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Home My WebLink About4124 Old Mill Rd - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Tenant nbr name Application type description Subdivision Name Property Use Property Zoning Application valuation Owner Contractor 07 00000694 Date 11/30/07 864140 4124 OLD MILL RD 06 30 15 3 3 0025 2001 BRUCE &ROSEMARY MOOREHEAD RES ACCESSORY BUILDING 11760 MOORHEAD BRUCE B WOOD CONSTRUCTION CO 4124 OLD MILL RD 334 SUTTER RD PORT ANGELES WA 983621906 PORT ANGELES WA PORT ANGELES WA 98362 (360) 457 6065 Structure Information 000 000 CAR PORT Other struct info HARD SURFACE AREA Permit ELECTRICAL NEW RESIDENTIAL Additional desc N PEN EL 60A SUB PNL 0 B Permit pin number 112904 Sub Contractor NORTH PENINSULA ELECTRIC Permit Fee 75 00 Plan Check Fee Issue Date 10/24/07 Valuation Expiration Date 5/05/08 Qty Unit Charge Per 1 00 75 0000 ECH EL -RM 0 200 1ST SRV FEEDER Special Notes and Comments The Fire Department has reviewed the project application and has no comments 06/29/2007 05 08 PM SROBERDS The proposal will result in a detached garage in the RS 9 zone for 1% lot coverage No land use issues anticipated Public Works Utility Engineering has no requirements for this plan review Other Fees Extension 75 00 STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due Permit Fee Total 75 00 75 00 00 00 Plan Check Total 00 00 00 00 Other Fee Total 4 50 4 50 00 00 Grand Total 79 50 79 50 00 00 00 0 1 C SPECTION ELECTRICAL TYPE DATE. RESULTS INSPECTOR DITCH SERVICE ROUGH -IN FINAL PREPARED 11/07/07 9 23 15 INSPECTION TICKET PAGE 4 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/07/07 ADDRESS 4124 OLD MILL RD SUBDIV TENANT NBA BRUCE &ROSEMARY MOOREHEAD CONTRACTOR WOOD CONSTRUCTION CO PHONE (360) 457 6065 OWNER MOORHEAD BRUCE B PHONE PARCEL 06 30 15 3 3 0025 2001 APPL NUMBER 07 00000694 RES ACCESSORY BUILDING PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLHD 01 7/31/07 JLL BLDG FRAMING HOLD DOWNS 7/31/07 AP 07/31/2007 08 19 AM LPANGRLE DARYL 460 0453 'HOLD INSPECTION FOR A POLE BARN' 07/31/2007 04 37 PM JLIERLY BL1 01 8/07/07 PB BLDG FOUNDATION FOOTING TIME 09 00 8/07/07 AP 08/07/2007 08 16 AM LPANGRLE TOMMY 477 0778 FOOTING REQUESTED A MORNING INSPECTION 08/07/2007 03 50 PM PBARTHOL BLFW 01 8/10/07 JLL BLDG FOUND FTG /STEM WALL TIME 09 00 8/10/07 AP 08/10/2007 08 16 AM LPANGRLE TOMMY 477 0778 STEMWALL REQUESTED A MORNING INSPECTION 08/10/2007 04 25 PM JLIERLY BLHD 02 8/28/07 JLL BLDG FRAMING HOLD DOWNS 8/28/07 AP 08/27/2007 11 52 AM LPANGRLE DARRYL 460 0453 HOLD DOWNS 08/28/2007 04 52 PM JLIERLY BL9 01 8/28/07 JLL BLDG SHEARWALL 8/28/07 AP 08/27/2007 11 52 AM LPANGRLE DARRYL 460 0453 SHEARWALL 08/28/2007 04 52 PM JLIERLY BL99 01 11/07/07 LL Nov FINAL November mber 6 2007 4 36 52 PM 1pangrle BRUCE 457 5196 BLDG FINAL RV CARPORT COMMENTS AND NOTES PREPARED 8/28/07 9 41 41 INSPECTION TICKET PAGE 8 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/28/07 ADDRESS 4124 OLD MILL RD SUBDIV TENANT NBR BRUCE &ROSEMARY MOOREHEAD CONTRACTOR WOOD CONSTRUCTION CO PHONE (360) 457 6065 OWNER MOORHEAD BRUCE B PHONE PARCEL 06 30 15 3 3 0025 2001 APPL NUMBER 07 00000694 RES ACCESSORY BUILDING PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLHD 01 7/31/07 JLL BLDG FRAMING HOLD DOWNS 7/31/07 AP 07/31/2007 08 19 AM LPANGRLE DARYL 460 0453 HOLD INSPECTION FOR A POLE BARN 07/31/2007 04 37 PM JLIERLY BL1 01 8/07/07 PB BLDG FOUNDATION FOOTING TIME 09 00 8/07/07 AP 08/07/2007 08 16 AM LPANGRLE TOMMY 477 0778 FOOTING REQUESTED A MORNING INSPECTION 08/07/2007 03 50 PM PBARTHOL BLFW 01 8/10/07 JLL BLDG FOUND FTG /STEM WALL TIME 09 00 8/10/07 AP 08/10/2007 08 16 AM LPANGRLE TOMMY 477 0778 STEMWALL REQUESTED A MORNING INSPECTION 08/10/2007 04 25 PM JLIERLY BLHD 02 8/28/07 JLL, BLDG FRAMING HOLD DOWNS 08/27/2007 11 52 AM LPANGRLE DARRYL 460 0453 HOLD DOWNS BL9 01 8/28/07 BLDG SHEARWALL 08/27/2007 11 52 AM LPANGRLE DARRYL 460 0453 SHEARWALL COMMENTS AND NOTES PREPARED 8/10/07 8 19 39 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/10/07 ADDRESS 4124 OLD MILL RD SUBDIV TENANT NBR BRUCE &ROSEMARY MOOREHEAD CONTRACTOR WOOD CONSTRUCTION CO PHONE (360) 457 6065 OWNER MOORHEAD BRUCE B PHONE PARCEL 06 30 15 3 3 0025 2001 APPL NUMBER 07 00000694 RES ACCESSORY BUILDING PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLHD 01 7/31/07 JLL BLDG FRAMING HOLD DOWNS 7/31/07 AP 07/31/2007 08 19 AM LPANGRLE DARYL 460 0453 'HOLD INSPECTION FOR A POLE BARN' 07/31/2007 04 37 PM JLIERLY BL1 01 8/07/07 PB BLDG FOUNDATION FOOTING TIME 09 00 8/07/07 AP 08/07/2007 08 16 AM LPANGRLE TOMMY 477 0778 FOOTING REQUESTED A MORNING INSPECTION 08/07/2007 03 50 PM PBARTHOL BLFW 01 8/10/07 JLL BLDG FOUND FTG /STEM WALL TIME 09 00 08/10/2007 08 16 AM LPANGRLE TOMMY 477 0778 STEMWALL REQUESTED A MORNING INSPECTION COMMENTS AND NOTES PREPARED 8/07/07 10 31 37 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 8/07/07 ADDRESS 4124 OLD MILL RD SUBDIV TENANT NBR BRUCE &ROSEMARY MOOREHEAD CONTRACTOR WOOD CONSTRUCTION CO PHONE (360) 457 6065 OWNER MOORHEAD BRUCE B PHONE PARCEL 06 30 15 3 3 0025 2001 APPL NUMBER 07 00000694 RES ACCESSORY BUILDING PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BLHD 01 7/31/07 JLL BLDG FRAMING HOLD DOWNS 7/31/07 AP 07/31/2007 08 19 AM LPANGRLE DARYL 460 0453 HOLD INSPECTION FOR A POLE BARN 07/31/2007 04 37 PM JLIERLY BL1 01 8/07/07 JLL BLDG FOUNDATION FOOTING TIME 09 00 08/07/2007 08 16 AM LPANGRLE TOMMY 477 0778 FOOTING REQUESTED A MORNING INSPECTION COMMENTS AND NOTES PREPARED 7/31/07 8 32 03 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 7/31/07 ADDRESS 4124 OLD MILL RD SUBDIV TENANT NBR BRUCE &ROSEMARY MOOREHEAD CONTRACTOR WOOD CONSTRUCTION CO PHONE (360) 457 6065 OWNER MOORHEAD BRUCE B PHONE PARCEL 06 30 15 3 3 0025 2001 APPL NUMBER 07 00000694 RES ACCESSORY BUILDING PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESUL RESULTS /COMMENTS BLHD 01 7/31/07 BLDG FRAMING HOLD DOWNS 07/31/2007 08 19 AM LPANGRLE DARYL 460 0453 'HOLD INSPECTION FOR A POLE BARN COMMENTS AND NOTES Application Number 07 00000694 Date 7/09/07 Application pin number 864140 Property Address 4124 OLD MILL RD ASSESSOR PARCEL NUMBER 06 30 15 3 3 0025 2001 Tenant nbr name BRUCE &ROSEMARY MOOREHEAD Application type description RES ACCESSORY BUILDING Subdivision Name Property Use Property Zoning Application valuation 11760 Owner MOORHEAD BRUCE B 4124 OLD MILL RD PORT ANGELES Structure Information Other struct info Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 WOOD CONSTRUCTION 334 SUTTER RD PORT ANGELES WA PORT ANGELES (360) 457 6065 000 000 CAR PORT HARD SURFACE AREA WA 983621906 Contractor BUILDING PERMIT RESIDENTIAL CARPORT 104539 235 75 Plan Check Fee 94 30 7/09/07 Valuation 11760 1/05/08 Qty Unit Charge Per BASE FEE 10 00 14 0000 THOU BL -2001 25K (14 PER K) CO Special Notes and Comments The Fire Department has reviewed the project application and has no comments 06/29/2007 05 08 PM SROBERDS The proposal will result in a detached garage in the RS 9 zone for 1% lot coverage No land use issues anticipated Public Works Utility Engineering has no requirements for this plan review Other Fees STATE SURCHARGE Fee summary Charged Paid Credited Permit Fee Total 235 75 235 75 00 Plan Check Total 94 30 94 30 00 Other Fee Total 4 50 4 50 00 Grand Total 334 55 334 55 00 WA 98362 Due Extension 95 75 140 00 4 50 00 00 00 00 Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days if construction or work is suspended or abandoned for a period of 180 days after the work as commenced or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to vidt to or cancel the provisions of any state or local law regulating construction or the performance of co r ction attlec _./.1_12ea Signature of Contractor or Authorized Agent T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005] Y/d Date Signature of Owner (if owner is builder) Date O 3 r Ca CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417 -473' 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 4NI WORK BEFORE INSPECTED AND ACCEPTED POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE FOUNDATION: FOOTINGS SHEAR WALLS WALLS FOUNDATION DRAINAGE/ DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDERFLOOR /SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALLkOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL ROUGH -IN HEAT PUMP /FURNACE /DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY MANUFACTURED HOMES FOOTING SLAB BLOCKING &HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT //'s PARKING /LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT 417 -4735 T• \Policies11102 15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD ACCEPTED YES NO 7S 1 3/o 7 I J1- i 71311 0 I j I Foundo.tion FINAL FINAL SEPA. ESA. SHORELINE: ELECTRICAL LIGHT DEPT FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL CONSTRUCTION R.W /PW/ CONSTRUCTION R.W ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 I I I I FIRE DEPT I PLANNING DEPT 417 -4750 I I -.r I I PLANNING DEPT I BUILDING 417 -4815 I i '1Y1.-01 I i,� I I BUILDING COMMENTS S4exn Q 1 01 01 .3 u- DATE ACCEPTED BY. 2 F4ola Peens 3 LL (ZSloii Shetut -woJ( rLC- DATE ACCEPTED BY. DATE ACCEPTED L YES I NO I I I I PLANNING USE ONLY T•\FORMS\B1dgPermitform.wpd Applicant. BUILDING PERMIT APPLICATION '3 Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review If you have any questions, call PERMITS (360) 417 -4815 FAX(360)417 -4711 Applicant or Agent f XX- Phone: 4-�j' ,/4 Owner tUL!J to, 'I 4 t4Lll.V'.J (b4 AT) Phone. Address: L e city. A` 4( 24_�b MI t r fjJdvtp 4'43349 Architect/Engmeer• ery J A J I t Phoont 45 7° V4-10 Contractor //fJert, Ch9Ps C(2 a State License J c «1 (0 gLxp"' Phone: Address: 4 C>ri& a Cit AlueAeztele, Zip q4 PROJECT ADDRESS M ZONING LEGAL DESCRIPTION Lot: Block: Subdivision. CLALLAM COUNTY PARCEL NUMBER. 45)&3 CAS 'PE OF WORK. Residential New Constr Re roof Stove ulti family Addition Move Garage Commercial Remodel Demolition Deck Repair Sign Other BRIEF DESCRIPTION OF THE PROJECT e-r- 'C 2 COMMERCIALJRESIDENTIAL. Occupancy Group Occupant Load. No. of Stories: Lot Size: 4. 6I Existing Sq Ft. y Proposed Sq Total lot coverage �j'�� ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other /Apothig alta9 G SIZE/VALUATION SF /SF SF /SF SF /SF TOTAL VALUATION Date: 6 f FOR OFFICIAL USE ONLY ate Rec. cr ermit G tt CO ate APp ate Issued: Construction Type: Ft. TOTAL Sq Ft. Z- APPROVALS PLAN BLDG DPWU FIRE 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 buildmg permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that 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 th it is my responsibility to determine what permits are required not the City's, and that I must obtain such permits prior to wor Applicant 4 -1 1 I Applicant 'SigratJre /Date A erl, f'?.M I' 1 Cilr c.- Rar i mp yrrr r_cl ect Staff Ini ials Pe l ce V O 0 52A ,J I ScribnerRd9Citkr A 17 57 c 3, 5 Oele' oetyv ilisod&2 412— ow /141(-4._42-4 ,frusLoec ahu. 0 c" 4 i L. 20' -O' EXISTING LEAN TO EXISTING STORAGE BULILDING UI EXISTING POST BEAMS 9' -8 1/2' 34 -0' 34 -0' z 1W 2 ,5/8 2 EA 2 5/8 PHDS -51355 ON DEL 2X STUDS WI 5/8' ATR U COUPLER TO 55T516 ANCHOR BOLT 14 -0' 5 1/8 10 1/2 24f-v4 GLULAM BEAM IN ECCQS- 65D525 POST CAPS ON 6x6 P T. HF #1 P05T5 IN 20" 48' CONCRETE W/ 6' CONCRETE PUNCH PAD 14 31 /2' 'U NEW COVERED PARKING A '.52 PH22 -5D83 ON DBL 2X 5TUD5 A ENGINEERED W/ 551615 ANCHOR BOLT \.51 I FOUNDATION DETAIL SEE ENGINEERED SHEAR 1 WALL SCHEDULE PAGE 51 FLOOR ('LAN 1/4" 1' 2• i O 16 0 N N 9 OWNER BUILDER TO CONFIRM ALL DIMENSIONS, MATERIALS CONDITIONS PRIOR TO CONSTRUCTION I I I f 11 I-- i I i l 1 I I II l r 10 SITE _r 1 JtT, AP A p• l ic :n t�� r`�. LE P S R S IT LI A AP taf Inijal -Pelmi- I I OVI L N lea, LI a I Ap•lic :nt +ig at re Da I I i I I ORIErtiir"-.1 g AM I7 II ii i im r-,,-. C ,1141 gm 1 sr.,: 111 111 Imi Mit L I 11 1 N 1 L... I tf I I I I I •I I. .J l LI L..I I _I I 1 i7P I I jty J o f �.n ilr I.._J I ern 1 c n I I LI 11 1 i l l 6 If a Larger sheet is ne de HH1 6 d Mona' copies mist be sub m itt d 1 J SCaIe 1_ ',," Job wired by ~~~,~ '~. ..-- 1-~i ~'t'~J'''' _... I ELECTRICAL WORK PERMIT APPLICATION , ~/ \. DOwner Installation description o Commercial ~dential Electrical contractor name License number Date Expires o New o Altered! Addition e.. \'('\. . "- Purchaser's mailing address ~ <2- ,0,',,", \.L.IA;~ State \\00 'f f'I<' \C ZIP \u<\ '\"6 6~ ?, FAX number l QU '0.71 f ~p'V'f\":::s"~ d€-\~\..-<=-~ City 'fon {\",\,.e\.oe.o Telephone number \.0'-\ " '-\\\- I." -- ~ Premises owner's name \')n \C-E'_ ~()(:)V''''e~2, Address of inspection \ '--\ \ ~ '-\ O\d \Y\\ \\ 'e d Citv , 'of"", ,-\ 'f\ V\ 6<2- 'e.. <;;. Phone number to schedule inspection: '--\\\- \\ ~"-\ Owner as defined by RCW/9.28.26/:(/) Owner will occupy the strucrureJor two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the elcctrical instal- lation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications. Signature of owner, electrical contractor or electrical administrator o Credit Card Card # Visa ~........... Mastercard CV'<:-~ .Q~~ iiscover o Cash o Check # Cr €-.).\ "'t x CLtL--. Date: 10-'-1-01 Expiration Date of card Inspection fee $ 75 '!!? Service Information Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton o Fan,Wall KW LAR o Overhead Service o Temp Service o Underground Service Voltage Phase 0 1 0 3 Service Size: Feeder Size: SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735 ROUGH-IN THERMOSTAT SERVICE Date Approved By Date Approved By Date Approved By FlNAL 111.f/f57 ~y DDITCH Ac/;J Approved By FEEDER rzIof:/zp & Inspection Date Area, Building or Equipment Inspected Action Taken Electrical Inspector OCT 20 7 " " /, , . 417-4735 D7 Ie!? PERMIT # IE.. A c.... ADDRESS APPROVED NOT APPROVED o .................... DITCH. . . . . . . . . . . . . . . . . . . . 0 O. . . . . . . . . . . . . . . . ROUGH IN/COVER. . . . . . . . . . . . . . . 0 O. . . . . . . . . . . . . . . . . . . . SERVICE. . . . . . . . . . . . . . . . . . . 0 0..................... FINAL..................~ CORRECTIONS NEEDED: ~"'T"M~ "'ij"1"2.0t*" Cc:>VE.-1Z..5 -;:012 7W\To-I4- OlrrL-~o F......0S~ (.nV~lZ... '-"p,~p; L... ~\n "h~ VA-l'-l"E L 1>1l... f-<.ooE... NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 :'f ~ORT ~ ~A...J",O~~ ~r..~ 1L ~ ~ "ttii:1C~ 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 04-00000074 Date 4124 S OLD MILL RD 06-30-15-3-3-0025-2001- MECHANICAL APPL. PERMIT 1/29/04 3200 Owner Contractor MOORHEAD BRUCE B 4124 OLD MILL RD PORT ANGELES WA 983621906 EVERWARM 257151 HWY101 PORT ANGELES (360) 452-3366 WA 98362 -------------------.--------------------------------------------------------- Permit MECHANICAL PERMIT Additional desc PROPANE INSERT, GAS LINE, TANK Permit Fee 57.65 Plan Check Fee .00 Issue Date 1/29/04 valuation 0 Expiration Dat;e 7/27/04 Qty Uni t: Charge Per Extension BASE FEE 47.00 1. 00 10.6500 ECH ME-GAS PIPE 1 TO 5 10.65 -1:' Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.65 57.65 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 57.65 57.65 .00 .00 N .+: o -- Q./ ~ r- r ,..- -'" 7U ~ 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 uoverning 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 constru tion. ~.y[tL''1.'(' Signature of Contract or Authorized Agent .' I~Zq-Di 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. 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 / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR W ALLIHOLD DOWNS WALLS / ROOF / CEILING DRYWALL (INTERiOR BRACED PANEL ONLY) T-BAR INSULATION SLAB I WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP GAS LINE /1- I).I]".() 4 D\/ , WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRiCAL - LIGHT DEPT. 417-4735 ELECTRiCAL LIGHT DEPT CONSTRUCTION R. W. / PW / CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT BUILDING 417-4815 -z "CI-tP4 j.L, BUILDING T:IPLANNING\FORMSllI02.15 [11114/2003] 3: 3: >-3 'tl , ~:;;~8E; n'tl '" '" >< ~ , H:U 'D '" '0 , 'O:uZZt:l >-3'" 'D '- I to<n"'>-3:U ><'0 Ul H I tr:l;U:;OtIj ;I> 0 0 0 ..; I Zto< ;l>Ul 070 H H .. , !i. nUl .,,'" , >-3 t:l , ~ , tJj 0 '0 jj , ",. :u. 0 n:u , :u :uw "'''' 0", , >-3'- , '- '- '- 3:0 I H , H "'''' 'OC:o , o 0:3:: tI:l,l:::. ~~ ' 0 -.J-.J to< "'0 , ,:::..<J\O<:t--> , '- '-'- "'Ul , , , 0"'''' Qo , 0 00 t;J;a , OW;U;Uof:>. 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'" "' o "'''' >-l'- ~~ Qo "''''' t"- '" W>-' W n", H'" >-l'" ><"' :>> 0'" "'''' o 003:'tJj.:::>. ~CJ'\O<f-' I I 0 tI:I t\J ow:::o::u~ oo::r::~ OltIj:t:>'O g~ij~g; 0' -JwtJj 3: ,.l:::.I;:O H we:: t" 3:10 t:"l l':l0l':l no '" ::r::NtIl t::l ~\" H '" no :>>0 t">-' '" w en CD :>> '0 "' t" "' '" '" ;'5 >-l H H2: 2:w W", ",l':l l':ln ()>-l >-lH 00 "'2: "'>-l OH Q() "''' "'l':l >-l < OJ (fJ W ",",w 131351 2:2:0 OJOJH < W 0\ o ..,. en '" , w W 0\ 0\ 0", :>>:>> >-lQ "'OJ '" '- '" " '- o ""'" ~)g FEE RECEIPT NUMBER CITY OF PORT ANGELES DEPARTMENT OF LIGHT APPLICATION AND ELECTRICAL PERMIT A /of~ PERMIT NUMBER . .. c.. lfS TOTAL FEE' -jGc:E- . . , CO NT. Lie. NO. TIMETOCQMPLETE NO. STORIES LEGALQCCUPANCY - Site Address <f1"2-'f l3eUCf.. ELECTRICAL PERMIT ONLY NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT \2. d; CORRECT ADDRESS IS :.\SPONSIBILlTY OF APPLICANT MQi,b hl-A.-'" . .. . OL)) M \\\ - ----- ~ . P~RMITS WITH WRONG AOD,~ESr~S AR>-..C"NC.~L~ ' Installation By 'In:.p s c: LS elL Installers Address . ~ /" Owner Owner's Address Installers Phone 'j)fvJ 5'/ ([EftA;-CL ( (2/V1 Wiring Metho~ e. AMP 120V 240V NUMBER AMP 120V 240V - ~ USE OF CIRCUIT NUMBER 'PER 100R FEE USE OF CIRCUIT PEA 100R "FEE CIRCUITS CIA 10 30 CIRCUITS CIA 10 30 LIGHT SIGN . LIGHT -c . 50 VOL T8---:- . OR LESS CONVENIENCE .:-C MOTOR CONVENIENCE . .. MOTOR APPLIANCE .. MOTOR . DISHWASHER - FIRE ALAR.MS DISPOSAL BURGLAR ALARM RANGE MISC. OVEN WATER HEATER , LAUNDRY , DRYER .. REINSTALLATION LIGHT FIXTURE # FURNACE SUB TOTAL FEE ! GAS - OIL FURN I\CE ENERGY FEE . ELECTRIC . . BASIC FEE ELECTRIC HEAT TOTAL FEE ELECTRIC HEAT SIZE OF SERVICE SWITCH OA CIRCUIT BREAKEA A.C. UNIT , AMP PHASE . FEEDER SIZE OF SERVICE ENTRANCE CONDUCTOAS - , .. SERVICE A.W.G. 1 SUB-TOTAL ,. .. - SIZE OF GROUND SIZE OF ENTRANCE SWITCH - . - - - I certify that the work to be performed under this permit will be done by the installer and in conformance with the N.E.C. Electrical Code. Date Application made ,19 By CONTRACTOR OR OWNER (OR AUTHORIZED AGENT) '. Date Permit Issued . Permission is hereby given to do the above described work, according to the conditions hereon and according to the approved plans and specifications pertaining thereto, subject to compliance with the Ordinances of-the. City of Po-rt Angeles '. '., . ~ \ " .. ,. . ... DIREC OR F ,tv" LIGHT .,' \" . 7! 1~/1~ ~CAN"PPR VED' . \.. ",' Notify Department of City Light by Street Address and PermIt Number when ready for Inspection. Work must not be covered or current turned on before inspection and O.K. for covenng or service has been given by Inspector i!l' Writing on Permit Placard. A. - Permits Phone: 457-0411 Ext. 158. WARNING PERMIT PLACARD MUST BE KEPT POSTED ON THE WORK - SEE OVER - WHITE. Original CANARY. Duplicate PINK. Triplicate WHITE CARD. Inspector's Report OLYMPIC PRINTERS, INC. DATE OF VISIT . /' , 3/ / f/f1 ( I REPORT OF INSPECTOR MADE BY c. ',i .'. I ^ .~ '. 7!l~ " --,- . . .. O.K. FOR COVERING , . -c- -C- ." ~J; ="._yo __...,~_ FINAL O.K. REMARKS . ; , , : , .. '. , , , : , : . . z Cl II: <( ~ .' !!! J: I- Z W ~. I- o Z o o , , . 'to " ,- . ElECTRICAllNSPECTJON WIRIN(3REPORT 457-0411 Ext. 158 OAT] j/b.ft? I PERMITio </ ~ IINS/l1- OWN ~ TRACTOR J A rUJ c ~ ~ 1L'i. V\ L"-d.... ADDR 58 {z..~ nLO MU\, ~ J . APPROVED NOT APPROVED ................... rnmH...................O ~.............. ROUGH IN/COVER.............. 0 o .................. SERVICE .................. 0 o .................... FINAL.. . . . . . . . . . . . . . . . . .. 0 CORRECTIONS NEEDED: L;ob L wOe/Ie:! /II( fa NIc ~ Yl)U A-b"Jrf- -K'L SUVIC'i.. PA---If I MfA... & '::;",.b //J(V[! I}" I,..} NEt J oj h~ I;J eic- j{4.(!c NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE _ OLYMPIC PRINTERS. INC. (206) 452-1381 , 4/74 OLPhtltJ, RD lf ..-,:: 2007-1211383 Page 1 of 2 Qui t Claim Deed City Of Port Rngeles Clallam County Washington 10!29f2007 01:32:23 PM 111I ~111"..ltr.ltU61,:l"U~UIiI',IMlfI"'lIl"f,:~~,~rilll III AFTER RECORDING RETURN TO: William Bloor, City Attorney City of Port Angeles P.O. Box 1150,321 E 5'h St Port Angeles, W A 98362 '\) '6'2.311 GI.ALlAM COUNTY rRANSACTION EXCISE TAX ~ DATE PAID AMOUNT R5 GRANTEE: CITY OF PORT ANGELES ~~~~~tlr LEGAL DESCRIPTION: A portion of the southerly 200' (feet) of the Southwest Quarter of the Southwest Quarter of Section IS, Township 30 North, Range 6 West W.M., Clallam County, Washington described as follows: A strip ofland IS' (feet) in width abutting the west margin of Old Mill Road as currently constructed and maintained. DOCUMENT: QUIT CLAIM DEED OCT 2 9 2007 GRANTOR(S): BRUCE B. and ROSEMARY G. MOORHEAD ASSESSOR~S PARCEL NO: none assigned QUIT CLAIM DEED The GRANTOR'S, Bruce B. and Rosemary G. Moorhead, husband and wife, for and in consideration of mutual benefits conveys and quit claims to the City of Port Angeles, a municipal corporation, of321 East 5'h Street, in the City of Port Angeles, County ofClallam, State of Washington all interest in the following described real estate: A portion ofthe southerly 200' (feet) ofthe Sourthwest Quarter of the Southwest Quarter of Section l5,Township 30 North, Range 6 West W.M., Clallam County, Washington described as follows: A strip ofland 15' (feet) in width abutting the west margin of Old Mill Road as currently constructed and maintained. Conveyance of the above referenced real estate is to provide additional street and utility right of way along the eastern frontage of 4124 Old Mill Road. \ Dated this .i'Zday of d~/--Vl _~, 2007. ~~,1Y,~ Bruce B. Moorhead STATE OF y.,r ASHINGTON) , )ss. County of qallam ) On this~ day of t)t~ ~ , 2007, before me, the undersigned, a Notary Public in and for the Srate of Washington, duly commissioned and sworn, personally appeared Bruce B. and Rosema~ G. Moorhead, to me known to be individual(s) described in and who executed the within in~trument and acknowledged that they signed the same as their free and voluntary act , and deed of said municipal corporation, for the uses and purposes therein mentioned, and on oath , stated that th~y are authorized to execute the said instrument. GNEN ~ER NJ(,JiriWE AND OFFICIAL SEAL this ,gg,day oftU~,,- _2007. I ~\\\\I lillI//, (') ;~~ ,..s. ROe ~ 1), I ) ~q,""""'~~~ " ~ g, () /.OTAI#~ ~ '% Notary Public in and for th State of Washington ::': I : :: g .Ul IEXP. 1It11-10ll::: residing at Port Angeles ~ ",-1\.. ~:e~ /7 /)f/ /\ ~;':,t. \ -Cla..,G E i1 My commission expires:c / ~7X I -{/ ~ 4' ^......... G ~ , 0,... 'NAS'fl'~ ., ~/1""III"I,"\I\\\~ -2-