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Home My WebLink About1212 1/2 W 17th St - 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 CAVANAUGH JOHN J 1212 W 17TH ST PORT ANGELES Other struct info Permit Additional desc Permit pin number Sub Contractor Permit Fee Issue Date Expiration Date WA 98363 Qty Unit Charge Per 2 00 COMMENTS /ACTION NEEDED CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 06 00000097 063998 1212 1/2 W 17TH ST 06 30 00 0 4 5200 0000 JOHN CAVANAUGH RES ACCESSORY BUILDING RS7 RESDNTL SINGLE FAMILY 40560 Contractor TOTAL LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS ELECTRICAL ALTER RESIDENTIAL SIMPSON/ 76331 SIMPSON ELECTRIC 133 80 5/04/06 Valuation 10/31/06 A DEPENDABLE CONTRACTOR P 0 BOX 1574 PORT ANGELES WA PORT ANGELES Plan Check Fee 66 9000 ECH EL R OR RM 0 200 ALT SRV FDR Permit ELECTRICAL NEW RESIDENTIAL Additional desc SIMPSON/ REMOTE Permit pin number 76349 Sub Contractor SIMPSON ELECTRIC Permit Fee 11 40 Plan Check Fee Issue Date 5/04/06 Valuation Expiration Date 10/31/06 Qty Unit Charge Per 1 00 11 4000 ECH EL METERS REMOTE INSTALL Special Notes and Comments The Fire Department has reviewed the project application and has no comments 02/09/2006 12 25 PM SROBERDS CUP 05 09 was approved for this accessory residential unit /remodel No land use issues are noted Electrical load calculations and elctrical permits are required Separate electrical meter required 02/01/2006 01 19 PM GMCLAIN Seperate Water Electic Meters required Off street Date 5/09/06 WA 98362 1 00 1 00 1 00 1 00 1 00 1 00 1 00 0 0 0 Extension 133 80 00 0 Extension 11 40 1�- N 1 s i o 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 FINAL GENERAL COMMENTS: ELECTRICAL PERMIT INSPECTION RECORD KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED YES I NO I I I I I I I I I I I I I I I I I I I I I I COMMENTS Pw•1102.I s 14F961 CITY OF PORT ANGELES PUBLIC WORKS ELECTRICAL DIVISION 321 EAST 5TH STREET PORT ANGELES. WA 98362 Application Number Application pin number Special Notes and Comments parking to City standards Other Fees Permit Fee Total Plan Check Total Other Fee Total Grand Total COMMENTS /ACTION NEEDED 06 00000097 063998 STATE SURCHARGE 4 50 Fee summary Charged Paid Credited Due 145 20 145 20 00 00 00 00 4 50 4 50 00 149 70 149 70 00 Page 2 Date 5/09/06 00 00 00 00 t INSPECTION TYPE DITCH ROUGH -IN COVER SERVIC; GENERAL COMMENTS: 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. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE DATE FINAL ACCEPTED YES NO COMMENTS 17 n- 9 D �uAL, /ug.006D PW- 1102.15 (4961 Job wired by ElecAWal fontractor name License number Date Expires iff) E7e c- t r C Zi'.l+PSit Zqy3 Rq Purchaser's moiling address 3 i ,t /4 pt� City /et An3.elam- Stat�� 7 '36.3 Telephone number number cf s7' v 5'6'-m2- Prumiyp_uwnor's natpya J a4 r r= L Address of inspection I 1 ir k 1.2- A) 7 S71 City o,c7 d .afps Phone number to scbedu ins ection ‘f Sal ti� Owner as defined by RCW 19 28?6! (I) Owner will occupy the structure fur two years ufler 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, 1 hereby certify that 1 am the owner of the above stained property or a licensed electrical contractor I am making, the electrical instal lation or alteration in compliance with the electrical laws, N.E.0 RCW Chapter 19.28, WAC Chapter 296.468, The City of Port Angeles Municipal Code, and Utility Specificanons. /Signaturlof uw%ger, electrical +olitractor or electrical admin"Strato X ✓J'( La/ /,L-d'z D ate Electrical Load Additions and or Sdbtractlons O NO LOAD CHANGES D Baseboard KW Furnace KW Overhead Service O Heat Pump Ton LAR Cl, Temp Service Cl Fan -Wall KW r Underground Service SAME DAY INSPECTION, CALL BEFORE 7-00 AM 360- 417 -4735 ROUGH-IN THERMOSTAT Inspection Date Electrical Contractor Owner FINAL 4,a/ Atop ed Hy Dow Approved By J �0 0417/,' TO 3EJCd DIb10373 NOSdWIS DITCH 'rinstullution dcsci'iptioas Cl Commercial Residential f Expiration Dale 5/D 06 of Area, Building or Equipment inspected ELECTRICAL WORK PERMIITAPPLICATION 4-C,9 LI New )(Altered/Addition v 5erd, c e, O u a 4- G6 y; G90 6 U R r9-7190 Ae erle -r Y-- t )I I a f Cash Check Credit Card Card# App By Approved By Dale Mastercard L S /Y-5 Inspection fee Service Information Voltage Phase 0 1 3 Service Size: X440 itk Apt Feeder Size; Action Taken Approval By Discover Electrical Inspector OLZELSP ST 6T 900Z/EO/SO a PREPARED 6/13/06 11 26 35 INSPECTION TICKET PAGE 10 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/13/06 ADDRESS 1212 1/2 W 17TH ST SUBDIV TENANT NBR JOHN CAVANAUGH CONTRACTOR A DEPENDABLE CONTRACTOR PHONE OWNER CAVANAUGH JOHN J PHONE PARCEL 06 30 00 0 4 5200 0000 APPL NUMBER 06 00000097 RES ACCESSORY BUILDING PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BAIR 01 6/12/06 JLL 6/13/06 AP BL3 01 6/13/06 BLI 01 6/13/06 LL LL BUILDING AIR SEAL TIME 13 00 GENE 808 3181 06/09/2006 10 55 AM DYASUMUR 06/13/2006 08 30 AM JLIERLY frame inspection on structure approved this date /j11 BUILDING FRAMING 06/13/2006 08 53 AM JLIERLY BUILDING INSULATION TIME 13 00 GENE 808 3831 06/12/2006 03 42 PM DYASUMUR COMMENTS AND NOTES PREPARED 6/12/06 12 12 44 INSPECTION TICKET PAGE 7 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 6/12/06 ADDRESS 1212 1/2 W 17TH ST SUBDIV TENANT NBR JOHN CAVANAUGH CONTRACTOR A DEPENDABLE CONTRACTOR PHONE OWNER CAVANAUGH JOHN J PHONE PARCEL 06 30 00 0 4 5200 0000 APPL NUMBER 06 00000097 RES ACCESSORY BUILDING PERMIT BPR 00 BUILDING PERMIT RESIDENTIAL REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS BAIR 01 6/12/06 490 BUILDING AIR SEAL TIME 13 00 GENE 808 3181 06/09/2006 10 55 AM DYASUMUR COMMENTS AND NOTES PREPARED 5/16/06 13 29 32 INSPECTION TICKET PAGE 13 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 5/16/06 ADDRESS 1212 1/2 W 17TH ST SUBDIV TENANT NBR JOHN CAVANAUGH CONTRACTOR A DEPENDABLE CONTRACTOR PHONE OWNER CAVANAUGH JOHN J PHONE PARCEL 06 30 00 0 4 5200 0000 APPL NUMBER 06 00000097 RES ACCESSORY BUILDING PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 3/03/06 JLL PLUMBING ROUGH IN TIME 13 00 3/03/06 AP 03/03/2006 08 07 AM DYASUMUR GENE 808 3181 03/03/2006 04 36 PM JLIERLY PL2 02 4/24/06 JLL PLUMBING ROUGH IN TIME 09 00 4/25/06 AP 04/21/2006 11 49 AM PBARTHOL GENE 808 3181 04/25/2006 08 12 AM JLIERLY PLSP 01 5 16/06 JLL PLUMBING SHOWER PAN TIME 13 00 GENE 808 3181 05/15/2006 04 46 PM DYASUMUR COMMENTS AND NOTES PREPARED 4/24/06 12 03 04 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 4/24/06 ADDRESS 1212 1/2 W 17TH ST SUBDIV TENANT NBR JOHN CAVANAUGH CONTRACTOR A DEPENDABLE CONTRACTOR PHONE OWNER CAVANAUGH JOHN J PHONE PARCEL 06 30 00 0 4 5200 0000 APPL NUMBER 06 00000097 RES ACCESSORY BUILDING PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 01 3/03/06 JLL PLUMBING ROUGH IN TIME 13 00 3/03/06 AP 03/03/2006 08 07 AM DYASUMUR GENE 808 3181 03/03/2006 04 36 PM JLIERLY PL2 02 24/ 6 JLL PLUMBING ROUGH IN TIME 09 00 04/21/2006 11 49 AM PBARTHOL GENE 808 3181 COMMENTS AND NOTES PREPARED 3/03/06 13 01 19 INSPECTION TICKET PAGE 9 CITY OF PORT ANGELES INSPECTOR JAMES L LIERLY DATE 3/03/06 ADDRESS 1212 1/2 W 17TH ST SUBDIV TENANT NBR JOHN CAVANAUGH CONTRACTOR A DEPENDABLE CONTRACTOR PHONE OWNER CAVANAUGH JOHN J PHONE PARCEL 06 30 00 0 4 5200 0000 APPL NUMBER 06 00000097 RES ACCESSORY BUILDING PERMIT PL 00 PLUMBING PERMIT REQUESTED INSP DESCRIPTION TYP /SQ COMPLETED RESULT RESULTS /COMMENTS PL2 O1 /i7� JLL PLUMBING ROUGH IN TIME 13 00 03/03/2006 08 07 AM DYASUMUR GENE 808 3181 COMMENTS AND NOTES 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 CAVANAUGH JOHN J 1212 W 17TH ST PORT ANGELES Other struct into Permit Additional desc Permit pin number Permit Fee Issue Date Expiration Date 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 WA 98363 MECHANICAL PERMIT Qty Unit Charge Per BASE FEE 2 00 7 2500 ECH ME VENT FAN T•\Policies \1102_15 building permit inspection record05.wpd [I/4/2005] 06 00000097 063998 1212 1/2 W 17TH ST 06 30 00 0 4 5200 0000 JOHN CAVANAUGH RES ACCESSORY BUILDING RS7 RESDNTL SINGLE FAMILY 40560 Contractor TOTAL LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS BUILDING PERMIT RESIDENTIAL A DEPENDABLE CONTRACTOR P 0 BOX 1574 PORT ANGELES WA PORT ANGELES 71142 579 35 Plan Check Fee 2/15/06 Valuation 8/14/06 Qty Unit Charge Per BASE FEE 16 00 10 1000 THOU BL -25 001 50K (10 10 PER K) 71159 64 50 Plan Check Fee 2/15/06 Valuation 8/14/06 Qty Unit Charge Per BASE FEE 5 00 7 0000 ECH PL- EA FIXTURE ON ONE TRAP 1 00 7 0000 ECH PL- EA INSTALL WATER PIPE Date 2/15/06 WA 98362 1 00 1 00 1 00 1 00 1 00 1 00 1 00 231 74 40560 Extension 417 75 161 60 00 0 Extension 50 00 14 50 Permit PLUMBING PERMIT Additional desc Permit pin number 71167 Permit Fee 99 00 Plan Check Fee 00 Issue Date 2/15/06 Valuation 0 Expiration Date 8/14/06 Extension 50 00 35 00 7 00 Separate Permits are required forelectrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days, if construction orwork is suspended or abandoned fora 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. \1� /s" v6, Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 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 1 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SI:AB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] BUILDING PERMIT INSPECTION RECORD I I 1 1 1 1 I 1 1 1 1 1 1 1 1 I 1 1 I 1 1 1 J1J 1 I 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 FINAL FINAL SEPA. ESA. SHORELINE: DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ CONSTRUCTION RW ENGINEERING 417 -4807 PW ENGINEERING FIRE 417 -4653 1 1 1 FIRE DEPT PLANNING DEPT 417 -4750 1 1 1 PLANNING DEPT BUILDING 417 -4815 1 1 1 1 BUILDING 1 1 1 1 1 1 1 1 1 Application Number Application pin number Other Fees Fee summary Permit Fee Total Plan Check Total Other Fee Total Grand Total CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT BUILDING DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000097 063998 Qty Unit Charge Per 1 00 7 0000 ECH PL EA WATER HEATER Special Notes and Comments The, Fire Department has reviewed the project application and has no comments 02/09/2006 12 25 PM SROBERDS CUP 05 09 was approved for this accessory residential unit /remodel No land use issues are noted Electrical load calculations and elctrical permits are required Separate electrical meter required 02/01/2006 01 19 PM GMCLAIN Seperate Water Electic Meters oquired Off street parking to City standards T•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] Page 2 Date 2/15/06 STATE SURCHARGE 4 50 Charged Paid Credited Due 742 85 742 85 00 00 231 74 231 74 00 00 4 50 4 50 00 00 979 09 979 09 00 00 Extension 7 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. Signa re of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date 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 1 NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE DOWN SPOUTS PIERS POST HOLES (POLE BLDGS.) PLUMBING UNDER FLOOR SLAB ROUGH -IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW WATER AIR SEAL WALLS CEILING FRAMING JOISTS GIRDERS SHEAR WALL/HOLD DOWNS WALLS ROOF CEILING DRYWALL (INTERIOR BRACED PANEL ONLY) T -BAR INSULATION SLAB WALL FLOOR CEILING MECHANICAL HEAT PUMP FURNACE DUCTS GAS LINE WOOD STOVE PELLET CHIMNEY COMMERCIAL HOOD DUCTS MANUFACTURED HOMES FOOTING SLAB BLOCKING HOLD DOWNS SKIRTING PLANNING DEPT SEPARATE PERMIT #'s PARKING/LIGHTING LANDSCAPING RESIDENTIAL ELECTRICAL LIGHT DEPT CONSTRUCTION RW PW/ ENGINEERING 417 -4807 BUILDING PERMIT INSPECTION RECORD Go/ OCo FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 1 (•\Policies \1102_15 building permit inspection record05.wpd [1/4/2005] Vet/ I (.li a 4/14 6 4/z4Aacv w FINAL FINAL SEPA. ESA. SHORELINE: 417 -4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT 1 BUILDING 1 DATE ACCEPTED BY. DATE ACCEPTED BY. FINAL.INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES 1 NO cZtc- 7 N 3 6-c C 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 CAVANAUGH JOHN J 1212 W 17TH ST PORT ANGELES Other struct info Other Fees Fee summary Charged Permit Fee Total 715 00 Plan Check Total 00 Other Fee Total 4 50 Grand Total 719 50 I( R SignatuYe of Coritract6r or Authorized Agent T \Policies \1102.15R [1 /05] f WA 98363 CITY OF PORT ANGELES PUBLIC WORKS UTILITIES DIVISION 321 EAST 5TH STREET PORT ANGELES, WA 98362 06 00000097 063998 1212 1/2 W 17TH ST 06 30 00 0 4 5200 0000 JOHN CAVANAUGH RES ACCESSORY BUILDING RS7 RESDNTL SINGLE FAMILY 40560 Contractor A DEPENDABLE CONTRACTOR P 0 BOX 1574 PORT ANGELES WA PORT ANGELES TOTAL t LOT COVERAGE NUMBER OF STORIES EXISTING LOT COVERAGE LOT SIZE PROPOSED LOT COVERAGE TOTAL LOT COVERAGE NUMBER OF UNITS Permit PUBLIC WORKS RES WATER SERV Additional desc Permit pin number 70383 Permit Fee 715 00 Plan Check Fee Issue Date 2/15/06 Valuation Expiration Date 8/14/06 Qty Unit Charge Per 1 00 715 0000 EA PW W/M 1 SERV 5/8 METER Special Notes and Comments The Fire Department has reviewed the project application and has no comments 02/09/2006 12 25 PM SROBERDS CUP 05 09 was approved for this accessory residential unit /remodel No land use issues are noted Electrical load calculations and elctrical permits are required Separate electrical meter required 02/01/2006 01 19 PM GMCLAIN Seperate Water Electic Meters required Off street parking to City standards Paid Credited Due 715 00 00 4 50 719 50 00 00 00 00 Date 2/15/06 WA 98362 1 00 1 00 1 00 1 00 1 00 1 00 1 00 Extension 715 00 STATE SURCHARGE 4 50 00 00 00 00 00 40560 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 constructigjL,2 Date Signature of Owner (if owner is builder) Date CALL 417 -4807 FOR UTILITY 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 PW UTILITIES (Engineering Division) WATERLINE METER SEWER CONNECTION SANITARY STORM SITE DRAINAGE SITE EROSION CONTROL PARKING SIDEWALK CURB GUTTER DRIVEWAY APPROACH BACK -FLOW DEVICE T \Policies \1102.15R 1 /05] RESIDENTIAL CONSTRUCTION R.W PW/ ENGINEERING 417 -4807 FIRE 417 -4653 I PLANNING DEPT 417 -4750 I BUILDING 417 -4815 PERMIT INSPECTION RECORD YES NO FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE DATE YES NO COMMERCIAL DATE ACCEPTED YES I NO CONSTRUCTION R.W PW ENGINEERING I FIRE DEPT I PLANNING DEPT BUILDING Owner Address PLANNING USE ONLY BUILDING PERMIT APPLICATION Fill out COMPLETELY.' and in LNK. X our application and site plan 1\IUST BE COi\I IE FE b a L,epLeu 1 1 1 e Ie Il i i ha e ail, yiu.stions. call PERMITS (360) 417 -4815 FAX(360)417-4711 Applicant or Agent. A i� 6 ,4 Z4-6. eo,J r CTO _777.9 rnJ as nl14- r,, Al I 12 72_ 1 7 City' e Architect/Engineer O r r_ a S r G) t J !DR- i 5 Contractor 4 IDLPEn1 c r3 r u 67 772r 4 a e icense t L P2N97 a b tp Address. PD 7, DX 16 7 PROJECT ADDRESS to 1 2 1 /2 LEGAL DESCRIPTION Lot: CLALLAM COUNTY PARCEL NUMBER. TYPE OF WORK. Residential New Constr Re -roof Multi family Addition Move Commercial Remodel Demolition Repair Sign BRIEF DESCRIPTION OF THE PROJECT USE/ fr1 C.f.:.E Block. COMMERCIAL/RESIDENTIAL. Occupancy Group No of Stones: 1 Lot Size. Existing Sq Ft. Total lot coverage City Stove Garage Deck Other e_onl J 62 g u1L,),a ntc) ESA/Wetland(s) Yes No SEPA Checklist required? Yes No Other Phone 3 ro o L{5 7 0 Phone. 3 .oO 9 6 1 7 73 Zip r /'V 34 Phone L(/ 7 a .S=" 81" Subdivision. —ry 7 Phone Zip ZONING FOR OFFIC U ONLY Lat.:. Rec. 1 a (Fermi' /)ate Approved e �f La, Is .,um; 4 gs gp a 3rov gv8 957 3 2 Sin/VALUATION SF rei) /SF SF (a@ /SF SF /SF TOTAL VALUATION 5 3 NvP ?v&ru b, a APT a t3E /U Sb i— a r CDJ£,244Gd. Occupant Load. Construction Type. b 1 6 Proposed Sq Ft. TOTAL Sq Ft. C, APPROVALS PLAN BLDG DPWU FIRE OTHER. 3rg1 VALUATION OF CONSTRUCTION In all cases, a valuation amount must be entered by the apphcant. Tins 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 F'EE IF a plan check fee as due it must be submitted at the time the building permit apphcaton 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 tune for action by the applicant up to 180 days upon written request by the applicant (see Section RI 05.3 9 of the International Buildmg/Residential Code, 2003) No application can be extended more than once 1 hereby certify that 1 have read and examined this understand that it is my responsibility to determine T 1Palicies\BL l 102_13.wpd Appli ication and kno he same to be true and correct. I am authorized to apply for this permit and ermits are -qui not the City's, and that I must obtain such permits prior to work. Date: 3 D 06 123 1230 1'14 Feet 1217 60 123./ 12,.) 1224 Vertical Datum NA VD 88 Th ontal Datum NAD 83/91 1225 1205 1221 1 Area Map 1213 1715 1622 1721 1616 204 1138 1709 1 Tht map lot intended to be used as a legal des iption This map/drawing is produced by the City of Port Angeles for as as use and purposes. 1 Any other use of this map/drawing shall not be the responsibility of the City. ■T IT FOR JOHN J. CAVANAUGH ZIAL SITE PLAN LP SCALE. I" 20' -0" NORTI-4 STREET ADDRESS: ZONING PARCEL NUMBER: LEGAL DESCRIPTION: 12121/2 WEST Mkt 3 I ET PORT ANGELES, WASHINGTON S836 3 RS-1 RES IDENTI AL 5INGLE FAMILY MAX, LOT COVERA6F 30% 063000 -045200 LOT 3 AND THE EAST I-4ALF OF LOT 4 BLOCK 432