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Home My WebLink About411 E Ahlvers Rd - BuildingApplication Number 10 00000779 Application pin number 245381 Property Address 411 E AHLVERS RD ASSESSOR PARCEL NUMBER 06 30 15 5 0 9090 0000 Application type description ELECTRICAL ONLY Subdivision Name Property Use Property Zoning RS9 RESDNTL SINGLE FAMILY Application valuation 0 Application desc Hot Tub Owner WILLIAM L GOWDY 411 ALHVERS ST PORT ANGELES (360) 457 0937 Permit Additional desc Permit pin number 170118 Permit Fee 110 30 Issue Date 7/27/10 Expiration Date 1/23/11 Qty Unit Charge Per 1 00 110 3000 ECH EL SWIMMING POOL /HOT TUB Fee summary Charged Permit Fee Total Plan Check Total Grand Total INSPECTION TYPE DITCH SERVICE ROUGH IN FINAL COMMENTS WA 98362 ELECTRICAL ALTER RESIDENTIAL 110 30 00 110 30 Paid Signature of owner or Electrical Contractor X ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 110 30 00 110 30 Contractor PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION J P E JERRY PETERSON 73 EAST LOMA VISTA RD SEQUIM WA 98382 (360) 731 8994 Plan Check Fee Valuation DATE. Credited 00 00 00 Due RESULTS `t'0 4 Rill. I _4v Date 7/27/10 3 13 6ZcO 00 0 Extension 110 30 00 00 00 REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) INSPECTOR. Date. O 0 CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street P 0 Box 1150 Port Angeles Washington, 98362 Ph (360) 417 -4735 Fax. (360) 417 -4711 Date. "2-2(4 1 2 Single Family Dwelling Plan Review May Job Address: Building Square Footage: Description of above e Required, Please Complete Electrical Plan Review Information Sheet 4-- Aia.4 t Owner Information Name: 8'1.l f ,*rCi Mailing Address: ess:' -UI E. A City j{ State: 11.4 Zip: 9g3 (o Z Phone:3lom 5 -0937 Fax: License 4 Exp. Item Service /Feeder 200 Amp. Service /Feeder 201 -400 Amp. Service /Feeder 401 -600 Amp Service /Feeder 601 1000 Amp. Service /Feeder over 1000 Amp. Branch Circuit W/ Service Feeder Branch Circuit W/O Service Feeder Each Additional Branch Circuit Temp Service/ Feeder 200 Amp. Temp. Service /Feeder 201 -400 Amp. Temp. Service /Feeder 401 -600 Amp. Temp. Service /Feeder 601 1000 Amp Portal to Portal Hourly Sign /Outline Lighting Signal Circuit/ Limited Energy First 1500 sf Commercial Note $5.00 for each additional 1500 sf Signal Circuit! Limited Energy 1 2 Family Dwelling Signal Circuit/ Limited:Energy Multi Family Dwelling Manufactured Home Connection Renewable Electrical Energy 5KVA System or Less Thermostat NEW CONSTRUCTION ONLY. First 1300 Square Ft. Each Additional 500 Square Ft. or Portion of Each Outbuilding or Detached Garage Each Swimming Pool or Hot Tub 7/ Multi- Family or Commercial* Commercial Addition Alteration Remodel Repair* Unit Charge 119.90 $145.50 204.60 262.20 372.50 2.60 73.50 2.60 92.70 $110.30 148.70 167.90 95.90 88.20 95.90 63.90 63.90 1.19.90 $102.30 56.00 $110.30 35.20 73.50 $110.30 X 7 1 Dated: 7 2 to /C.J Contractor Informatiop Name: J. C ,.�crn, eKrr-o -s. Mailing Address: 73 E Lm, r/ .Sk ,2d, City Jeu State: W,ff Zip: 'f3K Z Phone:3 o Fax: License Exp. 1 P6 -W-r 1C- 1/z, 0C_ I ECEI RECEIVE1 JUL 2 r; 2009 ELECTRICAL INSPECTIONS Total (Qtv Multiolied by Unit Charael S S S S S 110 30 Total 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. Permit expires after six months of last inspection 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 installation or alteration incompliance with the electrical laws N.E.0 RCW Chapter 19.28, WAC Chapter 296 -468 The City of Port Angeles Municipal Code, and Utility Specifications and RAMC 14 05 050 regarding Electrical Permit Applications Signature of owner electrical c ntractor or electrical administrator Cash Check Credit Card 01/0112010 <:J'()~'~ CITY OF PORT ANGELES ~ O~ PUBLIC WORKS - ELECTRICAL DIVISION 121 FAST 5TH STRFET. PORT ANGELES. WA 98162 ELECTRICAL PERMIT ISSUED: 6/13/2002 PERMIT NO 7700 OWNER/APPLICANT PROPERTY LOCATION KEITH HAMMER 411 AHLVERS RD E 411 EAHLVERS RD Lot: B Port Angeles, WA 98362 Block: 0 Long Legal 360/000-0000 Subdivision: SP 8847 T: S: Parcel No: 063015509090000 CONTRACTOR ARCHITECT NELSON ELECTRIC N/A 274196 HWY 101 SEQUIM, WA 98382 , 98360-0000 360/681-0729 360/000-0000 -E PROJECT INFO - Project Type: MANUFACT. HOME Project Value: $0.00 - Occupancy Type: RESIDENTIAL Construction Type: rn Occupancy Group: Zoning Use: . Electrical Heat: J::> D Baseboard o KW 0 Riser [8J Underground Service ...l- [ZJ Furnace 10 KW 0 Overhead Service Voltage: 120,240 <: D Heat Pump o KW 0 Temp Service Phase: [ZJ 1 D 3 D Fan Wall o KW Service Size: 200 VI Feeder Size: 0 ~ V" PROJECT NOTES U1 200 AMP SERVICE TO MANUFACTURED HOME -+ RECEll"'lff~L13 FEES ASSESSMENT Service: $74.30 Additional Feeders: $0.00 Circuit Wiring: $0.00 Temp Service: $0.00 Misc Fee: $0.00 TOTAL FEE: $74.30 AMOUNT PAID: $74.30 BALANCE DUE $0.00 COMMENTS/ACTION NEEDED ELECfRICAL PERMIT INSPECfION RECORD CALL 4 J 7-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE IT IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE 7700 INSPECTION TYPE I DATE I ACCEPTED I COMI'dENTS I YES I NO I I DITCH J I ROUGH-IN I COVER J I SERVICE I FINAL I i?qit;/~z.1 /tr/! I I I I ) I I I I I I I I I GENERAL COMMENTS: PW-I 102.1$ (4'96] : rJPORr~ CITY OF PORT ANGELES tS PUBLIC WORKS - BUILDING DNISION "",;::;ii<' 321 EAST 5TH STREET, PORT ANGELES, WA 98362 DU'LUIIVI:J rr:R1VIl"' - - 13214 ISSUED: 4/09/2002 PERMIT NO: OWNER/APPLICANT PROPERTY LOCATION KEITH HAMMER 411 AHLVERS RD E 411 E AHLVERS RD Lot: B Port Angeles, WA 98362 Block: D Long Legal 360/000-0000 Subdivision: SP 8847 T: S: Parcel No: 063015509090000 CONTRACTOR ARCHITECT CONSOLIDATED BUILDERS N/A 251 OLD BL YN HWY, WA 98382-0000 , 98360-0000 360/683-9522 360/000-0000 PROJECT INFO Project Value:Mait~1 ,840.00 SFD Units: 0 Commercial: 0 Project Type: ~ EW SFD sa FT: 0 Industrial: 0 L Occupancy Type: Garage: 0 - Occupancy Group: MFD Units: 0 - Construction Type: MFD sa FT: 0 Zoning Use: :J> PROJECT NOTES 7' PLACEMENT OF 28' X 48' MANUFACTURED HOME - C (\) RECEIPT#8940 ~ FEES ASSESSMENT Building Permit: $0.00 Misc Fee 1: $0.00 Plan Check: $0.00 Misc Fee 2: $0.00 State Surcharge: $0.00 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $230.00 Sign: $0.00 TOTAL FEE: $230.00 Plumbing: $0.00 AMOUNT PAID: $230.00 Mechanical: $0.00 Radon: $0.00 BALANCE DUE: $0.00 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 of180 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 iaws and ordinances governing this type of work will be complied with whether specified herein or not. The 9ranting 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 crin'l U-q -b7_ 11 iVIl. Signature of Contractor or Authorized Agent Date Signature of Owner (if owner is builder) Date BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MtNtMUM 24 HOUR NOTtCE. IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMtT CARD AND APPROVED PLANS AT JOB SITE !3:LIJ INSPECTION TYPE I DATE I ACCEPTED COMMENTS I YES I NO FOUNDATION: FOOTINGS 5-7,-O'Z... I....cJ-f lsL_A8/ M H- T;edouJw> WALLS " -,'~O"'- FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # ROUGH-IN I I I PLUMBING UNDER FLOOR I SLAB ROUGH-IN 1 WATER LINE GAS LINE BACK FLOW / WATER I AIR SEAL WALLS I I I CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL T-BAR I INSULATION SLAB I I I 1 WALL I FLOOR / CEILING I MECHANICAL I HEAT PUMP 1 I WOODSTOVE I PELLET/CHIMNEY I INSERT 1 I HOODIDUCTS I PW UTILITIES {SITE WORK (Engineering Division) SEPARATE PERMIT #'s: 1 I W A TERLJNE I METER SEWER CONNECTION SANITARY 1 . STORM I I PLANNING DEPT. SEPARATE PERMIT #'s 1 SEPk I PARKING/LIGHTING I I I ESA: , LANDSCAPING SHORELINE: I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE 1 RESIDENTIAL DATE YES NO COMMERCIAL DATE I ACCEPTED YES NO I ELECTRICAL - LIGHT DEPT. 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R.W.I PWI CONSTRUCTION - R. W. ENGINEERING 417-4807 PW I ENGINEERING FIRE 417-4653 FIRE DEPT. I PLANNING DEPT. 417-4750 I PLANNING DEPT. BUILDING 417-4815 I{}-Z/-O' BUILDING C:\APPLWPD rJ,ORr ...... FOR OFFICIAL USE ONLY: ~ BUILDING PERMIT - APPLICATION Date Rec.:_I-~A-Qr:. Permit #. I ? I U Date Approved: Date Issued: ~ The Building Permit - Pre-application must be fiUed out completely. Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent_ \(-= ,.,-1-\ ~~M=~ 1).~ .11......""....J1"o.. . Phone: _ZI'J. 0 -1q/') . ~ Owner: ~...J Phone: ~11~.l. : '1.0 i<. .,,,,c'l~c --!~~~~. p.)(ch"~ /" ~[cA- 4. dress:~1 ..,.......- ~t" . <;1.. An""ih . City: ~~ I I. ^ Zip: ArchitectlEngineer:-1::4,' ~ Phone: Contractor Lo.....,!:'oL'OA"TE:.~~..,. License #:~t"'~IEXP:~ Phone: ~OlI.-(O:l.."",Q<:7,,3- Address:_1"?;""1 O~\\1v\ w:~ City:_ ~'1P1 WI . wit.. Zip: q<e~"Z- - , 'i7.cll('> ZONING: 'KS,-q PROJECT ADDRESS: C. ~U./C."':c.. LEGAL DESCRIPTION: Lot: -p, Blocy' Subdivisio'" . "::''P 00..4- ~ CLALLAM COUNTY PARCEL NUMBER: ('%~~I"'f'~ Credit Card Holder Name: Billing Address: City: Credit Card #: Exp. Date: VISA MC 7 ~FWORK: STZF.N,u.TJATION:~' ... Residential 0 New Constr. ORe-roof o W oodstove 131'Z.. _ SF. @$_-:j{) ISF. ~ $ q I {;j.Ap) o Multi-family o Addition o Move o Garage SF.@$ ISF.~~ o Commercial o Remodel o Demolition o Deck SF.@C ISF. =$ o Repair o Sign 0 TOTAL VALUATION $ BRIEF DESCRIPTION OF THE PROJECT: '''C\,.,l>C_:!:.~ r= A. Mo.Nl\t"A("'TtllZ;~n ..,.,~ $-,., "F.AwIIL"'f ~h.-~ '\t~-n..."'..l ~..A'O /-:c. C'><lCJM./-z..""A. J l'lq';/- _ I I I COMMERCIALIRESIDENTIAL: Occupancy Group: Occupant Load: Construction Type: No. of Stories: Lot Size: % Lot Coverage: % Existing Lot Coverage: Isq. ft. + Proposed Lot Coverage: Isq. ft. = TOTAL LOT COVERAGE: Isq.ft PLANNING USE ONLY: APPROVALS: PLAN Notes: BLDG. - DPW FIRE ESAlWetland(s): 0 Yes 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must be filled out completely to be accepted for review. The Building Division can provide you wilb more detailed information on lbe application and plan submittal requirements. Your completed application, site plan (for additions) and building construction plans are to be submitted to lbe Building Division. 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: Your plan check fee is due at the time the building permit application and construction plans are submitted. All olber permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Ifno permit is issued within 180 days of the date of application, this 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 thaI J have read and examined Ihis application and know the same to be true and correct, and J am authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits are required; it remains the applicant's responsibility to determme what permits are required and to obtai~ Date: 1/zt;!O Applicant: _ ~ T \FORMS\APPS\BulldmgpenTIlt \ ------- _.._~- - ---- ---- City of Port Angeles Applicant Project Review Sheet Applicant: ,k''T>-I.I\. _ tl. lL. t.h.~, n'~~ Property address: \..at 'b u.or ~~~ Owner: -'\:::::c:,.eA..-J Proposed use: ~~~ Zoning: ~$Ol Is lbe proposed use listed as a ''pennitted use" or an "acce5SOl)' use" in this zone? ~k o no: r"'l)lireo PD leV1CW Is this lbe only use (business. residence. etc.) on this site? ~ o no: req~ PD leV1CW Has lbere ever been a subdivision. shortplal. or PRO approved for this site, or has one lIJ-%S: requires PD o no: ok been submitted and is pending approval? review Does !be ,...,._o.J use require a newbuisoess license? o yes: requires CC 0Ln0:0k , review Does lbe project extend into any required setbacks or cross any lot Iines (interior or o yes: req~ PD IiI1ro: ok exterior)? nMew Does the prolect exceed lbe ~tted height allowance Or cause the ,,"'" _'., to exceed o yes: requires PD ~ the allowed ot coverage in . s zone? review Does lbe project require any additional parking or special desigollandscape improvements o yes: requires PD 19no:ok in this zone? I'CVlCW Does lbe project eIirninate any existing parking spaces? o yes: re~es PO ~ l'CVlew Is the project located within 200' of the shoreline? o yes: requires PD ~k review Are there any environmentally sensitive areas on or within 200' oflbe property, o yes: req~es PD : [lJ.."o: ok including: ,,' , . wetlands or "",,"s of standing water (year round or seasonal); ~~ . streams ~ round or seasoi>al); . areas wi a slope of 40% or ~ter; or ' . areas that have evidence ofpast ground movement or erosion? Have all the required submittals been provided by lbe applicant? ~ o no: marl<: o Site Plan o CoDstruction Drawings required o ParkinglDnrinage Plan o Civil Drawings item(s) o Energy Calc o Supporting Engr. Calc o LaodscapelLighting Plan 0 Other ~g Department nv;f!W ;3 required, the proce.Js;ng time may b(! extended. If it is determined a 3eparate Planning t pennit(s) is needed, the Planning Depm1men1 pf!111lit(s) mw/ b. apprrwed priar /a the i....uance af any a/her permit .;-..:....":. - , - "-";',.';...-.;;-;-.:" ..... ...... Permit Category # (see reverJe side) Building Permit # Master Tracking # Route to: OBD OCC OFD OLD OPD OPW o File o Other Staff Initials Date Completion oj Ilris/onn is required/or all category lb, 2 &- 3 permits. Completion is not required/or category 1a permits unle.s.s they result in a potential change a/use ar occupancy. APR5.1 (6'.B--" lrioI__on) -- .-_._---~_._._---_._,.. - ---------.-- ---,._- ---------.--- _.._._._._n._ "________ . pORTANGELES WASH I N G TON, U. S. A. DEPARTMENT OF COMMUNITY DEVELOPMENT December 18, 2001 Meridian Partnership Management, Inc. Mr. Keith Hammer 4050 Bank of America Tower 701 Fifth Avenue Seattle, W A 98104 RE: Lot B, Maguircs Short Plat SHP 88-4-7 -t ,- ----- Dear Mr. Hammer: i:!:::. This is in regard to your letter of December 14, 2001, in which you asked for a minor deviation 4:- of the setbacks on the property described above. The Community Development Director has I"'- made the following decision. Section 17.08.065(K) of the Port Angeles Municipal Code allows " "'- that the Director may render a decision regarding the front and rear setbacks in situations where ~ there may be a problem with the standard interpretation. Therefore, in this instance, he has \/> statcd that the front setback shall bc the l40-foot length, and the sides shall be the 73-foot length. This dctermination has been filed with the property information and will be apparent when you apply for a building permit. I f you have any further questions, or if we can be of assistance in some way, please don't hesitate to contact this department. Sincerely, (/ /, /- c L ~/ J/-<--',,~ ( -, Sue Roberds I Planning Specialist cc: Building Division 321 EAST FIFTH STREET. PO BOX 1150 . PORT ,ANGELES, WA 98362-3206 PHONE: 360-417-4750. FAX' 360-417-4711 . TTY: 360-417-4645 E-MAIL PLANNING@CIPORT-ANGELESWAUS OR PERMITS@CI PORT-ANGELES.WA.US DEC-11-[1 12:46PM FROM-Meridian Partner, Pro,e"ini & Clo'ini 1-800-901-9302 T-459 P002/002 F-3D2 " 02~ N)0 SHORT .YLAT 88/'/7 nun ~CTION 15. TOWNSHIP 30 NORTH, RANGE 6 WEST, WM., ffil~ .CLALLA~...:~~?~!!!..Y. WASHINGTON nllS "LAr 'u une II . sinn I. 'hiE waSlIlUTOII (OllIUIlf( SUT!Jl CUI. 1I011M lOtto A,LL IUII"'S "ilt uutnl 11 S_IO "fl. 11.\ US'AIIeu Ale UDU:tD 10 SAID "-It. . R>e secnON . '111"_ : 'JUf3D/VteJION ' .... :jet:: YOt..t..U""1E It;' lOft. SPlIIIIU' ,"'UI All UtllllU .11 IUIGUfh" '"l,IUUUI /(') OF 9URV4i~, ~o.snIltJCa " ~,u , AIID C .. III' _tw snUC'VlU '0- 'UIOUTU\, ~t: I:EO. . un: CDIIU'\Itnl Dill \.aT I, UIIUU '" AI.JU~lU snit" Ii A~'U"lI . ~ It nu: 'au AIlGILU nu Irnlllluf. ~ . 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U:Illft , ...UIIIl.....; ~~..,...I'CD~7...,.'-',..1...-nllCif'elrotT~-.,:..~. ,. ".., ./" ~,~. 0 l 11l"rlel. "0\1" Q,~ 02' to. (aU. . C1ur...c[ or :W.3l 'UI:; W(mlfUC- IlIt~'l ""ou,, 0'- ]1' u. [,I,st, lli DISTUt:t CIF '1.11 F"([P .' 1 111(.C:( .O~lM 0'" 13' 411" tAn. J IIIH'''U ,r "f.U nd. .., ,-~, .. ),.. ~ tll'" /9 7 .. TJI[IU tlllHN ",' ~" 31' us'. . onult,r 11' 111... 'cu, :Z"1'TlJt"""lld..~.. ~ , IkUC.( SOUTIl u' 0\' 04" iltn, AllnAl\'!;t'Qr "., 'ur;. . , rllUla SOlJ111 !1I' 00. 38- (ajr. II DIUAlltE OF, u.~J FUh Cto "'I IOIl'MICST tuu.... ,UI'!I'S MD LOA:pP~I.' ~ T"[lel SoutH 04' 01' 0..- :In!, . DIHAlIc[ or U",Ol F[U;. " 1.'-7 If, . .<'d 1111'11:1 IlDlIIll"'. U' U" \lU'. A olSr..cr. I)' IU.IO 'UI to '.1; ,"Olll Of ...t~rtkl(' ..f I 'tr',:f1.,.1(. "#, . ~ ... t1. ) l(til."UI;, S~IO D(SCA&'n~. IJc\,hulu Oil Slllnn UcoUto hi 'i'DlURr $ O' ......... _. ......... ' . ...., .J.~"'I' . \ Ulll,ns. Hee u. u.OI~ e\.lLu.~ tQullln Ur:~.DU:' 10. SlnQ" . "SIU"".' flCE f1USIUI' USUIAllf S(UtfU, ..,-,- ..' - ... .,. ..-..- .-.........-. . permit Conditions For: 13214 Building Review Comments for -- Keith Hammer for Mreidian partners, Located at 411 E Ahlvers Planning Dept. --Sue Roberds 1. Although the standard front and rear setbacks for this lot would have been the north/south axis sides, the Dept. of Community Development Director, Brad Collins, exercised his authOrity under section 17.09.065(K) PAMC to allow a switch such that the lengthwise width (east/Westl axis AT THE setback line indicates the front and rear.The site plan is therefore correctly identifying a 25' setback from the east/west sides. The south side indicatesT with the rear being 7 +' . Dept. files indicate the lot is.32 acres in area or 13,939 square feet. The proposed lot coverage would then be 1344 square feet which is below the 30% maximum. The Planning Division has no concerns with the proposal. Light Dept. -- John Hebner 1.Per my field review, I have determined that a transformer and/or line extension needs to be installed to serve this residence. -2.Load cales. and voltage drop cales. for wire sizing are required. 3.lf a standard 200 amp service is installed without a heat pump, hot tub or an air-conditioning unit the customer will nedd to run an underground conductor to the ppole on Ahlvers Rd. (See attached "Preliminary Cost Estimate") Public works Engineering -- Trenia Funston/Gary Kenworthy 1.sanitary sewer (6") in Ahlvers. 2.water main (6") in Ahlvers 3.Culvert required for driveway? Fire Dept. -- Ken Dubuc 1.The closest fire hydrant is more than 250' from the property line. A fire hydrant will be required for this dwelling, or the home must be equipped with an approved residential fire sprinkler system that meets the requirements of NFPA 13 D. Additionally, address numbers must be provided. 1 ,-'"\ ,I ~~, ,.;";, . / il) CITY OF PORT ANGELES ---- . -._..... DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: , J ' ,,,...~ ') Z Oatp j:> . Time Received by (phone, person) ..^~' ~ " " N.... Location of Work to be inspecterl Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): Permit No. , ! Sewer Foundation Framing Chimney Plumbing Final Sewer Excav. Other ~. ,... ......., t':'" 1 .~} .:( /' -- INSPECTION NOTES: Timp By , Inspected: Date Remarks: i RESTORATION REQUiRED...... YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other o Repaired by City Work Order # [] Repaired by Permittee [] COMPLETE [] No Damage Found [] INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) fl..! CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . .. . . REQUEST: -' .. , '''- "'" f"" DatE' ,.;;;:, Timp Received by (phone, person) ,...,.... /: , '/ Location of Work to be inspected .~..r ""~ , -? Name of person requesting inspection ._-, " '! '......'" ,..- /,- .. --! ' .. "','..- . Address of person requesting inspection Phone No. ~ .. Type of Inspection (circle appropriate one): Permit No. , " ,':"~ . """"-""'C'~._. Sewer Foundatio~ Framing Chimney Plumbing Final Sewer Excav. Other i' ) 'I r-.,...".....-' It) INSPECT~~' N6!ES~, ..,.j Inspected: Date '-' TimE' By , Remarks: . '~"~ RESTORATION REQUiRED...... YES NO ilL ~' , {, ' - /" (J,. .tC::., / . // ' '~J c'" /; ( ,'.u /' "\ / --'" t-./ (:::) I .- I 011 I - / ... .. .. (. ,:)',/ ...."'.. SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other o Repaired by City Work Order # o Repaired by Permittee o COMPLETE D No Damage Found o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) RETURN ADDRESS '~ilbTA~7~~,V;;ASHINGTON MANUFACTURED HOME 1:l1f::r:J.i"..l:/:(I/,...m:ll LLIi/"f: if . IIITITLE ELIMINATION ICEnSlnC APPLICATION DTRANSFER IN LOCATION . . !'::lREMOVAL FROM REAL PROPERTY Anyone who knowingly makes a false statement of a material fact IS guilty of a felony, and upon conviction may be punished by a fine, imprisonment, or both. (RCW 46.12.210) ~ MANUFACTURED HOME TPa f PLATE NUMBER I YEAR I MAKE I L.ENGTHIWIDTH(FEETl I VEHICLE IDENTIFICATION NUMBER (VIN) 1 1997 REDMN cl'3 X t/-S 11824446AB ~ LAND LEGAL DESCRIPTION ON PAGE 1 REAL PROPERTY TAX PARCEL NUMBER MANUFACTURED HOME WILL BE III AFFIXED [l REMOVED 063015509090000 I I LOT I BLOCK I PLAT NAME OR SECTIONrTOWNSHIP/RANGE I QUARTER/QUARTER SECTION 1 B SECT 15, TOWNSHIP 30N, RANGE 6W ~ GRANTOR(S) REGISTERED/LEGAL OWNER(S) ADDITIONAL NAMES ON PAGE 1 COUNTY NUMBER OS I N~MBER OF REGISTERED OWNERS I NtBER OF LEGAL OWNERS 1 NAME OF REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER 1 MERIDIAN MORTGAGE INVESTORS FUND II LLC I NAME OF ADDITIONAL REGISTERED OWNER DOL CUSTOMER ACCOUNT NUMBER I ADDRESS CITY STATE ZIP CODE 7015THAVESTE4050 SEATTLE WA 98104 I NAME OF LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER I MERIDIAN MORTGAGE INVESTORS FUND 11 LLC I NAME OF ADDITIONAL LEGAL OWNER DOL CUSTOMER ACCOUNT NUMBER 1 I ADDRESS CITY STATE ZIP CODE 1 70 I 5TH AVE STE 4050 SEATTLE W A 98104 I_~ 1 I NAME 1 D:':?{)T. os::... LIQ.eUSI IJG- I DO SOLEMNLY ATTEST UNDE-R PENALTY OF PERJURY THAT 1/ WE AMIARE THE REGISTERED OWNER(S) OF THIS VEHICLE AND THIS INFORMATION IS ACCURATE: Signature of Registered Owner and Title, IF APPLlCABLF _ Slgni'l\llll\l!~~/Reglstered Owner and Title, IF APPLlCABLF "" ""~'~'''''I~OH''' . 1,,- I NOTARIZATION/CERTIFICATION FOR REGISTERED OWNER(S) SIGNATURE $' ~ ,.~\$ Ii;--. J* ~ /~ ~'" ~ I State of Washington i J'~ Signed or attested ",/.,_ I.,,,,,,, _ ! o;j "OTA",. '" '\ Sl County of -K\ b~fore . eon T' ';0 LUJ'- g { j by ();wrym . "dun Signature a.1{;6 - ~,"tI...\~ "I PRINTNAMEOFRE~WNER OTAR\~RAGENT ~ ~<~. t~"" ~$ I by l iso-. A. -l..WLKY'\uJ ?I 4"'",1. "',;.,.. t..~ I PRINT NAME OF REGISTERED OWNER PRINTED NAME OF NOT.<\RY "',,/!"'P _,.~~~ I ... \.......L........ \ County/OfficeNo. ""'Il.Il"",~ Title J'!\J1WJIl AND: DealerNe.OR I DEALERSHIPPQSITI\)NlAGENT/NOTARY Notary Expiration Date rL_~_ r ~ TITLE COMPANY CERTIFICATION - I certify that the legal descnptlon of the land and ownership IS true and correct per the real property records. 1 I NAME (TYPED OR PRINTEDI TITLE COMPANY I PHONE NUMBER 1 I SIGNATURE I POSITION DATE 1 I Finalize this application with a Licensing Agent within 10 calendar days of the date Title Company Representative signs. 1 ~ BUILDING PERMIT OFFICE CERTIFICATION 1 I certif that. !:I the manufactured home has been affixed to the real property as described. Y . II] a building permit has been issued for this purpose and the attachment will be ,inspected upon completion. I :L;;;ED OR . ;;dlf/Le;J.) j"g:; )~/;#;Y ~ I Bt~";l'lf ISI NATU SITI~lNl7J ~ h- L . ~~AT I ~~ Lt.:t ~ r _ /tJ. U :tJr... ~4flJ-729 MANU"F HOME APP~ (AI COlOR (W)Page 1 oi 2 . SIGNATURE OF LEGAL OWNER 1 ~",ro,," ....,...." """'m ~"m ro, ,~'"'"" "m"',,~~ ,~. "A' ,~,,~ t Slgnalureof Legal Owner and Titte, IF APPlICA'" " c2f:! 4J.~ 4? (~ /t~d. ~,/, ,#'..J~ ~ Signature of Additional Legal Owner and Title, I F APPLICABLE . ' NOTARY SEAL OR STAMP I NOTARIZATION/CERTIFICATION FOR LEGAL OWNER(S) SIGNATURE I Slate of Washington Signed or attested I County of before me on I I by Signature PRINT NAME OF LEGAl OWNER NOTARY OR AGENT Ib ! Y PAINT NAMe OF LEGAL OWNER PRINTED NAME OF NOTARY I Tltie County/Office No. OR AND: Dealer No. OR I DEAlERSHIP POSITIONlAGENTINOTARY Notary ExPiration Dale LAND DESCRIPTION (A legal description of the land can be obtained from thelocel County Assessor's Office j LOT B OF MAGUIRE SHORT PLAT 88 (4)7 RECORDED DECEMBER 13, 1989 IN VOLUME 19, PAGE 92, UNDER CLALLAM COUNTY AUDITOR"S FILE NO. 626106, BEING A, SHORT PLAT OF A PORTION OF OT 16 OF H. MAGUIRE'S ADDITION TO PROT ANGELES AS RECORDED IN VOLUME 1 OF PLATS, PAGE 11, RECORDS OF CLALLAM COUNTY, WASHINGTON . SITUATE IN CLALLAM COUNTY, STATE OF WASHINGTON. ~ DEALER'S REPORT OF SALE 1 I CERTIFY THAT THIS INFORMATION IS CORRECT. THE VEHICLE IS CLEAR OF ENCUMBRANCES EXCEPT AS SHOWN. ANY REQUIRED SALES TAX HAS BEEN COLLECTED. ' J I DEALER NAME (TYPED OR PRINTED) I WA DEALER NUMBER I DATE OF SALE j I PURCHASE PAICE I TAAJUFUSOICTIONITAX RATE I DEALER'S AUTHORIZED SIGNATURE j I o USE TAX EXEMPT Sale to a Certified Tribal member on the reservation (attach notarized statement of delivery). j ~ COUNTY AUDITOR/AGENT LICENSING OFFICE APPROVAL: (Not for use by Subagents) il I certify that the above application appears to have been completed correctly, and the applicant has sufflclentdocumentation to proceed with! the recording of this form. \ I cou3 5~f":R;7R NUMB~R " NAMTJ~RINTEf/, l~ I I s-.:T<I." / r::l:--l ~7,b /0 S ~~- - / -j. .tJ-' , LE FEES --- I APPLICATION I MOBILE HOME FEE I ELIMINATION FEE I USE TAX I SUBAGENT FEES I TOTAL FEES & TAX I I IMPORTANT: Once the application has been approved by the County Auditor I Vehicle I Licensing Office, take your application form to the County Recording Office. Retain proof of the recording fees paid. If the Recording Office retains your original application form, obtain a certified copy of the recorded form. APPLICANTS: Once recorded, you must return to a Vehicle Licensing office to file the Manufactured Home Application, paying all required fees. Vehicle licensing subagents charge a service fee. For full instructions on completing this form for Title Elimination, Removal from Real Property or Transfer in Location, see form TD-420.730, Manufactured Home Application Instructions. The Department of Licensing has a policy of providing equal access to Its services. If you need special accommodation, pleasecal (360) 902-3600 or TOO (360) 664-8885. TD-<l20-729 MANUF HOME APPl (RIB/98)OFl Page 2 of 2 > RETURN ADDRESS OLYMPIC PENINSULA TITLE CO. 319-A SOUTH PEABODY ST. PORT ANGELES. WA 98362 '~ilIFuJ.;':.,":"SHINGTON MANUFACTURED HOME 1:l.:#.!J."1,.~:':(~:..m:tJ i L'fl/'= if . !ill{ITLE ELIMINATION ICEDSIDG APPLICATION DTRANSFER IN LOCATION Anyone who knowingly make.. false statement of a materlallaclls guilty DREMOVAL FROM REAL PROPERT of a felony, and upon conviction may be punished by a 1lne, Imprisonment, or both. (RCW 46.12.210) ~~~~~ I TPO I PLATE NUMBER I YEAR I MAKE I LENGTHM'IDTH(FEET) I VEHICLE IDENTIFICATION NUMBER (VIN) 1997 REDMN 28 X 48 11824446AB ~ LAND I.EGAL OESC:RIPTlnN ON PAGF -..-------" REAl. PROPERTY TAX PARCEL NUMBER MANUFACTUREDHOMEWILLBE [JAFFIXED DREMOVED I 063015 509090 I I lOT I BLOCK I PLAT NAME I SECTIONITOWNSHIP/RANGE B MAGUIRE SP 19/92 lS-30N-6W . - r GRANTOR(S) REGISTEREDILEGAL OWNER(S) ADDITIONAL NAMES ON PAGE COUNTY NUMBER I NUMBER OF REGISTEAED OWNERS I NUMBEA OF LEGAL OWNERS 05 2 1 I NAME OF REGISTERED OWNER GOWDY, WILLIAM L. I NAME OF ADDITIONAl REGISTEAED OWNER GOWDY"JERRI L. I ADDRESS CITY STATE ZIP CODE 411 ALHVERS RD PORT ANGELES WA 98362 I NAME OF LEGAL OWNER WASHINGTON MUTUAL BANK I NAME OF ADDITIONAL LEGAL OWNER I ADDRESS CITY STATE lIP CODE I 1102 PACIFIC AVE. TACOMA WA 98402 I GRANTEE I INAME~ I ..t-Je:pT O~ LIL6/lS1 v7G- I DO SOLEMNLY ATTEST UNDER PENALTY OF PERJURY THAT I/WE AM/ARE THE REGI VEHICLE AND THIS INFORMATION IS ACCURATE: _ Signature of Registered Owner and Title, IF APPLICABLE Signature of Additional Registered Ownerand TItle, iF APPLICABLE ~A4"" _ NOT~.:~_S~L.q,~~~~\ I NOTARIZATION/CERTIFIt ON FOR REGISTEREDOWNER(S)SIG~RE -'" ,.', ':-.'"". .-1,-,,', I State of Washington CLAI I AM Signed or attested 3/7/03 ,~; ~:\ '..". ',; .~) ,...! '\' << ;;~ County of .J .J before me on t ," -i.- .<<_:}'J -(\.~" _ " <J . ," .....', 1 :' ,) . it :. - I "y WI LL lAM L. GOWDY Signature ~ : () : : PRINT NAME OF REGISTERED OWNER NOTARY OR AGENT ", .... PL:.,jG /"" kby JERI L. GOWDY DAWN L. SHIDELER 'f, ~~"':"" <J, q _ \) '?:I....>:5.. J PRINT NAME OF REGISTERED OWNER PRINTED NAME OF NOTARY \~, ,<':'-....:..~,..... ,;. ~;.I County/Office No. OR ",.(., '_;' Titie NOTARY AND: O..I.rNo.OR 4/9/03 . ',. .,.,. I DEALERSHIP POSITION/AGENT/NOTARY Notary Expiration Date D TITLor;OMQANVCERTIFIf:ATION I ~ertjfy that the lagal description of the land and ownership is true and correct per the real property records. I I NAME (TYPED OR PRINTED) TITLE COMPANY I PHONE NUMBER I I SIGNATURE / POSITION DATE I ~Inalize this application with a Licensing Agentwlthln 10 calendar days of the date Title Company Representative signs. I BUILDING PERMIT OFFICE CERTIFICATION I I certif that. 0 the manufactured homehas been affixed to the real property as described. I Y . 0 a building permit has been issued for this purpose and the attachment will be inspected upon completion. I NAJ:. (TYPED OR PAINTED) ~ . . (: SLOG PERMIT OFFICE/PHONE it I SLOG PERMIT It I -~c0le y j. Go /I:....~ ~"o) Lt '1 -If'bl S- \:,Z.I <{ I Sl TURE I POSITI N - - ?:, It r:,j ;A;E I TD-42ij"729 MANUF HOM ' { . SIGNATURE OF LEGAL OWNER - "'~ru" "'...... ""'" '~OA"" ro_ "'" ~~"" ~!" _ _ ~.....,. Signature of Legal Owner and Title, IF APPLICABLE ~ Signature 1'l1+lW~~ Legal Owner and Title, IF APPLICABLE ,~",sEJUI ","fir" I NOTARIZATiON/CERTIFICATiON FOR LEGAL OWNER{S) SIGNATURE ~, ~ ~............ ~'.....: $' .......,t.ION E.6:~ J- ~ I State of Washington .j(' ~ Signed or attested "1 ~ 21Y5L J:.. ~ County of \ ~jpon a "OTAII" \ ~ . .. ~ by 0P..rrr I) P;r ,a S I d.c.nt Slgnalur . C IV J. . "It...,'- ! PRINTNAMEOFLEGAL~ . OTARYORAGENT () ~~ ..~ ~ ~f. by U:;o" A J-Ja.c.kflJ ~"'r? "'. ,... ~~#' I PRINTNAMEOFLEGALDWNER PRINTED NAME OF NOTAAY '" Oil ,i:,,~ I NottA 4, Counly/omco No. 'III, wal" \\\,~ Title _ Xl ANO: Oo.lorNo. OR "''''11'''''\\ I DEALERSHIPP~SI! N/AGENTINOTARY _. _ Notary Expiration Dale -~- - LAND DESCRIPTION (A legal description of the land can be obtained from the local County Assessor's I Lot B of Maguire Short Plat, Vol. 19 of Short Plats, Page 92, Auditor's File No. 626106, Clallam County, Washington. ~ DEALER'S REPORT OF SALE . I CERTIFY THAT THIS INFORMATION IS CORRECT. THE VEHICLE is CLEAR OF ENCUMBRANCES EXCEPT AS SHOWN. ANY REQUIRED SALES TAX HAS BEEN COLLECTED. I OEALER NAME (TYPEO OR PRiNTED) - I WA-DEALER NUMSER I DATE OF SALE I PUACHASEPRICE I TAXJUAISDICTIONITAXAATE I DEALER'SAUTHOAIZEDSIGNATUAE I o USE TAX EXEMPT Sale to a CertifiedTribal member on the reservation (attach notarized statement of delivery). J ~ COUNTY AUDITOR/AGENT LiCENSING OFFICE APPROVAL: (Not for use by SUbagents) J I certify that the above application appears to have been completed correctly, and the applicant has sufficient documentation to proceed with the recording of lhls form. . I NAME (TYPED OR PRINTEDm.4RG "t #\)15(+ I COUNTY QFFICENF5 OPERA TOR NUMBER Os-() { ISIONATV~ln . ~ (:. L I DATE .-,. , MJ'--'--'. o--l.b '- ;. (;! - / (- {i";i., I TITLE FEES'- . .' . .. .__n .~. . .. FIU~ FEE APPUCATlOI~ I MUUIU:. r-10ME FEE I ELlMJNATlONFEE I USETAX . F~TF"~ ~.""'r."" ,f ,.,., '.~. .::< . ?t>>" "'.:<. I TdfAt.....Jl'j>'"""C I , i I IMPORTANT: Once the application has been approved by the County Auditor 1 Vehicle licensing Office, take your application form to the County Recording Office, Retain proof of the recording fees paid. if the Recording Office retains your original application form, obtain a certified copy of the recorded form. APPLICANTS: Once recorded, you must retum to a Vehicle Licensing office to file the Manufactured Home Application, paying all required fees. Vehicie licensing subagents charge a service fee. For full Instructions on completing this form for Titie Elimination, Removal from Reai Property or Transfer in Location, see form TD-420-730, Manufactured Home Application instructions. The Department of Licensing has a policy of providing equal access to its selVices. If you need special accommodation, piease cal (360) 902-3600 or TTY (360) 664-8885. TO.420-729 MANUF HOME APPL (R/2JOOlOR (W)Page 2 of 2 " '^' :;:; ., , \ 1 [T1 i I f' ~ 1 ! !<. \I' (J / y, N.-GlC-bf\lE- r-~ N 1J"-Ivc yl "- i ~ 0\_ d 1" r--- I L I ~- ~ <c - - \"l -\ '0)' In (Ji r-" -- -~-,,- ----- ..- '" f.. I ,\ , 111 i t r> I -\ '" L ~ .::l>- e " ~~~f~ l' ~ " -::J ~ po ~ ~ ~t C>~ <J I ... - .... "' ~ N ~ d) ,,\ , ~ L , -\ ~ .J. ..I" , ):> ~ t l' <:J \J L c. K ~ c " 3- ViS.g'2.a-~~ n \11 :g ~~5:~:1 . ~ \) 3 -!d".-.Jh af f ~ ~g~Cltfl>>. 0 o woo~",a.~'" !'O. 0-;: -'i~ ! ~ *~i~ a r ~~.... .~ c: u>:Io i' OJ :JII> i !!l;lll:o: s:1iTl ! 5l: Ill> :i":::I ::J ~ I 3 5,.ClCI Q.CI'Q!!..::::;.: ~ C>-g'o~~i:;iTm =......=l:<tI ailtn 0. c.. __... ~ ::r;; :!. ~ I ..".tl'l "< a. m ~ .:::iI:::II !'Do:f~ :::g: ~ - _<tJ = ~ _ 0 ~ 1:'- I _ ~~a;g"O ~ CIt c.. 3.... _"_ '\) _. <tI 3 c: ~ ~ s.;@ Ul~'!" ~ ~_~.~~=i"~"i:g I g_:::J a.. ~ C')' o. ! I ?=r~s.:!E~. I ! i N U\'\ .,.J -\>~ , ~ I' , I , ~ ~ C> i< ~ l 1> .. F ?' .. "'" \" ->. ~ ----------"..- -4! Q II" '" - '" 0 l... I' l~ , J/( Iii (' G ---- ----- - ---- ----- -- --~ ______ .____"_W__'_ ~ CITY OF PORT ANGELES "".. DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DNISION ,,~ 321 EAST 5TH STREET, PORT ANGELES, WA 98362 ~ - BUILDING PERMIT ISSUED: 8/19/2002 PERMIT NO: 13629 OWNER/APPLICANT PROPERTY LOCATION KEITH HAMMER 411 AHLVERS RD E 411 E AHLVERS RD Lot: B Port Angeles, WA 98362 Block: 0 Long Legal 360/000-0000 Subdivision: SP 8847 T: S: Parcel No: 063015509090000 CONTRACTOR ARCHITECT CONSOLIDATED BUILDERS NIA 251 OLD BL YN HWY, WA 98382-0000 , 98360-0000 360/683-9522 360/000-0000 PROJECT INFO Project Value: $8,000.00 SFD Units: 0 Commercial: 0 Project Type: GARAGE NEW SFD sa FT: 0 Industrial: 0 Occupancy Type: RESIDENTIAL Garage: 0 Occupancy Group: MFD Units: 0 .J: Construction Type: MFD sa FT: 0 - Zoning Use: - PROJECT NOTES J CONSTRUCT 20' X 20' DETACHED GARAGE ; - ~ RECEIPT#9569 (tl ... FEES ASSESSMENT V Building Permit: $153.25 Misc Fee 1: $0.00 Plan Check: $61.30 Misc Fee 2: $0.00 State Surcharge: $4.50 Misc Fee 3: $0.00 House Moving: $0.00 Manufactured Home: $0.00 Sign: $0.00 TOTAL FEE: $219.05 Plumbing: $0.00 AMOUNT PAID: $219.05 Mechanical: $0.00 BALANCE DUE: $0.00 Radon: $0.00 Separate Permits are required for eiectrical work, SEPA, Shoreline, ESA, utilities, private and public improvements. This permit becomes null and void il work or construction authorized is not commenced within 180 days, if construction or work is suspended or abandoned fora period of180 days after the work as commenced, or il 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 01 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 give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of Qr tion e/tcr/02. Signature of Contractor or Authorized Agent Date Signature of Owner (il owner is buiider) Date T:\PLANNING\FORMS\1102.15 [412002] BUILDING PERMIT INSPECTION RECORD CALL 417-4815 FOR BUtLDlNG INSPECTIONS. PLEASE PROVIDE A MtNIMUM 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 I DATE I ACCEPTED I COMMENTS I YES I NO I FOUNDATION: I FOOTINGS ""'w.o 5/<:<.& ~-lq-Cl1 LEU. I I WALLS I I FOUNDA IrON DRAINAGE I ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT: # I ROUGH-IN I I I I PLUMBING UNDER FLOOR I SLAB I ROUGH-IN I WATER LINE GAS LINE BACK FLOW / WATER AIR SEAL WALLS I I I CEILING FRAMING JOISTS / GIRDERS SHEAR WALL WALLS I ROOF I CEILING DRYWALL I-BAR INSULATION SLAB I I I WALL I FLOOR / CEILING MECHANICAL HEAT PUMP I WOOD STOVE I PELLET I CHIMNEY I HOOD I DUCTS PW UTILITIES I SITE WORK (Engineering Division) SEPARA IE PERMIT #'s: I WATERLINE / METER I SEWER CONNECTION I SAN!T ARY I STORM I PLANNING DEPT. SEPARA IE PERMIT #'s I SEPA, PARKING/LIGHTING I I I I ESk LANDSCAPING I SHORELINE: I FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE ACCEPTED l I RESIDENTIAL DATE YES NO COMMERCIAL DATE YES NO I I ELECTRICAL - LIGHT DEPT. 417.4735 ELECTRICAL I LIGHT DEPT I CONSTRUCTION R.W.I PWI CONSTRUCTION - R. W. I I ENGINEERING 417-4807 PW 1 ENGINEERING I FIRE 417-4653 I FIRE DEPT. I I I PLANNING DEPT. 417-4750 I PLANNING DEPT. I I I BUILDING 417-4815 I I BUILDING I I I T:\PLANNING\FORMS\1101.15 [4/2002] r~ FOR OFFICIAL USE ONLY, BUILDING PERMIT - APPLICATION Date Rec.' '2. - 1'2 - Cl '2:. V" ~\fl Permit#: ,-< G::..~~ ..'" Date Approved: L -=.oIr Date Issued: '"- The Building Permit Application must be jilled out completely. ~ 'l4i'IC_"" Please type or print in ink. If you have any questions, please call 417-4815 Applicant or Agent:7a. t +<;<"'~Qld.-;>O^ Phone: to'6 '3 -"1522- Lj~() -42C2.. Owner: -I<e; ~[" l~c,""'M{>J Phone: Address: ~ II t ~h\"'€[5 ReA City: 7or+ A..-t" e Ie) Zip: c1e 3G, '2.. Architect/Engineer: Phone: ContractorCMscl:cid...,J B.ullJ.I',,:> ::U"icense#:CoYl-SOI f~ &'-3-03 Phone: (063-95 Z'2 , qq~Ll Zip: q e,3 9 2. Address: 2$"1 old 'Rl't'" H'-",! City: '5e~U,o M PROJECT ADDRESS: 4\\ If P..h Ill.... (<.., ~~ ZONING: LEGAL DESCRIPTION: Lot: -r-; Block: Subdivision: -::'.f'" <;S9J.l"'7 CLALLAM COUNTY PARCEL NUMBER: f'>&, -::!.O-\ S50qO'tD~C Card Holder Name: Billing Address: 2.Si Old ~lj'^ Uu.,1 City: '5ecu:iV\ .W" ~Elo'i3<... MC Credit Card #: Exp. Date: VISA TYPE OF WORK: SIZEN ALUATION: G""Residential [y"New Conslr. aRe-roof o Wood-stove L.,;'r';){ ) SF.@$ /SF.~-~ Pc:rr':l- a Mutti-family a Addition o Move ~arage SF.@$ /SF.=$ o Commercial a Remodel a Demolition o Deck SF.@$ /SF. ='1': o Repair a Sign 0 TOTAL VALUATION $ ~o- BRIEF DESCRIPTION OF THE PROJECT: 'Bu.\c.\ '" n"", \-\ec.. t "c1 --z.b~z.o UXlw.J \:cc.N\" of (?c" r",.-p , COMMERCIAL/RESIDENTIAL: Occupaucy Group: Occupant Load: Construction Type: No_ of Stories: Lot Size: ill"] Sb, q % Lot Coverage: 11,'-/ % Existing Lot Coverage: /2"1 fe, /sq. ft. + Proposed Lot Coverage: ~1'Ir, Isq. ft. ~TOTALLOTCOVERAGE: Ik.Q5 /sq. ft. PLANNING USE ONLV: APPROVALS: PLAN Notes: BLDG. DPW FIRE ESNWetland(s): 0 Ves 0 No SEPA Checklist required? 0 Yes 0 No Other: OTHER BUILDING PERMIT APPLICATION SUBMITTAL: Your application and site plan must bejilled out completely to be accepted for review. The Building Division can provid.e you with more detailed information on the application and plan submittal requirements. Y OUf completed application, site plan (for additions) and buitding construction plans are to be submitted to the Building Division. V ALUA TION 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: Your plan check fee is due 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: [fno permit is issued within 180 days of the date of application, this application will expire. The Buitding Officiat 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, and I am authorized to apply for this permit. I understand it is not the City's legal re!o,ponsibility to determine what permits are required; it remains the applicant's responsibility to determine what permits are required and to obtain suc~ 8/12/0'2 APPlican(? cJ- Date: T:\FORMS\APPS\Bui ldingpermit ~ ., )']' L Q Ri ., ~ { )- r U C ui '" 3 :,; " fl- ~ <J ~ ~ I I J - ,A 'n <(\- ~ '" &~ ('J \ -~ CI' oJ - - , .rl ~ ., ~ $ "' p :.t.~ ~ ' "- ~ - - -. " , 11.1 i. 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I __L. ! ____.____ __ __ _..___i _ i -.--'- ~ BUILDING DIVISION l CITY OF PORT ANGELES * * Correction Notice Jeb Located at -4;/ illllL t/t 7Z's- Inspection of your work revealed that the following is ! , not in accordance with the codes governing the work in this jurisdiction: ---'-- /...., -hX.~A~ i)/-ff//) A.j ,/111.);) . \ ~/!/< , , /J. t:::" 7-b P/Jr) V ! ~Lc7//1T7/)A j U.4yf3e> To -L/)o.) -;,"?") rA?/JI/f,DF- p/<"o/j!".v I2 (ZfV,.~>./flZ~-R ajft-~ +/2c);&1 _K u I L i") leA. J4 #11 /th.-?!f../) c":'7P7-4 toLl OA JL,c~;lJS7 <//) These corrections must be made and are not to be covered until reinspection is mjde. When corrections have been made, please call __1; 17 ~'/J"~ for inspection. / .' / I I ~ ~! i .;, ('?//' ,"./, -I. Date ,.\ fll.it;j} /:r>l/ - /-/".. l ,,' <', .' ,." i: ,. ,,;' .."! ;.,... "',. ,I Inspector' for Building DivIsion DO NOT REMOVE THIS TAG CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Received by f(2::v Date _ ~ - J.9 -CY-c Time (phone. person) Location of Work to be inspected 'iLl e A Ii /l/e.v<:. Name of person requesting inspection Address of person requesting inspection Phone No. 69'~-952<- Type of Inspecti~le appropriate one): Permit No. l3...6 2. <:L- Sewer Foundation raming Chimney Plumbing Final Sewer Excav. Other INSPECTf6i\(~aT~:t? ~ Inspected: Date R -( !.- () L Tim!' By Remarks: I () / /C ~ . RESTORATION REQUiRED...... YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other o Repaired by City Work Order # o Repaired by Permittee o COMPLETE o No Damage Found o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: These corrections must be made and are not to be covered until reinspection is made. When corrections have been made, please call for inspection. Date Inspector for Building Division DO NOT REMOVE THIS TAG CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . '-', REQUEST: I' . I., " Datp I . t ( ,'.,.~, Tim.. Received by (phone, person) 1.....' / I' , , Location of Work to be inspect..~ /'/ ,I / : Name of person requesting inspection Address of person requesting inspection Phone No. Type of Inspection (circle appropriate one): ~... Permit No. '";/ ....,. 1\.. ~ I r Sewer Foundation Framing Chimney Plumbin6)ewer Excav. Other / ::rr:. 2 q I ~/ INSPECTION NOTES: Inspected: Date Tim.. By,. .--- .... Remarks: ,J- . 1. I. :-.~':: .' ,.~) ~ ..,~~... /~ . ~YE , '07/( iF RESTORATION REQUIRED . . . . .. YES NO .. . SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved o Gravel o Asphalt OPCC o Other [] Repaired by City Work Order # D Repaired by Permittee o COMPLETE D No Damage Found o INCOMPLETE (Continue on reverse side if necessary) STREET SUPERINTENDENT (DATE) ;/ .' FOR OFFICIAL USE ONt y ELECTRICAL PERMIT APPLICATION I)."'R= Permit#: Dmc Approved:: The Electrical Permit Application must b9 fill&d out comaIAt.h,_ Dale1ssucd. Please type or rep,int in ink. If you have any questions, please call (360) 417-4735 Fax number: (360) 417-4711 Owne, 0' Elec. Conlractl" Agent 4hL..<)o~ ZL,.:;C- 'f~ "O,,)'~EQUEST INSPECTION 0 Phone:&/J/-672<J Fax: ~, '- L~" H~tL(~)2 Phone: Property Owner. F 1 Address: ~// ?? /l t.1f 1I.t.Je..$ Cilv: Pit- lio: 9t 112- >tle/SOh Z'kl'...- . -V~SlfJorl"MI YZlX'3 Phone: Y6tJ-dJ63$ Electrical Cc"~._:_,, license #: Exp: I vtJ:.... /0/ 5"m UIt4 0/1 lip: 'M' ~L Address: ,;n~fC((n City: i I INSTALLATION WIRED BY: DOWNER ",....Jd'ELECTRICAL CONTRACTOR Credit Card Ho'der Name: , Billing Address: City: Zip: Credit Card Numb,er: Exp. Date: VISA: MC:_ PROJECT ADDRESS: I "Y'// l'7k.uo~..s ~A TYPE OF WORK; Check all that apply: ~w o Alteration/Addition ,...t:J"Residental o Multi-family o Commercial .....er-Mobile Home Sq. Ft ZBx 'TI? Remote MeIer q Detached garage o Hot Tub 0 Swim Pool o Septic Pump o Low Voltage 0 Telecom. OS Number of Circuits added or allered: H <"11Ju~ , ,4Iot-"\- L DESCRIPTION OF THE ELECTRICAL PROJECT: >: C S'C ~itJS'<L7'&\) of ~:' /4,:~ 0 Electrical HeatLo~d Additions PERMIT FEE: Service Information e-IfT< .~ ;). " ~O o Baseboard KW Voltage: Ji'i' Furnace I' CI KW o Overhead Service Phase: 0 1 03 o Heat Pump TON LRA o Temp Service Service Size: o Fan-Wall --.:...KW ~ Underground Service Feeder Size' PAMC 14.05.060(B):. For industrial, commercial, & residential projects larger than a duplex, a one -line drawing of the Electrical Service 8 Feeders, building size (sq. ft.), load calculations, and the type & of conductors andlor raceway is required and shall accompany the Electri. Permit application. , I hereby certify that I have read and examined this application and know that same to be true and correct, and I a I authorized to apply for this permit. I understand it is not the City's legal responsibility to determine what permits, required; it remains the applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature: Date' Owner or Elec. Cant. Slgnature:.--4 ~~d~) I. -t:r:~ C:lELECTRICALPERMITAPPLlCATION V - ,kL , t+u ..- R'H -.Jo l, .e' C;?cj 3 0 ~ J1 Dl/ A Y:f'M frz. N'&c-J?~-<fO BL / <\2--..r:.-J.CL.