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Home My WebLink About317 E 7th St - Building . ',", ".~~-'_~:': ,', ' , ' :'~ ___: ,\.,;;'~ '~;, ' i?~,,,,,,::~ J, ,"}~; '''';'''_; :L:~i .:,:~, ':~" "" ~ ,,~o. .;,.. ., , '.'..1 -;",;;, CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 47.00 10/29/03 4/27/04 Plan Check Fee Valuation . . 18.80 $00 . .,APP11.eaHon. Number ,~y~ess 'ASSESSO~. PARCEL NUMBER: " APPlication. description . ~~y;sion,.Name . . Property zoni:D.g . . . . . ApplicatiOn valuation . . . .000er 03-00000714 Date 10/29/03 317 E 7TH ST 06-30-00-0-2-0270-0000- RES FOUNDATION REPAIR COMMERCiAL OFFICE 500 contractor _~ __';';;' _-..;. ~_i__'_ _'_~__ _ _ __"........... -------~---------------- ~LDS, OOUG 317 E7THST PORT.ANGm..ES WA 983626210 ..' .(209)7.12:-7205 .;.-_.:..:c_,'StructureIriformation REPAIR POST AND BEAMS NEW FOOTING ConstrUction.Type . . . . . TYPE V NON-RATED # .occupancyType . . .. . . SINGLE FAM & CONGREGATES OWNER ~---~~--~----~-----_._._------------------~------~-------------------------- Permit.. .... . AdditiOriAidesc Permit Fee . . IssueJ)Ate .' . ExP~r.~tion Date BUILDING PERMIT -RESIDENTIAL Unit Charge Per BASE FEE Extension 47.00 - - - - - - - - -'- - - - - - - - -- - - - - .-- _....~ - - - -- ----. - - - - - - - - - - - - - - --- - - - - - - -- - - - - - - - - - - - - -- . . '. . . STATE SURCHARGE 4.50 FeeSUllllllary Charged Paid Credited Due ----~--~~---.~--- ----.------ ---------- ---------- ---------- pe:r:mit Fee Total 47.00 47.00 .00 .00 Plan Check Total 18.80 18.80 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Giand Total 70.30 70.30 .00 .00. S.'~.. pa. ra. .t.. e.. Pe.rmlts. '. are.requ..ir. ed~. ore.lectrical work, SEP. A, .ShO.f. elin. '.' e, EsA, uti.'lities, private and public improvem, e. ills.. Th....iS....Pe. iln.'.Jt.'.b.. e........c...o...ITl... e. s.. null anc:fvOld if work or construction authorized is not commenced within 180days; if construction orwork is suspend....c:fC)fa~~ndoned for~periodof 180 days after the work as commenced, or ifrequirec:llnspections have not been requested within 18~daYSfrt>JTl the last inspection'; I hereby certify thatlhave read and examined this application and know the same to be trueandcorr~'i;t.,AiI,prQYi~,()risOf lawsandordinances goveming this type of work will be compli~d with whether specified herein or not. The grantingofa'perrrii(doesnot presume to give authority to violate or cancel the provisions of any state or local law regulating construction ortheperrc)rmance' of con~' qn. SIgnature of Owner (if owner is builder) T:\PLANNING\FORMS\1102.IS [412002] tf)"S -7/iun.DING PERMIT INSPEcTION RECORD CALL 417-4815 FOR BUILDING INSI>ECfIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICJj.rrISUNLAW!UL,!,c? C()JI#!l, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION;' KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE '. .. . '.' ,'" " INSPECTION TYPE DATE ACCEPTED ' . COMMENTS . . .' I YES NO '., '. " ..... .' . FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGE , ELECTRICAL (LIGHT DEPl) SEPARATE PERMIT: II ROUGH-IN . I , PLUMBING UNDER FLOOR/ SLAB ROUGH-IN WATERLINE GAS LINE PACK FLOW / WATER , . AIR SEAL , WALLS CEILING I I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR . INSULATION SLAB . WALL / FLOOR/ CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS , PW UTILITIES / SITE WORK (Engineering Division) SEPARATE PERMIT II's: WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'5 SEPA: P ARKlNGlLIGHTING ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED . " YES NO ELECTRJCAL - 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. 4 I 7-4750 PLANNING DEPT. BUILDING 417-4815 I/A "~J-03 I J, )..,. BUILDING T:\PLANNlNG\FORMS\1 102.15 [412002] PREPARED 10/31/03, 12:15:28 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL . . APPL NUMBER: 31 7 E 7TH ST INSPECTION TICKET INSPECTOR JAMES L LIERLY BOLDS, DOUG 06-30-00-0-2-0270-0000- 03-00000714 RES FOUNDATION REPAIR SUBDIV: PHONE PHONE: (209) 712-7205 PAGE DATE 4 10/31/03 ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUBSTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 ------------------------------------------------------------------------------------------------ 10/31/03 ~ BUILDING FINAL TIME: 17:00 Final post & beam repairs Fri 10-31-03 -------------------------------------- COMMENTS AND NOTES '" ~ FOR OFFICIAL USE ONLY: Date Rec.: 7 -;"'1-0:3 Pennit II: 7/ '-I Date Approved: Date Issued: BUILDING PERMIT - APPLICATION 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 (360) 417-4815 Applicant or Agent: Owner: /Do v 6- Address: 3/7 Architect/Engineer: Contractor G I~I-.y,. (, r; r:,,- /:)61 H5 ;C . "2 j-<.. ') l' Address: PROJECT ADDRESS: 5' / 7 /C,. , LEGAL DESCRIPTION: Lot: J 1../ CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: o Residential 0 New Constr. 0 Re-roof .....,..,... ..' .., OMulti~family 0 Addition 0 Move o C~~etcial 0 Remodel 0 Demolition .....,..' 'J( Repair 0 Sign :BID];f.~,~~~~.R!P:rION OF TIIEPR9~~t:. Or' '"'0 ~ (i; J . .- , .. , ) ~, City: Phone: 360 - V17- 551'( Phone: LO q - 7JZ, - 7l0S' If,... I- AYl.)~/1!5 /.,vA Zip: 78'30'2:- Phone: State License #: Exp: Phone: City: Zip: CiYJCL 7 Tl.... 5 r /'T' r A....S (J /d ZONING: Block: ~6-z.- Subdivision: ,m Db3 c>t::()t;:J2.6 2') t:.>c>OCCl City: Exp. Date: o Stove o . 9a.rage o D~ck. o Other "'1'2"::::"."': (">~~t-...." SIZEN ALUATION: SF. @ $ /SF, = $ SF. @ $ /SF.= $ SF. @ $ /SF. ='$ .' : oS TOTAL VALUATION $ 500 :}::)/(/';;'" A louks' 'f-D'S~'JrL...'Sjf//!1;;>J:? .c'ft,~L~'t"';'\ COMMERCIAL/RESIDENTIAL: Occupancy Group: Occupant Load: No. of Stories: Lot Size: Existing Sq. Ft. & Proposed Sq. Ft. Existing lot coverage _ % & Proposed lot coverage _% = Total lot coverage Construction Type: = TOTAL Sq.Ft. % PLANNING USE ONLY: APPROVALS: PLAN:[f!E BLDG DPWU: FIRE: OTHER:_ f1II ' ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with information 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: If no permit is issued within 180 days of the date of application, the application will expire. The Building Official can extend the time for action by the applicant up to 180 days upon written request by the applicant (see Section 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 that I must obtain such permits prior to work. T:\FORMS\APPS\Bui Idingpennit. wpd 7p~/o~ LJI-. MQS!. V(,l!" t,.J I u..J ~ Applicant: ~ ~__ Date: 7 - 'GJ -0 > "I'i~1 :'~ r c,~ f ",',':' ..,..' ,,,, 11~' < ..L 'T"~~";;'T' ' t.t:-.:. I 1: 1.._ L t " I I ,. ~_I ~,., " ~;'. '-,,.., ~, ~ f:.l I.'j , ,~ ' . f. .~ ' I ~ . "A 1,.1.' f. r !i.' .' " _t:' ' c~~'.., ,J..; I~.:- ~ i 1: I I t' '~ T. ~ fi ~~,'''' f.t i =<,~ ..:. :~ "'7,.;:-,,... +e- I-.~:: - fl!L-t<,. .... ~~": =-1.1 ",' plaJs:;~ speci -:- ___t:. _" I, ,n -' ",< ' IF ~- "~ "l"' r" _ ' 1 "'7"""""~'" '. . . _ ~ . ~ "':' u"11'~ ~1,': ~~..:. ~-:.:'~ \1)lii!l~^ ~~ r.::l:-~~tf; r k:' ~I . . -W- Ji .,.,. -; :~'- I:~ l.. ' ,," .If!=(~ ~' I~I~: '~. I - _1St, ~ 2tJJ:: )i , -q' '7 _:~ ' '... Ti ~ ,&C f ,j<;l" ,- - - .,;,;t :", .: ~ ~,j -..... ,', ",' ",,:"l 1.' (/' .j . r" ~~ '-m"" I ., t I" I' PFI \,. _ '*'Tt~t "' · li4z~'4-'7~ \lrri"! I -pi I N..I\, f' "7 l t ~.!"-1.1" Mi. ~yo6? r "', 1". I." " : I. ' , .', I' ..,..:.l c' _ r, ,..., .v-=t~..W!''''''''.,1:'.': _ ~ ' ~:~ .:',. ' nn. ..' -:; . 1"'" '.0 _ ,'fe ! I : ~ .. : ,(1," ....' " 0 . " C' ";, !!n~'jlL . ,', . . . _ b ,"'i.' ~~ ., - ~ _I~" . '-~L "-.~ ~t. · , =- _ =e ' .;' '. :~. ,;.I,.','''c,~. lr~1 ., :".r " .' .~ . .."'0' 'o'~ '~.~~ 1 _~I ' -.~- ,LJ~I,I ,.' '" . ), ,;: \,.[: " ~ ~ _ ::. ." ;~ mJ-~' .,. . , , ! .' :"..,: !i1 ..[....~ 'n · 0 ,.. " .... ~. ,~ . N>.,z' "7~' ._ ..!,.._ . A :- ~t4- ,:" ~L~~r~;1 ',. ,.~- _:~. '.' ,,' J.)-'~ i4.~: i'- " .VIl '" , 1 ~. ' "", .;t- -l<-t ~. 'I -03 ~ ..- :q~ . ,";' c.j~ (r \Xi , . '" - _."~. . ' - '. - ~ ~ c++ . -, "- _I~ . ... . " ,.. f -' " . , _ iCe;' ,,,' 1":' ; '. . ""l CITY,Q ORl I r . .' ,\ ' : .. . . ." ",'4, -..,. ! . .~ '] ......... ;; t;J .... (" ....... "'~ .... -r- ~ I tiC. ~ . . ;; "4 - r:.l t F' ~ 'J. ',." ~ ~\.\.,': ~. - ~ .....~ ~ ....j ',',. . l . 'j ',I ,I" :. '. I lans": " .." ns, s -, .~/ '(, mg ~~ .. rslin.sa . ~ prevent~ (;i"..l ~ 1,:. .~hent;}1 &1 :..." .1~dicti ;;"'-.J:I~' ~.: ;t-: ~ -.4t 'i)o:;" \: ,'; " Jl, .;:~~:..::r- I'" " ;,l' 1', ElE it based ,up ,) " prev U1n.n~the'corre " ;~ F - ..J "'. " "" -;; ~. .-it : , if ..,... I: b. '1'1 ." f' I -:-...,. ,"""i 1- "',..f, f BARTNAGEL BUILDING SUPPLY INC. 833 E. FRONT ST. PORT ANGELES, WA 98362 TOLL FREE 1-888-452-6252 PHONE: (360) 452-8933 .. TIlUI1t-YOU .. UP:uc:u.TE 1'01m BUS:cn:SS EXP. DATE: SLSPR: TAX PAGE NO 1 7/24/03 DOC# 401017 ************* · ESTIMATE · 69 CRAIG SHERTZER ............. H4 HARTNAGELS-CASH RETAI EST. 401017 I Mfh91 11. .,..~liI! ~.. "'11 'ltliIMfii, ill,,"' ...~.... k~llti.]j~ . i IJI!! Jli~ -~- _~;I;~kI ;_II'~~lJilIgt'J!!j .~J".IiIII!lCJ11ID[mi 1 2 EA PT448 4 X 4- 8 I PRES TREATED 7. 51 2 7. 51 /EA 15 02 2 1 EA PT248 2 X 4 PRES TREATED 8 I 4 05 1 4 05 /EA 4 05 3 4 EA ECON248 2 X 4 ECON 8 I 1 82 4 1 82 /EA .' 7 29 . ., . 4 19 BG 60CONC 60# CONCRETE MIX (56/PLT) 19 2 18 /BG 41 .42 5 5 EA PBS44 SIMPSON PBS44 STANDOFF POSTBASES 5 7 79 /EA 38 95 . ~ - , , . , .. ESTIMaTE .. ESTIMaTE .. EST~TK .. EST~TE .. TO'l' 11'1', 11'2.33 T.IDBLI: 10'.73 IIOJI-TADBLE 0.00 SUBTO'l'.I.L 10'.73 TU~ 1.75 'rO'l'.I.L AJIOtIIIT 115.48 X Received By ~{)9- 7/2 - 7d---O~ Y' e::>c\~> :lf~Qjd.s .,.CORO~D l'j "U;'''~'O!r::'-f,U.,<H1 co~ ' filED fOR RECORD A T HiE REQUEST I"'. .P 2003 MAR , 3 PM 2: 47 " ~ "111111111 "111111 2003 1103529 ClaJlarn County QUIT CLAIM DEED (StatutoJy Form) Indexing information required by the Washington Slale Auditor'slRecorder's Office, (RCW 36.18 and RCW 65.04J 1/97: (please print last name first) Reference # (If applicable): Grantor(s) (Seller): (1) JOhf) J- k~ lq Grantee(s) (Purchaser): (1) D~[)51o.. s Legal Description (abbreviated): Assessor's Property Tax Parcel/Account # THEGRANTOR(5) ..JchV\. tI- ko.r\~ Air) liN-I of V'\l'~ki~l~n'A ---rz" /h:t ;1tl(}DI\.,I<i fU.. ' Cou~f C \ 0\ If 00 Iv\. ,State of of . of Moll i flf'. t R. Ba/Js (2) (2) Add'!. on P8-- Add'l,on p~ Addl'. legal is on p~ i ~ AII\}'('f tiS" '. ,for and in consideration convey_and quit-claim-'.- to . City 'c ()( l\ ,~ : ,all interest (01. Ii.{ ; v\. 15 roc 1<. ~O;) l>~ ik 'io.vot,.;t.. ot ~od I{n~~(<PS s,iv'lle i",- Clctlfc,/If teu.t-ll.( l.i/Jf~ ,County of of in the following described Real Estate: ~ i 7 II 7t\. ~ ~ ~...\- A "\1 tlE>~\ W'4- .. q i"3 ,.;2. situated in the County of Co t ~ II ~ fAIl ,State of W If . Dated this '3~ ~ of ~....c.k.. .~"3. ~~L~t~JNTY..f)- ~9(~j;~------- ;;SAcn;A;:':E:3 STATE OF WASHINGTON J AMOUNT-a-- SS~ (INDIVIDUAL ACKNOWLEDGEMENT) ~, ~JJ1lJ!tff{~~ Ju/' fk2. County of (!Ja11..a.m I certify that I know or have satisfactory evidence that JOhf\ "I- Xa..r I tl mO II; n it' ~e IVVsouSwho aPReared before me, and said person acknowledged that signed this instrument and acknowledged it to be :::t:n..eJA free and voluntary act for the uses and purposes mentioned i the instrument. Dated this /'61!l day of--.1tl a.M!.Ju ,." '. .:'~ ' day ,JOD3. ,:.':>,., 0-(Nl1-t. ~AA~' .... ..:-' '," (. Print Name --- r e Sa... . a.r cJu' : .; - ,." Nol"y Public in ,nd fonh, S.... of fA )t1-,h.i TI~ Quil-Claim Deed (Stalu:o;';,~~r"!')(;;'"" .:"." '. My appointment expires: ]0 /J-O/DiP @Washington Legal Blank.1Q~..,1sSh'l"a"" WA- Form No. 289 6/97 MA TERlAL MAY NOT BE REPRODUCED IN'.'h'HOLE OR IN PART IN ANY FORM WHATSOEVER. I ' , . , ~ ! f " .', ;':,:i':'\::_~:,;:~r -";?~<:~'t~~rr::~"f;~"i?:~::"''{:'\.:\.'::~::~,'~:i;' a ~~" '(t'~.\. .- - " _., , _' ,c'" '.' ' ,_, - ." ' .' ".,. '.""PWPF,'~Ql\l';~(}~ES. >, . . . '.' DEPARTMENT OF COMMUNITYDEYELOPMENT - BUll:.DING DIVISION .\321 E#TS,THSTREET~,f9RT~~(JELES. W~98362 . '"'' ',;'Ni~,&:7{/.:\:~',::,~!,::;,)t~:';~::J:,',''cei~~~'f'$:;,?:~i/',,).' ,r d':~ . >];.' Appli~t:ion Number PropeJ:ty>~ess . ASSESSOR' PARcEtr'NOMBER: .' Application description ~vi8i,on Name .. Property'zoning . '. . Application V'aluation . 03-00001005 Date 10/13/03 . 317E7TH ST 06-30-00-0-2~0270~0000~ ELECTRICAL ONLY" i...- " o Contractor .."'~'.~,~ ~;'~DOUG 317E 7TH ST PORT.ANGELES ';,;+ 20)',..712-7205 1"fA 983626210 KIRSCH ELECnuc' INC. P. O.BOX 3396 SEQUIM NA 98382 (360) 683-6819 " '. ',"':- ,-' , " ' ---------------------------------------------------------------------------- Permit Additional desc Sub' contractor pei:IiU.t. Fee . . , Issue. Date . , Expiration Date ELECTRICAL NEW RESD;lENTIAL NEW SERVICE 200 AMP, KIRSCH ELECTRIC INC. 70.80 Plan Check Fee 10/13/03 Valuation 4/11/04 .00 o Qty"".unit Charge Per". 1.00 70.8000 ECH EL-R-SQFT FIRST 1300 Extension 70.80 Feer,sUmmary Charged Paid ..Creliited Due --~~~----~------- '<"'periillt' Fel!!Total Plan' Check Total Grand. Total '70.80 .- .00 70.80 70.80 .00 70.80 .00 .00 .00 .00' .00 .00 "-~ . S8PIlr8te,P8'rml~ are req~i~for~iec!r:lcc11 YIoI'I<,SE~~;. . ' '.' !JtIlitle~. private and ~~bllc Improvements. !PI,~~'# null and V01d'lfwerkor ~ctIon authorized]lsnot ~rr1me ..... .... 'r. In 1S0 daysi. if construction or w()rk1s,~~~O~ . ~ ,..~()ned fO.r'a.....'~. riop.,...,.'O.. [.~.....~.'.O....da.~...... a. ft. e. .r....th.......ewo.. ...rka~..co.m. .me...n,'..cad. .....t...o..........r........~...'.r,q........~.u.(..~fed....."./....i,.n.s... P8.. CtI.:...:.o...n. ..S....h. ave...... notbee...n... reg..... u.ested.:w.,.....'.thth.>'. .S.O.d. a.'...~.'.:........:........ro...m...,. ..th.."-.....,.e.....I.a....s...t. Inspectio.Jf;:IhEnebycertlfy1hat I have read and~xa!Jlln8d'lQls~ppll~t1on a",ti.~w~~ sametC);oo.trueafld coIteQtf:Al!'P!'O~ls,ons'of :~::~:;~~~~~t~gJ:io~i:~~e~::~WU'C~&rs~~~'j_e~rs.tl~~:J:~~~c~bN~~~l~~~~~n~; consb1.Jctlon. ..... . , . . - . . ';<'i~~ .}~,!.y"' . 'r':",:;~',L,~,_, ", -',<>:' ':,':;;~,__- .'-",~', "~' '-_::,"':"':' ::',:_" SighatUre:ofdQ!itrSctor 'or Authorized Agent . ,-"_:.,,,.:'- -."_;:-'_'; "'~'<'_l":"':~" ,""__:., _;~,,~.; '- _u" -""~ ,...',-, BUILDiNG'PERMIT INSPECnONRECORD . . .. " ' . ',,/1 ~,' ' -'.' .-.'..' CALL 417-4815 FOR BUILDING INSPECTIONS. . PLEASE PROVIDE A MINIMuM 24 HOUR NOTICJ3. ,IT IS:{JNLAWFUL'TO CovER; INSULATE OR ~ONCEAL ANY1YORK ~EFOREnv.SPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. ;--: :,--' .." -,,-.. .' H"'. " .,," KEEP PERM;~T CAI,U> AND APPROVED PLA.~S AT JOB SITE :171 1.'':- .,_T,', " INSPECTION TYPE DATE ACCEPTED . " . '. COMMENTI.:cc.... " I YES NO i:.: ,"f". - . . FOUNDATION: FOOTINGS - WALLS , FOUNDA nON DRAINAGE .~,., ELECTRICAL (LIGHT DEP11 SEPARATBPERMIT: II " . - ROUGH-IN I . , , , PLUMBING ~ - UNDER FLOOR I SLAB , ROUGH-IN WATER LINE .. GAS LINE BACK FLOW I WATER , AJ~ SEAL ., ,~ ALLS iiJpILING I ~MING '. '. i JOISTS I GIRDERS SHEAR WALL - , ";WALLS I ROOF I CEILING J?RYWALL 'T-BAR ~ULATION - SLAB WALL I FLOOR I CEILING I I . MECHANICAL - . HEAT PUMP WOOD STOVE I PELLET I CHIMNEY HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARATE PERMIT II's: WATERLINE I METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT "'s SEPA: PARKINGILIGHTING ESA: LANDSCAPING SHORELINE: , . ,', FINAL INSI'ECTIONs~aQUI~PRIOR TO OCW.PAl\ICYIllS~ .,' . ,1" :;., :'....d " .... ,...... RESIDENTIAL DATE i.i' ,. 'YES NO' COMMERciAL "';DATE, .,' , '\~CmPTED ":; " "''\T.S ""'No llf,JCej . ' ~. ,4U),'" l';..:"-,..:_. .~. - -' ; . . " .- ELECTRICAL -LIGHT DEPT. 417~735 ' ELECTRICAL I.' '""., LIGHT DEPT .. "1\' . ," .. CONSTRUCTION R. W.I PWI CONSTRUCTION - R.W. . ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. - PLANNING DEPT. 411.4750 PLANNlNGDB!'T., . ',r .; BUILDING 417-4815 BUILDING fA) _".....---t f _f 1..-/ , ~/..j . "! ~\( T:\PLANNlNG\FORMS\I102.15 [412002J CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Applicatio~ Number pin number \ . . . . . . Property Ad~ress . . . ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000423 Date .790568 317 E 7TH ST 06-30-00-0-2-0270-0000- ELECTRICAL ONLY 5/19/04 COMMERCIAL OFFICE o Owner Contractor BOLDS, DOUG 317 E 7TH ST PORT ANGELES ( 20) 712-7205 OWNER WA 983626210 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL FURNACE/ HP. SIMPSON ELECTRIC 46.70 Plan Check Fee 5/19/04 Valuation 11/15/04 .00 o ~GJ ~~ ~~ Qty Unit Charge Per 1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.70 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permi t Fee Total 46.70 46.70 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 46.70 46.70 .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:\PLANNING\FORMS\1102.15 [11/14/2003] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND A CCEPTED. POST PERMIT IN A CONSPICUOUS LOCA nON. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE. INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: FOOTINGS WALLS FOUNDATION DRAINAGEIDOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I PLUMBING UNDER FLOOR 1 SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW 1 WATER AIR SEAL WALLS CEILING I FRAMING JOISTS 1 GIRDERS SHEAR WALL/HOLD DOWNS WALLS 1 ROOF 1 CEILING DRYW ALL (INTERIOR BRACED PANEL ONL Y) T-BAR INSULATION SLAB WALL 1 FLOOR 1 CEILING MECHANICAL HEAT PUMP GAS LINE WOOD STOVE 1 PELLET 1 CHIMNEY HOOD 1 DUCTS PW UTILITIES 1 SITE WORK (Engineering Division) SEPARATE PERMIT #'s: WATERLINE 1 METER SEWER CONNECTION SANITARY STORM PLANNING DEPT. SEPARATE PERMIT #'s SEPA: P ARKING/LlGHTlNG ESA: LANDSCAPING SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCYIUSE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRlCAL - LIGHT DEPT. 417-4735 ~V~l/ ,ApO ELECTRICAL LIGHT DEPT , / CONSTRUCTION - R.W. CONSTRUCTION R.W.I PWI ENGINEERING 417-4807 PW 1 ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT. 417-4750 PLANNING DEPT. BUILDING 417-4815 BUILDING T:\PLANNING\FORMS\1 ]02.15 [11/1412003] :rr pORT ~ ~.J..O~~ i:J'ririiii<u. L -=.;or ~ ~IC~ CITY OF PORT ANGELES DEP ARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name property Zoning . . . Application valuation 03-00000714 Date 10/29/03 317 E 7TH ST 06-30-00-0-2-0270-0000- RES FOUNDATION REPAIR COMMERCIAL OFFICE 500 Owner Contractor BOLDS, DOUG OWNER 317 E 7TH ST PORT ANGELES WA 983626210 (209) 712-7205 Structure Information REPAIR POST AND BEAMS, NEW FOOTING Construction Type . . . . . TYPE V NON-RATED Occupancy Type . . . . . . SINGLE FAM & CONGREGATES Permit Additional desc Permit Fee Issue Date Expiration Date BUILDING PERMIT -RESIDENTIAL 47.00 10/29/03 4/27/04 Plan Check Fee Valuation 18.80 500 Qty Unit Charge Per BASE FEE Extension 47.00 Other Fees STATE SURCHARGE 4.50 vJ Fee sununary Charged Paid Credited Due - ----------------- ---------- ---------- ---------- ---------- ~ Permit Fee Total 47.00 47.00 .00 .00 Plan Check Total 18.80 18.80 .00 .00 Other Fee Total 4.50 4.50 .00 .00 l\\ Grand Total 70.30 70.30 .00 .00 ~ ~ 0) i't 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 regulatmg construction or the performance of constr ton. )CJ~;)7~t)3 Date Signature of Owner (if owner IS bUilder) Date T \PLANNING\FORMS\1102 15 [4/2002] eJ~ --7 /iUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION' FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN I PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL , WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING MECHANICAL HEAT PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIVISIOn) SEPARATE PERMIT #'s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARA TE PERMIT #'s SEPA PARKING/LIGHTING ESA: LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 PLANNING DEPT BUILDfNG 417-4815 JA ~~-O~ J, J.... BUILDING T \PLANNING\FORMS\1102 15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, W A 98362 Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00001005 Date 10/13/03 317 E 7TH ST 06-30-00-0-2-0270-0000- ELECTRICAL ONLY o Owner Contractor BOLDS. DOUG 317 E 7TH ST PORT ANGELES ( 20) 712-7205 WA 983626210 KIRSCH ELECTRIC INC. P. O. BOX 3396 SEQUIM WA 98382 (360) 683-6819 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL NEW SERVICE 200 AMP KIRSCH ELECTRIC INC. 70.80 Plan Check Fee 10/13/03 Valuation 4/11/04 .00 o VJ Qty Unit Charge Per 1.00 70.8000 ECH EL-R-SQFT FIRST 1300 Extension 70.80 - Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 70.80" 70.80 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 70.80 70.80 .00 .00 tt)~ ~ ~{\l\ J\~ ~ \f. r 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 ~ 80 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 spec'ified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. ' Signature of Contractor or Authorized Agent - Date Signature of Owner (if owner is builder) Date T \PLANNING\FORMS\1102.15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO - FOUNDATION: - FOOTINGS WALLS FOUNDA TION DRAINAGE ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT: # ROUGH-IN I I - PLUMBING - UNDER FLOOR / SLAB ROUGH-IN WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS / ROOF / CEILING DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL - - HEA T PUMP WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES f SITE WORK (Engmeenng DIvIsIon) SEPARATE PERMIT #"s WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #"s SEPA PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 1/9 JCr ,}cD ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R. W ENGINEERING 4 I 7-4807 PW / ENGINEERING FIRE 4 I 7-4653 FIRE DEPT. PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING L\PLANNING\FORMS\1102.15 [4/2002] PREPARED 10/31/03, 12 15.28 CITY OF PORT ANGELES ADDRESS CONTRACTOR OWNER PARCEL APPL NUMBER 317 E 7TH ST INSPECTION TICKET INSPECTOR JAMES L LIERLY SUBDIV PHONE PHONE (209) 712 -7205 BOLDS, DOUG 06-30-00-0-2-0270-0000- 03-00000714 RES FOUNDATION REPAIR 10/31/03 ~ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS BL99 01 BUILDING FINAL TIME 17.00 F~nal post & beam repa1rs Fr1 10-31-03 PAGE DATE 4 10/31/03 -------------------------------------- COMMENTS AND NOTES -------------------------------------- "' FOR OFFICIAL USE ONLY Date Rec 7 - j..,/ - 0 :3 PermIt # 7/ 'I Date Approved Date Issued BUILDING PERMIT - APPLICATION 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 (360) 417-4815 Applicant or Agent: Owner: /00 v G- Address: 3 /7 Archltect/Engmeer: Contractor G I~I-Iy.. (, ~ C. /361 tis ie. 7'1' )7' Address: PROJECT ADDRESS: '?/7 p-l Ii, LEGAL DESCRIPTION: Lot: CLALLAM COUNTY PARCEL NUMBER: Credit Card Holder Name: Billing Address: Credit CardType VISA MC # TYPE OF WORK: o ResidentIal 0 New Constr. 0 Re-roof o MultI-famIly 0 AdditIon 0 Move o Commercial 0 Remodel 0 Demohtion , }$I. Repair 0 Sign BRI~Fl~')j;~CRJPTION OF TJ:IE rR9Jl}:.~T. Or' '"'0// C/. 'yr Phone: 360 - L/17- 55q'{ 2.0 q - 7.-/Z. - 7 ZoS' 98307- City: Phone: rg,. I- An.) "/1f5 w;{ ZIp: Phone: State LIcense #: Exp: Phone: City: ZIp: C, lJ &"1- 7 rJ.... 5 r /r r A,S a /~ ZONING: Block: c:.D~ SubdIvision: ,M Db'3 O~21 (':)c)OCC) City: Exp. Date: o Stove o qarage o Deck o Other Je(">~.,..;,. SIZEN ALUATION: SF. @ $ /SF. = $ SF. @ $ /SF = $ SF. @ $ /SF = $ , s TOTAL V ALUA nON $ SOc::) a /-}ie'r hloiJk.s f-C) Snv-l'-l., $Jt/,u o-F /';1'v<;1? COMMERCIAL/RESIDENTIAL: Occupancy Group: ' Occupant Load. ConstructIon Type = TOTAL Sq Ft. % No. of Stones Lot Size. EXlstmg Sq. Ft. & Proposed Sq. Ft. ExistIng lot coverage _ % & Proposed lot coverage _% = Total lot coverage PLANNING USE ONLY: APPRO V ALS: PLAN:~ BLDG DPWU: FIRE: OTHER:_ FIH ESAlWetland(s): 0 Yes 0 No SEPA Checkhst requued? 0 Yes 0 No Other: BillLDING PERMIT APPLICATION SUBMITTAL: The Bmldmg DIvIsion can provide you With InformatIOn on the apphcatIon and plan subrruttal reqUIrements If you have questIons. VALUATION OF CONSTRUCTION: In all cases, a valuation amount must be entered by the apphcant. ThiS figure Will be reviewed and may be reVised by the Buildmg DIviSIOn to comply With current fee schedules. Contact the Perrrnt Coordmator at 417 -4815 for aSSIstance. PLAN CHECK FEE. IF a plan check fee IS due It must be subnutted at the tIme the bmldmg perrrnt apphcatIon and constructIon plans are submItted. All other perrrnt fees are due at the tIme of perrrnt Issuance. EXPIRATION OF PLAN REVIEW: Ifno perrrnt IS Issued WIthin 180 days ofthe date of apphcation, the application will expire. The Bmldmg OffiCial can extend the time for actIon by the applIcant up to 180 days upon wntten request by the apphcant (see SectIOn 1074 of the Uruform BUlldmg Code, current edItIon). No apphcatIon can be extended more than once. I hereby certify that I have read and exammed this application and know the same to be true and correct I am authorized to apply for this perrmt and understand that it is my responSibility to determme what permils are reqUired ,not the eily's, and that I must obtain such permits prior to work T \FORMS\APPSIBUlJdmgpermlt wpd 7~qfo~ LJ.I-- Mcz${. ~GV' t,.J ( o...J ~ Apphcant. ~ ~"..... Date 7 -"GJ --0) II ,.J .. ... .. . .. '. .. . ,. .. . . .. . -. .. .. . .. . . -e -. .... c { - "... - -- ~""l ~ ~ a: ~n (l.. Sl ...) ~~ 'l.. - ..8 ~ _<<(;'4 -e \o-=~ t ~ - ..:J - C..J - - ~ :!:' '<:l t.cI,- "" .. ~~ ., ~ ~ -x, ~ ... (,. r-l v " .., I:i - \ ':~ ....1 - - \D 1 ~ ....)l;, ~ -=~ ~ ..~- -- ~ .......... :.-.,1;( '-.,[j "'~ :J' ,-. . ... .. . -. '. --. . lit . . -. .. '- C..J - - FILE- .--- ~ -- ~ 3/7 €... 7~ 7/ Ar.t-- A.,se!'y I WA_ 99362- mg Code) '< 'oll )0 '-D s jL- -0 >- ~-:r ,.J 'J. L ___~ '3' ;,l .:.i - - .::s- :r 1 g - I r- ) - ~ \ " , .......~ ~ '" <<+ " l ..t~ .~ ~ ~ ~ ).:>st, ~~~'J ~~\(!/~ ~ .,. ~ ~ -~ ~~-~~- ~ ~:l>t _~ ~ ~ .; ~~~! ~ ~ ...)o.~.... ... ~ . J" WN ~ ~ :s ~ V q" --< ~ 4.- ~ "'" V ~ ~ - :> (>; ) I I a N.........::rlA \X) I 11 I -f II <l,.. ~ r1 ~""e ~~ '1'- J ~~ ~ I ';.\Tl" ~ l ..."" ~ .... . CITY OF PORT ANGElES - Construction Plans The Issuance of this permit based upon these plans, specifi- catIOns and other data shall not prever!: the building offlciil from thereafter requiring the correction of errors In sa~ plans, specIficatIOns and other data, or from preventl'1+g , bUilding operations being carned on thereunder when 11\ .! vlolalion of all codes and ordinances of this lunsdlctlot!l' -s;J i~C;T r ,,! 303(c) Unlb'11 Bl'IIc1 ./1~1~ - n jj ~~ ~tl~ "'- t "i~ ~~~'^ 'V ~ i ~ l~/~ G- JJ~ '-.J -J- l. j ~ ! v-1 1 ... ~ "2 ~ "- -..:! ~ .... s- ~ 1- ~-+ ~ ~ Q) ~ ~ ~ ~ -= .... .. HARTNAGEL BUILDING SUPPLY INC. 833 E. FRONT ST. PORT ANGELES, WA 98362 TOLL FREE 1-888-452-6252 PHONE: (360) 452-8933 TDJIlIt- YOU lIB APPUCIATE YOUR BUSIOSS y\<', ~^'" i~i;t~ezaa"'"/'," '; :';: )< ,>,...~ ~H/CHECK/B~~":"(""" '""' Cl4!%'~ 69"1" "h II, ,<,^ EXP. DATE: 7/24/03 SLSPR: TAX 69 CRAIG SHERTZER H4 HARTNAGELS-CASH RETAI EST. 401017 ************* PAGE NO 1 DOC# 401017 ************* * ESTIMATE * " ,LIIff "<'R:tPJlI~r:' O~DBD' UII'" ':',.,h V.SIltlJ~\,,:, . c" l<.,.D~ClU''.nOl!.., ,~ "':: w :f~ ' Co '1DI:t'1": ' PJl.ICBJjJll~. ., U'1'BIIS~OII" 1 2 EA PT448 4 X 4- 8' PRES TREATED 7.51 2 7.51 lEA 15.02 2 1 EA PT248 2 X 4 PRES TREATED 8' 4.05 1 4.05 lEA 4.05 3 4 EA ECON248 2 X 4 ECON 8' 1.82 4 1. 82 lEA , 7.29 . . " 4 19 BG 60CONC 60# CONCRETE MIX (56/PLT) 19 2.18 IBG 41.42 5 5 EA PBS44 SIMPSON PBS44 STANDOFF POSTBASES 5 7.79 lEA 38.95 ~ - , . .. ESTIMATE .. ESTIMATE .. ESTIMATE .. ESTIMaTE .. TO'l'1I'1'1 1162.33 x TADBLE IIOIr-TUABLE SUBTO'l'AL 10&.73 0.00 10&.73 TAZ AJIOtnI'1' TOTAL AII01DIT 8.75 115.48 Rece~ved By QUIT CLAIM DEED (StatutoI)' form) :ILEO FOR !;ECOi?'J t. T HiE REQUE:; T 2 {d15 :: ,~ 0 ,r ......._ f.C':JROr.1j Ii f~_-"- .,~~:~~-"~,\ '1;;-::- -, _I.. '-'.... Z003 MAR , 3 PH 2: 47 J 2003 1103529 Clallam County (please print last name first) Indexmg informalIon reqUIred by the Washington State Aud.tor's/Recorder's Office, (RCW 36 18 and RCW 65 04) 1/97 Reference # (If applicable): Grantor(s) (Seller): (1) Johf) <rJ- k~t \0\ Grantee(s) (Purchaser). (1) DO(~5/a.. s Legal Description (abbreviated): Assessor's Property Tax Parcell Account # Moll j fie. t R. &Icls (2) (2) Add'!. on PR-- Add'!.on p Addl'. legal is on p~ THEGRANTOR(5) Jd1v\ d- Ko.r\<\. M,n} liN. i of I.\.'(lo ~k. i A1 in.A t bl /'t'rt;1.<tC () D....' lei ~J.. County of c.. \ Ol /I Co IV\. ,State of of -er 0\. I A l'I.Jf I tiS .', ,for and in conSIderation convey_ and quit-claim-,- to ,City ,all interest L..01 fC.1 ; ~ 15 foc k 'JO;;J C,t ik icwot,.;k ot .ed A.1l5~C<ps s.h''l/e ;.-t elct/' 4/11 Ceult-ll{ tvl1. of III the following described Real Estate. ~ i 7 8. -f'^'"Sl- ~)\.-\- A ~ dt?~~ W'4. sItuated in the County of c:.. t ~ J 11:\ !IV\. of ~.....c l-\.. , ~ '3 r:ft-~;Jr~uu- --- STATE OF WASHINGTON J 55 (INDIVIDUAL ACKNOWLEDGEMENT) County of C!1aJla.m' 1/ B I ~ertify that I know or have satisfactory evidence that John"'" f\o..r I tL mo II; n if ~~e I18!sar?who aPReared before me, and said person acknowledged that~ SIgned thIS lDstrument and acknowledged it to be ::th.G L\ free and voluntary act for the uses and purposes mentioned iQ'the instrument. Dated thIS /'6l!l day oc)11 a..M!.Ju ,JOD3. ~;'Pt1~ ~dA~' Print Name -- r e s.tl . mal' e-hJ Not,", pubhe m 'nd fonh, S"" of [,j ) a ,S.hi tJtOl \ QUlI-Claim Deed (Slatulory Far"!') '" " My appomtment expIres: 10 /d-O / Oft:, @Washwgton Legal Blank In~ .IS;It~'lail W A Form No 289 6/97 MA TERJAL MA Y NOT BE REPRODUCED IN ~'HOLE OR IN PART IN ANY FORM WHATSOEVER ,County of . State of ~ ~.' ) ." , , 'J Dated thIs '3~ l NO. /,../)/4'0 CLAL'tMVl COUNTY ..{}- TRANSACTION EXCISE TAX day DATE rAiD 9 $' " ' diPOAT"", /~~t "'Si L~ =- "'.""" CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 32\ EAST 5TH STREET, PORT ANGELES, W A 98362 II Application Number Pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zoning . . . Application valuation 04-00000423 Date _ 790568 _ .017 E 7TH ST I 06-30-00-0-2-0270-0000- ELECTRICAL ONLY 5/19/04 COMMERCIAL OFFICE o Owner Contractor BOLDS, DOUG 317 E 7TH ST PORT ANGELES ( 20) 712-7205 OWNER WA 983626210 ---------------------------------------------------------------------------- Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL FURNACE/ HP. SIMPSON ELECTRIC 46.70 Plan Check Fee 5/19/04 Valuation 11/15/04 .00 o Qty Unit Charge Per 1.00 46.7000 ECH EL-R OR RM 1-4 ALT CIRCUITS Extension 46.70 Fee sununary Charged Paid Credi ted Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 46.70 46.70 .00 .00 plan Check Total .00 .00 .00 .00 Grand Total 46.70 46.70 .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, jf construction or work is suspended or abandoned for a period of 180 days after the work as commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Signature of Owner (if owner is builder) Date Signature of Contractor or Authorized Agent Date T:\PLANNING\FORMS\1102.15 [11/14/2003J 05/17/2004 19:13 4579270 SIMPSON ELECTRIC PAGE 01 . ~' . // u'1 & , . m~OTA~LPIAWTAPPUOATION [_.~"._. ,,_.. 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OGnllllllllllNll!llllllllr _~ It !llll\IA',..d .111ll l/l1,IIj ~GOl:If\'lI!,l"V IllI ~~-::~:$,hiJ,,: fHtIllmt ..""".~ ,ppt1l:l/fltlPlJ flrll kmJw M II1/mfl to be fM anal ~ , 'I;" am w ~ It """"" ,,/"'''''' I ~ n II not'lI! O/AytP., 1fMI'0if'/IJIbHIl)! trJ dtIUrml1lf ""a, p$r n I'/lJ {'If 71 (j J:-- _ClINT" ~ !Ill dMm/nf WiII1Jt (J(ilI'fr/NIIIlIfWI 11'6",,11'$('/ nifld Ir;1 fJt)1/n IfIL !lltl. Iv{ - . .LJO ..- CliIIIII8t O'I'hI.I"I.....I'6~ 'V"'-. {:;x6~~."" <:- -I L: - 0 'I . '-~~.__-..".""..,,1lliIt-. ..~ ;1:"s/r~o{ ;;ri"5-"':;r'ClZt Jhrt;- r6~~,f~ 0/ FRDM KIRSCH ELECTRIC FRX ND. 3606830869 Oct. 09 2003 11:S4RM Pi /. '" )M#./H~ I~:~;-~~~-- "..tIP.,";' ....._~.., . _..___._ P",":I:1-: _', ...--...., """'--,. I g:~~~::;'~~_._----::"--,-_.__.'..~.' ~ t"'> ti~l'~" .. ~,~, . - "'t'.v:.....,~-,.~" r~- \:I> - , "'"" , 3 f5,' Y ,r& Do ELECTRICAL PERMIT APPLICATION ThE) Ele-;i:ical Peimit App\icobJI'1 .llI.lI..;U..Rr~9..~J.~~I:t, F1~1(t typ~ (~r '41~fltlt In Ink. If you holl\tO ;/lay ql.lo;t.stlDnS, p:I8i:188 call ('360) 411"'73,'.1 F~l nUnlbir: P6D) 411..cn, '\....J REOUEST INSPECTION !JIll. ~,:':':'",CO"tc~~. ~;~G ~~~A.b BOL-D~hcnB(o& ~-(P81 q ~:,'~~O:;:& """,,"'" 3\'l 15__ S"treot c,,, (:br-bJ~k(5eUs 21,: t/;:)y~~~ .loctn<<1 Com"cw J~lf.<;('..h Fl fr >kr'j CJ u""".. #. r;11Z71F'J6~~ ?hone;{i!i'l'-d o?i19 A""",." Qo..~;33l~, C;,y~ifn Zip q,,~z;)__ )( EL.ECTR!LAL CONTRACTOR INSTAlLA1l0N \f,lIRED 15Y: 0 OWNER Crwilt (;anJ Halder Nam.:, ';:ji B/IIi.<,gAddres,,,__ PO.()d:;i C:!i:29(O Clty:_&.qu1fY1 Credit CanJ Number: &.p. Dale: ~ " _ Zip:. 9~10 MCeX, VISA: PRMC1I1l.IDIIES3_00 r;, 1-.',\!. ,~~ riPE OF \'Iqali; Check ~ thaI: apply: 0 New )(AlterationfAddilion "'A Resioon1al .. c: MUlt,.fall1ily ~ Commercial ~ Mcblle HOine Sq. Fl , 1oon:h R-E-~mr;ie M~ter :J DS!2ched gar-dr;e n f"k.,tT~Jb 0 Swim Poc: ~.J Sl~;:'{C Pv~np D Low Voltage [] Tel\?.;om. [J Sig~ Number of CiJ'(',iJils addod or :T:lfle,"cd: OESCRlPTION OF THE !eLECTRICAL PRClJE~:~ k)f Lt ~ ,5uvi rL ---..-..------------.------- ~$.!ri~1 Hut loa<l Addiii<",s PERMIT FEE: fJO.E9- .!i<Irriillnfll!'~n [I aasaboi3ld '1.<Z Fur,"\ocQ r.:1;~B( ?ump r:::'=an-Wa:i 1(';; 12_KW TON .. LRA --~IN ~--.- ~~rhfli<ld Sorvloe ,::::j Temp Servic'a r~ Ul'lderg"r)Ul"\d Ser,Fic~ Vollag", /:Jo,1! 4 () Ph..," 01 03 San'lce: Size: .~-11. Feed:er-Size:.__ PAMC 14.CS.JOO(8): Fet indus1ric:l. l.)o...!!mer,;i31. & residentia! projects; laryer ~he'lt! u jl}ph~x, 0. aILe -line dre\~:I~l'l.~ of the EfectrlC61 SeiV;~ S. Fi3{jd*~5. buildhg $:ze (:;.q, ft.}, load CaICLi~8.ti.m,::;, t~~d the tYPE 8.. of cofl;,j;;c;tms Gr:c'/or i~C~"'''''8Y (5 !Bq<!lred c_nd shan acca P8I'"mit 3p ~1ion. I hereby certify t."al ! .~BViiJ read and examined this applicalion and l<now th2r same ro be trJI'J ar;d corr$ct, rind I am auihorized to apply' {or thi!:; permit. I Undef.5tand it is naf thli' City's leg;;;f r;-:,;sporisiei!lty to d6t~rmlne whst pem1its ar13 required; it. rema;ns the Bpplic;~nf.s tesponslbi/fty f,'J dstem7/::N 'i!!Jh3-t per,mfts are mquired and to cbi'ein such. Crndll Cara Holder's Slgnalu,@: I f/ Owns, or Elec. Cont. Signature: C:/ELECTRICALPERMlTAPPUCATION I 4. A.~j_ Osle: /0 -09-Cl3 '--!J ~l Oall>& -C)'J -d 3 Ofi- cO---- I~;'o In 470,80