HomeMy WebLinkAbout631 E Park Ave - BuildingPREPARED 1/24/11 8 27 02
CITY OF PORT ANGELES
ADDRESS
TENANT NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
PERMIT
BL99
01
631 E PARK AVE
PAULA J CUNNINGHAM
CHILDERS BUKOVNIK CONST
PAULA J CUNNINGHAM
06 30 10 4 3 0640 0000
10 00000418 RES REMODEL
BPR 00 BUILDING PERMIT
REQUESTED INSP
TYP /SQ COMPLETED SULT
1/24/11
tE
i
INC
RESIDENTIAL
DESCRIPTION
RESULTS /COMMENTS
INSPECTION TICKET
INSPECTOR JAMES LIERLY
SUBDIV
PHONE
PHONE
BLDG FINAL TIME 01 00
January 24 2011 8 20 27. AM 1pangrle
PAULA 460 4374
BUILDING FINAL removed a deck replaced with
217 sf deck
AFTERNOON
PLEASE CALL HER 10- MINUTES BEFORE YOU GET THERE
COMMENTS AND NOTES
(360) 452 9136
(360) 452 4294
PAGE
DATE
a smaller
PAULA J CUNNINGHAM
631 E PARK AVE
PORT ANGELES
(360) 452 4294
Other Fees
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY ECONOMIC DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES WA 98362
Application Number 10 00000418 Date 5/13/10
Application pin number 778162
Property Address 631 E PARK AVE
ASSESSOR PARCEL NUMBER 06 30 10 4 3 0640 0000
Tenant nbr name PAULA J CUNNINGHAM
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 6500
Application desc
remove deck replace with a smaller 217 sf deck
Owner Contractor
WA 98362
CHILDERS BUKOVNIK CONST INC
13 VALHALLAS DR
PORT ANGELES WA 98362
(360) 452 9136
Permit BUILDING PERMIT RESIDENTIAL
Additional desc REPLACE EXISITING DECK W NEW
Permit pin number 164426
Permit Fee 70 00 Plan Check Fee 45 50
Issue Date 5/13/10 Valuation 6500
Expiration Date 11/09/10
Qty Unit Charge Per
5 00 14 0000 THOU BL 2001 25K (14 PER K)
STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 70 00 70 00 00 00
Plan Check Total 45 50 45 50 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 120 00 120 00 00 00
Extension
70 00
Separate Permits are required for electrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and
void if work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned for a period of 180 days
after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection I hereby certify that I have
read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will
be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any
state or local law regulating construction or the performance of c
r) b, VL .rc
Date Print Name Signature of Contractor or Authorized Signature of Owner (if owner is builder)
T:Forms/Building Division/Building Permit
ction.
FOUNDATION
Footings
Stemwall
Foundation Drainage Downspouts
Piers
Post Holes (Pole Bldgs.)
PLUMBING
Under Floor Slab
Rough -In
Water Line (Meter to Bldg)
Gas Line
Back Flow Water
AIR SEAL.
Walls
Ceiling
FRAMING
Joists Girders Under Floor
Shear Wall Hold Downs
Walls Roof Ceiling
Drywall (Interior Braced Panel Only)
T -Bar
INSULATION.
Slab
Wall Floor Ceiling
MECHANICAL.
Heat Pump Furnace FAU Ducts
Rough -In
Gas Line
Wood Stove Pellet Chimney
Commercial Hood Ducts
MANUFACTURED HOMES
Footing Slab
Blocking Hold Downs
Skirting
T /Building Division /Building Permit
BUILDING PERMIT INSPECTION RECORD
PLEASE PROVIDE A MINIMUM 24 -HOUR NOTICE FOR INSPECTIONS
Building Inspections 417 4815 Electrical Inspections 417 4735
Public Works Utilities 417 4831 Backflow Prevention Inspections 417 4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED
POST PERMIT IN CONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
PLANNING DEPT Separate Permit #s SEPA.
Parking Lighting I ESA.
Landscaping I SHORELINE.
IFINAL Date Accepted by
FINAL Date Accepted by
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/ USE
Inspection Type
Date Accepted By
n
7
A
Electrical 417 -4735 OQD
Construction R.W PW Engineering 417 -4831 Ib
Fire 417 -4653
Planning 417 -4750
Building 417 -4815 I 0 I ZLt' t 3 LC i
1 h a
I- AL L_A .0 0-. t AD 4-- 1 -cdN4 Phone 3 0) 46
Property Owner Ca.-) CKT l Phone 8i 2 dZ k
Property Owner's Address 6 F= <PA A J TO (2. AIL. E7_,- co 487.--.
Contractor Ck-kALID s vse_.p VW' lK CONISTI Phone (36c)) 46 t 4 t 4g r 1)
Contractor's Address 13 i/At1 -%Aus 4'JE t)Po1 A GLE:S 13
License G}4-1LDcnSOG'p Expires IcA6/t 1 E -mail cif b' it cizv
Corn
Applicant
PROJECT ADDRESS j p s
Parcel Number 0(03C) (O- 43cto4b Lot Zoning KS —`7
Project Type Brief Description.
Check all that apply
New Construction
(Addition
Remodel
Repair
)ist
Re -roof
Heat System
Other
Floor Areas
Basement i n 18
1 Floor
2 Floor
3 Floor
Garage
Carport Li 33
Covered Porch
Deck
Shed
Other
Total footprint of structures 1 IS sq ft. Lot size t 47
Site Coverage the amourrt of impervious surface on a parcel including structures
and other impervious surfaces (see PAMC 17 94 135 for exemptions)
)1I
1 1`17: -2,7 6 Iz, y fo?
Max. height of proposed structures ft. Occupancy group
Will a lawn sprinkler system be installed? Occupant load
Will a fire sprinkler system be installed? Construction type
I have read and completed this application and know it to be true and correct. I am authorized to apply for this permit and understand
that it is my responsibility to determine what permits are required, and to obtain permits prior to working on projects
Date 4/27 Print Name CAUL -P Z Cc��N Signat e 1
v
T Forms building Division /Building permit application
BUILDING PERMIT APPLICATION Print in ink
CITY OF PORT ANGELES
Attn Building Permit Technician
321 E Fifth St. Port Angeles WA 98362
(360) 417 -4815 fax (360) 417 -4711
in .21 447. clec4c.
V J
Residential Multi- family Commercial Industrial
416 sue►, a.
House o'garage other tear off re -roof lay over one layer
Heat pump wood- burning stove gas fireplace pellet stove other
Existing (sq. ft.) Proposed (sq. ft.)
For City Use only
'i Date Received
Permit /G-
ate Approved
per sq ft.
16,.5ir�
TOTAL VALUATION
sq ft. Lot coverage i,Z
paved driveways sidewalks _patios
Site coverage a
x 7 7
of bedrooms
of full baths
of half baths
NOTES
Permit 10 HIS
Z y 7i1
1z 9 o 1ef4 Pau et a phone messc -2 40 ucclzde
ofv. o Ave- s Q F is CA (c�41 for in�17
2 CLI��. Z
Qn oxrm� hdov 0 rrf, c
T Fonns /Building Division/Notes
V
ij
8[9
:14
r4W757; -77. 7yreAr4i7e7
44,
IP
fizz
C L,P;
6P..�
fl
2
633
639
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4
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I NM
Clallam County Assessor Treasurer Property Details 64831 PAULA J CUNNINGH Page 1 of 6
Clallam County Assessor Treasurer
Property Search Results 64831 PAULA J CUNNINGHAM for Year 2010 2011
Property
Account
Property ID 64831 Legal Description. TX #1806 GOV LT2 .28A
Geographic ID 0630104306400000 Agent Code
Type Real
Tax Area: 0010 PA 121 PORT ST CNTY H2 L Land Use Code 11
Open Space: N DFL N
Historic Property N Remodel Property N
Multi- Family Redevelopment: N
Location
Address: 631 E PARK AVE Mapsco
PORT ANGELES
Neighborhood Cycle 5 Res Map ID
Neighborhood CD 10955130
Owner
Name PAULA J CUNNINGHAM Owner ID
Mailing Address. 631 E PARK AVE Ownership
PORT ANGELES WA 98362
Taxes and Assessments Due
Property Tax Information as of 05/13/2010
Amount Due if Paid on E
Statement
!Year ID I Taxing Jurisdiction
12010 47114 ST SCH STATE SCHOOL
2010 47114 CC -GEN COUNTY
2010 47114 PORT PORT
2010 47114 PORT ANG PORT ANGELES
Exemptions.
20133
100 0000000000%
First I Second
Half Half I
Base Base Base An
Due Due Penalty Interest! Paid Du
$224 50 $224 49 $0 00 $0 00 $224 50
$119 46 $119 47 $0 00 $0 00 $119 46
$16 79 $1679 $000 $000 $1679
$276 62 $276 60 $0 00 $0 00 $276 62
2010 47114 SD #121 SCHOOL DISTRICT #121 $290 78 $290 77 $0 00 $0 00 $290 78
2010 4711_4 NTH OLY LIB NORTH OLYMPIC LIBRARY $34 72 $34 71 v $0 00 $0 00 _$34 72
2010 47114 HOSP #2 HOSPITAL #2 $49 01 $49 01 $0 00 $0 00 $49 01
2010 47114 WSMET PK DIST WILLIAM SHORE MET PARK DIST $15 60 $15 59 $0 00 $0 00 $15 60
2010 47114 a FY STORMWATER CITY STORMWATER
$36 00 $36_00 $0_000
FI $0 00 $36 00
2010 47114 RE PATROL FIRE PATROL $8 70 $8 70 $0 00 $0 00 $8 70
2010 47114 WEED CONTROL WEED CONTROL $0 82 $0 81 $0 00 $0 00 $0 82
2010 47114 FP Fee FIRE PATROL COUNTY FEE $0.25 $0.25 $0 00 $0 00 $0.25
2010 47114 TOTAL. $1073.25 $1073.19 $0.00 $0.00 $1073.2
2009 648312008 ST SCH STATE SCHOOL $255 90 $255 90 $0 00 _$_0 00 $511 80
i 2009 648312008 CC -GEN COUNTY $129 51_ $129 50 $0 00 $0 00 $259 01
2009 648312008 PORT PORT $18_34 $18 35 $0 00 $0 00 $36 69
E_ 2009 _648312_008 PORT ANG PORT ANGELES $284 06____$284 07 $0 00 $6 $568 13
2009 648312008 SD #121 SCHOOL DISTRICT #121 $316 47 $316 47 $0 00 $0 00 $632.94
i 2009 648312008 NTH OLY LIB NORTH OLYMPIC LIBRARY $37 63 $37 63 $0 00 $0 00 $75.26
http. /vpn.clallam. net. 8084 propertyaccess /Property.aspx ?cid =0 &year= 2010 &prop_id =64 5/13/2010
PREPARED 6/06/07 8 09 28 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY
ADDRESS
TENANT NBR
CONTRACTOR
OWNER
PARCEL
APPL NUMBER
631 E PARK AVE
PAULA CUNNINGHAM
A DEPENDABLE CONTRACTOR
PAULA J CUNNINGHAM
06 30 10 4 3 0640 0000
07 00000639 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT
REQUESTED INSP
TYP /SQ COMPLETED RESULT
BLI 01 6/06/07
RESIDENTIAL
DESCRIPTION
RESULTS /COMMENTS
SUBDIV
BLDG INSULATION
06/05/2007 05 32 PM LPANGRLE
GENE 808 3181
INSULATION
COMMENTS AND NOTES
PHONE
PHONE (360) 452 8770
PAGE 17
DATE 6/06/07
PREPARED 6/04/07 10 35 11 INSPECTION TICKET
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY
ADDRESS 631 E PARK AVE SUBDIV
TENANT NBA PAULA CUNNINGHAM
CONTRACTOR A DEPENDABLE CONTRACTOR PHONE
OWNER PAULA CUNNINGHAM PHONE
PARCEL 06 30 10 4 3 0640 0000
APPL NUMBER 07 00000430 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BAIR 01 5/08/07 JLL BLDG AIR SEAL
5/09/07 AP 05/07/2007 04 17 PM LPANGRLE
GENE 808 3181
AIRSEAL
05/09/2007 08 59 AM JLIERLY
BLI 01 5/08/07 JLL BLDG INSULATION
5/09/07 AP 05/07/2007 04 19 PM LPANGRLE
GENE 808 3181
INSULATION
05/09/2007 08 59 AM JLIERLY
BAIR 02 6/01/07 JLL BLDG AIR SEAL
6/01/07 AP 05/31/2007 02 01 PM LPANGRLE
GENE 808 3181
AIR SEAL
06/01/2007 04 13 PM JLIERLY
6/04/07 I LL BLDG INSULATION
06/04/2007 10 14 AM LPANGRLE
BLI 02
808 3181
COMMENTS AND NOTES
PAGE 18
DATE 6/04/07
PREPARED 6/01/07 8 28 07 INSPECTION TICKET PAGE 4
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 6/01/07
ADDRESS 631 E PARK AVE SUBDIV
TENANT NBR PAULA CUNNINGHAM
CONTRACTOR A DEPENDABLE CONTRACTOR PHONE
OWNER PAULA CUNNINGHAM PHONE
PARCEL 06 30 10 4 3 0640 0000
APPL NUMBER 07 00000430 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BAIR 01 5/08/07 JLL BLDG AIR SEAL
5/09/07 AP 05/07/2007 04 17 PM LPANGRLE
GENE 808 3181
AIRSEAL
05/09/2007 08 59 AM JLIERLY
BLI 01 5/08/07 JLL BLDG INSULATION
5/09/07 AP 05/07/2007 04 19 PM LPANGRLE
GENE 808 3181
INSULATION
05/09/2007 08 59 AM JLIERLY
BAIR 02 6/01/07 /fi BLDG AIR SEAL
05/31/2007 02 01 PM LPANGRLE
GENE 808 3181
AIR SEAL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 5/03/07 JLL PLUMBING ROUGH IN
5/03/07 AP OVERRIDE TAKEN BY LPANGRLE DATE 05/03/07 TIME 09 32 58
05/03/2007 09 32 AM LPANGRLE
GENE 808 3181
PLUMBING
05/03/2007 04 35 PM JLIERLY
PL2 02 6/01/07 JI 3 PLUMBING ROUGH IN
OVERRIDE TAKEN BY LPANGRLE DATE 05/31/07 TIME 14 01 30
05/31/2007 02 01 PM LPANGRLE
GENE 808 3181
PLUMBING ROUGH IN
COMMENTS AND NOTES
4
1/f
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
PAULA CUNNINGHAM
631 E PARK AVE
PORT ANGELES
Other Fees
Fee summary
Permit Fee Total
Plan Check Total
Other Fee Total
Grand Total
WA 98362
COMMENTS /ACTION NEEDED
07 00000430
165440
631 E PARK AVE
06 30 10 4 3 0640 0000
PAULA CUNNINGHAM
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
8500
Owner Contractor
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc EL SVC 6 CIRCUITS
Permit pin number 101469
Sub Contractor ELECTRIC SERVICE
Permit Fee 56 00 Plan Check Fee 00
Issue Date 5/14/07 Valuation 0
Expiration Date 11/10/07
A DEPENDABLE CONTRACTOR
P 0 BOX 1574
PORT ANGELES WA
PORT ANGELES WA 98362
Qty Unit Charge Per
1 00 46 0000 ECH EL R OR RM 1 4 ALT CIRCUITS
2 00 5 0000 ECH EL R OR RM ALT ADDNT CIRCUITS
Charged Paid Credited Due
56 00 56 00 00
00 00 00
4 50 4 50 00
60 50 60 50 00
Date 5/14/07
Extension
46 00
10 00
STATE SURCHARGE 4 50
00
00
00
00
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
KEEP-PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE
DITCH
ROUGH -IN COVER
SERVICE
FINAL
GENERAL COMMENTS:
ELECTRICAL PERMIT INSPECTION RECORD
DATE
ACCEPTED
YES NO
COMMENTS
PWd102.1E14/94]
PREPARED 5/08/07 12 10 52 INSPECTION TICKET PAGE 14
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/08/07
ADDRESS 631 E PARK AVE SUBDIV
TENANT NBR PAULA CUNNINGHAM
CONTRACTOR A DEPENDABLE CONTRACTOR PHONE
OWNER PAULA CUNNINGHAM PHONE
PARCEL 06 30 10 4 3 0640 0000
APPL NUMBER 07 00000430 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BAIR 01 5/08/07 JLL
U
BLI 01 5/08/07 L
BLDG AIR SEAL
05/07/2007 04 17 PM LPANGRLE
GENE 808 3181
AIRSEAL
BLDG INSULATION
05/07/2007 04 19 PM LPANGRLE
GENE 808 3181
INSULATION
COMMENTS AND NOTES
\(Installation description
Job wired by X Electrical Contractor Owner
Electrical contractor name License number Date Expires
ICS Al CF rile_ ELELrS 13 `D.a rv'L-
Purchaser s mailing address r
k2 YJv‘efinee"
Cit State Z
V b ri ,4 T e \/1/ Ate q8 3
Tel number FAX number
i t52_ a)--1 1 t5I- 47Lia4-
Premisec owner's name
Inspection
Date
MAY U Tit
LIGHT Dt r
-FtErowi
Ct el- k
Address of inspection
e 3 I F P
City p
Phone number to schedule inspection
Owner as defined by RCW 19 28.261 (1) Owner will occupy the structure for 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 electrical instal-
lation or alteration in compliance with the electrical laws, N.E.C. RCW Chapter
19.28, WAC. Chapter 296 -46B, The City of Port Angeles Municipal Code, and
Utility Specifications.
"Signature of owner electrical contractor or electrical admipistrator
X
Electrical Load Additions and or
NO LOAD CHANGES
Baseboard KW
Furnace KW
Heat Pump Ton LAR
Fan -Wall KW
SAME DAY INSPECTION, CALL
ROUGH -IN
3 4
App d By
71/4 T
Y �,t
FINAL
Approv
Date 5
btractions
Expiration Date
card
Overhead Service
Temp Service
Underground Service
BEFORE 7 00 AM 360- 417 -4735
THERMOSTAT
Date Appr ed By
DITCH
Date Appr ed By
Area, Building or Equipment Inspected
ELECTRICAL WORK PERMIT APPLICATION
Commercial Residential
New 4" Altered/Addition
basin -arvi Yin AjJ
k
v n i 614
1
Cash Check
Credit Card
Card
C\ v c v t C
Mtt eicit✓ Discover
Inspection fee
(Service Information
Volta
Phase 1 3
Service S' e.
Feeder Si e:
FEEDER
SERVICE
Date
Date Appr ed By
Appr ved By
Action Taken Electrical
Inspector
PREPARED 5/03/07 9 42 21 INSPECTION TICKET PAGE 11
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 5/03/07
ADDRESS 631 E PARK AVE SUBDIV
TENANT NBR PAULA CUNNINGHAM
CONTRACTOR A DEPENDABLE CONTRACTOR PHONE
OWNER PAULA CUNNINGHAM PHONE
PARCEL 06 30 10 4 3 0640 0000
APPL NUMBER 07 00000430 RES REMODEL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
PL2 01 5/03/07
PLUMBING ROUGH IN
OVERRIDE TAKEN BY LPANGRLE DATE 05/03/07 TIME 09 32 58
05/03/2007 09 32 AM LPANGRLE
GENE 808 3181
PLUMBING
COMMENTS AND NOTES
Application Number 07 00000430
Application pin number 165440
Property Address 631 E PARK AVE
ASSESSOR PARCEL NUMBER 06 30 10 4 3 0640 0000
Tenant nbr name PAULA CUNNINGHAM
Application type description RES REMODEL
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 8500
Owner Contractor
PAULA CUNNINGHAM
631 E PARK AVE
PORT ANGELES
Permit BUILDING PERMIT RESIDENTIAL
Additional desc REMODEL BATH
Permit pin number 100123
Permit Fee 193 75 Plan Check Fee 77 50
Issue Date 4/30/07 j Valuation 8500
Expiration Date 10/27/07
Qty Unit Charge Per Extension
BASE FEE 95 75
7 00 14 0000 THOU BL 2001 25K (14 PER K) 98 00
Other Fees STATE SURCHARGE 4 50
Fee summary Charged Paid Credited Due
Permit Fee Total 193 75 193 75 00 00
Plan Check Total 77 50 77 50 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 275 75 275 75 00 00
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
WA 98362
Date 4/30/07
A DEPENDABLE CONTRACTOR
P 0 BOX 1574
PORT ANGELES WA
PORT ANGELES WA 98362
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 gayer g this type of work will be complied with whether specified herein or not. The granting of a permit does not
presume to give authoritvio)te or cancel the provisions of any state or local law regulating construction or the performance of
construction
Signature ontractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
T \Policies \1102_15 building permit inspection record05 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECD D
CALL 417 -481. 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 UALAHFUL. TO COVER, INSULATE OR CONCEAL 4N1' WORK BEFORE
INSPECTED 4ND 4 CCEPTED POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT 3OB SITE.
INSPECTION TYPE DATE ACCEPTED
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS
W ALLS 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
o5/03104
I TLL
0 MA-
0 J L-
YES NO
l ou& 1-INI 46104oq 1-1
FINAL
Oct r 5Pd,t
j i N L h e !1 GN
FINAL
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING HOLD DOWNS
SKIRTING
PLANNING DEPT SEPARATE PERMIT 4's SEPA.
PARKING /LIGHTING ESA.
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
RESIDENTIAL DATE YES NO COMMERCIAL
ELECTRICAL LIGHT DEPT 417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W PW/ CONSTRUCTION R.W
ENGINEERING 417 -4807 PW ENGINEERING
FIRE 417 -4653 I I I I FIRE DEPT
PLANNING DEPT 417 -4750 I c reek 1 I I PLANNING DEPT
I BUILDING 417 -4815 I �/�x' 1 Wk 1 1 kZ&t 1 0 0 I BUILDING
T \Policies11102 15 building permit inspection record05 wpd [1/4/2005]
COMMENTS
DATE ACCEPTED BY
oulo41 J1�
DATE ACCEPTED BY
DATE
ACCEPTED
YES I NO
O
—C
O
Applicant
Owner
Address.
or Agent:
Architect/Engineer
Contractor
Address:
PROJECT ADDRESS 637
LEGAL DESCRIPTION Lot:
CLALLAM COUNTY PARCEL NUMBER.
COMMERCIAL/RESIDENTIAL. Occupancy Group
No. of Stones: Lot Size: Existing Sq Ft.
Total lot coverage
PLANNING USE ONLY
BUILDING PERMIT APPLICATION
Fill out COMPLETELY and in INK. Your application and site plan MUST B
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX(360)417 -4711
11 1 )61 efUr 4 d cE
21iJ.Jc,biM v1
State License
City
Block.
TYPE OF WORK.
Residential New Constr Re roof Stove
Multi- family Addition Move Garage
Commercial Remodel Demolition Deck
Repair Sign Other
BRIEF DESCRIPTION OF TAE PROJECT
Tu /SfFvi -Z A-Ai a cJJ
Co '24-c 'hone:
City A. i;JA
A,I
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other
T•1FORMS1B1dgPermitform.wpd Applicant:
Phone:
Subdivision.
Occupant Load.
Proposed Sq Ft.
o
Phone:
F PEt4 '172 Ofitxp 3 1t- Phone:
Zip
ZONING
FOR OFFICIAL USE ONLY
Date Rec. t4- -2-41 07
Permit
Date Approved:
Date Issued: 4( 3 0/ 07
ys.x 8
Zip 93'2 2_
STZF/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION 1$6 O
4 iZi" J rSe2 PT 7a A 7 14 !►9 C fir L
Construction Type:
TOTAL Sq Ft.
73 &b q
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTTTE,R.
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 If no permit is issued within 180 days of the date of apphcation, 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 Buildmg/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.
Date: .j 3-07
1 _L_ L 1 1
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PREPARED 11/26/07 10 20 30 INSPECTION TICKET PAGE 3
CITY OF PORT ANGELES INSPECTOR JAMES LIERLY DATE 11/26/07
ADDRESS 631 E PARK AVE SUBDIV
TENANT NBR PAULA CUNNINGHAM
CONTRACTOR A DEPENDABLE CONTRACTOR PHONE
OWNER PAULA J CUNNINGHAM PHONE (360) 452 8770
PARCEL 06 30 10 4 3 0640 0000
APPL NUMBER 07 00000639 RES REMODEL
PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLI 01 6/06/07 JLL
6/06/07 AP
BL99 01 11/26/07
PL99 01 11/26/07
PERMIT ME 00 MECHANICAL PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
ME99 01 11/26/07 LL
PERMIT PL 00 PLUMBING PERMIT
REQUESTED INSP DESCRIPTION
TYP /SQ COMPLETED RESULT RESULTS /COMMENTS
BLDG INSULATION
06/05/2007 05 32 PM LPANGRLE
GENE 808 3181
INSULATION
06/06/2007 04 53 PM JLIERLY
BLDG FINAL TIME 01 00
November 20 2007 3 42 34 PM 1pangrle
GENE 808 3181
BLDG FINAL
AFTERNOON
CALL 30- MINUTES AHEAD SO HE CAN MEET YOU THERE
MECHANICAL FINAL TIME 01 00
November 20 2007 3 44 01 PM 1pangrle
GENE 808 3181
MECHANICAL FINAL
AFTERNOON
CALL 30 MINUTES AHEAD SO HE CAN MEET YOU THERE
PLUMBING FINAL TIME 01 00
November 20 2007 3 44 37 PM 1pangrle
GENE 808 3181
PLUMBING FINAL
AFTERNOON
CALL 30 MINUTES AHEAD SO HE CAN MEET YOU THERE
COMMENTS AND NOTES
W A S H I N G T O N U S A.
Community Economic Development Department
September 17, 2007
Ms. Paula Cunningham
631 East Park Avenue
Port Angeles,' A 98362
Dear Paula.
Condition.
ORTANGELES
631 and 631 '/2 East. Park Avenue
First, let me apologize for not sending you this letter. sooner I prepared the Notice of
Decision and then didn't get back to doing your letter
As you know, following the Planning Commission hearing of May 23, 2007, the
Commission approved the conversion of a portion of your single family residential structure
to an accessory residential unit. The approval was subject to the following condition.
The conditional use permit is approved to convert an approximately 338 square foot
area of the residence located at 631 East Park Avenue to an accessory residential unit
as described in Conditional Use Permit application CUP 07 -05 for Paula
Cunningham Development of the accessory unit must be in substantial accord with
the application as submitted and must include the provision of four off street parking
spaces (two for each residential unit) at all times.
Please note that the use for which the conditional use permit has been applied for must be
commenced within one year from the date of approval or become invalid.
If you have any questions, please don't hesitate to contact this office.
Sincerely,
Sue Roberds
Planning Manager
cc Public-Works Department
ildmg Division
Phone. 360 417 -4750 Fax: 360- 417 -4711
Website: www.cityofpa.us Email smartgrowth @cityofpa.us
321 East Fifth Street P 0 Box 1150 Port Angeles, WA 98362 -0217
gf Um'
Application Number
Application pin number
Property Address
ASSESSOR PARCEL NUMBER
Tenant nbr name
Application type description
Subdivision Name
Property Use
Property Zoning
Application valuation
Owner
PAULA J CUNNINGHAM
631 E PARK AVE
PORT ANGELES
(360) 452 8770
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Permit BUILDING PERMIT RESIDENTIAL
Additional desc BASEMENT KITCHENETTE
Permit pin number 103580
Permit Fee 193 75
Issue Date 6/05/07 Valuation
Expiration Date 12/02/07
Qty Unit Charge Per
7 00 14 0000 THOU
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
BASE FEE
1 00 7 2500 ECH ME VENT FAN
Permit
Additional desc
Permit pin number
Permit Fee
Issue Date
Expiration Date
Qty Unit Charge Per
1 00
1 00
1 00
Other Fees
Fee summary
Permit Fee Total
7 0000
7 0000
15 0000
WA 98362
MECHANICAL PERMIT
PLUMBING PERMIT
ECH
ECH
ECH
Charged
T' \Policies \1102 15 building permit inspection record05 wpd [1/4/2005]
07 00000639
377884
631 E PARK AVE
06 30 10 4 3 0640 0000
PAULA CUNNINGHAM
RES REMODEL
RS7 RESDNTL SINGLE FAMILY
8500
Contractor
A DEPENDABLE CONTRACTOR
P 0 BOX 1574
PORT ANGELES WA
PORT ANGELES
STATE SURCHARGE
Plan Check Fee
BASE FEE
BL -2001 25K (14 PER K)
103903
57 25 Plan Check Fee
6/05/07 Valuation
12/02/07
103895
79 00 Plan Check Fee
6/05/07 Valuation
12/02/07
BASE FEE
PL- EA FIXTURE ON ONE TRAP
PL- EA INSTALL WATER PIPE
PL- EA BLDG SEWER
Paid Credited
330 00 330 00 00
o
Date 6/05/07
WA 98362
77 50
8500
Extension
95 75
98 00
00
0
Extension
50 00
7 25
0 0
0
Extension
50 00
7 00
7 00
15 00
4 50
Due
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 tcyviolate or cancel the provisions of any state or local law regulating construction or the performance of
constru
(nat re of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date
Tz2.
O
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 ANY WORT; BEFORE
INSPECTED 9_ND 9CCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE.
ELECTRICAL LIGHT DEPT
INSPECTION TYPE DATE ACCEPTED
YES I NO
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 WALL /HOLD 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
CONSTRUCTION R.W PW/
ENGINEERING 417 -4807
FIRE 417 -4653 I
I PLANNING DEPT 417 -4750 I
I BUILDING 417 -4815 I
T. \Policies \1102 15 building permit inspection recordl5 wpd [1/4/2005]
BUILDING PERMIT INSPECTION RECORD
FINAL
MANUFACTURED HOMES
FOOTING SLAB
BLOCKING R HOLD DOWNS I
SKIRTING I
PLANNING DEPT SEPARATE PERMIT #'s SEPA.
PARKING/LIGHTING I ESA.
LANDSCAPING SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY /USE
RESIDENTIAL DATE YES NO COMMERCIAL
417 -4735 ELECTRICAL
LIGHT DEPT
CONSTRUCTION R.W
PW ENGINEERING
I FIRE DEPT
I PLANNING DEPT
I BUILDING
COMMENTS
DATE ACCEPTED B.
I FINAL DATE ACCEPTED BY.
DATE I ACCEPTED
YES I NO
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION
321 EAST 5TH STREET PORT ANGELES, WA 98362
Page 2
Application Number 07 00000639 Date 6/05/07
Application pin number 377884
Plan Check Total 77 50 77 50 00 00
Other Fee Total 4 50 4 50 00 00
Grand Total 412 00 412 00 00 00
Separate Permits are required for electrical work, S EPA, 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 \I 102_15 building permit inspection record05 wpd [1/4/2005]
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 4 CCEPTED POST PERMIT IN 4 CONSPICUOUS LOCATION
KEEP PERMIT CARD AND APPROVED PLANS AT .IOB SITE.
INSPECTION TYPE DATE ACCEPTED COMMENTS
FOUNDATION:
FOOTINGS
SHEAR WALLS WALLS
FOUNDATION DRAINAGE DOWN SPOUTS
PIERS
POST HOLES (POLE BLDGS.)
PLUMBING
UNDER FLOOR SLAB
ROUGH -IN
WATER LINE (METER TO BLDG)
GAS LINE
BACK FLOW I WATER
AIR SEAL
WALLS
CEILING
FRAMING
JOISTS GIRDERS
SHEAR WALL /HOLD DOWNS
WALLS ROOF CEILING
DFYWALL (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 #1's
PARKING /LIGHTING
LANDSCAPING
RESIDENTIAL
ELECTRICAL LIGHT DEPT
CONSTRUCTION R.W PW/
ENGINEERING
FIRE
PLANNING DEPT
417 -4735 ELECTRICAL
LIGHT DEPT
417-4807
417 -4653
417 -4750
I BUILDING 417 -4815
BUILDING PERMIT INSPECTION RECORD
T• \Policies \l 102 15 building permit inspection recordl5 wpd [1/4/2005]
SEPA.
ESA.
SHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE
DATE YES NO COMMERCIAL
I I I
I I I
I l l- 7_� —rs 1 1 3t2— I
YES NO
FINAL "DATE at/ ACCEPTED BY.
FINAL 7 7DATE s.l L
CONSTRUCTION R.W
PW ENGINEERING
FIRE DEPT
I PLANNING DEPT
I BUILDING
ACCEPTED BY.
DATE I ACCEPTED
I YES I NO
I I I I
I I I I
I I I I
Applicant or A ent: -A b C J J LE (1),) ,J7 i2 4 c-� ft. Phone:
Owner LA (c,! rk.i
Address: F P/4%L(L fit) City PA
Architect/Engmeer
Contractor '(o,J;/1/a C Eacense
Address:
PROJECT ADDRESS
LEGAL DESCRIPTION Lot:
CLALLAM COUNTY PARCEL NUMBER.
TYPE OF WORK.
elesidential New Constr
Multi- family Addition
Commercial VRemodel
Repair Sign
BRIEF DESCRIPTION OF TAT, PROJECT
PLANNING USE ONLY
T•WORMS\B1dgPermitform.wpd Applic
BUILDING PERMIT APPLICATION
Fill out COMPLETEL' and in INK. Your application and site plan MUST
COMPLETE to be accepted for review If you have any questions, call
PERMITS (360) 417 -4815 FAX
City
Block.
Re roof Stove
Move 0 Garage
Demolition Deck
Other
COMMERCIAL/RESIDENTIAL. Occupancy Group
No of Stones: Lot Size: Existing Sq Ft.
Total lot coverage
ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other.
VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the applicant.
This figure will be reviewed and maybe 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 apphcation 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 wntten request by the applicant (see Section
R105.3.2 of the International Building/Residential Code, 2003). No application can be extended more than once.
l 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 't is my re nsibility to determine what permits are required not the City's, and that I
must obtain such permits prior to work.
Phone
c,a /s 7 7 o
i aq
Zip
Phone:
JPEiV Q7? OlitExp 3 /4 aq Phone' Q 8770
Zip
ZONING
Subdivision.
STZF/VALUATION
SF /SF
SF /SF
SF /SF
TOTAL VALUATION .f 57Stz:"
/isle r r€__ /A)
Occupant Load. Construction Type:
Proposed Sq Ft. TOTAL Sq Ft.
Date: a 07
FOR OFFICIAL USE ONLY
Date Rec, 06 0 (-07
Permit I P O 6
Date Approved:
Date Issued. C3 G 05 0
e»J I ci) -y f-/6t
APPROVALS
PLAN
BLDG
DPWU
FIRE.
OTAFR.
C
C
Approval Da
0
CITY OF PORT ANGELES Oontstruction Plans
The Issuance of this permit based up )n these plans, specifi-
cations and other data shall not prey Cdr the buiidiug u(Sciai
from thereafter requiring the correction of errors in said
plr specifications and other data, or from preventing
building operations being carried on thereunder when in
violation of all codes and ordinances of this jurisdiction.
B —31(
/o-1( L&)
S.* .3 EJ
i1Jl/)
?-ter, '3> C
S
4
Vent
po
c Pr
NE 2
226 J
CITY OF PORT ANGELES
PUBLIC WORKS ELECTRICAL DIVISION
321 EAST 5TH STREET PORT ANGELES. WA 98362
Application Number 06 00000447
Application pin number 940141
Property Address 631 E PARK AVE
ASSESSOR PARCEL NUMBER 06 30 10 4 3 0640 0000
Application type description ELECTRICAL ONLY
Subdivision Name
Property Use
Property Zoning RS7 RESDNTL SINGLE FAMILY
Application valuation 0
Owner Contractor
CUNNINGHAM PAULA
631 E PARK AVE
WILLOW CREEK
(360) 452 4294
Fee summary
CA 95573
COMMENTS /ACTION NEEDED
Date 5/12/06
THORNES REFRIGERATION
PO BOX 991
PORT ANGELES WA 98362
(360) 461 0158
Permit ELECTRICAL ALTER RESIDENTIAL
Additional desc THRONES/ T STAT WTR HT
Permit pin number 76844
Sub Contractor THORNES REFRIGERATION
Permit Fee 48 10 Plan Check Fee
Issue Date 5/11/06 Valuation
Expiration Date 11/07/06
Qty Unit Charge Per
1 00 48 1000 ECH EL R OR RM 1 4 ALT CIRCUITS
Charged Paid Credited Due
Permit Fee Total 48 10 48 10 00 00
Plan Check Total 00 00 00 00
Grand Total 48 10 48 10 00 00
00
0
Extension
48 10
ELECTRICAL PERMIT INSPECTION RECORD
CALL 417 -4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER,
INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED.
DITCH
ROUGH -IN COVER
SERVICE
FII AL
GENERAL COMMENTS:
KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE
INSPECTION TYPE DATE ACCEPTED COMMENTS
YES NO
LiAL22.14w
I I I
I I I
I I I
I I I
MY- 1102.1$ I1NQ
.
<1'ORT.
;;,~
"-S:-1I
1'-- w:z::=;.JJ..
l\''t- ;s."",~
""'..
ELECTRICAL WORK PERMIT APPLICATION
.
Job wired by
\ivElectrical Contractor 0 Owner
Installation description
o Commercial ,14JResidential
Electrical contractor name
77/o1CN'tJ> dd"'?'
Purchas.er J mailing address
/;0, 99/
C;ty /A-
Telephone number
~(pS-~/'Z-I2-
License number Date Expires
71Ir;~~~.J/Li-f Clf'
DNew
~lteredl Addition
State ZIP
a/.R- :?J" J V 2--
FAX number ,,,-,/'"
vrZ-7J }"6
77/d-CU6> 11.../-
t-</~ AI~ L
.
prem~ owner's name
f)-i.ALPr Cv.,uN i"lA~
Address of inspection
&>3 ( IE ,P,d+</L 4t1tJ
I'ft-
City
Phone number to schedule inspection:
'10 - V'L7't/
Owner as defined by RCW.19.28.26/:(I) Owner will occupy the structure for 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, r hereby certify that 1 am the owner of the above
named property or a licensed electrical contractor. r am making the electrical 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. 7
Signature of 0 er fee . l...eontraetor or electrical administrator
o Cash
o Check #
o Credit Card
Card #
Visa
Mastercard
Discover
x
Date: S--9-tlcP
Expiration Date
of card
Inspection fee/if
$ yr-
Service Information
Ele ical Load Additions and or subtractions
D NO LOAD CHANGES
D Baseboard KW
o Furnace KW
o Heat Pump Ton
D Fan-Wall KW
LAR
o Overhead Service
o Temp Service
o Underground Service
Voltage
PhaseD 1 D 3
Service Size:
Feeder Size:
SAME DAY INSPECTION, CALL BEFORE 7:00 AM 360-417-4735
ROUGH-IN
/ THERMOSTAT SERVICE
" Date Approved By Dale Approved By
/ DITCH FEEDER
'-- Date Approved By Date Approved By
Inspection Area, Building or Equipment Inspected Action Taken Electrical
Date Inspector
A ~ ~o.l-, h
/,.kf)f .J ,..J
/' /
Date
Approved 8y
5:
FINAL~
Approved By
"
,.."........"'.".,."..,. '_'. .W l"l',,,~,"'t..,...~':~"""~"~":'C,'
~ 'j;:'"
,.\, :';, ~; ". .'i .'
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION
321 EAST 5TH STREET, PORT ANGELES, WA 98362
/111;11..
"',,'"'~"'
-J
Application Number
pin number
Property Address
ASSESSOR PARCEL NUMBER:
Application description
Subdivision Name
property Use . . . .
property Zoning . . .
Application valuation
04-00000179 Date
.143195
631 E PARK AVE
06-30-10-4-3-0640-0000-
RE-ROOF
3/02/04
RS7 RESDNTL SINGLE FAMILY
800
~YP(~
g/zq 104
Owner
Contractor
MC NALLY JEAN M
C/O JEAN MEREDITH GREELEY
WILLOW CREEK CA 95573
(707) 845-6866
OWNER
(')
----------------------------------------------------------------------------
Permit . . . .
Additional desc
Permit Fee
Issue Date
Expiration Date
BUILDING PERMIT - NO PR FEE
VALLEY ROOF REPAIR
56.15 Plan Check Fee
3/02/04 Valuation
8/29/04
.00
800
Qty Unit Charge Per
Extension
47.00
9.15
3.00
BASE FEE
3.0500 HND BL-501-2K (3.05 PER C)
----------------------------------------------------------------------------
Other Fees STATE SURCHARGE 4.50
Fee summary Charged Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 56.15 56.15 .00 .00
plan Check Total .00 .00 .00 .00
Other Fee Total 4.50 4.50 .00 .00
Grand Total 60.65 60.65 .00 .00
['.
l~
-.
f1l
TJ
p
~
r:
>-
<.
(D
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.
y'd '+ S;goatuce of Owoe, (;f owoe, ;, bu;rde,)
T:IPLANNINGIFORMSIII02.15 [11114/2003]
Date
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 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 NO
FOUNDATION:
FOOTINGS
WALLS
FOUNDA TION 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
FRAMING
JOISTS / GIRDERS
SHEAR WALL/HOLD DOWNS
WALLS / ROOF / CEILING
DR YW ALL (INTERIOR BRACED PANEL ONLY)
T-BAR
INSULATION
SLAB
WALL / FLOOR / CEILING I
MECHANICAL
HEAT PUMP
GAS LINE
WOOD STOVE / PELLET / CHIMNEY
HOOD / DUCTS
PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT #'5:
WATERLINE / METER
SEWER CONNECTION
SANITARY
STORM
PLANNING DEPT. SEPARATE PERMIT #'5 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 417-48]5 BUILDING
T:IPLANNINGIFORMSII102.15 [I ]/14/2003]
BUILDING PERMIT - APPLICATION
FOR OFFICIAL USE ONLY:
Date Rec.: ~ - z. - 6 Lf
Permit #: D4 ~ j 7 c;
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
Date Approved:
Date Issued:
Address:
Architect/Engineer:
~, PA12-Ic..
City:
qs::::. 73
Phone: '; 07 - cS t./ r .... (c, &-& 0
Phone: >;5.:PJ1vJ {.r'-
Zip: q [5' ~ 0::J-
Owner:
Phone:
Contractor
(J WI-/ic ~1 / ~ ((. /\L"M State License #:
I I:::P---f-4-
Exp:
Phone:
PROJECT ADDRESS:
LEGAL DESCRIPTION: Lot:
CLALLAM COUNTY PARCEL NUMBER:
~~I
City:
~... - ~ P\l1- t'.-
Zip:
ZONING:
()--'~
I
Address:
Block:
Subdivision:
Credit Card Holder Name:
Billing Address:
Credit CardType VISA MC #
TYPE OF WORK:
o Residential 0 New Constr. [j,'Re-roof
o Multi-family 0 Addition 0 Move
o Commercial 0 Remodel 0 Demolition
o/Repair 0 Sign
BRIEF DESCRIPTION OF THE PROJECT:
City:
Exp. Date:
o Stove
o Garage
o Deck
o Other
fZ-E=-, rZ-tl{ If=:
I
SIZEIV ALUATION:
SF. @ $ ISF. = $
SF. @ $ ISF. = $
SF. @ $ ISF. = $
TOTAL VALUATION $
~ P,ClJPr1 (2.. c;
8 ~
0:.) ~
COMMERCIALIRESIDENTIAL: Occupancy Group:
Occupant Load:
Construction Type:
No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft.
Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage
APPROVALS:
PLAN:
BLDG:
DPWU:
FIRE:
OTHER:_
PLANNING USE ONLY:
ESAlWetland{s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other:
BillLDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with infonnation on the application and
plan submittal requirements if you have questions.
VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the applicant. This figure will be reviewed
and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistance.
PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans are
submitted. All other permit fees are due at the time of permit issuance.
EXPIRATION OF PLAN REVIEW: lfno 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 107.4 of
the Uniform Building Code, current edition). 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 hat I must tain such permits prior to work.
TIFORMSIAPPSI"'i1di"""rmi<wpd 'Dato' 1:> / (J V-
I
CITY OF PORT ANGELES
LIGHT DEPARTMENT
ELECTRICAL PERMIT
N?
14977
:!_"'1/- "v
Port Angeles. Washlngton.."''''''~''''''...'?...'.h...''''''.....'''.''...h''.'''' 19.~...
In accordance with the City Ordinance to regulate the installation, extension, or repair of elec-
trical equipment In, on, or about any building or other structure in the City of Port Angeles, per-
mission Is hereby granted to do electrical work as listed below.
Address ......c:....J./.....E....~........................................ Oc~upancy.........::"1€::?........h..................
o~er .............h......h7:yj;:-.;p;;:::iiJJ"..po; T:ny,nt........................h....hh.......h...............................
Wiring Contractor .h..r./.!..h.h............................."..___.............. By.h..............h....___...._________......h....h...___........h.
/':-'0/ ~ r t
Service, volts ..nn.~n___m_...................
"3 I
No. wires ...................0._0.000000_00____00
Size wires...$IJ._.~.:f.':':_........
1':/ 'J~
Main fuse __m.~hm.........n..h-m.--.m
Enclosure _____~.h._mm.m__.._.__....
Light Outlets._.._____.._______.__.........__.__..._
Receptacle OutletS.m_mhn...................
Dryer, K~ ....h....................................
Range, KW.__.____........___..._n____
Water Heater:
KWmm0m:..m.L...m.
:::~:~~;:~:..~:i:~.~::~~C2
Total Loadm.m_mnm_____.n.._
Type oJ wiring:
Entrance Cable ._.0..__......_...0...00.__..
Rigid Conduit "h"nhn'n"n"m'__h..
MetalUc Tubing h_.m.__..__._._._.......
Current transformers:
No. & Sizennnh__n..__nnnnnnn.n__n__
Ser. NO..nn____d....h.n__n___nn._n.._.___.
Ser. NO..n__.__nnnnn_._.nnhn.__.__..__._...
Ser. No........_......_..__...._....:_..........__..__
Type of Wiring:
Armored Cable .__............._......_..00.
Non-Metallic _.__.....__.._..__.m__....m_.
Knob & Tube.................n.__._....nn.
Rigid Conduit ..............................
Metallic Tubing _mmn_.m..mmh_h
Raceway .._..............._..__......_.._._nn_.
Circuits, LlghLum....m._hmm__mmdn...
Utility............................................
Heat
Range ._..__..__.__...___.____________.._..___.__._
Water Heater .._....................__.._.._
Motor ..____.____..._______._____..__.__.._______.
Dryer..____.___._..._......._._......._.__..........__
Furnace ._......_..._nnn_n__.._........_........
Ser. NO...........n....._.....u.........h......n
.
Remarks: ____hh_______~_________n.~g....~nh_~:?:'~-:::!_.:.e_._n..__.nn..__UnUh.__h..__h__n___n...________.__u.__.nU_UU_h.h~__.n______
"J.: ,. --.
.. .J"IV
::::::::::::::::3.:fE~:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::
Permit Fee
$.......______...___..___.______.......
Treas. Receipt
No...._.___.....___....._..___
By .___.___.h.h"'."'."'.."_________"'___"___hh".......___.....
Total ............_.._..__......_............
NOTICE-Current must not be turned on until Certificate ot Inspection has been issued. It work is to be con.
cealed due notice must be given the Inspector so that work may be inspected before concealment.
NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION
,;I
." I'
'2)1f{/:pj~'1 1"''-''1....-<.....,,,
" ._', r
.~.
ELECTRICAL PERMIT
N~
14977
Date c.lIed Ie: In'b.lo$..,jZ"..fi,..........................._............................................~...=.?.!.=.~.:~.................
Preliminary inspecttOl!j st;teSm_..h.......n.....h_..h._......-..;......n.~_..."___......___:.:......_00__.............00............ .
'1( i e. c/Y(J'., <'. Ud/ f:: t~6 J'I" . ....................................-..................
Inspectloncompleted_.._.._._:......n...____h....h..._.h.___h..hnh.~._:"h..___n..nn_..........nn...n._............n_........................_.0.00._._........._.....0..._......_
\
1M 3-72 Olympic Printers. Inc.
,-..,...
,""" Total Load nn_nn.nn_..__.__..nn_..nn__.._.......................__.........hnn...nn._ ..n