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Home My WebLink About520 W 16th St - Building rf VORT ~ ~,O~~<;. ~r-Gii~ L~ ~ ~~ 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 Property Zoning . . . Application valuation 03-00000401 520 W 16TH ST 0630000446100000 RES DETACHED GARAGE Date 4/16/03 9576 Owner Contractor ROWLAND BILL D 520 W 16TH ST PORT ANGELES WA 983627537 ALDER ACRES CONSTRUCTION P. O. BOX 200 SILVANA (360) 654-1932 NEW 360 SF DETACHED GARAGE TYPE V NON-RATED GARAGES, CARPORTS, SHEDS NUMBER OF UNITS WA 982870200 Structure Information Construction Type Occupancy Type . . . . . Other struct info . . . . 2.00 Permit BUILDING PERMIT -RESIDENTIAL Additional desc Permit Fee 204.75 Plan Check Fee Issue Date 4/16/03 Valuation Expiration Date 10/13/03 Qty Unit Charge Per BASE FEE 8.00 14.0000 THOU BL-2001-25K (14 PER K) 81. 90 9576 6) ~ Extension 92.75 112.00 Other Fees STATE SURCHARGE 4.50 Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 204.75 204.75 .00 .00 Plan Check Total 81. 90 81. 90 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 291.15 291.15 .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. JJ J I -t./tI( ~ Jt. 7T7. J) Signature of Contractor or Authorized Agent Y-/6-oJ Date Signature of Owner (if owner is builder) Date T.\PLANNINGIFORMS\1102 15 [4/2002] BUILDING PERMIT INSPECTION RECORD CALL 417 -4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE IT IS UNLA WFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO FOUNDATION: ~~L~- 03 u.rY"4q.v>l'J t1.P!-I-- ~r f-~ FOOTINGS lA^A~ W -/5-0<' TG::, WALLS oS to. '0 FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT. # ROUGH-IN 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 _e;-~f)- 0'3 RfJ DRYWALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I 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 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 ELECTRICAL LIGHT DEPT CONSTRUCTION R. W / PW / CONSTRUCTION - R W. ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT. PLANNING DEPT 417-4750 PLANNING DEPT. BUILDING 417-4815 O(r~-b~ JL. BUILDING T \PLANNING\FORMS\I 10215 [4/2002] BUILDING PERMIT - APPLICATION FOR OFFICIAL USE ONU Date Rec.. J -p-7-o~ Permit #: '-16 { Date Approved: Date Issued: Fill out COMPLETELY and in INK. Your application and site plan MUST BE COMPLETE to be accepted for review. If you have any questions, caD (360) 417-4815 o Applicant or Agent: /YI 0....1'; N Owner: ~ ; /I t 8<.\"'2- a ~"C... Address: S- ~ 0 W I" 1"- S 1~~.f'tr R. (!) u. J I ~N J Phone: St- City: Po.,.f AN'be./~ Phone: 3'Q 'S"Lf J 9 3 ~ 3<.0 4S7 eo (, 'i Zip: 98 :?b ;l ArchitectlEngineer: Phone: ContractorL1jo.",;AJ oT."'t.pi~ State License#:AldS'IlAc. ')"~~p: a/J.r/o3 Address: (J. O. (.lOti.. :laa City: 8; JVCUNG. PROJECT ADDRESS: ola LA.; 1(11 ~ & +. LEGAL DESCRIPTION: Lot: 4ls- Bloclc-Y 4 C. Subdivision: CLALLAM COUNTY PARCEL NUMBER: DC:. 3 0000 4'1 ftJ I () 000 CJ Phone: &0 'N J'i1Q Zip:~ ZONING: (( S ? cteditC.n1H.lderN....~.~ ~7. : A~':I.. ~ c..:11 A..'1 CAsL. Billing Address: "JrJ ~:-~ Clty:..=:iL=l -- ____ _ = Credit CardType VISA MC # Exp. Date: -- TYPE OF WORK: SIZEN ALUATION: 0" ,JitResidential .P('NewConstr. 0 Re-roof O.Stove 'Q.S-~ SF.@$ 38 ISF.~$ (?,S7" .' . 0: Multi-family 0 Addition 0 Move . ,O-=-Garage perOt I 0 e SF. @ $ /SF. = $ . _ - " _ o. Commercial' 0 Remodel - 0 Demolition 0 :Deck . J " SF.'@ $ ISF.='$.-~ . " ' . 0 Repair " 0 Sign . ~ Other S I\.~ TOTAL V ALU~ 'fI01'f _ $ ','BRIEFDESCRIPTIONOFTHEPROJECT: ''-('J.Ig' 'g o.p' i.iJ:1J.. ii..Hti..et:..r:J'," l.. Y... /8 A,.c.l.. COMMERCIAL/RESIDENTlAL: Occupancy Group':' . Occupant Load: Construction Type: No. of Stories: -L Lot ~ize: i /J./ 'l..i)" Existing Sq. .Ft. /S'K'O,5 & Proposed Sq. Ft. 3 &to = TOTAL Sq.Ft. i ?JJo.5 Existing lot coverage ti.ilZ % & Proposed lot coverage 3-d!:L% = Total lot coverage I h ~ r / % APPROVALS: PLAN : BLDG: DPWU: FIRE: OTHER:_ PLANNING USE ONLY: ESA/W etIand(s): 0 Yes 0 No SEP A Checklist required? 0 Yes 0 No Other: BUILDING PERMIT APPLICATION SUBMITTAL: The Building Division can provide you with infonnation on the application al1 plan submittal requirements if you have questions. VALUATION OF CONSTRUCTION: In aU cases, a valuation amount must be entered by the applicant. This figure will be reviewe and may be revised by the Building Division to comply with current fee schedules. Contact the Permit Coordinator at 417-4815 for assistancl PLAN CHECK FEE: IF a plan check fee is due it must be submitted at the time the building permit application and construction plans ltl submitted. All other permit fees are due at the time of permit issuance. EXPIRATION OF PLAN REVIEW: Uno permit is issued within 180 days of the date of application, the application will expire. Th 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 ( 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 an 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\APPSIButldmgpenmt.wpd Applicant: .A aLU,. .P::.~ Date: 3/ ~ ') 103 - - CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT. . . . . . . . . . . REQUEST: Date ~'- /If-t>3 , Time Received by Rt/ (phone, person) Location of Work to be inspected ~<;-eo UJ Name of person requesting inspection Ma..r-v' \A.. Address of person requesting inspection Type of Inspection (circle appropriate one): Sew Chimney Plumbing /b 'fh Phone No. 26/.. 799 1~2<J Permit No. J{ 01 Final Sewer Excav. Other 3Je... INSPECTION OTES: Inspected: Date Remarks: Time By RESTORATION REQUIRED . . . . .. YES NO SUR'FACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel 0 Asphalt 0 PCC o Other o Repaired by City o Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) ~TRFFT ~lJPFRINTFNnFNT lDATEI I I Jr. :r :,', ,. if Ir II it :1 if \, il 1':--- , ',; " . BUILDING DIVISION CITY OF PORT ANGELES * * Correction Notice Job Located at 57(') I. J LA-/, I -;>"....j I I / t\ -- , -' Inspection of your work revealed that the following is not in accordance with the codes governing the work in this jurisdiction: /'l I , ," l - Lv~^' , ,.....) /\ 1: ,uC<tr-,'__ ~I (J 1Z.. Qv-f 5L (l,.J.( /1-' (' / I " ,/ ) I .~"...... ~ 1/ .....' -'i / ,c/, ,,,,,,1- 0"'-( (, .-,., .71'u /,";'ZrJ/'?/,'--( ~-(x <-1 l' ,\ ,/1.1 ~ /)Ulj/2... - 2- Ii '{ e- (1.(,7"/;,_.___. 1. 0. j:; 7~ fJ,. t4_j~ ,AI}4"l ~o/L 70/ 6L ~()"t1V'-( ~~4cl k- Ii. _ .; u.J ~'- A-7' ,4..." -- ~ H Lj eN' ----7'/ ~ J..:.. ~ r") -' /1l{ 1;,__-[ -J~ _!~ -- ~j-LLP.- 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: Date ((J(j})6 /0 ~~ Time "3: ~ pm- Received by ~ INSPECTION NOTES: Inspected: Date tp\ \ ~ \.-0 ; \ Remarks: Location of Work to be inspected '-C: 'J-<~ Name of person requesting inspection f1~ Address of person requesting inspection '-\; -'3 I'?I-vrvt-P Type of Inspection (circle appropriate one): Permit No. Sewer Foundation Framing Chimney Plumbin~ Sewer Excav. Other 4ec~(;OE7 8 Jda . ~ BY~-/ Time--r\A1. ~ RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved 0 Gravel 0 Asphalt 0 PCC o Other o Repaired by City [] Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) C::TR~~T C::IIP~RINT~Nn~NT tnA TFI CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date 5- S- -63 / Time Received by R~ (phone, person) Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer Foundation e~ Chimney <:; z. () LV I ~ 1- "'- }1 a..,. ,'Y\.. ~ <;. ~(''€ e i e ~ Phone No. ct6 i9'f /6 ZO Permit No. '-I () / Plumbing Final Sewer Excav. Other INSPECTION NOTES: Inspected: Date 5-S-D.s Time Remarks: L [K- By J;JL/ RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: D Unimproved D Gravel D Asphalt D PCC D Other D Repaired by City D Repaired by Permittee D No Damage Found Work Order # o COMPLETE D INCOMPLETE (Continue on reverse side if necessary) ~TRFFT ~IJPFRINTFNnFNT (DATEI CITY OF PORT ANGELES DEPARTMENT OF PUBLIC WORKS . . . . . . . . . . . INSPECTION REPORT . . . . . . . . . . . REQUEST: Date 4-/5-03 Time Received by Rl/ (phone, person) Inspected: Remarks: Location of Work to be inspected Name of person requesting inspection Address of person requesting inspection Type of Inspection (circle appropriate one): Sewer ~Framing Chimney V-~ IIv\"Sfe.c:...~'~ VL. INSPECTION NOTES: 4~S--D~ &'- _$ 2.0 UJ /6 "L-t Pr € ot Phone No. ~6c) 8~3 Permit No. Plumbing Final Sewer Excav. Other -;1f//V' ::::J.!j, 4f ,..16\ S' ~~ (ffl RESTORATION REQUIRED . . . . .. YES NO SURFACE RESTORATION: SURFACE TYPE: 0 Unimproved DGravel o Asphalt OPCC o Other D Repaired by City D Repaired by Permittee o No Damage Found Work Order # o COMPLETE o INCOMPLETE (Continue on reverse side if necessary) STREET SlJPFRINTFNnFNT lDATEl Construction of Private Studio 14' x 18' with attached 6' porch Job Site 520 W. 16th Street Port Angeles W A Owner Suzane Rowland 520 W. 16th Street Port Angeles W A 360.457.8069 Contractor Alder Acres Construction P.O. Box 200 Silvana W A 98287 360.654.1932 ,FILE (j(-,~~~ --0. O~.l3~03 CITY OF PORT ANGELES - Construction Plans The Issuance of this permit based upon these plans. specifi. cations and other data shall not prevent the bUlldmg official from thereafter reQulnng the correction of errors m said plans, speclflcalrons and other data, or from preventmg bUlldmg operalrons being carned on thereunder when in ViolatIOn of all codes and ordinances of thIS JUrisdiction. (SECTION 303(c) . Uniform BUlldlnC Code.) ~ V Approval Date '-I..... /6-03 By ~ " ..j ':r SSTB16 Anchor Bolt 4' THICKEND EDGE CONCRETE PAD 'WITH F'lBER RENF"ORCEMENT. South ~ ' ~ ~ 't ....-. ~ "'l ~ ~~J~ J i \: ~ ...s t ~ 1- ~~~~~ -::r \t.. ~ ~ ~ ~ : ~----------------~-----------------------------~ --5 ~ ""S 4' GROUND LEVEL . .~. ~... '. ,". . , . L::~::~b:.:: \;:~::-?~;) ~J:::~Lf. .~/:. . ' 2'-9~ 1 ' 17'-7~' 8'-6' 15'-6!' D "",^#L .A ,A,J. /-'\ (2- V-'\ 8'-9!' 6'-6~' 8'-6' 2X6' Mud Sill "11/ ~'Xl0' A.B. "II /7' InbedM nt 6'0' D.C. Mo.x 12' frOM ends "II / 2'X2'X~6' Steel "IIo.shers 3 #4 Min. Rebo.r continou Horizonto.l top 6 Mil Plo.stlc Moisture Bo.rrer Fnsten both enst nnd west end pnnels 'vi I ad COMMon @ 3' D.C. stnggered . n t nIl pln tes nnd stUd\': SIMpson PHD2-SDS3 with SSTB16 Anchor Bolts Instnll ns per Mnnuf'acturers speclf'lca tlons 3'-2!' ~ -e'-a! ,j?j . . ~. L-: .. , , ~ %'=1' . .~ . . - . .. . . .' 0 '. . . -iOa'. '_9':1. - nsten nil Interior panels - with ad COMMon @ 6' D.C. on edges and 12' D.C In the f'ellds. , . I 3' /L.------ v ~ . ~ "T~. . . " .,. ~ - . ,<II of-. . . .. ... .. .. v'-6~' '-11~'- v--- . .. . -', .1.. . -. ~ , . I . .. '-9!' -, ,.v.~ . J "bAt?> '2,..... 7Z, .~ t--- p~ p~ ~NtAo^ ~.pD"" ~l..--1$ ~ , ... .. . . , . . . . . . . . . . . . , . . . ... . .: .' " .. " 4 .- M . , . f .. . ~ . . '. . ~ . , . . .' . .5'-6!' 7'-7~' -2'-10! ~ .{ ,.. . : t~ .. . .. ... ... .a' 9' -10~' ~j Engeneered Truss \r/ith storo.ge down center :B'P 7/16 DSB lo.yout o.ll corners no.iled @ 3' D.C on edges o.nd In felld. All other po.nels to be no.iled @ 6' D,C. on edges o.nd 12' D.C in feild 1'-6 J.t :J.. {"" ,/ '-6. II wood In conta.c with ceMent Is to loll' trea.ted ~ . . d , .... . , . .. . . ' , . , , . , . . , A' . . . , ~ ~' . = l' .. :" , ," . .~ . 0 .' . . . . ,. 4. , ...... , ,. ..~ - . .' ' '. . .. ,. :. ~ . .' 'West View . . , , , .... 4- , . . . . , . .... .. .' " - -, 4' ..---I ,~, " (Y)ICX) - - -I. . . .. . . 4 . . .. . .. . . - . . . . . . . . . . '. . .. . , . ~ . .-- - . . . . . . . . . , . . ... . .. . .' . . . ""'" - " . .' .. . . . . '. .. . -.j' . . . ." . ~ I r . . , , , . , . . ~. .. .' - , . . , .. . ..... . ., . . - ," . . . .. ~ . . . . . . . . - - . . .. ,1' . .. . ~ ., - . . , , " . '. . . . . - . ,.. .. . .. ] . . . ~ '. - . ' . . . - . ' . - '. . ' ... . , . , .' , T . , , . " . , . ., , . . " . ~ .. . .. .. . . . , " . . . . . .. . .... . . . . . . - , . . ':. . , . . .. . .. . . , . . \ . . .. . . . ' . - . . . , , . ... . " . . ' . - . .l . .' ~ . , .' . . ~ - . . . . : . . . , . - . . T , ..~- o. . . .' J . , . . . '." . ,; . . .. . - . . .. ," .. , .' . . . . . '. , . ~ ~. .w. " .. .. .. - .. . t- . . , . . .' . . . l..- . . . . ". ", ~ . .' . . , . . , ", I '-- . . ,. ... . . I - . . . I . . , ' . ~ . ----.: ' . . . , . i .~ . . .. . ,. I ' . " ..:cv ~ . . . . -~- . , . ;:... I _~J - .~ I Fixed 2'x4' 12 6v Engeneered Truss \..lith storo.ge down center l' - 6 /I l' - 6" 4xl0 Dougfir Bee. 9'-10~' 4x4 post AMERDRAIN 200 wit ~. . . . .- perf-pipe along . ... '. .- .. '. . . . . - . " ." . ~ .. and \Jest side . - . . . . .' . . ~ . . . .. founcla tlon and . . .. .. , ~ 1;. , , tlgnt line froM tner , ,- ~ , , .. 'I . '. . , , street storM d .., .. - , ~ -.. . .# .. . .. ..,. , :! . ,. , , . , 'J . - .. . 4~1 .. ... . . .- . . . . , . . . . ... ... . . . . . . . . . . . . ... . . . . ~ il- l' ...~ , . . ~. . ., . , , , , J . . 8 - , . .. , - . 'w . - , :"" -. I : . , .: 0' '. . . .' . -. .. . , . . . . " . . . .. . ,- .. ..... 2x6 loot tOM corcl on truss SiMpson HGA10 Truss to Beo.M Joint. SiMpson CC46 ColuMn co.p "'--SIMPson H2.5 Hurrico.ne Ties 0. t eo.ch wo.ll to truss joints. x8 Douglo.s Fir heo.cler over cloors o.ncl 4x6 Douglo.s Fir over winclows. iX4 post p~ A-f'~c... UNV'fIu41ia.r-' PM (b1)1t.. roof eclge o.rcli plo.nk horizonto.l sicling 7/16' DSB sheeting ~' 16' D.C 2' concrete wo.ll 6' thick o.long south o.ncl eo.st wo.ll . . .' 14' rSiMPson coluMn Ioo.se, onolithic concrete founclo. tion o.ncl 4' slo.lo . . . . . \Nest View ~ -. " ~. ' . '~ ~' = l' .~ . . _ 0 . . . .. .. . , oO! I ' ..' . . " . .. " .. . . .' . .. , . , ;: ~~ "I \ ". I- ~ to .." .... .. " ~ . , ~ ... . . ., , '" " . , - . .. , " . .. " .'.' . " --' II .. rte ~ k Il- l- 1- -- '1.- - 6=-1- _ '11- -_ 'h - - 11- _ j - '/1- -1_ :L, - 1- -----, I- I- 1_ , L 1_ __ LJ- _ '~ - I-I- f .- _ 1_ ~=-f-,_ -= --=';:- ,\= -----, 1- -----, - ,\1----., - I_ Ll- - 1- \\= - -- '\ 1- \= --1- \"\= - 1- "il_ _ \-,- - \,\=f -1_ ~=== - - \ - ,,\ 1= ~ ~ \ ~ I , - ..... II .. ~ .J'Di5Oi ~ - 9 I 'I ~ l- I I I I I I 1 I I t( I 1 ~ ~ III ~ BmM - .-J ""\I 3: OJ -- > -t-> lfl OJ :3 ~ . ...". ," .' :"-t . , -!- ! ......--l II Mia) .. " . , . . .. . . " ~ . . . , ...~ ... . .. " . ~ . . " ..' -. ... , . I ~, ..' , .' . '" ... -~ , , " . , .. ,- .~ . , .. . , " , " , " , ... ... " '., . , .. " .. ~ , . ". ' ~ . t.... , , ; , ' .' '. , . , . . , . ..; .... . , . .. , " , .. ,~ . .. , . .. . .. , 1; 4... . A .. - .. .. . , - " . . ..~ ." '. .... ,;. \. " - " , . . ... . ,"- .. . . .' . .. ". ", " .' . . , ," '. . , ' . . . 12 6[:::7" /0)'11' /0 I J J J J '-~ J~ J I D':: J I I Tl~ I I I I I I 11'--b--. II IIIIIIII~ Fixed 2'x4' skylit /(( /d1J J I ~ J J -' ~IIIIII I ::::;111 III I I III I II I I II II I AMERDRAIN 200 with 4' perF-pipe o.long Eo.st and 'Jest sides of Foundo.tlon and then tight line FroM there to street storM drain. ... . .. If. .. .. '.. -......... .. . 41 .. : : .. ~ .. , ..... ...~ .,. ~ ". .. ..If... II- .. .. .. .. . .. ~ ....... .... .. 4t " 6 .." .. ,... of . .. '. ...." .." " .. "" .. .. .. .. .. -c " :II.. ,. ...". ~~." .. ....... ......l1li, ..- .. .... ".. .. .: ." .. ... .. \ ". " .. I.. .. _ .. .. . .. ...... )" ... ....... .. oJ' ....oil.. '~.. "I .." "... .. 48.." If. .. ...1: ." ..... ". ~ .. r:-: .." . .. .. ~.. ..,I.. 4. "... ~. .. ... .. 4.: .. : ,,~ , .. ".. -.~ .. .'.. ..., .' 1, 61/ -....... ".. .. . ... .. .. . ,I - ...... .. " .. -... '" .......... .. .. I .. I .." ~... .. ~ .. _..~ I. A ... ." ......"" r .. ....... - .. I .. : ~ 11 .: .. ; 4..,," ....... ~..... .. 4. ~ . .. .. .... 4" ...... M ,," ,.. %" . - l' - . . . '" .- " ~.. ., ~ -=- -:..}~~} )._-;. I " ~~ / I J I ~FOUndation I I I I I I I I t I [Code Reference] Interior Insulation 4" CONCRETE SV,B Sv.B BASE (2" SAND)" "GOOD PRACllCE - REQUIRED ONLY IN HIGHER RISI:. RADON COUNTIES Exterior Insulation 4" CONCRETE Sv.B Sv.B 8ASE (2" SAND)" Figure 2.7 53 ~ ~ , ~~"'" - ~2;' , " ::\,) < ; ~f ,i, . , ~" :",- ",'" t~~"'"" 'l.~ : " ,.;:, .' .\~ :_.J'~i- j. ~r-..~ 1 ~_ " " ~h~~\' -,' . ~ tf:".:<'''' f ~ ',' " , .' J.. :. ~ ~ ' z: '{f., ~~'f1,~~{;'_<.l,w "" , ~ ~I= ~-, ~ '; . " . --..-y, ~~. , r - I ., ~ .,L '" ";.$..- - ~ ~,I~:'<~?_-; ..:~-, }:~ttt''1 :~,;~t~~ lt~'jl."~t~;;'#"r:: ;y,.-"-:?ii~~~ii'~~~1 ~ ~~~~rp{,' ::>'; -~,'} f: ~?r '. -: - <- ;.~~ ~FOUndalion ~FOUndation [Code Reference] Monolithic Slab-On-Grade STUD fRAME WAll - Sill SEAL AND ~ CAPlL~RY BREA\ TYPICAL SLAB WITH NO RADON SOURCE CONTROL a ., . . -. . 000".., .,. 0" p. 0'<:1 ~ . 0 " /,v",-:;v/-V/-v/- ~~<<<: 1'.0 :<~~<<<~ ~~~ o. p 0:"0."'0~4 ~~h~ .4 o. ~~%~,' ~~~" v!! . ~~~~v ~~ "."~~r :>-?%">%" 0 . 0 ~>%"Y.o <<(~~~~~~~v " /'i,~,~,/'i,y.("y 4" CONCRETE SLAB SLAB BASE (2" SAND) (GOOD PRACllCE) MOISTURE BARRIER (GOOD PRACTICE) COMPACTED EARTH FILL (NO RADON INSURANCE) STEM WAll - ~~~~, ~~~~~ A~~~~~ ~~{'~~~ ~:1Y~9d300~'i5 ~~;p:oo \C ~~.~: 1'>. '~~d?~~.J ~~~~~ "" ~,~,~" NOTE THIS CONSTRUCTION DOES NOT MEET RADON SOURCE CONTROL SPECS. FOR HIGHER RISK COUNllES SLAB WITH RADON SOURCE CONTROL + SILL SEAL AND II CAPll~RY BREAK. flASHING. . .. 4" CONCRETE SLAB PROTECTION BOARD. STUD FRAME WAll __ SILL SEAL AND CAPlL~RY BREA~ FLASHING '\ ABO.'E GRADE PROTECTION ~ RIO INSULATION _ ~~~~ ~%~~ /~>>~,~o~1?@ /.\.<<0o~~:.t >>>~~Um (~"o~OOo-{,b //0Y<<~ Rl0 INSULATION" ""TYPICAL ~1I_~ml " SLAB BASE (2" SAND) ~~ (GOOD PRACTICE) .'. o. '-o----cs-.-:--~--.,...-- Rl0 INSULATION UNDER . p . . <l ENllRE SLAB o " / ~ <<.tC~ . v.o o~Ji?'~:\>~~o~~' SOIL GAS REf AROER '\: -;:;:;)::::Y.-;' 0 p., '0 o. ". o~ MEMBRANE WITH SEAMS '\~~. .4 0 0 ~~<<K~~~v AND PENETRATIONS SEALED v/~~ v!! .".~'K-<<t:<~{"/ 4"GRAVELBA5E ~<:0 "0 ~ ~~ 3/8" - 3/4'~ SCREENED "'~"" 0 0 ~ ,~"", >>/,(;/E ,P // /.,/~ ~'-Y,Q:Y WITH FINES REMOVED ",,-<,,,,-<,,,,<,,,,< ,,<,,,"(/. COMPACTED EARTH fiLL +RADON SOURCE CONTROL REQUIRED ONLY IN HIGHER RISK COUNTIES Figure 2.7 Figure 2.6 52 Site PlQn Suzo.ne Rowlo.ncl 520 VI. 16th Street Port Angeles) VIA Lot sqft 11475 Exsiting Builclings sqft 1580.5 New Builcling sqft 360 17% Lot covero.ge by new o.ncl exsiting builclings New Builcling 252 sqft storo.ge spo.ce 360 sqft Lot covero.ge ___ L.- 1"'1< ~~ )< ~~~)( :> I -t L~~~ 0x~)- -t\i'\~roper 'f y)()t ~ x ~ '><3:"> so~ XJ~-X X)()( ~ 'X~ ~x re~ce ~~ ~X)<I .-ti~~^xx ~ ..--.<": v )( X (.')(51" ";/ ~yy,,:.AXXX ) [ X I~ 'Xfx XX X )( y~~ 28'-5' ;> fTl X~'Xh)()(xx ~I 5 )~ 1 ' )< 1)( y Y )( ~ 2~' >< <+ >< ~~ "4 2)' f- 43'-4' >s. ::5 >< >s.~ X X ~ X ~R X 23'-6' ~ f\) X Proposed - ~ Shop X 14 225 sqft >< Exsisting 23' : 2' Co " 1'\ ~ , Porch 108 sqft Go.ro.ge :4' f\) c 414 sqft lJl ~' 7~ <+ .-n 8' 8'-0\~' _ -8'-8'- ...... II In::......,, v 124'-5~' ~ 32' .... l" >. ;,~. .. .:<., .~~~ ~ <+ .. :.. ..0t~ :.. .: ... .-. Exsisting f\) ""U .,.... . 14' .".. <1.... .... House ") ") . .:.. . ...~. ..... . ,,~.<1.. <+ o X fTl .. .. .. . . . .. . . X '< 1) x ~... .:. ..:.. ~ ....< 4:>' >1r 1 ~ ~ .< .:.:. .... ;.:. '-0-. . : '"'1' . 10'- 1105 sqft X) ~ ::5 .... . .. .. .. . L:.. I>< ~ ~ ~ 27'-la'i\>;>-:'. ~ ~ ~ ~ \1 \:,-:;_~4B'-11~' ~ ~ 6~V ~...:..~.:..:..:. ~ X 67'-4~' ~t~: <~o~:~ 161.58 )<> xx :.:......:. .:.:., 27'-6' sqft lot .. .. 1(""0 ero.n .~x X x.1S00(< y----------.V" " ';~'S .:>;:: ><xx "'~ ~ ~~k Xx 0 b( x x ~ . X 'f<)c it)7 .:.............Y )(y~)( x x ~I>< Power Pole Xx V b(V~X ~ ffi~~ x~. .:...::.. .~.::. xy< 'X~0x~x :) I 2)' Xg ~ ~ ~~{~~ ~ X ..;....;. :~, ~...::~x~ ~* ~~~~~ ~ 1 x' fro h 16th ~) ><;<X ~: ... .; ... IX X x)(0)<0Xx x x ~ ~>2< :)str e.t xX~~"'~X) (x:......:. : X xxx x xxxx >. ) ~[)(VV)O<)t',J<~)() I( X.:.::.: ..:.._V')( V~ '><.XXXX)v<.)< X I>< N D 3' X6' = l' 3' 520 VI 16th Street EJN (); V~. e -. ------ .-.- ---.--.- & ASSOCIATES CML ENGINEERING LAND SURVEYING INCORPORATED 519 South Peabody Street, Suite 22 Port Angeles,Washmgton 98362 (360) 417-0501 Fax (360) 417-0514 E-mail: zenovlc@olympus.net April 14, 2003 Mr. Brad Collins, Director City of Port Angeles Department of Community Development 321 East Fifth Street Port Angeles, WA 98362 SUBJECT: Private Studio for Suzane Rowland located at 520 West 16th Street, Port Angeles Dear Mr. Collins: I have examined the plans for the proposed private studio to be built at 520 West 16th Street in Port Angeles for the following: 1997 Uniform Building Code Current Washington State Ventilation and Indoor Air Quality Code Washington State Energy Code The set of plans reviewed by this office and marked in red are in substantial conformance with the above and unless there are outstanding items for which I have not reviewed the plans (Zoning, Parking, Grading, Drainage or Electrical Permits), I recommend that a permit be issued for the structure. Plans have been marked in red for conformance with the follOWing: Braced wall line and wall requirements of U.B.C. 2320.11.3. Foundation per City of Port Angeles Requirements Attic Ventilation to meet requirements of the Uniform Building Code Please call me if you have any further questions on this matter. ~w Tracy Gudgel, P.E. Fc: IN 03099 City of Port Angeles Applicant Project Review Sheet Property Address: 5'" ~ S ~of' r' /' Proposed Use: Is the proposed use listed as a "pemutted use" or an "accessory use" In this zone? Is this the only use (business, resIdence, etc.) on thIs site? Has there ever been a subdivisIOn, shortplat, or PRO approved for thIS site, or has one been submItted and IS pending approval? Does the proposed use require a new buisiness license? Does the project extend into any required setbacks or cross any lot lines (interior or exterior)? Does the project exceed the pennitted height allowance or cause the property to exceed the allowed lot coverage in this zone? Does the project require any additional parking or special design/landscape improvements in this zone? Does the project eliminate any existing parkmg spaces? Is the project located within 200' of the shoreline? Are there any environmentally sensitive areas on or within 200' of the property, including: . wetlands or areas of standing water (year round or seasonal); . streams (year round or seasonal); . areas with a slope of 40% or greater; or . areas that have evidence of past ground movement or erosIOn? Have all the required submittals been prOVIded by the applicant? o Site Plan 0 Construction Drawings o ParkinglDrainage Plan 0 Civil Drawings o Energy Calc 0 Supporting Engr. Calc o LandscapelLlghtmg Plan 0 Other w , (, ~ 31 Zoning: ..&.:1 lS.yes: ok o no: requires PD revIew c:li't.yes: ok o no: requires PD review o yes: requires PD ~ no: ok reVIew o yes: requires CC ~no: ok reVIew o yes: requires PD ~o:ok review o yes: requires PD \gJ no: ok review o yes: requires PO )(no:ok review o yes: requires PO )(.no: ok review o yes: requires PO I)l(no: ok reVIew o yes: requires PO )(no: ok reVIew )&(yes: ok o no: mark required item(s) If Planning Department review is required, the processing time may be extended. If it is determined a separate Planning Department permit(s) is needed, the Planning Department permit(s) must be approved prior to the issuance of any other permit. The information provided above is true to the best of my knowledge, I understand that in the event that any of this information is determined by the City to be incorrect, this project will be stopped until such time the City determines the correct information is provided and any subse~IY reqUi~d a1}provals are completed and grant1' ! a--.:. 3 ~ T) 83 . , Applicant Date PermIt Category # Route to: 0 BD Staff Initials (see reverse side) o CC 0 FD 0 LD Bulldmg Permit # o PD 0 PW 0 File Date Master Tracking # o Other Completion of this form is requiredfor all category lb, 2 & 3 permits. Completion is not requIred for category I a permits unless they result in a potential change of use or occupancy ~ "ORT ~ l"O~~~ r'Eiiii "--~ ~ "I,\c~ CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY DEVELOPMENT - BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 t{sz. - 7f?1 L( Application Number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Zoning . . . Application valuation 03-00000457 Date 6/18/03 520 W 16TH ST 06-30-00-0-4-4610-0000- ELECTRICAL ONLY o Owner Contractor ROWLAND BILL D 520 W 16TH ST PORT ANGELES OWNER WA 983627537 Permit Additional desc Sub Contractor Permit Fee Issue Date Expiration Date ELECTRICAL NEW RESIDENTIAL COLEMAN ELECTRIC 76.30 Plan Check Fee 6/18/03 Valuation 12/15/03 .00 o Qty Unit Charge Per 1.00 76.3000 ECH EL-RM-0-200 1ST SRV FEEDER Extension 76.30 Fee sUIIUDary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 76.30 76.30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 76.30 76.30 .00 .00 U\ ~ \) 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 regulating construction or the performance of construction. Signature of Owner (If owner is bUilder) Date Signature of Contractor or Authorized Agent Date T \PLANNlNG\FORMS\1102 15 [4/20021 BUILDING PERMIT INSPECTION RECORD CALL417-4815 FOR BUILDING INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. IT IS UNLAWFUL TO COVER, INSULA TE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT IN A CONSPICUOUS LOCATION KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES NO FOUNDATION: " FOOTINGS WALLS FOUNDATION DRAINAGE ELECTRICAL (LIGHT DEPT) SEP ARA TE PERMIT # ROUGH-IN 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 DRYW ALL T-BAR INSULATION SLAB WALL / FLOOR / CEILING I 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 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 ~/17 /03 A-tO ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ J I CONSTRUCTION - R W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T \PLANNING\FORMS\1102 15 [4/2002] CITY OF PORT ANGELES DEPARTMENT OF COMMUNlTY DEVELOPMENT - BUILDING DNISION 321 EAST 5TH STREET, PORT ANGELES, WA 98362 Application Number Pin number Property Address ASSESSOR PARCEL NUMBER: Application description Subdivision Name Property Use Property Zon1ng . . . Application valuation 04-00000721 Date .357135 520 W 16TH ST 06-30-00-0-4-4610-0000- SIDING 8/12/04 Owner Contractor RS7 RESDNTL SINGLE FAMILY 2000 ROWLAND BILL D 520 W 16TH ST PORT ANGELES OWNER WA 983627537 Permit Additional desc Permit Fee Issue Date Expirat10n Date BUILDING PERMIT - NO PR FEE RESIDE WITH HARDBOARD PLANK 92.75 Plan Check Fee 8/12/04 valuation 2/09/05 .00 2000 Other Fees STATE SURCHARGE 4.50 CJ, ~ Qty Unit Charge Per Extension 47.00 45.75 BASE FEE 15.00 3.0500 HND BL-501-2K (3.05 PER C) Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 92.75 92.75 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 97.25 97.25 .00 .00 t <r- ~ ?- ~ '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 compiled 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. Date o~'VJ__j)C{ Signature of Contractor or Authorized Agent Date T \PLANNINGIFORMSI1102 15 [11114/2003] 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 UNLA WFUL 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 DRAINAGE/DOWN SPOUTS ELECTRICAL (LIGHT DEPT) SEPARATE PERMIT # ROUGH-IN PLUMBING UNDER FLOOR / SLAB ROUGH-IN WATER LINE (METER TO BLDG) GAS LINE BACK FLOW / WATER AIR SEAL WALLS CEILING I FRAMING JOISTS / GIRDERS SHEAR WALL/HOLD DOWNS WALLS / ROOF / CEILING DRYW ALL (INTERIOR BRACED PANEL ONLY) T-BAR INSULATION SLAB WALL / FLOOR / CEILING I I MECHANICAL HEAT PUMP GAS LINE WOOD STOVE / PELLET / CHIMNEY HOOD / DUCTS PW UTILITIES / SITE WORK (Engmeenng DIvIsIOn) SEPARATE PERMIT #'5 WATERLINE / METER SEWER CONNECTION SANITARY STORM PLANNING DEPT SEPARATE PERMIT #'5 SEPA. PARKING/LIGHTING ESA LANDSCAPING SHORELINE FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE RESIDENTIAL DATE YES NO COMMERCIAL DATE ACCEPTED YES NO ELECTRICAL - LIGHT DEPT 417-4735 ELECTRICAL LIGHT DEPT CONSTRUCTION R W / PW/ CONSTRUCTION - R W ENGINEERING 417-4807 PW / ENGINEERING FIRE 417-4653 FIRE DEPT PLANNING DEPT 417-4750 PLANNING DEPT BUILDING 417-4815 BUILDING T \PLANNING\FORMS\1102 15 [11/14/2003] 't;) ~ CITY OF PORT ANGELES PUBLIC WORKS - ELECTRICAL DIVISION 12\ EAST 5TH STREET. PORT ANGELES. WA 98362 Application Number Application p~n number Property Address ASSESSOR PARCEL NUMBER. Applicat~on type descr~ption Subdivision Name Property Use Property Zoning Application valuat~on 06-00000374 Date 492396 520 W 16TH ST 06-30-00-0-4-4610-0000- ELECTRICAL ONLY 4/25/06 RS7 RESDNTL SINGLE FAMILY o Owner Contractor ROWLAND BILL D 520 W 16TH ST PORT ANGELES WA 983627537 COLEMAN ELECTRIC POBOX 1326 PORT ANGELES PORT ANGELES (360) 452-7594 WA 98362 Perm~t Additional desc Permit pin number Sub Contractor Perm~t Fee Issue Date Expiration Date ELECTRICAL ALTER RESIDENTIAL COLEMAN/ METER REPAIR 75192 COLEMAN ELECTRIC 36 30 Plan Check Fee 4/21/06 Valuation 10/18/06 .00 o Qty 1. 00 Unit Charge Per 36.3000 ECH EL-R OR RM REPAIR METER/MAST Extension 36 30 ~ ~ \) Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Perm~t Fee Total 36.30 36 30 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 36 30 36 30 00 .00 t ........ ~ It tI) 'l COMMENTS/ ACTION NEEDED :J ELECTRICAL PERMIT INSPECTION RECORD CALL 417-4735 FOR ELECTRICAL INSPECTIONS. PLEASE PROVIDE A MINIMUM 24 HOUR NOTICE. rr IS UNLA WFUL TO COVER. INSULATE OR CONCEAL ANY WORK BEFORE rr IS INSPECTED AND ACCEPTED. KEEP PERMIT CARD AND APPROVED PLANS AT JOB SITE INSPECTION TYPE DATE ACCEPTED COMMENTS YES I NO UU\,;t1 IHlIl{TH_IN I CUV,hK ~hK V l\,;h ..INAI 141-;;'5 - 6~1 ~~-] GENERAL COMMENTS: PW-II02 IS (4'961 ",,' SU'2..~Y\e eOlJJlot1d S2.0 \JJ \ 6~ S+ Po ~ +- It Y1St" I ~ \}J,a 9g312- i , I 1 I,FR.EO Fij'R R'EC'ORO ~T THE RECUEST I " LF---2r;M.Aar1d . !~tCOROEO IN it(CuIlOS/CtAllAH CO. CIa/lam' 1 County I ',: h I I, I 1 i ZONING LOT COVlf~~~IT i i . I'" " "J,~ 'I: 'I' ',\ . , f ; }'II ; i, ]1!', I ' f ' I' ~ i,1 IIWE the undersigned owner(s) of the following describ~d ~io~~~rty~:! I i (Insert legal description here) _' '! 'I, Q\ I J - . 1', I 10: oel<. , i T'l t , :LoT :: TfJA IIIIIIIIIIIIIIIIIJ 2003 1104887 2nD] MAR 31 PH 12: Ola I ! ~ (0 lj Lf " 4'6 do hereby covenant that said property shall be designated as one zoning lot as defmed in Section 17.08.032 "2" of the Port Angeles Municipal Code. This covenant creates one inseparable building lot which m~ oilly be removed through compliance with Chapter 58.17 RCW (subdivision regulations) andlor the City of Port Angeles short subdivision regulations (Ordinance No. 2222, as am~nded). _ i This covenant shall be binding on the owner(s), heir(s), aS~ign.c~); iaAa~j'shccessor(s) in interest and shall be filed with the County Auditor's Office. This covenant is lor the mutUal benefit of said owner(s), heir(s), assign(s), and successor(s) in interest and is for the fwther pl.1lPo$e~'o~p<?~pliance with state and loca land use and building regulations. This covenant may be enforced by ipJunction or other lawful procedure and covenant by the recovery of any damages resulting from non compliance. ! !t daYOf.illa 1\ l~ : , 20~ ';j',IU:lhJJJU1ij ': ,( 11'/ l,dL , '{ 11', II::!! , f,l,'l 0 j: 1i)1 Uv< ~ (Own~ - -~. Q (Owner) (Owner) , .1 , "I' I "11 , , , I' ! to'l 'I , . 'I I ~1, I (Owner) STATE OF WASHINGTON) COUNTY OF CLALLAM) ss I, ~\, ~ ~it\\So(l. , Notary Public in and fdr the State ofWashing!Q~ do here~ certify that on this 3i day of h . 2003, pe~naJ1y ~eareq befqre me '"BHL Po 't<.{'}'Nlt.'tACf and s::l1'Zt1 n~ i ~ ~vv,"~.,d ~e ~own to be the individua1(s) desribed ~ who executed the wi*in fu.s~eIh and acknowledged that ~ signed and sealed the same as rr free l!-D.d v~I~~ry!I'I~ll~~i~ee?, f?r the putposes herein mentioned. , " I' 1\'1"'. II 1"1 'I' ' , ~ I . i' J II ~ I 'I B~~ Id~Y'bfI1'r',::~ , ~ , j I , , . , . I' , , 1\~"l~1\m GIVEN UNDER "&.& ":W: CMn-:..L~eFFICIAL SEAL this {)"'.......... JSI\2 "I .~c:,\ON ~.. Q,_'I. ."-. ~.. -". , '.' I~OiARY "'\ I .')'_.- (I): i!! , , · i!! " ~ PU6UC ! I . ,"'~ Ii' '~"" (j'15.0~<cS / . ~",:"'''..' ~.:- AUDITOR'S CER~:-- Filed for record at the request of 2003 ---" ;1 :'~:'!:\:'I:i'L~~. , 'p~'-.J~tJ_~. ~---- \ NOTARY PUBLIC in' and for the State of Washin~tori residing at Port Angeles. I "'ILI I ' I! 20_. , t "I "" I I". !/'i 1 0 I, I' }; ~ ;1 !,I('r I,' Ih:i CLALLAM COuNtY:AUDITOR , this _ day of By: i ! i , j!, '\ !'" lj Apr 18 06 10:33a 8obb~ O. Coleman p.l 360-452-7594 Lal Contractor 5'~'~::::- ~~ . _._..___"Il' ~ o Owner ".;..........[~ YLECTRlCAL WORK PERMIT APPLICATION Gl'ReQuest Inspection L'ntial CJ Residential MaiDt. CJ Signs Q Tbermostat Q Telecom, o Annual Permit 0 Alarm 0 Carnival (J Commercial Job wired by lectrical Contractor 0 Owner Installation description ;1tvb", /ck,c/ City af'3t:'Z Eleclrical c~ev.-r" PUrchaser'~ mai!ing, address ensc numher Telep'ho,n~umber /1 lf5 '2 . ',/ '7'( State Z~ / -(/I'f FAX number ..5:?4- Premises owner's name City Address of inspection o Cash 0 Check # I hereby certify that I am tbe owner of the above named property or a licensed electrical contractor (or the firm's authorized agent) and am making the electrical instaHation or alteration in compliance with the electrical law, Chapter ]9.2& RCW. o Credit Cord Cord # Visa Mastercard Discover ---------------- or or eleclrical admlnislrator Expiration Date of card Inspection fec $"3(,30 x CEILING Insulation Only TIlERMOSTAT SERVICE Insulation Only D31e Approved By Olle Approved By Dale App<oved Dr O~l~ Aflrmved By DITCH FEEDER Cover Cover O.le Approved By D3le Approved B~ Appro..ed By D3le Approved By D3le Electrical Load Additions and or subtractions Q NO LOAD CHANGES o Baseboard KW o Furnace KW l:I Heal Pump Ton LAR o Fan-Wall KW Service Information Voltage Phase 0 1 03 Service Size: Feeder Size: o Overhead Service o Temp Service o Underground Service Inspection Area, Building or Equipment Inspected Aelion Taken Electrical Date Inspector /-{- 2 <'- ()I'. .fi.(jff(...- A/ A0 ~ 4c{O ~/hG / '-~ ~ ./: fit .RT ~ A~ it.... -- ' ~ =~ "i>iii;iil> D 1f}1 (-J U ELECTRICAL PERMIT APPLICATION ., The Electrical Pennlt Application must be filled out comoletelv. FOR QFACIAL USE ONLY """"", Pcmlit.: Caw Appmval; DlfC' luucd: @r Elec. Contractor Agen . Property Owner: ~ Address: F;&o vJ. llo+.h N. ' ' 'City: ~. &a..eles EleClrlcalContrsclor~~~ ~~~. =-::.~ Address: ,F;eQ. ~~sr (Co ~CIIy:. ,..:;t INSTALLATION WIRED BY: ~WNER 0 ELECTRICAL CONTl'lA R Credit Card HOlderName:~&.I. \k:l~ BII/fng Address:$i:}dl e.... City: Credit Card Number: Co U /?'1A?-/ a~C PROJECT ADDRESS: -690 vJ. L (of.b & TYPE OF WORK: Check alltha! apply: ~~ '~AlteratiOnlAdditlon ~ReSidental 0 Multi-family 0 Commercial 0 Mobile Home Sq. Ft. o Remote Meter ~Detached garage 0 Hot Tub 0 Swim Pool 0 Septic Pump 0 Low Voltage 0 Telecom; Please type or reprint In Ink. II you have any questions. please call (360. 417-4735 Fax number: (360) 417-4711 At\1~I11ocJ.,. Phone: ~FBJC tf5C),Cl015 Phone: ~ Zip: Cf 8'3lO2. Lf57 Exp: Phone: Z1p:~ Zip: co.. VISA: Me:, 8-sz11 D~ Number of Circuits added or altered: , ,,',', , ,', DESl(RIPTIO~OFTHE\ELECTRICAL~ROJECT:~'Pa.I'('~{.D S'b-u6:D)' \e.d~~v-_\~b.d-e , LI"F.,o,,1-':;' 11.-'\ 1I\.A.4.~V\ pO-l/Le, I o Baseboard o Furnace o Heat Pump _Fan-Wall _KW _KW ~~ _t'lc..A-.W~ o Overhead Service o Tamp Service p( Underground Service _dU7> A- ~lc~r:~rmtfo:~tC Voltage: aLIa Phase: .' 0 3 SeNlce Size: ~ ArlIp Feeder Size: Electrlcel Heat Load Additions 4 r]b, 30 PAMC 14.05.060(6): For industrial, commercial, & residential projects larger tIlan a duplex. a one -line drawing of tile Electrical SeNice Feeders, building size (sq. ft.), load calculations. and the type & of conductors and/or raceway is required and shall accompany tile Electrical Permil application. I hereby 'certify that I have read and examined this application and know that same to be true and co"ect. and I, 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 applicants responsibility to determine what permits are required and to obtain such. Credit Card Holder's Signature' . Date: Date:5? '0 3 Owner or Elec. Cont., Slgnatur PW.9019 OIL C-~ 5/'7/03 o~ ~ -Iv MD! ,<:f~ 6/rZ/o3