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Home My WebLink About141 W Park Ave - BuildingApplication Number Application pin number Property Address ASSESSOR PARCEL NUMBER Application type description Subdivision Name Property Use Property Zoning Application valuation Application desc Heat pump outdoor plug Owner RUTLEDGE RICHARD 141 CHESSIE LN PORT ANGELES (360) 565 1007 Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date Fee summary Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98362 ELECTRICAL HEATPUMP 163956 76 10 4/19/10 10/16/10 ELECTRICAL PERMIT CITY OF PORT ANGELES 360 417 -4735 10 00000378 401030 141 W PARK AVE 06 30 09 5 2 3740 0000 ELECTRICAL ONLY RS7 RESDNTL SINGLE FAMILY 0 Contractor Plan Check Fee Valuation Qty Unit Charge Per 1 00 73 5000 ECH EL BRANCH CIRCUIT WO /FEEDER 1 00 2 6000 ECH EL ECH ADDNT BRANCH CIRCUIT Charged Paid Credited 76 10 76 10 00 00 00 00 76 10 76 10 00 Date 4/19/10 EXTRA MILE TECH ELECT LLC 418 N RACE ST PORT ANGELES WA 98362 (360) 457 0198 457 $S6S DATE RESULTS Extension 73 50 2 60 Due 00 00 00 0 0 0 INSPECTOR. 110 CAR C. aucts? ik? Signature of owner or Electrical Contractor X Date APR -1S -2010 02 59 PM E JANSSEN City of Port Angelus Portrait Application Building DivielonlEloctrtcat Inspections 321 East Fifth Street P.D. Box 1150 Port Angeles Washington, 98362 Ph: (MI 417.4735 Fax: (7801417.4711 Da l e: L /![j .1 2 Single Family Dwelling Multi Family or Commercial' Commercial Addition I Alteration Rentode urn; Plan Review Mey Be Required, Please Compute E:ectrical Plan Review information Sheet Job Address L' S h/ LE_ %tiding Square Footage w y Description of above .a.Ai 4 4) te r o t e A u 7 f 1 4 4 4 T P p O (4 Owner Inf rmahon Name: Die k Mailing Address: oily p 4 State: J Phone: '_L, 1 1i21Fax: cense tY Exp LE t C o n tractor Information Name. �L.4 A In 11.-6 '�E41f E LLL1('K.l ce.) Mailing Address: y /�_i1/ �Q Cit fr r stale; _teot zip: t$.l(1- P`rone__Ief_Z- SAUpFax: 4 /1!"_/ Sbf_ r 1 icenSe f/ /Exp.. .e4a?r T73 Aft Iy_ /2o// lint Chgp Qty otal (Oh/ 14,10110 by Unit Charges 0 119.90 0 Servicell-eeder 200 Amp. 5115.50 0 So /ice/Feeder 201 400 Amp. 1204.80 0 ServicelFeeder 3 262 20 SeivlcelFeeder 601 -1000 Amp 5 3 50 5 Service/Feeder over 1000 Amp. .i 2 60 Branch Circuit W/ Service Feeder i '3.50 --1 5 ...7717.27 Branch Circuit W/O Service Feeder 0 2.60 J S Ench Additional Branch Circuit 92.70 Temp Service/ Feeder 200 Amp S 1 10.30 S 1 amp Service /Feeder 201.400 Amp 5 148.70 0 Temp Service /Feeder 401 Amp 5167 00 S Temp Service /Feeder 601-1000 Amp 5 95.90 Portal to Portal Hourly S 10.20 0 Stgn/Oulime Lighting S 95 90 0 Signal Circuit/ limited Energy Comri,erclei AddWono t 5;u1. 0 S 63 90 Signal Circuit/ Limited Energy 1 2 Family Dwelling 5 63.90 5 Signal CircuiU Limited Energy Multi- Family Dwelling S 119 90 3 Manufactured Home Connection 0 102.30 Renewable Electrical Energy SKVA System or .ass 5 110.30 S First 1300 Square Ft, 5 15.20 Each Additional 500 Square Ft or Portion or 73.50 0 Each Outbuilding or Detached Garage S110.30 3 Each Swimming Pool or Hot Tub 5 56.00 Thermostat 607. Total Owner as defined by RCW 19.28,201- (1) Owner win occupy the structure for two years alter this electrical permit is finalized i t' Owner is required to hire an electrical contractor n above said proporty ie for sale, font or lease. Pemrit expire: alter :ix months of It inspection, Attar reading tea above statement, l hereby codify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with tho electrical laws, N.F.0 fiCW. Chapter 19.28, WAC. Chapter 296 The City of Port Ange•e. Municipal Code, and Utility Specifications. Signature of owner electrical contractor or electrical administrator 0 Crodlt Cerd 8 360 452 2982 RECEVE) APR 19 2009 ELECTRICAL INSPECTIONS tel Or AMMO 0 Cash P 01 0 it Residential 0 Residential Maint. 0 Signs 0 Thermostat 0 Telecom. Installation description 7<l 7 D , r 4.-' .. o Annual Permit o Electrical Contractor Job wired by o Electrical Contractor )9 Owner Electrical co }'EJ7ltert:.) 7VlC(JJrj)e(9,~' Pmchase"s r:;rW~~ ;P/tA3l:' 407 City. State ZIP Q0r7 / ., ,I-/<f)aF J:1rr,"'j~ W<f-.. / <XJlP~ TeIeP2~~60-- <t 3:;-f~l numbc, Premises o~ e,'s name~ !f)ur7lbiJ be Add"" OfJSqJ 4tJ~~P/faK // City /2-at~~.,,5 Llj/r?15 6~ I hereby certify that I am the owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical installation or alteration in compliance with the electrical law, Chapter 19.28 RCW. Signature of owner, electrical contractor or electrical administrator X -c:V~~/.' . y WALLS Insulation Only CEIUNG Insulation Only In " , , '-/ -Z~O'!5"ve~ Date ~ \. D", ~y 1-,,- rrSwe, Date Approve By \. Electrical Load Additions and or subtractions o NO LOAD CHANGES o Baseboard KW o Furnace KW o Heat Pump Ton LAR o Fan-Wall KW .' "p ELECTRICAL WORK PERMIT APPLICATION D Req "est Inspection . r-:6cr/L..o)'u )Ibid ?P1~ 1; (J.4vrJ.f;7S j- !5-tJO UJtFl1 ~(;l:-e &';;:'/t:.' lJC?!:>1b6 P.G4.~e ~A $yc. //'/ ?4'.M6-t _ o Cash 0 Check # o Credit Card Card # Visa Mastercard Discover Expiration Date of card TIlERMOSTAT Date Approved By DITCH Date Approved By SERVICE Date Approved By FEEDER Date Approved By Service Information Voltage PhaseOl03 Service Size: Feeder Size: o Overhead Service o Temp Service' o Underground Service Inspection Area, Building or Equipment Inspected Action Taken Electrical Date Inspector , 11. c; iIf ' - J )&:; chv ./ /)/[ ---0 J I '1- ,)-'? - fY} u/u-'ff.-. ,47-7 A _ /'IZiG/ 4et/ :s /17 /05 ~ 02/13/2005 21:29 {i'y ~-/s~pF 4579270 SIMPSON ELECTRIC PAGE 01 , ~ -, ~ ~ Electrical Cont~:t~'O :ncr \........l ELECTRlCAL WORK PERMIT APPLICATION o Request Inspection , a Annual Permit CJ Alum 0 Carnival 0 Commercial )It Residential Cl Residential Maiftt. 0 Signs 0 Thermostat D Telecom. Job wired by ~Ic<:trical Contractor ~ Owner PJ1"1:f{&j SeHJI'tt " ''-" " TelCl'honc number '7 :: , q2... D Premise' o'<(ne(' rame U;. dg. , j} I C-/G ~ e Address of i7eCflon ......J-.. f::t. k C-/ I t' --Ie s ( .,... City .1) + /\ . r 6" rj'~ e-i "-f' '" 4&c) - t?3~6 '. 1 h~rcby certify that I 11m the OWTICf of the llbove named property or ~ Iiccnsect electrical contractor (or the firm'!; authorized agent) l\l1d am making the electrical lMtallation or alteration in compliance with the c11:}::,Edeallaw. Chapl~ 19.28 RCW. / o Cash 0 Check # o Credit Card ~ Mastercard Discover Dro#____~__~____~ E"D J71:3,~ XplratlOn ate " ' " f d nspcc;1F" ceO o car S 1:6, 'l-- SERVICE WALLS Insuhl.tion Only CElLTNG Insul:uion Only TIiERMOSTAT 1)"Ie ^PllTtlved By D~IC ^O(Irov~ ay l)~le. ^~flt"ved By Dille ^1'I11l't'''etl [l~ DrrCH FEEDER Cover Cover D~'c At'l't.weCl Ry rJ~'~ Approved By U.le Approved 9y Ollie ^"rroV(l\18y , t .., Electrical Load Additions and or subtractloll,S. o NO LOAD CHANGES o Baseboard KW o Fumace /12-KW o Heat Pump _ Ton _ LAA CJ Fan-Wall KW Service Informa!l~n, ........ CJ Overhead Service IJ Temp Service jJf Underground Service Voltage PhaseD 1 03 Service Sizo:...,:Lilt) Prt'-f Feeder Si~e: lnspcct;('ln Due Area. Building (It Equipment Inspected Act;on T:lken Electrical Tn!'lpector ~- ""C e:.: d1 ,41/!1N' ,J , ;1r~ ~I-'Y h~ r . . ....... ElECTRiCAL ~U\!ISfPJlE<C1I"~Q)1Nl W~IRlIIi\nG IRlIE!PJOlRll 417-4735 INSPECTOR 4-t;C , ~ ADDRESS r'~ L APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN/COVER..... .... .. ... 0 o .................. SERVICE .................. 0 o .................... FINAL. .. . .. . . . .. .. . .. . ... 0 (j) I( e CORRECTIONS NEEDED: .3" p~ ~/7,.>fl'9't' . (j) .:2" ;arc Ck:7,-.-p'U,v 6. /V~4U:J , (\ NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 - .- -~. .. -'- -~-- -.-- ~- ..... --.-' '-'. ~. ELECTRICAllNSPECTIOI\4 WIRING REPORT 417-4735 PE-RMIT If o~.. ,e; /4;t.r L.e~ f1/ ;74q( dz/L 7"~a.. e35-'" APPROVED NOT APPROVED o ................... DITCH ................... 0 o .............. ROUGH IN ICOVER ........ .. .... 0 , " ~ .................. SERVICE .................. 0 M' . . . . . . . . . . . . . . .... . . . FINAL. . . . . . . . . . . . . . . . . . .. 0 CORRECTIONS NEEDED: 06;?c/ 1ZI!.e#/ ,/fk:- ~...;/.../T'ZZ :7P P /,A/ ,A)/ -rz:~ ) (-'"' J /~fl- 7l1/C.I,U I. ... .z: c:!4-U. !.--ZJC#Z Ol;;:-FI(~ .' . " \ /2'91<1 r 'EL-/l';eiO 1'/7 - 2.'7317 NOTIFY INSPECTOR WHEN CORRECTIONS ARE COMPLETED WITHIN 15 DAYS - DO NOT REMOVE - OLYMPIC PRINTERS, INC. (360) 452-1381 \, . I f"OR1.....l t~~~~~ . hili L~ ~ ~IC~ 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 05-00000074 Date .433296 141WPARKAVE 06-30-09-5-2-3740-0000- RES MANUFACTURED HOME 2/11/05 RS7 RESDNTL SINGLE FAMILY 106350 Owner Contractor RUTLEDGE, RICHARD 141 CHESSIE LN PORT ANGELES (360) 565-1007 Structure Information Construction Type Occupancy Type Other struct info WA 98362 BUY RITE HOMES 3543 W.STATE HWY 16 SEBRING (479) 795 2086SF MANUFACTURED W/ATT 714SF GARAGE TYPE V NON-RATED SINGLE FAM & CONGREGATES TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS FL 29.90 1. 00 9314.00 2794.00 2794.00 1. 00 -.C. ---------------------------------------- Permit . . . . Additional desc Permit Fee Issue Date Expiration Date BL MANUFACTURED HOME KARSTEN #KMCK52865 230.00 Plan Check Fee 2/11/05 Valuation 8/10/05 .00 106350 permi t BUILDING PERMIT -RESIDENTIAL Additional desc 714 SF GARAGE Permit Fee 316.75 Plan Check Fee 126.70 Issue Date 2/11/05 Valuation 17850 Expiration Date 8/10/05 Qty Unit Charge Per Extension BASE FEE 92.75 16.00 14.0000 THOU BL-2001-25K (14 PER K) 224.00 cc 1'\ -:\j Z ~ ~ "', \ 7' 1/ <: ~ Qty Unit Charge Per BASE FEE Extension 230.00 ------------------------------------ Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Manufactured home must be pit set so that no more than 12" of skirting is visable above grade. The proposal will result in the construction of a s.f. res in the RS-7 for total lot coverage of 30%. No land use issues are noted. Electrical load calculations and elctrical permits are required. Connection from pedestal n/w corner of lot. Fee $713 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 Authorize -II-co Date Signature of Owner (if owner is builder) Date T:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] 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 NO FOUNDATION: FOOTINGS WALLS FOUNDA nON 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 I I CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL 1 FLOOR / CEILING I I MECHANICAL HEAT PUMP/FURNACE/DUCTS GAS LINE WOOD STOVE / PELLET / CHIMNEY COMMERCIAL HOOD / DUCTS MANUFACTURED HOMES FOOTING / SLAB BLOCKING & HOLD DOWNS SKJRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKING/LIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 . PLANNING DEPT. BUILDING 417-4815 BUILDING T:\Policies\1 102_15 building pennit inspection record05.wpd [1/412005] rf"ORT~"\o: O~~~ '-r. L~ ~ ~~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number . . . .. 05-00000074 pin number . . .433296 Page Date 2 2/11/05 ------------------------------------------------------- Special Notes and Comments Sanitary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. ------------------------------------------------- Other Fees SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 745.00 4.50 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 546.75 546.75 .00 .00 Plan Check Total 126.70 126.70 .00 .00 Other Fee Total 1774.50 1774.50 .00 .00 Grand Total 2447.95 2447.95 .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 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:\Policies\1102_15 building pennit inspection record05.wpd [1/4/2005] 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 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: Itit t ItO:J,.J, ?-- - '1-3 -0 ~- FOOTINGS f3 i 0<- k- <i-" -e -;L:'.1;;/1- j "3 - /< ')""'-<>5"" ,) i-L- I}P WALLS mOrlO slab G~ 3-'}./-<:>r ,jrJ--A 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 ;..) -ry- 06 TILl CEILING I FRAMING JOISTS 1 GIRDERS SHEAR W ALLIHOLD DOWNS WALLS 1 ROOF 1 CEILING j...\ - TJ -0" -J j..).. DRYWALL (INTERIOR 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 COMMERCIAL HOOD 1 DUCTS MANUFACTURED HOMES FOOTING 1 SLAB BLOCKING & HOLD DOWNS SKIRTING PLANNING DEPT. SEPARATE PERMIT #'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: . FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R.W. ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 t.! - ~I-f ','''S jL-~ BUILDING T:\Policies\1102_15 buildIng pennlt InspectIOn record05.wpd [1/412005] , , , , , :~ ' '- , tv , '" , '- , , Ul , :~~ , I:" , I:" , , , , , , , , n o Z >-3 H Z C OJ tj o Z >-3 o Z OJ >: >-3 '0 ~ Cl OJ t:lb:lH'lOO'ttl H ~ 1-'- of:>. 1-'- c: ()H::J..........tiH ?;: t"l 1-'- tv 0. L" t:::l m Ln 1-'- t:l H~.........roH ,p.Z tv Z O'l G1 '"d 0 G:l o <' 0 II-tjtr'Ln 00 H WZ>: ll1~OO O\t""ti.t> ;>;' .. rn H ...., o "" '- tv '" '- tv o o Ul H o "" o ~ 3: ~ I:" H OJ ~ I:" ><: to I:" '" '" o tv OJ " 0.'0 3: ro H ro ~ n I:" rtH " OJ f-'. ~ n I:" OJ ><: H en f-'. " OJ H en f-'. " rn rt '- U. 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Uyou have any questions, call PERMITS (360) 417-4815 FAX(360)417-4711 Applicant or Agent~")B (eilt # IflJ) f'? a" TL. .c (7 G e Phone: 546-'""- .IVcCJ -7 Owne~'LI//1P./) .,f-7f.:rTRIc.IA- ,iP(./..Jr.<:..€oC* Phone:~~/c:? 07 Address: /7/ e.f..It255-c.. <!. A) City-7b~T J7 A..'7' ~s u}q Zip: 99.3 ().;{ Architect/Engineer: I{' .4r:t.STE.A.J 1161'11E-S Phone: '-;-:)' BtN I?. hI.... L.iA7' / Contractor ,Ra.,y ./\ / r€ State License#: I~g fv;J Exp:Sc;('OVb Phone:L>3'I---07?7 Address: ~91{(:)3 j{,'fM-' /it I c I City: 's'.s 9 4.i 14 ta.L Zip: '9 ~ 3 <;. <- PROJECT ADDRESS:4 1'1-1 W ~<:ir ~/2k" ZONING: LEGAL DESCRIPTION: Lot:'?~~L B Block: Subdivision: ~cJ (]f:f-J{'Tt/t:I- LJC3~~flt., CLALLAMCOUNTYPARCELNUMBER: a ?CJOr..s-~3 7~o /9,0.0/;7." . Credit Card Holder Name:-:1?t'CIf~O ;(?tt-.7ZEb&C Billing Address: /~~~/G ~" City: Pber '1!'-7.L6 S Credit Card Type VISA 5c'""" MC #_ ~ ! Exp. Date: "- TYPE OF WORK: SIZEN ALUATION: ~ Residential 0 New Constr. 0 Re-roof 0 Stove 020'86 SF. @ $ W-<!!9 /SF. = $ '5lilffoco<J o Multi-family 0 Addition 0 Move 0 Garage -, I '-I SF. @ $ /SF. = $ I -, SSe co o Commercial 0 Remodel 0 Demolition 0 Deck SF. @ $ /SF. = $ o Repair 0 Sign 0 Other. . TOTAL V ALVA nON $ I 0 ~ ~ 5D cXJ BRIEF DESCRIPTION OF THE PROJECT: Ml"}d j 'IF-,k.').1 e. ~ s 2.. 96 S' 52. x: Y L '< c y~<+ e t'\ COMMERCIAL~SIDENTIAL: Occupancy Group: 11'0111 G% Occupant Load;J 6.(? Construction Type: /110 ~ No. of Stories: L Lot Size: 93/0/' Existing Sq. Ft. 93/0/ & Proposed Sq. Ft. 219'1) = TOTAL Sq. Ft,.2 -:J t'I~ Total lot coverage_ kg- . <1 % ...."---,.:- __ . ~.- c- 6<'.; APPROVALS: PLAN: BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESNW etland( s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance. PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once. I hereby certify that I have read and examined this application and know the same to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required ,not the City's, and that I must obtain such permits prior to work. T:\RVESS\BLDG-forms-brochures\2004-Buildingpennit.wpd APPlica~~3~ Date: /'--:z. &' --~~ 735324 Ifflg{(;@Iffl@ @!?' ~{!j}IfflWgrr .&] !fJ@I!!J'Il!l@1l!! @!?' 1ffJ1L@~1J{ 311; !?'OO#JIffl'lllf rt!t fP)@fL!JJIl!!~ .&]@@m@1l!! {(;/L;iJIL/LIiJ!Jl1l {(;@{!j)~ WAJf$I#lI!If!!@'l1@1f!! 1I"Ot'f: ~ F1'IJIZZ!S.L "' o > l ~ '" ~~ 1 FOUND BRASS CAP IN CONCR[T[ -\_ A r THE INTERSECTION OF RHIDBY AVf AND LAUREL ST ON 1-18-96 AS PER VOL J4 OF SURW["Y$, PG 22 CITY OF PORT ANGELES 10 NO OfiJOO9BO (JI2-"-I) I - , ------j -r: ,'" ~ Ii PLA T OF SOUTHWOOD S 86'22'21" E VOt.. 5 or PLA 15. PC {; SURVEYOR'S CERTIFICATE f CfNTH?LIN[ OF _ _ _ :~CA TED :~L:Y V 60.00' SCALE: ,"=]0' ~'"""7~~o FOUND J l/r BRASS CAP WITH RXW IIJ CENTER AT THE INTfRSEcnDN or COLUMBUS A Yr. AND CHERRY 51. ON I-IB-96 '" '" ",' ~ t_ ~ t CI:l ,,,, >-.. I 0::: , ~ Ii ~ "" PARCEL "A" 8099 so. FT. .~ 'll P '" <; 60.00' S 86"22'20" E ,> t.~,=,,~P~ ,:;,~ BRASS CAF IN CONCR[T[ A T THE INTfRS[CTlON OF PARK AY[, AND CHERRY Sf ON 1-/8-96 PROPERTY DESCRIPTION PARCEL "A" THE EASTERLY 49 FEfT OF LOT 19, AND THE ~SrrRLY 1/ FEET OF LOT 20. BLOCK 37, FOGARTy &: DOLAN'S ADomON TO THE TOtm OF PORT ANCnES. ClALLAM CO.. WASHINGTON. ACCORDING TO THE PLAT THEREOF RECORDED IN VOL 2 OF PLATS, PAGE 18: TOGETHER WITH VACATED ALLEY ABUTnNG ON THE NORTH MARQN Of SAID LOTS SEE AUDlT::;;R'S F'lLE No. 280494 I fl (.u z. l) ::r:. "' f1' -I:l -l:c.. PARCEL "B" LOT 20, EXCEPT JH[ H{"ST 11 FEU THEREOF, IN BLOCK 37, POGARTY ... DOLAN'S ADDmON TO THE TQItN OF PORT ANGCLES. ACCORDING TO THE PLAT THEREOF RECORDED IN VOL 2 OF PLATS, PAGE lB. RECORDS OF CLALLAM co. WA~INGTON. TOCETH[.'? WfTH THAT PORnQN OF VACATED ALLEY ADJOINING, ltH/CH UPON VACATION ATTAOES TO SAID PROPERTY, BY OPERAnoo OF LAW. 51TUArE IN CLALLAM COUNTY. STAT[ OF W,ol,SHfNGTC/N AUDITOR'S CERTWICATE ~~:c:r;. ..R~:ORO THIS _.2.2.!!:: OA Y OF ~___. 1996 AT/..a~-P-.M. IN ~~~U.1~_ -fr rH[ :oC~;~'[; :.~. P~C;TfRS co r~11l'1f~.v\ ~<i;~D'."'-"I'\o~ Ufl\'t. l~,~ .l ~'^-".,....~~'!.::.~ ...."""'A.L.l.""tI ClII"UIla ./R..... THIS MAP CORRECTl Y REPRESOHS A SURY[Y MADE BY ME DR UNDER MY DIRfcnON IN CONFORMANCE WlTJ-/ TME SURVE"Y RECOR[}lNG ACT AT THf REOUEST OF VIRGINIA FRIZZELL. ~~ DEPUTY COUNTY AUDlroR D"" 12900' 69.00' '" '" '" ~ --c: ~D~-V~~~~-P~~~ -- OF ALLEY SU8JfCT TO PRlv,uf EASEMENT PARCEL "B" '" ,~ 0) FOUND BRASS CAP AT =1:- "':i THE IN T[RSEC TlON OF ~ ~~REciNSTT~I~~~6VA9-ION _ ____ ] ~I -/"'"! CALCULATI.D CENTERLINE - CENT[RL/N[ INTERSECTION t . ~u~~U~~US ,1,11[ AND ~ I~ ::::; I ~~I ~ '"'J ; "" 9314 50_ Fr "" .CS 'll P '" <; '" .C\J 'll P " <; I ..",- CfNTERUNE or / VACA TED OAK Sf. 69.00' ..,' - -- I 0.:. I .__ ~!l _00 ~ 1120.00'- ~~L=~'N[ _ SE CORNER SECTION 9 129.00' C[NT[Rl/NE INTERSEcnQN OF PARK A \1'[. AND OAK ST. FOUND 2M BRASS CAP IN CONC AT THE INTERSECTION OF PARK AV(. AND LAtlREl 51. ON 1-/8-96 AS PER vat. 34 OF SURVFYS, PG. 22. CITY OF" PORT ANGElES 1.0. NO. 0630J611 (J12-4-2) LEGEND @ SfT 5/BM ReBAR ",TH YElLOW PLASnC SURV(YOR'S IOENTInCA nON CAP STAMPED -WINTERS, L5. IBI04M ---+-- [XlsnNG F[NCE LINE AS PER FIELD nES ON JANUARY 25, '996 NOTES: S.9. T.JON.,R.6W. I THIS SURY(Y WAS PERFORMED BY FInD TRA~RSE USING A 10 SECOND MTOTAl STA nONM THfOOOL/T[ SUPPLEMENTED ....11-1 A 100 Fr STfEL TAPE. 2 ml$ SURllfY IS BASED UPON WASHINGTON CDORD1NATf SYSTEM. NORm lONE AS PER 11-IE CITY or PORT ANGELES GEODETIC CONTROl NETWORK AND MONUMENTA TlON PLAN AS PER VOlUME J4 or SURYfYS. PAGE 22, RECORDS OF CLAllAM co., WASHINGTON. ALl DISTANCES I'I{"R[ REDUCED BY A SCALE FACTOR OF 0.99992B9J J THE BASIS OF BEARINGS USED FOR THIS SUR~Y IS N 4"06'IoCM E BETWEEN THE 5E CORNER OF SECTION 9 AND TH[ BRASS CAP A T mE INTERSECT/ON OF LAUR[L ST. AND ~IDB\" AV[, AS SHOI'N HEREON AND ALSO AS SHOI'N ON vat. J4 OF 5URvE)'S, PG. 22, RECORDS OF CLALLAM CO., WASH/NGTON rTl rm ~ NO r fO SCALE ~~~--- R.H. ""NTERS, L5. lB104 R.H.lfinters CO., .Inc. 00 SURVEYINC .."" HO'Y 'D' '!:oUl~~PPINC SEQUlJ/ PH:683-3363 PT TOJfNSEND PH; 385-1225 FAX__683 1860 70 204 Vertical Datum = NA vn 88 Horizontal Datum = NAD 83/91 Feet Park Ave. -: C/) ~ co o N Area Map 133 -~ This map is not intended to be used as a legal description. This map/drawing is produced by the Ci~~' q( Port Angeles/or its own use and purposes. Any other use of this map/drawing shall not be the responsibility qf the Ci~v. :~ '.~. .. ~ (. ~ % '1-1 /. ~ -C 0- - S6,. 1r'... I j '-- \J~ ~ ~ r I ! ~-1 ! ;1 ir I l ~ I ~ I I ",I ~ I ._ k-j) i cc i i ~ ~ ~ '~ ~ .., "" .~ " lli I I i I I , I II II i I , I I I II II I ! I i ! l I i ~ II "--.... d'i .2.t ~"" ""- .. It 1 ~, I ' I f, ~~ I i ! 1 - =- -- -i i ;f-II I ' , i I J I ' 1-.J i / D\'I ! I \ l.1 "i ! I , ! ~ I ! I' I \ld01 ~' o~ <> C'l- 'i'" .~~ -:;.."'", '\ :"'J;. "c. <:).~ -q-.,. ~ 1 .b' :5.. 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Malenals rostil/g FIELD DENSITY TEST NUCLEAR GAUGE METHOD DATE :;:J,/ 1'7 J ~5 CLIENT: RIC.horoJ r1..u-Wed~~_ PROJECT I 4 I L-v. iJo..r k 1~~'2 ADDRESS: CONTRACTOR: MATERIAL: PIt- r\..J,/\ f(,,~rt'Y:4F;'1 "'" I>--rE:p.., TESTED BY: B. l~ IDEAL MOISTURE: 4. .5 STANDARD COUNTS: MS = ~,4 \ OS = abb4- TEST DEPTH DRY WET MOISTURE PERCENT PROCTOR PERCENT NO. DENSITY DENSITY COUNT MOISTURE COMPACTION I Ie /5'3: ) 1~/.1 i 3, 4- 1<).0 I 3<),5 'i7 LOCA TION: f',' J) @ NEe I () I 3c~. () I 5 1,3 j :;?~ '8,~ } '".5 (=J ,Q f( \ \ Nvv'C:-. LOCA TION: @ I ~ I I I I 1 I r ~:::':r I I I ~ I I I 1 I I I I 1 / LOCATIO!, I I I I I 1 I I : LOCA TIOj ~ I ,I I I j I LOCA TIO~ I I .~ I I r LOCATlol: I 1 I 1 ~ I I I / LOCA TION: I 1 I I I I I LOCA T/ON: G.\Gen\SIIl\Forms\F,eld DenSity Tesl.wpd 717 SOUTH PEABODY. PORT ANGELES. WA 98362 (360) 452-8491 1-800'{;54-5545 FAX 452-8498 tJj t" H tJj t" w , , , , , , , :t I ,t>.~~~WW I ......................................................................... 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WA 9RJ62 BUY RITE HOMES 3543 W.STATE HWY 16 SEBRING (479) 795 2086SF MANUFACTURED W/ATT 714SF GARAGE TYPE V NON-RATED SINGLE rAM & CONGREGATES TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000074 Date .433296 141 W PARK AVE 06-30-09-5-2-3740-0000- RES MANUFACTURED HOME RS7 RESDNTL SINGLE FAMILY 106350 Owner Contractor RUTLEDGE, RICHARD 141 CHESSIE LN PORT ANGELES (360) 565-1007 Structure Information Construction Type Occupancy Type Other struct info WA 98362 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL SIMPSON ELECTRIC SIMPSON ELECTRIC 78.70 2/22/05 8/21/05 Plan Check Fee Valuation Qty 1. 00 Unit Charge Per 78.7000 ECH EL-MANF HOME SERVICE & FEEDER Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Manufactured home must be pit set so that no more than 12" of skirting is visable above grade. The proposal will result in the construction of a s.f. res in the RS-7 for total lot coverage of 30%. No land use issues are noted. Electrical load calculations and elctrical permits are required. Connection from pedestal n/w corner of lot. Fee $713 SaniLary sewer connection inspection is required by Public Works prior to back fill of ditch. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way.' Other Fees RES UNDERGRND SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE COMMENTS/ACTION NEEDED 2/22/05 FL 29.90 1. 00 9314.00 2794.00 2794.00 1. 00 ."-. ~ ~ '- .00 o t Extension 78.70 ~ 713.00 745.00 4.50 ELECTRICAL PERMIT INSPEc;r.lON 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 DATE ACCEPTED COMMENTS I YES NO nlTC 'H UOTT~l-!-IN I COVER .......1( V II .... l<TN AT I I I .. GENERAL COMMENTS: PW-1I02.15 (4196) cJ"""~. Jfi~~ D!i ~:";",. CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .~21 EAST 5TH STREET. PORT ANGELES. WA 98~62 Application Number . . . . . 05-00000074 pin number . . .433296 Page 2 Date 2/22/05 Other Fees PW WATER SYSTEM USE FEE 1025.00 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 78.70 78.70 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 2487.50 2487.50 .00 .00 Grand Total 2566.20 2566.20 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPECT.ION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COJlER. INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE COMMENTS NO - ~V GENERAL COMMENTS: PW.ll02.l.5 [4'96) S "'ii..;,.. CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .l21 EAST 5TH STREET. PORT ANGELES. WA 98162 Application Number pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 05-00000074 Date .433296 141 W PARK AVE 06-30-09-5-2-3740-0000- RES MANUFACTURED HOME 3/18/05 RS7 RESDNTL SINGLE FAMILY 106350 Owner Contractor RUTLEDGE, RICHARD 141 CHESSIE LN PORT ANGELES (360) 565-1007 Structure Information Construction Type Occupancy Type Other struct info WA 98362 BUY RITE HOMES 3543 W.STATE HWY 16 SEBRING (479) 795 2086SF MANUFACTURED W/ATT 714SF GARAGE TYPE V NON-RATED SINGLE ~ & CONGREGATES TOTAL % LOT COVERAGE EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS FL 29.90 1. 00 9314.00 2794.00 2794.00 1. 00 ---------------------------------------------------------------------------- Plan Check Fee Valuation .00 o .......... " "-- , Permit Additional desc permi t Fee Issue Date Expiration Date ELECTRICAL NEW OWNER/ GARAGE 48.10 3/18/05 9/14/05 RESIDENTIAL Qty 1.00 Unit Charge Per 48.1000 ECH EL-R-OUTBD/DTCH GAR SEP Extension 48.10 ~. i" .-...... ---------------------------------------------------------------------------- Special Notes and Comments Building address sign shall not be less than 6" & not more than 12" in height. Numbers colors must contrast with wall color they are mounted on. (Ord. 14.36.050-E) When roof gutters are installed, drains will located in dry wells or piped to approved storm drain locations. Manufactured home must be pit set so that no more than 12" of skirting i~ visable above grade. The proposal will result in the construction of a s.f. res in the RS-7 for total lot coverage of 30%. No land use issues are noted. Electrical load calculations and elctrical permits are required. Connection from pedestal n/w corner of lot. Fee $713 Sanitary sewer connection inspection is required by Publjc Works prior to back fill of ditch. Construct driveway to City Standards. No concrete with exposed aggregate allowed in the City road right of way. ~ ~, ~ ~ ----------------------~----------------------------------------------------- Other Fees RES UNDERGRND SERVICE FEE SEWER SYSTEM DELV CHARGE STATE SURCHARGE PW WATER SYSTEM USE FEE 713.00 745.00 4.50 1025.00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPEQ'JON RECORD CALL 4174735 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 DATE ACCEPTED COMMENTS YES I NO !Juett "U71TTGl-I-IN I CUV.r..K SERVICE J.-INAI I I - GENERAL COMMENTS: PW-1102.lS (4196] s "" r..? CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION .121 EAST 5TH STREET. PORT ANGELES. WA 98162 Application Number . . . . . 05-00000074 pin number . . .433296 Page 2 Date 3/18/05 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 2487.50 2487.50 .00 .00 Grand Total 2535.60 2535.60 .00 .00 COMMENTS/ACTION NEEDED ELECTRICAL PERMIT INSPE(i,lON RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLA WFUL TO COliER, INSULA TE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE COMMENTS NO /?6~w/";{,", /;:~I)l/,l /~AV( ,O/'/;,-C ;:?.['-c:t/r-, .A'V L:~/~'v{> ff-lv GENERAL COMMENTS: PW-II02.lS (4196]