HomeMy WebLinkAbout2411 S Lincoln St - Building
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CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Zoning . . .
Application valuation
03-00000363 Date
2411 S LINCOLN ST
06-30-10-5-0-1428-0000-
ELECTRICAL NEW RESIDENTIAL
7/03/03
o
Owner
Contractor
SMITH, H. MICHAEL
125 OLSTEAD RD.
SEQUIM
(360) 683-9813
WA 98382
KEYTES ELECTRIC
806 N KENDALL RD
PORT ANGELES
(360) 683-9813
WA 98362
Permit
Additional desc
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
162.90
7/03/03
12/30/03
Plan Check Fee
valuation
.00
o
Qty
1. 00
2.00
1.00
Unit Charge
70.8000
22.7000
46.7000
Per
ECH
5C
ECH
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
EL-R-OUTBD/DTCH GAR SEP
Extension
70.80
45.40
46.70
~
~
~~
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 162.90 162.90 .00 .00
plan Check Total .00 .00 .00 .00
Grand Total 162.90 162.90 .00 .00
1\ "'.
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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 authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
Signature of Owner (if owner is builder)
Date
Signature of Contractor or Authorized Agent
Date
T:\PLANNlNG\FORMS\l J02.15 [4/2002]
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. 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
I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
ROUGH-IN I
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING I
FRAMING
JOISTS / GIRDERS
SHEAR WALL
WALLS / ROOF / CEILING
DRYW ALL
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING
MECHANICAL
HEAT PUMP
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 /~~t.4 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W. / PW/ 1/ / CONSTRUCTION - R.W.
ENGINEERING 417-4807 PW / ENGINEERING
FIRE 417-4653 FIRE DEPT.
PLANNING DEPT. 417-4750 PLANNING DEPT.
BUILDING 417-4815 BUILDING
T:\PLANNING\FORMS\1 J02.15 [4/2002J
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
32I EAST STH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 11/05/2002 PERMIT NO: 138U4
OWNER/APPMCANT PROPERTY LOCATION
2411 LINCOLN S
MICHAEL H. SMITH
125 OLSTEAD RD. Lot: 10
SEQUIM, WA 98382 Block: 14 [] Long Legal
360/683-9813 Subdivision: PSCC 2ND ADD
T: S: Parcel No: 0630105014280
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
2061000-0000 360~000-0000
PROJECT INFO
Project Value: $104,845.00 SFD Units: 1 Commercial: 0
Project Type: SFR NEW SFD SQ FT: 2,002 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 0
Occupancy Group: MFD Units: 0 ,..,..
Construction Type: MFD SQ FT: 0
Zoning Use: RS7 ~j~
PROJECT NOTES
2 STORY 2002 SQ. FT. SFR
FEES ASSESSMENT
Building Permit: $1,021.75 Misc Fee 1: $0.00
Plan Check: $408.70 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $1,617.35
Plumbing: $112.00 AMOUNT PAID: $1,617.35
Mechanical: $70.40
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrica work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes]
null and void if work or construction authorized s 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 certi~ 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.
S, nature ,~ '
orized Agent Date "~gn~t~ure of 0~ner (if'-owne~s builder) / / Da~e
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS 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
FOUNDATION:
FOOTINGS 19 -~ 0 r~
WALLS 1~-6 ~
ELECTRICAL (LIGHT DEPT) SEPA~TE PE~IT: ~
PLUMBING
~DER FLOOR / SLAB
BACK FLOW / WATER
AIR SEAL
JOISTS/
DR~ALL
INSULATION
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHI~EY
HOOD / DUCTS
PW UTILITIES [ SITE WORK (Engineering Division) SEPA~TE PE~IT
SEWER CO~ECTION //-~ 'O >
SANITARY
YES NO
ELECT~CAL - LIGHT DEPT. 417-4735 ELECT~CAL
LIGHT DEPT
CONSTRUCTION ~W. / PW/ CONSTRUCTION - K.W.
PLA~ING DEPT. 417-4750 PLA~ING DEPT.
BULLDOG 417-48'5 / -Z'>'Oi~ ~ y BUILDING
T:WLA~INGXFO~Sk I 102.15 [4/2002]
~..~o ~, FOR OFFICIAL USE ONLY:
BUILDING PERMIT-APPLICATION Permit#:
Date Approved:
Date Issued:
The Building Permit application must be filled out completely. ,
Please type or print in ink. If you have any questions, please call 417-4815
Applicant or Agent: ¢[~q~ ~.~t¢ Phone:~[GO
Owner: ~(&~0~ ~.. ~,~ Phone:
Address: [~ ~[~a~ ~, City: ~U,~; ~, Zip:~')~
~chitecffEngineer: ~ Phone:
, - - . .
Contractor ~[0~t~&.gtlt~ Llcense~: m~t~ Exp:/ ~-0~
LEGAL DESCmPTION: Lot: [0 Block: [~ ' - t ' Subdivision: ~C.C ~
CL~L~ COUNTY P~CEL NUMBER: Credit Card Holder Name:
Billing Address: City:
Credit Card ~: Exp. Date: VISA MC
T~E OF WO~: SIZE~UATION:
~ Residential ~ NewConstr. = Re-roof ~ Wood-stove ~SF.~$~/SF.=$~Oq~
m Multi-fa~ly ~ Addition ~ Move U Garage ~ SF.~$ t~,~O /SF.=$
m Co~ercial ~ Remodel m Demolition ~ Deck SF. ~ $ /SF. = $
~ Repair ~ Sign U TOTAL VALUATION $
COMMERCIAL~SIDENTIAL: Occupancy Group: Occupant Load: Cons~ction T~e:~
t
No. of Stories: ~ Lot Size: 5~ X [~0~ % Lot Coverage: ~ . ~ %
Existing Lot Coverage: O /sq. ft. + Proposed Lot Coverage: ~/sq. a. = TOTAL LOT COVE~GE: / ~ /sq. ft.
PLANING USE ONLY: ~PROV~S: PL~
Notes: BLDG.
DPW
FI~
ES~etland(s): m Yes ~ No SEPA Checklist required'? D Yes ~ No Other: OTHER
B~LDING PE~IT ~PLICATION S~MITT~: Your application and site plan must be filled out completely to be accepted for
review. The Building Division can provide you ~th more detailed infomtion on the application and plan sub~al requirements. Your
completed application, site plan (for additions) and build~g cons~ction plans are to be subdued to the Building Division.
V~UATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by ~e applicant. This figure will be reviewed
and ~y be revised by the BuildNg Division to comply with cu~ent fee schedules. Contact the Pemt Coordinator at 417-48 l 5 for assistance.
PL~ CHECK FEE: Yo~ plan check fee is due at the time the building pemt application and construction plans are sub.Red. All other
pemit fees are due at the time ofpemt issuance.
E~I~TION OF PLAN ~VIEW: If no pemt is issued witlfin 180 days of the date of application, tNs~pplication will expire. The
Building Official can extend the time for action by the applicant up to 180 days upon ~i~en request by ~e applicant (see Section 107.4 of
the Unifo~ Building Code, cu~ent edition). No application can be extended more than once.
I hereby cert~ that I have read and examined this application and know the same to be true and correct, and I am authorized to apply for
this permit. I understand it is not the Ci~'s legal responsibili~ to determine what permits are required; it remains the apylicant5
responsibili~to
determine what permits are required and to obtain such.
ApplicanU Date:
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: , .
Date~'r-; I Time I C) '. OO ~v~ Received by ,~r~-~j L-- ~ (phone, person]
Location of Work to be inspected
Name of person requesting inspection
Address of person requesting inspection Phone No. .~
Type of Inspection (circle appropriate one): Permit No. J.~
wer Excav. Other
Sewer Foundation Framing Chimney Plumbi Final
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [--]Gravel [-]Asphalt (--IPCC [~Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] iNCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date i2,- ~'-- ~.;3~_. Time Received by ~-~ b/ (phone. person)
Location of Work to be inspected 2 L//[[ ~--~ ~_~, ~.~.d.~_.~
Name of person requesting inspection /t.-/,'~ ~--->'~ ,'2
Address of person requesting inspection Phone No.~
Type of Inspection (circle appropriate one): Permit No. ~/~
Sewer ~dafion%~raming Chimney Plumbing
Final
Sewer Excav,
Other
INSPECTION NOTES:, '..~
Inspected: Date ~'~ ~ ' '~ "~' Time By
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt []PCC []Other
[] Repaired by City Work Order #
~t Repaired by Permittee [] COMPLETE
[--] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date ~ ~ --'~ / --c'7~ ?~ Time //" ~) Received by , person)
Location of Work to be inspected ~ ·,
Name of person requesting inspection - . - ~ ~1
Address of person requesting inspection Phone No.~
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundati~~ (C~,~~__~/ Plumbing Final SewerExcav. Other
Inspected: Date ~l-b~ Time ~~ B
Remarks: ~ ~ ~~ ~-~, ~ ~ ~
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel E~Asphalt [~]PCC [~Other _
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE}
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date t_/~ I 7-- ~)-~ Time Received by /~// .(phone, person)
Location of Work to be inspected ~/~ / ] -~ /'-~ ~I'c~ IL,(
Name of person requesting inspection J~, ,' ~- ~,v~,~[~. ~f6~'~ /~ ~(~
Address of person requesting inspection Phone No. ~
Type of Inspection (circle appropriate one): Permit No. I
Sewer Foundation ~ Chimney ~ Final Sewer Excav. Other ~
INSPECTION NOTES: ~<~'~ ~
Inspected: Date c//_~/~.~ ~ Time ~-~.~ ~ By
Remarks: ~ ~ ~}~.~/J,~ ~ ~
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel ~rAsphalt I--IPCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
- ILDING DIVISION
· F/ CITY OF PORT ANGELES
Correction Notice
Job Located at
Inspection of your work revealed that the following is
not in accordance with the codes governing the work in
this jurisdiction:
These corrections must be made and are not to be
covered until reinspection is made. When corrections
have been made, please call
for inspection.
Date
Inspector for Building Division
DO NOT REMOVE THIS TAG
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
....... ,... INSPECTION REPORT ...........
REQUEST:
Date ~-~ --2'~--~)'~ Time Received by ~['/~ (phone, person)
Location of Work to be inspected ~-/-7///
Name of person requesting inspection ~ l~ ~ ~_~ ~_~/.4~, ~' ~7
Address of person requesting inspection Phone
Type of Inspection (circle appropriate one): Permit No.
Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ~'~:~'~-
ad.l/
INSPECTION NOTES:
Inspected: Date ~-2 ~ -0._~ Time
Remarks: ~/ /~,~Y'x-~,-~O, --~:'~-4.
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved I-]Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[] No Damage Found [] INCOMPLETE
{Continue on reverse side if necessary) STREET SUPERINTENDENT {DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date /'7/-~'2~) *-(~'-'~ Time Received by ~/~ (phone, person)
%
Location of Work to be inspected ~----./-7/// '--*~--~ /~/~-~<~
Name of person requesting inspection ~ ~ J~ ~- *~'~,~,1 ~[/'1.
Address of person requesting inspection Phone No.
Type~of Inspection (circle appropriate one): Permit No.
~"~ Foundation Framing Chimne~r~boi~n~ ,Fine, Sewer Excav. Other ~
INSPECTION NOTES:
Inspected: Date /--'/' ~. ~-- ~-~ Time Ry ~__~:) L~/
Remarks:.
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel [--]Asphalt I--~PCC ~]Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[--I No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
321 EAST 5TH STREET. PORT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: 5/17/2001 PERMIT NO 7249
OWNER/APPLICANT PROPERTY LOCATION
MAC GILLVRAY 2411 LINCOLN S
2411 S LINCOLN Lot: 10
Port Angeles, WA 98360 Block: 14 [] Long Legal
360/000-0000 Subdivision: PSCC 2ND ADD
T: S: Parcel No:. 0630105014280
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Type: RES. MISC. Project Value: $0.00
Occupancy Type: Construction Type: SERVICE INSTALL
Occupancy Group: Zoning Use: RS7
Electrical Heat:
[] Baseboard 0 KW [] Riser [] Underground Service
[] Furnace 0 KW [] Overhead Service Voltage: 120,240
[] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3
[] Fan Wall 0 KW Service Size: 200
Feeder Size: 0
PROJECT NOTES
INSTALL SERVICE, WIRE REMODEL p
FEES ASSESSMENT Service: $67.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $0.00
Misc Fee: $0.00
TOTAL FEE: $67.00
AMOUNT PAID: $67.00
BALANCE DUE $0.00
(( ~X~lt:!~ I ~;/'A(TTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 4 ! 7-~735 FOR ELECTP-JCAL INSPECTIONS. PLEASE PROVIDE A IvIINIMIYM :24 HOUR NOTICE. IT IS UNLA ~4'FUL TO coIq~J.R,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
DITCH
ROUGH-IN / COVER
SERVICE s"/( ?'//~ t F ~
GENERAL COMMENTS:
PW. HO2.15 [4~]
CITY OF PORT ANGELES
PUBLIC WORKS - ELECTRICAL DIVISION
~21 F. AST 5TH STREET. PORT ANGELES. WA 98362
ELECTRICAL PERMIT ISSUED: 10/23/2000 PERMIT NO 7084
OWNER/APPLICANT PROPERTY LOCATION
MAC GILLVRAY 2411 LINCOLN S
2411 S LINCOLN Lot: 10
Port Angeles, WA 98360 Block: 14 [] Long Legal
360/000-0000 Subdivision: PSCC 2ND ADD
T: S: Parcel No: 0630105014280
CONTRACTOR ARCHITECT
NELSON ELECTRIC N/A
274196 HWY 101
SEQUIM, WA 98382 , 98360-0000
360/681-0729 360/000-0000
PROJECT INFO ~'
Project Type: TEMPORARY SVC. Project Value: $0.00 ~-
Occupancy Type: Construction Type:
Occupancy Group: Zoning Use: RS7
Electrical Heat: '~
[] Baseboard 0 KW [] Riser [] Underground Service
[] Furnace 0 KW [] Overhead Service Voltage: 0 ~
[] Heat Pump 0 KW [] TempService Phase: [] 1 [] 3
[] Fan Wall 0 KW Service Size: 0 ~
Feeder Size: 0 C'~
PROJECT NOTES ~'
FEES ASSESSMENT Service: $0.00
Additional Feeders: $0.00
Circuit Wiring: $0.00
Temp Service: $38.75
Misc Fee: $0.00
TOTAL FEE: $38.75
AMOUNT PAID: $38.75
BALANCE DUE $0.00
('OMMENTS/ACTION NEEDED
ELECTRICAL PERMIT INSPECTION RECORD
CALL 41%4735 FOR ELECTRICAL INSPECTIONS. PLFASE PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVEP~
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP PERMIT CARD AND APPROVED P~S AT JOB SITE
DITCH
ROUGH-IN / COVER
SERVICE /oot/e ~/c~ ~
FINAL I I I
GENERAL COMMENTS:
CITY OF PORT
PUBLIC WORKS - BUILDING DIVISION
ANGELES
321 EAST 51'I-I STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 5/19/2000 PERMIT NO: 11941
OWNER/APPLICANT PROPERTY LOCATION
2411 LINCOLN S
MC GILLERAY & COOK
2411 S LINCOLN Lot: 10
Pod Angeles, WA 98360 Block: 14 [] Long Legal
360/457-4945 Subdivision: PSCC 2ND ADD
T: S: Parcel No: 0630105014280
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 ' , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $38,446.00 SFD Units: 0 Commercial:
Project Type: SFR ADD/REMODEL SFD SQ FT: 0 Industrial:
Occupancy Type: RESIDENTIAL Garage:
Occupancy Group: MFD Units: 0
Construction Type: MFD SQ FT: 0
Zoning Use: RS7
PROJECT NOTES
FEES ASSESSMENT
Building Permit: $533.15 Misc Fee 1: $0.00
Plan Check: $213.26 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $842.91
Plumbing: $92.00 AMOUNT PAID: $842.91
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
RW SANITARY WATER DWY STORM DRA OTHER
Separate Permits are required for electrical work, utilities, private and public improvements. This permit becomes null and void if work or
constmc~on authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days after
'die work es commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby cerlJty that I have
read and examined this appication and know the same to be true and correct All provisions of ~ and ordinances governing this type of work
[will be complied with whether specified herein or not_ The granting of a permit does not presume to give authority to violate or cancel the
provisions of any state or local law regulating construction or the performance of construction.
Signature of Contractor o Authorized Ag nt Date
BUILDING PERMIT INSPECTION RECORD
CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASI~ PROVIDE A MINIMUM 24 HOUR NOTICE. ITIS UNLAWFUL TO COVER,
INSULATE OR CONCF_,.4L ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IH A CONSPICUOUS LOCATION.
KEEP pER'MIT CARD AND APPROVED PLANS AT .,lOB SITE
BLriLDI?lO 417~15 BU1LDING
GENERAL COMMENTS:
c~ ~v& FOR OFFICIAL USE ONLY:
BUILDING PERMIT- PRE~PLICATION
The Building Pe~tit - P~application mu~ ~e~d out com~l~ely. ~ ~v~:
~ Ple~e type or p~t ~ ~ ff you have any questions, ple~e call 4174815
Contractor ~ ~¢ Li~nse g: , Exp: Phone:
Address: Ci~:. Zip:.
T~E OF WO~: ~ SI~ALUA~ON:
a ResidmdM ~ NewCo~. ~ R~f a W~ov¢ ~ q~ SF.~$
~ ~ulfi-f~ly ~ ~Ad~fion O Move s G~age ~7 ~SF.~$
COMMERC~SmE~L: O~up=~ ~up:~ 3 O~up~t ~ad:
No. of Stories: ( ~t S~e: ~ O O O % ~t Coverage: (~
E~st~g ~t Coverage: ~ q [ /sq. ~ + Pio~ ~t Cov~age: ~ ~ /sq. ff = TOT~ LOT CO~GE: ' l ~ ~ ~sq.fl
PIinG USE O~Y: ~PROVA~: P~.
Pe~ Requk~: Not~:
Max. HeiSt: Setback: ~mg: , D~
Site PI~ ~d U~ Approv~ by: .. Date:
ES~etl~d(s): ~ Yes u No SEPA Ch~Hi~ r~? B Yes ~ No O~: O~R
P~P~CA~ON S~ Y~ ~p~n ~d ~ p~ ~ be f~*~ ca~ ~ ~ accepted far r~. ~e Buildhg
Division c~ provide you ~ mom detMl~ ~omation.on ~e application ~d pl~ m~b~ttal requkmmm.'
BUILD~G PE~ ~PLICA~ON SUBMfrrAL: Yo~ ~mplet~ application, site pl~ (for addition) ~d bulldog ~ns~ction
pl~s ~e to be sub~tt~ to ~e B~Id~g Dihsion. Any addition larger than S00 *q. f~ will need a Pmapp~cation Review.
VALUA~ON OF CONS~U~ON: h ~ ~, a valuation mo~t m~t be ~te~ by ~e applic~t ~s fi~e ~11 be review~ ~d
may be revis~ by ~e Bulldog Div. to ~mply ~ c~ent f~ ~h~ules. Contact ~e Pe~it C~rd~ator at 417-4815 for assisted.
P~ C~CK ~E: Yo~ plm ch~k f~ ~ due at ~e t~e ~e build~g p~t application ~d ~ns~cfion plms ge submtt~. M1 o~er
pe~t f~s ~e due at ~e t~e ofpemt imu~.
EXP~TION OF P~N REV~W: ~ no ~it is issued wi~in 180 days of ~e date of application, ~s applim6on will expke by
l~mfio~. ~e B~&g Official ~ ~md ~ ~e f~ a~on by ~e applier up to 180 days. on ~tten requ~t by ~e applic~t (~ S~tion
30~(d) of~e U~o~ BuiId~gC~e, c~ent ~ition). No application c~ ~ extended more ~ on~.
! het~by ce~ that I h~ mad and examined this application and ~ow the same to be t~e and co~ect, and I am authorized to applyf~r
this permit. I understand it is ~oI the Ci~ legal responsib~li~ to dete~nine what pe~nit, a~ ~qui~d; it ~mains the applicant's
responsibili~ to determine what pe~its a~ ~quired and to obtain such.
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: -~ ~ ~erson)
Date ~ [-Z~/--' I (~::~ Time II Received by _
Location of Work to be inspected '~"
Name of person requesting inspection
Address of person requesting inspection - ne No.
Type of Inspection (ci~rcle appropriate one): Permit No.
Sewer o.P~undation Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date ~ -'~ Time ~.~
Remarks:
RESTORATION REQUIRED ...... YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt r~PCC [~Other
[~] Repaired by City Work Order #
r--}Repaired by Permittee [] COMPLETE
~-] No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: ~_~
Date ~--'- ~-~ -~ Time Received by ~ (phone, person)
Location of Work to be inspected ~__ ~c?/ ,/ ~_~/,f~,/~_/?~ ~
Name of person requesting inspection
Address of person requesting inspection Phone No.
,'x ~ ~"/
Permit No. ,'.
Type of Inspe~cti~circle appropriate one):
Sewer~"~F~Undati~ Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES: ,/~
t.. ?0 ' 5~-~.) Time ~
Inspected: Date --~' ~ ...... By
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDEN~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Date '-~ - / ~/-(~ I Time ~:~ ! ~O Received by ~'~ (phone, person)
Location of Work to be inspected -~'~/~'// ,.~
Name of person requesting inspection ~ c.. ~,'~J/~
Address of person requesting inspection Phone No.
Permit No. /
Type of I~circle appropriate one):
Sewer~~ Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date '~-/Z~::)[ Time
Remarks: F~+I~ .~ ~~
RESTORATION REQUIRED YES. NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved [~Gravel [~Asphalt []PCC []Other
[] Repaired by City Work Order #
[--)Repaired by Permittee ~ COMPLETE
~-I No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
,c ~°~'~,~ CITY OF PORT ANGELES
°~' DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
~ 321 EAST 5TH STREET, PORT ANGELES, WA 98362
BUILDING PERMIT ISSUED: 11/05/2002 PERMIT NO: 13805
OWNER/APPLICANT PROPERTY LOCATION
2411 LINCOLN S
MICHAEL H. SMITH
125 OLSTEAD RD. Lot: 10
SEQUIM, WA 98382 Block: 14 [] Long Legal
360/683-9813 Subdivision: PSCC 2ND ADD
T: S: Parcel No: 0630105014280
CONTRACTOR ARCHITECT
OWNER N/A
VARIOUS
Port Angeles, WA 99360 , 98360-0000
206/000-0000 360/000-0000
PROJECT INFO
Project Value: $7,000.00 SFD Units: 0 Commercial: 0
Project Type: GARAGE NEW SFD SQ FT: 0 Industrial: 0
Occupancy Type: RESIDENTIAL Garage: 352 -----
Occupancy Group: MFD Units: 0 "-""
Construction Type: MFD SQ FT: 0
Use: RS7 ,~
Zoning
PROJECT NOTES
352 SQ. FT. DETACHED GARAGE ~-'
FEES ASSESSMENT
t'"
Building Permit: $139.25 Misc Fee 1: $0.00 "~
Plan Check: $55.70 Misc Fee 2: $0.00
State Surcharge: $4.50 Misc Fee 3: $0.00
House Moving: $0.00
Manufactured Home: $0.00
Sign: $0.00 TOTAL FEE: $199.45
Plumbing: $0.00 AMOUNT PAID: $199.45
Mechanical: $0.00
BALANCE DUE: $0.00
Radon: $0.00
Separate Permits are required for electrical work SEPA, Shoreline, ESA, util t es, private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced with n 180 days, if construction or work is suspended or abandoned
for a period of 180 days after the work as commenced or if required inspections have not been requested within '180 days from the last
inspection. I hereby certify that I have read and exam ned this application and know the same to be true and correct. All provisions of~
laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not
construction.presume to give authority to violate or cancel the provisions of any state or local law regulating f~c°nstructi°n or the performance of]
g ute of Contractor or Authorized Agent Date Signature of Owner (if own~ is builder) [ // Date [
BUILDING PERMIT INSPECTION RECORD
CALL 417-48 15 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION.
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES I NO
FOUNDATION:
WALLS
FOUNDATION DRAINAGE
ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: #
PLUMBING
UNDER FLOOR / SLAB
ROUGH-IN
WATER LINE
GAS LINE
BACK FLOW / WATER
AIR SEAL
WALLS
CEILING
FRAMING
w Ls, ROOE,CEILr O
DRYWALL
INSULATION
MECHANICAL
HEAT PUMP
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES ! SITE WORK (Engineering Division) SEPARATE PERMIT #'$:
WATERLINE / METER
SEWER CONNECTION
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:
Location of Work to be inspected F~// /
Name of person requesting inspection .J ?!;-/~-~
Address of person requesting inspection Phone No.
Type of Inspectio~ (circle a~propriate one): Permit No.
Sewer Fqundatiqn Framing Chimney Plumbing Final Sewer Excav. Other
Inspected: Date (~.~(Ii!{O~'~ Time
Remarks:.
RESTORATION REQUIRED ...... YES f NO, ·
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel ~-~Asphalt []PCC [~]Other
[] Repaired by City Work Order #
I--] Repaired by Permittee [] COMPLETE
~-I No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST:/-/~.~¢~ ~ ~[~
Date __ _~-- "--- Time Received by (phone, person)
I
Location of Work to be inspected ~-/-/// ,
Name of person requesting inspection ~ It~O~--~ '~
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): Permit No. /~_~
Sewer tl~ndation~ Framing Chimney Plumbing Final Sewer Excav. Other
INSPECTION NOTES:
Inspected: Date ,L./-* .~) - C~ ~"~ Time By
Remarks:.
RESTORATION REQUIRED ...... YES NO.
Z.Z~. · .,-. , ~-*~.. i_ ~,,,~
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved []Gravel []Asphalt []PCC []Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
........... INSPECTION REPORT ...........
REQUEST: //~/
Date ~____~ .~) L~ Time Received by (phone, person}
Location of Work to be inspected ~/// -~
Name of person requesting inspection J4/~ ~ ~4~
Address of person requesting inspection Phone No.
Type of Inspection (circle appropriate one): n'/''''~-~/~ Final Permit No. ! :~ ~ ~'~
Sewer Foundation Framing Chimney Plumbi Se~r Excav. Other
INSPECTION NOTESi
Inspected: Date ~,~1~1,?~ Time
Remarks:
RESTORATION REQUIRED ...... YES NO
SURFACE RESTORATION:
SURFACE TYPE: [] Unimproved l-]Gravel []Asphalt ~-JPCC {~Other
[] Repaired by City Work Order #
[] Repaired by Permittee [] COMPLETE
[]No Damage Found [] INCOMPLETE
(Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE)
~ pORT "'+:
,:.O~<<.,
&~~
"-~
~
"tfii:",~
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
Property Use
Property Zoning . . .
Application valuation
03-00000363 Date 1/20/04
2411 S LINCOLN ST
06-30-10-5-0-1428-0000-
ELECTRICAL NEW RESIDENTIAL
~
RS7 RESDNTL SINGLE FAMILY
o
/0:00
Owner
Contractor
SMITH, H. MICHAEL
125 OLSTEAD RD.
SEQUIM
(360) 683-9813
WA 98382
KEYTES ELECTRIC
806 N KENDALL RD
PORT ANGELES
(360) 683'-9813
WA 98362
Permit
Additional desc
Sub Contractor
Permit Fee
Issue Date
Expiration Date
ELECTRICAL NEW RESIDENTIAL
KEY'l'ES ELECTRIC
16'2.90
7/03/03
12/30/03
Plan Check Fee
Valuation
.00
o
Qty
1.00
2.00
1.00
Unit Charge
70.8000
22.7000
46.7000
Per
ECH
5C
ECH
EL-R-SQFT FIRST 1300
EL-R-SQFT ADDITIONAL 500
EL-R-OUTBD/DTCH GAR SEP
Extension
70.80
45.40
46.70
~
~
"'"
~V\
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 162.90 162.90 .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 162.90 162.90 .00 .00
~~
~(
~
(
fA
~
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\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 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.
INSPEC:QPN TYPE DATE ACCEPTED COMMENTS
. < ~ .' I YES NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDATION DRAINAGElDOWN 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 I
FRAMING
JOISTS 1 GIRDERS
SHEAR W ALLlHOLD DOWNS
WALLS 1 ROOF 1 CEILING
DRYWALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL 1 FLOOR 1 CEILING
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE 1 PELLET 1 CHJMNEY
HOOD 1 DUCTS
PW UTILITIES 1 SITE WORK (Engmeenng DIVISIon) SEPARATE PERMIT #'5 tf/#7 /-f?Pt. rtfJi'l... ~~P..c..
WATERLINE 1 METER
SEWER CONNECTION 6~ t/ J,ff?5
SANITARY ~1Ht--
STORM n/VAfI't-
PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: #H6L- 19P'/'~RItL}
PARKINGILIGHTING ESA- /- ~"/!)r
LANDSCAPING SHORELINE'
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE
RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED
YES NO
ELECTRICAL - LIGHT DEPT. 417-4735 /h"~r Ad; 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 \PLANNING\FORMS\1102 15 [11/14/2003]
/~
CITY OF PORT ANGELES
DEPARTMENT OF PUBLIC WORKS
. . .. .. INSPECTION REPORT. . . . . . . .
REQUEST:
Date / -z. ~ z 7 - D 7
Time Iv A 11/\
Received by Del-1Pl1's E. (phone. person)
,..-----------
Location of Work to be inspected Z L( (/ So. L; vr.Co I vt
Name of person requesting inspection !Je i/I.1, 5 L.
Address of person requesting inspection c:o /' (l fd. r jJ / 7 "f-S
Type of Inspection (circle appropriate one):
Sewer Foundation Framing Chimney Plumbing Final
Phone No. '-f; 7 -q '84 q
Permit No. _.
Sewer Excav. Ot~?l.i-e>)
INSPECTION NOTES:
Inspected: Date 12..- 2--7 -07
Remarks: i<. t'iJa,.",-eA 2.('
(I
Time /'2- rM... By De.hr1t5 E.
e.I-. ~^(V"\. hreak w,+L.... "^ re,oc..';" b<'\vtd
/
RESTORATION REQUiRED...... YES NO y'
rP
-{--: t-
V) Lofe-z f/ \/e. ' Ijl
-...! ~
()
\) ct/'ik ' " ~
~ Z ..
.::.. I: . 32- flufJ .~
--J 0 '\j
SURFACE RESTORATION:
SURFACE TYPE: 0 Unimproved DGravel
o Repaired by City
o Repaired by Permittee
o No Damage Found
o Asphalt 0 PCC 0 Other
Work Order # 3D5<{z.- - /S-'7
o COMPLETE
o INCOMPLETE
(Continue on reverse side if necessary)
SIREE..T_~I,ID~ DII\.I:r.ClUn~"I'"
(,,00
(j
FOR Of'FlCIAl USE ONLY
(bleIRe.:: .
Permillt
D~le Appnlvcll:
OateluueoJ:
.
ELECTRICAL PERMIT APPLICATION
The Electrical Permit Application must be filled Qut completelv.
#3b3
Please type or reprint In ink. If you have any questions, please call (360. 417-4735
Fax number: (360)417-4711
Mike Smith
683 9813
Fax:
Phone:
Property Owner:
Owner or Elee. Contractor Agent:
Address:
Electrical Contractor:
Address:
Mike Smith
Phone:
683 9813
2411 S Lincoln
Keyte's Inc
Port Angeles Wa. 98382
l' #KeyteI*027ne 8/5/04
Icense : ~xp:
Zip:
Phone: 683 3780
City:
806 N. Kendall Rd.
DOWNER
City: Sequ1itm Wa. 98'382
iii ELECTRICAL CONTRACTOR
Zip:
INSTALLATION WIRED BY:
Credit Card Holder Name:
Billing Address:
, City:
Zip:
Credit Card Number:
Exp. Date:
V1SA:_MC:_
PROJECT ADDRESS:
TYPE OF WORK:
1!9 Residental
2411 S. Lincoln St.
Check all that apply: JtJ New
o Alteration/Addition
/'J Z- Z-
352-
').7-7,/
lkustt..
t.;-e-
o Multi-family
.,: 0 Commercial
o Mobile Home , Sq. Ft.
. -4-800
XO Remote Meter 0 Detached garage 0 Hot Tub 0 Swim Pool
Number of Circuits added or altered: i..-"
DSeplicP,urnP. o Low Voltage o Telecom. OSigl
....... "
. .'
DESCRIPTION OF THE Et:ECTRICAL PROJECT:
For a new home . -
200 amp Service
15KW Furnace Heatuumu Readv'
,<-.<
\<:IN
1 5 \<:IN
_KW
~ \<:IN
reI!: :.!!!:'.,70 -f 1/0, ~D ::j.ji:,J, :.'to'
6~1L ;t>m.s,e . ,~rvice Information
/ SbD S6. ;: r 1" 240
Voltage:
Phase: 0 1 0 3
Service Size:
Feeder Size:
Electrical Heat Load Additions
li() Baseboard
~ Furnace
o Heat Pump
o Fan-Wall
o Overhead Service
o Temp Service
o Underground Service
PAMC 14.05.060(B): For industrial, commercial, & residential projects larger than a duplex, a one -line drawing of the Electrical Service &
Feeders, building size (sq. fl.), load calculations, and the type & of conductors andlor raceway is required and shall accompany the
Electrical Permit application,
I hereby certify that I have read and examined this application and know that same to be true and correct, and I an
authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits
are required; it remains the applicants responsibility to determine what permits are required and to obtain such.
21/7(63 LolL ,/,. ~,,~, +, 'P~~'
1\-( _ r2(,~ .J-I- "0& G0F 2852./0 ( ~~, $U"VI't.~ Rlc-
Credit Card Holder's Signature: . Date:
,/~ /' ~/( Date:./~h
'\ ../ .. - ..' --
Owner or Elec. Cant., Signature:
PW-9019
t2A c J:2-
~~ft
~