E Lauridsen Blvd - BuildingPREPARED 6/18/08 10 37 42 INSPECTION TICKET PAGE 2
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/18/08
ADDRESS 940 E LAURIDSEN BLVD SUBDIV
TENANT NBR HARRY STONE ETAL
CONTRACTOR WIKER WIKER CONSTRUCTION INC PHONE (360) 681 4800
OWNER HARRY STONE ETAL PHONE- (360) 461 6353
PARCEL 06 30 10 5 1 0100 0000
APPL NUMBER 08 00000688 RE ROOF
PERMIT BNOP 00 BUILDING PERMIT NO PR FEE
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BL99 01 6/x.8/08 JLL
6,7/83
BLDG FINAL
June 17 2008 4 57 22 PM 1pangrle
SVEN 460 5534
BLDG FINAL RE.ROOF
COMMENTS AND NOTES
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number 08 00000688 Date 6/09/08
Application pin number 618288
Property Address 940 E LAURIDSEN BLVD
ASSESSOR PARCEL NUMBER 06 30 10 5 1 0100 0000
Tenant nbr name HARRY STONE ETAL
Application type description RE ROOF
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 5475
Application desc
TEAR OFF RE ROOF
Owner Contractor
HARRY STONE ETAL WIKER WIKER CONSTRUCTION INC
940 E LAURIDSEN BLVD 43 SENZ RD
PORT ANGELES WA 983628033 SEQUIM WA 98382
(360) 461 6353 (360) 681 4800
Structure Information 000 000 TEAR OFF RE ROOF
Permit BUILDING PERMIT NO PR FEE
Additional desc TEAR OFF RE ROOF
Permit pin number 127951
Permit Fee 151 75 Plan Check Fee 00
Issue Date 6/09/08 Valuation 5475
Expiration Date 12/06/08
Qty Unit Charge Per Extension
BASE FEE 95 75
4 00 14 0000 THOU BL -2001 25K (14 PER K) 56 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 151 75 151 75 00 00
Plan Check Total 00 00 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 156 25 156 25 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 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 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.
1,-01—or 5vcii 1J, c)
D9te Print Name Signature ofContractor or Authorized Agent Signature of Owner (if owner is builder)
T Forms/Building Division/Building Permit (10 /01 /07).wpd
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
FOUNDATION•
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
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 FURNACE DUCTS
GAS LINE
WOOD STOVE PELLET CHIMNEY
COMMERCIAL HOOD DUCTS
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
ELECTRICAL LIGHT DEPT 417 -4735
BUILDING PERMIT INSPECTION RECORD
YES I NO
FINAL
PLANNING DEPT SEPARATE PERMIT N's SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING SHORELINE.
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL
DATE ACCEPTED BY.
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
I FIRE 417 -4653 I I I I FIRE DEPT
[PLANNING DEPT. 417 -4750 I I I I PLANNING DEPT
I BUILDING 417 -4815 I 6 115 "LD 2 p/� I l I I BUILDING
T Forms /Building Division/Building Permit (10/0 l/07).wpd
FINAL DATE ACCEPTED BY.
ELECTRICAL
LIGHT DEPT
0
DATE ACCEPTED I
YES I NO
I I I I
1
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E. Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
Applicant or Agent A)i \QV d- tdr ;Q✓
Property Owner
1'U v14
Property Owner's Address qy() tmivitti
Contractor /Engineer (,J►iDr d- (,),ktr
Contractor /Engineer's Address qs 5e42.
License t LkCROCc7i /Le1
PROJECT ADDRESS
Parcel Number
Project Type Brief Description.
Check all that apply
New Construction
Addition
Remodel
Repair
pt Re -roof
Demolition
Heat System
Other
BUILDING PERMIT APPLICATION Print in ink
le;r
1.€
i r'
Floor Areas Existing (sq. ft.) Proposed (sq. ft.)
Basement
1 Floor
2 Floor
3rd Floor
Garage
Carport
Covered Porch
Deck
Shed
Other
Total footprint of structures sq ft. T Lot size
G veii W' Phone
1 t /Phone
en Blvd
(p Phone
Rd fiatiln tji 436
2
Expires
t,
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
Lot
TOTAL VALUATION
For City Use Only
Date Received CC, —0
Permit
Date Approved
v)
61 -fl 353
on 4&DO
Zoning
/Residential Commercial Multi- family
0 1 t74 4(v LIYL /5 g ;it
01,10 TO #15
Heat pump wood- burning stove gas fireplace pellet stove other
per sq ft.
sq ft. Lot coverage
of bedrooms
of full baths
of half baths
IJA
Industrial
51i 15 oo
OA
I have read and completed this application and know it 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, and to obtain permits prior to working on
projects
Date 6- `Jt/v Print Name 3vem t key- Signature
T Forms /Building Division /Bldg Permit Appl. 2006 Code.doc
ROOFING SPECIALIST
Sven Wiker, Owner
Wiker Wiker Construction, Inc.
43 Senz Road
Sequim, WA 98382
Phone (360) 681 -4800
Bid Proposal
Date April 9, 2008
Location. 1 940 E Laundsen Blvd
Owner
Contact Person. Mark Lokdy e -mail marklokey @comcast.net
Tear off existing roof (two layers)
Apply 15th underlayment
Use Ice Watershield around pipes, hoods, chimney valleys
Replace old pipes and hood vent with new ones, new valley metal
New roof to wall flashing and perimeter metal
Apply 40 Year Pabco Laminated shingles
Six nails to each shingle (helps prevent wind damage)
Apply hood vents
Dispose of tear off
Clean Up
Note
City of Port Angeles Permit required Cost of permit
Add $900 00 to sub -total if structure has third layer of tear off
I Upgrade: (Subject to WA State sales tax)
Add $110 00 to sub -total to apply shingle over vent-a-ndge instead of hood vents
Add $100 00 to sub -total to upgrade to algae block
WIKER WIKER CONSTRUCTION 5 YEAR WATERTIGHT WARRANTY
30 YEAR MANUFACTURER S WARRANTY
Accepted By Date
Contractor WIKERWC981LM
Description I Amount
Sub -Total 1 $5475 00
(Subject to WA State Sales Tax)
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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:
Tenant nbr, name
Application type description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
05-00000951 Date 11/03/05
460758
940 E LAURIDSEN BLVD
06-30-10-5-1-0100-0000-
STORAGE SHED
RES ACCESSORY BUILDING
RS7 RESDNTL SINGLE FAMILY
7300
Owner
Contractor
STONE, HARRY
940 E LAURIDSEN BLVD
PORT ANGELES WA 983628033
OWNER
Other struct info .
TOTAL % LOT COVERAGE
NUMBER OF STORIES
EXISTING LOT COVERAGE
LOT SIZE
PROPOSED LOT COVERAGE
TOTAL LOT COVERAGE
NUMBER OF UNITS
17.70
1.00
1444.00
8135.00
384.00
1828.00
1.00
Permit BUILDING PERMIT -RESIDENTIAL
Additional desc
Permit pin number 63420
Permit Fee 176.75 Plan Check Fee 70.70
Issue Date 11/03/05 Valuation 7300
Expiration Date 5/02/06
Qty Unit Charge Per Extension
BASE FEE 92.75
6.00 14.0000 THOU BL-2001-25K (14 PER K) 84.00
Special Notes and Comments
The Fire Department has reviewed the project application and
has no comments
10/25/2005 12:40 PM SROBERDS -- The proposal will result
in a 384 sf storage/garden shed in the RS-7. No land use
issues are noted. Existing shed will be demoed.
MAINTAIN CLEARANCES FROM SERVICE WIRES. Modify or Relocate
Shed, Move meter to Shed or convert to underground service.
10/19/2005 07:01 AM JHEBNER ----------------------------
Electrical permits are required. $0 Connect Fee.
10/19/2005 07:02 AM JHEBNER ----------------------------
Any modifications to the City'S electrical facilities will
be at the customer's expense.
Public Works Utility Engineering has no requirements for
this plan review.
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
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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 authori!Y-to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction. .~
orized Agent
Signature of Owner (if owner is builder)
T:\Policies\1102_15 building permit inspection record05.wpd [1/4/2005]
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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 I 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 ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
P ARKING/LIGHTING ESA:
LANDSCAPING SHORELINE:
FINALJNSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R. W. 1 PWI CONSTRUCTION - R.W.
ENGINEERJNG 417-4807 PW 1 ENGINEERJNG
FIRE 4 I 7-4653 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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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . .
Application pin number
Grand Total 251.95
05-00000951
460758
251. 95
Page
Date
2
11/03/05
.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 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)
Date
T:\PoIicies\1102_15 building permit inspection record05.wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD (9 S - 9 S I
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 UNLA WFUL 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 I NO
FOUNDATION:
<( FOOTINGS /A ~/~ /,... 11I-/~-a5 .ILL
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 !~//q I C) :'h,,--,
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY FINAL DATE ACCEPTED BY:
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
PARKING/LlGHTING ESA:
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/uSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRJCAL - LIGHT DEPT. 417-4735 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R W. 1 PWI CONSTRUCTION - RW.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 , , PLANNING DEPT.
BUILDING 417-4815 1/11/0& -I/.,v BUILDING
T:IPolicies\I 102 15 buildin ermit ins ection recordOS. 1/412005]
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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
05-00000895 Date
754305
940 E LAURIDSEN BLVD
06-30-10-5-1-0100-0000-
DEMOLITION
9/20/05
RS7 RESDNTL SINGLE FAMILY
50
Owner
Contractor
STONE, HARRY
940 E LAURIDSEN BLVD
PORT ANGELES WA 983628033
OWNER
Structure Information 000 000 PARTIAL SHED
Construction Type . . TYPE V NON-RATED
Occupancy Type GARAGES, CARPORTS, SHEDS
Permit . . . . .
Additional desc .
Permit pin number
Permit Fee
Issue Date
Expiration Date
DEMOLITION
PARTIAL SHED
60582
47.00
9/20/05
3/19/06
Plan Check Fee
Valuation
.00
o
BASE FEE
Extension
47.00
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Qty Unit Charge Per
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 47.00 47.00 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 47.00 47.00 .00 .00
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Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes
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 ordi~ances go~erning. this type of work will be c.o~plied with whether specified he. rein o~_~ gr~nting of a permit does not
presume to give authonty to violate or cancel the provIsions 0 . any state or local law regtJic'ftlng co!JSfructlon or the performance of
construction. //.'...'.-- ~,..
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Signature of Contractor or Authorized Agent
Date
T:\Policies\ 11 02_15 building permit inspection record05.wpd [l/4/2005]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS.
CALL 417 -4807 FOR PUBLIC WORKS UTILITIES
PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER, INSULA TE 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 I 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
BACK FLOW 1 WATER
AIR SEAL
WALLS
CEILING I I
FRAMING
JOISTS 1 GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERJOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR / CEILING I
MECHANICAL
HEAT PUMP 1 FURNACE 1 DUCTS I
GAS LINE
WOOD STOVE 1 PELLET 1 CHIMNEY
COMMERCIAL HOOD 1 DUCTS
MANUFACTURED HOMES
FOOTING 1 SLAB
BLOCKING & HOLD DOWNS
SKIRTING
PLANNING DEPT. SEPARATE PERMIT #'s SEPA:
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 ELECTRJCAL
LIGHT DEPT
CONSTRUCTION R.W./ PWI CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW 1 ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 4 I 7-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\Pohcles\ 11 02_15 bUlldmg perrmt mspecllon record05.wpd [1/4/2005J
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"''''
BUILDING PERMIT - APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST
COMPLETE to be accepted for review. If you have any questions, call
PERMITS (360) 417-4815 FAX(360)417-4711
Applicant or Agent: /J1 A !It k L 0 k f '(
Owner: S -r ('? 1'1 ! /) H r r '1'
Address: ?~O /.. L.AC/I'"'I d s ~""'- City: p~/'f
Phone::Shn 461 ~ '5 63
Phone: '3 t:. (J) -l/ ~ 2 - .; ~ LI:3
A/16~LE 5 Zip: ? 8'360
Architect/Engineer:
Contractor C/(.{/ YJ f 4..
Phone:
State License #:
Exp:
Phone:
Address: City: Zip:
PROJECT ADDRESS: 9"70 /: LjJC.4...., d 5' ~..-"\ ZONING: R S 7
LEGAL DESCRIPTION: Lot: Block: Subdivision: 1:?~"':5 OA /" 1<:.: <-
I'
CLALLAM COUNTY PARCEL NUMBER: /? I, - ~ a -/~ -!5 -1- 0100 - 0(>00 -
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:
o Stove
o Garage
o Deck
~Other 5 Ii€' d
.'- /L. At
.) I d)/A v ~ ...
SIZEN ALUATION: "'" _
'3 8 C{ SF. @ $ I ~ ~ /SF. = $ 7 ~ 00
SF. @ $ /SF. = $
SF. @ $ /SF. = $
TOTAL VALUATION $ 7\ -"3 010-
6-A<"d~...... 5'/./~rI
COMMERCIAL/RESIDENTIAL: Occupancy Group:
No. of Stories: L Lot Size: B 135 Existing Sq. Ft.
Total lot coverage ~'2. '-I 7 %
Occupant Load: .../!3r' Construction Type: V
/ '-I <,./ '-I & Proposed Sq. Ft. '}8 frl = TOTAL Sq. Ft. I c9J2B
PLANNING USE ONLY:
APPROY ALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
'y ALUATION 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 t9.bej[ue and correct. I am authorized to apply for this permit and
understand that it is my responsibility to determine what p.errr)it~ are re~~~~si.,.fJottfiii'CitY's,}nd that I must obtain such permits prior to work.
T:\Policies\BL-l102_13.wpd APPlicant:Y~~-~~~'_rl~~;- 5l.,.j ?//04
( . .. /:-,./""e"
't"-.,>",,.~"'-
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7
25
Vertical Datum NA VD 88
Horizontal Datum = NAD 83/91
C'CU::lot
La,uridsen BlVd.
-
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II 75/..1305
ti 6aS82
s . f- f: ? C/t-.......,
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s ~ 2-
" be used as a legal description. (;::::fi
This map IS not mtendedto (Port Angeles (or its OWllllse and purposes. '.-..
This map/drawing is produced by the .Cltv: /I Mr.' ,,~ fl.", r~<'nt'lM..jJ,,"lih' "f/l,,, rif;.
~.,,' ,.,,1,0.. "<:'0 nf,It;.. ...",,,IA""'''''..n <" ,..
Area Map
City of Port Angeles
Applicant Project Review Sheet
Applicant: /Y) II- R k 1 €I k'i <f Property Address: C}40 L
Owner: /119 A A '1 _<=; -r (P.Y! E- Proposed Use: S AL~ d
LAt.r, J. 5E"-Jt.
Zoning: ~ 7
Are there any environmentally sensitive areas on or within 200' of the property, including:
. wetlands or areas of standing water (year round or seasonal);
. streams (year round or seasonal);
. areas with a slope of 40% or greater; or
. areas that have evidence of past ground movement or erosion?
Have all the required submittals been provided byJhe applicant?
G(Site Plan [!( Construction Drawings
!?'Parking!Drainage Plan 0 Civil Drawings
o Energy Calc 0 r1 j'J- 0 Supporting Engr. Calc
o Landscape/Lighting Plan 0 Other
If Planning Department review is required, the processing time may be extended. If it is determined a separate Planning Department permit(s)
is needed, the Planning Department permit(s) must be approved prior to the issuance of any other permit.
Is the proposed use listed as a "permitted use" or an "accessory use" in this zone?
Is this the only use (business, residence, etc.) on this site?
Has there ever been a subdivision, shortplat, or PRD approved for this site, or has one
been submitted and is pending approval?
Does the proposed use require a new buisiness license?
Does the project extend into any required setbacks or cross any lot lines (interior or
exterior)?
Does the project exceed the permitted height allowance or cause the property to exceed
the allowed lot coverage in this zone?
Does the project require any additional parking or special design/landscape improvements
in this zone?
Does the project eliminate any existing parking spaces?
Is the project located within 200' of the shoreline?
~: ok
~S:Ok
o yes: requires PD
reVIew
o yes: requires CC
reVIew
o yes: requires PD
reVIew
o yes: requires PD
review
o yes: requires PD
reVlew
o yes: requires PD
revIew
o yes: requires PD
revIew
o yes: requires PD
revIew
o yes: ok
o no: requires PD
review
o no: requires PD
revIew
~:ok
~^Ok
~~:Ok
~;Ok
~o:ok
~:ok
~:ok
~ok
o no: mark
required
item(s)
The information provided above is true to the best of my knowledge, I understand that in the event that any of this information is determined
. by the City to be incorr. , is project will be stopped until such time the City determines the correct information is provided and any
su equently r ~~.1Jj.ciV and ap' ~€!..f.O}llpleted and gra~~.... / f.'
,f . 7/07
F '
Dat~
Permit Category #
Route to: 0 BD
Staff Initials
(see reverse side)
o CC 0 FD 0 LD
Building Permit #
o PD 0 PW 0 File
Date
Master Tracking #
o Other
Completion of this form is required for all category 1 b, 2 & 3 permits. Completion is not required
for category 1 a permits unless they result in a potential change of use or occupancy.
i
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CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N? 15892
:7-/ 'r
Port Angeles, WasWngton_______________m___________________________mm___m_____' 19::"'__:_:
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 d6 electrical work as listed below.
Address _____.1_Y..(;mmf.m__~'c:l(_~__m____________m___mm____m__m Occupancy_,~'E_~________m_________mmm____
~:7=:~-~:~~~~~~-::(:!_j;;.~:~;~;:~:::c:~~~;'J~;~:~~~;:::::::::::::-_-_-:_-_-:::::::::::~:::::::::::::::::::::::::::::::::::::::
(j
/~o/ :fO
Light Outlets_n_hn_n_h................._.._.._.. Service, volts .......................................
'I
;1:'e w~:::s:::::.~:::~:~;:Z2::::::~::
.- ''''~ - A
J ~'J F-f->
Main fuse .....................:h.;.............
S
Enclosure __..m_mnh..mm__>m
Receptacle Outlets.m..........._......_._mn.
Dryer, KW 00000000....................__......___...
Range, KW m__nn____mmm__
Water Heater:
KW.____________________________________________
j-r/r::g
Heat' KW----------,,?!.--J---.-!.!:-c.;--""<-"""'''''' /
Motors: size, volts and phase:
Type of wiring:
Entrance Cable __mm_mmn___nh__...
Rigid Conduit ___..nn__.m__..______
MetalUc Tubing m.............
Current transformers:
No. & Size....................._..n.............
Ser. NO.___........__._............h_..n............
Ser. NO........................................h.....
Ser. NO.._....___.n_................................
Type of Wiring:
Armored Cable ..._........m.m.m.__.__
Non-Metallic ______.mn__.................._
Knob & Tuben.............................__
RJgid Cl>ndult ____________________nn____m
Metallic TUbing ..._._._.___m_...........
Raceway .........._......._...................._
Circuits, Light................____m.....m_.......
Utility __nm______m_____________________________
I-Ieat .._.........._._____._.._._............_......
Range .....h........................_nn_._______
Water Heater ....._............._.m.._____
Motor ........._......_.____________________._.....
Dryer__.__._...................________________......_
Furnace .........................'_........._.........
Remark:~ta:__~~~>__:_,-__~_,:-::~:~;;::__&@~~__,S;_:~::~~:~=g~_~Fm__________m~:~_~:__~:_:-:::-_::_-_::~::__:::-:::~::~::
___.__n_n.._....._n....__u.__nn.......nnn_nnn..___........uu..u.___._n_._un__...uu.n......UUU.__h____.._r.____.tnn__nun__.__n___.......n...n_.
Pel'Illit Fee Treas_ Receipt . ;J/. L.(!'/' I!~ 'I).. /
,/1: 11/ ,If?~ t.(~~t:-~
$_noo_______________mmm__m____ NO.____________m_____________ By n'__'_m__m/__L_:mm__m____m_m_m__'_'~'__,__-,._='_
NOTICE-Current must not be turned on untn Certificate of Inspection has been issued. It work is to be con.
cealed due notice 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?
15892
Address__._._._____._....._.............................._.............................................._..._.....____.____...................Date________________._.__...___.__._._......_._.________.....
O,vner .........n_.n.__nn________.__.._n_h___h___n_.__n..._.__.......n_n_..__0000__0000..___.___........._....__00__.. TenanL__n_......._......n...._.nnh_._.nn_nn__..nn__nn_n__..
WiringContractor....._..___................_......._............_..__..._.____.______.._.___.._____________..._._.................._.....By._______._..._..___._...___...._.__........_..............__..
NOTICE-Current must not be turned on until Certificate of Inspection has been issued. If work Is to be con-
cealed due notice must be given the Inspector so that work may be inspected before concealment.
1M Olvmplc Printers. Inc.